Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check...

15
Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments Exhibit G Page 1 Dept 8624 }}evergy Remit To: Wells Fargo Misc Account PO Box 871681 Kansas City MO 64187 -1681 United States Bill To: Black Hills Energy 409 Deadwood Ave PO Box 1400 Rapid City SD 57709 United States INVOICE For billing questions, please call 816-556-2200 I Line Description Annual LOIS Subscription - January I, 2020 through December 31, 2020 Wire/ACH Instructions Bank: ABA NO: Account: Addenda: UMB Bank 101000695 9871675815 MISAR, BLKHE00614 Invoice No: Invoice Date: Page: Customer No: Payment Terms: Due Date: Dept# __ k' ..... !!~-+---- WO #----'-~~~u..<:::..___ Acct # __ -..L-"""=-,-."i='--- Resou rce # _ __._/...,_={e __ _ Approve: ____ .,..,,.. __ Da te: 1~.JJ -- 19 /'10 jt)() To assure proper credit, please MS-003772 12/6/19 1 of 1 BLKHE00614 N30 DAYS 1/5/20 Return REMITTANCE COPY with your payment. Make Checks Payable to Evergy Amount j 5,500.00 Subtotal: 5,500.00 AMOUNT DUE: 5,500.00 USO • A 1.5% monthly Interest Charge will be assessed on amounts past due Internal Use Only

Transcript of Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check...

Page 1: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Exhibit G

Page 1

Dept 8624

}}evergy

Remit To:

Wells Fargo Misc Account PO Box 871681 Kansas City MO 64187 -1681 United States

Bill To:

Black Hills Energy 409 Deadwood Ave PO Box 1400 Rapid City SD 57709 United States

INVOICE

For billing questions, please call 816-556-2200

I Line Description

Annual LOIS Subscription - January I, 2020 through December 31, 2020

Wire/ACH Instructions

Bank: ABA NO: Account: Addenda:

UMB Bank 101000695 9871675815 MISAR, BLKHE00614

Invoice No: Invoice Date: Page:

Customer No: Payment Terms: Due Date:

Dept# __ k'.....!!~-+---­WO #----'-~~~u..<:::..___ Acct # __ -..L-"""=-,-."i='---Resou rce # _ __._/...,_={e __ _ Approve: ____ .,..,,.. __ Date: 1~.JJ--19

/'10 jt)()

To assure proper credit, please

MS-003772 12/6/19

1 of 1

BLKHE00614 N30 DAYS

1/5/20

Return REMITTANCE COPY with your payment. Make Checks Payable to Evergy

Amount j

5,500.00

Subtotal: 5,500.00

AMOUNT DUE: 5,500.00 USO

• A 1.5% monthly Interest Charge will be assessed on amounts past due

Internal Use Only

Page 2: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 2

Check Date: Dec/20/2019 Supplier Number: 0000076256

Invoice Number Invoice Date EVERGY METRO Dec/06/20 I 9 INC

Check Number Date

0000710802 Dec/20/2019

BLACK HILLS POWER INC POBOX8106 RAPID CITY SD 57709

Voucher ID 00155439

Gross Amount Discount Taken 5,500.00 0.00

Total Gross Amount Total Discounts

$5,500.00

Date Dec/20/2019

WELLS FARGO

115 HOSPITAL DRIVE VAN WERT OH 45891

$0.00

Pay ****FIVE THOUSAND FIVE HUNDRED AND XX/100 DOLLAR "'***

To The Order Of

EVERGY METRO INC PO BOX 219330 KANSAS CITY MO 64121-9330

Check No: 0000710802

Late Charge Paid Amount 0.00 5,500.00

Total Late Charge Total Paid Amount

$0.00

0000710802

56-382/412

9600117262

Pay Amount $5,500.00***

$5,500.00

Page 3: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 3

October 15, 2019

Black Hills Energy Attn: Mutch Usera PO Box 1400 Rapid City, SD 57709

RUSHMORE REGION

730 East Watertown Street Rapid City, SD 57701

Dept 8624 Vendor 62062

Expense reimbursement request for attending Colorado EDCC meeting, October 2019

Airfare Airport parking Baggage check Hotel

INVOICE

$530.60 40.00 30.00

626.35

TOTAL $1,226.95

Please make check payable to: 'I;; West River Foundation for Economic & Community

Development PO Box 218 Sturgis, SD 57785

Page 4: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 4

Pat Kurtenbach

From: Sent To:

United Airlines, Inc.<[email protected]> Friday, August 30, 2019 9:39 AM Pat Kurtenbach

Subject: Your United reservation for Denver, CO, US (DEN) is processing

Add [email protected] to your address book. See instructions.

U N I T E D • • Fr.day. Aug,15: ~o. 2018

Thank you for choosing United I 10 We're processing your reservation and will send you an eTicket Itinerary and Receipt email once completed. This process usually takes less than an hour, but in rare cases it could take longer. If you don't receive an eTicket Itinerary and Receipt email within 24 hours, please call the United Customer Contact Center

Confirmation number:

N229Q9

Purchase summary 1 senior (65+) Taxes and fees Additional services Preferred seats RAP to DEN Patricia Kurtenbach

Total

9~~dJ! ~~ _pa~~~"!!: .!~30.~0_!~~·~'!<.' ~~ 11 !

Trip summary

Tue. Oct 08, 2019

1

Rapid City, SD, US (RAP) to Denver, CO, US (DEN)

$455.82 $62.78 I

$12.00 !

··· ~

Page 5: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 5

UNITEDII.

Baggage uocument 8161S40637726

Ticket NL1mber

8162410269118

Confirmation : N2Z9Q9

Description Ffrst Bag Fee

Baggage Receipt Issue Date: 11 OC-T 2019 DEN ATO

Qty

1

Total Baggage Fees: USO $30.00 Excess Baggace Terms and Conditions; - All excess baggage is subject to space availability. - Receipt for payment must be presented at bac check. - For, ref~nds or adiustments . see a United reo~esPnt~tive.

Rapid City Regional Airport

RECEIPT ~

I I : A STAR ALLIANCE ME:MBl:aR ,(:~

I I

Meth-I;! of Payment

Visa l<XlOCXXXXXXXX2811 I I

cardlJctlder Name

PAT ii. KURTENBACH I

I carr :·1er UA I

I I I

Routing

OEN - RAP

AGENT REFERENCE, GG £SC BAG

Page 6: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 6

Julio Usera United States

I Date

10-08-19 Deposit

10-08-19 room rate

10-08-19 Taxes

10-08-19 PIF/PIFTax

10-08-19 Resort Fee

10-09-19 room rate

10-09-19 Taxes

10-09-19 PIF/PIF Tax

10-09-19 Resort Fee

10-10-19 room rate

10-10-19 Ta>ees

10-10-19 PIF/PIFTax

10-10-19 Resort Fee

10-11-19 Visa

Guest Signature:

~ 'CHEYE-N-NE ,MO-UN.TAlN' . . QOJ.-QlttJ)O ·&:e~Q-fr . ...

.\ 0~••1..t: a .. 1•s.~~1

Cheyenne Mountain Colorado Springs, A Dolce Resort 3225 Broadmoor Valley Road

Colorado Springs, Colorado 80906 Tel: 719.538.4000 Fax: 719.538.4880

Folio No. 68215 AIR Number Group Code Company Wyndham Rewards : Invoice No.

O..cription

XXXXXXXXXXXX2811

Total

Balance

Thank you for staying with us. It was our pleasure to serve you.

10-11-19

Room No. 363 Arrival 10-08-19 Departure 10-11-19 Conf. No. 84074EC( Rate Code HPLOC2 Page No. 1 of 1

I Chargee Credits

184.78

164.25

16.84

3.69

24.00

160.50

16.45

3.62

24.00

168.00

17.22

3.78

24.00

441.57

G;) 626.35

0.00

Page 7: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 7

Check Date: Nov/13/2019 Supplier Number: 0000062062

Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken

101519122695- Oct/I 5/2019 00152296 1,226.95 0.00 BJCED

WEST RIVER FOUNDATION FOR ECONOMIC & COMMUNITY DEVELOPMENT

Check Number Date Total Gross Amount Total Discounts

0000710422 Nov/13/2019

BLACK HILLS POWER INC PO BOX8106 RAPID CITY SD 57709

$1,226.95

Date Nov/13/2019

WELLS FARGO

115 HOSPITAL DRIVE VAN WERT OH 45891

$0.00

Pay ****ONE THOUSAND TWO HUNDRED TWENTY-SIX AND 95/100 DOLLAR****

To The Order or BLACK HILLS COMMUNITY ECONOMIC DEVELOPME

DEVELOPMENT INC 2885 DICKSON DR POBOX218 STURGIS SD 57785

Check No: 0000710422

Late Charee Paid Amount 0.00 1,226.95

Total Late Charge Total Paid Amount

$0.00

0000710422

56-382/412

9600117262

Pay Amount $1,226.95***

$1,226.95

Page 8: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 8

Vendtw '71/;, 15

v-ltl;J ,g -~I-· l I 3-cJ7-lq ~

Black Hills Special Services Cooperative Invoice Ca,:eer-Leaming Center of the Black Hills Date Invoice# 730 East Watertown St.

2/28/2019 178869 Rapid City, SD 57701

Bill To Ship To

Black Hills Energy PO Box 1400 Rapid City, SD 57709

P.O. Number Terms

Quantity

Rep Ship

2/28/2019

Description

Donation for Community Education Booklet

Thank you for your business!

Via

If you have any questions concerning this invoice please call Gloria Pluimer at (605) 394-5120

Dept #~~ ~.,_,~-,.~ WO # -1-~,__.,..ai-,---.....,:;;;.,.._ Acct #-~-~.,....-­Resource #-..... ~---­Approve:_-.-""""'-'-"---­Date:

F.0.8. Project

Price Each Amount

1,250.00 1,250.00

Total $1 ,250.00

Page 9: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 9

Sponsorship Agreement

Sponsor Name

Mailing Address

City/State/Zip

r Black Hills Energy

! PO Box 1400

r Rapid City, s6, 57709

Authorizing Contact f Mutch Usera

Phone / 6 05-4.84 -1476 -

,- ---Other Contact none

i Phone 1

email m utch. [email protected],

email

·We choose to become a Sponsor for Community Education of the Black Hills program. Please check an option:

r

r

$2500 per year: Fall 2018 & Winter/Spring 2019 editions; 110,000 booklets; full color logo on front and back cover

$1250 per edition: Fall 2018 edition only; 55,000 booklets; full color logo on front and back cover

$1250 per edition: Winter/Spring 2019 edition only; 55,000 booklets; full color logo on front and back cover

Sponsorship payment option, please check:

r Invoice in one billing

Invoice twice: Choose two months/year for billing i September and march

r Invoice me in this manner ,

I permissio~ g-r;nb!d by ·Mutch·~; ~oi~ me1 -8/17/18

Signature of Authorizing Contact Date

Questions: Tammy Sellars, 394-5120, email [email protected] Live :and Leam Community Education of the Black Hills 730 E Watertown §t Rapid City SD 57701

Page 10: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 10

Check Date: Apr/01/2019 Supplier Number: 0000071695

Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken

178869 Feb/28/2019 00141066 1,250.00 0.00

Check Number Date Total Gross Amount Total Discounts

0000707752 Apr/01/2019

BLACK HILLS POWER INC POBOX8106 RAPID CITY SD 57709

$1,250.00

Date Apr/01/2019

WELLS FARGO

115 HOSPITAL DRIVE VAN WERT OH 45891

Pay **•*ONE THOUSAND TWO HUNDRED FIFTY AND XX/100 DOLLAR**•*

To The Order Of

BLACK HILLS SPECIAL SERVICES COOP 730 E WATERTOWN ST RAPID CITY SD 57701

$0.00

Check No: 0000707752

Late Charee Paid Amount 0.00 1,250.00

Total Late Charge Total Paid Amount

$0.00

0000707752

56-382/412

9600117262

Pay Amount $1,250.00***

$1,250.00

Page 11: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 11

I

I

I

i..,..flF Lj- , , I I 9-IR- 19

Dept8624

Bl k H ••l S . / S . C t· Vendor 71695 ac 1, s pec,a erv1ces oopera 1ve Invoice Career Leaming Center of the Black Hills 730 East Watertown St. Rapid City, SD 57701

Date

9/4/2019

Invoice#

178921

Bill To Ship To

Black Hills Energy PO Box 1400 Rapid City, SD 57709

P.O. Number Terms ,

Quantity

Rep Ship

9/4/2019

Description

Donation for Community Education Booklet

Thank you for your business!

Via

If you have any questions concerning this invoice please call Gloria Pluimer at (605) 394-5120

Dept# ___ .....,. __ _

WO #_--'~~---­Acct. # __ --1-...i.~""'--Resource #_..,.....,. ___ _ Approve: ______ _

Date:

F.0.8. Project

Price Each Amount

1,250.00 1,250.00

Total $1,250.00

Page 12: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 12

Sponsorship Agreement

Sponsor Name

Mailing Address

City/State/Zip

Authorizing Contact

r

Phone j 605-484-1476

Other Contact l none

Phone

Black Hills Energy

PO Box 1400

- -Rapid City, SD, 57709

Mutch Usera

email [email protected]

email l

We choose to become a Sponsor for Community Education of the Black Hills program. Please check an option:

$2500 per year: Fall 2019& Winter/Spring 2020 editions; 110,000 booklets; full color logo on front and back cover

$1250 per edition: Fall 2019 edition only; 55,000 booklets; full color logo on front and back cover

Sponsorship payment option, please check:

Invoice in one billing

Invoice twice: Choose two months/year for billing J Sept 2019 and January 2020

Invoice me in this manner

- --- ·· -- -, Mutch Use ra July 5, 2019 via email , Signature of Authorizing Contact Date

Questions: Tammy Sellars, 394-5120, email [email protected] .net . , . ' . . . -.

Page 13: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 13

Check Date: Sep/11/2019 Supplier Number: 0000071695

Invoice Number Invoice Date Voucher ID Gross Amount Discount Taken

178921 Sep/04/201 9 00149786 1,250.00 0.00

Check Number Date Total Gross Amount Total Discounts

0000709718 Sep/11/2019

BLACK HILLS POWER INC POBOX8106 RAPID CITY SD 57709

$1,250.00

Date Sep/11/2019

WELLS FARGO

115 HOSPITAL DRIVE VAN WERT OH 45891

Pay ****ONE THOUSAND TWO HUNDRED FIFTY AND XX/100 DOLLAR **u

To The Order Of

BLACK HILLS SPECIAL SERVICES COOP PO BOX218 STURGIS SD 57785

$0.00

CheckNo:0000709718

Late Char~e Paid Amount 0.00 1,250.00

Total Late Charge Total Paid Amount

$0.00

0000709718

56-382/412

9600117262

Pay Amount $1,250.00***

$1,250.00

Page 14: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 14

Site Location Partnership 6021 Morriss Road, Suite 107 Flower Mound, TX 75028 Phone: 972-874-7483 Fax: 972-692-0384

BILL TO:

Black Hills Energy Attn: Mutch Usera P.O. Box 1400 Rapid City, SD 57709

1# 74478

18624

1

DESCRIPTION

Comprehensive Standard Program

L,L-hJ_, ~ t II) f·-~~ ')

if -

e.~~o~ Dtvt=t.01J1A.&r1

~ M~h-"J S.vt1 tL5 . i1A Please remit payment to :

SITE LOCATION PARTNERSHIP 6021 MORRISS ROAD, SUITE 107

FLOWER MOUND, TX 75028

INVOICE

INVOICE: 3751 DATE: 01/04/19

DUE DATE: UPON RECEIPT

,ept #_,,...~-.,:;~'"--­WO #....!.f..;;;0,__.w.j,...-...---Acct # __ """"'.....iiiiii--••: Resource, ... ....,,~..,..-•-•

I Approve:~~iJ-a---­Date:

AMOUNT

$9,975.00

TOTAL DUE: $9,975.00

PLEASE USE OUR OVERNIGHT ACCOUNT FOR PAYMENT DELIVERY:

FEDEX - 378954657

THANK YOU FOR YOUR BUSINESS!

Page 15: Exhibit G 2019 Other Cost Invoices and Payments...2019 Other Cost Invoices and Payments Page 7 Check Date: Nov/13/2019 Supplier Number: 0000062062 Invoice Number Date Voucher ID Gross

Black Hills Power, Inc. d/b/a Black Hills Energy 2019 Other Cost Invoices and Payments

Page 15

BLACK HILLS POWER INC POBOX8106 RAPID CITY, SD 57709

SITE LOCATION PARTNERSHIP LLC 602 I MORRISS RD STE I 07 FLOWER MOUND, TX 75028 United States

Payment Date: Jan/22/2019

Invoice Number Invoice Date Voucher ID

3751 Jan/04/2019 00137585

Sunnlier Number

Advice

-Pa ~ent~ount Jan/22/2019 $9 ,975 .00 0000030209

[email protected]

Reference: 0000030209

Gross Amount Discounts Late Char2es Paid Amount

9,975.00 0.00 0.00 9,975.00

Name BankChar2e Transfer Cost Cd 0000074478 SITE LOCATION PARTNERSHIP LLC $0.00 Reference Date Total Gross Amt Total Discounts Total Late Chari:es Total Paid Amt

0000030209 Jan/22/20 I 9 $9,975.00 $0.00 $0.00 $9,975.00