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01/21/2014 MINUTESFaris — Lamar County Wealth Department Lis400 West Sherman Street Paris, Texas 75460 TE F Voice: 903 - 785 -4561 www.parislamarhealth.com a Minutes of Regular Meeting Paris - Lamar County Board of Health The Paris - Lamar County Board of Health held a regular meeting at 5:00 p.m. on Tuesday, January 21, 2014. In attendance were Dr. Rick Erickson, Dr. Keith House, Dr. Mark Gibbons, and Mr. William Collins. Not in attendance were Dr. Lav Singh, Dr. William George, and Mrs. Kristi Head. Others in attendance were Mrs. Gina Prestridge, Ms. Cheryl Johnson, Mrs. Carla Rhodes, Mrs. Nita Johnson, Mrs. Rebecca Sanders and Mr. Gene Anderson. (See attachment # 1) Meeting was called to order at 5:01 p.m. by Dr. Erickson. Dr. Erickson introduced the interlocal agreement, along with copies from the City of Paris and Lamar County. Dr. Erickson compared all copies and compiled a list of Interlocal Agreement Discussion Points that the board will need to discuss and possibly take action on. (See Attachment # 2 - re: 1.4 - how board members are appointed, 1.6 - how board members are removed, 1.7 - term lengths of board members, 7.2 - approval of annual budget, 7.5 - maximize funding from other available sources prior to requesting funds from County or City, and 9.6 - modification or amendment of the Interlocal Agreement.) Mrs. Prestridge: The $75,000 upfront, when we are talking about breaking away, operational cost and everything, because we are cost reimbursements and the way it works right now, I just got paid for October and it is the middle of January, and a lot of that will be different with invoicing in -house and we can get everything out quicker and not have to wait on other entities to do their reports and send them to us so that delays a little bit. With that said, we have got to have that cash flow upfront, hopefully we will have a carryover as we get going and we will have a little bit more of a cushion. We get $356,000 on January 27th in our bank account, but if I don't show $75,000 up front from the City and County for the next three years, then in the future, I can't get that money, and it is another half a million dollars at least. It has to be shown in the budget that the City and County contributed $75,000 each and it has to be earmarked already given to us. I just wrote a $147,000 check back to the City to pay back the upfront money to be put back into the budget, so it was a swap. Then I'll have a $221,000 profit, but i can't show that as operational money because it has to be earmarked for certain items, but by paying for those certain items it will offset the shortfall at the end of the year. I just have to show that the contribution was made (the $75,000 contribution for the next three years, then it can change.) But what I am thinking is what happens if we don't get the grants or something then I show the hard money of $75,000 and let's say we don't have any money and we need operational money for this next year. They give us the $75,000 to start, so we can get our reimbursements coming in and we can catch up, I would like to put some kind of caveat in there, I think one year when I first come on, each entity contributed $86,000. apiece so it was a higher year that year. I would like to show the $75,000 hard money upfront as operational, then have some wiggle room at the end of the year that if there is some kind of shortfall (if there is and we are hoping there is not), but there plenty of money to carry over but says there is an extra $20,000 that we got funding cut or something, that there is something saying that there is a reasonable caveat saying that they gave us the $75,000 but say there is a little issue at the end and there is a small shortfall I feel like there needs to be some sort of security net that if there is something that exceeded that $75,000 that we are not hung out to dry. Dr. Gibbons suggested adding a second bulletin and put in a sentence saying that the board may petition both the city and the county for additional funds to cover shortfalls at the end of the fiscal year. Mr. Collins asked if we were going to consider a cost index increase off that $75,000. Dr. Erickson advised that the interlocal agreement included plus a cost of living and inflation increase towards the annual budget, but if we are going to manage our employees then we will manage their raises. Mrs. Prestridge said that if we had the money and an employee was due a raise or something, then I think it should be in addition to a cost of living if it is due and credited and there is money for it, then it should be voted on. I am just thinking in my mind that you are not going to stalemate every employee to the lesser of the raises. Dr. Erickson said that Judge Superville wanted a caveat saying that you could not give anyone a raise that was more than the lowest raise that a City or County employee gets, but apparently if they flip -flop every year, then nobody gets a raise at the health department and everybody gets a raise every other year at the City and County. Mr. Collins stated that it meant that if the City gave a 5% raise and then the County only a 3.5% raise then the health department would get the 3.5% rather than the 5 %. Mrs. Prestridge stated that in a lot of years the County may give a raise and the City will give nothing, or vise - versa, so the Health Department would not get a raise. Dr. Erickson said that this is micromanaging our budget. Gene Anderson suggested that Judge Superville may be wanting a way to control the upper end of what the County will have to contribute. Maybe, if you put a cap on there then it would not matter what you need, you could get 25% pay increases, but the City and the County will not pay any more than the cap amount. This should satisfy both the City and the County. Board of Health minutes 2014 -01 -21 Special Meeting (needing approval) Dr. Erickson suggested that we start with the $75,000 but it should also state instead of being petitioned at the end of the year that it will be renegotiated at the end of every three years. For example, in case it needed to be $78,000 instead of $75,000, or next time the grant needs to show $200,000 instead of $150,000, then both the City and County portions would be $100,000 instead of $75,000. Dr. Gibbons said that is did need this added to the interlocal agreement because you do not want to have to re -write this agreement in five years when inflation goes up or grants get cut. You need something that can be documented and not modified over the next five or ten years. Mrs. Prestridge said that the initial split is going to cost quite a bit of money. We are going to have to have software in place and we have had to buy some things that were not budgeted in this first go round to make the split. We talked about going back to the Commissioners and the City Council, because both budgeted $75,000 for the Health Department and each gave the Health Department $30,000, so to start this operational system where we are having to have new systems in place, we could even petition to get what they actually budgeted the Health Department for our operational money to get us started. Mr. Collins stated that the $75,000 needs to be given upfront. Mrs. Prestridge stated that she is concerned because when you work with the Department of State Health Services that you do not necessary get your reimbursement by the time you have spent your expenditures and peoples salaries and insurance cannot wait. If there is money left over at the end of the year, then the Health Department is more than willing to give that money back to the City and County. The Health Department has no intention of adding up the shortfall. The Health Department only wants to make sure we can operate because currently when the Health Department goes in the red, then the City covers the Health Department until we receive our reimbursement checks from the State. Now the Health Department is going to be our own entity with our own accounts within our own budget and our own money flowing in and out and we have got to have some coverage. We need some kind of settle up at the end of the year, either we give the money back or the City and County give a little more money. There needs to be something for all entities involved. Dr. Erickson asked if we come to the end of the year and of the $75,000 that would be give at the beginning of the year and we only used $50,000, then we would give back $25,000 to the City and the County. Dr. House and Mr. Collins stated that this would make a better partnership in the future if we ever needed additional funds if we were financially able to return excess funds in the years where the shortfall was less than $75,000. Board of Health minutes 201401 -21 Special Meeting (needing approval) Dr. Erickson suggested that we collect what amount the City and County budgets for the Health Department (upfront) and we can add a sentence stating that any additional funds could be returned. Mr. Collins stated that the Health Department needs to collect the $75,000 upfront at the beginning of each budget year. Mr. Anderson suggested that the Health Department set up a reserve policy like the City of Paris currently has. The Health Department would set up a $150,000 - $200,000 reserve policy that the Health Department will work towards and obtain having for two to three months of operating reserve as a minimum and you keep any surplus money and it goes toward the reserve and if you have an unexpected shortfall then you have a reserve that is there to cover it and you will not have to go to the City and County. Then once the reserve amount is met then you could reduce your budget or renegotiate how much the City and County would give, but first you would bill up the reserve so you would have that money. An operating reserve could cover an emergency shortfall. Mr. Anderson stated that the City budgeted $75,000 and the City paid thirty something thousand based on the shortfall on September 30th, so Mr. Anderson did not think that the City would object to paying the balance of forty something thousand that was budgeted and put in the interlocal agreement that on October 1 or soon thereafter that the City of Paris will pay their $75,000 match to give the cash flow requirement that the Health Department needs. Dr. Gibbons asked if the City and County would each give $75,000 if the Health Department had a $500,000 operating reserve fund. Is there a certain point where you build up your reserve fund and then the City and County ask why they are giving you money every year and you are not using your reserve funds? Mr. Anderson stated that if you have in the interlocal agreement that the $75,000 cap is for three years then will be renegotiated, if you build up an excessive reserve then you could address that then at the renegotiation. Dr. Gibbons stated that ideally you could build up the reserve to a certain point and then you could use it as your start up cost every year. Dr. Erickson stated that the startup cost will be a onetime deal such as software like QuickBooks, audits, and we can't use the City of Paris attorney, accounting department and we will have to hire someone to do and those are additional cost to our budget that have not been there before. Mr. Anderson stated that since we will be doing the accounting in -house there will be the additional compensation cost but the audit will be the largest outside cost. Board ofAealth minutes 201401 -21 Special Meeting (needing approval) Dr Erickson stated that the second one states to maximize the funding from other available sources and then the City and County will each contribute $75,000 and we can scratch out the " plus a cost of living and inflation increase" towards the annual budget of the Health District to be paid within the first month of the fiscal year and we can say for three years then renegotiate contribution amount based on budget. Dr. Gibbons stated that is should be renegotiated based on the prior three years budget. Mr. Collins stated that this way it could be increased or decreased every three years. Mr. Anderson stated that at the end of every three years an amendment to the agreement could be done for the renegotiated amount. Mrs. Prestridge asked Mr. Anderson how to request the remaining dollars that were budgeted by the City. Mr. Anderson said that it was budgeted by the City Council and already approved, so just write a letter requesting the money and Mr. Anderson would tell Mr. Godwin what we were requesting and then a check should be written. Mrs. Prestridge asked what about the fiscal year being over when I go to ask Judge Superville about those dollars. Mr. Anderson stated that you do not have to worry about last year and look at this year. We actually settle up on a one year lag time. Your budget ends September 30th and we don't settle up on that until the following fiscal year. Even though we are doing that based upon your budget, we are using the current year's budgeted money to settle up for last year, so there is a lag time. Dr. Erickson stated that if we do this and implement it then the City and County will owe whatever the shortfall there was for this last year plus the $75,000, so the City and County will have to budget for both of these amounts in their upcoming budgets. Mr. Anderson suggested that we request the balance that the City and County did not have to pay the Health Department for this fiscal year, whatever that figure is, somewhere around thirty five thousand dollars each, and that would give the Health Department roughly seventy thousand dollars, and then next October you would get $75,000 from the City and County. Surely, approximately $70,000 would cover your start up cost. Mr. Collins stated that the $70,000 would get the reserve fund started. Mr. Anderson stated that the Health Department needs to set the reserve policy up and this way the City and County will understand that you have this target and just because the Health Board of Health minutes 201401 -21 Special Meeting (needing approval) Department has money in the bank does not mean that the City and County does not still need to contribute until the target is met. Dr. Erickson asked Mr. Anderson to correct him if his had misunderstood. The Health Department budget ends on September 30th and we have an accounting for what happened during that fiscal year, and we end up with a $20,000 shortfall, so the City and County would have to pay $10,000 towards the shortfall plus in the new agreement $75,000 upfront. So, the old agreement was that the City and County would cover the shortfall, so we still need that money. In moving forward, we need this money. Mr. Anderson stated that the Health Department had been given the money for the shortfall for last year but not for this year. You will not know what the shortfall is going to be until September 301h, so you need to do the shortfall for one more year plus the $75,000. Dr. Erickson stated that as this year ends, we will have a shortfall then we will budget the $75,000 and there will not be an accounting at the end with a shortfall at the end of that year. Mr. Anderson stated that we need to include that the final year to settle up would be September 30, 2014 and beginning with the FY14 -15 budget it will be a flat amount of $75,000 and then beginning October 1 for the next three years, then renegotiating up to the next three years. Mr. Anderson stated that he would meet with Mr. Kent Mcllyar and make the changes and then send back to the Board Members to review. Dr. Erickson stated that 9.6 is modification of the interlocal agreement and do we want them to be able to modify by a majority vote by the City Council and the Lamar County Commissioners Court or by representatives from the City and Lamar County. Mr. Collins suggested that 9.6 should be modified by the majority vote of the Health Department board and then by joint approval by the City and County. Dr. Erickson stated that all members voted for the first 1.4, the second 1.6, the second 1.7, third 7.2, the second 7.5, and the second 9.6 discussion points but with the changes listed above. Mrs. Prestridge asked that 7.2 be changed to 90 days and 60 days. Dr. Erickson stated that we will not be going to budget hearings and we will take our budget to Commissioner Court and City Council and submitted for review and not for approval. Mrs. Prestridge suggested that a Board Member take the Health Department budget to City Council and Commissioner Court for review. Board of Health minutes 201401 -21 Special Meeting (needing approval) Mr. Anderson suggested that Mrs. Prestridge submit the budget to his office and he could give to the City Council for review. Mr. Collins made the motion and was seconded by Dr. House that minutes from the November 21, 2013 meeting be approved. (See attachment # 3) Mrs. Prestridge, Executive Director, updated the board members that she is due the DSRIP money on January 27th. The money is earmarked for certain things that had to do with the grant that was written, but can offset operational cost in the long run, revise the holiday leave policy to 10 hours to cover the shifts that all employees at the Health Department and WIC work, in the past we used 8 hours holiday pay and we had to take the other 2 remaining hours as vacation pay or comp. time off since the City works 8 hour shifts. Make the revision and Board Members will vote at the next meeting. Vacation and Sick Leave will continue to accrue at the current rate and will not change. Health Insurance has been split from the City and we are getting our own bills from TML. My next step is to work on the retirement plan, but since we have already made contributions to the retirement plan that we are in, then we cannot make changes as far as simple HRA, talked with Stephen Gerald with Edward Jones and if we want to go ahead and separate then he can set up a SEP IRA which means we contribute 3% and the employee can decide what amount that want to contribute into another account, it will not be a matched amount, or until the next calendar year or January 1st, we can go to the simple HRA and we contribute a 3% match to their money and it goes into one account. There is a $40 annual fee for each employee. Mr. Anderson stated that once payroll is no longer with the City that all employees will not be able to contribute any more money into their current retirement plan but they can leave their money or roll it over, but can't add any more money, but they will continue to draw interest. The employees will get the City matched amount only if they retire and draw a monthly check. Mr. Collins made the motion and was seconded by Dr. Erickson that we switch to the SEP IRA now and then to the simple HRA on January 1, 2015 and the Health Department to pay the fees. All voted and approved. Mrs. Prestridge talked to the University of Tyler, Texas Health Center, about screening for the Women's Health Program. We are currently sending all water testing out and we are bringing it in -house and testing water samples and we are in the process of getting our lab certified. Mrs. Prestridge purchased new computer for A/P software, purchased payroll software, and McClanahan and Holmes will charge $65 an hour to train Gina on the A/P and A/R software and Cheryl on Payroll software. Mrs. Prestridge stated that we have three board member terms that will expired on June 30th and also Dr. Singh has given Dr. Erickson a resignation letter. (Dr. Erickson will bring to next meeting.) The next meeting will be on the 18th of February, 2014 at 5:30 p.m. at the Paris - Lamar County Health Department. Board of Health minutes 2014 -01 -21 Special Meeting (needing approval) Dr. House made the motion and was seconded by Dr. Gibbons for the meeting to be adjourned at 6:18 p.m. Respectfully submitted by: &v::ve v. poAwm Cheryl D. Johnson Approval motion made by Dr. Gibbons and seconded by Ms. Head at the February 18th, 2014 meeting. Board of Health minutes 201401 -21 Special Meeting (needing approval) ft As — Lamar County 9feafth rDepartment 400 West Sherman Street Paris, Texas 75460 Voice: 903- 785 -4561 *L.' www.parislamarhealth.com Paris -Lamar County Board of Health Meeting On Tuesday,, 2014 @ 500P.m. 1. or qzkf,Erickson - Parts -Lamar County Board of Health Board Members: Dr. Rick Erickson, Chairman Dr. Keith House, Vice - Chairman Mal M. Head, Treasurer Dr. William H. George Dr.. Mark Gibbons: dr La�.Stngh l m! �i}ISi {. i3; ?. ......; •::in:�.ii t7 i jlii! i•,.•;!ii ::;!i!.; i s��E :, ��f{ 2. (Dr: Kpith 7fouse - 3. Knr ti 7fead - 4. Dr: Wffiam George - 5. Dr. ` i ar k gj66ons - 6. (Dr Lav Singh 7. WiXam "dill°' 8. Gina ftestridgi 9. Chery(johnson of here, fliOM .15. 16. 17. 18. - 091140_.'J� 9 Board ofHealth minutes 201401 -21 Special Meeting (needing approval) interiocal Agreement Discussion Points 1. 1.4 How the Board is appointed - by the current board members with joint approval, or strictly by appointment by either the LCCC or PCC 2. 1.6 Removal from Board - by majority vote from the Board, or by joint resolution of the LCCC and PCC 3. 1.7 Term limits - none or staggered 3 year terms 4. 7.2 Budget approval process - provided to the LCCC and PCC as a courtesy, or for approval by both entities. Also, whether it will be presented to the LCCC and PCC after Board approval, or simultaneously. 5. 7.5 Funding of the Health District - flat amount plus cost of living and inflation increases after budget approval, or overage amount based on year end accounting statement. Should be split 50/50 by the LCCC and PCC. 6. 9.6 Modification of the agreement - by majority vote of LCCC and PCC, or by representatives of those entities ATTACHMENT #2 Board of Health minutes 201401 -21 Special Meeting (needing approval) 1.4 he Board members of the Paris/ Lamar County Health Department shall become the Directors of 1 , e Lamar County Board of Health upon the effective date of this Agreement. Vacancies on the Board of Directors of the Lamar County Board of Health shall be filled by appointment made by the Board and approved by joint resolution of the Lamar County Commissioner's Court and the Paris City Council. The Board members of the Paris / Lamar County Health Department shall become the Directors of the Lamar County Board of Health upon the effective date of this Agreement. Vacancies on the Board of Directors of the Lamar County Board of Health shall be filled by appointment made by joint resolution of the Lamar County Commissioner's Court and the Paris City Council. > The Board members of the Paris/ Lamar County Health Department shall become the Directors of the Lamar County Board of Health upon the effective date of this Agreement. Vacancies on the Board of Directors of the Lamar County Board of Health shall be filled by appointment made by alternating selections of the Lamar County Commissioner's Court and the Paris City Council. The official selection order will be maintained by the Board of Directors of the Lamar County Board of Health. 1 Directors shall serve without term limits and without compensation. 1.7T irectors shall serve a maximum of 2, 3 year terms. They must roll off the Board for at least one ar before serving again as a director. q�1 Term i><m�ts needed - -W- Board offrealth minutes 201401 -21 Special Meeting (needing approval) -KA director may be removed from the Board for neglect of duty, malfeasance, or improper behavior, by a joint resolution of the Lamar County Commissioner's Court and Paris City Council. DlbiAWS in °y 16 director may be removed from the Board for neglect of duty, malfeasance, or improper behavior, b, a majority vote of the Board, and then a joint resolution of the Lamar County Commissioner's Court cSjdh and Paris City Council. b , A director may be removed from the Board for neglect of duty, malfeasance, or improper behavior, p?En %1%0' by a majority vote of the Board. 1 Directors shall serve without term limits and without compensation. 1.7T irectors shall serve a maximum of 2, 3 year terms. They must roll off the Board for at least one ar before serving again as a director. q�1 Term i><m�ts needed - -W- Board offrealth minutes 201401 -21 Special Meeting (needing approval) The Executive Director shall prepare an annual budget for the district and shall submit same to the Board for review, approval and action no less than 120 days prior to the beginning of a new fiscal year. A copy of the District's annual budget shall be submitted to Lamar County and the City of Paris at the same time it is presented to the Board of Directors of the Paris -Lamar County Health District. The Health District's annual request for funding will be considered by the Lamar County Commissioners and Paris City Council through their separate budget processes. XThe Executive Director shall prepare an annual budget for the district and shall submit same to the Board for review, approval and action no less than 120 days prior to the beginning of a new fiscal year. A copy of the District's annual budget shall be submitted to Lamar County and the City of Paris after the budget has been approved and adopted no less than 90 days prior to the beginning of a new fiscal year. The Health District's annual request for funding will be considered by the Lamar County Commissioners and Paris City Council through their separate budget processes. Any changes made to the budget must be resubmitted to the Board for review no less than 60 days prior to the beginning of a new fiscal year. 7.2 he Executive Director shall prepare an annual bud et ftsor a the i di trict and shall submit same to the ty sr Board for review, approval and action no less than ays prior to t e beginning of a new fiscal year. A copy of the District's annual to as approved and adopted shall be submitted to Lamar County and the City of Paris no less than mays prior to the beginning of a new fiscal year as a courtesy, but not for approval in connection with the District's annual request for funding. .5UjO (fACd ror ccv:ew i nat Misr C61P praval. .. Se• �o p end ot budc�ct yr. W%G s G j`ept• 30 d'•¢� . tine o4 yr• �ro Pltti0 '�grrf.3� XThe Board and Executive Director will maximize funding from other available sources, including governmental and private grants, prior to requesting funding from Lamar County and the City of Paris. In the event that revenues from 7.3 and 7.4 above are not sufficient to cover the Paris -Lamar County Health District expenditures as outlined in the approved annual budget, the City of Paris and Lamar County will each pay 50% of the monies needed to cover the revenue shortfall. The estimated annual contribution to be paid to the Health District by the City and County shall be paid within the first month of the fiscal year. 7.5 he Board and Executive Director will maximize funding from other available sources, including governmental and private grants, prior to requesting funding from Lamar County and the City of Paris. The City of Paris and Lamar County will each contribute 75,000 dollars, n 4wrease toward the annual budget of the Health District to be paid within the first month of the fiscal year. for 3 yrs. 3 htx► re Aeyk Ike- bUWA on F,e4qAf rcoAmO 01 b � 151 °o Board of Health minutes 2014 -01 -21 Special Meeting (needing approval) This Agreement may not be modified or amended except upon written amendment authorized and signed by representatives of both the City of Paris and the Lamar County. 9.6 T is Agreement may not be modified or amended except upon written amendment authorized by a ajonty vote math the Paris City Council and the Lamar County Commissioner's Court. b4 -ov by Board of Health minutes 201401 -21 Special Meeting (needing approval) Paris -- Lamar County YCealth Department 400 West Sherman Street Paris, Texas 75460 lf Voice: 903- 785 -4561 www.oarislamarhealth.com k Minutes of Special Meeting Paris - Lamar County Board of Health The Paris - Lamar County Board of Health held a SPECIAL meeting at 5:30 p.m. on Thursday, November 21, 2013. In attendance were Dr. Rick Erickson, Dr. Keith House, Dr. Mark Gibbons, Dr. William George, and Mr. William Collins. Not in attendance were Dr. Lav Singh and Mrs. Kristi Head. Others in attendance were Mrs. Gina Prestridge, Ms. Cheryl Johnson, Mrs. Carla Rhodes, Mrs. Elishia Brothers, Mrs, Nita Johnson, Mrs. Rebecca Sanders and Mr. Gene Anderson. Meeting was called to order at 5:30 p.m. by Dr. Erickson. Dr. George made the motion and was seconded by Dr. Gibbons that minutes from the October 22, 2013 meeting be approved. At 5:33 p.m., Dr. George made the motion and was seconded by Dr. Gibbons that the Board of Health members convened into executive session to discuss ,performance evaluations for the Executive Director and Medical Director. At 5:48 p.m., Dr. George made the motion and was seconded by Dr. Gibbons that the Board of Health members convened intoppen session. At 5:49 p.m., Dr. George made the motion and was seconded by Dr. Gibbons that the performance evaluations be approved and made a part of the Executive Director and Medical Director's personnel chart. Mr. Gene Anderson advised the Board of Health members that the interlocal Cooperative Agreement between Lamar County, City of Paris, and the Paris -Lamar County Health Department still needs some clarification in several areas and that Mr. Kent Mcllyar sent a copy over to the County Judge to review and make changes. Mrs. Prestridge, Executive Director, updated the board members that TML can provide insurance policies to the Health Department employees at a higher rate since we are a smaller group and HRA will be available. Steven Gerald with Edward Jones-is getting soriZe,retirement information together for the board to review. Mrs. Prestridge advised the board members about the audit findings, the Agreed upon Procedure with McClanahan & Holmes to review accounts, and the Pre - Approval of 1115 Waiver. Mrs. Prestridge requested approval to submit a grant request in the amount of $10,600. to the St. Joseph Community Foundation Grant. ATTACHMENT #3 Board of Health minutes 2014 -01 -21 Special Meeting (needing approval) Mrs. Prestridge discussed comp. time policy, vacation and sick leave. Mr. Anderson informed the Board about Attendance Days as an incentive to reduce sick time. Dr. Erickson made the motion and was seconded by Dr. Gibbons that the cost of processing any suspected rabies heads /bodies will be raised from $50.00 to $75.00 effective December 1, 2013. Payment will be due at time the animal is dropped off. The next meeting will be on the 21th of January, 2014 at 5:30 p.m. at the Paris - Lamar County Health Department. There will not be any meeting in December due to the holidays. Mr. Collins made the motion and was seconded by Dr. Gibbons for the meeting to be adjourned at 6:41 p.m. Respectfully submitted by: &VmN a Z). A4"" Cheryl D. Johnson Approval motion made by Coll tits and seconded by [-Q e� at the November 19th, 2013 meeting. foap�KoJtd Board of Health minutes 201401 -21 Special Meeting (needing approval)