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<br />EMS PROVIDER <br />REPORT OF EXPENDITURES FY 05-06 <br /> <br />COUNTY of LICENSURE: Harris <br /> <br />COUNTY OF OPERATION: Harris <br /> <br />Name of EMS Provider: La Porte EMS <br /> <br />Name of EMS Administrator (print): <br /> <br />Re: Designated Trauma Facility and Emergency Medical Services (2) <br /> <br />Total Amount of Allocation this Provider Received: $1.691.89 <br /> <br />Purchases/expenditures during period August 15, 2005 - August 31, 2006 <br /> <br />COPIES OF RECEIPTS ARE REQUIRED <br /> <br />Supplies: <br /> <br />Item: <br /> <br />Item: <br />Item: <br />Item: <br /> <br />Cost: $ <br />Cost: $ <br />Cost: $ <br />Cost: $ <br /> <br />Education & Training: Course: <br /># Persons Trained: <br /> <br />Date: <br />Cost: $ <br /> <br />Equipment: Type: <br />Type: <br />Type: <br /> <br />Cost: $ <br />Cost: $ <br />Cost: $ <br /> <br />Vehides: Type: <br />Type: <br /> <br />Cost: $ <br />Cost: $ <br /> <br />Communications Equipment: <br />Type: <br />Type: <br /> <br />Cost: $ <br />Cost: $ <br />