FINANCE SUMMARY SHEET 04-29-15 FOR BOS MEETING.PDF

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
Business Name Permit Comments
1. Our Lady of the Valley Food Jobber
Conference Class 2
3220 W. Greenfield Rd. FD-14098 $255.00
Phoenix, AZ 85053
St Helen Conference Food Jobber
5510 W. Cholla St Class 2
Glendale, AZ 85304 FD-14097 $255.00
St James Conference Food Jobber
19640 N. 35th Ave. Class 2
Phoenix, AZ 85308 FD-14096 $255.00
St Jerome Conference Food Jobber
10815 N. 35th Ave. Class 2
Phoenix, AZ 85029 FD-14053 $255.00
St Mark Conference Food Jobber
480 N. 30th St Class 2
Phoenix, AZ 85008 FD-18230 $255.00
St Edward the Confessor Food Jobber
Conference Class 2
4410 E. Southern Ave FD-18218 $255.00
Phoenix, AZ 85040
St Thomas More Food Jobber
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 1

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
6180 W. Utopia Rd Class 2
Glendale, AZ 85308 FD-14188 $255.00
St Raphael Food Jobber
5525 W. Acoma Rd Class 2
Glendale, AZ 85306 FD-14189 $255.00
St Charles Borromeo Food Jobber
8617 W. Peoria Ave Class 2
Peoria, AZ 85345 FD-14190 $255.00
Chris Becker Dinning Hall E & D 10+ seating
9227 N. 10th Ave Class 3
Phoenix, AZ 85021 FD-03017 $650.00
Dan O’Meara Center Food Jobber
420 W Watkins St Class 2
Phoenix, AZ 85003 FD-00151 $255.00
Ozanam Manor Boarding Home
1730 E Monroe St Class 5
Phoenix, AZ 85034 FD-00165 $760.00
Henry Unger Dining Room Service Kitchen
1075 W. Jackson St Class 2
Phoenix, AZ 85003 FD-09661 $230.00
Wayne Unruh Dining Hall E & D 10+ seating
67 W. Broadway Rd. Class 2
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 2

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
Mesa, AZ 85202 FD-00155 $315.00
Corpus Christi Conference Food Jobber
3550 E. Knox Rd Class 2
Phoenix, AZ 85044 FD-18212 $255.00
St Elizabeth Seton Conference Food Jobber
9728 W. Palmaras Ln Class 2
Sun City, AZ 85373 FD-14247 $255.00
Holy Cross Conference Food Jobber
1244 S. Power Rd Class 2
Mesa, AZ 85206 FD-01316 $255.00
2. Jerry Colangelo Branch E & D 10+ seating
1755 N.34th Ave Class 2
Phoenix, AZ 85008 FD-14080 $315.00
Robson Family Branch E & D 10+ Seating
15815 N. 29th St. Class 2
Phoenix, AZ 85008 FD-14001 $315.00
Gabel Branch School Food Services
1330 N. 15th St. Class 3
Phoenix, AZ 85006 FD-15904 $515.00
Diamondbacks/Kieckhefer Service Kitchen
Branch Class 2
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 3

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
548 W. Southern Ave. FD-00049 $230.00
Phoenix, AZ 85041
I G Homes Branch E & D 10+ Seating
1601 W. Sherman St. Class 2
Phoenix, AZ 85007 FD-00028 $315.00
Peoria Branch E & D 0-9 Seating
11820 N. 81st Ave. Class 2
Peoria, AZ 85345 FD-00002 $260.00
Rosenzweig Branch Service Kitchen
2242 W. Missouri Ave. Class 2
Phoenix, AZ 85015 FD-06560 $230.00
Sands Branch Service Kitchen
4730 W. Grovers Ave. Class 2
Glendale, AZ 85308 FD-23607 $230.00
Tri-City West Branch E & D 0-9 Seating
301 E. Western Class 2
Avondale, AZ 85323 FD-04399 $260.00
3. Rotary Club of Surprise Special Event
18300 W. Bell Rd. Taste of Surprise
Surprise, AZ 03-11-2015
Temporary Permits
FD-43516 $85.00
FD-33517 $85.00
FD-43518 $85.00
FD-43519 $85.00
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 4

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
FD-43520 $85.00
FD-43521 $85.00
FD-43522 $85.00
FD-43523 $85.00
FD-43524 $85.00
FD-43526 $85.00
FD-42694 $85.00
Total $935.00
4. Restorative Life Enrichment Service Kitchen
Program Class 2
15800 N. Del Webb Blvd. FD-41984 $230.00
Sun City, AZ 85351
5. Peoria Community Center E & D 10+ seating
8335 W. Jefferson St. Class 3
Peoria, AZ 85345 FD-00006 $650.00
The Wise Owl E & D 10+ seating
255 N. Washington St. Class 5
Wickenburg, AZ 85258 FD-00052 $1,020.00
Tempe Adult Day Care Service Kitchen
2303 E. Maryland Ave Class 2
Tempe, AZ 85012 FD-07464 $230.00
Tempe Adult Day Care Adult Daycare
2303 E. Maryland Ave Class 3
Tempe, AZ 85012 FD-01626 $100.00
Glendale Adult Daycare Service Kitchen
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 5

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
6010 W. Northern Ave. Class 2
Glendale, AZ 85301 FD-43772 $230.00
6. Glendale Lamar Service Kitchen
6331 W. Lamar Rd. Class 2
Glendale, AZ 85301 FD-06940 $230.00
Glendale Ocotillo Service Kitchen
6242 N. 59th Ave. Class 2
Glendale, AZ 85301 FD-06941 $230.00
Sine Head Start Service Kitchen
4933 W. Orangewood Class 2
Glendale, AZ 85301 FD-11057 $230.00
Buckeye Head Start Service Kitchen
112 E. Central Ave. Class 2
Buckeye, AZ FD-08005 $230.00
7. Oakwood Creative Care Inc. Service Kitchen
247 N. Macdonald Class 2
Mesa, AZ 85201 FD-00162 $230.00
8. Raymond Kellis High School 104 Food Service 150 Food Service
8990 W. Orangewood Ave. Worker Cards issued Worker Cards
Glendale, AZ 85305 on 01-28-15 at approved on 04-
$13.00ea. 27-15
Total $1,352.00 Total $1,950.00
Peoria High School E & D 10+ Seating
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 6

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
11200 N. 83rd Ave. Class 4
Peoria, AZ 85345 FD-29237 $1,030.00
9. St. John Institutional Baptist 17 Food Service 100 Food Service
Church Worker Certificates Worker Cards
1428 S. 13th Ave. issued on 04-28-15 at approved on 04-
Phoenix, AZ 85007 $10.00ea 27-15 at $13.00ea.
Total $170.00 Total $1,300.00
St. John Institutional Baptist E & D 10+ seating
Church Class 3
1428 S. 13th Ave. FD-38379 $650.00
Phoenix, AZ 85007
Plan Review $615.00
10. Multi-Generation Senior E & D 10+ seating
Kitchen Class 4
7550 E. Adobe Rd. FD-43616 $1,030.00
Mesa, AZ 85207
Mesa Senior Center E & D 10+ Seating
247 N. MacDonald Class 4
Mesa, AZ 85201 FD-43618 $1,030.00
11. Saguaro Jane’s Special Event
21802 W. Wilson Rd. Wittmann Christmas
Wittmann, AZ 85361 Celebration
12-20-2014
Temporary Permit
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 7

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
FD-41494 $85.00
12. The Family School Service Kitchen
1127 W. McDowell Rd. Class 2
Phoenix, AZ 85007 FD-06419 $230.00
13. East Valley Transitional E & D 10+ seating
Training Class 2
2345 N. Country Club Dr. FD-04703 $315.00
Mesa, AZ 85201
14. Tempe Community Action Senior Food Service
Agency Class 3
2150 E. Orange St. FD-03972 $475.00
Tempe, AZ 85281
15. Stand Together and Recover Adult Daycare
Inc. Class 3
1310 W University Dr. FD-14147 $100.00
Mesa, AZ 85201
Stand Together and Recover E & D 10+ seating
Inc. Class 4
2144 E. Roosevelt St FD-05319 $1,030.00
Phoenix, AZ 85006
Food Catering
Class 5
FD-10795 $530.00
16. Ironwood Band Community 7 Food Service 15 Food Service
Foundation Worker Cards issued Worker Cards
6051 W. Sweetwater Ave. on 02-17-15 at approved on 04-
Glendale, AZ 85304 $13.00ea 27-15 at $13.00ea
Total $91.00 Total $195.00
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 8

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
17. Manna Food Bank Food Bank
1135 E. Main St. Class 2
Mesa, AZ 85203 FD-22254 $260.00
Minor Review
RM-04473 $245.00
18. Classic Cooking Academy E & D 10+ Seating
10441 E. McDowell Mountain Class 4
Ranch Rd FD-10977 $1,030.00
Scottsdale, AZ 85255
Food Catering
Class 5
FD-14061 $530.00
19. St. Christopher’s Episcopal Special Event
Church Episcopal Church
10233 W. Peoria Ave. Women’s Pasta
Sun City, AZ 85351 Dinner 02-12-15
Temp Permit
FD-42106 $85.00
20. Northminster Presbyterian Food Bank
Food Bank Class 2
13001 N. 35th Ave FD-28623 $260.00
Phoenix, AZ 85029
21. Compassion in Action Food Bank
4525 S. McClintock Dr. Class 2
Tempe, AZ 85282 FD-04394 $260.00
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 9

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
22. Cup O Karma Café –Chandler E & D 10+ seating
Library Class 2
22 S. Delaware St. FD-36494 $315.00
Chandler, AZ 85225
23. Chandler Christian Food Bank
Community Center Class 2
345 S. California St. FD-00149 260.00
Chandler, AZ 85224
0 Food Service 30 Food Service
Worker Certificates Worker
issued to date Certificates
Total $0.00 approved on 04-
27-15 at $10.00ea
Total $300.00
24. Banner Olive Branch Senior 35 Food Service 175 Food Service
Center Worker Cards issued Worker Cards
11250 N.107th Ave. on 03-24-15 at approved on 04-
Sun City, AZ 85351 $13.00ea 27-15 at $13.00ea
Total $455.00 Total $2,275.00
38 Food Service
Worker Certificates
issued on 04-23-15 at
$10.00ea
Total $380.00
25. Phoenix Gospel Mission Boarding Home
1801 S. 35th Ave. Class 5
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 10

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
Phoenix, AZ 85009-6708 FD-04499 $760.00
26. Young Artist Society Special Event
PO Box 13621 31st Annual My
Mesa, AZ 85216 Nana’s Salsa
Challenge
March 7th & 8th, 2015
Temp Permit
FD-43208 $85.00
27. Joshua Tree Feeding Program 0 Food Service 23 Food Service
530 E. McDowell Rd Ste. 107– Worker Certificates Worker Cards
247 issued to date approved on 04-
Phoenix, AZ 85004 Total $0.00 27-15 at $13.00ea
Total $299.00
28. Steele’s Common Ground Service Kitchen
Clubhouse Class 2
1735 NW Grand Ave FD-05807 $230.00
Phoenix, AZ 85007
29. Trinity Lutheran Church Service Kitchen
830 Plaza Cir. Class 2
Litchfield Park, 85340 FD-14274 $230.00
30. PV Emergency Food Bank Food Jobber
10862 N. 32nd St Class 2
Phoenix, AZ 85028 FD-03290 $255.00
31. New River Senior Center E & D 10+ Seating
48606 N. 17th Ave. Class 2
New River, AZ 85087 FD-09116 $315.00
32. Resurrection Lutheran Church Special Event
4930 E. Greenway Rd Talent Show and
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 11

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
Scottsdale, AZ 85254 Dinner 02-21-15
Temp Permit
FD-42635 $85.00
33. VFW Post 720 E & D 10+ seating
4853 E. Thomas Rd. Class 4
Phoenix, AZ 85018 FD-01018 $1,030.00
34. YWCA Senior Citizens E & D 10+ Seating
8561 N. 61st Ave. Class 4
Glendale, AZ 85303 FD-00004 $1,030.00
35. The Salvation Army Food Bank
241 E. 6th St. Class 2
Mesa, AZ 85201 FD-09034 $260.00
E & D 10+ seating
Class 4
FD-09110 $1,030.00
36. Tolleson Food Bank Food Bank
10 S. 93rd Ave. Class 2
Tolleson, AZ 85353 FD-41841 $260.00
Plan Review $615.00
37. Southwest Human Special Event
Development Walk with me &
2850 N. 24th Street Humana Vitality 5K
Phoenix, AZ 85008 05-02-2015
Temporary Permit
FD-44291 $85.00
38. Desert Manna Food Pantry FD-44286
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 12

Permit Fee Waivers Approved by BOH on April 27, 2015 including
Food Service Worker Cards/Certificates recently approved and issued
590 N. 96th St. Plan Review $615.00
Mesa, AZ 85207
39. Phoenix Center for the Arts Special Event
1202 N. 3rd St. 3-22-15 Festival de
Phoenix, AZ 85004 Espana
Temporary Permits
FD-43885 $85.00
FD-43889 $85.00
FD-43890 $85.00
FD-43892 $85.00
Total $340.00
40. Neighborhood Ministries E & D 10+ Seating
1929 W. Fillmore St Class 4
Phoenix, AZ 85009 FD-06044 $1,030.00
Barry Goldwater High School 30 Food Service 90 Food Service
Culinary Arts Worker Cards issued Worker Cards
2820 W. Rose Garden Lane on 03-26-15 at $13ea approved on 01-
Phoenix, AZ 85027 Total $390.00 26-15 at $13ea
Total of $1,170.00
Total $33,943.00
Food Service Worker Training cost changed for Certificates issued after 04-08-15
due to change in Maricopa County Health Code Page 13