{
    "document_id": 11559,
    "filename": "GetMeetingFileStream_fileId_7615,plainText_false_.pdf",
    "engine": "paddleocr_vl",
    "source_run_id": 11670,
    "generated_at": "2026-10-28T20:10:00+00:00",
    "page_count": 4,
    "counts_by_type": {
        "footer": 6,
        "form_field": 13,
        "heading": 11,
        "link": 1,
        "list": 8,
        "list_item": 45,
        "table": 1,
        "table_cell": 6,
        "text": 19,
        "title": 1
    },
    "timings": {
        "total_ms": 1404,
        "structure_ms": 189,
        "text_layer_ms": 17,
        "build_ms": 11
    },
    "pages": [
        {
            "document_id": 11559,
            "page": 1,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 11670,
            "item_count": 27,
            "counts_by_type": {
                "footer": 1,
                "heading": 1,
                "link": 1,
                "list": 1,
                "list_item": 17,
                "text": 5,
                "title": 1
            },
            "build_ms": 3,
            "items": [
                {
                    "id": "p1.1",
                    "order": 1,
                    "type": "title",
                    "bbox": {
                        "l": 242.88,
                        "t": 719.28,
                        "r": 440.64,
                        "b": 705.84
                    },
                    "text": "DUBUQUE COUNTY BOARD OF HEALTH",
                    "attrs": {
                        "block_label": "doc_title"
                    },
                    "level": 2,
                    "reading_order": 0
                },
                {
                    "id": "p1.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 70.08,
                        "t": 683.28,
                        "r": 256.32,
                        "b": 669.12
                    },
                    "text": "DATE: Thursday, October 29, 2026",
                    "reading_order": 1
                },
                {
                    "id": "p1.3",
                    "order": 3,
                    "type": "text",
                    "bbox": {
                        "l": 70.56,
                        "t": 666.96,
                        "r": 168,
                        "b": 653.52
                    },
                    "text": "TIME: 10:00 AM",
                    "reading_order": 2
                },
                {
                    "id": "p1.4",
                    "order": 4,
                    "type": "text",
                    "bbox": {
                        "l": 69.6,
                        "t": 650.88,
                        "r": 367.2,
                        "b": 607.68
                    },
                    "text": "PLACE: Dubuque County Health Department Board Room\n1225 Seippel Rd\nDubuque, IA 52002",
                    "reading_order": 3
                },
                {
                    "id": "p1.5",
                    "order": 5,
                    "type": "text",
                    "bbox": {
                        "l": 114.24,
                        "t": 592.32,
                        "r": 542.88,
                        "b": 526.08
                    },
                    "text": "Microsoft Teams meeting\nJoin:https://teams.microsoft.com/meet/2200724681689926?p=3ejXeS9fpHLKtFQTMv\nMeeting ID:220 072 468 168 992 6\nPasscode:VL2At6Uq",
                    "children": [
                        {
                            "id": "p1.5.1",
                            "order": 6,
                            "type": "link",
                            "bbox": {
                                "l": 140.226,
                                "t": 579.05,
                                "r": 540.713,
                                "b": 565.084
                            },
                            "text": "Join:https://teams.microsoft.com/meet/2200724681689926?p=3ejXeS9fpHLKtFQTMv",
                            "attrs": {
                                "uri": "https://teams.microsoft.com/meet/2200724681689926?p=3ejXeS9fpHLKtFQTMv",
                                "action_type": "/URI"
                            },
                            "reading_order": 0
                        }
                    ],
                    "reading_order": 4
                },
                {
                    "id": "p1.6",
                    "order": 7,
                    "type": "heading",
                    "bbox": {
                        "l": 281.52,
                        "t": 487.2,
                        "r": 330,
                        "b": 471.12
                    },
                    "text": "Agenda",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p1.7",
                    "order": 8,
                    "type": "list",
                    "bbox": {
                        "l": 71.52,
                        "t": 454.32,
                        "r": 522,
                        "b": 104.88
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 17
                    },
                    "children": [
                        {
                            "id": "p1.7.1",
                            "order": 9,
                            "type": "list_item",
                            "bbox": {
                                "l": 72.24,
                                "t": 454.32,
                                "r": 135.12,
                                "b": 440.4
                            },
                            "text": "Roll Call",
                            "marker": "1.",
                            "reading_order": 0
                        },
                        {
                            "id": "p1.7.2",
                            "order": 10,
                            "type": "list_item",
                            "bbox": {
                                "l": 72,
                                "t": 435.12,
                                "r": 176.16,
                                "b": 421.2
                            },
                            "text": "Public Comment",
                            "marker": "2.",
                            "reading_order": 1
                        },
                        {
                            "id": "p1.7.3",
                            "order": 11,
                            "type": "list_item",
                            "bbox": {
                                "l": 72.24,
                                "t": 415.92,
                                "r": 292.56,
                                "b": 401.28
                            },
                            "text": "Chairperson Announcements & Updates",
                            "marker": "3.",
                            "reading_order": 2
                        },
                        {
                            "id": "p1.7.4",
                            "order": 12,
                            "type": "list_item",
                            "bbox": {
                                "l": 71.52,
                                "t": 396.72,
                                "r": 234.48,
                                "b": 382.32
                            },
                            "text": "BOS/BOH Liaison Comments",
                            "marker": "4.",
                            "reading_order": 3
                        },
                        {
                            "id": "p1.7.5",
                            "order": 13,
                            "type": "list_item",
                            "bbox": {
                                "l": 71.76,
                                "t": 377.52,
                                "r": 296.64,
                                "b": 363.12
                            },
                            "text": "Approval of Agenda for October 29, 2026",
                            "marker": "5.",
                            "reading_order": 4
                        },
                        {
                            "id": "p1.7.6",
                            "order": 14,
                            "type": "list_item",
                            "bbox": {
                                "l": 72,
                                "t": 358.32,
                                "r": 195.84,
                                "b": 344.16
                            },
                            "text": "Approval of Minutes",
                            "marker": "6.",
                            "reading_order": 5
                        },
                        {
                            "id": "p1.7.7",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 155.04,
                                "t": 339.36,
                                "r": 391.44,
                                "b": 324.96
                            },
                            "text": "Opioid Subcommittee Meeting June 5, 2026",
                            "marker": "a.",
                            "reading_order": 6
                        },
                        {
                            "id": "p1.7.8",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 72.24,
                                "t": 319.44,
                                "r": 157.44,
                                "b": 306
                            },
                            "text": "Action Items",
                            "marker": "7.",
                            "reading_order": 7
                        },
                        {
                            "id": "p1.7.9",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 152.64,
                                "t": 300.48,
                                "r": 409.68,
                                "b": 286.08
                            },
                            "text": "Expansion of Existing Narcan Vending Machines",
                            "marker": "a.",
                            "reading_order": 8
                        },
                        {
                            "id": "p1.7.10",
                            "order": 18,
                            "type": "list_item",
                            "bbox": {
                                "l": 152.64,
                                "t": 281.76,
                                "r": 425.76,
                                "b": 267.6
                            },
                            "text": "Purchase of Additional Health and Safety Machines",
                            "marker": "b.",
                            "reading_order": 9
                        },
                        {
                            "id": "p1.7.11",
                            "order": 19,
                            "type": "list_item",
                            "bbox": {
                                "l": 71.76,
                                "t": 262.08,
                                "r": 240,
                                "b": 248.4
                            },
                            "text": "Response to Public Questions",
                            "marker": "8.",
                            "reading_order": 10
                        },
                        {
                            "id": "p1.7.12",
                            "order": 20,
                            "type": "list_item",
                            "bbox": {
                                "l": 72.24,
                                "t": 243.12,
                                "r": 163.2,
                                "b": 229.44
                            },
                            "text": "New Business",
                            "marker": "9.",
                            "reading_order": 11
                        },
                        {
                            "id": "p1.7.13",
                            "order": 21,
                            "type": "list_item",
                            "bbox": {
                                "l": 152.88,
                                "t": 223.92,
                                "r": 522,
                                "b": 195.6
                            },
                            "text": "Consideration of Screenagers: Growing Up in the Digital Age Streaming License Purchase",
                            "marker": "a.",
                            "reading_order": 12
                        },
                        {
                            "id": "p1.7.14",
                            "order": 22,
                            "type": "list_item",
                            "bbox": {
                                "l": 152.4,
                                "t": 190.56,
                                "r": 505.68,
                                "b": 162.48
                            },
                            "text": "Consideration of Expanding the Committee's Scope from Substance Misuse to Brain Health",
                            "marker": "b.",
                            "reading_order": 13
                        },
                        {
                            "id": "p1.7.15",
                            "order": 23,
                            "type": "list_item",
                            "bbox": {
                                "l": 72.72,
                                "t": 156.48,
                                "r": 257.52,
                                "b": 142.56
                            },
                            "text": "Board Communication & Reports",
                            "marker": "10.",
                            "reading_order": 14
                        },
                        {
                            "id": "p1.7.16",
                            "order": 24,
                            "type": "list_item",
                            "bbox": {
                                "l": 72,
                                "t": 137.28,
                                "r": 339.36,
                                "b": 122.88
                            },
                            "text": "Next Meeting - To be Determined During Meeting",
                            "marker": "11.",
                            "reading_order": 15
                        },
                        {
                            "id": "p1.7.17",
                            "order": 25,
                            "type": "list_item",
                            "bbox": {
                                "l": 72.48,
                                "t": 118.08,
                                "r": 176.4,
                                "b": 104.88
                            },
                            "text": "Public Comment",
                            "marker": "12.",
                            "reading_order": 16
                        }
                    ],
                    "reading_order": 6
                },
                {
                    "id": "p1.8",
                    "order": 26,
                    "type": "text",
                    "bbox": {
                        "l": 91.2,
                        "t": 102,
                        "r": 519.12,
                        "b": 87.84
                    },
                    "text": "At this time, anyone may address the Board on matters of which are of concern to that",
                    "reading_order": 7
                },
                {
                    "id": "p1.9",
                    "order": 27,
                    "type": "footer",
                    "bbox": {
                        "l": 539.52,
                        "t": 21.84,
                        "r": 593.52,
                        "b": 8.64
                    },
                    "text": "Page 1 of 4",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 8
                }
            ]
        },
        {
            "document_id": 11559,
            "page": 2,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 11670,
            "item_count": 4,
            "counts_by_type": {
                "footer": 1,
                "text": 3
            },
            "build_ms": 0,
            "items": [
                {
                    "id": "p2.1",
                    "order": 1,
                    "type": "text",
                    "bbox": {
                        "l": 90.48,
                        "t": 716.16,
                        "r": 538.56,
                        "b": 658.32
                    },
                    "text": "person and which are not agenda items. Please raise your hand on ZOOM, state your name and home address. Please be aware that the Board is limited in their ability to respond to such inquiries and lowa Code prohibits the Board from deliberating or acting on items not appearing on the agenda. Individual remarks are limited to three minutes.",
                    "reading_order": 0
                },
                {
                    "id": "p2.2",
                    "order": 2,
                    "type": "text",
                    "bbox": {
                        "l": 72.96,
                        "t": 653.28,
                        "r": 161.28,
                        "b": 640.08
                    },
                    "text": "13. Adjournment",
                    "reading_order": 1
                },
                {
                    "id": "p2.3",
                    "order": 3,
                    "type": "text",
                    "bbox": {
                        "l": 70.56,
                        "t": 603.6,
                        "r": 163.44,
                        "b": 589.2
                    },
                    "text": "[IGNORE_INDENT]",
                    "reading_order": 2
                },
                {
                    "id": "p2.4",
                    "order": 4,
                    "type": "footer",
                    "bbox": {
                        "l": 539.28,
                        "t": 21.84,
                        "r": 593.52,
                        "b": 8.64
                    },
                    "text": "Page 2 of 4",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 3
                }
            ]
        },
        {
            "document_id": 11559,
            "page": 3,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 11670,
            "item_count": 42,
            "counts_by_type": {
                "footer": 2,
                "form_field": 9,
                "heading": 4,
                "list": 2,
                "list_item": 14,
                "table": 1,
                "table_cell": 6,
                "text": 4
            },
            "build_ms": 4,
            "items": [
                {
                    "id": "p3.1",
                    "order": 1,
                    "type": "table",
                    "bbox": {
                        "l": 82.32,
                        "t": 718.56,
                        "r": 557.28,
                        "b": 598.33
                    },
                    "text": "",
                    "attrs": {
                        "block_label": "table",
                        "n_rows": 4,
                        "n_cols": 2,
                        "integrity": {
                            "cells_checked": 6,
                            "cells_flagged": 2,
                            "flags": [
                                {
                                    "row": 0,
                                    "col": 0,
                                    "coverage": 0,
                                    "text": "Public Health Prevent. Promote. Protect."
                                },
                                {
                                    "row": 2,
                                    "col": 0,
                                    "coverage": 0,
                                    "text": "Dubuque County Public Health Department"
                                }
                            ]
                        }
                    },
                    "children": [
                        {
                            "id": "p3.1.1",
                            "order": 2,
                            "type": "table_cell",
                            "bbox": {
                                "l": 82.32,
                                "t": 718.56,
                                "r": 319.8,
                                "b": 638.56
                            },
                            "text": "Public Health Prevent. Promote. Protect.",
                            "attrs": {
                                "row": 0,
                                "col": 0,
                                "rowspan": 6,
                                "colspan": 1,
                                "column_header": true,
                                "header_source": "heuristic"
                            },
                            "reading_order": 0
                        },
                        {
                            "id": "p3.1.2",
                            "order": 3,
                            "type": "table_cell",
                            "bbox": {
                                "l": 488.86,
                                "t": 715.9300000000001,
                                "r": 554.23744,
                                "b": 705.97
                            },
                            "text": "Board of Health",
                            "attrs": {
                                "row": 0,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "column_header": true,
                                "header_source": "heuristic"
                            },
                            "reading_order": 1
                        },
                        {
                            "id": "p3.1.3",
                            "order": 4,
                            "type": "table_cell",
                            "bbox": {
                                "l": 461.74,
                                "t": 702.85,
                                "r": 554.3854,
                                "b": 639.85
                            },
                            "text": "Sandra Larson, JD, BSN\nPreeti Joseph, MD\nMitchell Edwards, MD\nLynn “Tut” Fuller, MD\nJeff Metcalf, MD",
                            "attrs": {
                                "row": 1,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "merged_continuation": true
                            },
                            "reading_order": 2
                        },
                        {
                            "id": "p3.1.4",
                            "order": 5,
                            "type": "table_cell",
                            "bbox": {
                                "l": 82.32,
                                "t": 638.56,
                                "r": 319.8,
                                "b": 598.56
                            },
                            "text": "Dubuque County Public Health Department",
                            "attrs": {
                                "row": 2,
                                "col": 0,
                                "rowspan": 3,
                                "colspan": 1
                            },
                            "reading_order": 3
                        },
                        {
                            "id": "p3.1.5",
                            "order": 6,
                            "type": "table_cell",
                            "bbox": {
                                "l": 481.3,
                                "t": 636.01,
                                "r": 554.1574,
                                "b": 626.05
                            },
                            "text": "Jack Dolehide, DO",
                            "attrs": {
                                "row": 2,
                                "col": 1,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true
                            },
                            "reading_order": 4
                        },
                        {
                            "id": "p3.1.6",
                            "order": 7,
                            "type": "table_cell",
                            "bbox": {
                                "l": 390.43,
                                "t": 622.09,
                                "r": 554.09992,
                                "b": 598.33
                            },
                            "text": "Kathy J. Dolter, RN, PhD,\nLieutenant Colonel, U. S. Army (Retired)",
                            "attrs": {
                                "row": 3,
                                "col": 0,
                                "rowspan": 1,
                                "colspan": 1,
                                "bbox_refit": true,
                                "merged_continuation": true
                            },
                            "reading_order": 5
                        }
                    ],
                    "reading_order": 0
                },
                {
                    "id": "p3.2",
                    "order": 8,
                    "type": "text",
                    "bbox": {
                        "l": 62.64,
                        "t": 562.08,
                        "r": 265.44,
                        "b": 481.68
                    },
                    "text": "DUBUQUE COUNTY BOARD OF HEALTH\nOpioid Subcommittee\nDate: June 5th, 2026\nTime: 8:30 AM\nDubuque County Offices - West Campus\n1225 Seippel Rd. Dubuque, IA",
                    "reading_order": 1
                },
                {
                    "id": "p3.3",
                    "order": 9,
                    "type": "heading",
                    "bbox": {
                        "l": 63.12,
                        "t": 467.28,
                        "r": 163.44,
                        "b": 454.08
                    },
                    "text": "MEETING MINUTES",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 2
                },
                {
                    "id": "p3.4",
                    "order": 10,
                    "type": "text",
                    "bbox": {
                        "l": 62.16,
                        "t": 452.16,
                        "r": 519.36,
                        "b": 424.56
                    },
                    "text": "Members Present: Allie White, Emma Hilkin, Kathy Dolter, Sandra Larson, Jack Dolehide, and Andrea White",
                    "reading_order": 3
                },
                {
                    "id": "p3.5",
                    "order": 11,
                    "type": "heading",
                    "bbox": {
                        "l": 62.64,
                        "t": 408,
                        "r": 233.28,
                        "b": 394.8
                    },
                    "text": "Announcements & Updates None",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 4
                },
                {
                    "id": "p3.6",
                    "order": 12,
                    "type": "heading",
                    "bbox": {
                        "l": 62.64,
                        "t": 378.48,
                        "r": 130.32,
                        "b": 366.48
                    },
                    "text": "Action Items",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p3.7",
                    "order": 13,
                    "type": "heading",
                    "bbox": {
                        "l": 62.16,
                        "t": 363.6,
                        "r": 382.8,
                        "b": 350.4
                    },
                    "text": "• Opioid Settlement Fund General Applications Q1 ($200,000)",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 6
                },
                {
                    "id": "p3.8",
                    "order": 14,
                    "type": "text",
                    "bbox": {
                        "l": 92.16,
                        "t": 348.24,
                        "r": 546.96,
                        "b": 307.68
                    },
                    "text": "The Subcommittee reviewed the following applications for the $200,000 Opioid Settlement Funds General Application and made the following recommendations to the full Board of Health:.",
                    "reading_order": 7
                },
                {
                    "id": "p3.9",
                    "order": 15,
                    "type": "list",
                    "bbox": {
                        "l": 98.64,
                        "t": 306.23,
                        "r": 303.12,
                        "b": 276.48
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p3.9.1",
                            "order": 16,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 306.23,
                                "r": 303.12,
                                "b": 291.12
                            },
                            "text": "Area Substance Abuse Council (ASAC)",
                            "marker": "•",
                            "reading_order": 0
                        },
                        {
                            "id": "p3.9.2",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.6,
                                "t": 289.2,
                                "r": 272.88,
                                "b": 276.48
                            },
                            "text": "Requested - $49,653.15",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.9.2.1",
                                    "order": 18,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.6,
                                        "t": 289.2,
                                        "r": 147.6,
                                        "b": 277.2
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $49,653.15",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.9.2",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 8
                },
                {
                    "id": "p3.10",
                    "order": 19,
                    "type": "text",
                    "bbox": {
                        "l": 135.6,
                        "t": 274.56,
                        "r": 309.84,
                        "b": 261.84
                    },
                    "text": "Recommended Grant - $38,000",
                    "reading_order": 9
                },
                {
                    "id": "p3.11",
                    "order": 20,
                    "type": "list",
                    "bbox": {
                        "l": 98.4,
                        "t": 261.59000000000003,
                        "r": 523.44,
                        "b": 68.64
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 12
                    },
                    "children": [
                        {
                            "id": "p3.11.1",
                            "order": 21,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.88,
                                "t": 261.59000000000003,
                                "r": 229.68,
                                "b": 246.48
                            },
                            "text": "Bridgewater Recovery",
                            "marker": "•",
                            "reading_order": 0
                        },
                        {
                            "id": "p3.11.2",
                            "order": 22,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.36,
                                "t": 244.32,
                                "r": 264,
                                "b": 232.08
                            },
                            "text": "Requested - $150,000",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.2.1",
                                    "order": 23,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.36,
                                        "t": 244.32,
                                        "r": 147.36,
                                        "b": 232.32
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $150,000",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.2",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 1
                        },
                        {
                            "id": "p3.11.3",
                            "order": 24,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.84,
                                "t": 229.68,
                                "r": 280.32,
                                "b": 217.44
                            },
                            "text": "Recommended Grant -$0",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.3.1",
                                    "order": 25,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.84,
                                        "t": 229.68,
                                        "r": 147.84,
                                        "b": 217.68
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Recommended Grant -$0",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.3",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 2
                        },
                        {
                            "id": "p3.11.4",
                            "order": 26,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 217.07000000000005,
                                "r": 469.2,
                                "b": 201.84
                            },
                            "text": "CRC Recovery, Inc DBA: Cedar Rapids Comprehensive Treatment Center",
                            "reading_order": 3
                        },
                        {
                            "id": "p3.11.5",
                            "order": 27,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.36,
                                "t": 199.68,
                                "r": 258.48,
                                "b": 187.44
                            },
                            "text": "Requested - $32,000",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.5.1",
                                    "order": 28,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.36,
                                        "t": 199.68,
                                        "r": 147.36,
                                        "b": 187.68
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $32,000",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.5",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 4
                        },
                        {
                            "id": "p3.11.6",
                            "order": 29,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.6,
                                "t": 185.28,
                                "r": 282.72,
                                "b": 172.8
                            },
                            "text": "Recommended Grant - $0",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.6.1",
                                    "order": 30,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.6,
                                        "t": 185.28,
                                        "r": 147.6,
                                        "b": 173.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Recommended Grant - $0",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.6",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 5
                        },
                        {
                            "id": "p3.11.7",
                            "order": 31,
                            "type": "list_item",
                            "bbox": {
                                "l": 99.12,
                                "t": 172.39999999999998,
                                "r": 252.96,
                                "b": 157.68
                            },
                            "text": "Fountain of Youth Program",
                            "marker": "•",
                            "reading_order": 6
                        },
                        {
                            "id": "p3.11.8",
                            "order": 32,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.84,
                                "t": 155.04,
                                "r": 264,
                                "b": 142.8
                            },
                            "text": "Requested - $100,000",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.8.1",
                                    "order": 33,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.84,
                                        "t": 155.04,
                                        "r": 147.84,
                                        "b": 143.04
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $100,000",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.8",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 7
                        },
                        {
                            "id": "p3.11.9",
                            "order": 34,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.6,
                                "t": 140.88,
                                "r": 316.56,
                                "b": 128.4
                            },
                            "text": "Recommended Grant - $100,000",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.9.1",
                                    "order": 35,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.6,
                                        "t": 140.88,
                                        "r": 147.6,
                                        "b": 128.88
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Recommended Grant - $100,000",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.9",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 8
                        },
                        {
                            "id": "p3.11.10",
                            "order": 36,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.4,
                                "t": 127.88,
                                "r": 523.44,
                                "b": 98.4
                            },
                            "text": "Dream Pilot Productions d/b/a My Sober Care, Advanced Therapy, and My Healthy Mind & Body",
                            "marker": "-",
                            "reading_order": 9
                        },
                        {
                            "id": "p3.11.11",
                            "order": 37,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.36,
                                "t": 96,
                                "r": 264,
                                "b": 83.76
                            },
                            "text": "Requested - $138,480",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.11.1",
                                    "order": 38,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.36,
                                        "t": 96,
                                        "r": 147.36,
                                        "b": 84
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $138,480",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.11",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 10
                        },
                        {
                            "id": "p3.11.12",
                            "order": 39,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.6,
                                "t": 81.6,
                                "r": 282.48,
                                "b": 68.64
                            },
                            "text": "Recommended Grant - $0",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p3.11.12.1",
                                    "order": 40,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.6,
                                        "t": 81.6,
                                        "r": 147.6,
                                        "b": 69.6
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Recommended Grant - $0",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p3.11.12",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 11
                        }
                    ],
                    "reading_order": 10
                },
                {
                    "id": "p3.12",
                    "order": 41,
                    "type": "footer",
                    "bbox": {
                        "l": 489.36,
                        "t": 60.96,
                        "r": 538.8,
                        "b": 47.52
                    },
                    "text": "1 | Page",
                    "attrs": {
                        "block_label": "footer"
                    },
                    "reading_order": 11
                },
                {
                    "id": "p3.13",
                    "order": 42,
                    "type": "footer",
                    "bbox": {
                        "l": 539.28,
                        "t": 22.08,
                        "r": 593.52,
                        "b": 8.64
                    },
                    "text": "Page 3 of 4",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 12
                }
            ]
        },
        {
            "document_id": 11559,
            "page": 4,
            "width": 612,
            "height": 792,
            "rotation": 0,
            "pipeline_version": "paddleocr-vl-1.6+paul-48",
            "width_pt": 612,
            "height_pt": 792,
            "engine": "paddleocr_vl",
            "source_run_id": 11670,
            "item_count": 38,
            "counts_by_type": {
                "footer": 2,
                "form_field": 4,
                "heading": 6,
                "list": 5,
                "list_item": 14,
                "text": 7
            },
            "build_ms": 4,
            "items": [
                {
                    "id": "p4.1",
                    "order": 1,
                    "type": "list",
                    "bbox": {
                        "l": 98.16,
                        "t": 722.08,
                        "r": 328.56,
                        "b": 691.92
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p4.1.1",
                            "order": 2,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.16,
                                "t": 722.08,
                                "r": 328.56,
                                "b": 706.32
                            },
                            "text": "National Alliance for Mental Illness (NAMI)",
                            "marker": "•",
                            "reading_order": 0
                        },
                        {
                            "id": "p4.1.2",
                            "order": 3,
                            "type": "list_item",
                            "bbox": {
                                "l": 135.12,
                                "t": 705.12,
                                "r": 258.96,
                                "b": 691.92
                            },
                            "text": "Requested - $27,000",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p4.1.2.1",
                                    "order": 4,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 135.12,
                                        "t": 705.12,
                                        "r": 147.12,
                                        "b": 693.12
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $27,000",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p4.1.2",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 0
                },
                {
                    "id": "p4.2",
                    "order": 5,
                    "type": "text",
                    "bbox": {
                        "l": 135.12,
                        "t": 690.72,
                        "r": 310.8,
                        "b": 677.28
                    },
                    "text": "Recommended Grant - $27,000",
                    "reading_order": 1
                },
                {
                    "id": "p4.3",
                    "order": 6,
                    "type": "list",
                    "bbox": {
                        "l": 98.64,
                        "t": 677.44,
                        "r": 258.48,
                        "b": 647.52
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p4.3.1",
                            "order": 7,
                            "type": "list_item",
                            "bbox": {
                                "l": 98.64,
                                "t": 677.44,
                                "r": 221.52,
                                "b": 662.4
                            },
                            "text": "Operation Empower",
                            "reading_order": 0
                        },
                        {
                            "id": "p4.3.2",
                            "order": 8,
                            "type": "list_item",
                            "bbox": {
                                "l": 134.88,
                                "t": 660.72,
                                "r": 258.48,
                                "b": 647.52
                            },
                            "text": "Requested - $65,000",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p4.3.2.1",
                                    "order": 9,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 134.88,
                                        "t": 660.72,
                                        "r": 146.88,
                                        "b": 648.72
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Requested - $65,000",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p4.3.2",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 2
                },
                {
                    "id": "p4.4",
                    "order": 10,
                    "type": "text",
                    "bbox": {
                        "l": 134.64,
                        "t": 646.32,
                        "r": 535.68,
                        "b": 632.64
                    },
                    "text": "Recommended Grant - $32,500 contingent upon state licensure by 12/1/2026",
                    "reading_order": 3
                },
                {
                    "id": "p4.5",
                    "order": 11,
                    "type": "list_item",
                    "bbox": {
                        "l": 98.16,
                        "t": 632.92,
                        "r": 348.72,
                        "b": 617.04
                    },
                    "text": "Total Recommended Disbursement: $198,000",
                    "marker": "•",
                    "reading_order": 4
                },
                {
                    "id": "p4.6",
                    "order": 12,
                    "type": "heading",
                    "bbox": {
                        "l": 99.12,
                        "t": 601.68,
                        "r": 510.72,
                        "b": 573.12
                    },
                    "text": "• Medication Assisted Treatment (MAT) Request for Proposal Applications (RFP) ($100,000)",
                    "attrs": {
                        "block_label": "paragraph_title"
                    },
                    "level": 3,
                    "reading_order": 5
                },
                {
                    "id": "p4.7",
                    "order": 13,
                    "type": "text",
                    "bbox": {
                        "l": 116.4,
                        "t": 571.92,
                        "r": 529.68,
                        "b": 528.24
                    },
                    "text": "The Subcommittee reviewed applications for the $100,000 Opioid Settlement Funds MAT and decided which ones should be recommended to the Board of Health. The group selected the projects submitted by",
                    "reading_order": 6
                },
                {
                    "id": "p4.8",
                    "order": 14,
                    "type": "list",
                    "bbox": {
                        "l": 133.92,
                        "t": 527.28,
                        "r": 303.36,
                        "b": 499.92
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p4.8.1",
                            "order": 15,
                            "type": "list_item",
                            "bbox": {
                                "l": 133.92,
                                "t": 527.28,
                                "r": 274.56,
                                "b": 514.32
                            },
                            "text": "Hillcrest Family Services",
                            "marker": "○",
                            "children": [
                                {
                                    "id": "p4.8.1.1",
                                    "order": 16,
                                    "type": "form_field",
                                    "bbox": {
                                        "l": 133.92,
                                        "t": 527.28,
                                        "r": 145.92,
                                        "b": 515.28
                                    },
                                    "text": "",
                                    "attrs": {
                                        "field_kind": "radio",
                                        "label": "Hillcrest Family Services",
                                        "source": "glyph_estimate",
                                        "bbox_estimated": true,
                                        "label_source": "parent_text",
                                        "label_ref": "p4.8.1",
                                        "text_offset": 0,
                                        "text_span": 0
                                    },
                                    "reading_order": 0
                                }
                            ],
                            "reading_order": 0
                        },
                        {
                            "id": "p4.8.2",
                            "order": 17,
                            "type": "list_item",
                            "bbox": {
                                "l": 170.16,
                                "t": 513.658,
                                "r": 303.36,
                                "b": 499.92
                            },
                            "text": "Requested - $138,498",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 7
                },
                {
                    "id": "p4.9",
                    "order": 18,
                    "type": "heading",
                    "bbox": {
                        "l": 170.4,
                        "t": 498.24,
                        "r": 286.32,
                        "b": 485.28
                    },
                    "text": "Recommended #1:",
                    "level": 3,
                    "reading_order": 8
                },
                {
                    "id": "p4.10",
                    "order": 19,
                    "type": "list_item",
                    "bbox": {
                        "l": 205.92,
                        "t": 485.05,
                        "r": 522.96,
                        "b": 455.76
                    },
                    "text": "Request Board of Supervisors Increase Funding Cap and fully fund at $138,498",
                    "marker": "-",
                    "reading_order": 9
                },
                {
                    "id": "p4.11",
                    "order": 20,
                    "type": "heading",
                    "bbox": {
                        "l": 169.92,
                        "t": 453.84,
                        "r": 298.08,
                        "b": 440.88
                    },
                    "text": "Recommendation #2:",
                    "level": 3,
                    "reading_order": 10
                },
                {
                    "id": "p4.12",
                    "order": 21,
                    "type": "list",
                    "bbox": {
                        "l": 155.06,
                        "t": 437.47,
                        "r": 495.854,
                        "b": 410.71
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p4.12.1",
                            "order": 22,
                            "type": "list_item",
                            "bbox": {
                                "l": 227.09,
                                "t": 437.47,
                                "r": 495.854,
                                "b": 425.47
                            },
                            "text": "Partially fund at $60,000 to meet $100,000 funding cap",
                            "reading_order": 0
                        },
                        {
                            "id": "p4.12.2",
                            "order": 23,
                            "type": "list_item",
                            "bbox": {
                                "l": 155.06,
                                "t": 422.71,
                                "r": 420.752,
                                "b": 410.71
                            },
                            "text": "Turning Point Treatment Center, Mercy One Dubuque.",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 11
                },
                {
                    "id": "p4.13",
                    "order": 24,
                    "type": "heading",
                    "bbox": {
                        "l": 170.16,
                        "t": 408.96,
                        "r": 285.12,
                        "b": 396
                    },
                    "text": "Recommended #1:",
                    "level": 3,
                    "reading_order": 12
                },
                {
                    "id": "p4.14",
                    "order": 25,
                    "type": "list_item",
                    "bbox": {
                        "l": 206.4,
                        "t": 395.89,
                        "r": 523.68,
                        "b": 366.72
                    },
                    "text": "Request Board of Supervisors Increase Funding Cap and fully fund at $97,000",
                    "marker": "-",
                    "reading_order": 13
                },
                {
                    "id": "p4.15",
                    "order": 26,
                    "type": "heading",
                    "bbox": {
                        "l": 170.16,
                        "t": 365.04,
                        "r": 297.84,
                        "b": 351.6
                    },
                    "text": "Recommendation #2:",
                    "level": 3,
                    "reading_order": 14
                },
                {
                    "id": "p4.16",
                    "order": 27,
                    "type": "list_item",
                    "bbox": {
                        "l": 206.16,
                        "t": 351.35,
                        "r": 497.76,
                        "b": 335.04
                    },
                    "text": "Partially fund at $40,000 to meet $100,000 funding cap",
                    "reading_order": 15
                },
                {
                    "id": "p4.17",
                    "order": 28,
                    "type": "heading",
                    "bbox": {
                        "l": 134.4,
                        "t": 334.8,
                        "r": 333.36,
                        "b": 321.36
                    },
                    "text": "○ Total Recommended Disbursement:",
                    "children": [
                        {
                            "id": "p4.17.1",
                            "order": 29,
                            "type": "form_field",
                            "bbox": {
                                "l": 134.4,
                                "t": 334.8,
                                "r": 146.4,
                                "b": 322.8
                            },
                            "text": "",
                            "attrs": {
                                "field_kind": "radio",
                                "label": "○ Total Recommended Disbursement:",
                                "source": "glyph_estimate",
                                "bbox_estimated": true,
                                "label_source": "parent_text",
                                "label_ref": "p4.17",
                                "text_offset": 0,
                                "text_span": 1
                            },
                            "reading_order": 0
                        }
                    ],
                    "level": 3,
                    "reading_order": 16
                },
                {
                    "id": "p4.18",
                    "order": 30,
                    "type": "list",
                    "bbox": {
                        "l": 191.06,
                        "t": 318.89,
                        "r": 374.422,
                        "b": 292.25
                    },
                    "text": "",
                    "attrs": {
                        "item_count": 2
                    },
                    "children": [
                        {
                            "id": "p4.18.1",
                            "order": 31,
                            "type": "list_item",
                            "bbox": {
                                "l": 191.06,
                                "t": 318.89,
                                "r": 374.422,
                                "b": 306.89
                            },
                            "text": "Recommendation #1 Total: $235,498",
                            "reading_order": 0
                        },
                        {
                            "id": "p4.18.2",
                            "order": 32,
                            "type": "list_item",
                            "bbox": {
                                "l": 191.06,
                                "t": 304.25,
                                "r": 374.24,
                                "b": 292.25
                            },
                            "text": "Recommendation #2 Total: $100,000",
                            "reading_order": 1
                        }
                    ],
                    "reading_order": 17
                },
                {
                    "id": "p4.19",
                    "order": 33,
                    "type": "text",
                    "bbox": {
                        "l": 62.16,
                        "t": 276.72,
                        "r": 311.52,
                        "b": 262.32
                    },
                    "text": "Public Comment There were no public comments.",
                    "reading_order": 18
                },
                {
                    "id": "p4.20",
                    "order": 34,
                    "type": "text",
                    "bbox": {
                        "l": 62.16,
                        "t": 247.68,
                        "r": 534.48,
                        "b": 217.68
                    },
                    "text": "Next Scheduled Meeting: There will be a Special Board of Heal[p4.20.1] meeting June 8 th to review the Opioid Subcommittee’s decision.",
                    "children": [
                        {
                            "id": "p4.20.1",
                            "order": 35,
                            "type": "text",
                            "bbox": {
                                "l": 62.16,
                                "t": 247.68,
                                "r": 534.48,
                                "b": 217.68
                            },
                            "text": "^{th}",
                            "attrs": {
                                "inline": true,
                                "text_offset": 61,
                                "text_span": 9,
                                "bbox_estimated": true
                            },
                            "reading_order": 0
                        }
                    ],
                    "reading_order": 19
                },
                {
                    "id": "p4.21",
                    "order": 36,
                    "type": "text",
                    "bbox": {
                        "l": 62.16,
                        "t": 203.52,
                        "r": 239.28,
                        "b": 189.12
                    },
                    "text": "Adjournment: Motion by Dolehide.",
                    "reading_order": 20
                },
                {
                    "id": "p4.22",
                    "order": 37,
                    "type": "footer",
                    "bbox": {
                        "l": 488.4,
                        "t": 61.2,
                        "r": 539.28,
                        "b": 47.76
                    },
                    "text": "2 | Page",
                    "attrs": {
                        "block_label": "footer"
                    },
                    "reading_order": 21
                },
                {
                    "id": "p4.23",
                    "order": 38,
                    "type": "footer",
                    "bbox": {
                        "l": 539.04,
                        "t": 22.32,
                        "r": 593.04,
                        "b": 8.64
                    },
                    "text": "Page 4 of 4",
                    "attrs": {
                        "block_label": "number"
                    },
                    "reading_order": 22
                }
            ]
        }
    ]
}