Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No.
SUMMARY CHECK REGISTER Run Date Oct 02,2023
Bank: CITY
Cycle: APAY Run Time 7:34:30 AM
Payment Ref Date Status Remit To Remit ID
Payment Amt
0244800 09/29/23 CaIPERS Long-Term Care Program 0000006287 184.27
Line Description: Payment Deduction 23-20
0244801 09/29/23 P Community Health Charities 0000008015
10.00 Line Description: Payment Deduction 23-20
0244802 09/29/23 P State of California 0000001546
2,805.63
Line Description: Payment Deduction 23-20
Payment Deduction 23-20
Payment Deduction 23-20
TOTAL $2,999.90
232,684.51
20,832.65
54,647.40
972,868.71
2,999.90
1,284,033.17
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 1
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244652 09/29/23 P Antonio Macias 0000021817 1,047.00
Line Description: Qtrly Retiree Medical Payment
0244653 09/29/23 P Barbara Tintle 0000016912 807.06
Line Description: Qtrly Retiree Medical Payment
0244654 09/29/23 P Bonnie Kubota 0000005792 555.05
Line Description: Qtrly Retiree Medical Payment
0244655 09/29/23 P Bradley Whiteaker 0000000341 807.06
Line Description: Qtrly Retiree Medical Payment
0244656 09/29/23 P Burton Santee 0000003920 807.06
Line Description: Qtriy Retiree Medical Payment
0244657 09/29/23 P Chano Camarillo 0000001558 354.26
Line Description: Qtrly Retiree Medical Payment
0244658 09/29/23 P Chris Holmes 0000002557 446.04
Line Description: Qtriy Retiree Medical Payment
0244659 09/29/23 P Chris Reed 0000003777 423.56
Line Description: Qtriy Retiree Medical Payment
0244660 09/29/23 P Dan Mudra 0000006272 942.00
Line Description: Qtriy Retiree Medical Payment
0244661 09/29/23 P David Alkema 0000000970 681.05
Line Description: Qtry Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 2 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244662 09/29/23 P Deanna Reed 0000002777 555.05
Line Description: Qtrly Retiree Medical Payment
0244663 09/29/23 P Dennis Barton 0000001209 208.53
Line Description: Qtrly Retiree Medical Payment
0244664 09/29/23 P Diane J Moore 0000003221 261.08
Line Description: Qtrly Retiree Medical Payment
0244665 09/29/23 P Don Boynton 0000015805 312.45
Line Description: Qtrly Retiree Medical Payment
0244666 09/29/23 P Eric Engle 0000002128 520.44
Line Description: Qtriy Retiree Medical Payment
0244667 09/29/23 P Frank Rudisill 0000003871 787.77
Line Description: Qtriy Retiree Medical Payment
0244668 09/29/23 P Frederick Merrill 0000005365 1,047.00 Line Description: Qtrly Retiree Medical Payment
0244669 09/29/23 P Fredric Wagner 0000004444
1,009.50
Line Description: Qtrly Retiree Medical Payment
0244670 09/29/23 P Gary Golson 0000002370 492.05
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 3 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244671 09/29/23 P Glen Stroud 0000006152 523.55
Line Description: Qtrly Retiree Medical Payment
0244672 09/29/23 P Harold Arnold 0000001076 807.06
Line Description: Qtrly Retiree Medical Payment
0244673 09/29/23 P Harold Newbern 0000013391 807.06
Line Description: Qtrly Retiree Medical Payment
0244674 09/29/23 Henry Santo 0000003921 942.00
Line Description: Qtrly Retiree Medical Payment
0244675 09/29/23 P James Boucher 0000021818 1,047.00
Line Description: Qrtly Retiree Medical Payment
0244676 09/29/23 P James Parnell 0000003558
492.05
Line Description: Qrtly Retiree Medical Payment
0244677 09/29/23 P James Solliday 0000015717
1,047.00
Line Description: Ortly Retiree Medical Payment
0244678 09/29/23 P Jeffrey Horn 0000009003 697.05
Line Description: Qrtly Retiree Medical Payment
0244679 09/29/23 P John E Fitzpatrick 0000002234 807.06 Line Description: Qrtly Retiree Medical Payment
0244680 09/29/23 P John Pherrin 0000006031
618.05
Line Description: Qrtly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 4 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle:_ AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244681 09/29/23 P Karin Robinson 0000008079 266.23
Line Description: Qrtly Retiree Medical Payment
0244682 09/29/23 P Karl J Verhoef 0000004410 1,047.00
Line Description: Qrtly Retiree Medical Payment
0244683 09/29/23 P Keith M Jones 0000002776 942.00
Line Description: Qrtly Retiree Medical Payment
0244684 09/29/23 P Kenneth Soltis 0000007968 807.06
Line Description: Qrtly Retiree Medical Payment
0244685 09/29/23 P Kevin Gleason 0000006350 1,047.00
Line Description: Qrtly Retiree Medical Payment
0244686 09/29/23 P Klaus Straschil 0000004169 492.05
Line Description: Qrtly Retiree Medical Payment
0244687 09/29/23 P Larry Arruda 0000001080 807.06
Line Description: Qrtly Retiree Medical Payment
0244688 09/29/23 P Larry M Hicks 0000002525 1,047.00
Line Description: Qrtly Retiree Medical Payment
0244689 09/29/23 P Lawrence P Torres 0000004278 1,047.00 Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 5 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244690 09/29/23 P Lawrence Stice 0000015806 942.00
Line Description: Qtrly Retiree Medical Payment
0244691 09/29/23 P Lou Steiner 0000005965 807.06
Line Description: Qtriy Retiree Medical Payment
0244692 09/29/23 P Marilyn Ellis-Hollobaugh 0000002108 492.05 Line Description: Qtrly Retiree Medical Payment
0244693 09/29/23 P Merton Switzer 0000004204 184.31
Line Description: Qtriy Retiree Medical Payment
0244694 09/29/23 P Michael Basso 0000021265 1,047.00
Line Description: Qtrly Retiree Medical Payment
0244695 09/29/23 P Michael Moran 0000018227 446.04
Line Description: Qtrly Retiree Medical Payment
0244696 09/29/23 P Michael Swanson 0000006237 1,009.50
Line Description: Qtrly Retiree Medical Payment
0244697 09/29/23 P Michael Treanor 0000006788 807.06
Line Description: Qtry Retiree Medical Payment
0244698 09/29/23 P Michael V Ginther 0000002339 807.06
Line Description: Attly Retiree Medical Payment
0244699 09/29/23 P Michael W Carver 0000001599 807.06
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 6
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ret Date Status Remit To Remit ID Payment Amt
0244700 09/29/23 P Neil Leveratt 0000002948 807.06
Line Description: Qtrly Retiree Medical Payment
0244701 09/29/23 Pamela S Greene 0000005256 288.71
Line Description: Qtrly Retiree Medical Payment
0244702 09/29/23 Patricia Novack 0000012034 744.06
Line Description: Qtrly Retiree Medical Payment
0244703 09/29/23 P Perry J Grant 0000008771 744.06
Line Description: Qtrly Retiree Medical Payment
0244704 09/29/23 P Peter Merritt 0000005114 787.77
Line Description: Qtrly Retiree Medical Payment
0244705 09/29/23 P Peter Tenace 0000007198 261.08
Line Description: Qtrly Retiree Medical Payment
0244706 09/29/23 Robert B Phillips 0000005388 807.06
Line Description: Qtrly Retiree Medical Payment
0244707 09/29/23 P Robert Beauchamp 0000001223 492.05
Line Description: Qtriy Retiree Medical Payment
0244708 09/29/23 P Robert Ciszek 0000001670 1,047.00
Line Description: Qtry Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 7 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL-
Payment Ref Date Status Remit To Remit ID Payment Amt
0244709 09/29/23 P Robert Fate 0000002183 807.06
Line Description: Qtrly Retiree Medical Payment
0244710 09/29/23 P Robert L Taylor 0000006299 807.06
Line Description: Qtrly Retiree Medical Payment
0244711 09/29/23 P Roger Neth 0000003312
1,047.00
Line Description: Qtriy Retiree Medical Payment
0244712 09/29/23 P Ronald A Smith 0000004053 446.04
Line Description: Qtrly Retiree Medical Payment
0244713 09/29/23 P Rulon Hatch 0000006012 807.06
Line Description: Qtrly Retiree Medical Payment
0244714 09/29/23 P Sam Nguyen 0000021573
368.45
Line Description: Qtrly Retiree Medical Payment
0244715 09/29/23 P Scott Broussard 0000001420 946.95
Line Description: Qtrly Retiree Medical Payment
0244716 09/29/23 P Sheila Maurice 0000003091 261.08
Line Description: Qtriy Retiree Medical Payment
0244717 09/29/23 P Stanley Borek 0000001347 345.00
Line Description: Qtriy Retiree Medical Payment
0244718 09/29/23 P Steven Spielberger 0000004127 747.00 Line Description: Qtriy Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 8 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244719 09/29/23 P Teresa Peterson Goerke 0000016963 396.75 Line Description: Qtriy Retiree Medical Payment
0244720 09/29/23 P Thomas Banks 0000021751 1,047.00
Line Description: Qtrly Retiree Medical Payment
0244721 09/29/23 P Thomas Hamilton 0000012365 807.06
Line Description: Qtriy Retiree Medical Payment
0244722 09/29/23 P Thomas MacDuff 0000006064 807.06
Line Description: Qtrly Retiree Medical Payment
0244723 09/29/23 P Thomas Neth 0000007978 1,047.00
Line Description: Qtriy Retiree Medical Payment
0244724 09/29/23 P Thomas Stewart 0000006560 396.75
Line Description: Qtrly Retiree Medical Payment
0244725 09/29/23 P Tracy Jones 0000002778 725.13
Line Description: Qtriy Retiree Medical Payment
0244726 09/29/23 P Ursula Basich 0000022488 597.01
Line Description: Qtrly Retiree Medical Payment
0244727 09/29/23 P Ve Tran 0000004296 807.06
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 9 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:14:44 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID Payment Amt
0244728 09/29/23 Victor Clift 0000008954 366.04
Line Description: Qtrly Retiree Medical Payment
0244729 09/29/23 P Virginia Anderson 0000008307 208.53
Line Description: Qtrly Retiree Medical Payment
0244730 09/29/23 P William Todd 0000004269 177.03
Line Description: Qtrly Retiree Medical Payment
TOTAL $54,647.40
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 1 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 3:13:39 PM
Cycle: APAY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244800 09/29/23 CaPERS Long-Term Care Program 0000006287 184.27
Line Description: Payment Deduction 23-20
0244801 09/29/23 P Community Health Charities 0000008015
10.00 Line Description: Payment Deduction 23-20
0244802 09/29/23 P State of California 0000001546 2,805.63 Line Description: Payment Deduction 23-20
Payment Deduction 23-20
Payment Deduction 23-20
TOTAL $2,999.90
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 1 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016191 09/29/23 P Albert Spencer 0000004120 1,030.00
Line Description: Qtriy Retiree Medical Payment
016192 09/29/23 P Allan L Reder 0000003720 807.06
Line Description: Qtriy Retiree Medical Payment
016193 09/29/23 P Allen D Huggins 0000002589 1,047.00
Line Description: Qtrly Retiree Medical Payment
016194 09/29/23 P Andres Sepulveda 0000003988 1,047.00
Line Description: Qtrly Retiree Medical Payment
016195 09/29/23 P Andrew Chalkley 0000025404 747.00
Line Description: Qtrly Retiree Medical Payment
016196 09/29/23 P Ann Shultz 0000006607 765.10
Line Description: Qtrly Retiree Medical Payment
016197 09/29/23 P Anna Rodriguez 0000026586 1,047.00
Line Description: Qtrly Retiree Medical Payment
016198 09/29/23 P Arthur V Beames Jr 0000017738 28.55
Line Description: Qtrly Retiree Medical Payment
016199 09/29/23 P Baltazar Mejia 0000023439 1,047.00
Line Description: Qtrly Retiree Medical Payment
016200 09/29/23 P Betty Garcia 0000024432 646.95
Line Description: Qtriy Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 2 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: -ADDEP 1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016201 09/29/23 P Bobby Y Masuzumi 0000003081 1,047.00
Line Description: Qtrly Retiree Medical Payment
016202 09/29/23 P Brad Edwards 0000022130 787.77
Line Description: Qtrly Retiree Medical Payment
016203 09/29/23 P Brent McKinley 0000007051 1,047.00
Line Description: Qtrly Retiree Medical Payment
016204 09/29/23 Brian W Roberts 0000006274 807.06
Line Description: Qtrly Retiree Medical Payment
016205 09/29/23 P Bruce Hartley 0000011119 555.87
Line Description: Qtrly Retiree Medical Payment
016206 09/29/23 P Bruce McGregor 0000011206 1,047.00
Line Description: Qtrly Retiree Medical Payment
016207 09/29/23 Bruce R Ballinger 0000001167 492.05
Line Description: Qtriy Retiree Medical Payment
016208 09/29/23 Bruce Radomski 0000003742 1,047.00
Line Description: Qtriy Retiree Medical Payment
016209 09/29/23 Bruce W Covey 0000013041 765.10
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 3 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016210 09/29/23 P Bryan Glass 0000002342 1,047.00
Line Description: Qtrly Retiree Medical Payment
016211 09/29/23 P Cameron Phillips 0000005875 897.00
Line Description: Qtrly Retiree Medical Payment
016212 09/29/23 P Carl McConnell 0000013933 942.00
Line Description: Qtrly Retiree Medical Payment
016213 09/29/23 Charles A Bassett 0000011742 807.06
Line Description: Qtrly Retiree Medical Payment
016214 09/29/23 P Charles F Carr 0000006236 859.50
Line Description: Qtrly Retiree Medical Payment
016215 09/29/23 P Charles J Oliver Jr 0000009684 547.05 Line Description: Qtrly Retiree Medical Payment
016216 09/29/23 P Charlotte Bluell 0000008644 807.06
Line Description: Qtry Retiree Medical Payment
016217 09/29/23 P Cherie M Pittington 0000003641 1,047.00 Line Description: Qtrly Retiree Medical Payment
016218 09/29/23 P Cheryl R Helwig 0000006915 471.00
Line Description: Qtrly Retiree Medical Payment
016219 09/29/23 P Chris Goldsworthy 0000029067 847.05
Line Description: Qtriy Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 4 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
LCycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016220 09/29/23 P Christina Powell OBrien 0000016961 429.04 Line Description: Qtrly Retiree Medical Payment
016221 09/29/23 P Christopher B Bates 0000001213 1,047.00 Line Description: Qtrly Retiree Medical Payment
016222 09/29/23 P Christopher G Walk 0000004450 1,071.00 Line Description: Qtry Retiree Medical Payment
016223 09/29/23 P Christopher J Boyd 0000001363 807.06
Line Description: Qtrly Retiree Medical Payment
016224 09/29/23 P Christopher K Brimhall 0000001402 1,047.00 Line Description: Qtrly Retiree Medical Payment
016225 09/29/23 P Christopher Kudelka 0000005822 1,047.00 Line Description: Qtrly Retiree Medical Payment
016226 09/29/23 P Clay G Epperson 0000002141 1,047.00
Line Description: Qtriy Retiree Medical Payment
016227 09/29/23 P Clint Dieball 0000004717 1,047.00
Line Description: Qtrly Retiree Medical Payment
016228 09/29/23 P Corrie Viera 0000019128 446.04
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 5
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
LCycle: ADDEP.
Payment Ref Date Status Remit To Remit ID Payment Amt
016229 09/29/23 P Curt D Yoder 0000004601
807.06
Line Description: Qtrly Retiree Medical Payment
016230 09/29/23 P D Dennis Johnson 0000011317
639.09
Line Description: Qtrly Retiree Medical Payment
016231 09/29/23 Dale H Ashley 0000010564
681.05
Line Description: Qtrly Retiree Medical Payment
016232 09/29/23 P Dale R Birney 0000001277
807.06
Line Description: Qtriy Retiree Medical Payment
016233 09/29/23 P Dana Potts 0000008186 847.05
Line Description: Qtrly Retiree Medical Payment
016234 09/29/23 Jane Bora 0000001344 1,047.00
Line Description: Qtrly Retiree Medical Payment
016235 09/29/23 P Danny Hogue 0000006802 618.05
Line Description: Qtriy Retiree Medical Payment
016236 09/29/23 P Darlene Bell 0000005602
177.03
Line Description: Qtrly Retiree Medical Payment
016237 09/29/23 P Darrel Raney 0000005800
1,047.00
Line Description: Qtrly Retiree Medical Payment
016238 09/29/23 P David A Dye 0000002065 807.06
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 6 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016239 09/29/23 P David C Goerke 0000009386 807.06
Line Description: Qtrly Retiree Medical Payment
016240 09/29/23 P David Hollister 0000021620 1,047.00
Line Description: Qtrly Retiree Medical Payment
016241 09/29/23 P David K Makiyama 0000003041 997.05
Line Description: Qtrly Retiree Medical Payment
016242 09/29/23 P David Maurer 0000007564 1,047.00
Line Description: Qtriy Retiree Medical Payment
016243 09/29/23 P David S Andersen 0000001040 681.05
Line Description: Qtrly Retiree Medical Payment
016244 09/29/23 P David Sorge 0000004068 326.20
Line Description: Qtriy Retiree Medical Payment
016245 09/29/23 P David Tait 0000022487 807.06
Line Description: Qtrly Retiree Medical Payment
016246 09/29/23 P Dawna Myers 0000003273 946.95
Line Description: Qtrly Retiree Medical Payment
016247 09/29/23 P Deborah Zimmerman 0000023438 847.05
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No.
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016248 09/29/23 P Debra Yasui 0000007276 897.00
Line Description: Qtrly Retiree Medical Payment
016249 09/29/23 P Dee Dee H Nelson 0000006575 218.99
Line Description: Qtrly Retiree Medical Payment
016250 09/29/23 P Dennis B Sanders 0000003910 205.56
Line Description: Qtrly Retiree Medical Payment
016251 09/29/23 P Diane Butler 0000008078 366.04
Line Description: Qtrly Retiree Medical Payment
016252 09/29/23 P Diane M Jarrett 0000007645 555.05
Line Description: Qtrly Retiree Medical Payment
016253 09/29/23 P Don Holford 0000006025 266.23
Line Description: Qtriy Retiree Medical Payment
016254 09/29/23 P Donald B Brown 0000004900 807.06
Line Description: Qtrly Retiree Medical Payment
016255 09/29/23 P Doneen J Westenhaver 0000009746 296.17 Line Description: Qtrly Retiree Medical Payment
016256 09/29/23 P Donna Fagot 0000013934 446.04
Line Description: Qtriy Retiree Medical Payment
016257 09/29/23 P Donna J Theriault 0000005411 807.06
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 8 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle:_ ADDEP1
Payment Ref Date States Remit To Remit ID Payment Amt
016258 09/29/23 P Doug Johnson 0000005743 1,047.00
Line Description: Qtrly Retiree Medical Payment
016259 09/29/23 P Doug Lovell 0000018477 632.70
Line Description: Qtrly Retiree Medical Payment
016260 09/29/23 P Doug Prochnow 0000012127 1,047.00
Line Description: Qtrly Retiree Medical Payment
016261 09/29/23 Douglas Wilson 0000006759 401.09
Line Description: Qtrly Retiree Medical Payment
016262 09/29/23 P Edward H Hunter 0000002597 681.05
Line Description: Qtrly Retiree Medical Payment
016263 09/29/23 P Edward Petros 0000003615
723.01
Line Description: Qtrly Retiree Medical Payment
016264 09/29/23 P Edward W Lewis 0000002956 492.05
Line Description: Qtrly Retiree Medical Payment
016265 09/29/23 P Elaine C Chiang 0000007135 26.46
Line Description: Qtrly Retiree Medical Payment
•
016266 09/29/23 Ellen M Fenwick 0000023268 1,047.00
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No.
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
LCycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016267 09/29/23 P Eric Johnson 0000002765 930.00
Line Description: Qtrly Retiree Medical Payment
016268 09/29/23 P Eric McVey 0000007918 897.00
Line Description: Qtrly Retiree Medical Payment
016269 09/29/23 P Ernesto A Munoz 0000003261 465.12
Line Description: Qtrly Retiree Medical Payment
016270 09/29/23 P Florine T Reichle 0000003787 692.82
Line Description: Qtrly Retiree Medical Payment
016271 09/29/23 P Frank Barraza 0000026939 1,047.00
Line Description: Qtrly Retiree Medical Payment
016272 09/29/23 P Frank Fantino 0000005635
775.56
Line Description: Qtrly Retiree Medical Payment
016273 09/29/23 P Frederick T Seguin 0000003981 1,047.00 Line Description: Qtrly Retiree Medical Payment
016274 09/29/23 P Gaetano Russo 0000019793 1,047.00
Line Description: Qtrly Retiree Medical Payment
016275 09/29/23 P Gary Mc Erlain 0000017407 1,047.00
Line Description: Otry Retiree Medical Payment
016276 09/29/23 P Gary Wong 0000012009 356.14
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 10 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016277 09/29/23 P Gene Barbee 0000001188 756.75
Line Description: Qtrly Retiree Medical Payment
016278 09/29/23 P George A Rose 0000007595 946.95
Line Description: Qtrly Retiree Medical Payment
016279 09/29/23 P George J Yezbick Jr 0000005045 681.05 Line Description: Qtrly Retiree Medical Payment
016280 09/29/23 P Georgia A Ethier 0000002154 807.06
Line Description: Qtrly Retiree Medical Payment
016281 09/29/23 P Gerald S Vasquez 0000006833 807.06
Line Description: Qtrly Retiree Medical Payment
016282 09/29/23 P Gerald W Stucky 0000004172 807.06
Line Description: Qtrly Retiree Medical Payment
016283 09/29/23 Gerard J Stukkie 0000004174 787.77
Line Description: Qtriy Retiree Medical Payment
016284 09/29/23 P Gina Clark 0000021699 1,047.00
Line Description: Qtrly Retiree Medical Payment
016285 09/29/23 P Gregg A Steward 0000004159 807.06
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 11 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016286 09/29/23 P Gregory Beutz 0000001261 1,047.00
Line Description: Qtrly Retiree Medical Payment
016287 09/29/23 P Gregory J Edwards 0000001384 1,047.00 Line Description: Qtrly Retiree Medical Payment
016288 09/29/23 P Gregory Knackert 0000017588 807.06
Line Description: Qtriy Retiree Medical Payment
016289 09/29/23 P Gregory LaFave 0000014549 547.05
Line Description: Qtrly Retiree Medical Payment
016290 09/29/23 P Gregory P Scott 0000003963 1,047.00
Line Description: Qtrly Retiree Medical Payment
016291 09/29/23 P H Michael Griffin 0000006936 86.42
Line Description: Qtry Retiree Medical Payment
016292 09/29/23 P Harlan Pauley 0000003569 649.55
Line Description: Qtrly Retiree Medical Payment
016293 09/29/23 P Helen Nenadal 0000022319 1,047.00
Line Description: Qtrly Retiree Medical Payment
016294 09/29/23 P Helene Rosenbaum 0000003861 177.03
Line Description: Qtrly Retiree Medical Payment
016295 09/29/23 Herbert C Ohde Jr 0000003399 397.50
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 12 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
L Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016296 09/29/23 P Holly L Carver 0000001597 396.75
Line Description: Qtrly Retiree Medical Payment
016297 09/29/23 P Jack D Schuitt 0000003952 807.06
Line Description: Qrtly Retiree Medical Payment
016298 09/29/23 P Jack Koch 0000002859 492.05
Line Description: Qtry Retiree Medical Payment
016299 09/29/23 Jack L Archer 0000001062 807.06
Line Description: Qrtly Retiree Medical Payment
016300 09/29/23 P Jack T Stewart 0000013411 340.07
Line Description: Qrtly Retiree Medical Payment
016301 09/29/23 P James C Wysong 0000004594 1,047.00
Line Description: Qrtly Retiree Medical Payment
016302 09/29/23 James D Watson 0000004476 807.06
Line Description: Qrtly Retiree Medical Payment
016303 09/29/23 James E Higgins Jr 0000007687 807.06
Line Description: Qrtly Retiree Medical Payment
016304 09/29/23 James M Ellis 0000002107 807.06
Line Description: Qrtly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 13 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016305 09/29/23 P James M Gottenbos 0000002385 446.04
Line Description: Qrtly Retiree Medical Payment
016306 09/29/23 P James Morrison 0000010566
396.75
Line Description: Qrtly Retiree Medical Payment
016307 09/29/23 P James N Dibble 0000005626 744.06
Line Description: Qrtly Retiree Medical Payment
016308 09/29/23 P James R Wilke Jr 0000004555 522.00
Line Description: Ortly Retiree Medical Payment
016309 09/29/23 James T Warnack 0000004465
807.06
Line Description: Qrtly Retiree Medical Payment
016310 09/29/23 P Jana L Cacho 0000010556 369.09
Line Description: Qrtly Retiree Medical Payment
016311 09/29/23 P Jane Duenweg 0000021556
1,047.00
Line Description: Qrtly Retiree Medical Payment
016312 09/29/23 P Jeanette Chervony 0000018986 1,047.00 Line Description: Qrtly Retiree Medical Payment
016313 09/29/23 P Jeanette Zangger 0000006655 1,047.00
Line Description: Ortly Retiree Medical Payment
016314 09/29/23 P Jeff B Janzen 0000002735 1,047.00
Line Description: Qrtly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 14 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP 1
Payment Ref Date Status Remit To Remit ID Payment Amt
016315 09/29/23 P Jeffery E Skee 0000005410 972.00
Line Description: Qrtly Retiree Medical Payment
016316 09/29/23 Jeffrey J McCann 0000003101 997.05
Line Description: Qrtly Retiree Medical Payment
016317 09/29/23 P Jeffrey T Peters 0000003608 1,047.00
Line Description: Qrtly Retiree Medical Payment
016318 09/29/23 P Jerauld D Holloway 0000002556 492.05
Line Description: Qrtly Retiree Medical Payment
016319 09/29/23 P Jerry A Scheer 0000007789 397.54
Line Description: Qrtly Retiree Medical Payment
016320 09/29/23 P John Bull 0000003233 1,047.00
Line Description: Qrtly Retiree Medical Payment
016321 09/29/23 P John F Downey 0000009004 446.04
Line Description: Qrtly Retiree Medical Payment
016322 09/29/23 P John K Susman 0000006349 396.75
Line Description: Qrtly Retiree Medical Payment
016323 09/29/23 P John L Skinner 0000004038 492.05
Line Description: Qrtly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 15 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
LCycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID
Payment Amt
016324 09/29/23 P John S Michalec 0000019250
787.77
Line Description: Qrtly Retiree Medical Payment
016325 09/29/23 P John W Mullin 0000010568
946.95
Line Description: Qrtly Retiree Medical Payment
016326 09/29/23 P Jon B Whitcomb 0000005651 942.00
Line Description: Qrtly Retiree Medical Payment
016327 09/29/23 P Jon Doezie 0000009385 847.05
Line Description: Ortly Retiree Medical Payment
016328 09/29/23 P Jose Tovar 0000004283
492.05
Line Description: Qrtly Retiree Medical Payment
016329 09/29/23 P Judith G Covey 0000009690
523.55
Line Description: Qrtly Retiree Medical Payment
016330 09/29/23 P Judy Vickers 0000007219
547.05
Line Description: Qrtly Retiree Medical Payment
016331 09/29/23 P Karen L Adams 0000000899
303.04
Line Description: Qrtly Retiree Medical Payment
016332 09/29/23 P Karen S Goettsch 0000013935
765.10
Line Description: Ortly Retiree Medical Payment
016333 09/29/23 Kathleen Ulrich 0000025407 429.04
Line Description: Qrtly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 16 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016334 09/29/23 P Kayoko Hayman 0000005785 618.05
Line Description: Qrtly Retiree Medical Payment
016335 09/29/23 P Keith Davis 0000008187 1,047.00
Line Description: Qrtly Retiree Medical Payment
016336 09/29/23 P Kelly Vucinic 0000010967 1,047.00
Line Description: Qrtly Retiree Medical Payment
016337 09/29/23 Kevin Diamond 0000001989 1,047.00
Line Description: Qrtly Retiree Medical Payment
016338 09/29/23 P Kevin T Meng 0000003133 1,047.00
Line Description: Qrtly Retiree Medical Payment
016339 09/29/23 P Kurt Lystne 0000008712 796.95
Line Description: Qrtly Retiree Medical Payment
016340 09/29/23 P Lance Nakamoto 0000003280 1,047.00
Line Description: Ortly Retiree Medical Payment
016341 09/29/23 P Larry Bell 0000007802 396.75
Line Description: Ortly Retiree Medical Payment
016342 09/29/23 P Larry Dreiman 0000018972 747.00
Line Description: Qrtly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 17 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016343 09/29/23 P Laura Ginther 0000023134 555.05
Line Description: Qtrly Retiree Medical Payment
016344 09/29/23 P Lawrence N Hennen 0000002506 807.06
Line Description: Qtrly Retiree Medical Payment
016345 09/29/23 P Leonard Goodsir 0000002378 1,047.00
Line Description: Qtrly Retiree Medical Payment
016346 09/29/23 Lily Martinez 0000003071 1,047.00
Line Description: Qtry Retiree Medical Payment
016347 09/29/23 P Linda A Matthews 0000003089 484.50
Line Description: Qtrly Retiree Medical Payment
016348 09/29/23 P Linda F Divino 0000009007 153.85
Line Description: Qtrly Retiree Medical Payment
016349 09/29/23 P Loren P Wyrick 0000004593 446.04
Line Description: Qtrly Retiree Medical Payment
016350 09/29/23 P Madeline A Miller 0000003179 639.09
Line Description: Qtrly Retiree Medical Payment
016351 09/29/23 P Maher Nawar 0000004714 807.06
Line Description: Qtry Retiree Medical Payment
016352 09/29/23 P Mamo D Arruda 0000001081 303.04
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 18 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016353 09/29/23 P Marc Yuhasz. 0000004609 942.00
Line Description: Qtrly Retiree Medical Payment
016354 09/29/23 P Marguerite De La Torre 0000004997 1,047.00 Line Description: Qtrly Retiree Medical Payment
016355 09/29/23 P Marie Thompson 0000000038 86.42
Line Description: Qtrly Retiree Medical Payment
016356 09/29/23 P Marilyn Golden 0000017028 387.08
Line Description: Qtrly Retiree Medical Payment
016357 09/29/23 P Marilyn Guimond 0000015161 206.27
Line Description: Qtrly Retiree Medical Payment
016358 09/29/23 P Marilyn K Sutton 0000004201 555.05
Line Description: Qtrly Retiree Medical Payment
016359 09/29/23 P Martin P Carver 0000001598 1,047.00
Line Description: Qtrly Retiree Medical Payment
016360 09/29/23 P Marty Huguenin 0000002591 807.06
Line Description: Qtrly Retiree Medical Payment
016361 09/29/23 P Mary R Delaney 0000015807 387.08
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 19 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016362 09/29/23 Matthew J Collett 0000001720 744.06
Line Description: Qtrly Retiree Medical Payment
016363 09/29/23 P Mel Lee 0000010320 847.05
Line Description: Qtrly Retiree Medical Payment
016364 09/29/23 P Meloni Smith McMinimy 0000006847 807.06 Line Description: Qtrly Retiree Medical Payment
016365 09/29/23 P Michael A Cacho 0000001471 369.09
Line Description: Qtrly Retiree Medical Payment
016366 09/29/23 P Michael A Cohen 0000006586 1,047.00
Line Description: Qtrly Retiree Medical Payment
016367 09/29/23 P Michael A Guevara 0000005099 807.06
Line Description: Qtriy Retiree Medical Payment
016368 09/29/23 P Michael R Balsis 0000009424 547.05
Line Description: Qtrly Retiree Medical Payment
016369 09/29/23 P Michael S Fantozzi 0000004715 1,047.00 Line Description: Qtrly Retiree Medical Payment
016370 09/29/23 P Michael S Hastert 0000006107 942.00
Line Description: Qtrly Retiree Medical Payment
016371 09/29/23 P Michael T Dyer 0000002067 942.00
Line Description: Qtriy Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 20 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016372 09/29/23 P Mitchell B Johnson 0000002770
1,047.00
Line Description: Qtrly Retiree Medical Payment
016373 09/29/23 P Morris House 0000002578 •
681.05
Line Description: Qtriy Retiree Medical Payment
016374 09/29/23 P Muriel Ullman 0000001244 345.00
Line Description: Qtrly Retiree Medical Payment
016375 09/29/23 P Nancy M Croft 0000016184 1,047.00
Line Description: Qtrly Retiree Medical Payment
016376 09/29/23 Norman K Schurb 0000003957 807.06
Line Description: Qtrly Retiree Medical Payment
016377 09/29/23 P Olivia Ramirez 0000003750 807.06
Line Description: Qtrly Retiree Medical Payment
016378 09/29/23 Patricia J Steele 0000014443 471.00
Line Description: Qtrly Retiree Medical Payment
016379 09/29/23 P Patty R Brown 0000001423 492.05
Line Description: Qtry Retiree Medical Payment
016380 09/29/23 Paul Beckman 0000005998 1,047.00
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 21 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016381 09/29/23 Paul Dondero 0000002023 1,047.00
Line Description: Qtrly Retiree Medical Payment
016382 09/29/23 P Paul Moody 0000008766 942.00
Line Description: Qtrly Retiree Medical Payment
016383 09/29/23 P Paul V Starn 0000010841 1,047.00
Line Description: Qtrly Retiree Medical Payment
016384 09/29/23 Perry L Valantine 0000004384 807.06
in econor Line Description: Qtriy Retiree Medical Payment 016385 09/29/23 P Peter Czenze 0000013313 725.13
Line Description: Qtrly Retiree Medical Payment
016386 09/29/23 P Peter Naghavi 0000007860 446.04
Line Description: Qtrly Retiree Medical Payment
016387 09/29/23 Phil Dickens 0000005801 649.55
Line Description: Qtry Retiree Medical Payment
016388 09/29/23 P Philip Hartman 0000002474 396.75
Line Description: Qtrly Retiree Medical Payment
016389 09/29/23 P Philip T Worsman 0000004585 712.56
Line Description: Qtry Retiree Medical Payment
016390 09/29/23 P Phillip R Schmuck 0000003947 430.60
Line Description: Qtriy Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 22 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
| Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID
Payment Amt
016391 09/29/23 P Phyllis Schiel 0000023427
296.17
Line Description: Qtrly Retiree Medical Payment
016392 09/29/23 Randall Buck 0000005730 1,047.00
Line Description: Qtrly Retiree Medical Payment
016393 09/29/23 P Randall J Croll 0000013426
1,047.00
Line Description: Qtrly Retiree Medical Payment
016394 09/29/23 P Raul Perez 0000012128
326.20
Line Description: Qtriy Retiree Medical Payment
016395 09/29/23 P Raymond T Pawloski 0000003572 356.14
Line Description: Qtrly Retiree Medical Payment
016396 09/29/23 P Rene Carrera 0000029400
1,047.00
Line Description: Qtrly Retiree Medical Payment
016397 09/29/23 P Renee K Farden 0000016962 555.05
Line Description: Qtrly Retiree Medical Payment
016398 09/29/23 P Richard Allum 0000000987 807.06
Line Description: Qtrly Retiree Medical Payment
016399 09/29/23 Richard Boucher 0000014716 396.75
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 23 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID
Payment Amt
016400 09/29/23 P Richard J Johnson 0000005620 775.56
Line Description: Qtrly Retiree Medical Payment
016401 09/29/23 P Richard Simons 0000022287 725.13
Line Description: Qtrly Retiree Medical Payment
016402 09/29/23 Robert Bork 0000001350 765.10
Line Description: Qtrly Retiree Medical Payment
016403 09/29/23 P Robert FO'Brien 0000012731 184.31
Line Description: Qtrly Retiree Medical Payment
016404 09/29/23 P Robert Gagne 0000002291 1,047.00
Line Description: Qtrly Retiree Medical Payment
016405 09/29/23 P Robert Hanson 0000014289 1,047.00
Line Description: Qtrly Retiree Medical Payment
016406 09/29/23 P Robert J Durham 0000006151 1,047.00
Line Description: Qtrly Retiree Medical Payment
016407 09/29/23 P Robert J Pesce 0000003604
446.04
Line Description: Qtrly Retiree Medical Payment
016408 09/29/23 P Robert Moody 0000003215
771.12
Line Description: Orly Retiree Medical Payment
016409 09/29/23 P Robert Pignone 0000003634 1,047.00
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 24 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016410 09/29/23 Robert Sharpnack 0000004004 1,047.00
Line Description: Qtriy Retiree Medical Payment
016411 09/29/23 P Robert Van Sickle 0000004394 807.06
Line Description: Qtrly Retiree Medical Payment
016412 09/29/23 P Robert W Reynolds 0000003801 942.00
Line Description: Qtrly Retiree Medical Payment
016413 09/29/23 P Robert W Stinman 0000018058 787.77
Line Description: Qtrly Retiree Medical Payment
016414 09/29/23 P Robindale Shepherd 0000009851 632.70
Line Description: Qtrly Retiree Medical Payment
016415 09/29/23 P Ronald Cice 0000001693 1,047.00
Line Description: Qtry Retiree Medical Payment
016416 09/29/23 P Ronald J Chamberlin 0000014890 547.05 Line Description: Qtrly Retiree Medical Payment
016417 09/29/23 P Ronald P Stone 0000004167 796.95
Line Description: Qtrly Retiree Medical Payment
016418 09/29/23 P Ronald Penley 0000024437 496.02
Line Description: Qtriy Retiree Medical Payment
•
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 25
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016419 09/29/23 P Rosemary Dodson 0000012364 513.09
Line Description: Qtrly Retiree Medical Payment
016420 09/29/23 P Rosemary Vidales 0000004418 784.50
Line Description: Qtrly Retiree Medical Payment
016421 09/29/23 P Ross E McKelvey 0000009897 744.06
Line Description: Qtriy Retiree Medical Payment
016422 09/29/23 P Russell C Parker 0000007435
446.04
Line Description: Qtrly Retiree Medical Payment
016423 09/29/23 P Russell J Yankie 0000015036 396.75
Line Description: Qtrly Retiree Medical Payment
016424 09/29/23 P Sandi Lishka 0000015808
597.01
Line Description: Qtriy Retiree Medical Payment
016425 09/29/23 P Sandra B Benson 0000006459 1,047.00
Line Description: Qtriy Retiree Medical Payment
016426 09/29/23 P Scott A May 0000003092
1,047.00
Line Description: Qtrly Retiree Medical Payment
016427 09/29/23 Shawn Brosamer 0000001416 1,047.00
Line Description: Qtrly Retiree Medical Payment
016428 09/29/23 Shawn Leffingwell 0000006331 997.05
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 26 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016429 09/29/23 P Stephanie Moore 0000008356 1,047.00
Line Description: Qtrly Retiree Medical Payment
016430 09/29/23 P Stephen G Calles 0000009071 807.06
Line Description: Qtrly Retiree Medical Payment
016431 09/29/23 P Stephen R Tiedeman 0000004258 942.00
Line Description: Qtrly Retiree Medical Payment
016432 09/29/23 P Stephen Ridgway 0000003815 807.06
Line Description: Qtrly Retiree Medical Payment
016433 09/29/23 P Steven Feather 0000002187 802.50
Line Description: Qtriy Retiree Medical Payment
016434 09/29/23 P Steven Labbitt 0000002887 972.00
Line Description: Qtry Retiree Medical Payment
016435 09/29/23 P Stewart C Godshall 0000002355 639.09
Line Description: Qtrly Retiree Medical Payment
016436 09/29/23 Sue Hupp 0000001879 1,047.00
Line Description: Qtrly Retiree Medical Payment
016437 09/29/23 P Susan Baldwin 0000010199 261.08
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 27 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016438 09/29/23 P Susan L Larimore 0000002911 387.08
Line Description: Qtrly Retiree Medical Payment
016439 09/29/23 P Thanh P Bui 0000005710 620.10
Line Description: Qtrly Retiree Medical Payment
016440 09/29/23 P Thomas C Wood 0000004757 471.00
Line Description: Qtrly Retiree Medical Payment
016441 09/29/23 P Thomas Clevenger 0000009747 709.50
Line Description: Qtrly Retiree Medical Payment
016442 09/29/23 P Thomas J Lazar 0000002925 744.06
Line Description: Qtrly Retiree Medical Payment
016443 09/29/23 P Thomas K Coute Sr 0000009384 634.50
Line Description: Qtrly Retiree Medical Payment
016444 09/29/23 P Thomas R Caldwell 0000012035 1,009.50 Line Description: Qtriy Retiree Medical Payment
016445 09/29/23 P Timothy Schennum 0000003943 1,047.00
Line Description: Qtrly Retiree Medical Payment
016446 09/29/23 P Timothy Starn 0000005549 1,047.00
Line Description: Qtry Retiree Medical Payment
016447 09/29/23 P Timothy Sweet 0000015387 1,047.00
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 28 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016448 09/29/23 P Tom A Curtis 0000001898 396.75
Line Description: Qtriy Retiree Medical Payment
016449 09/29/23 • P Tom G Winter 0000005460 1,047.00
Line Description: Qtry Retiree Medical Payment
016450 09/29/23 Trudy E Nuzum 0000003379 460.54
Line Description: Qtrly Retiree Medical Payment
016451 09/29/23 P Vernon D Hupp 0000002604 807.06
Line Description: Qtriy Retiree Medical Payment
016452 09/29/23 P Victor Hernandez 0000015946 1,047.00
Line Description: Qtrly Retiree Medical Payment
016453 09/29/23 P Walter M Dill 0000007117 1,047.00
Line Description: Qtrly Retiree Medical Payment
016454 09/29/23 Walter S Silver Jr 0000004026 807.06
Line Description: Qtrly Retiree Medical Payment
016455 09/29/23 P Wanda Ayers 0000011741 396.75
Line Description: Qtrly Retiree Medical Payment
016456 09/29/23 P Wayne Martin 0000005885 744.06
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 29 SUMMARY CHECK REGISTER Run Date Sep 28,2023
ank: DDP Run Time 11:49:33 AM
ycle: ADDEP
Payment Ref Date Status Remit To Remit ID Payment Amt
016457 09/29/23 P Wayne Riedmann 0000006022 649.55
Line Description: Qtrly Retiree Medical Payment
016458 09/29/23 P Wendell L Maberry 0000003031 807.06
Line Description: Qtrly Retiree Medical Payment
016459 09/29/23 P Willa Bowens Killeen 0000014940 807.06 Line Description: Qtrly Retiree Medical Payment
016460 09/29/23 P William A Folsom 0000021819 446.04
Line Description: Qtrly Retiree Medical Payment
016461 09/29/23 P William BEllwood 0000006789 492.05
Line Description: Qtrly Retiree Medical Payment
016462 09/29/23 P William C Taylor 0000004229 261.08
Line Description: Qtrly Retiree Medical Payment
016463 09/29/23 P William F McLean 0000013455 807.06
Line Description: Qtrly Retiree Medical Payment
016464 09/29/23 P William H Bechtel 0000001224 806.23
Line Description: Qtrly Retiree Medical Payment
016465 09/29/23 William J Morris 0000003236 236.29
Line Description: Atriy Retiree Medical Payment
016466 09/29/23 P William L Adams 0000009869 1,047.00
Line Description: Qtrly Retiree Medical Payment
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 30 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016467 09/29/23 P William M Moss 0000003241 1,047.00
Line Description: Qtriy Retiree Medical Payment
016468 09/29/23 P William P Redmond 0000003775 1,047.00 Line Description: Qtrly Retiree Medical Payment
016469 09/29/23 P William Raymer 0000003761 807.06
Line Description: Qtrly Retiree Medical Payment
016470 09/29/23 William Verderber 0000005625 416.10
Line Description: Qtrly Retiree Medical Payment
016471 09/29/23 P Zachary Hoferitza 0000002548 3,141.00 Line Description: Qtrly Retiree Medical Payment
016491 09/29/23 P Costa Mesa Employees Association 0000006284 4,144.18 Line Description: Payment Deduction 23-20
016492 09/29/23 P Costa Mesa Executive Club 0000006286 140.00 Line Description: Payment Deduction 23-20
016493 09/29/23 P Costa Mesa Firefighters Association 0000001812 8,227.39 Line Description: Payment Deduction 23-20
016494 09/29/23 P Costa Mesa Police Association 0000001819 7,260.00 Line Description: Payment Deduction 23-20
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 31 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: DDP1 Run Time 11:49:33 AM
Cycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016495 09/29/23 P Costa Mesa Police Management Assn 0000005082 315.00 Line Description: Payment Deduction 23-20
016496 09/29/23 P George Cortez 0000020416 465.40
Line Description: Lumbers-Hurricane Hilary
016497 09/29/23 P Julie Schall 0000022142 40.71
Line Description: PD Officer Testing Food
016498 09/29/23 P Mikelle Daily 0000029937 152.08
Line Description: Homeless Prev-Working Lunch
Comm Wrkshp Snack
TOTAL $232,684.51
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 1 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244731 09/29/23 Bracken's Kitchen Inc 0000029468 37,906.91 Line Description: Shelter Food Svcs 9/11-9/24/23
Shelter Food Svcs 6/19-7/3/23
Shelter Food Svc 6/5-6/18/23
0244732 09/29/23 FALCK MOBILE HEALTH CORP. 0000019807 340,915.50 Line Description: Ambulance Svc 7/16-7/31/23
Ambulance Svc 7/1-7/15/23
Surge Unit Charge-Jul 2023
Ambulance Svc 8/1-8/15/23
Ambulance Svc 8/16-8/31/23
0244733 09/29/23 P LINA 0000015623 32,250.00
Line Description: NYL Admin Fees Aug 2023
LTD Ins Prem Sep 23
Retiree Life Ins Prem Sep 23
Active Life/AD&D Ins Prem Sep
Voluntary Life Ins Prem Sep 23
0244734 09/29/23 P Newport Center Animal Hospital 0000025961 40,000.00 Line Description: Animal Shelter Srvs Aug 2023
Animal Shelter July 2023
0244735 09/29/23 P OakWest Services Inc 0000029497 24,993.00 Line Description: PW Agreement
0244736 09/29/23 P Professional Sports Field Maintenance 0000011610 24,999.57 Line Description: Balfield Renovations @ Tewink
0244737 09/29/23 P SCA of CA, LLC 0000029971 122,315.87 Line Description: CleanStreet Sweeping
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 2 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244738 09/29/23 P Sagecrest Planning & Environmental 0000025748 21,945.00 Line Description: Consulting Staf Srvs D.S,
0244739 09/29/23 P So Cal Sandbags Inc 0000024349 20,509.88 Line Description: Various Aggerate & Storm Water
Topsoil
0244740 09/29/23 P Ware Disposal Inc 0000000255 16,899.73 Line Description: Solid Waste Collection Srvs
CM Bulky Item Collection
0244741 09/29/23 P West Coast Arborists Inc 0000004498 65,080.70 Line Description: Tree Maintenance Aug 2023
0244742 09/29/23 P Wittman Enterprises LLC 0000026639 16,566.00 Line Description: August 2023
0244743 09/29/23 P ARC 0000022726 741.32
Line Description: Door Hanger Paper
F/R Open House Bannders
0244744 09/29/23 P AT & T 0000001107 74.90
Line Description: Internet-Fleet Svs
0244745 09/29/23 P AT & T 0000001107 165.41
Line Description: 911 Cama Trunks 9/14-10/13/23
0244746 09/29/23 Ai Ley Tan 0000029642 1,250.00
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No.
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle:_ AWKLY-
Payment Ref Date Status Remit Tc Remit ID Payment Amt
Line Description: Health-Wellness Program Aug 23
0244747 09/29/23 P Andres Thomas Flores 0000030358 40.00 Line Description: Livescan Fee Reimb
0244748 09/29/23 P Ardent Ergonomics 0000030359 1,156.94 Line Description: ERGONOMIC EVALUATION SERVICES
ERGONOMIC EVALUATION SERVICES
0244749 09/29/23 P BKF Engineers 0000024944 6,627.00
Line Description: PD Mobile Comm Unit-Aug 23
PD Mobile Comm Unit-Jul 23
0244750 09/29/23 P C&H Precision Weapons, LLC 0000030182 12,361.99 Line Description: Adapter Plate for Optic
0244751 09/29/23 P . CBE 0000015149 5.31
Line Description: Copier Maint 8/20-9/19/23
0244752 09/29/23 P California Forensic Phlebotomy Inc 0000001500 7,942.18 Line Description: Blood Draw Svos-Aug 2023
0244753 09/29/23 P Canon Financial Services Inc 0000023241 283.26 Line Description: Copier Lease-Jul 23
0244754 09/29/23 P City of Newport Beach 0000003327 1,811.05 Line Description: Shared Maint/Op Jan-Jun 23
0244755 09/29/23 P City of Santa Ana 0000003917 2,878.99 Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 4 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: Traffic Signal Maint Jul-Dec22
Traffic Signal Maint Jul-Dec22
0244756 09/29/23 CoStar Realty Information Inc 0000024413 600.00 Line Description: License Agreement D.S.
0244757 09/29/23 P Daniels Tire Service 0000001922 2,044.59 Line Description: Warehouse Stock
Warehouse Stock
0244758 09/29/23 P Data Ticket Inc 0000010929 4,137.30
Line Description: Prkng Citation Process Sva-Jul
0244759 09/29/23 P ECKERSALL LLC 0000025412 1,330.00
Line Description: Snr GIS Analyst Aug 2023
0244760 09/29/23 Eco Luxury Detail 0000029442 6,100.00
Line Description: Paintless Dent Removal & Vinyl
0244761 09/29/23 P Eduardo Iniestra 0000029307 1,000.00 Line Description: DJ SERVICES
DJ SERVICES
0244762 09/29/23 P Everett Dorey LLP 0000026882 14,333.25 Line Description: Legal Svcs-Aug 2023
0244763 09/29/23 P GMS Elevator Services 0000028704 716.66 Line Description: Elevator Maint
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 5 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
-
0244764 09/29/23 P Galls LLC 0000002297 3,129.27
Line Description: Uniform-OFC L Davis
Uniform-Sgt M Manson
Uniform-ODC E Nippert
Uniform-OFC J Roman
Uniform-OFC L Gomez
Uniform-Lt S Selinske
Uniform-Bldg Inspector
Uniform-Lt S Stafford
LBV-OFC G Maridakis
Uniform-Lt S Stafford
0244765 09/29/23 P Grainger 0000002393 243.91
Line Description: Hardware
Hardware
0244766 09/29/23 P Hinderliter De Llamas & Associates 0000002537 4,000.00 Line Description: Cannabis Mgnt-Jul 23
0244767 09/29/23 P Integrated Impressions 0000003403 4,738.73 Line Description: Promotional Items
0244768 09/29/23 P Kronos Inc 0000013093 12,480.00
Line Description: WORKFORCE TELESTAFF
0244769 09/29/23 P LSA Associates Inc 0000003007 10,125.00 Line Description: Consulting Park Review
0244770 09/29/23 P Mar Co Equipment Company 0000020400 1,424.53 Line Description: Steel Broom Brush
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 6 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244771 09/29/23 0000018828 3,447.00
Line Description: Conference Registration
0244772 09/29/23 P NotePage Inc 0000029377 395.00
Line Description: PAGEGATE RENEWAL
0244773 09/29/23 P Orange County Mosquito & Vector Control 0000021750 1,309.30 Line Description: Inspection Treatment July 2023
0244774 09/29/23 P Pictometry International Corp 0000016320 3,500.00 Line Description: IMAGERY LICENSE
0244775 09/29/23 P Place Works Inc 0000023119 10,560.21 Line Description: Fairview Development Center DS
0244776 09/29/23 P Post Alarm Systems Inc 0000026907 109.15 Line Description: Fire Alarm System Monitoring
0244777 09/29/23 P Priceless Pet Rescue 0000026000 600.00 Line Description: Animal Adoption Svos-Jul 23
0244778 09/29/23 P Priority Landscape Services LLO 0000026592 5,720.00 Line Description: Landscape Mntnce FVP Aug 23
0244779 09/29/23 P RPW Services Inc 0000012440 6,480.00 Line Description: Citywide Pest & Weed Control
0244780 09/29/23 P Resource Building Materials 0000024350 2,946.25 Line Description: Silica Sand Removing Graffiti
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 7 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: Various Aggerate & Storm Water
Various Aggerate & Storm Water
0244781 09/29/23 P Ruff N Tuff Tools 0000029955 1,535.56 Line Description: BLADE
SHIPPING
SALES TAX (7.75%)
0244782 09/29/23 P Scott Fazekas & Associates Inc 0000003961 1,366.84 Line Description: Consulting Plan Check Sivs
0244783 09/29/23 P Sims Orange Welding Supply Inc 0000004030 54.78 Line Description: Shop-Welding Supplies
0244784 09/29/23 P Southern California Gas Company 0000004092 24.47 Line Description: NHCC 8/18-9/19/23
0244785 09/29/23 P Southern California Shredding inc 0000025605 399.75 Line Description: On-Site Shredding Services
0244786 09/29/23 P Sunset Detectives 0000026756 3,000.00 Line Description: Pre-Employment Background Inv
0244787 09/29/23 P The Home Depot Credit Services 0000002560 10,924.25 Line Description: Promo Items-Snoopy House
Plumbing Supp-Bldg Maint
Hardware Supp-Park Maint
Hardware Supp-Bidg Maint
Agriculture-Park Maint
Warehouse Inventory
Tools-Graffiti Abatement
General Supp-Graffiti Abatemen
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 8 SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: Emerg Protec-23 Hurricane Hila
Auto Part/Supp-Fleet Equip Mai
General Supp-Signs/Markings
Maint Equip-Signs/Markings
Electrical Supp-Bldg Maint
Maint Equip-PD Tech/Maint
General Supp-Street Maint
0244788 09/29/23 P The Intersect Group, LLC 0000030170 2,225.92 Line Description: Temp-M Lopez Week End 7/9/23
Temp-M Lopez Week End 7/16/23
0244789 09/29/23 P The Lincoln National Life Insurance Co 0000030039 14,628.60 Line Description: Shrt Trm Disability Ins Prem
0244790 09/29/23 P The Lincoln National Life Insurance Co 0000030039 12,807.09 Line Description: Accident Ins Prem Sept 23
Critical III Ins Prem Sept 23
0244791 09/29/23 P The Sayler Group Corp 0000030033 4,608.00 Line Description: Trash & Debris Removal Cal Trn
0244792 09/29/23 P Time Warner Cable 0000011202 1,171.76 Line Description: Internet Srvs-City Hall Data
Internet Sivs Fire Sta#t4
Internet Svs-PD Data
MHnet 8/16-9/15 9/16-10/15/23
CMBS-Internet
0244793 09/29/23 P Townsend Public Affairs inc 0000021510 6,500.00 Line Description: Grant Writing&Legislative Sept
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No.
SUMMARY CHECK REGISTER Run Date Sep 28,2023
Bank: CITY Run Time 11:50:54 AM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244794 09/29/23 P Triton Technology Solutions Inc 0000021687 574.06 Line Description: Audio / Video Technology Repai
0244795 09/29/23 P US Bank 0000002228 5,639.90
Line Description: Payroll 23-18
0244796 09/29/23 P Verizon Wireless 0000008717 3,784.01 Line Description: 8/18-9/17/23 Cell Service
Dev Srvs 8/18-9/17/23
•
0244797 09/29/23 P Vulcan Materials Company 0000007403 1,325.43 Line Description: Asphalt Potholes Sidewalk Ramp
Asphalt Potholes Sidewalk Ramp
Asphalt Potholes Sidewalk Ramp
Asphalt Potholes Sidewalk Ramp
Asphalt Potholes Sidewalk Ramp
0244798 09/29/23 Waxie Sanitary Supply 0000004480 205.57 Line Description: Sanitary Supply
0244799 09/29/23 P Xerox Financial Services 0000010450 902.06 Line Description: Annual Renewal Lease of Copier
TOTAL $972,868.71
End of Report