Report ID: CCM20010 City of Costa Mesa Accounts Payable Page No. 1 CCM OVERFLOW CHECK LISTING Run Date Oct 05,2023
Bank: CITY Run Time 3:02:30 PM
Cycle: AWKLY.
Payment Ref Date Status Remit To Remit ID Payment Amt
0244820 10/06/23 Southern California Edison Company 0000004088 0.00 Line Description: Overflow
TOTAL 0.00
8,325.00
1,247,839.29
(2,500.00)
9,320.67
300,445.24
1,563,430.20
End of Report
Report ID: CCM2001V City of Costa Mesa Accounts Payable Page No. 1 CCM VOID CHECK LISTING Run Date Oct 05,2023
Bank: CITY Run Time 3:02:43 PM
Cycle: AWKLY.
Payment Ref Cancel Date Status Remit To Remit ID Payment Date Payment Amt 0244510 10/2/2023 Jose Alejandro Mascorro 0000030310 09/15/23 (2,500.00) Line Description: Vendor did not received payment.
TOTAL ($2,500.00)
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No.
SUMMARY CHECK REGISTER Run Date Oct 02,2023
Bank: CITY Run Time
2:53:24 PM
Cycle: AMNUAL
Payment Ref Date Status Remit To Remit ID
Payment Amt
0244803 10/02/23 P Bartel Associates LLC 0000017771
5,825.00
Line Description: Replace Check #242882
0244804 10/02/23 Jose Alejandro Mascorro 0000030310 2,500.00 Line Description: Performance Hispanic Heritage
Performance-Hispanic Heritage
TOTAL $8,325.00
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 1
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY
Cycle: AWKLY Run Time 3:01:48 PM
Payment Ref Date Status Remit To Remit ID
Payment Amt
0244805 10/06/23 P Admin Sure Inc 0000021568
16,640.00
Line Description: Wkrs Comp Claim Admin Fee-Oct
0244806 10/06/23 P All American Asphalt 0000000971
54,616.69
Line Description: Retention #21-03/#400015
Prkway Maint #21-03/#400015
0244807 10/06/23 P All City Management Services Inc 0000009480 33,563.14
Line Description: Schl Crsng Guard 9/3-9/16/23
Schl Crsng Guard 8/20-9/2/23
0244808 10/06/23 P Alliant Insurance Services Inc 0000017608 48,153.00
Line Description: 2023-24 Broker Fee
0244809 10/06/23 Atkinson Andelson Loya Ruud & Romo 0000027289 16,643.58
Line Description: Legal Svcs-Aug 2023
0244810 10/06/23 P Cabco Yellow Inc 0000028576
24,678.00
Line Description: Sr Mobility Prog-Aug 23
Sr Medical Trans Prog-Aug 23
Sr Mobility Prog-Aug 23
0244811 10/06/23 P Elecnor Belco Electric Inc 0000030058 285,748.03
Line Description: Retention Proj #22-07
Traffic Signal #22-07/#370059
Retention Proj #22-07/#370059
Traffic Signl#22-07/#370059
Traffic Signal #22-07/#470002
Traf Signal #22-07/#370059
0244812 10/06/23 P Endemic Environmental Services Inc 0000021277 68,960.00
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 2
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY
Cycle: AAKLY Run Time 3:01:48 PM
Payment Ref Date Status Remit To Remit ID
Payment Amt
Line Description: FP Wetland Maint 9/1-9/15/23
Fairview Pk Proj-July 23
FP Wetland Maint-Aug 23
0244813 10/06/23 P Enterprise Rent A Car 0000002131
15,694.16
Line Description: Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
vsm.* Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
Undercover Car Rental
0244814 10/06/23 P Ford Fleet Care 0000026262
16,143.98
Line Description: Parts-Aug 2023
Parts-Sept 2023
Repairs-Sept 2023
0244815 10/06/23 P HC/ Systems Inc 0000023295 31,165.40 Line Description: Fire Alarm Sys Upgrade @ Sr Cn
0244816 10/06/23 P JL Group, LLC 0000029884
18,429.81
Line Description: Legal Svo
0244817 10/06/23 P Manufactured Home Inspection, INC. 0000030219 29,925.00
Line Description: HCD Rehab Grant-1845 Monrovia
Rehab Grant-3109 Yukon Ave
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 3
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID
Payment Amt
Line Description: HCD Rehab Grant-1845 Monrovia
0244818 10/06/23 P Mercy House 0000003138
248,588.02
Line Description: CMBS Mercy House Consit Jun 23
0244819 10/06/23 P Southern California Edison Company 0000004088 23,994.52
Line Description: 3120 Manistee 8/22-9/20/23
Median 8/7-9/5/23
735 Baker 8/21-9/19/23
867 Prospect 8/22-9/20/23
Sr Cntr 8/28-9/26/23
348 E 17th 8/24-9/24/23
3129 Harbor 8/30-9/28/23
1071 Bristol 8/17-9/17/23
1860 Anaheim 8/28-9/26/23
1952 Newport 8/25-9/25/23
NCC 8/28-9/26/23
2917-3171 Redhill 8/17-9/17/23
2783 Bristol 8/16-9/14/23
2060 Harbor 8/23-9/21/23
1895 Irvine 8/1-8/2923
FS #1 8/21-9/19/23
2301 Harbor 8/23-9/21/23
3349 Sakioka 8/24-9/24/23
3351 Sakioka 8/24-9/24/23
DRC 8/29-9/27/23
702 Victoria 8/29-9/27/23
702 1/2 Victoria 8/29-9/27/23
2704 Harbor 8/21-9/19/23
555 1/2 Paularino 8/22-9/20/23
0244821 10/06/23 P Southern California Fleet Services Inc 0000030072 15,340.17
Line Description: 514 Transmission
Unit 525-Blown Turbo into Hose
Unit 515-Replace Relay
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 4
SUMMARY CHECK REGISTER
Run Date Oct 05,2023
Bank: CITY
Cycle: AWKLY. Run Time 3:01:48 PM
Payment Ref Date Status Remit To Remit ID
Payment Amt
0244822 10/06/23 P Time Warner Cable 0000011202
21,670.43
Line Description: Internet Services City Hall
Internet Services Senior Cente
Internet Fiber Svs-Var Loc
HVAC Alarm-Basement at CH
NCC Internet (New Bldg)
0244823 10/06/23 P Wes Tec Inc 0000029265
67,094.17
Line Description: MATERIALS FOR INSTALLATION
SALES TAX (7.75%)
LABOR FOR INSTALLATION
0244824 10/06/23 P AH Accounting LLC 0000029518
10,650.00
Line Description: Acct Spsr Temp Svc Sep 2023
0244825 10/06/23 P AT & T 0000001107
....... 3,113.13
Line Description: Red Phone Fire Sta#3
Red Phone Fire Sta#5
PRI Circuit Inbound
Metro Net
Red Phone Fire Sta#2
Red Phone Fire Sta#t1
Red Phone Fire Sta#4
Red Phone Fire Sta#t6
Local Usage
NCC Fire Alarm
Fire Emergency Line
PD DSL Line
Jack Hamett Sports Complex
Balearic Center Fax
WSS Alarm
DRC Fire Alarm
Lions Park Baseball Field
Senior Center Elevator
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 5
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: Lions Park
2310 Placentia Irrigation
0244826 10/06/23 P AT & T 0000001107
85.60 Line Description: Internet-Skate Park Camera
0244827 10/06/23 P AT & T Mobility 0000001107
92.46 Line Description: Dispatch Cellphones 7/12-8/11/
0244828 10/06/23 P Abound Food Care 0000029712
4,710.00
Line Description: Basic SB1383 Compliance-Aug 23
Basic SB1383 Compliance-Jul 23
Basic SB1383 Compliance-Sep 23
0244829 10/06/23 P Accord Systems LLC 0000024035
8,500.00
Line Description: ACA Reporting
0244830 10/06/23 P Adamson Police Products
0000014519 2,371.43
Line Description: Shipping Fee
Sales Tax 7.75%
SIMs for PD Training
0244831 10/06/23 P Agriserve Pest Control Inc 0000025268 150.00
Line Description: Insect Suppression
0244832 10/06/23 P Akeso Occupational Health 0000029274 1,355.61
Line Description: Workers Comp Claim
Pre-Employee Test
Pre-Employee Test
Workers Comp
Pre-Employee Test
Pre-Employee Test
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 6 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID
Payment Amt
Line Description: Pre-Employee Test
0244833 10/06/23 P Ardurra Group, Inc. 0000030147
360.00
Line Description: 1405 Improve Proj-Aug 23
0244834 10/06/23 P AssetWorks Inc 0000020210 220.00
Line Description: Fuel Mgmt Training
0244835 10/06/23 BKF Engineers 0000024944 3,235.75
Line Description: Ped Bridges Rplmnt@Wilson PK
Ped Bridges Replmnt @Wilson Pk
0244836 10/06/23 P BOA Architecture 0000025376
3,700.00
Line Description: Finance Intake Room Proj
0244837 10/06/23 P Bay Alarm Company 0000030239 229.99
Line Description: Security Alarm Monitoring Svo
Security Alarm Monitoring Svo
0244838 10/06/23 P Bound Tree Medical LLC 0000011695
9,589.23
Line Description: EMS Supplies
EMS Supplies
EMS Supplies
EMS Supplies
EMS Supplies
EMS Supplies
EMS Supplies
0244839 10/06/23 P BrightView Landscape Services Inc 0000026055 7,766.53
Line Description: Extra Wik-Vista Pk Slope
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 7 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244840 10/06/23 P CA Dept of Tax & Fee Administration 0000025959 338.63 Line Description: FY22/23 Sales Tax
0244841 10/06/23 P CBE 0000015149 1,847.50
Line Description: Copier Maint 8/5-9/4/23
Copier Maint 8/5-9/4/23
Copier Maint 6/5-714/23
Copiert Maint 7/5-8/4/23
Copier Maint 8/5-9/4/23
0244842 10/06/23 P Cal Stripe Inc 0000029093 3,022.00
Line Description: Neighborhood Trffc Mngt Sign
0244843 10/06/23 Canon Financial Services Inc 0000023241
64.64 Line Description: Copier Lease 9/1-9/30/23
Copier Lease 5/1-5/31/23
0244844 10/06/23 P Carl Warren & Company 0000001578 12,137.74 Line Description: Liability TPA Consulting
Wkrs Comp Claim AdmFee-May 23
Wkrs Comp Claim AdmFee-Jun 23
Wkrs Comp Claim AdmFee-Jul 23
0244845 10/06/23 P Dan Autovino 0000030357 225.00
Line Description: Music Performance Art Crawl
0244846 10/06/23 P Dixon Resources Unlimited 0000027441 12,417.17 Line Description: Citywide Parking Study-Jul 23
Citywide Parking Study-Aug 23
0244847 10/06/23 P Eduardo Iniestra 0000029307
600.00
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 8
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle:_AWKLY.
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: DJ SERVICES
0244848 10/06/23 P Entrust Janitorial LLC 0000030309 875.00 Line Description: Janitorial Svcs @ 3190 Airport
0244849 10/06/23 P Fleet Services Inc 0000002239
640.52
Line Description: Torqie Rpd-Unit #525
Air Dryer
0244850 10/06/23 Forensic Nurse Specialists Inc 0000014039 3,500.00 Line Description: Victim Physicals-Aug 2023
0244851 10/06/23 P Galls LLC 0000002297
387.19
Line Description: Tactical Belts
Uniform
Uniforms
Uniform
Uniforms
Uniform-Selinske
0244852 10/06/23 P Game Truck 0000029273
625.00
Line Description: BCC Day Camp Prog-09/27/23
0244853 10/06/23 P Going Steady Studios 0000030344
3,033.83
Line Description: BAR PIECES
BUD VASES
SHIPPING
GROUND PIECES
SALES TAX (7.75%)
MINI BOUQUETS
0244854 10/06/23 P Grainger 0000002393
3,310.55
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 9
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: LED Bulbs
Safety Glasses
Hardware
Hardware
High Visibilityu Vest
0244855 10/06/23 P HKA Elevator Consulting Inc 0000014195 6,000.00 Line Description: CH Elevator Modernization Proj
CH Elevator Modernization Proj
0244856 10/06/23 P Hanks Electrical Supplies 0000002445 382.52 Line Description: Plumbing Supplies
Plumbing Supplies
Plumbing Supplies
Plumbing Supplies
0244857 10/06/23 P Hilton Costa Mesa 0000013124
2,500.00
Line Description: 2024 Empl Svcs Awards Dep
0244858 10/06/23 P Hirsch Pipe & Supply Company inc 0000026475 565.05
Line Description: Plumbing Supplies on an as-nee
Plumbing Supplies on an as-nee
Electrical Supplies
0244859 10/06/23 P IDS Group Inc 0000022643 315.60
Line Description: IT Proj
0244860 10/06/23 Integrated Impressions 0000003403
1,585.61
Line Description: Promotional Items
0244861 10/06/23 P Interstate Batteries of California Coast 0000002700 1,084.88
Line Description: Batteries
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 10 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY.
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: Batteries
0244862 10/06/23 P JC Motors 0000020143 1,680.84
Line Description: Warehouse Stock
0244863 10/06/23 P Jennifer W Harrison 0000029300 1,350.00 Line Description: Custom Backdrop 4 Snoopy House
0244864 10/06/23 P Joe Mar Polygraph & Investigation 0000027462 1,500.00 Line Description: Pre-Empl Polygraph Exam-Aug 23
Pre-Empl Polygraph Exam-Jun 23
0244865 10/06/23 P Joseph Yashar 0000012712 500.00
Line Description: Art Venture Event 10/28/23
0244866 10/06/23 P K Pro Stone Care 0000030249 14,950.00 Line Description: BCC Restroom Care/Restoration
0244867 10/06/23 Leadership Tomorrow 0000013028 4,500.00 Line Description: Leadership Tomorrow Program
0244868 10/06/23 P LexisNexis Risk Data Management Inc 0000019179 288.00 Line Description: Public Record Access Aug 2023
0244869 10/06/23 P LineGear Fire & Rescue Equipment 0000026007 5,485.56 Line Description: Workrite Uniforms
Workrite Uniforms
Workrite Uniforms
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 11 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244870 10/06/23 P Maribeth McFaul 0000027134 400.00
Line Description: ENTERTAINMENT AGREEMENT
0244871 10/06/23 P Melad & Associates 0000005068 1,573.66 Line Description: Consulting Plan Checks
Fire-Plan Check Svs
0244872 10/06/23 P Michael Baker International Inc 0000024229 13,906.10 Line Description: Professional Services July 23
0244873 10/06/23 P Mike Raahauges Shooting Enterprises 0000006853 100.00 Line Description: Range Fees Augt 2023
0244874 10/06/23 P National Data & Surveying Services 0000021249 405.00 Line Description: 24 Hr Cameras Fairview Rd
24Hr ADT/Speed Counts
0244875 10/06/23 P National Safety Compliance Inc 0000020714 471.25 Line Description: Controlled Substances & Alcoho
0244876 10/06/23 P O Neil Storage 0000018395 412.89
Line Description: Offsite Records Storage
Offsite Records Storage
Offsite Records Storage
0244877 10/06/23 Occu Med 0000003388 9,730.15
Line Description: Pre-Employment Physical
Pre-Employment Physical
Pre-Employment Physical
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 12 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID
Payment Amt
0244878 10/06/23 P Rachel Charest Bertram 0000029455
900.00
Line Description: Scarecrow Fest Performance
0244879 10/06/23 P Red Wing Business Advantage Account 0000003772 441.30
Line Description: Safety Boots Felix Fernandez
Safety Boots Kevin Cervantes
•
0244880 10/06/23 P Shaw HR Consulting Inc 0000021706 1,813.95 Line Description: Reasonable Accomodation
0244881 10/06/23 P Soothe Inc 0000029732
2,150.40
Line Description: Massage Services
... -
0244882 10/06/23 P South Coast Emergency Vehicle Services 0000003643 1,500.25
Line Description: Pennant Plate Set
Air Bags
0244883 10/06/23 P Southern California Gas Company 0000004092 3,282.98
Line Description: FS #5 8/21-9/21/23
567 W 18th 8/18-9/19/23
DRC Pool 8/18-9/19/23
BCC 823-9/25/23
FS #6 8/25-9/27/23
FS #2 8122-9/22/23
Sr Cmtr 8/18-9/19/23
DRC 8/18-9/19/23
721 James 8/18-9/19/23
717 James 8/18-9/19/23
FS #3 8/18-9/19/23
Telecomm 8/21-9/21/23
2310 Placentia 8/21-9/21/23
2300 Placentia 8/21-9/21/23
PD 8/21-9/21/23
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 13 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle:_ AWKLY.
Payment Ref Date Status Remit To Remit ID Payment Amt
Line Description: FS #4 8/21-9/21/23
FS #1 8/23-9/25/23
0244884 10/06/23 P Southern California Shredding Inc 0000025605
40.00 Line Description: On-Site Shredding Services
0244885 10/06/23 P Sparkletts 0000015725 737.72
Line Description: Water Delivery Svos - HR
Water Delivery Svcs - Parks
Water Delivery Svos - Finance
Water Delivery Svos - City Man
Water Delivery Svcs - City Cle
Water Delivery Svcs - Public W
Water Delivery Svcs - City Cou
Water Delivers Svcs - Dev. Svc
0244886 10/06/23 P State of California Dept of Justice 0000001534 1,666.00 Line Description: Livescan/Fingerprinting Servic
Livescan/Fingerprinting Servic
0244887 10/06/23 P Switzer Assoc Leadership Solutions 0000029731 1,887.50 Line Description: 360 EVALUATION ASSESSMENT
0244888 10/06/23 P Talimar Systems Inc 0000025939 1,725.94 Line Description: Furniture @ 3190 E2 Airport Lo
0244889 10/06/23 P The Code Group Inc 0000025073 6,686.25 Line Description: Consulting Plan Check Srvs
Consulting Staff Services Donn
0244890 10/06/23 P US Bank 0000002228 4,895.92
Line Description: Payroll 23-19
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 14 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: CITY Run Time 3:01:48 PM
Cycle: AWKLY
Payment Ref Date Status Remit To Remit ID Payment Amt
0244891 10/06/23 P US Postmaster 0000004377 10,000.00
Line Description: Prepaid Item-Bulk Item
0244892 10/06/23 P United Rentals Northwest Inc 0000010121 584.14 Line Description: Concrete & Mixer
Concrete & Miexer
0244893 10/06/23 P Verified First LLC 0000027240
55.00 Line Description: Pre-Employment Credit Checks
Pre-Employment Credit Checks
Pre-Employment Credit Checks
0244894 10/06/23 P Verizon Wireless 0000008717 2,086.45 Line Description: WIRELESS PHONE 8/18-9/17/23
WIRELESS PHONE 8/18-9/17/23
WIRELESS PHONE 8/18-9/17/23
0244895 10/06/23 P Vulcan Materials Company 0000007403 978.88 Line Description: Asphalt Potholes Sidewalk Ramp
Asphalt Potholes Sidewalk Ramp
Asphalt Potholes Sidewalk Ramp
0244896 10/06/23 P Williams Data Management 0000018803
516.90
Line Description: DATA STORAGE Sept 2023
TOTAL $1,247,839.29
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable
Page No. 1
SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: DDP1 Run Time 3:05:43 PM
Cycle: ADDEP1
Payment Ref Date Status Remit To Remit ID Payment Amt
016501 10/06/23 P Complex Apppellate Litigation Group LLP 0000030056 280,031.12 Line Description: LEGAL SERVICES-Ohio House
LEGAL SERVICES-Ohio House
LEGAL SERVICES-SOCal RAW
LEGAL SERVICES-Ohio House
Legal Svs-SoCal RAW
016502 10/06/23 P Fanni Acosta 0000029434
413.45
Line Description: AWI Conf-FA
016503 10/06/23 P Jones & Mayer 0000014653 19,844.67
Line Description: 118305-Olive, Nicolas
118301-Leaman, Carrin
118298-Gomes De Silva
118293-AAA-Martindale
118300-Lawson, Roger
118299-Hernandez, Joe
118307-Peper, Aidia
118382-Lehman/Freeman
118297-Garten, Jessica
118303-Nasiri, Sohelia
118306-Pederson, Ayden
118302-Murtaugh, Leslie
118308-Shalhoub, Martha
118294-Cervantes, Martha
118296-Donaldson, Eloise
118304-OC Catholic Worker
118381-Carrera, Francisco
118292-440 Fair Dr/1179 NP
118309-Socal Recovery, LLC
118295-D'Alessio investment
016504 10/06/23 P Lindsey Olson 0000027343 156.00
Line Description: SoCal Assoc FngrPrnt OFC Conf
TOTAL $300,445.24
End of Report
Report ID: CCM2001 City of Costa Mesa Accounts Payable Page No. 1 SUMMARY CHECK REGISTER Run Date Oct 05,2023
Bank: DDP1 Run Time 3:06:59 PM
Cycle: ADDEP1.
Payment Ref Date Status Remit To Remit ID Payment Amt
016499 10/04/23 P Frank Nguyen 0000025830 4,758.17
Line Description: Advanced Disability-Oct 2023
016500 10/04/23 P Todd Palombo 0000007100 4,562.50
Line Description: Advanced Disability-Oct 2023
TOTAL $9,320.67
End of Report