Type
Vendor Name/ID
Description
EDR Totals by ID
AP 0.00
EP 1,818,558.09
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
208-Sccssr Agncy Ret Oblg (0054)
211 -PEG Fund (0058)
265 -Landscape Maintenance (0029)
275 -Sewer Maintenance (0048)
280-Misc Grants Fund (0050)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
City of Placentia
Electronic Disbursement Register
For 01/18/2022
Account/Description
FDR Totals by Fund
Electronic Disbursement Sub Totals:
ACH Payroll Direct Deposit for 12/31/2021:
Electronic Disbursement Total:
1,031,111.81
4,878.01
2,696.78
2,797.45
12,766.81
6,452.61
279,353.25
478,501.37
1,818,558.09
488,183.29
2,306,741.38
Batch ID
Amount Invoice#
Grand Total: 1,818,558.09
Void Total:
EDR Total:
Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
0.00 1,818,558.09
PO #
Ref # Ref Date
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP AMERICAN FIDELITY
VO10011
EP AMERICAN FIDELITY
VO10011
EP AMERICAN FIDELITY
V010011
EP AMERICAN FIDELITY
VO10011
EP AMERICAN FIDELITY
VO10011
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
User: Teri Knutson
Description
P/E 11/13 PD 11/19
P/E 11/13 PD 11/19
P/E 11/13 PD 11/19
P/E 11/13 PD 11/19
P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX P/E 11/13 PD 11/19
STATE TAX PCEA/PPFMA PMT
STATE TAX PCEA/PPFMA PMT
STATE TAX PCEA/PPFMA PMT 0054-2135
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0010-2190
Dependent Care SSA
0010-2188
Health Care SSA
0037-2188
Health Care SSA
0054-2188
Health Care SSA
0048-2188
Health Care SSA
0010-2135
Calif Income Tax W/H
0050-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0058-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
Report: AP1400E : AP: Warrant List - Electronic
Page: 1
Batch ID
Amount Invoice#
ACH120321 208.33 6017273
ACH120321 586.08 6017273
ACH120321 9.50 6017273
ACH120321 6.09 6017273
ACH120321 17.05 6017273
Check Total: 827.05
ACH120321 27,313.22 PR2101023
ACH120321 138.87 PR2101023
ACH120321 334.44 PR2101023
ACH120321 46.52 PR2101023
ACH120321 76.59 PR2101023
ACH120321 128.86 PR2101023
ACH120321 275.67 PR2101023
ACH120321 14,915.67 PR2101924
ACH120321 112.15 PR2101924
ACH120321 71.94 PR2101924
PO #
Ref # Ref Date
00015365 12/03/2021
00015365 12/03/2021
00015365 12/03/2021
00015365 12/03/2021
00015365 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
00015366 12/03/2021
01/11/2022 :Date
08:24:03 :Time
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date V010052 Calif Income Tax W/H
EP EMPLOYMENT STATE TAX PCEA/PPFMA PMT 0037-2135 ACH120321 210.15 PR2101924 00015366 12/03/2021 V010052 Calif Income Tax W/H
EP EMPLOYMENT STATE TAX PCEA/PPFMA PMT 0048-2135 ACH120321 290.46 PR2101924 00015366 12/03/2021 V010052 Calif Income Tax W/H
EP EMPLOYMENT STATE TAX PCEA/PPFMA PMT 0058-2135 ACH120321 107.48 PR2101924 00015366 12/03/2021 V010052 Calif Income Tax W/H
Check Total: 44,022.02
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0010-2110 ACH120321 71,082.19 PR2101023 00015367 12/03/2021 V010054 Federal Income Tax W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0058-2115 ACH120321 31.87 PR2101023 00015367 12/03/2021 V010054 Employee Medicare W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0010-2115 ACH120321 9,118.55 PR2101023 00015367 12/03/2021 V010054 Employee Medicare W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0048-2115 ACH120321 132.81 PR2101023 00015367 12/03/2021 V010054 Employee Medicare W/H
EP INTERNAL REVENUE FED/MED/SSP/E 11/13 PD 11/19 0010-2120 ACH120321 9,014.41 PR2101023 00015367 12/03/2021 V010054 Employer Medicare Payable
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0058-2110 ACH120321 256.53 PR2101023 00015367 12/03/2021 V010054 Federal Income Tax W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0029-2110 ACH120321 181.54 PR2101023 00015367 12/03/2021 V010054 Federal Income Tax W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0048-2120 ACH120321 125.14 PR2101023 00015367 12/03/2021 V010054 Employer Medicare Payable
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0029-2115 ACH120321 35.12 PR2101023 00015367 12/03/2021 V010054 Employee Medicare W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0050-2110 ACH120321 316.15 PR2101023 00015367 12/03/2021 V010054 Federal Income Tax W/H
EP INTERNAL REVENUE FED/MED/SS P/E 11/13 PD 11/19 0029-2120 ACH120321 34.57 PR2101023 00015367 12/03/2021 V010054 Employer Medicare Payable
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
Page: 2
01/11/2022 :Date
08:24:03 :Time
Type
EP INTERNAL REVENUE
V010054
Vendor Name/ID
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
User: Teri Knutson
Description
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS P/E 11/13 PD 11/19
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0054-2120
Employer Medicare Payable
0037-2110
Federal Income Tax W/H
0050-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0050-2120
Employer Medicare Payable
0054-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0058-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0029-2110
Federal Income Tax W/H
0029-2115
Employee Medicare W/H
0029-2120
Employer Medicare Payable
0037-2110
Federal Income Tax W/H
Page: 3
Batch ID
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
Amount Invoice#
38.74 PR2101023
667.09 PR2101023
52.54 PR2101023
90.87 PR2101023
43.67 PR2101023
79.87 PR2101023
52.54 PR2101023
342.64 PR2101023
894.34 PR2101023
31.87 PR2101023
3,466.70 PR2101924
373.85 PR2101924
25.71 PR2101924
24.64 PR2101924
700.45 PR2101924
PO #
Ref # Ref Date
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
01/11/2022 :Date
08:24:03 :Time
Type
EP INTERNAL REVENUE
V010054
Vendor Name/ID
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
User: Teri Knutson
Description
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
FED/MED/SS PCEA/PPFMA PMT
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0037-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0048-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0054-2110
Federal Income Tax W/H
0054-2120
Employer Medicare Payable
0050-2120
Employer Medicare Payable
0058-2110
Federal Income Tax W/H
0050-2115
Employee Medicare W/H
0058-2115
Employee Medicare W/H
0048-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0058-2120
Employer Medicare Payable
0048-2115
Employee Medicare W/H
Page: 4
Batch ID
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
ACH120321
Amount Invoice#
54.22 PR2101924
46.17 PR2101924
968.15 PR2101924
49,502.25 PR2101924
15.79 PR2101924
239.79 PR2101924
15.79 PR2101924
16.24 PR2101924
358.28 PR2101924
16.24 PR2101924
23.61 PR2101924
81.75 PR2101924
3,547.15 PR2101924
23.61 PR2101924
87.12 PR2101924
PO #
Ref # Ref Date
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
00015367 12/03/2021
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
Description
EP WASHINGTON STATE P/E 11/13 PD 11/19
V011597
EP ICMA RETIREMENT TRUST PE 11/27/21 PD 12/03/21
V000496
EP ICMA RETIREMENT TRUST PE 11/27/21 PD 12/03/21
V000496
EP ICMA RETIREMENT TRUST PE 11/27/21 PD 12/03/21
V000496
EP ICMA RETIREMENT TRUST PE 11/27/21 PD 12/03/21
V000496
EP ICMA RETIREMENT TRUST PE 11/27/21 PD 12/03/21
V000496
EP ICMA RETIREMENT TRUST PE 11/27/21 PD 12/03/21
V000496
EP PLACENTIA FIREFIGHTERS PE 11/27/21 PD 12/03/21
V011878
EP PLACENTIA POLICE PE 11/27/21 PD 12/03/21
V000839
EP PLACENTIA POLICE PE 11/27/21 PD 12/03/21
V000839
EP PLACENTIA POLICE PE 11/27/21 PD 12/03/21
V003519
EP AMERICAN FIDELITY P/E 10/30,11/13 PD 11/5,11/19
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description Batch ID
Check Total:
0010-2196 ACH120321
Garnishments W/H
0029-2170
Deferred Comp Payable - ICMA
0010-2170
Deferred Comp Payable - ICMA
0037-2170
Deferred Comp Payable - ICMA
0054-2170
Deferred Comp Payable - ICMA
0048-2170
Deferred Comp Payable - ICMA
0050-2170
Deferred Comp Payable - ICMA
Check Total:
PY21024
PY21024
PY21024
PY21024
PY21024
PY21024
Amount Invoice# PO #
152,210.56
401.53 PR2101023
401.53
106.50 2995/2101024
26,406.43 2995/2101024
684.75 2995/2101024
457.63 2995/2101024
465.64 2995/2101024
473.30 2995/2101024
Check Total: 28,594.25
0010-2178 PY21024 950.00 2680/2101024
Placentia Police Assoc Dues
Check Total:
0010-2180 PY21024
Police Mgmt Assn Dues
0050-2180 PY21024
Police Mgmt Assn Dues
Check Total:
0010-2178
Placentia Police Assoc Dues
0029-2155
Page: 5
PY21024
Check Total:
950.00
784.73 2625/2101024
19.41 2625/2101024
804.14
2,776.17 2620/2101024
2,776.17
ACH120821 14.90 D386461
Ref # Ref Date
00015368 12/03/2021
00015369 12/07/2021
00015369 12/07/2021
00015369 12/07/2021
00015369 12/07/2021
00015369 12/07/2021
00015369 12/07/2021
00015370 12/07/2021
00015371 12/07/2021
00015371 12/07/2021
00015372 12/07/2021
00015373 12/08/2021
01/11/2022 :Date
08:24:03 :Time
Type
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
Vendor Name/ID
V010011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
V010011
AMERICAN FIDELITY
VO10011
Description
P/E 10/30,11/13 PD 11/5,11/19
P/E 10/30,11/13 PD 11/5,11/19
P/E 10/30,11/13 PD 11/5,11/19
P/E 10/30,11/13 PD 11/5,11/19
P/E 10/30,11/13 PD 11/5,11/19
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19
V010053
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Per Sec Plan - Opt. Life
0010-2155
Per Sec Plan - Opt. Life
0037-2155
Per Sec Plan - Opt. Life
395000-2187
Voluntary Plan Life
0048-2155
Per Sec Plan - Opt. Life
0054-2155
Per Sec Plan - Opt. Life
0010-2140
Employee PERS W/H
0010-2150
Survivor Benefit Package
0010-2195
PERS Uniform
0029-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0029-2150
Survivor Benefit Package
0037-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2150
Survivor Benefit Package
Page: 6
Batch ID Amount Invoice# PO #
ACH120821 2,019.12 D386461
ACH120821 18.00 D386461
ACH120821 1,801.38 D386461
ACH120821 116.30 D386461
ACH120821 10.24 D386461
Check Total: 3,979.94
ACH120821 34,813.79 PR2101023
ACH120821 115.49 PR2101023
ACH120821 28.57 PR2101023
ACH120821 194.53 PR2101023
ACH120821 149.14 PR2101023
ACH120821 0.91 PR2101023
ACH120821 490.97 PR2101023
ACH120821 364.00 PR2101023
ACH120821 1.04 PR2101023
Ref # Ref Date
00015373 12/08/2021
00015373 12/08/2021
00015373 12/08/2021
00015373 12/08/2021
00015373 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
00015374 12/08/2021
01/11/2022 :Date
08:24:03 :Time
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0010-2140 ACH120821 52,890.05 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0048-2140 ACH120821 781.17 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0058-2150 ACH120821 0.93 PR2101023 00015374 12/08/2021 V010053 Survivor Benefit Package
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0048-2140 ACH120821 566.32 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0048-2140 ACH120821 2.34 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0048-2195 ACH120821 0.60 PR2101023 00015374 12/08/2021 V010053 PERS Uniform
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0050-2140 ACH120821 615.35 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0050-2140 ACH120821 290.42 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0050-2150 ACH120821 0.62 PR2101023 00015374 12/08/2021 V010053 Survivor Benefit Package
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0050-2195 ACH120821 0.31 PR2101023 00015374 12/08/2021 V010053 PERS Uniform
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0054-2140 ACH120821 225.50 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0054-2140 ACH120821 169.80 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0054-2150 ACH120821 0.50 PR2101023 00015374 12/08/2021 V010053 Survivor Benefit Package
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0058-2140 ACH120821 153.85 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
EP CALIFORNIA PUBLIC PERS P/E 11/13 PD 11/19 0058-2140 ACH120821 136.82 PR2101023 00015374 12/08/2021 V010053 Employee PERS W/H
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 7
01/11/2022 :Date
08:24:03 :Time
Type
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
Vendor Name/ID
User: Teri Knutson
Description
STATE TAX P/E 11/27 PD 12/3
STATE TAX P/E 11/27 PD 12/3
STATE TAX P/E 11/27 PD 12/3
STATE TAX P/E 11/27 PD 12/3
STATE TAX P/E 11/27 PD 12/3
STATE TAX P/E 11/27 PD 12/3
STATE TAX P/E 11/27 PD 12/3
STATE TAX 2Q BUYBACKS
STATE TAX 2Q BUYBACKS
STATE TAX 2Q BUYBACKS
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0010-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0050-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0058-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0010-2110
Federal Income Tax W/H
0050-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
Page: 8
Batch ID
Check Total:
ACH120821
Amount Invoice#
91,993.02
29,004.03 PR2101024
ACH120821 70.15 PR2101024
ACH120821 147.86 PR2101024
ACH120821 232.96 PR2101024
ACH120821 621.83 PR2101024
ACH120821 66.84 PR2101024
ACH120821 380.72 PR2101024
ACH120821 22.42 PR2101125
ACH120821 3,217.27 PR2101125
ACH120821 13.04 PR2101125
Check Total: 33,777.12
ACH120821 73,846.75 PR2101024
ACH120821 54.72 PR2101024
ACH120821 9,525.86 PR2101024
ACH120821 62.94 PR2101024
PO #
Ref # Ref Date
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015375 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
User: Teri Knutson
Description
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0010-2120
Employer Medicare Payable
0054-2110
Federal Income Tax W/H
0010-2125
Employee Social Sec W/H
0058-2115
Employee Medicare W/H
0010-2130
Employer Soc Sec Payable
0029-2110
Federal Income Tax W/H
0029-2115
Employee Medicare W/H
0029-2120
Employer Medicare Payable
0050-2115
Employee Medicare W/H
0037-2110
Federal Income Tax W/H
0050-2110
Federal Income Tax W/H
0037-2115
Employee Medicare W/H
0048-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0048-2110
Federal Income Tax W/H
Page: 9
Batch ID
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
Amount Invoice#
9,221.37 PR2101024
518.23 PR2101024
69.58 PR2101024
30.28 PR2101024
69.58 PR2101024
229.38 PR2101024
42.13 PR2101024
39.76 PR2101024
54.72 PR2101024
1,573.65 PR2101024
339.29 PR2101024
183.55 PR2101024
132.45 PR2101024
159.31 PR2101024
974.23 PR2101024
PO #
Ref # Ref Date
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
01/11/2022 :Date
08:24:03 :Time
Type Vendor Name/ID Description
EP INTERNAL REVENUE FED/MED/SS P/E 11/24 PD 12/3
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS P/E 11/24 PD 12/3
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
FED/MED/SS 2Q BUYBACKS
EP CALIFORNIA PUBLIC DEC MEDICAL INSURANCE PMT
V006234
EP CALIFORNIA PUBLIC DEC MEDICAL INSURANCE PMT
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0048-2115
Employee Medicare W/H
0058-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0058-2110
Federal Income Tax W/H
0010-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0010-2110
Federal Income Tax W/H
0010-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0037-2115
Employee Medicare W/H
0037-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
Batch ID
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
ACH120821
Amount Invoice#
146.44 PR2101024
30.28 PR2101024
53.43 PR2101024
231.38 PR2101024
1,078.94 PR2101125
3.73 PR2101125
10,724.23 PR2101125
1,011.33 PR2101125
4.93 PR2101125
2.87 PR2101125
4.93 PR2101125
74.73 PR2101125
43.45 PR2101125
Check Total: 110,538.45
395000-4715 ACH120821 160,862.62 10000001662203
ISF Health Ins Reimbursement
395083-5161
Page: 10
ACH120821 14, 811.43 10000001662203
PO #
Ref # Ref Date
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015376 12/08/2021
00015377 12/08/2021
00015377 12/08/2021
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
V006234
EP CALIFORNIA PUBLIC
V006234
EP WASHINGTON STATE
V011597
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Description Account/Description
Health Insurance Premiums
DEC FIRE MEDICAL INSURANCE PMB95000-4715
ISF Health Ins Reimbursement
P/E 11/24 PD 12/3
EP ICMA RETIREMENT TRUST PE 12/09/21 PD 12/09/21
V000496
EP REPUBLIC WASTE SERVICESNOV REFUSE COLLECTION SVS
V007205
EP CALIFORNIA PUBLIC
V006234
EP CALIFORNIA PUBLIC
V006234
EP ALDWIR, MAMOUN
E000113
EP ANDERSON, MARLA
E000071
DEC FIRE UAL PAYMENT
DEC FIRE UAL PAYMENT
0010-2196
Garnishments W/H
0010-2170
Deferred Comp Payable - ICMA
374386-6101
Disposal
105525-6906
Ca1PERS-Fire Term. Principal
105525-6916
CaIPERS-Fire Term Interest
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP ARMSTRONG, JOHN T JAN MEDICAL REIMBURSEMENT 395083-5161 E000046
EP AUDISS, JAY SCOTT
E000125
User: Teri Knutson
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
Report: AP1400E : AP: Warrant List - Electronic
Page: 11
Batch ID
Amount Invoice#
PO #
Ref # Ref Date
ACH120821 30,657.19 10000001662203 00015377 12/08/2021
Check Total: 206,331.24
ACH120821 401.53 PR2101024 00015378 12/08/2021
Check Total: 401.53
PY21125 2,118.46 2995/2101125 00015379 12/10/2021
Check Total: 2,118.46
ACH121321 267,517.62 676-004635042 P12168 00015380 12/14/2021 Check Total: 267,517.62
ACH121521 29,624.69 DECEMBER 21 00015381 12/15/2021
ACH121521 2,039.27 DECEMBER 21 00015381 12/15/2021
Check Total: 31,663.96
ACH010122 1,295.00 JANUARY 22
Check Total:
1,295.00
ACH010122 535.78 JANUARY 22
Check Total:
535.78
ACH010122 1,080.65 JANUARY 22
Check Total:
1,080.65
ACH010122 1,745.00 JANUARY 22
00015382 01/03/2022
00015383 01/03/2022
00015384 01/03/2022
00015385 01/03/2022
01/11/2022 :Date
08:24:03 :Time
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 1,745.00
EP BABCOCK, CHARLES A JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 312.00 JANUARY 22 00015386 01/03/2022 E000015 Health Insurance Premiums
Check Total: 312.00
EP BEALS, SHARLENE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 193.39 JANUARY 22 00015387 01/03/2022 E000076 Health Insurance Premiums
Check Total: 193.39
EP BERMUDEZ, ALBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 527.48 JANUARY 22 00015388 01/03/2022 E000124 Health Insurance Premiums
Check Total: 527.48
EP BUNNELL, DONALD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015389 01/03/2022 E000062 Health Insurance Premiums
Check Total: 535.78
EP BURGNER, ARTHUR JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015390 01/03/2022 E000074 Health Insurance Premiums
Check Total: 535.78
EP BUSSE, MICHAEL JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,326.00 JANUARY 22 00015391 01/03/2022 E000131 Health Insurance Premiums
Check Total: '1,326.00
EP CHANDLER, JOHN P JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,393.00 JANUARY 22 00015392 01/03/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
EP CHANG, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,290.00 JANUARY 22 00015393 01/03/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
EP COBBETT, GEOFFREY JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015394 01/03/2022 E000007 Health Insurance Premiums
Check Total: 535.78
EP COOK, ARLENE M JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015395 01/03/2022 User: Teri Knutson 01/11/2022 :Date
Page: 12
Report: AP1400E : AP: Warrant List - Electronic 08:24:03 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description Batch ID Amount Invoice# PO #
E000018 Health Insurance Premiums
Ref # Ref Date
Check Total: 535.78
EP D'AMATO, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 193.39 JANUARY 22 00015396 01/03/2022 E000056 Health Insurance Premiums
Check Total: 193.39
EP DAVID, PRESTON JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015397 01/03/2022 E000112 Health Insurance Premiums
Check Total: 535.78
EP DAVIS, CAROLYN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015398 01/03/2022 E000005 Health Insurance Premiums
Check Total: 535.78
EP DEAN, ANDREW JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,823.00 JANUARY 22 00015399 01/03/2022 E000135 Health Insurance Premiums
Check Total: 1,823.00
EP DELOS SANTOS, JAMIE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 153.53 JANUARY 22 00015400 01/03/2022 E000045 Health Insurance Premiums
Check Total: 153.53
EP DICKSON, ROBERTA JO JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 193.39 JANUARY 22 00015401 01/03/2022 E000011 Health Insurance Premiums
Check Total: 193.39
EP DOWNEY, CAROL FEB MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015402 01/03/2022 E000082 Health Insurance Premiums
Check Total: 535.78
EP ECKENRODE, NORMAN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015403 01/03/2022 E000029 Health Insurance Premiums
Check Total: 535.78
EP ESCOBOSA, LILLIAN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015404 01/03/2022 E000055 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 13
01/11/2022 :Date
08:24:03 :Time
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 535.78
EP ESPINOZA, ROSALINDA JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 573.00 JANUARY 22 00015405 01/03/2022 E000016 Health Insurance Premiums
Check Total: 573.00
EP FRICKE, JUERGEN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 770.00 JANUARY 22 00015406 01/03/2022 E000075 Health Insurance Premiums
Check Total: 770.00
EP FULLER, GLENN H JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 770.00 JANUARY 22 00015407 01/03/2022 E000081 Health Insurance Premiums
Check Total: 770.00
EP GALLANT, KAREN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015408 01/03/2022 E000008 Health Insurance Premiums
Check Total: 535.78
EP GARNER, JO ANN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015409 01/03/2022 E000047 Health Insurance Premiums
Check Total: 535.78
EP GARNER, KITTY JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 878.44 JANUARY 22 00015410 01/03/2022 E000080 Health Insurance Premiums
Check Total: 878.44
EP GRIMM, DENNIS L JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 586.00 JANUARY 22 00015411 01/03/2022 E000042 Health Insurance Premiums
Check Total: 586.00
EP HOLTSCLAW, KATHERINE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 557.02 JANUARY 22 00015412 01/03/2022 E000121 Health Insurance Premiums
Check Total: 557.02
EP IRVINE, SUZETTE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015413 01/03/2022 E000019 Health Insurance Premiums
Check Total: 535.78
EP JENKINS, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 614.88 JANUARY 22 00015414 01/03/2022 User: Teri Knutson 01/11/2022 :Date
Page: 14
Report: AP1400E : AP: Warrant List - Electronic 08:24:03 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description Batch ID Amount Invoice# PO #
E000084 Health Insurance Premiums
Ref # Ref Date
Check Total: 614.88
EP JOHNSON, SHARON JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 193.39 JANUARY 22 00015415 01/03/2022 E000099 Health Insurance Premiums
Check Total: 193.39
EP JONES, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 145.65 JANUARY 22 00015416 01/03/2022 E000053 Health Insurance Premiums
Check Total: 145.65
EP JUAREZ, JANET JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 145.65 JANUARY 22 00015417 01/03/2022 E000134 Health Insurance Premiums
Check Total: 145.65
EP JUDD, TERRELL FEB MEDICAL REIMBURSEMENT 395083-5161 ACH010122 887.67 JANUARY 22 00015418 01/03/2022 E000115 Health Insurance Premiums
Check Total: 887.67
EP KIRKLAND, RICHARD L JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 145.65 JANUARY 22 00015419 01/03/2022 E000110 Health Insurance Premiums
Check Total: 145.65
EP LITTLE, DIANE M JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 586.00 JANUARY 22 00015420 01/03/2022 E000098 Health Insurance Premiums
Check Total: 586.00
EP LOOMIS, CORINNE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 563.43 JANUARY 22 00015421 01/03/2022 E000122 Health Insurance Premiums
Check Total: 563.43
EP LOWREY, B J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 312.00 JANUARY 22 00015422 01/03/2022 E000041 Health Insurance Premiums
Check Total: 312.00
EP MAERTZWEILER, MICHAEL FEB MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015423 01/03/2022 E000032 Health Insurance Premiums
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
Page: 15
01/11/2022 :Date
08:24:03 :Time
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 535.78
EP MANNING, VEDA M JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 193.39 JANUARY 22 00015424 01/03/2022 E000063 Health Insurance Premiums
Check Total: 193.39
EP MILANO, JAMES JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015425 01/03/2022 E000054 Health Insurance Premiums
Check Total: 535.78
EP MILLER, RICHARD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,124.00 JANUARY 22 00015426 01/03/2022 E000106 Health Insurance Premiums
Check Total: 1,124.00
EP OLEA, ARLENE J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015427 01/03/2022 E000014 Health Insurance Premiums
Check Total: 535.78
EP PALMER, GEORGE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,145.00 JANUARY 22 00015428 01/03/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
EP PASCARELLA, RICHARD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,745.00 JANUARY 22 00015429 01/03/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
EP PASCUA, RAYNALD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,728.00 JANUARY 22 00015430 01/03/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
EP PASPALL, MIHAJLO JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 440.30 JANUARY 22 00015431 01/03/2022 E000085 Health Insurance Premiums
Check Total: 440.30
EP PEREZ, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 145.65 JANUARY 22 00015432 01/03/2022 E000111 Health Insurance Premiums
Check Total: 145.65
EP PICHON, WALTER JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 232.94 JANUARY 22 00015433 01/03/2022 User: Teri Knutson 01/11/2022 :Date
Page: 16
Report: AP1400E : AP: Warrant List - Electronic 08:24:03 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description Batch ID Amount Invoice# PO #
E000103 Health Insurance Premiums
Ref # Ref Date
Check Total: 232.94
EP PINEDA, MATEO JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 456.06 JANUARY 22 00015434 01/03/2022 E000127 Health Insurance Premiums
Check Total: 456.06
EP PISCHEL, STEPHEN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,026.56 JANUARY 22 00015435 01/03/2022 E000130 Health Insurance Premiums
Check Total: 1,026.56
EP POINT, ERIC JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,823.00 JANUARY 22 00015436 01/03/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
EP REDIFER, KIM R JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 770.00 JANUARY 22 00015437 01/03/2022 E000022 Health Insurance Premiums
Check Total: 770.00
EP RENDEN, BRIAN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 917.50 JANUARY 22 00015438 01/03/2022 E000083 Health Insurance Premiums
Check Total: 917.50
EP REYES, ROGER T JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015439 01/03/2022 E000024 Health Insurance Premiums
Check Total: 535.78
EP REYNOLDS, MATTHEW JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 563.43 JANUARY 22 00015440 01/03/2022 E000132 Health Insurance Premiums
Check Total: 563.43
EP RICE, RUSSELL J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 1,393.00 JANUARY 22 00015441 01/03/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
EP RISHER, THOMAS A JAN MEDICAL REIMBURSEMENT 395083-5161 ACH010122 535.78 JANUARY 22 00015442 01/03/2022 E000013 Health Insurance Premiums
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
Page: 17
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP RIVERA, AIDA
E000026
EP ROACH, MICHAEL
E000105
EP ROBB, SANDRA
E000043
EP ROSE, RICHARD D
E000050
EP SALE, LEE R
E000031
EP SANCHEZ, LAURA
E000058
Description
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP SCHLIEDER, BEVERLY JAN MEDICAL REIMBURSEMENT 395083-5161 E000120
EP SMITH, WARD
E000128
EP SOMOYA, JOHN P
E000089
EP SOTO, PHILIP J
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Page: 18
Batch ID
Check Total:
ACH010122
Check Total:
Amount Invoice#
535.78
193.39 JANUARY 22
193.39
ACH010122 1,393.00 JANUARY 22
Check Total:
1,393.00
ACH010122 535.78 JANUARY 22
Check Total:
535.78
ACH010122 1,123.51 JANUARY 22
Check Total:
1,123.51
ACH010122 535.78 JANUARY 22
Check Total:
535.78
ACH010122 193.39 JANUARY 22
Check Total:
193.39
ACH010122 878.44 JANUARY 22
Check Total:
878.44
ACH010122 1,393.00 JANUARY 22
Check Total:
1,393.00
ACH010122 770.00 JANUARY 22
Check Total:
770.00
ACH010122 535.78 JANUARY 22
PO #
Ref # Ref Date
00015443 01/03/2022
00015444 01/03/2022
00015445 01/03/2022
00015446 01/03/2022
00015447 01/03/2022
00015448 01/03/2022
00015449 01/03/2022
00015450 01/03/2022
00015451 01/03/2022
00015452 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
E000052
EP SPRAGUE, GARY A
E000064
EP SPRAGUE, GARY A
E000064
EP SPRAGUE, GARY A
E000064
EP SPRAGUE, GARY A
E000064
EP STEPHEN, JEFFREY
E000119
EP TAYLOR, DAVID M
E000088
EP TAYLOR, LINDA
E000126
Description
DEC MEDICAL REIMBURSEMENT
JAN MEDICAL REIMBURSEMENT
NOV MEDICAL REIMBURSEMENT
OCT MEDICAL REIMBURSEMENT
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Health Insurance Premiums
395083-5161
Health Insurance Premiums
395083-5161
Health Insurance Premiums
395083-5161
Health Insurance Premiums
395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP THOMANN, DARYLL L JAN MEDICAL REIMBURSEMENT 395083-5161 E000101
EP TRIFOS, WILLIAM
E000104
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP VALENTINE, THOMAS JAN MEDICAL REIMBURSEMENT 395083-5161 E000118
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Health Insurance Premiums
Page: 19
Batch ID
Check Total:
ACH010122
ACH010122
ACH010122
ACH010122
Check Total:
Amount Invoice#
535.78
444.00 DEC 21
1,393.00 JANUARY 22
444.00 NOV 21
444.00 OCT 21
2,725.00
ACH010122 1,283.16 JANUARY 22
Check Total:
1,283.16
ACH010122 586.00 JANUARY 22
Check Total:
586.00
ACH010122 426.56 JANUARY 22
Check Total:
426.56
ACH010122 535.78 JANUARY 22
Check Total:
535.78
ACH010122 1,439.00 JANUARY 22
Check Total:
1,439.00
ACH010122 586.00 JANUARY 22
Check Total:
586.00
PO #
Ref # Ref Date
00015453 01/03/2022
00015453 01/03/2022
00015453 01/03/2022
00015453 01/03/2022
00015454 01/03/2022
00015455 01/03/2022
00015456 01/03/2022
00015457 01/03/2022
00015458 01/03/2022
00015459 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP VERSTYNEN, WILLIAM
E000092
EP WAHL, KATHLEEN A
E000030
EP WIEST, STEPHEN
E000079
EP WORDEN, LARRY M
E000116
EP YAMAGUCHI, BRIAN
E000123
EP ZINN, JOHN
E000009
EP
EP
EP
ICMA RETIREMENT TRUST
V000496
ICMA RETIREMENT TRUST
V000496
ICMA RETIREMENT TRUST
V000496
EP ICMA RETIREMENT TRUST
V000496
EP ICMA RETIREMENT TRUST
V000496
EP
Description
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
PE 12/11/21 PD 12/17/21
PE 12/11/21 PD 12/17/21
PE 12/11/21 PD 12/17/21
PE 12/11/21 PD 12/17/21
PE 12/11/21 PD 12/17/21
ICMA RETIREMENT TRUST PE 12/11/21 PD 12/17/21
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
0029-2170
Deferred Comp Payable - ICMA
0010-2170
Deferred Comp Payable - ICMA
0037-2170
Deferred Comp Payable - ICMA
0054-2170
Deferred Comp Payable - ICMA
0048-2170
Deferred Comp Payable - ICMA
0050-2170
Page: 20
Batch ID
Amount Invoice# PO #
ACH010122 145.65 JANUARY 22
Check Total:
145.65
ACH010122 193.00 JANUARY 22
Check Total:
193.00
ACH010122 536.00 JANUARY 22
Check Total:
536.00
ACH010122 586.00 JANUARY 22
Check Total:
586.00
ACH010122 1,393.00 JANUARY 22
Check Total:
1,393.00
ACH010122 1,290.56 JANUARY 22
Check Total:
PY21025
PY21025
PY21025
PY21025
PY21025
PY21025
1,290.56
34.12 2995/2101025
20,017.18 2995/2101025
154.87 2995/2101025
81.39 2995/2101025
333.39 2995/2101025
473.30 2995/2101025
Ref # Ref Date
00015460 01/03/2022
00015461 01/03/2022
00015462 01/03/2022
00015463 01/03/2022
00015464 01/03/2022
00015465 01/03/2022
00015466 12/29/2021
00015466 12/29/2021
00015466 12/29/2021
00015466 12/29/2021
00015466 12/29/2021
00015466 12/29/2021
01/11/2022 :Date
08:24:03 :Time
Vendor Name/ID
V000496
Description
EP PLACENTIA FIREFIGHTERS PE 12/11/21 PD 12/17/21
V011878
EP PLACENTIA POLICE
V000839
EP PLACENTIA POLICE
V000839
EP PLACENTIA POLICE
V003519
EP CALIFORNIA PUBLIC
V006234
EP CALIFORNIA PUBLIC
V006234
EP CALIFORNIA PUBLIC
V006234
EP
EP AMERICAN FIDELITY
VO10011
EP AMERICAN FIDELITY
VO10011
EP AMERICAN FIDELITY
V010011
EP AMERICAN FIDELITY
PE 12/11/21 PD 12/17/21
PE 12/11/21 PD 12/17/21 0050-2180 PY21025
Police Mgmt Assn Dues
PE 12/11/21 PD 12/17/21 0010-2178
Placentia Police Assoc Dues
JAN FIRE MEDICAL INSURANCE 395000-4715 AP122021
ISF Health Ins Reimbursement
JAN MEDICAL INSURANCE PMT 395000-4715 AP122021
ISF Health Ins Reimbursement
JAN MEDICAL INSURANCE PMT 395083-5161 AP122021
Health Insurance Premiums
Check Total:
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Deferred Comp Payable - ICMA
Batch ID
Amount Invoice#
Check Total: 21,094.25
0010-2178 PY21025 950.00 2680/2101025
Placentia Police Assoc Dues
Check Total:
0010-2180 PY21025
Police Mgmt Assn Dues
Check Total:
PY21025
Check Total:
AMERICAN FIDELITY P/E 11/27 PD 12/3
VO10011
P/E 11/27 PD 12/3
User: Teri Knutson
P/E 11/27 PD 12/3
P/E 11/27 PD 12/3
P/E 11/27 PD 12/3
Report: AP 1400E : AP: Warrant List - Electronic
0054-2188
Health Care SSA
0037-2188
Health Care SSA
0010-2188
Health Care SSA
0010-2190
Dependent Care SSA
0048-2188
Page: 21
950.00
784.73 2625/2101025
19.41 2625/2101025
804.14
2,776.17 2620/2101025
2,776.17
31,610.84 10000001655177
159, 852.32 10000001665177
15,276.11 10000001665177
206,739.27
AP010322 6.09 6019354
AP010322 9.50 6019354
AP010322 586.08 6019354
AP010322 208.33 6019354
AP010322 17.05 6019354
PO #
Ref # Ref Date
00015467 12/29/2021
00015468 12/29/2021
00015468 12/29/2021
00015469 12/29/2021
00015470 01/03/2022
00015470 01/03/2022
00015470 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
Vendor Name/ID
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
V010011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
Description
P/E 11/27,12/11 PD 12/3,12/17
P/E 11/27,12/11 PD 12/3,12/17
P/E 11/27,12/11 PD 12/3,12/17
P/E 11/27,12/11 PD 12/3,12/17
P/E 11/27,12/11 PD 12/3,12/17
P/E 11/27,12/11 PD 12/3,12/17
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Health Care SSA
0048-2155
Per Sec Plan - Opt. Life
0037-2155
Per Sec Plan - Opt. Life
0054-2155
Per Sec Plan - Opt. Life
0029-2155
Per Sec Plan - Opt. Life
0010-2155
Per Sec Plan - Opt. Life
395000-2187
Voluntary Plan Life
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2150
Survivor Benefit Package
0010-2195
PERS Uniform
0029-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
Page: 22
Batch ID Amount Invoice#
AP010322 115.21 D397805
AP010322 17.60 D397805
AP010322 10.13 D397805
AP010322 14.58 D397805
AP010322 1,983.04 D397805
AP010322 1,749.22 D397805
Check Total: 4,716.83
AP010322 52.76 PR2101024
AP010322 262.72 PR2101024
AP010322 35,646.01 PR2101024
AP010322 124.36 PR2101024
AP010322 28.53 PR2101024
AP010322 202.10 PR2101024
AP010322 1.36 PR2101024
AP010322 159.96 PR2101024
PO # Ref # Ref Date
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015471 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP CALIFORNIA PUBLIC
V010053
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
Description
PERS P/E 11/27 PD 12/3
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0029-2150
Survivor Benefit Package
0029-2195
PERS Uniform
0037-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2150
Survivor Benefit Package
0048-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0048-2150
Survivor Benefit Package
0048-2195
PERS Uniform
0010-2140
Employee PERS W/H
0050-2140
Employee PERS W/H
0058-2150
Survivor Benefit Package
0050-2140
Employee PERS W/H
Page: 23
Batch ID
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
Amount Invoice#
0.95 PR2101024
0.03 PR2101024
687.20 PR2101024
9.50 PR2101024
525.60 PR2101024
1.97 PR2101024
805.90 PR2101024
2.31 PR2101024
583.03 PR2101024
2.36 PR2101024
0.61 PR2101024
54,781.84 PR2101024
643.84 PR2101024
0.93 PR2101024
302.96 PR2101024
PO #
Ref # Ref Date
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type Vendor Name/ID Description
EP CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
CALIFORNIA PUBLIC PERS P/E 11/27 PD 12/3
V010053
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
User: Teri Knutson
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0050-2150
Survivor Benefit Package
0050-2195
PERS Uniform
0054-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0054-2150
Survivor Benefit Package
0058-2140
Employee PERS W/H
0058-2140
Employee PERS W/H
STATE TAX P/E 12/11 PD 12/17 0010-2135
Calif Income Tax W/H
STATE TAX P/E 12/11 PD 12/17 0029-2135
Calif Income Tax W/H
STATE TAX P/E 12/11 PD 12/17 0037-2135
Calif Income Tax W/H
STATE TAX P/E 12/11 PD 12/17 0058-2135
Calif Income Tax W/H
STATE TAX P/E 12/11 PD 12/17 0054-2135
Calif Income Tax W/H
STATE TAX P/E 12/11 PD 12/17 0048-2135
Calif Income Tax W/H
STATE TAX P/E 12/11 PD 12/17 0050-2135
Report: AP1400E : AP: Warrant List - Electronic
Page: 24
Batch ID
Amount Invoice#
AP010322 0.62 PR2101024
AP010322 0.31 PR2101024
AP010322 239.65 PR2101024
AP010322 6.78 PR2101024
AP010322 173.76 PR2101024
AP010322 0.50 PR2101024
AP010322 158.47 PR2101024
AP010322 140.93 PR2101024
Check Total: 95,547.85
AP010322 45,967.33 PR2101025
AP010322 67.17 PR2101025
AP010322 471.08 PR2101025
AP010322 87.34 PR2101025
AP010322 181.43 PR2101025
AP010322 543.25 PR2101025
AP010322 250.82 PR2101025
PO #
Ref # Ref Date
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015472 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type Vendor Name/ID
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP . EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
User: Teri Knutson
Description
STATE TAX PTO BUYBACK
STATE TAX PTO BUYBACK
STATE TAX PTO BUYBACK
STATE TAX PTO BUYBACK
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
FED/MED/SS P/E 12/11 PD 12/17 0010-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/11 PD 12/17 0048-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/11 PD 12/17 0058-2120
Employer Medicare Payable
FED/MED/SS P/E 12/11 PD 12/17 0010-2115
Employee Medicare W/H
FED/MED/SS P/E 12/11 PD 12/17 0058-2115
Employee Medicare W/H
FED/MED/SS P/E 12/11 PD 12/17 0010-2120
Employer Medicare Payable
FED/MED/SS P/E 12/11 PD 12/17 0058-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/11 PD 12/17 0029-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/11 PD 12/17 0029-2115
Employee Medicare W/H
FED/MED/SS P/E 12/11 PD 12/17 0029-2120
Employer Medicare Payable
Page: 25
Report: AP 1400E : AP: Warrant List - Electronic
Batch ID
AP010322
AP010322
AP010322
AP010322
Check Total:
Amount Invoice#
1,031.69 PR2101825
62.15 PR2101825
62.15 PR2101825
87.01 PR2101825
48,811.42
AP010322 187,831.42 PR2101025
AP010322 1,382.69 PR2101025
AP010322 33.70 PR2101025
AP010322 18,120.18 PR2101025
AP010322 33.70 PR2101025
AP010322 16,074.24 PR2101025
AP010322 283.41 PR2101025
AP010322 227.67 PR2101025
AP010322 52.35 PR2101025
AP010322 50.45 PR2101025
PO #
Ref # Ref Date
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015473 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
User: Teri Knutson
Description
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS P/E 12/11 PD 12/17
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
0037-2110
Federal Income Tax W/H
0054-2120
Employer Medicare Payable
0037-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0054-2110
Federal Income Tax W/H
0050-2120
Employer Medicare Payable
0050-2115
Employee Medicare W/H
0048-2115
Employee Medicare Will
0050-2110
Federal Income Tax W/H
0048-2120
Employer Medicare Payable
0048-2115
Employee Medicare W/H
0048-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
Page: 26
Batch ID
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
AP010322
Amount Invoice#
1,228.52 PR2101025
47.62 PR2101025
154.95 PR2101025
55.91 PR2101025
131.62 PR2101025
478.38 PR2101025
75.10 PR2101025
75.10 PR2101025
177.90 PR2101025
653.97 PR2I01025
161.91 PR2101025
16.23 PR2101825
172.70 PR2101825
2,866.82 PR2101825
172.70 PR2101825
PO #
Ref # Ref Date
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
01/11/2022 :Date
08:24:03 :Time
Type
Vendor Name/ID
EP INTERNAL REVENUE
V010054
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
WASHINGTON STATE
V011597
Description
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
FED/MED/SS PTO BUYBACK
P/E 12/11 PD 12/17
ICMA RETIREMENT TRUST PE 12/25/21 PD 12/31/21
V000496
ICMA RETIREMENT TRUST PE 12/25/21 PD 12/31/21
V000496
ICMA RETIREMENT TRUST PE 12/25/21 PD 12/31/21
V000496
ICMA RETIREMENT TRUST PE 12/25/21 PD 12/31/21
V000496
ICMA RETIREMENT TRUST PE 12/25/21 PD 12/31/21
V000496
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Batch ID
0037-2120 AP010322
Employer Medicare Payable
0054-2115 AP010322
Employee Medicare W/H
0037-2115 AP010322
Employee Medicare W/H
0054-2120 AP010322
Employer Medicare Payable
0037-2110 AP010322
Federal Income Tax W/H
0010-2120 AP010322
Employer Medicare Payable
0048-2120 AP010322
Employer Medicare Payable
0010-2115 AP010322
Employee Medicare W/H
Amount Invoice#
14.02 PR2101825
16.23 PR2101825
22.72 PR2101825
10.02 PR2101825
241.78 PR2101825
166.24 PR2101825
10.02 PR2101825
269.45 PR2101825
Check Total: 231,309.72
0010-2196 AP010322 401.53 PR2101025
Garnishments W/H
0029-2170
Deferred Comp Payable - ICMA
0037-2170
Deferred Comp Payable - ICMA
0048-2170
Deferred Comp Payable - ICMA
0010-2170
Deferred Comp Payable - ICMA
0050-2170
Deferred Comp Payable - ICMA
Page: 27
Check Total:
401.53
PY21026 31.29 2995/2101026
PY21026 159.75 2995/2101026
PY21026 338.12 2995/2101026
PY21026 20,009.16 2995/2101026
PY21026 473.30 2995/2101026
PO #
Ref # Ref Date
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015474 01/03/2022
00015475 01/03/2022
00015476 01/06/2022
00015476 01/06/2022
00015476 01/06/2022
00015476 01/06/2022
00015476 01/06/2022
01/11/2022 :Date
08:24:03 :Time
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # EP ICMA RETIREMENT TRUST PE 12/25/21 PD 12/31/21 0054-2170 PY21026 82.63 2995/2101026 V000496 Deferred Comp Payable - ICMA
Ref # Ref Date
00015476 01/06/2022
Check Total: 21,094.25
EP PLACENTIA POLICE PE 12/25/21 PD 12/31/21 0010-2180 PY21026 784.73 2625/2101026 00015477 01/06/2022 V000839 Police Mgmt Assn Dues
EP PLACENTIA POLICE PE 12/25/21 PD 12/31/21 0050-2180 PY21026 19.41 2625/2101026 00015477 01/06/2022 V000839 Police Mgmt Assn Dues
Check Total: 804.14
EP PLACENTIA POLICE PE 12/25/21 PD 12/31/21 0010-2178 PY21026 2,761.28 2620/2101026 00015478 01/06/2022 V003519 Placentia Police Assoc Dues
EP PLACENTIA POLICE PE 12/25/21 PD 12/31/21 0050-2178 PY21026 14.89 2620/2101026 00015478 01/06/2022 V003519 Placentia Police Assoc Dues
Check Total: 2,776.17
EP AMERICAN FIDELITY P/E 12/11 PD 12/17 0010-2188 ACH010622 586.23 6040788 00015479 01/06/2022 V010011 Health Care SSA
EP AMERICAN FIDELITY P/E 12/11 PD 12/17 0010-2190 ACH010622 208.33 6040788 00015479 01/06/2022 VO10011 Dependent Care SSA
EP AMERICAN FIDELITY P/E 12/11 PD 12/17 0037-2188 ACH010622 9.43 6040788 00015479 01/06/2022 VO10011 Health Care SSA
EP AMERICAN FIDELITY P/E 12/11 PD 12/17 0054-2188 ACH010622 6.08 6040788 00015479 01/06/2022 VO10011 Health Care SSA
EP AMERICAN FIDELITY P/E 12/11 PD 12/17 0048-2188 ACH010622 16.98 6040788 00015479 01/06/2022 VO10011 Health Care SSA
Check Total: 827.05
EP EMPLOYMENT STATE TAX P/E 12/25 PD 12/31 0010-2135 ACH010622 31,415.19 PR2101026 00015480 01/06/2022 V010052 Calif Income Tax W/H
EP EMPLOYMENT STATE TAX P/E 12/25 PD 12/31 0029-2135 ACH010622 40.17 PR2101026 00015480 01/06/2022 V010052 Calif Income Tax W/H
EP EMPLOYMENT STATE TAX P/E 12/25 PD 12/31 0058-2135 ACH010622 76.86 PR2101026 00015480 01/06/2022 User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 28
01/11/2022 :Date
08:24:03 :Time
Type Vendor Name/ID
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP EMPLOYMENT
V010052
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
User: Teri Knutson
Description
STATE TAX P/E 12/25 PD 12/31
STATE TAX P/E 12/25 PD 12/31
STATE TAX P/E 12/25 PD 12/31
STATE TAX P/E 12/25 PD 12/31
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0050-2135
Calif Income Tax W/H
0054-2135
Calif income Tax W/H
FED/MED/SS P/E 12/25 PD 12/31 0010-2115
Employee Medicare W/H
FED/MED/SS P/E 12/25 PD 12/31 0010-2120
Employer Medicare Payable
FED/MED/SS P/E 12/25 PD 12/31 0029-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/25 PD 12/31 0029-2115
Employee Medicare W/H
FED/MED/SS P/E 12/25 PD 12/31 0010-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/25 PD 12/31 0029-2120
Employer Medicare Payable
FED/MED/SS P/E 12/25 PD 12/31 0058-2120
Employer Medicare Payable
FED/MED/SS P/E 12/25 PD 12/31 0037-2110
Federal Income Tax W/H
FED/MED/SS P/E 12/25 PD 12/31 0037-2115
Employee Medicare W/H
FED/MED/SS P/E 12/25 PD 12/31 0037-2120
Employer Medicare Payable
Report: AP1400E : AP: Warrant List - Electronic
Page: 29
Batch ID
ACH010622
ACH010622
ACH010622
ACH010622
Check Total:
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
Amount Invoice#
334.29 PR2101026
326.04 PR2101026
213.58 PR2101026
114.32 PR2101026
32,520.45
11,582.79 PR2101026
10,657.28 PR2101026
156.31 PR2101026
40.53 PR2101026
79,881.32 PR2101026
36.91 PR2101026
32.00 PR2101026
883.97 PR2101026
198.82 PR2101026
153.33 PR2101026
PO #
Ref # Ref Date
00015480 01/06/2022
00015480 01/06/2022
00015480 01/06/2022
00015480 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
01/11/2022 :Date
08:24:03 :Time
Type
EP INTERNAL REVENUE
V010054
Vendor Name/ID
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
EP INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
FED/MED/SS P/E 12/25 PD 12/31
EP WASHINGTON STATE P/E 12/25 PD 12/31
V011597
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 01/11/2022
Account/Description Batch ID
0048-2110
Federal Income Tax W/H
0048-2115
Employee Medicare W/H
0048-2120
Employer Medicare Payable
0050-2110
Federal Income Tax W/H
0050-2115
Employee Medicare W/H
0050-2120
Employer Medicare Payable
0054-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0054-2120
Employer Medicare Payable
0058-2110
Federal Income Tax W/H
0058-2115
Employee Medicare W/H
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
ACH010622
Amount Invoice#
864.21 PR2101026
184.24 PR2101026
153.04 PR2101026
501.05 PR2101026
73.23 PR2101026
73.14 PR2101026
313.74 PR2101026
68.61 PR2101026
52.26 PR2101026
257.22 PR2101026
32.00 PR2101026
Check Total: 106,196.00
0010-2196 ACH010622 401.53 PR2101026
Garnishments W/H
Page: 30
Check Total:
Type Total:
401.53
1,818,558.09
Check Total: 1,818,558.09
PO #
Ref # Ref Date
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015481 01/06/2022
00015482 01/06/2022
01/11/2022 :Date
08:24:03 :Time