Cities Index.
1.c.1 Electronic Disbursement Register

Placentia City Council
February 1, 2022

Document
1.c.1 Electronic Disbursement Register
Meeting
February 1, 2022
Body
Placentia City Council
Pages
11
Original file
19 KB
Text extracted from the city's file for reading and search. Open the original on portal.laserfiche.com. That file is the official record.

Type
Vendor Name/ID
EDR Totals by ID
AP
EP
IP
OP
Description

0.00 567,008.79

0.00 0.00
Fund Name
101 -General Fund (0010)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
EDR Tntalc by Fund
Electronic Disbursement Sub Totals:

ACH Payroll Direct Deposit for 01/28/2022:

Electronic Disbursement Total:

City of Placentia
Electronic Disbursement Register
For 02/01/2022
Account/Description
31,809.96
267,517.62
267,681.21
567,008.79
470,483.49
1,037,492.28
Batch ID
Amount Invoice#
Grand Total: 567,008.79
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

0.00 567,008.79
PO #
Ref # Ref Date
01/26/2022 :Date
09:39:11 :Time

City of Placentia
Electronic Disbursement Register
For 01/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP ICMA RETIREMENT TRUST ICMA P/E 12/11 PD 12/17 0010-2170 ACH011222 73.00 PR2101025A 00015483 01/13/2022 V000496 Deferred Comp Payable - ICMA
EP ICMA RETIREMENT TRUST ICMA P/E 12/25 PD 12/31 0010-2170 ACH011222 73.00 PR2101026A 00015483 01/13/2022 V000496 Deferred Comp Payable - ICMA
Check Total: 146.00
EP CALIFORNIA PUBLIC FEB MEDICAL INSURANCE PREMIUM95000-4715 ACH012122 160,916.00 10000001668263 00015484 01/21/2022 V006234 ISF Health Ins Reimbursement
EP CALIFORNIA PUBLIC FEB MEDICAL INSURANCE PREMIU1095083-5161 ACH012122 15,275.11 10000001668263 00015484 01/21/2022 V006234 Health Insurance Premiums
EP CALIFORNIA PUBLIC FEB FD MEDICAL INSURANCE PREMB95000-4715 ACH012122 31,610.84 10000001668263 00015484 01/21/2022 V006234 ISF Health Ins Reimbursement
EP CALIFORNIA PUBLIC JAN FIRE UAL PAYMENT 105525-6906 ACH012122 29,672.83 JANUARY 22 00015484 01/21/2022 V006234 CaIPERS-Fire Term. Principal
EP CALIFORNIA PUBLIC JAN FIRE UAL PAYMENT 105525-6916 ACH012122 1,991.13 JANUARY 22 00015484 01/21/2022 V006234 CaIPERS-Fire Term Interest
Check Total: 239,465.91
EP ALDWIR, MAMOUN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,295.00 FEBRUARY 22 00015485 02/01/2022 E000113 Health Insurance Premiums
Check Total: 1,295.00
EP ANDERSON, MARLA FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015486 02/01/2022 E000071 Health Insurance Premiums
Check Total: 535.78
EP ARMSTRONG, JOHN T FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,080.65 FEBRUARY 22 00015487 02/01/2022 E000046 Health Insurance Premiums
Check Total: 1,080.65
EP AUDISS, JAY SCOTT FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,745.00 FEBRUARY 22 00015488 02/01/2022 E000125 Health Insurance Premiums
Check Total: 1,745.00
EP BABCOCK, CHARLES A FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 312.00 FEBRUARY 22 00015489 02/01/2022 User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 1
01/26/2022 :Date
1 09:39:11 :Time

Type
Vendor Name/ID
E000015

EP BEALS, SHARLENE
E000076
Description
City of Placentia
Electronic Disbursement Register
For 01/26/2022
Account/Description Batch ID
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP BERMUDEZ, ALBERT FEB MEDICAL REIMBURSEMENT 395083-5161 E000124

EP BUNNELL, DONALD
E000062

EP BURGNER, ARTHUR
E000074

EP BUSSE, MICHAEL
E000131

EP CHANDLER, JOHN P
E000109

EP CHANG, ROBERT
E000107
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP COBBETT, GEOFFREY FEB MEDICAL REIMBURSEMENT 395083-5161 E000007

EP COOK, ARLENE M
E000018
User: Teri Knutson
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
Report: AP 1400E : AP: Warrant List - Electronic
Page: 2
Check Total:

Amount Invoice#
312.00
ACH020122 193.39 FEBRUARY 22
Check Total:
193.39
ACH020122 527.48 FEBRUARY 22
Check Total:
527.48
ACH020122 535.78 FEBRUARY 22
Check Total:
535.78
ACH020122 535.78 FEBRUARY 22
Check Total:
535.78
ACH020122 1,326.00 FEBRUARY 22
Check Total:
1,326.00
ACH020122 1,393.00 FEBRUARY 22
Check Total:
1,393.00
ACH020122 1,290.00 FEBRUARY 22
Check Total:
1,290.00
ACH020122 535.78 FEBRUARY 22
Check Total:
535.78
ACH020122 535.78 FEBRUARY 22
PO #
Ref # Ref Date
00015490 02/01/2022
00015491 02/01/2022
00015492 02/01/2022
00015493 02/01/2022
00015494 02/01/2022
00015495 02/01/2022
00015496 02/01/2022
00015497 02/01/2022
00015498 02/01/2022
01/26/2022 :Date
09:39:11 :Time

City of Placentia
Electronic Disbursement Register
For 01/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 535.78
EP D'AMATO, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 193.39 FEBRUARY 22 00015499 02/01/2022 E000056 Health Insurance Premiums
Check Total: 193.39
EP DAVID, PRESTON FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015500 02/01/2022 E000112 Health Insurance Premiums
Check Total: 535.78
EP DAVIS, CAROLYN MARCH MEDICAL REIMBURSEMENT395083-5161 ACH020122 535.78 FEBRUARY 22 00015501 02/01/2022 E000005 Health insurance Premiums
Check Total: 535.78
EP DEAN, ANDREW FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,823.00 FEBRUARY 22 00015502 02/01/2022 E000135 Health Insurance Premiums
Check Total: 1,823.00
EP DELOS SANTOS, JAMIE FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 153.53 FEBRUARY 22 00015503 02/01/2022 E000045 Health Insurance Premiums
Check Total: 153.53
EP DICKSON, ROBERTA JO FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 193.39 FEBRUARY 22 E000011 Health Insurance Premiums
00015504 02/01/2022
Check Total: 193.39
EP DOWNEY, CAROL MARCH MEDICAL REIMBURSEMEN1395083-5161 ACH020122 535.78 FEBRUARY 22 00015505 02/01/2022 E000082 Health Insurance Premiums
Check Total: 535.78
EP ECKENRODE, NORMAN MARCH MEDICAL REIMBURSEMENT395083-5161 ACH020122 535.78 FEBRUARY 22 00015506 02/01/2022 E000029 Health Insurance Premiums
Check Total: 535.78
EP ESCOBOSA, LILLIAN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015507 02/01/2022 E000055 Health Insurance Premiums
Check Total: 535.78
EP ESPINOZA, ROSALINDA FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 573.00 FEBRUARY 22 00015508 02/01/2022 User: Teri Knutson 01/26/2022 :Date
Page: 3
Report: AP 1400E : AP: Warrant List - Electronic 09:39:11 :Time

Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 01/26/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000016 Health Insurance Premiums
Check Total: 573.00
EP FRICKE, JUERGEN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 770.00 FEBRUARY 22 00015509 02/01/2022 E000075 Health Insurance Premiums
Check Total: 770.00
EP FULLER, GLENN H FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 770.00 FEBRUARY 22 00015510 02/01/2022 E000081 Health Insurance Premiums
Check Total: 770.00
EP GALLANT, KAREN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015511 02/01/2022 E000008 Health Insurance Premiums
Check Total: 535.78
EP GARNER, JO ANN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015512 02/01/2022 E000047 Health Insurance Premiums
Check Total: 535.78
EP GARNER, KITTY FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 878.44 FEBRUARY 22 00015513 02/01/2022 E000080 Health Insurance Premiums
Check Total: 878.44
EP GRIMM, DENNIS L FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 586.00 FEBRUARY 22 00015514 02/01/2022 E000042 Health Insurance Premiums
Check Total: 586.00
EP HOLTSCLAW, KATHERINE FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 557.02 FEBRUARY 22 00015515 02/01/2022 E000121 Health Insurance Premiums
Check Total: 557.02
EP IRVINE, SUZETTE FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015516 02/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
EP JENKINS, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 614.88 FEBRUARY 22 00015517 02/01/2022 E000084 Health Insurance Premiums
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
Page: 4
01/26/2022 :Date
09:39:11 :Time

City of Placentia
Electronic Disbursement Register
For 01/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 614.88
EP JOHNSON, SHARON FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 193.39 FEBRUARY 22 00015518 02/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
EP JONES, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 145.65 FEBRUARY 22 00015519 02/01/2022 E000053 Health Insurance Premiums
Check Total: 145.65
EP JUAREZ, JANET FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 145.65 FEBRUARY 22 00015520 02/01/2022 E000134 Health Insurance Premiums
Check Total: 145.65
EP JUDD, TERRELL MARCH MEDICAL REIMBURSEMENT395083-5161 ACH020122 887.67 FEBRUARY 22 00015521 02/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
EP KIRKLAND, RICHARD L FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 145.65 FEBRUARY 22 00015522 02/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
EP LITTLE, DIANE M FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 586.00 FEBRUARY 22 00015523 02/01/2022 E000098 Health Insurance Premiums
Check Total: 586.00
EP LOOMIS, CORINNE FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 563.43 FEBRUARY 22 00015524 02/01/2022 E000122 Health Insurance Premiums

EP LOWREY, B J
E000041
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
Check Total: 563.43
ACH020122 312.00 FEBRUARY 22
Check Total: 312.00
EP MAERTZWEILER, MICHAEL MARCH MEDICAL REIMBURSEMENT395083-5161 ACH020122 535.78 FEBRUARY 22 E000032 Health Insurance Premiums
00015525 02/01/2022
00015326 02/01/2022
Check Total: 535.78
EP MANNING, VEDA M FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 193.39 FEBRUARY 22 00015527 02/01/2022 User: Teri Knutson 01/26/2022 :Date
Page: 5
Report: AP1400E : AP: Warrant List - Electronic 09:39:11 :Time

Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 01/26/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000063 Health Insurance Premiums
Check Total: 193.39
EP MILANO, JAMES FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015528 02/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
EP MILLER, RICHARD FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,124.00 FEBRUARY 22 00015529 02/01/2022 E000106 Health Insurance Premiums
Check Total: 1,124.00
EP OLEA, ARLENE J FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015530 02/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
EP PALMER, GEORGE FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,145.00 FEBRUARY 22 00015,531 02/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
EP PASCARELLA, RICHARD FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,745.00 FEBRUARY 22 00015532 02/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
EP PASCUA, RAYNALD FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,728.00 FEBRUARY 22 00015533 02/01/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
EP PASPALL, MIHAJLO FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 440.30 FEBRUARY 22 0001 5534 02/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
EP PEREZ, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 145.65 FEBRUARY 22 00015535 02/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
EP PICHON, WALTER FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 232.94 FEBRUARY 22 00015536 02/01/2022 E000103 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 6
01/26/2022 :Date
09:39:11 :Time

Type
Vendor Name/ID

EP PINEDA, MATEO
E000127
City of Placentia
Electronic Disbursement Register
For 01/26/2022
Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 232.94
FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 456.06 FEBRUARY 22 Health Insurance Premiums
Check Total: 456.06
EP PISCHEL, STEPHEN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,026.56 FEBRUARY 22 E000130 Health Insurance Premiums

EP POINT, ERIC
E000133
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
Check Total: 1,026.56
ACH020122 1,823.00 FEBRUARY 22
00015537 02/01/2022
00015538 02/01/2022
00015539 02/01/2022
Check Total: 1,823.00
EP REDIFER, KIM R FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 770.00 FEBRUARY 22 00015540 02/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
EP RENDEN, BRIAN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 917.50 FEBRUARY 22 00015541 02/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
EP REYES, ROGER T FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015542 02/01/2022 E000024 Health Insurance Premiums
Check Total: 535.78
EP REYNOLDS, MATTHEW FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 563.43 FEBRUARY 22 00015543 02/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
EP RICE, RUSSELL J FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,393.00 FEBRUARY 22 00015544 02/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
EP RISHER, THOMAS A FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015545 02/01/2022 E000013 Health Insurance Premiums
Check Total: 535.78
EP RIVERA, AIDA FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 193.39 FEBRUARY 22 00015546 02/01/2022 User: Teri Knutson 01/26/2022 :Date
Page: 7
Report: AP1400E : AP: Warrant List - Electronic 09:39:11 :Time

Type
Vendor Name/ID
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 01/26/2022
Account/Description Batch ID
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP SCHLIEDER, BEVERLY FEB MEDICAL REIMBURSEMENT 395083-5161 E000120

EP SMITH, WARD
E000128

EP SOMOYA, JOHN P
E000089

EP SOTO, PHILIP J
E000052
User: Teri Knutson
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
FEB MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
Report: AP1400E : AP: Warrant List - Electronic
Page: 8
Check Total:

Amount Invoice#
193.39
ACH020122 1,393.00 FEBRUARY 22
Check Total:
1,393.00
ACH020122 535.78 FEBRUARY 22
Check Total:
535.78
ACH020122 1,123.51 FEBRUARY 22
Check Total:

ACH020122
Check Total:
1,123.51
535.78 FEBRUARY 22
535.78
ACH020122 193.39 FEBRUARY 22
Check Total:
193.39
ACH020122 878.44 FEBRUARY 22
Check Total:
878.44
ACH020122 1,393.00 FEBRUARY 22
Check Total:
1,393.00
ACH020122 770.00 FEBRUARY 22
Check Total:
770.00
ACH020122 535.78 FEBRUARY 22
PO # Ref # Ref Date
00015547 02/01/2022
00015548 02/01/2022
00015549 02/01/2022
00015550 02/01/2022
00015551 02/01/2022
00015552 02/01/2022
00015553 02/01/2022
00015554 02/01/2022
00015555 02/01/2022
01/26/2022 :Date
09:39:11 :Time

City of Placentia
Electronic Disbursement Register
For 01/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 535.78
EP SPRAGUE, GARY A FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,393.00 FEBRUARY 22 00015556 02/01/2022 E000064 Health Insurance Premiums
Check Total: 1,393.00
EP STEPHEN, JEFFREY FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,283.16 FEBRUARY 22 00015557 02/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
EP TAYLOR, DAVID M FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 586.00 FEBRUARY 22 00015558 02/01/2022 E000088 Health Insurance Premiums
Check Total: 586.00
EP TAYLOR, LINDA FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 426.56 FEBRUARY 22 00015559 02/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
EP THOMANN, DARYLL L FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 535.78 FEBRUARY 22 00015560 02/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
EP TRIFOS, WILLIAM FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 770.00 FEBRUARY 22 00015561 02/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
EP VALENTINE, THOMAS FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 586.00 FEBRUARY 22 00015562 02/01/2022 E000118 Health Insurance Premiums
Check Total: 586.00
EP VERSTYNEN, WILLIAM FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 145.65 FEBRUARY 22 00015563 02/01/2022 E000092 Health Insurance Premiums
Check Total: 145.65
EP WAHL, KATHLEEN A FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 193.00 FEBRUARY 22 00015564 02/01/2022 E000030 Health Insurance Premiums
Check Total: 193.00
EP WIEST, STEPHEN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 536.00 FEBRUARY 22 00015565 02/01/2022 User: Teri Knutson 01/26/2022 :Date
Page: 9
Report: AP1400E : AP: Warrant List - Electronic 09:39:11 :Time

Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 01/26/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000079 Health Insurance Premiums
Check Total: 536.00
EP WORDEN, LARRY M FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 586.00 FEBRUARY 22 00015566 02/01/2022 E000116 Health Insurance Premiums
Check Total: 586.00
EP YAMAGUCHI, BRIAN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,393.00 FEBRUARY 22 00015567 02/01/2022 E000123 Health Insurance Premiums
Check Total: 1,393.00
EP ZINN, JOHN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH020122 1,290.56 FEBRUARY 22 00015568 02/01/2022 E000009 Health Insurance Premiums
Check Total: 1,290.56
EP REPUBLIC WASTE SERVICESDEC REFUSE COLLECTION SVS 374386-6101 ACH012522 267,517.62 676-004670634 P12168 00015569 01/26/2022 V007205 Disposal
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 10
Check Total: 267,517.62
Type Total: 567,008.79
Check Total: 567,008.79
01/26/2022 :Date
09:39:11 :Time

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