Type
Vendor Name/ID
Description
EDR Totals by ID
AP 0.00
EP 577,591.69
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
208-Sccssr Agncy Ret Oblg (0054)
228-NOC-Public Safety Grant(006l
229 -Comm Trans Hous Grant (0062)
265 -Landscape Maintenance (0029)
275 -Sewer Maintenance (0048)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
FAIR Totals by Fund
Electronic Disbursement Sub Totals:
ACH Payroll Direct Deposit for 03/25/2022:
Electronic Disbursement -Foal:
City of Placentia
Electronic Disbursement Register
For 04/05/2022
Account/Description
170,679.35
626.50
858.39
58.02 313.28
2,719.69
269,249.38
133,087.08
577,591.69
472,033.59
1,049,625.28
Batch ID
Amount Invoice#
Grand Total: 577,591.69
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
0.00 577,591.69
PO #
Ref # Ref Date
03/30/2022 :Date
09:27:48 :Time
Type
Vendor Name/ID
EP ICMA RETIREMENT TRUST
V000496
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
ICMA RETIREMENT TRUST
V000496
ICMA RETIREMENT TRUST
V000496
ICMA RETIREMENT TRUST
V000496
ICMA RETIREMENT TRUST
V000496
ICMA RETIREMENT TRUST
V000496
Description
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
PLACENTIA FIREFIGHTERS P/E 2/20 PD 3/5
V011878
PLACENTIA POLICE
V000839
PLACENTIA POLICE
V003519
PLACENTIA POLICE
V003519
PLACENTIA POLICE
V003519
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
User: Teri Knutson
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description
Batch ID
Amount Invoice#
0029-2170 ACH031722 30.50 PR2201005
Deferred Comp Payable - ICMA
0037-2170 ACH031722 159.75 PR2201005
Deferred Comp Payable - ICMA
0048-2170 ACH031722 638.00 PR2201005
Deferred Comp Payable - ICMA
0054-2170 ACH031722 82.63 PR2201005
Deferred Comp Payable - ICMA
0010-2170 ACH031722 22,895.71 PR2201005
Deferred Comp Payable - ICMA
0062-2170 ACH031722 7.41 PR2201005
Deferred Comp Payable - ICMA
Check Total: 23,814.00
0010-2178 ACH031722 750.00 PR2201005
Placentia Police Assoc Dues
0010-2180
Police Mgmt Assn Dues
Check Total:
750.00
ACH031722 804.14 PR2201005
Check Total: 804.14
0010-2178 ACH031722 2,694.30 PR2201005
Placentia Police Assoc Dues
0062-2178 ACH031722 2.49 PR2201005
Placentia Police Assoc Dues
0061-2178
Placentia Police Assoc Dues
0010-2188
Health Care SSA
0010-2190
Page: 1
ACH031722 79.38 PR2201005
Check Total: 2,776.17
ACH032322 582.11 6047329
ACH032322 529.46 6047329
PO #
Ref # Ref Date
00015696 03/18/2022
00015696 03/18/2022
00015696 03/18/2022
00015696 03/18/2022
00015696 03/18/2022
00015696 03/18/2022
00015697 03/18/2022
00015698 03/18/2022
00015699 03/18/2022
00015699 03/18/2022
00015699 03/18/2022
00015700 03/23/2022
00015700 03/23/2022
03/30/2022 :Date
09:27:48 :Time
Type
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
Vendor Name/ID
V010011
AMERICAN FIDELITY
V010011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
INTERNALREVENUE
User: Teri Knutson
Description
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX P/E 2/20 PD 3/5
STATE TAX Q3 PTO BUYBACK
FED/MED/SS P/E 2/20 PD 3/5
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description
Dependent Care SSA
0054-2190
Dependent Care SSA
0037-2188
Health Care SSA
0048-2188
Health Care SSA
0048-2190
Dependent Care SSA
0054-2188
Health Care SSA
Batch ID
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
Check Total:
0010-2135 ACH032322
Calif Income Tax W/H
Amount Invoice#
9.37 6047329
8.02 6047329
8.02 6047329
2.50 6047329
14.32 6047329
1,153.80
30,517.82 PR2201005
0029-2135 ACH032322 46.00 PR2201005
Calif Income Tax W/H
0061-2135 ACH032322 176.33 PR2201005
Calif Income Tax W/H
0037-2135 ACH032322 370.18 PR2201005
Calif Income Tax W/H
0062-2135 ACH032322 12.67 PR2201005
Calif Income Tax W/H
0048-2135 ACH032322 473.07 PR2201005
Calif Income Tax W/H
0054-2135 ACH032322 120.68 PR2201005
Calif Income Tax W/H
0010-2135 ACH032322 2,742.81 PR2201106
Calif Income Tax W/H
Check Total: 34,459.56
0010-2110
Page: 2
ACH032322 78,035.07 PR2201005
PO # Ref # Ref Date
00015700 03/23/2022
00015700 03/23/2022
00015700 03/23/2022
00015700 03/23/2022
00015700 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015701 03/23/2022
00015702 03/23/2022
03/30/2022 :Date
09:27:48 :Time
Type
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
Vendor Name/ID
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
User: Teri Knutson
Description
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description
Federal Income Tax W/H
0061-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0062-2110
Federal Income Tax W/H
0010-2120
Employer Medicare Payable
0010-2125
Employee Social Sec W/H
0010-2130
Employer Soc Sec Payable
0029-2110
Federal Income Tax W/H
0062-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0062-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0037-2110
Federal Income Tax W/H
0037-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0048-2110
Page: 3
Batch ID
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
Amount Invoice#
72.48 PR2201005
9,489.95 PR2201005
29.81 PR2201005
9,489.95 PR2201005
18.60 PR2201005
18.60 PR2201005
170.10 PR2201005
2.82 PR2201005
33.34 PR2201005
2.82 PR2201005
33.34 PR2201005
964.27 PR2201005
114.77 PR2201005
114.77 PR2201005
1,232.62 PR2201005
PO #
Ref # Ref Date
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
03/30/2022 :Date
09:27:48 :Time
Type
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
EP
Vendor Name/ID
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS P/E 2/20 PD 3/5
FED/MED/SS Q3 PTO BUYBACKS
FED/MED/SS Q3 PTO BUYBACKS
FED/MED/SS Q3 PTO BUYBACKS
PRINCIPAL LIFE INSURANCEDEC DENTAL CLAIMS PMT
V011518
PRINCIPAL LIFE INSURANCEFEB DENTAL CLAIMS PMT
V011518
PRINCIPAL LIFE INSURANCEJAN DENTAL CLAIMS PMT
V011518
PRINCIPAL LIFE INSURANCENOV DENTAL CLAIMS PMT
V011518
User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description
Federal Income Tax W/H
0048-2115
Employee Medicare W/H
0048-2120
Employer Medicare Payable
0054-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0054-2120
Employer Medicare Payable
0061-2110
Federal Income Tax Will
0061-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0010-2110
Federal Income Tax W/H
395083-5130
Dental Claim
395083-5130
Dental Claim
395083-5130
Dental Claim
395083-5130
Dental Claim
Page: 4
Batch ID
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322
ACH032322 9,142.70 PR2201106
Amount Invoice# PO # Ref # Ref Date
182.74 PR2201005
182.74 PR2201005
322.86 PR2201005
38.32 PR2201005
38.32 PR2201005
457.72 PR2201005
72.48 PR2201005
1,283.30 PR2201106
1,283.30 PR2201106
Check Total: 112,827.79
ACH032322 14,766.15 DECEMBER 21
ACH032322
ACH032322
ACH032322
14,701.91 FEBRUARY 22
13,487.66 JANUARY 22
16,594.17 NOVEMBER 21
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015702 03/23/2022
00015703 03/23/2022
00015703 03/23/2022
00015703 03/23/2022
00015703 03/23/2022
03/30/2022 :Date
09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP PRINCIPAL LIFE INSURANCEOCT DENTAL CLAIMS PMT 395083-5130 ACH032322 13,72193 OCTOBER 21 00015703 03/23/2022 V011518 Dental Claim
Check Total: 73,273.82
EP WASHINGTON STATE P/E 2/6 PD 2/25 0010-2196 ACH032322 40153 PR2201005 00015704 03/23/2022 V011597 Garnishments W/H
Check Total: 401.53
EP REPUBLIC WASTE SERVICESFEB REFUSE COLLECTION SVS 374386-6101 ACH032522 267,517.62 676-004726278 P12168 00015705 03/25/2022 V007205 Disposal
Check Total: 267,517.62
EP ALDWIR, MAMOUN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,295.00 APRIL 22 00015706 04/01/2022 E000113 Health Insurance Premiums
Check Total: 1,295.00
EP ANDERSON, MARLA APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015707 04/01/2022 E000071 Health Insurance Premiums
Check Total: 535.78
EP ARMSTRONG, JOHN T APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,080.65 APRIL 22 00015708 04/01/2022 E000046 Health Insurance Premiums
Check Total: 1,080.65
EP AUDISS, JAY SCOTT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,745.00 APRIL 22 00015709 04/01/2022 E000125 Health Insurance Premiums
Check Total: 1,745.00
EP BABCOCK, CHARLES A APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 312.00 APRIL 22 00015710 04/01/2022 E000015 Health Insurance Premiums
Check Total: 312.00
EP BEALS, SHARLENE APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015711 04/01/2022 E000076 Health Insurance Premiums
Check Total: 193.39
EP BERMUDEZ, ALBERT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 527.48 APRIL 22 00015712 04/01/2022 E000124 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 5
03/30/2022 :Date
09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 527.48
EP BUNNELL, DONALD APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015713 04/01/2022 E000062 Health Insurance Premiums
Check Total: 535.78
EP BURGNER, ARTHUR APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015714 04/01/2022 E000074 Health Insurance Premiums
Check Total: 535.78
EP BUSSE, MICHAEL APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,326.00 APRIL 22 00015715 04/01/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
EP CHANDLER, JOHN P APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,393.00 APRIL 22 00015716 04/01/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
EP CHANG, ROBERT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,290.00 APRIL 22 00015717 04/01/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
EP COBBETT, GEOFFREY APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015718 04/01/2022 E000007 Health Insurance Premiums
Check Total: 535.78
EP COOK, ARLENE M APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015719 04/01/2022 E000018 Health Insurance Premiums
Check Total: 535.78
EP D'AMATO, ROBERT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015720 04/01/2022 E000056 Health Insurance Premiums
Check Total: 193.39
EP DAVID, PRESTON APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015721 04/01/2022 E000112 Health Insurance Premiums
Check Total: 535.78
EP DAVIS, CAROLYN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015722 04/01/2022 User: Teri Knutson 03/30/2022 :Date
Page: 6
Report: AP1400E : AP: Warrant List - Electronic 09:27:48 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000005 Health Insurance Premiums
Check Total: 535.78
EP DEAN, ANDREW APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,823.00 APRIL 22 00015723 04/01/2022 E000135 Health Insurance Premiums
Check Total: 1,823.00
EP DELOS SANTOS, JAMIE APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 153.53 APRIL 22 00015724 04/01/2022 E000045 Health Insurance Premiums
Check Total: 153.53
EP DICKSON, ROBERTA JO APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015725 04/01/2022 E000011 Health Insurance Premiums
Check Total: 193.39
EP DOWNEY, CAROL MAY MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015726 04/01/2022 E000082 Health Insurance Premiums
Check Total: 535.78
EP ECKENRODE, NORMAN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015727 04/01/2022 E000029 Health Insurance Premiums
Check Total: 535.78
EP ESCOBOSA, LILLIAN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015728 04/01/2022 E000055 Health Insurance Premiums
Check Total: 535.78
EP ESPINOZA, ROSALINDA APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 573.00 APRIL 22 00015729 04/01/2022 E000016 Health Insurance Premiums
Check Total: 573.00
EP FRICKE, JUERGEN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 770.00 APRIL 22 00015730 04/01/2022 E000075 Health Insurance Premiums
Check Total: 770.00
EP FULLER, GLENN H APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 770.00 APRIL 22 00015731 04/01/2022 E000081 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 7
03/30/2022 :Date
09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 770.00
EP GALLANT, KAREN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015732 04/01/2022 E000008 Health Insurance Premiums
Check Total: 535.78
EP GARNER, JO ANN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015733 04/01/2022 E000047 Health Insurance Premiums
Check Total: 535.78
EP GARNER, KITTY APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 878.44 APRIL 22 00015734 04/01/2022 E000080 Health Insurance Premiums
Check Total: 878.44
EP GRIMM, DENNIS L APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 586.00 APRIL 22 00015735 04/01/2022 E000042 Health Insurance Premiums
Check Total: 586.00
EP HOLTSCLAW, KATHERINE APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 557.02 APRIL 22 00015736 04/01/2022 E000121 Health Insurance Premiums I
Check Total: 557.02
EP IRVINE, SUZETTE APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015737 04/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
EP JENKINS, ROBERT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 614.88 APRIL 22 00015738 04/01/2022 E000084 Health Insurance Premiums
Check Total: 614.88
EP JOHNSON, SHARON APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015739 04/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
EP JONES, ROBERT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 145.65 APRIL 22 00015740 04/01/2022 E000053 Health Insurance Premiums
Check Total: 145.65
EP JUAREZ, JANET APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 145.65 APRIL 22 00015741 04/01/2022 User: Teri Knutson 03/30/2022 :Date
Page: 8
Report: AP1400E : AP: Warrant List - Electronic 09:27:48 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000134 Health Insurance Premiums
Check Total: 145.65
EP JUDD, TERRELL MAY MEDICAL REIMBURSEMENT 395083-5161 ACH040122 887.67 APRIL 22 00015742 04/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
EP KIRKLAND, RICHARD L APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 145.65 APRIL 22 00015743 04/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
EP LITTLE, DIANE M APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 586.00 APRIL 22 00015744 04/01/2022 E000098 Health Insurance Premiums
Check Total: 586.00
EP LOOMIS, CORINNE APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 563.43 APRIL 22 00015745 04/01/2022 E000122 Health Insurance Premiums
Check Total: 563.43
EP LOWREY, B J APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 312.00 APRIL 22 00015746 04/01/2022 E000041 Health Insurance Premiums
Check Total: 312.00
EP MAERTZWEILER, MICHAEL MAY MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015747 04/01/2022 E000032 Health Insurance Premiums
Check Total: 535.78
EP MANNING, VEDA M APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015748 04/01/2022 E000063 Health Insurance Premiums
Check Total: 193.39
EP MILANO, JAMES APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015749 04/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
EP MILLER, RICHARD APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,124.00 APRIL 22 00015750 04/01/2022 E000106 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 9
03/30/2022 :Date
09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 1,124.00
EP OLEA, ARLENE J APRIL MEDICAL RE1MBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015751 04/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
EP PALMER, GEORGE APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,145.00 APRIL 22 00015752 04/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
EP PASCARELLA, RICHARD APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,745.00 APRIL 22 00015753 04/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
EP PASCUA, RAYNALD APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,728.00 APRIL 22 00015754 04/01/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
EP PASPALL, MIHAJLO APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 440.30 APRIL 22 00015755 04/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
EP PEREZ, ROBERT APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 145.65 APRIL 22 00015756 04/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
EP PICHON, WALTER APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 232.94 APRIL 22 00015757 04/01/2022 E000103 Health Insurance Premiums
Check Total: 232.94
EP PINEDA, MATEO APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 456.06 APRIL 22 00015758 04/01/2022 E000127 Health Insurance Premiums
Check Total: 456.06
EP PISCHEL, STEPHEN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,026.56 APRIL 22 00015759 04/01/2022 E000130 Health Insurance Premiums
Check Total: 1,026.56
EP POINT, ERIC APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,823.00 APRIL 22 00015760 04/01/2022 User: Teri Knutson 03/30/2022 :Date
Page: 10
Report: AP1400E : AP: Warrant List - Electronic 09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000133 Health Insurance Premiums
Check Total: 1,823.00
EP REDIFER, KIM R APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 770.00 APRIL 22 00015761 04/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
EP RENDEN, BRIAN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 917.50 APRIL 22 00015762 04/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
EP REYES, ROGER T APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015763 04/01/2022 E000024 Health Insurance Premiums
Check Total: 535.78
EP REYNOLDS, MATTHEW APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 563.43 APRIL 22 00015764 04/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
EP RICE, RUSSELL J APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,393.00 APRIL 22 00015765 04/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
EP RISHER, THOMAS A APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015766 04/01/2022 E000013 Health Insurance Premiums
Check Total: 535.78
EP RIVERA, AIDA APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015767 04/01/2022 E000026 Health Insurance Premiums
Check Total: 193.39
EP ROACH, MICHAEL APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,393.00 APRIL 22 00015768 04/01/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
EP ROBB, SANDRA APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015769 04/01/2022 E000043 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 11
03/30/2022 :Date
09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 535.78
EP ROSE, RICHARD D APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,123.51 APRIL 22 00015770 04/01/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
EP SALE, LEE R APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015771 04/01/2022 E000031 Health Insurance Premiums
Check Total: 535.78
EP SANCHEZ, LAURA APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.39 APRIL 22 00015772 04/01/2022 E000058 Health Insurance Premiums
Check Total: 193.39
EP SCHLIEDER, BEVERLY APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 878.44 APRIL 22 00015773 04/01/2022 E000120 Health Insurance Premiums
Check Total: 878.44
EP SMITH, WARD APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,393.00 APRIL 22 00015774 04/01/2022 E000128 Health Insurance Premiums
Check Total: 1,393.00
EP SOTO, PHILIP J APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015775 04/01/2022 E000052 Health Insurance Premiums
Check Total: 535.78
EP SPRAGUE, GARY A APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,745.00 APRIL 22 00015776 04/01/2022 E000064 Health Insurance Premiums
EP SPRAGUE, GARY A MARCH MEDICAL REIMBURSEMENT395083-5161 ACH040122 352.00 MARCH 22A 00015776 04/01/2022 E000064 Health Insurance Premiums
Check Total: 2,097.00
EP STEPHEN, JEFFREY APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,283.16 APRIL 22 00015777 04/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
EP TAYLOR, DAVID M APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 586.00 APRIL 22 E000088 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 12
00015778 04/01/2022
03/30/2022 :Date
09:27:48 :Time
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 586.00
EP TAYLOR, LINDA APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 426.56 APRIL 22 00015779 04/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
EP THOMANN, DARYLL L APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 535.78 APRIL 22 00015780 04/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
EP TRIFOS, WILLIAM APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 770.00 APRIL 22 00015781 04/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
EP VALENTINE, THOMAS APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 586.00 APRIL 22 00015782 04/01/2022 E000118 Health Insurance Premiums
Check Total: 586.00
EP VERSTYNEN, WILLIAM APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 145.65 APRIL 22 00015783 04/01/2022 E000092 Health Insurance Premiums
Check Total: 145.65
EP WAHL, KATHLEEN A APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 193.00 APRIL 22 00015784 04/01/2022 E000030 Health Insurance Premiums
Check Total: 193.00
EP WIEST, STEPHEN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 536.00 APRIL 22 00015785 04/01/2022 E000079 Health Insurance Premiums
Check Total: 536.00
EP WORDEN, LARRY M APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 586.00 APRIL 22 00015786 04/01/2022 E000116 Health Insurance Premiums
Check Total: 586.00
EP YAMAGUCHI, BRIAN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,393.00 APRIL 22 00015787 04/01/2022 E000123 Health Insurance Premiums
Check Total: 1,393.00
EP ZINN, JOHN APRIL MEDICAL REIMBURSEMENT 395083-5161 ACH040122 1,290.56 APRIL 22 00015788 04/01/2022 User: Teri Knutson 03/30/2022 :Date
Page: 13
Report: AP1400E : AP: Warrant List - Electronic 09:27:48 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 03/30/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000009 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 14
Check Total: 1,290.56
Type Total: 577,591.69
Check Total: 577,591.69
03/30/2022 :Date
09:27:48 :Time