Type
Vendor Name/ID
EDR Totals by ID
Description
AP 0.00
EP 329,835.16
IP 0.00
OP 0.00
City of Placentia
Electronic Disbursement Register
For 05/03/2022
Account/Description
Batch ID Amount Invoice#
Grand Total: 329,835.16
Fund Name FOR Totals by Fund Void Total:
101 -General Fund (0010) 2,497.75 EDR Total:
208-Sccssr Agncy Ret Oblg (0054) 150.47
275 -Sewer Maintenance (0048) 150.47
501 -Refuse Administration (0037) 267,728.27
601 -Employee Health & Wlfre (0039) 59,308.20
Electronic Disbursement Sub Totals: 329,835.16
ACH Payroll Direct Deposit for 04/22/2022: 459,814.09
Electronic Disbursement Total: 789,649.25
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
0.00 329,835.16
PO # Ref # Ref Date
04/26/2022 :Date
15:43:14 :Time
Type Vendor Name/ID Description
EP REPUBLIC WASTE SERVICESREFUSE COLLECTION SVS
V007205
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
User: Teri Knutson
STATE TAX PTO BUYBACK
STATE TAX PTO BUYBACK
STATE TAX PTO BUYBACK
STATE TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
FED/MED TAX PTO BUYBACK
Report: AP1400E : AP: Warrant List - Electronic
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Account/Description
374386-6101
Disposal
0010-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0010-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
0037-2110
Federal Income Tax W/H
0037-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0010-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0054-2120
Employer Medicare Payable
0048-2115
Employee Medicare W/H
Page: 1
Batch ID Amount Invoice# PO # Ref # Ref Date
ACH041422 267,517.62 676-004767146 P12168 00015808 04/15/2022 Check Total: 267,517.62
ACH041522 642.42 PR2201808
ACH041522 54.18 PR2201808
ACH041522 38.70 PR2201808
ACH041522 38.70 PR2201808
Check Total: 774.00
ACH041522 93.10 PR2201808
ACH041522 93.10 PR2201808
ACH041522 140.77 PR2201808
ACH041522 7.85 PR2201808
ACH041522 7.85 PR2201808
ACH041522 1,669.13 PR2201808
ACH041522 100.55 PR2201808
ACH041522 5.61 PR2201808
ACH041522 5.61 PR2201808
00015809 04/14/2022
00015809 04/14/2022
00015809 04/14/2022
00015809 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
04/26/2022 :Date
15:43:14 :Time
Type
EP
Vendor Name/ID
Description
INTERNAL REVENUE FED/MED TAX PTO BUYBACK
V010054
EP INTERNAL REVENUE FED/MED TAX PTO BUYBACK
V010054
EP INTERNAL REVENUE FED/MED TAX PTO BUYBACK
V010054
EP CALIFORNIA PUBLIC
V006234
EP ALDWIR, MAMOUN
E000113
EP ANDERSON, MARLA
E000071
EP ARMSTRONG, JOHN T
E000046
EP AUDISS, JAY SCOTT
E000125
FEB RETIREE LATE FEES
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Account/Description
Batch ID
Amount Invoice#
0048-2120 ACH041522 5.61 PR2201808
Employer Medicare Payable
0054-2110 ACH041522 100.55 PR2201808
Federal Income Tax W/H
0054-2115 ACH041522 5.61 PR2201808
Employee Medicare W/H
Check Total: 2,235.34
395083-5161
Health Insurance Premiums
MAY MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MAY MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MAY MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MAY MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
EP BABCOCK, CHARLES A MAY MEDICAL REIMBURSEMENT 395083-5161 E000015
EP BEALS, SHARLENE
E000076
EP BERMUDEZ, ALBERT
User: Teri Knutson
Health Insurance Premiums
MAY MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MAY MEDICAL REIMBURSEMENT 395083-5161
Report: AP1400E : AP: Warrant List - Electronic
Page: 2
ACH042122 200.00 10000001669720
Check Total:
200.00
ACH050122 1,295.00 MAY 22
Check Total:
1,295.00
ACH050122 535.78 MAY 22
Check Total:
535.78
ACH050122 1,080.65 MAY 22
Check Total:
1,080.65
ACH050122 1,745.00 MAY 22
Check Total:
1,745.00
ACH050122 312.00 MAY 22
Check Total:
312.00
ACH050122 193.39 MAY 22
Check Total:
193.39
ACH050122 527.48 MAY 22
PO # Ref # Ref Date
00015810 04/14/2022
00015810 04/14/2022
00015810 04/14/2022
00015811 04/21/2022
00015812 05/01/2022
00015813 05/01/2022
00015814 05/01/2022
00015815 05/01/2022
00015816 05/01/2022
00015817 05/01/2022
00015818 05/01/2022
04/26/2022 :Date
15:43:14 :Time
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000124 Health Insurance Premiums
Check Total: 527.48
EP BUNNELL, DONALD MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015819 05/01/2022 E000062 Health Insurance Premiums
Check Total: 535.78
EP BURGNER, ARTHUR MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015820 05/01/2022 E000074 Health Insurance Premiums
Check Total: 535.78
EP BUSSE, MICHAEL MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,326.00 MAY 22 00015821 05/01/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
EP CHANDLER, JOHN P MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,393.00 MAY 22 00015822 05/01/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
EP CHANG, ROBERT MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,290.00 MAY 22 00015823 05/01/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
EP COBBETT, GEOFFREY MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015824 05/01/2022 E000007 Health Insurance Premiums
Check Total: 535.78
EP COOK, ARLENE M MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015825 05/01/2022 E000018 Health Insurance Premiums
Check Total: 535.78
EP D'AMATO, ROBERT MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.39 MAY 22 00015826 05/01/2022 E000056 Health Insurance Premiums
Check Total: 193.39
EP DAVID, PRESTON MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015827 05/01/2022 E000112 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 3
04/26/2022 :Date
15:43:14 :Time
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 535.78
EP DAVIS, CAROLYN JUNE MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015828 05/01/2022 E000005 Health Insurance Premiums
Check Total: 535.78
EP DEAN, ANDREW MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,823.00 MAY 22 00015829 05/01/2022 E000135 Health Insurance Premiums
Check Total: 1,823.00
EP DELOS SANTOS, JAMIE MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 153.53 MAY 22 00015830 05/01/2022 E000045 Health Insurance Premiums
Check Total: 153.53
EP DICKSON, ROBERTA JO MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.39 MAY 22 00015831 05/01/2022 E000011 Health Insurance Premiums
Check Total: 193.39
EP DOWNEY, CAROL JUNE MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015832 05/01/2022 E000082 Health Insurance Premiums
Check Total: 535.78
EP ECKENRODE, NORMAN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015833 05/01/2022 E000029 Health Insurance Premiums
Check Total: 535.78
EP ESCOBOSA, LILLIAN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015834 05/01/2022 E000055 Health Insurance Premiums
Check Total: 535.78
EP ESPINOZA, ROSALINDA MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 573.00 MAY 22 00015835 05/01/2022 E000016 Health Insurance Premiums
Check Total: 573.00
EP FRICKE, JUERGEN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 770.00 MAY 22 00015836 05/01/2022 E000075 Health Insurance Premiums
Check Total: 770.00
EP FULLER, GLENN H MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 770.00 MAY 22 00015837 05/01/2022 User: Teri Knutson 04/26/2022 :Date
Page: 4
Report: AP1400E : AP: Warrant List - Electronic 15:43:14 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Account/Description
E000081 Health Insurance Premiums
Batch ID Amount Invoice# PO # Ref # Ref Date
Check Total: 770.00
EP GALLANT, KAREN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015838 05/01/2022 E000008 Health Insurance Premiums
Check Total: 535.78
EP GARNER, JO ANN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015839 05/01/2022 E000047 Health Insurance Premiums
Check Total: 535.78
EP GARNER, KITTY MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 878.44 MAY 22 00015840 05/01/2022 E000080 Health Insurance Premiums
Check Total: 878.44
EP GRIMM, DENNIS L MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 586.00 MAY 22 00015841 05/01/2022 E000042 Health Insurance Premiums
Check Total: 586.00
EP HOLTSCLAW, KATHERINE MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 557.02 MAY 22 00015842 05/01/2022 E000121 Health Insurance Premiums
Check Total: 557.02
EP IRVINE, SUZETTE MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015843 05/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
EP JENKINS, ROBERT MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 614.88 MAY 22 00015844 05/01/2022 E000084 Health Insurance Premiums
Check Total: 614.88
EP JOHNSON, SHARON MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.39 MAY 22 00015845 05/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
EP JONES, ROBERT MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 145.65 MAY 22 00015846 05/01/2022 E000053 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 5
04/26/2022 :Date
15:43:14 :Time
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 145.65
EP JUAREZ, JANET MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 145.65 MAY 22 00015847 05/01/2022 E000134 Health Insurance Premiums
Check Total: 145.65
EP JUDD, TERRELL JUNE MEDICAL REIMBURSEMENT 395083-5161 ACH050122 887.67 MAY 22 00015848 05/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
EP KIRKLAND, RICHARD L MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 145.65 MAY 22 00015849 05/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
EP LITTLE, DIANE M MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 232.94 MAY 22 00015850 05/01/2022 E000098 Health Insurance Premiums
Check Total: 232.94
EP LOOMIS, CORINNE MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 563.43 MAY 22 00015851 05/01/2022 E000122 Health Insurance Premiums
Check Total: 563.43
EP LOWREY, B J MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 312.00 MAY 22 00015852 05/01/2022 E000041 Health Insurance Premiums
Check Total: 312.00
EP MAERTZWEILER, MICHAEL MUNE MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015853 05/01/2022 E000032 Health Insurance Premiums
Check Total: 535.78
EP MANNING, VEDA M MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.39 MAY 22 00015854 05/01/2022 E000063 Health Insurance Premiums
Check Total: 193.39
EP MILANO, JAMES MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015855 05/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
EP MILLER, RICHARD MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,124.00 MAY 22 00015856 05/01/2022 User: Teri Knutson 04/26/2022 :Date
Page: 6
Report: AP1400E : AP: Warrant List -Electronic 15:43:14 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Account/Description
E000106 Health Insurance Premiums
Batch ID Amount Invoice#
PO # Ref # Ref Date
Check Total: 1,124.00
EP OLEA, ARLENE J MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015857 05/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
EP PALMER, GEORGE MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,145.00 MAY 22 00015858 05/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
EP PASCARELLA, RICHARD MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,745.00 MAY 22 00015859 05/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
EP PASCUA, RAYNALD MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,728.00 MAY 22 00015860 05/01/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
EP PASPALL, MIHAJLO MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 440.30 MAY 22 00015861 05/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
EP PEREZ, ROBERT MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 145.65 MAY 22 00015862 05/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
EP PICHON, WALTER MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 232.94 MAY 22 00015863 05/01/2022 E000103 Health Insurance Premiums
Check Total: 232.94
EP PINEDA, MATEO MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 456.06 MAY 22 00015864 05/01/2022 E000127 Health Insurance Premiums
Check Total: 456.06
EP PISCHEL, STEPHEN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,026.56 MAY 22 00015865 05/01/2022 E000130 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 7
04/26/2022 :Date
15:43:14 :Time
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 1,026.56
EP POINT, ERIC MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,823.00 MAY 22 00015866 05/01/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
EP REDIFER, KIM R MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 770.00 MAY 22 00015867 05/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
EP RENDEN, BRIAN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 917.50 MAY 22 00015868 05/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
EP REYES, ROGER T MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015869 05/01/2022 E000024 Health Insurance Premiums
Check Total: 535.78
EP REYNOLDS, MATTHEW MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 563.43 MAY 22 00015870 05/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
EP RICE, RUSSELL J MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,393.00 MAY 22 00015871 05/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
EP RISHER, THOMAS A MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015872 05/01/2022 E000013 Health Insurance Premiums
Check Total: 535.78
EP RIVERA, AIDA MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.39 MAY 22 00015873 05/01/2022 E000026 Health Insurance Premiums
Check Total: 193.39
EP ROACH, MICHAEL MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,393.00 MAY 22 00015874 05/01/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
EP ROBB, SANDRA MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015875 05/01/2022 User: Teri Knutson 04/26/2022 :Date
Page: 8
Report: AP1400E : AP: Warrant List - Electronic 15:43:14 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Account/Description
E000043 Health Insurance Premiums
Batch ID Amount Invoice#
Check Total: 535.78
PO # Ref # Ref Date
EP ROSE, RICHARD D MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,123.51 MAY 22 00015876 05/01/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
EP SALE, LEE R MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015877 05/01/2022 E000031 Health Insurance Premiums
Check Total: 535.78
EP SANCHEZ, LAURA MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.39 MAY 22 00015878 05/01/2022 E000058 Health Insurance Premiums
Check Total: 193.39
EP SCHLIEDER, BEVERLY MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 878.44 MAY 22 00015879 05/01/2022 E000120 Health Insurance Premiums
Check Total: 878.44
EP SMITH, WARD MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,393.00 MAY 22 00015880 05/01/2022 E000128 Health Insurance Premiums
Check Total: 1,393.00
EP SOTO, PHILIP J MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015881 05/01/2022 E000052 Health Insurance Premiums
Check Total: 535.78
EP SPRAGUE, GARY A MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,745.00 MAY 22 00015882 05/01/2022 E000064 Health Insurance Premiums
Check Total: 1,745.00
EP STEPHEN, JEFFREY MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,283.16 MAY 22 00015883 05/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
EP TAYLOR, DAVID M MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 586.00 MAY 22 00015884 05/01/2022 E000088 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 9
04/26/2022 :Date
15:43:14 :Time
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date Check Total: 586.00
EP TAYLOR, LINDA MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 426.56 MAY 22 00015885 05/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
EP THOMANN, DARYLL L MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 535.78 MAY 22 00015886 05/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
EP TRIFOS, WILLIAM MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 770.00 MAY 22 00015887 05/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
EP VALENTINE, THOMAS MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 586.00 MAY 22 00015888 05/01/2022 E000118 Health Insurance Premiums
Check Total: 586.00
EP VERSTYNEN, WILLIAM MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 145.65 MAY 22 00015889 05/01/2022 E000092 Health Insurance Premiums
Check Total: 145.65
EP WAHL, KATHLEEN A MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 193.00 MAY 22 00015890 05/01/2022 E000030 Health Insurance Premiums
Check Total: 193.00
EP WIEST, STEPHEN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 536.00 MAY 22 00015891 05/01/2022 E000079 Health Insurance Premiums
Check Total: 536.00
EP WORDEN, LARRY M MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 586.00 MAY 22 00015892 05/01/2022 E000116 Health Insurance Premiums
Check Total: 586.00
EP YAMAGUCHI, BRIAN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,393.00 MAY 22 00015893 05/01/2022 E000123 Health Insurance Premiums
Check Total: 1,393.00
EP ZINN, JOHN MAY MEDICAL REIMBURSEMENT 395083-5161 ACH050122 1,290.56 MAY 22 00015894 05/01/2022 User: Teri Knutson 04/26/2022 :Date
Page: 10
Report: AP1400E : AP: Warrant List - Electronic 15:43:14 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 04/26/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date E000009 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 11
Check Total: 1,290.56
Type Total: 329,835.16
Check Total: 329,835.16
04/26/2022 :Date
15:43:14 :Time