Type
Vendor Name/ID
Description
EDR Totals by ID
AP 0.00
EP 57,765.42
IP 0.00
OP 0.00
City of Placentia
Electronic Disbursement Register
For 07/19/2022
FY 22/23
Account/Description
Fund Name EDR Totals by Fund
601 -Employee Health & Wlfre (0039) 57,765.42
Electronic Disbursement Sub Totals: 57,765.42
Batch ID
Amount Invoice# PO # Ref # Ref Date
Grand Total: 57,765.42
Void Total:
EDR Total:
ACH Payroll Direct Deposit for 07/15/2022: 591,770.18
Electronic Disbursement Total: 649,535.60
Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Teri Knutson
Report: AP 1400E : AP: Warrant List - Electronic
Page: 11
0.00 57,765.42
07/14/2022 :Date
12:01:02 :Time
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP ALDWIR, MAMOUN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,295.00 JULY 22 00016032 07/01/2022 E000113 Health Insurance Premiums
Check Total: 1,295.00
EP ANDERSON, MARLA JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016033 07/01/2022 E000071 Health Insurance Premiums
Check Total: 535.78
EP ARMSTRONG, JOHN T JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,080.65 JULY 22 00016034 07/01/2022 E000046 Health Insurance Premiums
Check Total: 1,080.65
EP AUDISS, JAY SCOTT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,745.00 JULY 22 00016035 07/01/2022 E000125 Health Insurance Premiums
Check Total: 1,745.00
EP BABCOCK, CHARLES A JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 312.00 JULY 22 00016036 07/01/2022 E000015 Health Insurance Premiums
Check Total: 312.00
EP BEALS, SHARLENE JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016037 07/01/2022 E000076 Health Insurance Premiums
Check Total: 193.39
EP BERMUDEZ, ALBERT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 527.48 JULY 22 00016038 07/01/2022 E000124 Health Insurance Premiums
Check Total: 527.48
EP BUNNELL, DONALD JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016039 07/01/2022 E000062 Health Insurance Premiums
Check Total: 535.78
EP BURGNER, ARTHUR JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016040 07/01/2022 E000074 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 1
Check Total: 535.78
07/14/2022 :Date
12:01:02 :Time
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP BUSSE, MICHAEL JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,326.00 JULY 22 00016041 07/01/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
EP CHANDLER, JOHN P JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,393.00 JULY 22 00016042 07/01/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
EP CHANG, ROBERT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,290.00 JULY 22 00016043 07/01/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
EP COBBETT, GEOFFREY JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016044 07/01/2022 E000007 Health Insurance Premiums
Check Total: 535.78
EP COOK, ARLENE M JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016045 07/01/2022 E000018 Health Insurance Premiums
Check Total: 535.78
EP D'AMATO, ROBERT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016046 07/01/2022 E000056 Health Insurance Premiums
Check Total: 193.39
EP DAVID, PRESTON JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016047 07/01/2022 E000112 Health Insurance Premiums
Check Total: 535.78
EP DAVIS, CAROLYN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016048 07/01/2022 E000005 Health Insurance Premiums
Check Total: 535.78
EP DEAN, ANDREW JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,823.00 JULY 22 00016049 07/01/2022 E000135 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 2
Check Total: 1,823.00
07/14/2022 :Date
12:01:02 :Time
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP DELOS SANTOS, JAMIE JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 153.53 JULY 22 00016050 07/01/2022 E000045 Health Insurance Premiums
Check Total: 153.53
EP DICKSON, ROBERTA JO JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016051 07/01/2022 E000011 Health Insurance Premiums
Check Total: 193.39
EP DOWNEY, CAROL AUG MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016052 07/01/2022 E000082 Health Insurance Premiums
Check Total: 535.78
EP ECKENRODE, NORMAN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016053 07/01/2022 E000029 Health Insurance Premiums
Check Total: 535.78
EP ESCOBOSA, LILLIAN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016054 07/01/2022 E000055 Health Insurance Premiums
Check Total: 535.78
EP ESPINOZA, ROSALINDA JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 573.00 JULY 22 00016055 07/01/2022 E000016 Health Insurance Premiums
Check Total: 573.00
EP FRICKE, JUERGEN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 770.00 JULY 22 00016056 07/01/2022 E000075 Health Insurance Premiums
Check Total: 770.00
EP FULLER, GLENN H JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 770.00 JULY 22 00016057 07/01/2022 E000081 Health Insurance Premiums
Check Total: 770.00
EP GALLANT, KAREN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016058 07/01/2022 E000008 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 3
Check Total: 535.78
07/14/2022 :Date
12:01:02 :Time
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP GARNER, JO ANN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016059 07/01/2022 E000047 Health Insurance Premiums
Check Total: 535.78
EP GARNER, KITTY JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 878.44 JULY 22 00016060 07/01/2022 E000080 Health Insurance Premiums
Check Total: 878.44
EP GRIMM, DENNIS L JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 586.00 JULY 22 00016061 07/01/2022 E000042 Health Insurance Premiums
Check Total: 586.00
EP HOLTSCLAW, KATHERINE JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 557.02 JULY 22 00016062 07/01/2022 E000121 Health Insurance Premiums
Check Total: 557.02
EP IRVINE, SUZETTE JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016063 07/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
EP JENKINS, ROBERT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 614.88 JULY 22 00016064 07/01/2022 E000084 Health Insurance Premiums
Check Total: 614.88
EP JOHNSON, SHARON JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016065 07/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
EP JONES, ROBERT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 145.65 JULY 22 00016066 07/01/2022 E000053 Health Insurance Premiums
Check Total: 145.65
EP JUAREZ, JANET JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 145.65 JULY 22 00016067 07/01/2022 E000134 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 4
Check Total: 145.65
07/14/2022 :Date
12:01:02 :Time
Type Vendor Name/ID Description
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Account/Description
Batch ID Amount Invoice# PO # Ref # Ref Date
EP JUDD, TERRELL AUG MEDICAL REIMBURSEMENT 395083-5161 ACH070122 887.67 JULY 22 00016068 07/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
EP KIRKLAND, RICHARD L JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 145.65 JULY 22 00016069 07/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
EP LITTLE, DIANE M JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 232.94 JULY 22 00016070 07/01/2022 E000098 Health Insurance Premiums
Check Total: 232.94
EP LOOMIS, CORINNE JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 563.43 JULY 22 00016071 07/01/2022 E000122 Health Insurance Premiums
Check Total: 563.43
EP LOWREY, B J JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 312.00 JULY 22 00016072 07/01/2022 E000041 Health Insurance Premiums
Check Total: 312.00
EP MAERTZWEILER, MICHAEL AUG MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016073 07/01/2022 E000032 Health Insurance Premiums
Check Total: 535.78
EP MANNING, VEDA M JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016074 07/01/2022 E000063 Health Insurance Premiums
Check Total: 193.39
EP MILANO, JAMES JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016075 07/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
EP MILLER, RICHARD JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,124.00 JULY 22 00016076 07/01/2022 E000106 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 5
Check Total: 1,124.00
07/14/2022 :Date
12:01:02 :Time
Type Vendor Name/ID Description
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Account/Description
Batch ID Amount Invoice# PO # Ref # Ref Date
EP OLEA, ARLENE J JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016077 07/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
EP PALMER, GEORGE JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,145.00 JULY 22 00016078 07/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
EP PASCARELLA, RICHARD JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,745.00 JULY 22 00016079 07/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
EP PASCUA, RAYNALD JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,728.00 JULY 22 00016080 07/01/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
EP PASPALL, MIHAJLO JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 440.30 JULY 22 00016081 07/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
EP PEREZ, ROBERT JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 145.65 JULY 22 00016082 07/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
EP PICHON, WALTER JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 232.94 JULY 22 00016083 07/01/2022 E000103 Health Insurance Premiums
Check Total: 232.94
EP PINEDA, MATEO JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 456.06 JULY 22 00016084 07/01/2022 E000127 Health Insurance Premiums
Check Total: 456.06
EP PISCHEL, STEPHEN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,026.56 JULY 22 00016085 07/01/2022 E000130 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 6
Check Total: 1,026.56
07/14/2022 :Date
12:01:02 :Time
Type Vendor Name/ID Description
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Account/Description
Batch ID Amount Invoice# PO # Ref # Ref Date
EP POINT, ERIC JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,823.00 JULY 22 00016086 07/01/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
EP REDIFER, KIM R • JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 770.00 JULY 22 00016087 07/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
EP RENDEN, BRIAN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 917.50 JULY 22 00016088 07/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
EP REYES, ROGER T JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016089 07/01/2022 E000024 Health Insurance Premiums
Check Total: 535.78
EP REYNOLDS, MATTHEW JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 563.43 JULY 22 00016090 07/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
EP RICE, RUSSELL J JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,393.00 JULY 22 00016091 07/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
EP RIVERA, AIDA JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016092 07/01/2022 E000026 Health Insurance Premiums
Check Total: 193.39
EP ROACH, MICHAEL JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,393.00 JULY 22 00016093 07/01/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
EP ROBB, SANDRA JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016094 07/01/2022 E000043 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 7
Check Total: 535.78
07/14/2022 :Date
12:01:02 :Time
Type Vendor Name/ID Description
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Account/Description
Batch ID Amount Invoice# PO # Ref # Ref Date
EP ROSE, RICHARD D JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,123.51 JULY 22 00016095 07/01/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
EP SALE, LEE R JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016096 07/01/2022 E000031 Health Insurance Premiums
Check Total: 535.78
EP SANCHEZ, LAURA JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.39 JULY 22 00016097 07/01/2022 E000058 Health Insurance Premiums
Check Total: 193.39
EP SCHLIEDER, BEVERLY JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 878.44 JULY 22 00016098 07/01/2022 E000120 Health Insurance Premiums
Check Total: 878.44
EP SMITH, WARD JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 586.00 JULY 22 00016099 07/01/2022 E000128 Health Insurance Premiums
Check Total: 586.00
EP SOTO, PHILIP J JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016100 07/01/2022 E000052 Health Insurance Premiums
Check Total: 535.78
EP SPRAGUE, GARY A JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,745.00 JULY 22 00016101 07/01/2022 E000064 Health Insurance Premiums
Check Total: 1,745.00
EP STEPHEN, JEFFREY JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,283.16 JULY 22 00016102 07/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
EP TAYLOR, DAVID M JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 586.00 JULY 22 00016103 07/01/2022 E000088 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 8
Check Total: 586.00
07/14/2022 :Date
12:01:02 :Time
Type
Vendor Name/ID
Description
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date EP TAYLOR, LINDA JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 426.56 JULY 22 00016104 07/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
EP THOMANN, DARYLL L JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 535.78 JULY 22 00016105 07/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
EP TRIFOS, WILLIAM JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 770.00 JULY 22 00016106 07/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
EP VALENTINE, THOMAS JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 586.00 JULY 22 00016107 07/01/2022 E000118 Health Insurance Premiums
Check Total: 586.00
EP VERSTYNEN, WILLIAM JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 145.65 JULY 22 00016108 07/01/2022 E000092 Health Insurance Premiums
Check Total: 145.65
EP WAHL, KATHLEEN A JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 193.00 JULY 22 00016109 07/01/2022 E000030 Health Insurance Premiums
Check Total: 193.00
EP WIEST, STEPHEN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 536.00 JULY 22 00016110 07/01/2022 E000079 Health Insurance Premiums
Check Total: 536.00
EP WORDEN, LARRY M JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 586.00 JULY 22 00016111 07/01/2022 E000116 Health Insurance Premiums
Check Total: 586.00
EP YAMAGUCHI, BRIAN JULY MEDICAL REIMBURSEMENT 395083-5161 ACH070122 1,393.00 JULY 22 00016112 07/01/2022 E000123 Health Insurance Premiums
User: Teri Knutson
Report: AP1400E : AP: Warrant List - Electronic
Page: 9
Check Total: 1,393.00
07/14/2022 :Date
12:01:02 :Time
City of Placentia
Electronic Disbursement Register
For 07/14/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Ref # Ref Date
EP ZINN, JOHN
E000009
User: Teri Knutson
JULY MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
Report: AP1400E : AP: Warrant List - Electronic
Page: 10
ACH070122 1,290.56 JULY 22 00016113 07/01/2022
Check Total: 1,290.56
Type Total: 57,765.42
Check Total: 57,765.42
07/14/2022 :Date
12:01:02 :Time