Cities Index.
1.B.3 ELECTRONIC DISBURSEMENT FY 22-23

Placentia City Council
September 6, 2022

Document
1.B.3 ELECTRONIC DISBURSEMENT FY 22-23
Meeting
September 6, 2022
Body
Placentia City Council
Pages
40
Original file
81 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.

City of Placentia
ACH Check Register
For 09/06/2022
FY 22/23
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Totals by ID
AP 1,857,521.79
EP 0.00
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
208-Sccssr Agncy Ret Oblg (0054)
227 -Explorer Grant NOC (0076)
228-NOC-Public Safety Grant(0061)
265 -Landscape Maintenance (0029)
275 -Sewer Maintenance (0048)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
Check Totals by Fund
959,766.25
3,380.29
200.53
7,025.43
2,310.10
13,239.25
318,210.94
553,389.00
Check Total: 1,857,521.79
Grand Total: 1,857,521.79
Void Total:

Check Total:

ACH Payroll Direct Deposit for 08/26/2022: 735,819.47
Electronic Disbursement Total: 2,593,341.26
Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine

0.00 1,857,521.79
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID

MW OH CALIFORNIA STATE
V004813

MW OH CALIFORNIA STATE
V004813

MW OH CALIFORNIA STATE
V004813

MW OH CALIFORNIA STATE
V004813

MW OH CALIFORNIA STATE
V004813
Description
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12

REGISTRATION FEE
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0048-2196
Garnishments W/H
0029-2196
Garnishments W/H
0037-2196
Garnishments W/H
0010-2196
Garnishments W/H
0010-2196
Garnishments W/H
Page: 1
Batch ID
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
Check Total:

Type Total:

Check Total:

Amount Invoice#

46.15 PR2201016

9.23 PR2201016

69.23 PR2201016
1,809.34 PR2201016

2.50 PR2201016
1,936.45
1,936.45
1,936.45
PO # Check # Check Date
00124401 08/18/2022
00124401 08/18/2022
00124401 08/18/2022
00124401 08/18/2022
00124401 08/18/2022
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH ALDWIR, MAMOUN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,295.00 AUGUST 22 00016118 08/01/2022 E000113 Health Insurance Premiums
Check Total: 1,295.00
MW 011 ANDERSON, MARLA AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016119 08/01/2022 E000071 Health Insurance Premiums
Check Total: 535.78
MW OH ARMSTRONG, JOHN T AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,080.65 AUGUST 22 00016120 08/01/2022 E000046 Health Insurance Premiums
Check Total: 1,080.65
MW OH AUDISS, JAY SCOTT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,745.00 AUGUST 22 00016121 08/01/2022 E000125 Health Insurance Premiums
Check Total: 1,745.00
MW OH BABCOCK, CHARLES A AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 312.00 AUGUST 22 00016122 08/01/2022 E000015 Health Insurance Premiums
Check Total: 312.00
MW OH BEALS, SHARLENE AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016123 08/01/2022 E000076 Health Insurance Premiums
Check Total: 193.39
MW OH BERMUDEZ, ALBERT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 527.48 AUGUST 22 00016124 08/01/2022 E000124 Health Insurance Premiums
Check Total: 527.48
MW OH BUNNELL, DONALD AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016125 08/01/2022 E000062 Health Insurance Premiums
Check Total: 535.78
MW OH BURGNER, ARTHUR AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016126 08/01/2022 E000074 Health Insurance Premiums
User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
Page: 2
Check Total: 535.78
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH BUSSE, MICHAEL AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,326.00 AUGUST 22 00016127 08/01/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
MW OH CHANDLER, JOHN P AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,393.00 AUGUST 22 00016128 08/01/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
MW OH CHANG, ROBERT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,290.00 AUGUST 22 00016129 08/01/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
MW 011 COBBETT, GEOFFREY AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016130 08/01/2022 E000007 Health Insurance Premiums
Check Total: 535.78
MW OH COOK, ARLENE M AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016131 08/01/2022 E000018 Health Insurance Premiums
Check Total: 535.78
MW OH D'AMATO, ROBERT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016132 08/01/2022 E000056 Health Insurance Premiums
Check Total: 193.39
MW OH DAVID, PRESTON AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016133 08/01/2022 E000112 Health Insurance Premiums
Check Total: 535.78
MW OH DAVIS, CAROLYN SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016134 08/01/2022 E000005 Health Insurance Premiums
Check Total: 535.78
MW OH DEAN, ANDREW AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,823.00 AUGUST 22 00016135 08/01/2022 E000135 Health Insurance Premiums
User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
Page: 3
Check Total: 1,823.00
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH DELOS SANTOS, JAMIE AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 153.53 AUGUST 22 00016136 08/01/2022 E000045 Health Insurance Premiums
Check Total: 153.53
MW OH DICKSON, ROBERTA JO AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016137 08/01/2022 E000011 Health Insurance Premiums
Check Total: 193.39
MW OH DOWNEY, CAROL SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016138 08/01/2022 E000082 Health Insurance Premiums
Check Total: 535.78
MW OH ECKENRODE, NORMAN SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016139 08/01/2022 E000029 Health Insurance Premiums
Check Total: 535.78
MW OH ESCOBOSA, LILLIAN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016140 08/01/2022 E000055 Health Insurance Premiums
Check Total: 535.78
MW 011 ESPINOZA, ROSALINDA AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 573.00 AUGUST 22 00016141 08/01/2022 E000016 Health Insurance Premiums
Check Total: 573.00
MW OH FRICKE, JUERGEN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 770.00 AUGUST 22 00016142 08/01/2022 E000075 Health Insurance Premiums
Check Total: 770.00
MW OH FULLER, GLENN H AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 770.00 AUGUST 22 00016143 08/01/2022 E000081 Health Insurance Premiums
Check Total: 770.00
MW OH GALLANT, KAREN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016144 08/01/2022 E000008 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 4
Check Total: 535.78
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH GARNER, JO ANN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016145 08/01/2022 E000047 Health Insurance Premiums
Check Total: 535.78
MW OH GARNER, KITTY AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 878.44 AUGUST 22 00016146 08/01/2022 E000080 Health Insurance Premiums
Check Total: 878.44
MW OH GRIMM, DENNIS L AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 586.00 AUGUST 22 00016147 08/01/2022 E000042 Health Insurance Premiums
Check Total: 586.00
MW OH HOLTSCLAW, KATHERINE AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 557.02 AUGUST 22 00016148 08/01/2022 E000121 Health Insurance Premiums
Check Total: 557.02
MW OH IRVINE, SUZETTE AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016149 08/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
MW OH JENKINS, ROBERT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 614.88 AUGUST 22 00016150 08/01/2022 E000084 Health Insurance Premiums
Check Total: 614.88
MW OH JOHNSON, SHARON AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016151 08/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
MW 011 JONES, ROBERT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 145.65 AUGUST 22 00016152 08/01/2022 E000053 Health Insurance Premiums
Check Total: 145.65
MW OH JUAREZ, JANET AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 145.65 AUGUST 22 00016153 08/01/2022 E000134 Health Insurance Premiums
User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
Page: 5
Check Total: 145.65
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH JUDD, TERRELL SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH080122 887.67 AUGUST 22 00016154 08/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
MW OH KIRKLAND, RICHARD L AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 145.65 AUGUST 22 00016155 08/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
MW 011 LITTLE, DIANE M AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 232.94 AUGUST 22 00016156 08/01/2022 E000098 Health Insurance Premiums
Check Total: 232.94
MW 011 LOOMIS, CORINNE AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 563.43 AUGUST 22 00016157 08/01/2022 E000122 Health Insurance Premiums
Check Total: 563.43
MW OH LOWREY, B J AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 312.00 AUGUST 22 00016158 08/01/2022 E000041 Health Insurance Premiums
Check Total: 312.00
MW OH MAERTZWEILER, MICHAEL SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016159 08/01/2022 E000032 Health Insurance Premiums
Check Total: 535.78
MW OH MANNING, VEDA M AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016160 08/01/2022 E000063 Health Insurance Premiums
Check Total: 193.39
MW OH MILANO, JAMES AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016161 08/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
MW OH MILLER, RICHARD AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,124.00 AUGUST 22 00016162 08/01/2022 E000106 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 6
Check Total: 1,124.00
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH OLEA, ARLENE J AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016163 08/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
MW 011 PALMER, GEORGE AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,145.00 AUGUST 22 00016164 08/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
MW OH PASCARELLA, RICHARD AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,745.00 AUGUST 22 00016165 08/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
MW OH PASCUA, RAYNALD AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,728.00 AUGUST 22 00016166 08/01/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
MW OH PASPALL, MIHAJLO AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 440.30 AUGUST 22 00016167 08/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
MW OH PEREZ, ROBERT AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 145.65 AUGUST 22 00016168 08/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
MW OH PICHON, WALTER AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 232.94 AUGUST 22 00016169 08/01/2022 E000103 Health Insurance Premiums
Check Total: 232.94
MW OH PINEDA, MATEO AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 456.06 AUGUST 22 00016170 08/01/2022 E000127 Health Insurance Premiums
Check Total: 456.06
MW OH PISCHEL, STEPHEN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,026.56 AUGUST 22 00016171 08/01/2022 E000130 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 7
Check Total: 1,026.56
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH POINT, ERIC AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,823.00 AUGUST 22 00016172 08/01/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
MW OH REDIFER, KIM R AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 770.00 AUGUST 22 00016173 08/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
MW OH RENDEN, BRIAN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 917.50 AUGUST 22 00016174 08/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
MW OH REYES, ROGER T AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016175 08/01/2022 E000024 Health Insurance Premiums
Check Total: 535.78
MW OH REYNOLDS, MATTHEW AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 563.43 AUGUST 22 00016176 08/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
MW 011 RICE, RUSSELL J AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,393.00 AUGUST 22 00016177 08/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
MW OH RIVERA, AIDA AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016178 08/01/2022 E000026 Health Insurance Premiums
Check Total: 193.39
MW OH ROACH, MICHAEL AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,393.00 AUGUST 22 00016179 08/01/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
MW OH ROBB, SANDRA AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016180 08/01/2022 E000043 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 8
Check Total: 535.78
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH ROSE, RICHARD D AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,123.51 AUGUST 22 00016181 08/01/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
MW OH SALE, LEE R AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016182 08/01/2022 E000031 Health Insurance Premiums
Check Total: 535.78
MW OH SANCHEZ, LAURA AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.39 AUGUST 22 00016183 08/01/2022 E000058 Health Insurance Premiums
Check Total: 193.39
MW OH SCHLIEDER, BEVERLY AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 878.44 AUGUST 22 00016184 08/01/2022 E000120 Health Insurance Premiums
Check Total: 878.44
MW OH SMITH, WARD AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 586.00 AUGUST 22 00016185 08/01/2022 E000128 Health Insurance Premiums
Check Total: 586.00
MW OH SOTO, PHILIP J AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016186 08/01/2022 E000052 Health Insurance Premiums
Check Total: 535.78
MW OH SPRAGUE, GARY A AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,745.00 AUGUST 22 00016187 08/01/2022 E000064 Health Insurance Premiums
Check Total: 1,745.00
MW OH STEPHEN, JEFFREY AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,283.16 AUGUST 22 00016188 08/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
MW OH TAYLOR, DAVID M AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 586.00 AUGUST 22 00016189 08/01/2022 E000088 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 9
Check Total: 586.00
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH TAYLOR, LINDA AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 426.56 AUGUST 22 00016190 08/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
MW OH THOMANN, DARYLL L AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 535.78 AUGUST 22 00016191 08/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
MW 011 TRIFOS, WILLIAM AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 770.00 AUGUST 22 00016192 08/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
MW OH VALENTINE, THOMAS AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 586.00 AUGUST 22 00016193 08/01/2022 E000118 Health Insurance Premiums
Check Total: 586.00
MW 01-1 VERSTYNEN, WILLIAM AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 145.65 AUGUST 22 00016194 08/01/2022 E000092 Health Insurance Premiums
Check Total: 145.65
MW OH WAHL, KATHLEEN A AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 193.00 AUGUST 22 00016195 08/01/2022 E000030 Health Insurance Premiums
Check Total: 193.00
MW OH WIEST, STEPHEN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 536.00 AUGUST 22 00016196 08/01/2022 E000079 Health Insurance Premiums
Check Total: 536.00
MW OH WORDEN, LARRY M AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 586.00 AUGUST 22 00016197 08/01/2022 E000116 Health Insurance Premiums
Check Total: 586.00
MW OH YAMAGUCHI, BRIAN AUG MEDICAL REIMBURSEMENT 395083-5161 ACH080122 1,393.00 AUGUST 22 00016198 08/01/2022 E000123 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 10
Check Total: 1,393.00
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID

MW OH ZINN, JOHN
E000009
MW OH
MW OH
MW 01-1
MW OH

MW OH ICMA RETIREMENT TRUST

MW OH ICMA RETIREMENT TRUST
V000496
MW OH PLACENTIA FIREFIGHTERS P/E 7/9 PD 7/15
V011878

ICMA RETIREMENT TRUST
V000496

ICMA RETIREMENT TRUST
V000496

ICMA RETIREMENT TRUST
V000496

ICMA RETIREMENT TRUST
V000496
V000496
Description

AUG MEDICAL REIMBURSEMENT
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15

MW OH PLACENTIA POLICE
V000839

MW OH PLACENTIA POLICE
V003519

MW OH PLACENTIA POLICE
V003519
MW 01-1 PLACENTIA POLICE
V003519
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
P/E 7/9 PD 7/15
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
395083-5161
Health Insurance Premiums
0048-2170
Deferred Comp
0054-2170
Deferred Comp
0076-2170
Deferred Comp
0037-2170
Deferred Comp
0029-2170
Deferred Comp
0010-2170
Deferred Comp
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
0010-2178
Placentia Police Assoc Dues
0010-2180
Police Mgmt Assn Dues
0061-2178
Placentia Police Assoc Dues
0076-2178
Placentia Police Assoc Dues
0010-2178
Placentia Police Assoc Dues
Page: 11
Batch ID
Amount Invoice#
ACH080122 1,290.56 AUGUST 22
Check Total: 1,290.56
ACH080522 591.00 PR2201014
ACH080522 64.63 PR2201014
ACH080522 1.25 PR2201014
ACH080522 84.75 PR2201014
ACH080522 20.50 PR2201014
ACH080522 22,231.96 PR2201014
Check Total:

ACH080522
Check Total:
22,994.09
750.00 PR2201014
750.00
ACH080522 730.45 PR000839
730.45
ACH080522 79.38 PR2201014
ACH080522 6.82 PR2201014
ACH080522 3,020.74 PR2201014
Check Total:

PO # Check # Check Date
00016199 08/01/2022
00016204 08/05/2022
00016204 08/05/2022
00016204 08/05/2022
00016204 08/05/2022
00016204 08/05/2022
00016204 08/05/2022
00016205 08/05/2022
00016206 08/05/2022
00016207 08/05/2022
00016207 08/05/2022
00016207 08/05/2022
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234
MW 011 CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234
Description

PERS ANNUAL UAL PAYMENT

PERS ANNUAL UAL PAYMENT

PERS ANNUAL UAL PAYMENT

PERS ANNUAL UAL PAYMENT

PERS ANNUAL UAL PAYMENT
City of Placentia
Check Register
For 08/29/2022
Account/Description
109595-5144
Employer Ca1PERS UAL
109595-5144
Employer Ca1PERS UAL
109595-5144
Employer Ca1PERS UAL
109595-5144
Employer CaIPERS UAL
109595-5144
Employer CaIPERS UAL
AUG MEDICAL INSURANCE PREMIUM'/5000-4715
ISF Health Ins Reimbursement
AUG MEDICAL INSURANCE PREMIUN95083-5161
Health Insurance Premiums
AUG FD MEDICAL INSURANCE PREM95000-4715
ISF Health Ins Reimbursement
AUGUST FIRE UAL PAYMENT 105525-6906
Ca1PERS-Fire Term. Principal
AUGUST FIRE UAL PAYMENT 105525-6916
Ca1PERS-Fire Term Interest

JULY FIRE UAL PAYMENT

JULY FIRE UAL PAYMENT

SEPTEMBER FIRE UAL PAYMENT

SEPTEMBER FIRE UAL PAYMENT
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
105525-6916
Ca1PERS-Fire Term Interest
105525-6906
CaIPERS-Fire Term. Principal
105525-6906
Ca1PERS-Fire Term. Principal
105525-6916
Ca1PERS-Fire Term Interest
Page: 12
Batch ID
Check Total:

ACH080822
ACH080822
ACH080822
ACH080822
ACH080822
Amount Invoice#
3,106.94
37,861.00 10000001685052
65,757.00 10000001685053
864.00 10000001685054
1,265.00 10000001685055
1,728.00 10000001685056
ACH080822 167,996.54 10000001687173
ACH080822
ACH080822
ACH080822
ACH080822
ACH080822
ACH080822
ACH080822
ACH080822
15,188.55 10000001687173
32,818.60 10000001687173
30,012.01 AUGUST 22
1,651.95 AUGUST 22
1,700.64 JULY 22
29,963.32 JULY 22
30,060.78 SEPTEMBER 22
1,603.18 SEPTEMBER 22
PO # Check # Check Date
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
00016214 08/08/2022
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 418,470.57
MW 011 AMERICAN FIDELITY P/E 7/9 PD 7/15 0010-2190 ACH080922 529.46 6056739 00016215 08/08/2022 VO10011 Dependent Care SSA
MW OH AMERICAN FIDELITY P/E 7/9 PD 7/15 0010-2188 ACH080922 582.11 6056739 00016215 08/08/2022 V010011 Health Care SSA
MW OH AMERICAN FIDELITY P/E 7/9 PD 7/15 0037-2188 ACH080922 8.02 6056739 00016215 08/08/2022 VO10011 Health Care SSA
MW OH AMERICAN FIDELITY P/E 7/9 PD 7/15 0048-2188 ACH080922 8.02 6056739 00016215 08/08/2022 V010011 Health Care SSA
MW OH AMERICAN FIDELITY P/E 7/9 PD 7/15 0054-2188 ACH080922 14.32 6056739 00016215 08/08/2022 V010011 Health Care SSA
MW OH AMERICAN FIDELITY P/E 7/9 PD 7/15 0054-2190 ACH080922 9.37 6056739 00016215 08/08/2022 V010011 Dependent Care SSA
MW OH AMERICAN FIDELITY P/E 7/9 PD 7/15 0048-2190 ACH080922 2.50 6056739 00016215 08/08/2022 VO10011 Dependent Care SSA
MW OH AMERICAN FIDELITY FSA PD 7/15/22 0010-2190 ACH080922 529.46 6057227 00016215 08/08/2022 VO10011 Dependent Care SSA
MW OH AMERICAN FIDELITY FSA PD 7/15/22 0054-2188 ACH080922 14.32 6057227 00016215 08/08/2022 VO10011 Health Care SSA
MW OH AMERICAN FIDELITY FSA PD 7/15/22 0054-2190 ACH080922 9.37 6057227 00016215 08/08/2022 V010011 Dependent Care SSA
MW OH AMERICAN FIDELITY FSA PD 7/15/22 0037-2188 ACH080922 8.02 6057227 00016215 08/08/2022 V010011 Health Care SSA
MW OH AMERICAN FIDELITY FSA PD 7/15/22 0048-2188 ACH080922 8.02 6057227 00016215 08/08/2022 VO10011 Health Care SSA
MW 011 AMERICAN FIDELITY FSA PD 7/15/22 0010-2188 ACH080922 582.11 6057227 00016215 08/08/2022 VO10011 Health Care SSA
MW OH AMERICAN FIDELITY FSA PD 7/15/22 0048-2190 ACH080922 2.50 6057227 00016215 08/08/2022 VO10011 Dependent Care SSA
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 13
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID Description
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
MW 011 CALIFORNIA PUBLIC PERS P/E 7/9 PD 7/15
V010053
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0061-2195
PERS Uniform
0048-2195
PERS Uniform
0010-2195
PERS Uniform
0048-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0029-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0029-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0037-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0054-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
Page: 14
Batch ID
Check Total:

ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#
2,307.60

1.04 PR2201014

0.60 PR2201014

26.22 PR2201014

3.37 PR2201014

0.90 PR2201014
202.40 PR2201014
157.53 PR2201014

2.59 PR2201014
220.71 PR2201014

4.40 PR2201014

18.11 PR2201014

12.94 PR2201014

0.47 PR2201014

0.93 PR2201014
PO # Check # Check Date
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
Description
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
Survivor Benefit Package
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0076-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0054-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0048-2140
Page: 15
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#

0.06 PR2201014

2.09 PR2201014
123.31 PR2201014

0.93 PR2201014
234.83 PR2201014

2.25 PR2201014
180.39 PR2201014

35.10 PR2201014
1,030.37 PR2201014
389.42 PR2201014
684.12 PR2201014
542.07 PR2201014

0.60 PR2201014
810.52 PR2201014
1,040.49 PR2201014
PO # Check # Check Date
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type
MW OH
MW OH
MW OH
MW 011
MW OH
MW 011
MW OH
MW 011
MW OH
MW OH
MW OH
MW OH
MW 011
MW 011
Vendor Name/ID
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053
Description
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/9 PD 7/15
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machin
City of Placentia
Check Register
For 08/29/2022
Account/Description
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
Page: 16
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#
57,551.67 PR2201014

27.14 PR2201014
39,177.72 PR2201014

79.79 PR2201014

72.09 PR2201014

18.65 PR2201015
59,922.47 PR2201015

24.52 PR2201015
1,063.47 PR2201015
830.22 PR2201015
704.48 PR2201015
558.21 PR2201015
1,081.76 PR2201015
408.89 PR2201015
PO # Check # Check Date
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
Description
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0054-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0010-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0054-2145
Employee PERS Payback W/H
0061-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0010-2140
Employee PERS W/H
0037-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0029-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0029-2145
Page: 17
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice# PO # Check # Check Date
212.26 PR2201015
161.34 PR2201015
123.34 PR2201015

2.09 PR2201015

0.03 PR2201015

12.94 PR2201015

0.93 PR2201015

0.40 PR2201015
40,967.85 PR2201015

18.11 PR2201015
220.71 PR2201015

4.40 PR2201015
208.34 PR2201015
176.08 PR2201015

2.59 PR2201015
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
User: Teri Knutson
Description
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
PERS P/E 7/23 PD 7/29
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/23 PD 7/29
STATE TAX P/E 7/23 PD 7/29
STATE TAX P/E 7/23 PD 7/29
STATE TAX P/E 7/23 PD 7/29
STATE TAX P/E 7/23 PD 7/29
STATE TAX P/E 7/23 PD 7/29
STATE TAX P/E 7/23 PD 7/29
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
Employee PERS Payback W/H
0048-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0010-2195
PERS Uniform
0029-2195
PERS Uniform
0048-2195
PERS Uniform
0061-2195
PERS Uniform
0010-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0061-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0054-2135
Page: 18
Batch ID Amount Invoice#
ACH080922 3.36 PR2201015
ACH080922 0.98 PR2201015
ACH080922 25.10 PR2201015
ACH080922 0.07 PR2201015
ACH080922 0.61 PR2201015
ACH080922 1.04 PR2201015
Check Total: 209,392.41
ACH080922 14.34 PR2201014A
ACH080922 31,626.01 PR2201015
ACH080922 483.47 PR2201015
ACH080922 53.67 PR2201015
ACH080922 405.69 PR2201015
ACH080922 243.32 PR2201015
ACH080922 13.30 PR2201015
ACH080922 114.36 PR2201015
PO # Check # Check Date
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016216 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type
MW OH
MW OH
MW OH
MW 011
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

EMPLOYMENT
V010052

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
User: Teri Knutson
Description
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/9 PD 7/15
STATE TAX P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
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
0048-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0061-2135
Calif Income Tax W/H
0061-2120
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0010-2110
Page: 19
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Check Total:

Amount Invoice#

54.05 PR2201816

75.67 PR2201816
897.23 PR2201816

54.05 PR2201816
37,460.06 PR2201914
553.52 PR2201914

96.89 PR2201914
472.34 PR2201914

10.14 PR2201914
121.53 PR2201914
182.12 PR2201914
72,931.76
ACH080922 74.34 PR2201014
ACH080922

5.50 PR2201014
ACH080922 103,388.38 PR2201014
PO # Check # Check Date
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016217 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS PIE 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
Federal Income Tax W/H
0029-2110
Federal Income Tax W/H
0037-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
0076-2110
Federal Income Tax W/H
0076-2115
Employee Medicare W/H
0061-2115
Employee Medicare W/H
0061-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
Page: 20
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#
344.91 PR2201014
1,326.51 PR2201014
1,588.32 PR2201014
349.44 PR2201014

26.08 PR2201014

5.50 PR2201014

74.34 PR2201014
595.09 PR2201014

57.24 PR2201014
214.55 PR2201014
137.52 PR2201014

49.29 PR2201014
11,876.57 PR2201014
11,876.57 PR2201014
PO # Check # Check Date
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
Description
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/9 PD 7/15
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0029-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0010-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
0029-2110
Federal Income Tax W/11
0048-2110
Federal Income Tax W/H
0037-2110
Federal Income Tax W/H
0061-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0076-2115
Employee Medicare W/H
0054-2110
Page: 21
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#

49.29 PR2201014
137.52 PR2201014
214.55 PR2201014

57.24 PR2201014

15.49 PR2201014A

15.49 PR2201014A

91.55 PR2201014A
73,599.43 PR2201015
169.74 PR2201015
1,147.91 PR2201015
981.49 PR2201015

83.18 PR2201015

34.77 PR2201015

3.41 PR2201015
299.49 PR2201015
PO # Check # Check Date
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS P/E 7/23 PD 7/29
FED/MED/SS Q1 PTO BUYBACK
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
Federal Income Tax W/H
0061-2110
Federal Income Tax W/H
0029-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0076-2110
Federal Income Tax W/H
0076-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0061-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
Page: 22
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#
574.53 PR2201015

37.86 PR2201015
10,136.54 PR2201015
120.84 PR2201015
182.28 PR2201015
10,128.66 PR2201015

37.86 PR2201015
120.18 PR2201015
181.81 PR2201015

29.15 PR2201015

3.41 PR2201015

34.30 PR2201015

83.18 PR2201015

10.98 PR2201816
PO # Check # Check Date
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 01-1 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
Description
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
FED/MED/SS Q1 PTO BUYBACK
MW OH WASHINGTON STATE P/E 7/9 PD 7/15
V011597
MW OH WASHINGTON STATE P/E 7/23 PD 7/29
V011597

MW OH CALIFORNIA PUBLIC
22/23 1959 SURVIVOR BENEFITS
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0048-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0048-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0054-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0037-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
0010-2196
Garnishments W/H
0010-2196
Garnishments W/H
395083-5161
Page: 23
Batch ID
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
ACH080922
Amount Invoice#

7.84 PR2201816

7.84 PR2201816
130.14 PR2201816

12.71 PR2201816

17.79 PR2201816
210.91 PR2201816
140.55 PR2201816

12.71 PR2201816
196.77 PR2201816
140.55 PR2201816
2,333.13 PR2201816
Check Total: 233,783.22
ACH080922 401.53 PR2201014
ACH080922 401.53 PR2201015
Check Total:
803.06
ACH081122 3,614.30 10000001684061
PO # Check # Check Date
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016218 08/08/2022
00016219 08/08/2022
00016219 08/08/2022
00016221 08/11/2022
08/29/2022 :Date
10:13:12 :Time

Type
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
V006234

CALIFORNIA PUBLIC
V006234

CALIFORNIA PUBLIC
V006234

CALIFORNIA PUBLIC
V006234

CALIFORNIA PUBLIC
V006234
MW 011 AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
V010011

MW OH AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
VO10011

MW OH AMERICAN FIDELITY
VO10011
MW 011 AMERICAN FIDELITY
Description
22/23 1959 SURVIVOR BENEFITS
22/23 1959 SURVIVOR BENEFITS
22/23 1959 SURVIVOR BENEFITS
22/23 1959 SURVIVOR BENEFITS
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12
P/E 8/6 PD 8/12

JULY PAYROLL DEDUCTIONS

JULY PAYROLL DEDUCTIONS

JULY PAYROLL DEDUCTIONS

JULY PAYROLL DEDUCTIONS
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description Batch ID
Health Insurance Premiums
395083-5161 ACH081122
Health Insurance Premiums
395083-5161 ACH081122
Health Insurance Premiums
395083-5161 ACH081122
Health Insurance Premiums
395083-5161 ACH081122
Health Insurance Premiums
Amount Invoice# PO # Check # Check Date
1,132.70 10000001684112 00016221 08/11/2022
1,316.00 10000001684141 00016221 08/11/2022
521.70 10000001684152 00016221 08/11/2022
1,508.70 10000001684213 00016221 08/11/2022
Check Total: 8,093.40
0037-2188 ACH081822 8.02 6058979
Health Care SSA
0048-2188 ACH081822 5.73 6058979
Health Care SSA
0054-2188 ACH081822 5.73 6058979
Health Care SSA
0010-2190 ACH081822 416.33 6058979
Dependent Care SSA
0054-2190 ACH081822 239.58 6058979
Dependent Care SSA
0010-2188 ACH081822 478.41 6058979
Health Care SSA
395000-2187 ACH081822 1,569.80 D478687
Voluntary Plan Life
0010-2155 ACH081822 2,252.63 D478687
Per Sec Plan - Opt. Life
0048-2155 ACH081822 116.30 D478687
Per Sec Plan - Opt. Life
0029-2155 ACH081822 14.90 D478687
Page: 24
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
08/29/2022 :Date
10:13:12 :Time

Type
MW OH
MW OH
MW OH
Vendor Name/ID
VO10011

AMERICAN FIDELITY
VO10011

AMERICAN FIDELITY
V010011

AMERICAN FIDELITY
VO10011

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 01-1 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
User: Teri Knutson
Description

JULY PAYROLL DEDUCTIONS

JULY PAYROLL DEDUCTIONS

JULY PAYROLL DEDUCTIONS
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
Per Sec Plan - Opt. Life
0037-2155
Per Sec Plan - Opt. Life
0076-2155
Per Sec Plan - Opt. Life
0054-2155
Per Sec Plan - Opt. Life
0029-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0029-2140
Employee PERS W/H
0048-2145
Employee PERS Payback W/H
0037-2145
Employee PERS Payback W/H
0061-2150
Survivor Benefit Package
0054-2145
Employee PERS Payback W/H
0054-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0048-2150
Page: 25
Batch ID Amount Invoice#
ACH081822 18.00 D478687
ACH081822 1.27 D478687
ACH081822 10.26 D478687
Check Total: 5,136.96
ACH081822 2.59 PR2201016
ACH081822 220.71 PR2201016
ACH081822 165.97 PR2201016
ACH081822 4.40 PR2201016
ACH081822 18.11 PR2201016
ACH081822 0.93 PR2201016
ACH081822 12.94 PR2201016
ACH081822 0.43 PR2201016
ACH081822 0.03 PR2201016
ACH081822 2.09 PR2201016
ACH081822 3.35 PR2201016
PO # Check # Check Date
00016226 08/18/2022
00016226 08/18/2022
00016226 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
08/29/2022 :Date
10:13:12 :Time

Type
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053

CALIFORNIA PUBLIC
V010053
Description
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
User: Teri Knutson
Report: AP1400M : AP: Warrant List- Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0061-2195
PERS Uniform
0010-2195
PERS Uniform
0029-2195
PERS Uniform
0048-2195
PERS Uniform
0054-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
Page: 26
Batch ID
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
Amount Invoice#
130.45 PR2201016

0.92 PR2201016

1.04 PR2201016

25.16 PR2201016

0.02 PR2201016

0.60 PR2201016
218.67 PR2201016
167.13 PR2201016
408.89 PR2201016

18.70 PR2201016
1,081.76 PR2201016

52.67 PR2201016
40,585.53 PR2201016
1,063.47 PR2201016
PO # Check # Check Date
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
User: Teri Knutson
Description
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
PERS P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
STATE TAX P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
0048-2140
Employee PERS W/14
0010-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0054-2135
Calif Income Tax W/H
0061-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0061-2120
Employer Medicare Payable
0076-2120
Page: 27
Batch ID
Amount Invoice#
ACH081822 828.67 PR2201016
ACH081822 59,382.96 PR2201016
ACH081822 704.47 PR2201016
ACH081822 558.21 PR2201016
ACH081822 208.34 PR2201016
Check Total: 105,869.21
ACH081822 120.09 PR2201016
ACH081822 143.48 PR2201016
ACH081822 5.50 PR2201016
ACH081822 413.29 PR2201016
ACH081822 53.33 PR2201016
ACH081822 32,732.91 PR2201016
ACH081822 486.35 PR2201016
Check Total: 33,954.95
ACH081822 67.38 PR2201016
ACH081822

2.28 PR2201016
PO # Check # Check Date
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016227 08/18/2022
00016228 08/18/2022
00016228 08/18/2022
00016228 08/18/2022
00016228 08/18/2022
00016228 08/18/2022
00016228 08/18/2022
00016228 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
08/29/2022 :Date
10:13:12 :Time

Type

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 01-1 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
Vendor Name/ID
V010054
Description
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 08/29/2022
Account/Description
Employer Medicare Payable
0010-2125
Employee Social Sec W/H
0010-2130
Employer Soc Sec Payable
0010-2110
Federal Income Tax W/H
0029-2110
Federal Income Tax W/H
0037-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0061-2110
Federal Income Tax W/H
0076-2110
Federal Income Tax W/H
0076-2115
Employee Medicare W/H
0061-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
Page: 28
Batch ID
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
Amount Invoice#

18.60 PR2201016

18.60 PR2201016
76,211.59 PR2201016
170.33 PR2201016
1,002.92 PR2201016
1,158.71 PR2201016
314.25 PR2201016

41.60 PR2201016
350.71 PR2201016

12.07 PR2201016

2.28 PR2201016

67.38 PR2201016
10,262.32 PR2201016
10,173.71 PR2201016
PO # Check # Check Date
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID
Description
MW OH INTERNAL REVENUE FED/MED/SS P/E 8/6 PD 8/12
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
FED/MED/SS P/E 8/6 PD 8/12
MW OH WASHINGTON STATE P/E 8/6 PD 8/12
V011597

MW OH ALDWIR, MAMOUN
E000113

MW OH ANDERSON, MARLA
E000071
City of Placentia
Check Register
For 08/29/2022
Account/Description
0048-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0010-2196
Gamishments W/H
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH ARMSTRONG, JOHN T SEPT MEDICAL REIMBURSEMENT 395083-5161 E000046

MW OH AUDISS, JAY SCOTT
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 29
Batch ID
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
ACH081822
Amount Invoice#
187.61 PR2201016
129.16 PR2201016

36.49 PR2201016
121.69 PR2201016

36.49 PR2201016

36.26 PR2201016
182.27 PR2201016
Check Total: 100,604.70
ACH081822 401.53 PR2201016
Check Total:
401.53
ACH090122 1,295.00 SEPTEMBER 22
Check Total:
1,295.00
ACH090122 535.78 SEPTEMBER 22
Check Total:
535.78
ACH090122 1,080.65 SEPTEMBER 22
Check Total:
1,080.65
ACH090122 1,745.00 SEPTEMBER 22
PO # Check # Check Date
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016229 08/18/2022
00016230 08/18/2022
00016231 09/01/2022
00016232 09/01/2022
00016233 09/01/2022
00016234 09/01/2022
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000125 Health Insurance Premiums
Check Total: 1,745.00
MW 011 BABCOCK, CHARLES A SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 312.00 SEPTEMBER 22 00016235 09/01/2022 E000015 Health Insurance Premiums
Check Total: 312.00
MW OH BEALS, SHARLENE SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 193.39 SEPTEMBER 22 00016236 09/01/2022 E000076 Health Insurance Premiums
Check Total: . 193.39
MW 011 BERMUDEZ, ALBERT SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 527.48 SEPTEMBER 22 00016237 09/01/2022 E000124 Health Insurance Premiums
Check Total: 527.48
MW OH BUNNELL, DONALD SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016238 09/01/2022 E000062 Health Insurance Premiums
Check Total: 535.78
MW OH BURGNER, ARTHUR SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016239 09/01/2022 E000074 Health Insurance Premiums
Check Total: 535.78
MW OH BUSSE, MICHAEL SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,326.00 SEPTEMBER 22 00016240 09/01/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
MW OH CHANDLER, JOHN P SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,393.00 SEPTEMBER 22 00016241 09/01/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
MW OH CHANG, ROBERT SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,290.00 SEPTEMBER 22 00016242 09/01/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
MW OH COBBETT, GEOFFREY SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016243 09/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 30
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID
E000007

MW OH COOK, ARLENE M
E000018

MW OH D'AMATO, ROBERT
E000056

MW OH DAVID, PRESTON
E000112

MW OH DAVIS, CAROLYN
E000005

MW OH DEAN, ANDREW
E000135
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
OCT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH DELOS SANTOS, JAMIE SEPT MEDICAL REIMBURSEMENT 395083-5161 E000045
Health Insurance Premiums
MW OH DICKSON, ROBERTA JO SEPT MEDICAL REIMBURSEMENT 395083-5161 E000011

MW OH DOWNEY, CAROL
E000082
Health Insurance Premiums
OCT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH ECKENRODE, NORMAN OCT MEDICAL REIMBURSEMENT 395083-5161 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 31
Batch ID Amount Invoice# PO # Check # Check Date
535.78
ACH090122 535.78 SEPTEMBER 22 00016244 09/01/2022
Check Total:

Check Total:
535.78
ACH090122 193.39 SEPTEMBER 22 00016245 09/01/2022
193.39
ACH090122 535.78 SEPTEMBER22 00016246 09/01/2022
Check Total:

Check Total:
535.78
ACH090122 535.78 SEPTEMBER 22 00016247 09/01/2022
535.78
ACH090122 1,823.00 SEPTEMBER 22 00016248 09/01/2022
Check Total:

Check Total:
1,823.00
ACH090122 153.53 SEPTEMBER 22 00016249 09/01/2022
153.53
ACH090122 193.39 SEPTEMBER 22 00016250 09/01/2022
Check Total:

Check Total:
193.39
ACH090122 535.78 SEPTEMBER 22 00016251 09/01/2022
Check Total:
535.78
ACH090122 535.78 SEPTEMBER22 00016252 09/01/2022
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
E000029

MW OH ESCOBOSA, LILLIAN
E000055
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW 011 ESPINOZA, ROSALINDA SEPT MEDICAL REIMBURSEMENT 395083-5161 E000016

MW OH FRICKE, JUERGEN
E000075

MW OH FULLER, GLENN H
E000081

MW OH GALLANT, KAREN
E000008

MW OH GARNER, JO ANN
E000047

MW OH GARNER, KITTY
E000080

MW OH GRIMM, DENNIS L
E000042
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH HOLTSCLAW, KATHERINE SEPT MEDICAL REIMBURSEMENT 395083-5161 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 32
Batch ID Amount Invoice# PO # Check # Check Date
535.78
ACH090122 535.78 SEPTEMBER 22 00016253 09/01/2022
Check Total:

Check Total:
535.78
ACH090122 573.00 SEPTEMBER 22 00016254 09/01/2022
573.00
ACH090122 770.00 SEPTEMBER 22 00016255 09/01/2022
Check Total:

Check Total:
770.00
ACH090122 770.00 SEPTEMBER 22 00016256 09/01/2022
770.00
ACH090122 535.78 SEPTEMBER 22 00016257 09/01/2022
Check Total:

Check Total:
535.78
ACH090122 535.78 SEPTEMBER 22 00016258 09/01/2022
535.78
ACH090122 878.44 SEPTEMBER 22 00016259 09/01/2022
Check Total:

Check Total:
878.44
ACH090122 586.00 SEPTEMBER 22 00016260 09/01/2022
Check Total:
586.00
ACH090122 557.02 SEPTEMBER 22 00016261 09/01/2022
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000121 Health Insurance Premiums
Check Total: 557.02
MW OH IRVINE, SUZETTE SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016262 09/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
MW OH JENKINS, ROBERT SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 614.88 SEPTEMBER 22 00016263 09/01/2022 E000084 Health Insurance Premiums
Check Total: 614.88
MW OH JOHNSON, SHARON SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 193.39 SEPTEMBER 22 00016264 09/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
MW OH JONES, ROBERT SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 145.65 SEPTEMBER 22 00016265 09/01/2022 E000053 Health Insurance Premiums
Check Total: 145.65
MW OH JUAREZ, JANET SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 145.65 SEPTEMBER 22 00016266 09/01/2022 E000134 Health Insurance Premiums
Check Total: 145.65
MW 011 JUDD, TERRELL OCT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 887.67 SEPTEMBER 22 00016267 09/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
MW OH KIRKLAND, RICHARD L SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 145.65 SEPTEMBER 22 00016268 09/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
MW OH LITTLE, DIANE M SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 232.94 SEPTEMBER 22 00016269 09/01/2022 E000098 Health Insurance Premiums
Check Total: 232.94
MW OH LOOMIS, CORINNE SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 563.43 SEPTEMBER 22 00016270 09/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 33
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000122 Health Insurance Premiums
Check Total: 563.43
MW 011 LOWREY, B J SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 312.00 SEPTEMBER 22 00016271 09/01/2022 E000041 Health Insurance Premiums
Check Total: 312.00
MW OH MAERTZWEILER, MICHAEL DCT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016272 09/01/2022 E000032 Health Insurance Premiums
Check Total: 535.78
MW OH MANNING, VEDA M SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 193.39 SEPTEMBER 22 00016273 09/01/2022 E000063 Health Insurance Premiums
Check Total: 193.39
MW OH MILANO, JAMES SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016274 09/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
MW OH MILLER, RICHARD SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,124.00 SEPTEMBER 22 00016275 09/01/2022 E000106 Health Insurance Premiums
Check Total: 1,124.00
MW OH OLEA, ARLENE J SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016276 09/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
MW OH PALMER, GEORGE SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,145.00 SEPTEMBER 22 00016277 09/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
MW OH PASCARELLA, RICHARD SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,745.00 SEPTEMBER 22 00016278 09/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
MW OH PASCUA, RAYNALD SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,728.00 SEPTEMBER 22 00016279 09/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 34
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000114 Health Insurance Premiums
Check Total: 1,728.00
MW 011 PASPALL, MIHAJLO SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 440.30 SEPTEMBER 22 00016280 09/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
MW OH PEREZ, ROBERT SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 145.65 SEPTEMBER 22 00016281 09/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
MW OH PICHON, WALTER SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 232.94 SEPTEMBER 22 00016282 09/01/2022 E000103 Health Insurance Premiums
Check Total: 232.94
MW OH PINEDA, MATEO SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 456.06 SEPTEMBER 22 00016283 09/01/2022 E000127 Health Insurance Premiums
Check Total: 456.06
MW OH PISCHEL, STEPHEN SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 816.19 SEPTEMBER 22 00016284 09/01/2022 E000130 Health Insurance Premiums
Check Total: 816.19
MW OH POINT, ERIC SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,823.00 SEPTEMBER 22 00016285 09/01/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
MW OH REDIFER, KIM R SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 770.00 SEPTEMBER 22 00016286 09/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
MW OH RENDEN, BRIAN SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 917.50 SEPTEMBER 22 00016287 09/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
MW OH REYES, ROGER T SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016288 09/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 35
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000024 Health Insurance Premiums
Check Total: 535.78
MW OH REYNOLDS, MATTHEW SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 563.43 SEPTEMBER 22 00016289 09/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
MW OH RICE, RUSSELL J SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,393.00 SEPTEMBER 22 00016290 09/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
MW OH RIVERA, AIDA SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 193.39 SEPTEMBER 22 00016291 09/01/2022 E000026 Health Insurance Premiums
Check Total: 193.39
MW OH ROACH, MICHAEL SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,393.00 SEPTEMBER 22 00016292 09/01/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
MW OH ROBB, SANDRA SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 193.39 SEPTEMBER 22 00016293 09/01/2022 E000043 Health Insurance Premiums
Check Total: 193.39
MW OH ROSE, RICHARD D SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,123.51 SEPTEMBER 22 00016294 09/01/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
MW OH SALE, LEE R SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016295 09/01/2022 E000031 Health Insurance Premiums
Check Total: 535.78
MW OH SANCHEZ, LAURA SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 193.39 SEPTEMBER 22 00016296 09/01/2022 E000058 Health Insurance Premiums
Check Total: 193.39
MW OH SCHLIEDER, BEVERLY SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 878.44 SEPTEMBER 22 00016297 09/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 36
08/29/2022 :Date
10:13:12 :Time

City of Placentia
Check Register
For 08/29/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000120 Health Insurance Premiums
Check Total: 878.44
MW OH SMITH, WARD SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 586.00 SEPTEMBER 22 00016298 09/01/2022 E000128 Health Insurance Premiums
Check Total: 586.00
MW OH SOTO, PHILIP J SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016299 09/01/2022 E000052 Health Insurance Premiums
Check Total: 535.78
MW OH SPRAGUE, GARY A SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,745.00 SEPTEMBER 22 00016300 09/01/2022 E000064 Health Insurance Premiums
Check Total: 1,745.00
MW OH STEPHEN, JEFFREY SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 1,283.16 SEPTEMBER 22 00016301 09/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
MW OH TAYLOR, DAVID M SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 586.00 SEPTEMBER 22 00016302 09/01/2022 E000088 Health Insurance Premiums
Check Total: 586.00
MW OH TAYLOR, LINDA SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 426.56 SEPTEMBER 22 00016303 09/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
MW OH THOMANN, DARYLL L SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 535.78 SEPTEMBER 22 00016304 09/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
MW OH TRIFOS, WILLIAM SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 770.00 SEPTEMBER 22 00016305 09/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
MW OH VALENTINE, THOMAS SEPT MEDICAL REIMBURSEMENT 395083-5161 ACH090122 586.00 SEPTEMBER 22 00016306 09/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 37
08/29/2022 :Date
10:13:12 :Time

Type
Vendor Name/ID
E000118

MW OH VERSTYNEN, WILLIAM
E000092

MW OH WAHL, KATHLEEN A
E000030

MW OH WIEST, STEPHEN
E000079

MW OH WORDEN, LARRY M
E000116

MW OH YAMAGUCHI, BRIAN
E000123

MW OH ZINN, JOHN
E000009
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
SEPT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums

MW OH REPUBLIC WASTE SERVICESIULY REFUSE COLLECTION SVS V007205

MW OH CALIFORNIA PUBLIC
V006234

MW OH CALIFORNIA PUBLIC
V006234

SEPT MEDICAL INSURANCE

SEPT MEDICAL INSURANCE
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
374386-6101
Disposal
395083-5161
Health Insurance Premiums
395000-4715
ISF Health Ins Reimbursement
Page: 38
Batch ID
Check Total:

ACH090122
Check Total:

ACH090122
Check Total:

ACH090122
Check Total:

ACH090122
Check Total:

ACH090122
Check Total:

ACH090122
Check Total:

Amount Invoice#
586.00
145.65 SEPTEMBER 22
145.65
193.00 SEPTEMBER 22
193.00
536.00 SEPTEMBER 22
536.00
586.00 SEPTEMBER 22
586.00
1,393.00 SEPTEMBER 22
1,393.00
1,290.56 SEPTEMBER 22
1,290.56
PO # Check # Check Date
00016307 09/01/2022
00016308 09/01/2022
00016309 09/01/2022
00016310 09/01/2022
00016311 09/01/2022
00016312 09/01/2022
00016314 08/30/2022
00016315 08/30/2022
00016315 08/30/2022
ACH082922 308,532.38 676-004897774 P12525
Check Total: 308,532.38
ACH083022 15,184.64 10000001690565
ACH083022 163,784.98 10000001690565
08/29/2022 :Date
10:13:12 :Time

Type Vendor Name/ID
Description
City of Placentia
Check Register
For 08/29/2022
Account/Description
MW OH CALIFORNIA PUBLIC SEPT FIRE MEDICAL INSURANCE 395000-4715 V006234 ISF Health Ins Reimbursement
User: Teri Knutson
Report: AP1400M : AP: Warrant List- Machine
Page: 39
Batch ID Amount Invoice# PO # Check # Check Date
ACH083022 33,774.41 10000001690565 00016315 08/30/2022
Check Total: 212,744.03
Type Total: 1,855,585.34
Check Total: 1,855,585.34
08/29/2022 :Date
10:13:12 :Time

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