City of Placentia
ACH Check Register
For 10/04/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Totals by ID
AP 804,147.01
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)
605 -Risk Management (0040)
Cheek Totals by Fund
357,251.64
1,396.96
92.48 3,779.29
1,353.40
6,720.85
314,014.45
58,566.07
60,971.87
Check Total: 804,147.01
Grand Total: 804,147.01
Void Total: 0.00
Check Total: 804,147.01
ACH Payroll Direct Deposit for 09/16/2022: 730,221.09
Electronic Disbursement Total: 1,326,244.51
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
09/29/2022 :Date
08:05:26 :Time
Type
Vendor Name/ID
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
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
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
STATE TAX Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
FED/MED/SS Q1 PTO BUYBACKS
User: Teri Knutson
Report: AP1400M : AP: Warrant List- Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
0048-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0037-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0054-2120
Employer Medicare 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
Page: 1
Batch ID
ACH091522
ACH091522
ACH091522
ACH091522
ACH091522
Check Total:
ACH091522
ACH091522
ACH091522
ACH091522
ACH091522
ACH091522
ACH091522
ACH091522
ACH091522
Amount Invoice#
127.54 PR2201119
25.32 PR2201119
24.09 PR2201119
249.37 PR2201119
3,870.53 PR2201119
4,296.85
64.31 PR2201119
47.08 PR2201119
5.56 PR2201119
12,901.73 PR2201119
80.32 PR2201119
831.23 PR2201119
425.12 PR2201119
84.41 PR2201119
5.56 PR2201119
PO # Check # Check Date
00016338 09/15/2022
00016338 09/15/2022
00016338 09/15/2022
00016338 09/15/2022
00016338 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
00016339 09/15/2022
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID Description
City of Placentia
Check Register
For 09/28/2022
Account/Description
MW OH INTERNAL REVENUE FED/MED/SS Q1 PTO BUYBACKS 0048-2115 V010054 Employee Medicare W/H
MW OH INTERNAL REVENUE FED/MED/SS Q1 PTO BUYBACKS 0037-2115 V010054 Employee Medicare W/H
MW OH INTERNAL REVENUE FED/MED/SS Q1 PTO BUYBACKS 0029-2115 V010054 Employee Medicare W/H
MW 011 INTERNAL REVENUE FED/MED/SS Q1 PTO BUYBACKS 0010-2115 V010054 Employee Medicare W/H
MW OH INTERNAL REVENUE FED/MED/SS Q1 PTO BUYBACKS 0010-2120 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS Q1 PTO BUYBACKS 0029-2120 V010054 Employer Medicare Payable
MW OH CALIFORNIA PUBLIC PERS P/E 9/3 PD 9/9
V010053
MW OH CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
V010053
MW 011 CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
V010053
MW OH CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
V010053
MW OH CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
V010053
MW OH CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
V010053
MW OH CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
V010053
MW 011 CALIFORNIA PUBLIC 8/16-31 IVY PRUNING SVS
0010-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0076-2140
Employee PERS W/H
0054-2145
V010053 Employee PERS Payback W/H
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 2
Batch ID Amount Invoice# PO # Check # Check Date
ACH091522 47.08 PR2201119 00016339 09/15/2022
ACH091522 64.31 PR2201119 00016339 09/15/2022
ACH091522 26.16 PR2201119 00016339 09/15/2022
ACH091522 1,348.03 PR2201119 00016339 09/15/2022
ACH091522 1,348.03 PR2201119 00016339 09/15/2022
ACH091522 26.16 PR2201119 00016339 09/15/2022
Check Total: 17,305.09
ACH092022 102,214.70 PR2201018 00016340 09/20/2022
ACH092022 371.70 PR2201018 00016340 09/20/2022
ACH092022 1,234.05 PR2201018 00016340 09/20/2022
ACH092022 1,885.26 PR2201018 00016340 09/20/2022
ACH092022 377.24 PR2201018 00016340 09/20/2022
ACH092022 1,490.65 PR2201018 00016340 09/20/2022
ACH092022 7.54 PR2201018 00016340 09/20/2022
ACH092022 12.94 PR2201018 00016340 09/20/2022
09/28/2022 :Date
14:13:10 :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 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 011 CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053
MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
Description
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
8/16-31 IVY PRUNING SVS
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
0048-2145
Employee PERS Payback W/H
0037-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0010-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0048-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
0029-2145
Employee PERS Payback W/H
0010-2195
PERS Uniform
0048-2195
PERS Uniform
0061-2195
PERS Uniform
0029-2195
Page: 3
Batch ID
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
ACH092022
Amount Invoice# PO # Check # Check Date
4.40 PR2201018
18.11 PR2201018
220.71 PR2201018
134.23 PR2201018
0.94 PR2201018
2.02 PR2201018
0.41 PR2201018
3.34 PR2201018
0.05 PR2201018
0.93 PR2201018
2.59 PR2201018
25.13 PR2201018
0.61 PR2201018
1.04 PR2201018
0.04 PR2201018
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
00016340 09/20/2022
09/28/2022 :Date
14:13:10 :Time
Type
Vendor Name/ID
V010053
Description
MW OH REPUBLIC WASTE SERVICESAUG REFUSE COLLECTION SVS
V007205
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 9/17 PD 9/23
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
PERS Uniform
374386-6101
Disposal
0048-2195
PERS Uniform
0061-2195
PERS Uniform
0010-2195
PERS Uniform
0010-2145
Employee PERS Payback W/H
0076-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0048-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0029-2145
Page: 4
Batch ID Amount Invoice# PO # Check # Check Date
Check Total: 108,008.63
ACH092222 308,532.38 676-004935750 P12525 00016341 09/22/2022 Check Total: 308,532.38
ACH092722 0.60 PR2201019 00016342 09/27/2022
ACH092722 1.04 PR2201019 00016342 09/27/2022
ACH092722 25.18 PR2201019 00016342 09/27/2022
ACH092722 220.71 PR2201019 00016342 09/27/2022
ACH092722 0.04 PR2201019 00016342 09/27/2022
ACH092722 0.93 PR2201019 00016342 09/27/2022
ACH092722 2.02 PR2201019 00016342 09/27/2022
ACH092722 3.33 PR2201019 00016342 09/27/2022
ACH092722 0.41 PR2201019 00016342 09/27/2022
ACH092722 127.24 PR2201019 00016342 09/27/2022
ACH092722 0.88 PR2201019 00016342 09/27/2022
ACH092722 2.59 PR2201019 00016342 09/27/2022
09/28/2022 :Date
14:13:10 :Time
Type
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
MW OH ALDWIR, MAMOUN
E000113
MW OH ANDERSON, MARLA
E000071
Description
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
PERS P/E 9/17 PD 9/23
City of Placentia
Check Register
For 09/28/2022
Account/Description
Employee PERS Payback W/H
0037-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0076-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
OCT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
OCT MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 5
Batch ID
ACH092722
ACH092722
ACH092722
ACH092722
ACH092722
ACH092722
ACH092722
ACH092722
ACH092722
Amount Invoice#
18.11 PR2201019
12.94 PR2201019
4.40 PR2201019
24.36 PR2201019
1,490.65 PR2201019
1,888.79 PR2201019
377.23 PR2201019
1,249.17 PR2201019
362.60 PR2201019
ACH092722 101,758.40 PR2201019
Check Total: 107,571.62
ACH100122 1,295.00 OCTOBER 22
Check Total:
1,295.00
ACH100122 535.78 OCTOBER 22
Check Total:
535.78
PO # Check # Check Date
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016342 09/27/2022
00016343 09/30/2022
00016344 09/30/2022
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH ARMSTRONG, JOHN T OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,080.65 OCTOBER 22 00016345 09/30/2022 E000046 Health Insurance Premiums
Check Total: 1,080.65
MW OH AUDISS, JAY SCOTT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,823.00 OCTOBER 22 00016346 09/30/2022 E000125 Health Insurance Premiums
Check Total: 1,823.00
MW OH BABCOCK, CHARLES A OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 312.00 OCTOBER 22 00016347 09/30/2022 E000015 Health Insurance Premiums
Check Total: 312.00
MW OH BEALS, SHARLENE OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER22 00016348 09/30/2022 E000076 Health Insurance Premiums
Check Total: 193.39
MW OH BERMUDEZ, ALBERT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 527.48 OCTOBER 22 00016349 09/30/2022 E000124 Health Insurance Premiums
Check Total: 527.48
MW OH BUNNELL, DONALD OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016350 09/30/2022 E000062 Health Insurance Premiums
Check Total: 535.78
MW OH BURGNER, ARTHUR OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016351 09/30/2022 E000074 Health Insurance Premiums
Check Total: 535.78
MW OH BUSSE, MICHAEL OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,326.00 OCTOBER 22 00016352 09/30/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
MW OH CHANDLER, JOHN P OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 • 1,393.00 OCTOBER 22 00016353 09/30/2022 E000109 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 6
Check Total: 1,393.00
09/28/2022 :Date
14:13:10 :Time
City of Placentia
Check Register
For 09/28/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH CHANG, ROBERT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,290.00 OCTOBER 22 00016354 09/30/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
MW OH COBBETT, GEOFFREY OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016355 09/30/2022 E000007 Health Insurance Premiums
Check Total: 535.78
MW 014 COOK, ARLENE M OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016356 09/30/2022 E000018 Health Insurance Premiums
Check Total: 535.78
MW OH D'AMATO, ROBERT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER 22 00016357 09/30/2022 E000056 Health Insurance Premiums
Check Total: 193.39
MW OH DAVID, PRESTON OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016358 09/30/2022 E000112 Health Insurance Premiums
Check Total: 535.78
MW OH DAVIS, CAROLYN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016359 09/30/2022 E000005 Health Insurance Premiums
Check Total: 535.78
MW OH DEAN, ANDREW OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,823.00 OCTOBER 22 00016360 09/30/2022 E000135 Health Insurance Premiums
Check Total: 1,823.00
MW OH DELOS SANTOS, JAMIE OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 153.53 OCTOBER 22 00016361 09/30/2022 E000045 Health Insurance Premiums
Check Total: 153.53
MW OH DICKSON, ROBERTA JO OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER 22 00016362 09/30/2022 E000011 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 7
Check Total: 193.39
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH DOWNEY, CAROL NOV MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016363 09/30/2022 E000082 Health Insurance Premiums
Check Total: 535.78
MW OH ECKENRODE, NORMAN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016364 09/30/2022 E000029 Health Insurance Premiums
Check Total: 535.78
MW OH ESCOBOSA, LILLIAN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016365 09/30/2022 E000055 Health Insurance Premiums
Check Total: 535.78
MW OH ESPINOZA, ROSALINDA OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 573.00 OCTOBER 22 00016366 09/30/2022 E000016 Health Insurance Premiums
Check Total: 573.00
MW OH FRICKE, JUERGEN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 770.00 OCTOBER 22 00016367 09/30/2022 E000075 Health Insurance Premiums
Check Total: 770.00
MW OH FULLER, GLENN H OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 770.00 OCTOBER 22 00016368 09/30/2022 E000081 Health Insurance Premiums
Check Total: 770.00
MW OH GALLANT, KAREN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016369 09/30/2022 E000008 Health Insurance Premiums
Check Total: 535.78
MW OH GARNER, JO ANN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016370 09/30/2022 E000047 Health Insurance Premiums
Check Total: 535.78
MW OH GARNER, KITTY OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 878.44 OCTOBER 22 00016371 09/30/2022 E000080 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 8
Check Total: 878.44
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH GRIMM, DENNIS L OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 586.00 OCTOBER 22 00016372 09/30/2022 E000042 Health Insurance Premiums
Check Total: 586.00
MW OH HOLTSCLAW, KATHERINE OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 557.02 OCTOBER 22 00016373 09/30/2022 E000121 Health Insurance Premiums
Check Total: 557.02
MW 011 IRVINE, SUZETTE OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016374 09/30/2022 E000019 Health Insurance Premiums
Check Total: 535.78
MW OH JENKINS, ROBERT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 614.88 OCTOBER 22 00016375 09/30/2022 E000084 Health Insurance Premiums
Check Total: 614.88
MW OH JOHNSON, SHARON OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER 22 00016376 09/30/2022 E000099 Health Insurance Premiums
Check Total: 193.39
MW OH JONES, ROBERT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 145.65 OCTOBER 22 00016377 09/30/2022 E000053 Health Insurance Premiums
Check Total: 145.65
MW OH JUAREZ, JANET OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 145.65 OCTOBER 22 00016378 09/30/2022 E000134 Health Insurance Premiums
Check Total: 145.65
MW OH JUDD, TERRELL NOV MEDICAL REIMBURSEMENT 395083-5161 ACH100122 887.67 OCTOBER 22 00016379 09/30/2022 E000115 Health Insurance Premiums
Check Total: 887.67
MW OH KIRKLAND, RICHARD L OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 145.65 OCTOBER 22 00016380 09/30/2022 E000110 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 9
Check Total: 145.65
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH LITTLE, DIANE M OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 232.94 OCTOBER 22 00016381 09/30/2022 E000098 Health Insurance Premiums
Check Total: 232.94
MW OH LOOMIS, CORINNE OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 563.43 OCTOBER 22 00016382 09/30/2022 E000122 Health Insurance Premiums
Check Total: 563.43
MW OH LOWREY, B J OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 312.00 OCTOBER 22 00016383 09/30/2022 E000041 Health Insurance Premiums
Check Total: 312.00
MW OH MAERTZWEILER, MICHAEL DCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016384 09/30/2022 E000032 Health Insurance Premiums
Check Total: 535.78
MW OH MILANO, JAMES OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016385 09/30/2022 E000054 Health Insurance Premiums
Check Total: 535.78
MW OH MILLER, RICHARD OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,124.00 OCTOBER 22 00016386 09/30/2022 E000106 Health Insurance Premiums
Check Total: 1,124.00
MW OH OLEA, ARLENE J OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016387 09/30/2022 E000014 Health Insurance Premiums
Check Total: 535.78
MW OH PALMER, GEORGE OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,145.00 OCTOBER 22 00016388 09/30/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
MW OH PASCARELLA, RICHARD OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,745.00 OCTOBER 22 00016389 09/30/2022 E000129 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 10
Check Total: 1,745.00
09/28/2022 :Date
14:13:10 :Time
City of Placentia
Check Register
For 09/28/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH PASCUA, RAYNALD OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,728.00 OCTOBER 22 00016390 09/30/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
MW OH PASPALL, MIHAJLO OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 440.30 OCTOBER 22 00016391 09/30/2022 E000085 Health Insurance Premiums
Check Total: 440.30
MW 011 PEREZ, ROBERT OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 145.65 OCTOBER 22 00016392 09/30/2022 E000111 Health Insurance Premiums
Check Total: 145.65
MW OH PICHON, WALTER OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 232.94 OCTOBER 22 00016393 09/30/2022 E000103 Health Insurance Premiums
Check Total: 232.94
MW OH PINEDA, MATEO OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 456.06 OCTOBER 22 00016394 09/30/2022 E000127 Health Insurance Premiums
Check Total: 456.06
MW OH PISCHEL, STEPHEN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 816.19 OCTOBER 22 00016395 09/30/2022 E000130 Health Insurance Premiums
Check Total: 816.19
MW OH POINT, ERIC OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,823.00 OCTOBER 22 00016396 09/30/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
MW OH REDIFER, KIM R OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 770.00 OCTOBER 22 00016397 09/30/2022 E000022 Health Insurance Premiums
Check Total: 770.00
MW 011 RENDEN, BRIAN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 917.50 OCTOBER 22 00016398 09/30/2022 E000083 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 11
Check Total: 917.50
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH REYES, ROGER T OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016399 09/30/2022 E000024 Health Insurance Premiums
Check Total: 535.78
MW OH REYNOLDS, MATTHEW OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 563.43 OCTOBER 22 00016400 09/30/2022 E000132 Health Insurance Premiums
Check Total: 563.43
MW OH RICE, RUSSELL J OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,393.00 OCTOBER 22 00016401 09/30/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
MW OH RIVERA, AIDA OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER 22 00016402 09/30/2022 E000026 Health Insurance Premiums
Check Total: 193.39
MW OH ROACH, MICHAEL OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,393.00 OCTOBER 22 00016403 09/30/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
MW OH ROBB, SANDRA OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER 22 00016404 09/30/2022 E000043 Health Insurance Premiums
Check Total: 193.39
MW OH ROSE, RICHARD D OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,123.51 OCTOBER 22 00016405 09/30/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
MW OH SALE, LEE R OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016406 09/30/2022 E000031 Health Insurance Premiums
Check Total: 535.78
MW OH SANCHEZ, LAURA OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.39 OCTOBER 22 00016407 09/30/2022 E000058 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 12
Check Total: 193.39
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/1D
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH SCHLIEDER, BEVERLY OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 878.44 OCTOBER 22 00016408 09/30/2022 E000120 Health Insurance Premiums
Check Total: 878.44
MW OH SMITH, WARD OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 586.00 OCTOBER 22 00016409 09/30/2022 E000128 Health Insurance Premiums
Check Total: 586.00
MW OH SOTO, PHILIP J OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016410 09/30/2022 E000052 Health Insurance Premiums
Check Total: 535.78
MW OH SPRAGUE, GARY A OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,644.00 OCTOBER 22 00016411 09/30/2022 E000064 Health Insurance Premiums
Check Total: 1,644.00
MW OH STEPHEN, JEFFREY OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,283.16 OCTOBER 22 00016412 09/30/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
MW OH TAYLOR, DAVID M OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 586.00 OCTOBER 22 00016413 09/30/2022 E000088 Health Insurance Premiums
Check Total: 586.00
MW OH TAYLOR, LINDA OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 426.56 OCTOBER 22 00016414 09/30/2022 E000126 Health Insurance Premiums
Check Total: 426.56
MW OH THOMANN, DARYLL L OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 535.78 OCTOBER 22 00016415 09/30/2022 E000101 Health Insurance Premiums
Check Total: 535.78
MW OH TRIFOS, WILLIAM OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 770.00 OCTOBER 22 00016416 09/30/2022 E000104 Health Insurance Premiums
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 13
Check Total: 770.00
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 09/28/2022
Account/Description Batch ID Amount Invoice# PO #
Check # Check Date
MW OH VALENTINE, THOMAS OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 586.00 OCTOBER 22 00016417 09/30/2022 E000118 Health Insurance Premiums
Check Total: 586.00
MW OH VERSTYNEN, WILLIAM OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 145.65 OCTOBER 22 00016418 09/30/2022 E000092 Health Insurance Premiums
Check Total: 145.65
MW OH WAHL, KATHLEEN A OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 193.00 OCTOBER 22 00016419 09/30/2022 E000030 Health Insurance Premiums
Check Total: 193.00
MW OH WIEST, STEPHEN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 536.00 OCTOBER 22 00016420 09/30/2022 E000079 Health Insurance Premiums
Check Total: 536.00
MW OH WORDEN, LARRY M OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 586.00 OCTOBER 22 00016421 09/30/2022 E000116 Health Insurance Premiums
Check Total: 586.00
MW OH YAMAGUCHI, BRIAN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,393.00 OCTOBER 22 00016422 09/30/2022 E000123 Health Insurance Premiums
Check Total: 1,393.00
MW OH ZINN, JOHN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH100122 1,290.56 OCTOBER 22 00016423 09/30/2022 E000009 Health Insurance Premiums
Check Total: 1,290.56
MW OH ADMINSURE AUG WORKERS COMP CLAIMS 404580-5165 ACH092822 60,971.87 AUGUST 22 00016424 09/28/2022 V011303 Workers' Compensation Claims
Check Total: 60,971.87
MW OH AMERICAN FIDELITY P/E 9/17 PD 9/23 0010-2188 ACH092822 592.99 6061707 00016425 09/28/2022 VO10011 Health Care SSA
MW OH AMERICAN FIDELITY P/E 9/17 PD 9/23 0037-2188 ACH092822 8.02 6061707 00016425 09/28/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 14
09/28/2022 :Date
14:13:10 :Time
Type
MW OH
MW 011
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW 011
MW 011
Vendor Name/ID
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
V010011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
V010011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
AMERICAN FIDELITY
VO10011
Description
P/E 9/17 PD 9/23 0054-2188
Health Care SSA
P/E 9/17 PD 9/23 0048-2188
Health Care SSA
P/E 9/17 PD 9/23 0010-2190
Dependent Care SSA
SEPT PAYROLL DEDUCTIONS
SEPT PAYROLL DEDUCTIONS
SEPT PAYROLL DEDUCTIONS 0054-2155
Per Sec Plan - Opt. Life
SEPT PAYROLL DEDUCTIONS
SEPT PAYROLL DEDUCTIONS 0029-2155
Per Sec Plan - Opt. Life
SEPT PAYROLL DEDUCTIONS 0010-2155
Per Sec Plan - Opt. Life
SEPT PAYROLL DEDUCTIONS 395000-2187
Voluntary Plan Life
City of Placentia
Check Register
For 09/28/2022
Account/Description
Health Care SSA
0076-2155
Per Sec Plan - Opt. Life
0048-2155
Per Sec Plan - Opt. Life
0037-2155
Per Sec Plan - Opt. Life
MW OH CALIFORNIA STATE P/E 9/17 PD 9/23
V004813
MW OH CALIFORNIA STATE P/E 9/17 PD 9/23
V004813
MW OH CALIFORNIA STATE P/E 9/17 PD 9/23
V004813
MW 011 CALIFORNIA STATE P/E 9/17 PD 9/23
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
0010-2196
Garnishments W/H
0048-2196
Garnishments W/11
0029-2196
Garnishments W/11
0037-2196
Page: 15
Batch ID
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
Check Total:
ACH092822
ACH092822
ACH092822
ACH092822
Amount Invoice#
5.73 6061707
5.73 6061707
416.33 6061707
1.50 D499790
116.30 D499790
10.26 D499790
18.00 D499790
14.90 D499790
2,252.40 D499790
1,569.80 D499790
5,011.96
2,093.06 2201019
46.15 2201019
9.23 2201019
69.23 2201019
PO # Check # Check Date
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016425 09/28/2022
00016426 09/28/2022
00016426 09/28/2022
00016426 09/28/2022
00016426 09/28/2022
09/28/2022 :Date
14:13:10 :Time
Type
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
Vendor Name/ID
V004813
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
Description
STATE TAX P/E 9/17 PD 9/23
STATE TAX P/E 9/17 PD 9/23
STATE TAX P/E 9/17 PD 9/23
STATE TAX P/E 9/17 PD 9/23
STATE TAX P/E 9/17 PD 9/23
STATE TAX P/E 9/17 PD 9/23
STATE TAX P/E 9/17 PD 9/23
STATE TAX 2021 RETRO
STATE TAX 2021 RETRO
STATE TAX 2021 RETRO
STATE TAX 2021 RETRO
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
Garnishments W/H
Batch ID
Amount Invoice#
Check Total: 2,217.67
0010-2135 ACH092822 32,147.16 2201019
Calif Income Tax W/H
0029-2135 ACH092822 89.97 2201019
Calif Income Tax W/H
0054-2135 ACH092822 118.47 2201019
Calif Income Tax Will
0037-2135 ACH092822 421.72 2201019
Calif Income Tax W/H
0076-2135 ACH092822 16.34 2201019
Calif Income Tax W/H
0061-2135 ACH092822 295.88 2201019
Calif Income Tax W/H
0048-2135 ACH092822 519.85 2201019
Calif Income Tax W/H
0048-2135 ACH092822 40.66 PR2201820
Calif Income Tax W/H
0054-2135 ACH092822 40.66 PR2201820
Calif Income Tax W/H
0037-2135 ACH092822 56.92 PR2201820
Calif Income Tax W/H
0010-2135 ACH092822 674.96 PR2201820
Calif Income Tax W/H
Check Total: 34,422.59
0076-2120 ACH092822 3.55 PR2201019
Employer Medicare Payable
0061-2120 ACH092822 68.62 PR2201019
Page: 16
PO # Check # Check Date
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016427 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
09/28/2022 :Date
14:13:10 :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 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0061-2115
Employee Medicare W/H
0061-2110
Federal Income Tax W/H
0076-2110
Federal Income Tax W/H
0076-2115
Employee Medicare W/H
Page: 17
Batch ID Amount Invoice#
ACH092822 35.92 PR2201019
ACH092822 188.55 PR2201019
ACH092822 42.46 PR2201019
ACH092822 10,175.83 PR2201019
ACH092822 121.93 PR2201019
ACH092822 10,264.44 PR2201019
ACH092822 193.89 PR2201019
ACH092822 42.46 PR2201019
ACH092822 129.40 PR2201019
ACH092822 41.26 PR2201019
ACH092822 68.62 PR2201019
ACH092822 360.93 PR2201019
ACH092822 35.55 PR2201019
ACH092822 3.55 PR2201019
PO # Check # Check Date
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
09/28/2022 :Date
14:13:10 :Time
Type Vendor Name/ID
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
V010054
MW OH INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
FED/MED/SS P/E 9/17 PD 9/23
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MEDICARE TAX 2021 RETRO
MW OH WASHINGTON STATE P/E 9/17 PD 9/23
V011597
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
0048-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
0029-2110
Federal Income Tax W/H
0037-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0037-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0048-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0010-2196
Garnishments W/H
Page: 18
Batch ID
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
ACH092822
Check Total: 98,410.55
ACH092822 401.53 2201019
Amount Invoice#
1,156.72 PR2201019
227.18 PR2201019
256.31 PR2201019
902.52 PR2201019
73,781.85 PR2201019
9.56 PR2201820
9.55 PR2201820
13.38 PR2201820
8.25 PR2201820
97.86 PR2201820
158.61 PR2201820
5.90 PR2201820
5.90 PR2201820
PO # Check # Check Date
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016428 09/28/2022
00016429 09/28/2022
09/28/2022 :Date
14:13:10 :Time
Type
Vendor Name/ID
Description
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 09/28/2022
Account/Description
Page: 19
Batch ID
Check Total:
Type Total:
Check Total:
Amount Invoice# PO # Check # Check Date
401.53
804,147.01
804,147.01
09/28/2022 :Date
14:13:10 :Time