1.B.1 ELECTRONIC DISBURSEMENT — Placentia City Council, November 15, 2022

City of Placentia
ACH Check Register
For 11/15/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Grand Total: 1,165,372.45
Check Totals by ID
AP 1,165,372.45
EP 0.00
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
208-Sccssr Agncy Ret Oblg (0054)
225 -Asset Seizure (0021)
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)
Cheri( Totals by Fund
720,771.28
1,618.46

5.73 695.98
5,293.36
1,805.77
8,212.17
306,262.49
59,102.07
30,802.57
Check Total: 1,134,569.88
Void Total:

Check Total:

ACH Payroll Direct Deposit for 11/04/2022: 568,918.78
Electronic Disbursement Total: 1,703,488.66
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
30,802.57
1,134,569.88
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date RV ADMINSURE SEP WORKER'S COMP CLAIMS 404580-5165 ACH102722 30,802.57 SEPTEMBER 22 00125125 10/31/2022 V004980 Workers' Compensation Claims
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 1
Check Total: 30,802.57
Type Total: 30,802.57
Void Total: 30,802.57
11/09/2022 :Date
09:15:17 :Time

Type
Vendor Name/ID

MW OH LEGAL SHIELD
V008104

MW OH LEGAL SHIELD
V008104
Description

LEGAL SVS

LEGAL SVS
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
0010-2192
Police Legal Services
0010-2192
Police Legal Services
0048-2192
Police Legal Services
0048-2192
Police Legal Services
Page: 2
Batch ID
ACH101322
ACH101322
ACH101322
ACH101322
Check Total:

Type Total:

Check Total:

Amount Invoice#

50.95 2201020

50.96 2201020

8.32 2201020

8.32 2201020
118.55
118.55
118.55
PO # Check # Check Date
00124972 10/17/2022
00124972 10/17/2022
00124972 10/17/2022
00124972 10/17/2022
11/09/2022 :Date
09:15:17 :Time

Type Vendor Name/ID
Description
MW OH 76 GUN BUY BACK GIFT CARDS
V012361

MW OH AMAZON GUN BUY BACK GIFT CARDS
V012360
MW OH AMERICAN FIDELITY P/E 10/01 PD 10/07
VO10011
MW OH AMERICAN FIDELITY P/E 10/01 PD 10/07
VO10011
MW OH AMERICAN FIDELITY P/E 10/01 PD 10/07
VO10011
MW OH AMERICAN FIDELITY P/E 10/01 PD 10/07
VO10011
MW OH AMERICAN FIDELITY P/E 10/01 PD 10/07
VO10011
MW 011 CALIFORNIA STATE P/E 10/1 PD 10/7
V004813

MW OH CALIFORNIA STATE
V004813

MW OH EMPLOYMENT
V010052
P/E 10/1 PD 10/7
P/E 10/1 PD 10/7
P/E 10/1 PD 10/7
STATE TAX P/E 10/1 PD 10/7
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
103040-6301
Special Department Expenses
103040-6301
Special Department Expenses
0010-2188
Health Care SSA
0010-2190
Dependent Care SSA
0037-2188
Health Care SSA
0048-2188
Health Care SSA
0021-2188
Health Care SSA
0010-2196
Garnishments W/H
0029-2196
Garnishments W/H
0048-2196
Garnishments W/H
0037-2196
Garnishments W/H
0010-2135
Calif Income Tax W/H
Page: 3
Batch ID
Amount Invoice#
ACH101722 110,000.00 101722
Check Total: 110,000.00
ACH101722 110,000.00 16654218572511
Check Total: 110,000.00
ACH101322 592.99 2201020
ACH101322 416.33 2201020
ACH101322 8.02 2201020
ACH101322 5.73 2201020
ACH101322 5.73 2201020
Check Total: 1,028.80
ACH101322 2,093.06 2201020
ACH101322 9.23 2201020
ACH101322 46.15 2201020
ACH101322 69.23 2201020
Check Total:

ACH101322
2,217.67
30,358.58 V010052
PO # Check # Check Date
00016440 10/17/2022
00016441 10/17/2022
00016442 10/17/2022
00016442 10/17/2022
00016442 10/17/2022
00016442 10/17/2022
00016442 10/17/2022
00016443 10/17/2022
00016443 10/17/2022
00016443 10/17/2022
00016443 10/17/2022
00016444 10/17/2022
11/09/2022 :Date
09:15:17 :Time

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

EMPLOYMENT
V010052

EMPLOYMENT
V010052
Description
STATE TAX P/E 10/1 PD 10/7
STATE TAX P/E 10/1 PD 10/7
STATE TAX P/E 10/1 PD 10/7
STATE TAX P/E 10/1 PD 10/7
STATE TAX P/E 10/1 PD 10/7
STATE TAX P/E 10/1 PD 10/7
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/1 PD 10/7
V010054
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/1 PD 10/7
V010054
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/1 PD 10/7
V010054
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/1 PD 10/7
V010054
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/1 PD 10/7
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
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
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0054-2120
Employer Medicare Payable
0061-2120
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0010-2125
Employee Social Sec W/H
0010-2130
Employer Soc Sec Payable
0029-2110
Federal Income Tax W/H
0037-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
Page: 4
Batch ID
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
Check Total:

Amount Invoice#
137.56 V010052
416.92 V010052
287.17 V010052

66.11 V010052
118.47 V010052
565.52 V010052
31,950.33
ACH101322 36.39 2201020
ACH101322 67.38 2201020
ACH101322 17.48 2201020
ACH101322 18.60 2201020
ACH101322 18.60 2201020
ACH101322 351.35 2201020
ACH101322 880.47 2201020
ACH101322 71,080.19 2201020
PO # Check # Check Date
00016444 10/17/2022
00016444 10/17/2022
00016444 10/17/2022
00016444 10/17/2022
00016444 10/17/2022
00016444 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
11/09/2022 :Date
09:15:17 :Time

Type
Vendor Name/ID

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
Description
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
FED/MED/SS P/E 10/1 PD 10/7
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
0054-2110
Federal Income Tax 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
0048-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0010-2120
Employer Medicare Payable
0029-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0048-2120
Page: 5
Batch ID
ACH101322
ACH101322
ACH101322
ACH 101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH101322
ACH 101322
ACH101322
Amount Invoice#
219.48 2201020
350.71 2201020
143.72 2201020

17.48 2201020

67.38 2201020
202.00 2201020
129.43 2201020

41.78 2201020

55.09 2201020
9,885.59 2201020
9,796.12 2201020

55.09 2201020
121.89 2201020
196.61 2201020
1,250.33 2201020
PO # Check # Check Date
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
00016445 10/17/2022
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V010054 Employer Medicare Payable
Check Total: 95,003.16
MW OH WASHINGTON STATE P/E10/1 PD 10/7 0010-2196 ACH101822 401.53 2201020 00016446 10/17/2022 V011597 Garnishments W/H
Check Total: 401.53
MW OH REPUBLIC WASTE SERVICESSEPT REFUSE COLLECTION SVS 374386-6101 ACH101922 300,237.26 676-004973809 P12525 00016447 10/26/2022 V007205 Disposal
Check Total: 300,237.26
MW OH WIEST, STEPHEN OCT MEDICAL REIMBURSEMENT 395083-5161 ACH101922 536.00 OCT 2022 00016448 10/26/2022 E000079 Health Insurance Premiums
Check Total: 536.00
MW OH ALDWIR, MAMOUN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,295.00 NOVEMBER 22 00016449 11/01/2022 E000113 Health Insurance Premiums
Check Total: 1,295.00
MW OH ANDERSON, MARLA NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016450 11/01/2022 E000071 Health Insurance Premiums
Check Total: 535.78
MW OH ARMSTRONG, JOHN T NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,080.65 NOVEMBER 22 00016451 11/01/2022 E000046 Health Insurance Premiums
Check Total: 1,080.65
MW OH AUDISS, JAY SCOTT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,823.00 NOVEMBER 22 00016452 11/01/2022 E000125 Health Insurance Premiums
Check Total: 1,823.00
MW OH BABCOCK, CHARLES A NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 312.00 NOVEMBER 22 00016453 11/01/2022 E000015 Health Insurance Premiums
Check Total: 312.00
MW OH BEALS, SHARLENE NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016454 11/01/2022 User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
Page: 6
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000076 Health Insurance Premiums
Check Total: 193.39
MW OH BERMUDEZ, ALBERT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 527.48 NOVEMBER 22 00016455 11/01/2022 E000124 Health Insurance Premiums
Check Total: 527.48
MW OH BUNNELL, DONALD NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016456 11/01/2022 E000062 Health Insurance Premiums
Check Total: 535.78
MW OH BURGNER, ARTHUR NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016457 11/01/2022 E000074 Health Insurance Premiums
Check Total: 535.78
MW OH BUSSE, MICHAEL NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,326.00 NOVEMBER 22 00016458 11/01/2022 E000131 Health Insurance Premiums
Check Total: 1,326.00
MW OH CHANDLER, JOHN P NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,393.00 NOVEMBER 22 00016459 11/01/2022 E000109 Health Insurance Premiums
Check Total: 1,393.00
MW OH CHANG, ROBERT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,290.00 NOVEMBER 22 00016460 11/01/2022 E000107 Health Insurance Premiums
Check Total: 1,290.00
MW OH COBBETT, GEOFFREY NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016461 11/01/2022 E000007 Health Insurance Premiums
Check Total: 535.78
MW OH COOK, ARLENE M NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016462 11/01/2022 E000018 Health Insurance Premiums
Check Total: 535.78
MW OH D'AMATO, ROBERT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016463 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 7
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000056 Health Insurance Premiums
Check Total: 193.39
MW OH DAVID, PRESTON NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016464 11/01/2022 E000112 Health Insurance Premiums
Check Total: 535.78
MW OH DAVIS, CAROLYN DEC MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016465 11/01/2022 E000005 Health Insurance Premiums
Check Total: 535.78
MW OH DEAN, ANDREW NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,823.00 NOVEMBER 22 00016466 11/01/2022 E000135 Health Insurance Premiums
Check Total: 1,823.00
MW OH DELOS SANTOS, JAMIE NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 153.53 NOVEMBER 22 00016467 11/01/2022 E000045 Health Insurance Premiums
Check Total: 153.53
MW OH DICKSON, ROBERTA JO NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016468 11/01/2022 E000011 Health Insurance Premiums
Check Total: 193.39
MW OH DOWNEY, CAROL DEC MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016469 11/01/2022 E000082 Health Insurance Premiums
Check Total: 535.78
MW OH ECKENRODE, NORMAN DEC MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016470 11/01/2022 E000029 Health Insurance Premiums
Check Total: 535.78
MW OH ESCOBOSA, LILLIAN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016471 11/01/2022 E000055 Health Insurance Premiums
Check Total: 535.78
MW OH ESPINOZA, ROSALINDA NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 573.00 NOVEMBER 22 00016472 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 8
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000016 Health Insurance Premiums
Check Total: 573.00
MW OH FRICKE, JUERGEN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 770.00 NOVEMBER 22 00016473 11/01/2022 E000075 Health Insurance Premiums
Check Total: 770.00
MW OH FULLER, GLENN H NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 770.00 NOVEMBER 22 00016474 11/01/2022 E000081 Health Insurance Premiums
Check Total: 770.00
MW OH GALLANT, KAREN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016475 11/01/2022 E000008 Health Insurance Premiums
Check Total: 535.78
MW OH GARNER, JO ANN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016476 11/01/2022 E000047 Health Insurance Premiums
Check Total: 535.78
MW OH GARNER, KITTY NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 878.44 NOVEMBER 22 00016477 11/01/2022 E000080 Health Insurance Premiums
Check Total: 878.44
MW OH GRIMM, DENNIS L NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 586.00 NOVEMBER 22 00016478 11/01/2022 E000042 Health Insurance Premiums
Check Total: 586.00
MW OH HOLTSCLAW, KATHERINE NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 557.02 NOVEMBER 22 00016479 11/01/2022 E000121 Health Insurance Premiums
Check Total: 557.02
MW OH IRVINE, SUZETTE NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016480 11/01/2022 E000019 Health Insurance Premiums
Check Total: 535.78
MW OH JENKINS, ROBERT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 614.88 NOVEMBER 22 00016481 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 9
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000084 Health Insurance Premiums
Check Total: 614.88
MW OH JOHNSON, SHARON NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016482 11/01/2022 E000099 Health Insurance Premiums
Check Total: 193.39
MW OH JONES, ROBERT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 145.65 NOVEMBER 22 00016483 11/01/2022 E000053 Health Insurance Premiums
Check Total: 145.65
MW OH JUAREZ, JANET NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 145.65 NOVEMBER 22 00016484 11/01/2022 E000134 Health Insurance Premiums
Check Total: 145.65
MW OH JUDD, TERRELL DEC MEDICAL REIMBURSEMENT 395083-5161 ACH110122 887.67 NOVEMBER 22 00016485 11/01/2022 E000115 Health Insurance Premiums
Check Total: 887.67
MW OH KIRKLAND, RICHARD L NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 145.65 NOVEMBER 22 00016486 11/01/2022 E000110 Health Insurance Premiums
Check Total: 145.65
MW OH LITTLE, DIANE M NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 232.94 NOVEMBER 22 00016487 11/01/2022 E000098 Health Insurance Premiums
Check Total: 232.94
MW OH LOOMIS, CORINNE NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 563.43 NOVEMBER 22 00016488 11/01/2022 E000122 Health Insurance Premiums
Check Total: 563.43
MW 011 LOWREY, B J NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 312.00 NOVEMBER 22 00016489 11/01/2022 E000041 Health Insurance Premiums
Check Total: 312.00
MW OH MAERTZWEILER, MICHAEL DEC MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016490 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 10
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000032 Health Insurance Premiums
Check Total: 535.78
MW OH MILANO, JAMES NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016491 11/01/2022 E000054 Health Insurance Premiums
Check Total: 535.78
MW OH MILLER, RICHARD NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,124.00 NOVEMBER 22 00016492 11/01/2022 E000106 Health Insurance Premiums
Check Total: 1,124.00
MW OH OLEA, ARLENE J NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016493 11/01/2022 E000014 Health Insurance Premiums
Check Total: 535.78
MW OH PALMER, GEORGE NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,145.00 NOVEMBER 22 00016494 11/01/2022 E000094 Health Insurance Premiums
Check Total: 1,145.00
MW OH PASCARELLA, RICHARD NOV MEDICAL REIMBURSEMENTQ 395083-5161 ACH110122 1,745.00 NOVEMBER 22 00016495 11/01/2022 E000129 Health Insurance Premiums
Check Total: 1,745.00
MW OH PASCUA, RAYNALD NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,728.00 NOVEMBER 22 00016496 11/01/2022 E000114 Health Insurance Premiums
Check Total: 1,728.00
MW OH PASPALL, MIHAJLO NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 440.30 NOVEMBER 22 00016497 11/01/2022 E000085 Health Insurance Premiums
Check Total: 440.30
MW OH PEREZ, ROBERT NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 145.65 NOVEMBER 22 00016498 11/01/2022 E000111 Health Insurance Premiums
Check Total: 145.65
MW 011 PICHON, WALTER NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 232.94 NOVEMBER 22 00016499 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 11
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000103 Health Insurance Premiums
Check Total: 232.94
MW OH PINEDA, MATEO NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 456.06 NOVEMBER 22 00016500 11/01/2022 E000127 Health Insurance Premiums
Check Total: 456.06
MW OH PISCHEL, STEPHEN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 816.19 NOVEMBER 22 00016501 11/01/2022 E000130 Health Insurance Premiums
Check Total: 816.19
MW OH POINT, ERIC NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,823.00 NOVEMBER 22 00016502 11/01/2022 E000133 Health Insurance Premiums
Check Total: 1,823.00
MW OH REDIFER, KIM R NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 770.00 NOVEMBER 22 00016503 11/01/2022 E000022 Health Insurance Premiums
Check Total: 770.00
MW OH RENDEN, BRIAN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 917.50 NOVEMBER 22 00016504 11/01/2022 E000083 Health Insurance Premiums
Check Total: 917.50
MW OH REYES, ROGER T NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016505 11/01/2022 E000024 Health Insurance Premiums
Check Total: 535.78
MW OH REYNOLDS, MATTHEW NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 563.43 NOVEMBER 22 00016506 11/01/2022 E000132 Health Insurance Premiums
Check Total: 563.43
MW OH RICE, RUSSELL J NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,393.00 NOVEMBER 22 00016507 11/01/2022 E000059 Health Insurance Premiums
Check Total: 1,393.00
MW OH RIVERA, AIDA NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016508 11/01/2022 User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
Page: 12
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000026 Health Insurance Premiums
Check Total: 193.39
MW OH ROACH, MICHAEL NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,393.00 NOVEMBER 22 00016509 11/01/2022 E000105 Health Insurance Premiums
Check Total: 1,393.00
MW OH ROBB, SANDRA NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016510 11/01/2022 E000043 Health Insurance Premiums
Check Total: 193.39
MW OH ROSE, RICHARD D NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,123.51 NOVEMBER 22 00016511 11/01/2022 E000050 Health Insurance Premiums
Check Total: 1,123.51
MW OH SALE, LEE R NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016512 11/01/2022 E000031 Health Insurance Premiums
Check Total: 535.78
MW OH SANCHEZ, LAURA NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 193.39 NOVEMBER 22 00016513 11/01/2022 E000058 Health Insurance Premiums
Check Total: 193.39
MW OH SCHLIEDER, BEVERLY NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 878.44 NOVEMBER 22 00016514 11/01/2022 E000120 Health Insurance Premiums
Check Total: 878.44
MW OH SMITH, WARD NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 586.00 NOVEMBER 22 00016515 11/01/2022 E000128 Health Insurance Premiums
Check Total: 586.00
MW OH SOTO, PHILIP J NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016516 11/01/2022 E000052 Health Insurance Premiums
Check Total: 535.78
MW OH SPRAGUE, GARY A NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,644.00 NOVEMBER 22 00016517 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 13
11/09/2022 :Date
09:15:17 :Time

City of Placentia
Check Register
For 11/09/2022
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000064 Health Insurance Premiums
Check Total: 1,644.00
MW OH STEPHEN, JEFFREY NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 1,283.16 NOVEMBER 22 00016518 11/01/2022 E000119 Health Insurance Premiums
Check Total: 1,283.16
MW OH TAYLOR, DAVID M NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 586.00 NOVEMBER 22 00016519 11/01/2022 E000088 Health Insurance Premiums
Check Total: 586.00
MW OH TAYLOR, LINDA NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 426.56 NOVEMBER 22 00016520 11/01/2022 E000126 Health Insurance Premiums
Check Total: 426.56
MW OH THOMANN, DARYLL L NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 535.78 NOVEMBER 22 00016521 11/01/2022 E000101 Health Insurance Premiums
Check Total: 535.78
MW OH TRIFOS, WILLIAM NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 770.00 NOVEMBER 22 00016522 11/01/2022 E000104 Health Insurance Premiums
Check Total: 770.00
MW OH VALENTINE, THOMAS NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 586.00 NOVEMBER 22 00016523 11/01/2022 E000118 Health Insurance Premiums
Check Total: 586.00
MW 011 VERSTYNEN, WILLIAM NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 145.65 NOVEMBER 22 00016524 11/01/2022 E000092 Health Insurance Premiums
Check Total: 145.65
MW 011 WAHL, KATHLEEN A NOV MEDICAL REIMBURSEMENT 395083-5161 ACHI 10122 193.00 NOVEMBER 22 00016525 11/01/2022 E000030 Health Insurance Premiums
Check Total: 193.00
MW OH WIEST, STEPHEN NOV MEDICAL REIMBURSEMENT 395083-5161 ACH110122 536.00 NOVEMBER 22 00016526 11/01/2022 User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
Page: 14
11/09/2022 :Date
09:15:17 :Time

Type
Vendor Name/ID
E000079

MW OH WORDEN, LARRY M
E000116

MW OH YAMAGUCHI, BRIAN
E000123

MW OH ZINN, JOHN
E000009
Description
City of Placentia
Check Register
For 11/09/2022
Account/Description
Health Insurance Premiums
NOV MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
NOV MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
NOV MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011
MW OH AMERICAN FIDELITY FSA P/E 10/15 PD 10/21
VO10011

MW OH AMERICAN FIDELITY OCT PAYROLL DEDUCTION
VO10011

MW OH AMERICAN FIDELITY OCT PAYROLL DEDUCTION
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
0010-2190
Dependent Care SSA
0048-2188
Health Care SSA
0054-2188
Health Care SSA
0054-2190
Dependent Care SSA
0048-2190
Dependent Care SSA
0010-2188
Health Care SSA
0037-2188
Health Care SSA
0010-2155
Per Sec Plan - Opt. Life
0010-2155
Page: 15
Batch ID
Check Total:

ACH110122
Check Total:

ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
Amount Invoice#
536.00
586.00 NOVEMBER 22
586.00
1,393.00 NOVEMBER 22
1,393.00
1,290.56 NOVEMBER 22
1,290.56
416.33 2201021

5.73 2201021

0.00 2201021

0.00 2201021
592.99 2201021

8.02 2201021
2,258.59 D512318

0.00 D512318
PO # Check # Check Date
00016527 11/01/2022
00016528 11/01/2022
00016529 11/01/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW OH
MW 014
MW 01-1
MW OH
Vendor Name/ID
VO10011

AMERICAN FIDELITY
VO10011

AMERICAN FIDELITY
V010011

AMERICAN FIDELITY
VO10011

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
User: Teri Knutson
Description

OCT PAYROLL DEDUCTION

OCT PAYROLL DEDUCTION
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
Per Sec Plan - Opt. Life
0021-2155
Per Sec Plan - Opt. Life
0029-2155
Per Sec Plan - Opt. Life
0037-2155
Per Sec Plan - Opt. Life
0061-2155
Per Sec Plan - Opt. Life
0062-2155
Per Sec Plan - Opt. Life
0076-2155
Per Sec Plan - Opt. Life
0048-2155
Per Sec Plan - Opt. Life
0050-2155
Per Sec Plan - Opt. Life
0054-2155
Per Sec Plan - Opt. Life
395000-2187
Voluntary Plan Life
0037-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0010-2145
Employee PERS Payback W/H
0029-2145
Page: 16
Batch ID Amount Invoice#
ACH102722 0.00 D512318
ACH102722 14.90 D512318
ACH102722 18.00 D512318
ACH102722 0.00 D512318
ACH102722 0.00 D512318
ACH102722 5.33 D512318
ACH102722 106.28 D512318
ACH102722 0.00 D512318
ACH102722 10.26 D512318
ACH102722 1,569.80 D512318
Check Total: 5,011.96
ACH102722 2.02 PR1101020
ACH102722 0.92 PR1101020
ACH102722 220.71 PR1101020
ACH102722 2.59 PR1101020
PO # Check # Check Date
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016530 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type Vendor Name/ID
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053
Description
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
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
0048-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
0029-2195
PERS Uniform
0010-2195
PERS Uniform
0048-2195
PERS Uniform
0010-2150
Survivor Benefit Package
0061-2195
PERS Uniform
0048-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
Page: 17
Batch ID
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH 102722
ACH 102722
ACH102722
ACH102722
ACH 102722
Amount Invoice# PO # Check # Check Date

18.11 PR1101020 00016531 10/31/2022

12.94 PR1101020 00016531 10/31/2022

4.40 PR1101020 00016531 10/31/2022

3.34 PR1101020 00016531 10/31/2022

0.41 PR1101020 00016531 10/31/2022

0.21 PR1101020 00016531 10/31/2022

0.93 PR1101020 00016531 10/31/2022

0.04 PR1101020 00016531 10/31/2022

25.14 PR1101020 00016531 10/31/2022

0.60 PR1101020 00016531 10/31/2022
135.02 PR1101020 00016531 10/31/2022

1.04 PR1101020 00016531 10/31/2022
1,936.34 PR1101020 00016531 10/31/2022
1,490.65 PR1101020 00016531 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type Vendor Name/ID

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 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
Description
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/1 PD 10/07
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
0076-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0010-2140
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
0010-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0048-2195
PERS Uniform
0061-2195
PERS Uniform
0010-2195
Page: 18
Batch ID
ACH102722
ACH102722
ACH102722
Amount Invoice#
128.35 PR1101020
1,249.18 PR1101020
484.53 PR1101020
ACH102722 103,381.24 PR1101020
ACH102722
ACH102722
ACH102722
ACH102722
377.24 PR1101020
361.77 PR2201021

89.11 PR2201021
1,490.65 PR2201021
ACH102722 101,927.65 PR2201021
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
361.07 PR2201021
1,258.55 PR2201021
1,834.59 PR2201021

0.52 PR2201021

1.04 PR2201021

25.24 PR2201021
PO # Check # Check Date
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
00016531 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type Vendor Name/ID
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 011 CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA PUBLIC
V010053

MW OH CALIFORNIA PUBLIC
V010053
MW 011 CALIFORNIA STATE
Description
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
PERS P/E 10/15 PD 10/21
P/E 10/15 PD 10/21
User: Teri Knutson
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
PERS Uniform
0029-2195
PERS Uniform
0061-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0048-2150
Survivor Benefit Package
0048-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0037-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0029-2145
Employee PERS Payback W/H
0010-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0029-2150
Survivor Benefit Package
0048-2196
Page: 19
Batch ID
ACH102722
ACH102722
ACH102722
ACH102722
ACH 102722
ACH102722
ACH102722
ACH102722
ACH 102722
ACH 102722
ACH102722
ACH102722
ACH102722
Check Total:

Amount Invoice# PO # Check # Check Date

0.02 PR2201021 00016531 10/31/2022

0.93 PR2201021 00016531 10/31/2022

0.16 PR2201021 00016531 10/31/2022

0.43 PR2201021 00016531 10/31/2022

3.07 PR2201021 00016531 10/31/2022

4.40 PR2201021 00016531 10/31/2022

12.94 PR2201021 00016531 10/31/2022

18.11 PR2201021 00016531 10/31/2022
220.71 PR2201021 00016531 10/31/2022

2.59 PR2201021 00016531 10/31/2022
126.45 PR2201021 00016531 10/31/2022

2.08 PR2201021 00016531 10/31/2022

0.80 PR2201021 00016531 10/31/2022
217,218.83
ACH102722 46.15 2201021
00016532 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type
MW OH
MW OH
MW OH
Vendor Name/ID
V004813

CALIFORNIA STATE
V004813

MW OH EMPLOYMENT
V010052

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
Description
P/E 10/15 PD 10/21
P/E 10/15 PD 10/21
P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
STATE TAX P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
Garnishments W/H
0037-2196
Garnishments W/H
0010-2196
Garnishments W/H
0029-2196
Garnishments W/H
0054-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0061-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0010-2125
Employee Social Sec W/H
0010-2130
Page: 20
Batch ID
ACH102722
ACH102722
ACH102722
Check Total:

ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH 102722
ACH102722
ACH102722
Check Total:

Amount Invoice#

69.23 2201021
2,196.90 2201021

9.23 2201021
2,321.51
119.56 2201021
503.18 2201021
33,360.07 2201021
513.94 2201021

62.11 2201021

0.00 2201021

77.10 2201021
471.09 2201021
35,107.05
ACH102722 0.00 2201021
ACH102722

0.00 2201021
PO # Check # Check Date
00016532 10/31/2022
00016532 10/31/2022
00016532 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016533 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type
Vendor Name/ID
V010054

MW OH INTERNAL REVENUE
V010054

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

MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
FED/MED/SS P/E 10/15 PD 10/21
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/09/2022
Account/Description
Employer Soc Sec Payable
0076-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0061-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0029-2120
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
0061-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0076-2110
Federal Income Tax W/H
Page: 21
Batch ID
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH 102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
Amount Invoice#

14.63 2201021

36.72 2201021

99.53 2201021
180.11 2201021
10,603.28 2201021
131.06 2201021

36.67 2201021
10,763.69 2201021
193.39 2201021

38.25 2201021
150.43 2201021

99.53 2201021

42.07 2201021
136.66 2201021
PO # Check # Check Date
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Type
Vendor Name/ID

MW OH INTERNAL REVENUE
V010054
Description
City of Placentia
Check Register
For 11/09/2022
Account/Description
FED/MED/SS P/E 10/15 PD 10/21 0076-2115
Employee Medicare W/H
MW OH INTERNAL REVENUE FED/MED/SSP/E 10/15 PD 10/21 0061-2110 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/15 PD 10/21 0010-2110 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/15 PD 10/21 0029-2110 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/15 PD 10/21 0037-2110 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 10/15 PD 10/21 0048-2110 V010054 Federal Income Tax W/H
FED/MED/SS P/E 10/15 PD 10/21

MW OH INTERNAL REVENUE
V010054

MW OH CALIFORNIA PUBLIC NOV FIRE UAL PMT
V006234
MW 011 CALIFORNIA PUBLIC NOV FIRE UAL PMT
V006234
MW OH WASHINGTON STATE P/E 10/15 PD 10/21
V011597

MW OH ADMINSURE SEP WORKER'S COMP CLAIMS
V011303
User: Teri Knutson
Report: AP1400M : AP: Warrant List - Machine
0054-2110
Federal Income Tax W/H
105525-6906
Ca1PERS-Fire Term. Principal
105525-6916
CaIPERS-Fire Term Interest
0010-2196
Garnishments W/H
404580-5165
Workers' Compensation Claims
Page: 22
Batch ID
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
ACH102722
Amount Invoice#

14.63 2201021
822.48 2201021
77,688.28 2201021
168.74 2201021
1,003.39 2201021
1,107.09 2201021
222.27 2201021
Check Total: 103,552.90
ACH102722 30,158.56 NOVEMBER 22
ACH102722
Check Total:

ACH102722
Check Total:

ACH103122
Check Total:

Type Total:

Check Total:
1,505.40 NOVEMBER 22
31,663.96
401.53 2201021
401.53
30,802.57 SEP 2022
30,802.57
1,134,451.33
1,134,451.33
PO # Check # Check Date
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016534 10/31/2022
00016535 10/31/2022
00016535 10/31/2022
00016536 10/31/2022
00016537 10/31/2022
11/09/2022 :Date
09:15:17 :Time

Placentia City CouncilNovember 15, 2022

Placentia City Council
November 15, 2022