Aqgf ?Feliegister
For 01/10/2^23
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Grand Total: 947,459.76
Check Totals by ID
AP 947,459.76
EP 0.00
IP 0.00
OP 0.00
Fund Name
Check Totals by 19111d
101 -General Fund (0010) 552,901.79
208-Sccssr Agncy Ret Oblg (0054) 1,893.64
211 -PEG Fund (0058) 981.26
227 -Explorer Grant NOC (0076) 218.65
228-NOC-Public Safety Grant(0061) 5,605.96
240 -Sewer Construction (0024) 766.97
265 -Landscape Maintenance (0029) 2,069.45
275 -Sewer Maintenance (0048) 8,308.38
280 -Mist Grants Fund (0050) 834.02
501 -Refuse Administration (0037) 314,789.50
601 -Employee Health & Wlfre (0039) 59,090.14
Check Total: 947,459.76
Void Total:
Check Total:
ACH Payroll Direct Deposit for 11/18/2022: 493,177.73
Electronic Disbursement Total: 1,440,637.49
Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
0.00 947,459.76
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
MW OH CALIFORNIA PUBLIC
V006234
MW OH CALIFORNIA PUBLIC
V006234
MW OH 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
V010011
MW OH AMERICAN FIDELITY
VO10011
MW OH AMERICAN FIDELITY
VO10011
MW OH AMERICAN FIDELITY
V010011
MW OH AMERICAN FIDELITY
VO10011
Description
DEC FIRE UAL PMT
DEC FIRE UAL PMT
City of Placentia
Check Register
For 01/04/2023
Account/Description
105525-6906
Ca1PERS-Fire Term. Principal
105525-6916
Ca1PERS-Fire Term Interest
FSA P/E 11/12 PD 11/18 0010-2188
Health Care SSA
FSA P/E 11/12 PD 11/18 0010-2190
Dependent Care SSA
FSA P/E 11/12 PD 11/18 0054-2190
Dependent Care SSA
FSA P/E 11/12 PD 11/18 0048-2188
Health Care SSA
FSA P/E 11/12 PD 11/18 0037-2188
Health Care SSA
FSA P/E 11/26 PD 12/2 0010-2188
Health Care SSA
FSA P/E 11/26 PD 12/2 0037-2188
Health Care SSA
FSA P/E 11/26 PD 12/2 0010-2190
Dependent Care SSA
FSA P/E 11/26 PD 12/2 0054-2190
Dependent Care SSA
FSA P/E 11/26 PD 12/2 0048-2188
Health Care SSA
NOV PAYROLL DEDUCTIONS 0076-2155
Per Sec Plan - Opt. Life
NOV PAYROLL DEDUCTIONS 0010-2155
Per Sec Plan - Opt. Life
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 1
Batch ID
Amount Invoice#
ACH120522 30,207.57 DECEMBER 22
ACH120522 1,456.40 DECEMBER 22
Check Total: 31,663.97
ACH120722 592.99 2149298A
ACH120722 416.33 2149298A
ACH120722 5.73 2149298A
ACH120722 5.73 2149298A
ACH120722 8.02 2149298A
ACH120722 592.99 2149300B
ACH120722 8.02 2149300B
ACH120722 416.33 2149300B
ACH120722 5.73 2149300B
ACH120722 5.73 2149300B
ACH120722 2.61 D523743
ACH120722 2,262.68 D523743
PO # Check # Check Date
00016641 12/09/2022
00016641 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
01/04/2023 :Date
11:50:24 :Time
Type
MW OH AMERICAN FIDELITY
VO10011
MW OH AMERICAN FIDELITY
VO10011
MW OH AMERICAN FIDELITY
VO10011
MW OH AMERICAN FIDELITY
V010011
MW OH AMERICAN FIDELITY
V010011
MW OH 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 011 CALIFORNIA PUBLIC
V010053
MW OH CALIFORNIA PUBLIC
V010053
Vendor Name/ID
Description
NOV PAYROLL DEDUCTIONS
NOV PAYROLL DEDUCTIONS
NOV PAYROLL DEDUCTIONS
NOV PAYROLL DEDUCTIONS
NOV PAYROLL DEDUCTIONS
NOV PAYROLL DEDUCTIONS
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description
0037-2155
Per Sec Plan - Opt. Life
0029-2155
Per Sec Plan - Opt. Life
0054-2155
Per Sec Plan - Opt. Life
0050-2155
Per Sec Plan - Opt. Life
0048-2155
Per Sec Plan - Opt. Life
395000-2187
Voluntary Plan Life
0010-2150
Survivor Benefit Package
0010-2140
Employee PERS W/H
0010-2140
Employee PERS W/H
0054-2140
Employee PERS W/H
0010-2145
Employee PERS Payback W/H
0076-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0050-2140
Employee PERS W/H
Page: 2
Batch ID
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
Check Total:
Amount Invoice#
18.00 D523743
14.90 D523743
10.26 D523743
3.71 D523743
101.20 D523743
1,544.90 D523743
6,015.86
ACH120722 8.00 PD2201022A
ACH120722 87.67 PD2201022A
ACH120722 99,932.55 PR2201022
ACH120722 382.07 PR2201022
ACH120722 220.71 PR2201022
ACH120722 35.27 PR2201022
ACH120722 1,908.33 PR2201022
ACH120722 827.53 PR2201022
PO # Check # Check Date
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016647 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
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
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 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
PERS P/E 10/29 PD 11/4
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description
0061-2140
Employee PERS W/H
0058-2140
Employee PERS W/H
0010-2150
Survivor Benefit Package
0076-2150
Survivor Benefit Package
0029-2140
Employee PERS W/H
0029-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0048-2145
Employee PERS Payback W/H
0050-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
0037-2145
Employee PERS Payback W/H
0048-2150
Survivor Benefit Package
0058-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
0029-2150
Page: 3
Batch ID
ACH120722
ACH120722
ACH 120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH 120722
ACH120722
ACH120722
ACH120722
ACH120722
Amount Invoice#
1,444.11 PR2201022
401.03 PR2201022
125.39 PR2201022
0.08 PR2201022
377.43 PR2201022
2.59 PR2201022
12.94 PR2201022
4.40 PR2201022
1.79 PR2201022
0.50 PR2201022
18.11 PR2201022
3.28 PR2201022
0.93 PR2201022
0.82 PR2201022
0.90 PR2201022
PO # Check # Check Date
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID Description
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 10/29 PD 11/4
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 10/29 PD 11/4
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 10/29 PD 11/4
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 10/29 PD 11/4
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 10/29 PD 11/4
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 10/29 PD 11/4
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW OH CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
MW 01-1 CALIFORNIA PUBLIC PERS P/E 11/12 PD 11/18
V010053
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description
Survivor Benefit Package
0037-2140
Employee PERS W/H
0037-2150
Survivor Benefit Package
0050-2195
PERS Uniform
0048-2195
PERS Uniform
0061-2195
PERS Uniform
0010-2195
PERS Uniform
0010-2195
PERS Uniform
0061-2195
PERS Uniform
0048-2195
PERS Uniform
0029-2150
Survivor Benefit Package
0037-2150
Survivor Benefit Package
0061-2150
Survivor Benefit Package
0048-2150
Survivor Benefit Package
0054-2150
Survivor Benefit Package
Page: 4
Batch ID
ACH 120722
ACH 120722
ACH120722
ACH120722
ACH 120722
ACH 120722
ACH120722
ACH120722
ACH120722
ACH 120722
ACH120722
ACH 120722
ACH120722
ACH120722
Amount Invoice#
1,269.61 PR2201022
2.09 PR2201022
0.99 PR2201022
0.60 PR2201022
0.92 PR2201022
24.31 PR2201022
25.18 PR2201023
1.04 PR2201023
0.60 PR2201023
0.90 PR2201023
2.09 PR2201023
0.93 PR2201023
3.28 PR2201023
0.50 PR2201023
PO # Check # Check Date
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
01/04/2023 :Date
11:50:24 :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
MW OH
Vendor Name/ID
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
VO] 0053
CALIFORNIA PUBLIC
V010053
CALIFORNIA PUBLIC
V010053
CALIFORNIA PUBLIC
V010053
CALIFORNIA PUBLIC
V010053
CALIFORNIA PUBLIC
Description
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
PERS P/E 11/12 PD 11/18
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description
0058-2150
Survivor Benefit Package
0048-2145
Employee PERS Payback W/H
0010-2145
Employee PERS Payback W/H
0076-2150
Survivor Benefit Package
0010-2150
Survivor Benefit Package
0058-2140
Employee PERS W/H
0061-2140
Employee PERS W/H
0048-2140
Employee PERS W/H
0037-2140
Employee PERS W/H
0037-2145
Employee PERS Payback W/H
0029-2145
Employee PERS Payback W/H
0054-2145
Employee PERS Payback W/H
0054-2140
Employee PERS W/H
0029-2140
Employee PERS W/H
0010-2140
Page: 5
Batch ID
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
Amount Invoice#
0.93 PR2201023
4.40 PR2201023
220.71 PR2201023
0.13 PR2201023
127.02 PR2201023
401.03 PR2201023
1,490.65 PR2201023
1,949.11 PR2201023
1,269.62 PR2201023
18.11 PR2201023
2.59 PR2201023
12.94 PR2201023
404.60 PR2201023
377.43 PR2201023
99,697.40 PR2201023
PO # Check # Check Date
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
00016648 12/09/2022
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
V010053
MW OH CALIFORNIA PUBLIC
V010053
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
MW OH CALIFORNIA STATE
V004813
MW OH CALIFORNIA STATE
V004813
MW OH CALIFORNIA STATE
V004813
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
Description
PERS P/E 11/12 PD 11/18
P/E 11/12 PD 11/18
P/E 11/12 PD 11/18
P/E 11/12 PD 11/18
P/E 11/12 PD 11/18
P/E 11/26 PD 12/2
P/E 11/26 PD 12/2
P/E 11/26 PD 12/2
P/E 11/26 PD 12/2
City of Placentia
Check Register
For 01/04/2023
Account/Description
Employee PERS W/H
0076-2140
Employee PERS W/H
0010-2196
Garnishments W/H
0037-2196
Gamishments W/H
0029-2196
Garnishments W/H
0048-2196
Garnishments W/H
0048-2196
Garnishments W/H
0029-2196
Gamishments W/H
0010-2196
Garnishments W/H
0037-2196
Gamishments W/H
STATE TAX P/E 11/12 PD 11/18 0076-2135
Calif Income Tax W/H
STATE TAX P/E 11/12 PD 11/18 0048-2135
Calif Income Tax W/H
STATE TAX P/E 11/12 PD 11/18 0037-2135
Calif Income Tax W/H
STATE TAX P/E 11/12 PD 11/18 0029-2135
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 6
Batch ID
ACH120722
Amount Invoice#
40.72 PR2201023
Check Total: 213,146.86
ACH120722 2,196.90 2201023
ACH120722
ACH 120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
Check Total:
69.23 2201023
9.23 2201023
46.15 2201023
46.15 2201024
9.23 2201024
2,196.90 2201024
69.23 2201024
4,643.02
ACH120722 34.03 2201023
ACH120722 515.45 2201023
ACH120722 419.24 2201023
ACH120722 99.26 2201023
PO # Check # Check Date
00016648 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016649 12/09/2022
00016650 12/09/2022
00016650 12/09/2022
00016650 12/09/2022
00016650 12/09/2022
01/04/2023 :Date
11:50:24 :Time
City of Placentia
Check Register
For 01/04/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/12 PD 11/18 0061-2135 ACH120722 356.88 2201023 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/12 PD 11/18 0010-2135 ACH120722 33,219.26 2201023 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/12 PD 11/18 0054-2135 ACH120722 131.56 2201023 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0010-2135 ACH120722 31,608.11 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0061-2135 ACH120722 552.97 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0054-2135 ACH120722 130.59 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0037-2135 ACH120722 415.40 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0048-2135 ACH120722 506.00 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0076-2135 ACH120722 4.17 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0024-2135 ACH120722 200.17 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
MW OH EMPLOYMENT STATE TAX P/E 11/26 PD 12/2 0029-2135 ACH120722 222.01 2201024 00016650 12/09/2022 V010052 Calif Income Tax W/H
Check Total: 68,415.10
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/12 PD 11/18 0061-2120 ACH120722 77.26 2201023 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/12 PD 11/18 0054-2120 ACH120722 41.65 2201023 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/12 PD 11/18 0058-2120 ACH120722 43.58 2201023 00016651 12/09/2022 User: Gabriela Colin
Report: AP 1400M : AP: Warrant List - Machine
Page: 7
01/04/2023 :Date
1.1:50:24 :Time
Type Vendor Name/ID
V010054
MW 011 INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054
MW 011 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 011 INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
Description
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0037-2115
Employee Medicare W/H
0010-2115
Employee Medicare W/H
0029-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0048-2120
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
0061-2110
Federal Income Tax W/H
0076-2110
Federal Income Tax W/H
Page: 8
Batch ID Amount Invoice#
ACH120722 8.26 2201023
ACH120722 143.83 2201023
ACH120722 10,570.55 2201023
ACH120722 46.03 2201023
ACH120722 124.04 2201023
ACH120722 10,174.20 2201023
ACH120722 189.68 2201023
ACH120722 77,931.29 2201023
ACH120722 236.21 2201023
ACH120722 957.09 2201023
ACH120722 1,202.45 2201023
ACH120722 294.79 2201023
ACH120722 484.72 2201023
ACH120722 73.27 2201023
PO # Check # Check Date
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
01/04/2023 :Date
11:50:24 :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 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 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
Description
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/12 PD 11/18
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description Batch ID
0076-2115
Employee Medicare W/H
0061-2115
Employee Medicare W/H
0058-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0058-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0061-2115
Employee Medicare W/H
0076-2110
Federal Income Tax W/H
0076-2115
Employee Medicare W/H
0061-2110
Page: 9
ACH120722
ACH120722
ACH 120722
ACH120722
ACH120722
ACH 120722
ACH 120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH120722
ACH 120722
ACH 120722
ACH120722
Amount Invoice#
PO # Check # Check Date
8.26 2201023 00016651 12/09/2022
77.26 2201023 00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
43.58 2201023
48.62 2201023
203.24 2201023
47.67 2201023
143.93 2201024
45.09 2201024
65.13 2201024
202.78 2201024
48.63 2201024
105.99 2201024
8.91 2201024
1.47 2201024
906.42 2201024
01/04/2023 :Date
11:50:24 :Time
City of Placentia
Check Register
For 01/04/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0054-2110 ACH120722 292.78 2201024 00016651 12/09/2022 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0048-2110 ACH120722 1,175.21 2201024 00016651 12/09/2022 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0037-2110 ACH120722 947.48 2201024 00016651 12/09/2022 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0029-2110 ACH120722 488.39 2201024 00016651 12/09/2022 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0010-2110 ACH120722 74,083.12 2201024 00016651 12/09/2022 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0024-2110 ACH120722 423.10 2201024 00016651 12/09/2022 V010054 Federal Income Tax W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0048-2120 ACH120722 189.22 2201024 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0037-2120 ACH120722 124.14 2201024 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0029-2120 ACH120722 63.49 2201024 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0010-2120 ACH120722 9,871.27 2201024 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0024-2120 ACH120722 71.85 2201024 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0024-2115 ACH120722 71.85 2201024 00016651 12/09/2022 V010054 Employee Medicare W/H
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0054-2120 ACH120722 41.65 2201024 00016651 12/09/2022 V010054 Employer Medicare Payable
MW OH INTERNAL REVENUE FED/MED/SS P/E 11/26 PD 12/2 0010-2115 ACH120722 10,357.48 2201024 00016651 12/09/2022 V010054 Employee Medicare W/H
User: Gabriela Calin
01/04/2023 :Date
Page:
Report: AP1400M : AP: Warrant List - Machine 10 11:50:24 :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 WASHINGTON STATE
V011597
MW OH WASHINGTON STATE
V011597
MW OH CALIFORNIA PUBLIC
V006234
MW OH CALIFORNIA PUBLIC
V006234
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
Description
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
FED/MED/SS P/E 11/26 PD 12/2
P/E 11/125 PD 11/18
P/E 11/26 PD 12/2
JAN FIRE UAL PAYMENT
JAN FIRE UAL PAYMENT
PE Q2 FY 22/23 PD 12/09
PE Q2 FY 22/23 PD 12/09
PE Q2 FY 22/23 PD 12/09
PE Q2 FY 22/23 PD 12/09
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/04/2023
Account/Description
0061-2120
Employer Medicare Payable
0058-2120
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0010-2125
Employee Social Sec W/H
0010-2130
Employer Soc Sec Payable
0010-2196
Garnishments W/H
0010-2196
Garnishments W/H
105525-6916
CaIPERS-Fire Term Interest
105525-6906
Ca1PERS-Fire Term. Principal
0029-2135
Calif Income Tax W/H
0010-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0054-2135
Page: 11
Batch ID Amount Invoice# PO # Check # Check Date
ACH120722 105.99 2201024 00016651 12/09/2022
ACH120722 45.09 2201024
ACH120722 1.47 2201024
ACH120722 18.60 2201024
ACH120722 18.60 2201024
Check Total: 202,946.66
ACH120722 401.53 2201023
ACH120722 401.53 2201024
Check Total: 803.06
ACH121322 1,407.31 JANUARY 2023
ACH121322 30,256.65 JANUARY 2023
Check Total: 31,663.96
ACH121322 1.27 PR2201125
ACH121322 4,589.38 PR2201125
ACH121322 9.51 PR2201125
ACH121322 5.89 PR2201125
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016651 12/09/2022
00016652 12/09/2022
00016652 12/09/2022
00016653 12/15/2022
00016653 12/15/2022
00016654 12/15/2022
00016654 12/15/2022
00016654 12/15/2022
00016654 12/15/2022
01/04/2023 :Date
11:50:24 :Time
Type Vendor Nante/ID
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
MW OH INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Description
PE Q2 FY 22/23 PD 12/09
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
City of Placentia
Check Register
For 01/04/2023
Account/Description
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0054-2120
Employer Medicare Payable
0010-2115
Employee Medicare W/H
0029-2115
Employee Medicare W/H
0029-2120
Employer Medicare Payable
0010-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0029-2110
Federal Income Tax W/H
0010-2110
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
Page: 12
Batch ID Amount Invoice#
ACH121322 48.16 PR2201125
Check Total: 4,654.21
ACH121322 1.29 PR2201125
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
ACH121322
1,134.22 PR2201125
0.28 PR2201I25
0.28 PR2201125
1,019.71 PR2201125
10.58 PR2201125
2.09 PR2201125
4.23 PR2201125
15,030.95 PR2201125
160.52 PR2201125
31.70 PR2201125
19.63 PR2201125
1.29 PR2201I25
PO # Check # Check Date
00016654 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
00016655 12/15/2022
01/04/2023 :Date
11:50:24 :Time
Type
Vendor Name/ID
V010054
MW OH INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
Description
FED/MED/SS Q2 FY 22/23 PD 12/9
FED/MED/SS Q2 FY 22/23 PD 12/9
City of Placentia
Check Register
For 01/04/2023
Account/Description
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/14
MW OH REPUBLIC WASTE SERVICES OV REFUSE COLLECTION SVS 374386-6101 V007205 Disposal
MW OH ALDWIR, MAMOUN
E000113
MW OH ANDERSON, MARLA
E000071
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW 014 ARMSTRONG, JOHN T JAN MEDICAL REIMBURSEMENT 395083-5161 E000046
MW OH AUDISS, JAY SCOTT
E000125
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH BABCOCK, CHARLES A JAN MEDICAL REIMBURSEMENT 395083-5161 E000015
MW 011 BEALS, SHARLENE
E000076
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 13
Batch ID
ACH121322
ACH121322
Amount Invoice# PO # Check # Check Date
2.09 PR2201125 00016655 12/15/2022
10.58 PR2201125 00016655 12/15/2022
Check Total: 17,429.44
ACH121222 308,532.38 676-005028864 P12525 00016656 12/16/2022 Check Total: 308,532.38
ACH121922 1,293.00 JANUARY 2023
Check Total:
1,293.00
ACH121922 533.78 JANUARY 2023
Check Total:
533.78
ACH121922 1,143.00 JANUARY 2023
Check Total:
1,143.00
ACH121922 1,821.00 JANUARY 2023
Check Total:
1,821.00
ACH121922 314.00 JANUARY 2023
Check Total:
314.00
ACH121922 191.39 JANUARY 2023
Check Total:
191.39
00016657 12/20/2022
00016658 12/20/2022
00016659 12/20/2022
00016660 12/20/2022
00016661 12/20/2022
00016662 12/20/2022
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 01/04/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH BERMUDEZ, ALBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 571.00 JANUARY 2023 00016663 12/20/2022 E000124 Health Insurance Premiums
Check Total: 571.00
MW OH BUNNELL, DONALD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016664 12/20/2022 E000062 Health Insurance Premiums
Check Total: 533.78
MW OH BURGNER, ARTHUR JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016665 12/20/2022 E000074 Health Insurance Premiums
Check Total: 533.78
MW OH BUSSE, MICHAEL JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,391.00 JANUARY 2023 00016666 12/20/2022 E000131 Health Insurance Premiums
Check Total: 1,391.00
MW OH CHANDLER, JOHN P JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,391.00 JANUARY 2023 00016667 12/20/2022 E000109 Health Insurance Premiums
Check Total: 1,391.00
MW OH CHANG, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,288.00 JANUARY 2023 00016668 12/20/2022 E000107 Health Insurance Premiums
Check Total: 1,288.00
MW OH COBBETT, GEOFFREY JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016669 12/20/2022 E000007 Health Insurance Premiums
Check Total: 533.78
MW OH COOK, ARLENE M JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016670 12/20/2022 E000018 Health Insurance Premiums
Check Total: 533.78
MW OH D'AMATO, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.39 JANUARY 2023 00016671 12/20/2022 E000056 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 14
Check Total: 191.39
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 01/04/2023
Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH DAVID, PRESTON JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016672 12/20/2022 E000112 Health Insurance Premiums
Check Total: 533.78
MW OH DAVIS, CAROLYN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016673 12/20/2022 E000005 Health Insurance Premiums
Check Total: 533.78
MW OH DEAN, ANDREW JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,821.00 JANUARY 2023 00016674 12/20/2022 E000135 Health Insurance Premiums
Check Total: 1,821.00
MW OH DELOS SANTOS, JAMIE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 185.29 JANUARY 2023 00016675 12/20/2022 E000045 Health Insurance Premiums
Check Total: 185.29
MW OH DICKSON, ROBERTA JO JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.39 JANUARY 2023 00016676 12/20/2022 E000011 Health Insurance Premiums
Check Total: 191.39
MW OH DOWNEY, CAROL FEB MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016677 12/20/2022 E000082 Health Insurance Premiums
Check Total: 533.78
MW OH ECKENRODE, NORMAN FEB MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016678 12/20/2022 E000029 Health Insurance Premiums
Check Total: 533.78
MW OH ESCOBOSA, LILLIAN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016679 12/20/2022 E000055 Health Insurance Premiums
Check Total: 533.78
MW OH ESPINOZA, ROSALINDA JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 571.00 JANUARY 2023 00016680 12/20/2022 E000016 Health Insurance Premiums
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
Page: 15
Check Total: 571.00
01/04/2023 :Date
11:50:24 :Time
City of Placentia
Check Register
For 01/04/2023
Type Vendor Name/1D Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH FRICKE, JUERGEN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 879.00 JANUARY 2023 00016681 12/20/2022 E000075 Health Insurance Premiums
Check Total: 879.00
MW OH FULLER, GLENN H JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 879.00 JANUARY 2023 00016682 12/20/2022 E000081 Health Insurance Premiums
Check Total: 879.00
MW 011 GALLANT, KAREN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016683 12/20/2022 E000008 Health Insurance Premiums
Check Total: 533.78
MW OH GARNER, JO ANN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016684 12/20/2022 E000047 Health Insurance Premiums
Check Total: 533.78
MW OH GARNER, KITTY JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 876.44 JANUARY 2023 00016685 12/20/2022 E000080 Health Insurance Premiums
Check Total: 876.44
MW OH GRIMM, DENNIS L JAN MEDICAL REIMBURSEMENT 395083-5161 ACH 121922 314.00 JANUARY 2023 00016686 12/20/2022 E000042 Health Insurance Premiums
Check Total: 314.00
MW OH HOLTSCLAW, KATHERINE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 571.00 JANUARY 2023 00016687 12/20/2022 E000121 Health Insurance Premiums
Check Total: 571.00
MW OH IRVINE, SUZETTE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016688 12/20/2022 E000019 Health Insurance Premiums
Check Total: 533.78
MW OH JENKINS, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 689.04 JANUARY 2023 00016689 12/20/2022 E000084 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 16
Check Total: 689.04
01/04/2023 :Date
11:50:24 :Time
City of Placentia
Check Register
For 01/04/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH JOHNSON, SHARON JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.39 JANUARY 2023 00016690 12/20/2022 E000099 Health Insurance Premiums
Check Total: 191.39
MW 011 JONES, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 148.68 JANUARY 2023 00016691 12/20/2022 E000053 Health Insurance Premiums
Check Total: 148.68
MW OH JUAREZ, JANET JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 148.68 JANUARY 2023 00016692 12/20/2022 E000134 Health Insurance Premiums
Check Total: 148.68
MW OH JUDD, TERRELL FEB MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,000.50 JANUARY 2023 00016693 12/20/2022 E000115 Health Insurance Premiums
Check Total: 1,000.50
MW OH KIRKLAND, RICHARD L JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 148.68 JANUARY 2023 00016694 12/20/2022 E000110 Health Insurance Premiums
Check Total: 148.68
MW OH LITTLE, DIANE M JAN MEDICAL REIMBURSEMENT 395083-5161 ACH 121922 269.02 JANUARY 2023 00016695 12/20/2022 E000098 Health Insurance Premiums
Check Total: 269.02
MW OH LOOMIS, CORINNE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 571.00 JANUARY 2023 00016696 12/20/2022 E000122 Health Insurance Premiums
Check Total: 571.00
MW 011 LOWREY, B J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 314.00 JANUA RY 2023 00016697 12/20/2022 E000041 Health Insurance Premiums
Check Total: 314.00
MW 011 MAERTZWEILER, MICHAEL FEB MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016698 12/20/2022 E000032 Health Insurance Premiums
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
Page: 17
Check Total: 533.78
01/04/2023 :Date
11:50:24 :Time
City of Placentia
Check Register
For 01/04/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date MW OH MILANO, JAMES JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016699 12/20/2022 E000054 Health Insurance Premiums
Check Total: 533.78
MW OH MILLER, RICHARD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,143.00 JANUARY 2023 00016700 12/20/2022 E000106 Health Insurance Premiums
Check Total: 1,143.00
MW OH OLEA, ARLENE J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016701 12/20/2022 E000014 Health Insurance Premiums
Check Total: 533.78
MW OH PALMER, GEORGE JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,143.00 JANUARY 2023 00016702 12/20/2022 E000094 Health Insurance Premiums
Check Total: 1,143.00
MW OH PASCARELLA, RICHARD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,821.00 JANUARY 2023 00016703 12/20/2022 E000129 Health Insurance Premiums
Check Total: 1,821.00
MW OH PASCUA, RAYNALD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,726.00 JANUARY 2023 00016704 12/20/2022 E000114 Health Insurance Premiums
Check Total: 1,726.00
MW OH PASPALL, MIHAJLO JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 448.36 JANUARY 2023 00016705 12/20/2022 E000085 Health Insurance Premiums
Check Total: 448.36
MW OH PEREZ, ROBERT JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 148.68 JANUARY 2023 00016706 12/20/2022 E000111 Health Insurance Premiums
Check Total: 148.68
MW OH PICHON, WALTER JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 269.02 JANUARY 2023 00016707 12/20/2022 E000103 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 18
Check Total: 269.02
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 01/04/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH PINEDA, MATEO JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 415.50 JANUARY 2023 00016708 12/20/2022 E000127 Health Insurance Premiums
Check Total: 415.50
MW OH PISCHEL, STEPHEN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 876.17 JANUARY 2023 00016709 12/20/2022 E000130 Health Insurance Premiums
Check Total: 876.17
MW OH POINT, ERIC JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,821.00 JANUARY 2023 00016710 12/20/2022 E000133 Health Insurance Premiums
Check Total: 1,821.00
MW OH REDIFER, KIM R JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 879.00 JANUARY 2023 00016711 12/20/2022 E000022 Health Insurance Premiums
Check Total: 879.00
MW OH RENDEN, BRIAN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 448.36 JANUARY 2023 00016712 12/20/2022 E000083 Health Insurance Premiums
Check Total: 448.36
MW OH REYES, ROGER T JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016713 12/20/2022 E000024 Health Insurance Premiums
Check Total: 533.78
MW OH REYNOLDS, MATTHEW JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 571.00 JANUARY 2023 00016714 12/20/2022 E000132 Health Insurance Premiums
Check Total: 571.00
MW OH RICE, RUSSELL J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,391.00 JANUARY 2023 00016715 12/20/2022 E000059 Health Insurance Premiums
Check Total: 1,391.00
MW OH RIVERA, AIDA JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.39 JANUARY 2023 00016716 12/20/2022 E000026 Health Insurance Premiums
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 19
Check Total: 191.39
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID Description
City of Placentia
Check Register
For 01/04/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH ROACH, MICHAEL JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,391.00 JANUARY 2023 00016717 12/20/2022 E000105 Health Insurance Premiums
Check Total: 1,391.00
MW OH ROBB, SANDRA JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.39 JANUARY 2023 00016718 12/20/2022 E000043 Health Insurance Premiums
Check Total: 191.39
MW OH ROSE, RICHARD D JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,288.00 JANUARY 2023 00016719 12/20/2022 E000050 Health Insurance Premiums
Check Total: 1,288.00
MW OH SALE, LEE R JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016720 12/20/2022 E000031 Health Insurance Premiums
Check Total: 533.78
MW OH SANCHEZ, LAURA JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.39 JANUARY 2023 00016721 12/20/2022 E000058 Health Insurance Premiums
Check Total: 191.39
MW OH SCHLIEDER, BEVERLY JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 876.44 JANUARY 2023 00016722 12/20/2022 E000120 Health Insurance Premiums
Check Total: 876.44
MW OH SMITH, WARD JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 584.00 JANUARY 2023 00016723 12/20/2022 E000128 Health Insurance Premiums
Check Total: 584.00
MW OH SOTO, PHILIP J JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016724 12/20/2022 E000052 Health Insurance Premiums
Check Total: 533.78
MW OH SPRAGUE, GARY A JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,685.00 JANUARY 2023 00016725 12/20/2022 E000064 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 20
Check Total: 1,685.00
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
Description
City of Placentia
Check Register
For 01/04/2023
Account/Description
Batch ID Amount Invoice# PO # Check # Check Date
MW OH STEPHEN, JEFFREY JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 1,288.00 JANUARY 2023 00016726 12/20/2022 E000119 Health Insurance Premiums
Check Total: 1,288.00
MW OH TAYLOR, DAVID M JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 584.00 JANUARY 2023 00016727 12/20/2022 E000088 Health Insurance Premiums
Check Total: 584.00
MW OH TAYLOR, LINDA JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 529.37 JANUARY 2023 00016728 12/20/2022 E000126 Health Insurance Premiums
Check Total: 529.37
MW OH THOMANN, DARYLL L JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 533.78 JANUARY 2023 00016729 12/20/2022 E000101 Health Insurance Premiums
Check Total: 533.78
MW OH TRIFOS, WILLIAM JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 879.00 JANUARY 2023 00016730 12/20/2022 E000104 Health Insurance Premiums
Check Total: 879.00
MW OH VALENTINE, THOMAS JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 584.00 JANUARY 2023 00016731 12/20/2022 E000118 Health Insurance Premiums
Check Total: 584.00
MW OH VERSTYNEN, WILLIAM JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 148.68 JANUARY 2023 00016732 12/20/2022 E000092 Health Insurance Premiums
Check Total: 148.68
MW OH WAHL, KATHLEEN A JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 191.00 JANUARY 2023 00016733 12/20/2022 E000030 Health Insurance Premiums
Check Total: 191.00
MW OH WIEST, STEPHEN JAN MEDICAL REIMBURSEMENT 395083-5161 ACH121922 534.00 JANUARY 2023 00016734 12/20/2022 E000079 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 21
Check Total: 534.00
01/04/2023 :Date
11:50:24 :Time
Type Vendor Name/ID
MW OH WORDEN, LARRY M
E000116
Description
City of Placentia
Check Register
For 01/04/2023
Account/Description
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH YAMAGUCHI, BRIAN JAN MEDICAL REIMBURSEMENT 395083-5161 E000123
MW OH ZINN, JOHN
E000009
Health Insurance Premiums
JAN MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 22
Batch ID
Amount Invoice# PO # Check # Check Date
ACH121922 584.00 JANUARY 2023
Check Total:
584.00
ACH121922 1,391.00 JANUARY 2023
Check Total:
1,391.00
ACH121922 1,293.00 JANUARY 2023
Check Total:
Type Total:
Check Total:
1,293.00
947,459.76
947,459.76
00016735 12/20/2022
00016736 12/20/2022
00016737 12/20/2022
01/04/2023 :Date
11:50:24 :Time