City of Placentia
ACH Check Register
For 12/05/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Grand Total: 792,800.99
Check Totals by ID
AP 792,800.99
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)
231 -Placentia Reg Nav Cent(0078)
265 -Landscape Maintenance (0029)
275 -Sewer Maintenance (0048)
401 -City Capital Projects (0033)
501 -Refuse Administration (0037)
601 -Employee Health & Wlfre (0039)
605 -Risk Management (0040)
Check Totals by Fund
227,246.26
771.32
60.42 1,264.64
565.19
3,360.23
2,168.74
2,628.71
553,402.11
1,333.37
Check Total: 792,800.99
Void Total:
Check Total:
ACH Payroll Direct Deposit for 11/17/2023: 607,418.25
Electronic Disbursement Total: 1,400,219.24
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
0.00 792,800.99
11/30/2023 :Date
10:55:14 :Time
Type Vendor Name/ID
Description
MW OH PLACENTIA FIREFIGHTERS PFFA PE 11/11 PD 11/17
V011878
MW OH PLACENTIA POLICE
V000839
MW OH PLACENTIA POLICE
V003519
MW OH PLACENTIA POLICE
V003519
MW OH PLACENTIA POLICE
V003519
MW OH ALDWIR, MAMOUN
E000113
MW OH ANDERSON, MARLA
E000071
PPFMA PE 11/11 PD 11/17
PPOA PE 11/11 PD 11/17
PPOA PE 11/11 PD 11/17
PPOA PE 11/11 PD 11/17
City of Placentia
Check Register
For 11/30/2023
Account/Description
0010-2178
Placentia Police Assoc Dues
0010-2180
Police Mgmt Assn Dues
0076-2178
Placentia Police Assoc Dues
0078-2178
Placentia Police Assoc Dues
0010-2178
Placentia Police Assoc Dues
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH ARMSTRONG, JOHN T DEC MEDICAL REIMBURSEMENT 395083-5161 E000046
MW OH AUDISS, JAY SCOTT
E000125
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
MW OH BABCOCK, CHARLES A DEC MEDICAL REIMBURSEMENT 395083-5161 E000015
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Health Insurance Premiums
Page: 1
Batch ID
PY2301023
Check Total:
Amount Invoice#
800.00 PR2301023
800.00
PY2301023 1,378.40 PR2301023
Check Total: 1,378.40
PY2301023 4.59 PR2301023
PY2301023 44.00 PR2301023
PY2301023 2,745.05 PR2301023
Check Total: 2,793.64
RETDEC23
Check Total:
RETDEC23
Check Total:
876.44 DECEMBER -23
876.44
533.78 DECEMBER -23
533.78
RETDEC23 1,143.00 DECEMBER -23
Check Total:
1,143.00
RETDEC23 1,821.00 DECEMBER -23
Check Total:
1,821.00
RETDEC23 314.00 DECEMBER -23
PO # Check # Check Date
00018016 11/21/2023
00018017 11/21/2023
00018018 11/21/2023
00018018 11/21/2023
00018018 11/21/2023
00018019 11/29/2023
00018020 11/29/2023
00018021 11/29/2023
00018022 11/29/2023
00018023 11/29/2023
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 314.00
MW OH BEALS, SHARLENE DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018024 11/29/2023 E000076 Health Insurance Premiums
Check Total: 191.39
MW OH BERMUDEZ, ALBERT DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 571.00 DECEMBER -23 00018025 11/29/2023 E000124 Health Insurance Premiums
Check Total: 571.00
MW OH BUNNELL, DONALD DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018026 11/29/2023 E000062 Health Insurance Premiums
Check Total: 533.78
MW 011 BURGNER, ARTHUR DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018027 11/29/2023 E000074 Health Insurance Premiums
Check Total: 533.78
MW OH BUSSE, MICHAEL DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,369.00 DECEMBER -23 00018028 11/29/2023 E000131 Health Insurance Premiums
Check Total: 1,369.00
MW 011 CHANDLER, JOHN P DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,391.00 DECEMBER -23 00018029 11/29/2023 E000109 Health Insurance Premiums
Check Total: 1,391.00
MW OH CHANG, ROBERT DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,288.00 DECEMBER -23 00018030 11/29/2023 E000107 Health Insurance Premiums
Check Total: 1,288.00
MW OH COBBETT, GEOFFREY DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018031 11/29/2023 E000007 Health Insurance Premiums
Check Total: 533.78
MW 011 COOK, ARLENE M DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018032 11/29/2023 E000018 Health Insurance Premiums
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 2
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 533.78
MW 011 D'AMATO, ROBERT DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018033 11/29/2023 E000056 Health Insurance Premiums
Check Total: 191.39
MW OH DAVID, PRESTON DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018034 11/29/2023 E000112 Health Insurance Premiums
Check Total: 533.78
MW 011 DAVIS, CAROLYN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018035 11/29/2023 E000005 Health Insurance Premiums
Check Total: 533.78
MW 011 DEAN, ANDREW DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,821.00 DECEMBER -23 00018036 11/29/2023 E000135 Health Insurance Premiums
Check Total: 1,821.00
MW 011 DELOS SANTOS, JAMIE DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 185.29 DECEMBER -23 00018037 11/29/2023 E000045 Health Insurance Premiums
Check Total: 185.29
MW 011 DICKSON, ROBERTA JO DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018038 11/29/2023 E000011 Health Insurance Premiums
Check Total: 191.39
MW OH DOWNEY, CAROL DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018039 11/29/2023 E000082 Health Insurance Premiums
Check Total: 533.78
MW 011 ECKENRODE, NORMAN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018040 11/29/2023 E000029 Health Insurance Premiums
Check Total: 533.78
MW OH ESCOBOSA, LILLIAN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 150.70 DECEMBER -23 00018041 11/29/2023 E000055 Health Insurance Premiums
User: Gabriela Cahn
Report: AP1400M : AP: Warrant List - Machine
Page: 3
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 150.70
MW OH ESPINOZA, ROSALINDA DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 571.00 DECEMBER -23 00018042 11/29/2023 E000016 Health Insurance Premiums
Check Total: 571.00
MW OH FRICKE, JUERGEN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 879.00 DECEMBER -23 00018043 11/29/2023 E000075 Health Insurance Premiums
Check Total: 879.00
MW OH FULLER, GLENN H DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 879.00 DECEMBER -23 00018044 11/29/2023 E000081 Health Insurance Premiums
Check Total: 879.00
MW OH GALLANT, KAREN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018045 11/29/2023 E000008 Health Insurance Premiums
Check Total: 533.78
MW OH GARNER, JO ANN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018046 11/29/2023 E000047 Health Insurance Premiums
Check Total: 191.39
MW OH GARNER, KITTY DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 876.44 DECEMBER -23 00018047 11/29/2023 E000080 Health Insurance Premiums
Check Total: 876.44
MW OH GRIMM, DENNIS L DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 314.00 DECEMBER -23 00018048 11/29/2023 E000042 Health Insurance Premiums
Check Total: 314.00
MW 011 HOLTSCLAW, KATHERINE DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 571.00 DECEMBER -23 00018049 11/29/2023 E000121 Health Insurance Premiums
Check Total: 571.00
MW OH IRVINE, SUZETTE DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018050 11/29/2023 E000019 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 4
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 533.78
MW OH JENKINS, ROBERT DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 689.04 DECEMBER -23 00018051 11/29/2023 E000084 Health Insurance Premiums
Check Total: 689.04
MW OH JOHNSON, SHARON DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018052 11/29/2023 E000099 Health Insurance Premiums
Check Total: 191.39
MW OH JONES, ROBERT DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 148.68 DECEMBER -23 00018053 11/29/2023 E000053 Health Insurance Premiums
Check Total: 148.68
MW OH JUAREZ, JANET DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 148.68 DECEMBER -23 00018054 11/29/2023 E000134 Health Insurance Premiums
Check Total: 148.68
MW OH JUDD, TERRELL DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,000.50 DECEMBER -23 00018055 11/29/2023 E000115 Health Insurance Premiums
Check Total: 1,000.50
MW OH KIRKLAND, RICHARD L DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 148.68 DECEMBER -23 00018056 11/29/2023 E000110 Health Insurance Premiums
Check Total: 148.68
MW OH LITTLE, DIANE M DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 269.02 DECEMBER -23 00018057 11/29/2023 E000098 Health Insurance Premiums
Check Total: 269.02
MW OH LOOMIS, CORINNE DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 571.00 DECEMBER -23 00018058 11/29/2023 E000122 Health Insurance Premiums
Check Total: 571.00
MW OH LOWREY, B J DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 314.00 DECEMBER -23 00018059 11/29/2023 E000041 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 5
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 314.00
MW OH MAERTZWEILER, MICHAEL DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018060 11/29/2023 E000032 Health Insurance Premiums
Check Total: 533.78
MW OH MILANO, JAMES DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018061 11/29/2023 E000054 Health Insurance Premiums
Check Total: 533.78
MW OH MILLER, RICHARD DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,143.00 DECEMBER -23 00018062 11/29/2023 E000106 Health Insurance Premiums
Check Total: 1,143.00
MW OH NAJERA, JOSEPH D. DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 571.00 DECEMBER -23 00018063 11/29/2023 E000136 Health Insurance Premiums
Check Total: 571.00
MW OH OLEA, ARLENE J DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018064 11/29/2023 E000014 Health Insurance Premiums
Check Total: 533.78
MW OH PALMER, GEORGE DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 879.00 DECEMBER -23 00018065 11/29/2023 E000094 Health Insurance Premiums
Check Total: 879.00
MW OH PASCARELLA, RICHARD DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,821.00 DECEMBER -23 00018066 11/29/2023 E000129 Health Insurance Premiums
Check Total: 1,821.00
MW OH PASCUA, RAYNALD DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,726.00 DECEMBER -23 00018067 11/29/2023 E000114 Health Insurance Premiums
Check Total: 1,726.00
MW OH PASPALL, MIHAJLO DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 448.36 DECEMBER -23 00018068 11/29/2023 E000085 Health Insurance Premiums
User: Gabriela Calin 11/30/2023 :Date
Report: AP1400M : AP: Warrant List - Machine Page: 6
P 10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 448.36
MW 011 PEREZ, ROBERT DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 148.68 DECEMBER -23 00018069 11/29/2023 E000111 Health Insurance Premiums
Check Total: 148.68
MW OH PICHON, WALTER DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 269.02 DECEMBER -23 00018070 11/29/2023 E000103 Health Insurance Premiums
Check Total: 269.02
MW 011 PINEDA, MATEO DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 415.50 DECEMBER -23 00018071 11/29/2023 E000127 Health Insurance Premiums
Check Total: 415.50
MW OH PISCHEL, STEPHEN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 876.17 DECEMBER -23 00018072 11/29/2023 E000130 Health Insurance Premiums
Check Total: 876.17
MW 011 POINT, ERIC DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,821.00 DECEMBER -23 00018073 11/29/2023 E000133 Health Insurance Premiums
Check Total: 1,821.00
MW OH REDIFER, KIM R DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 879.00 DECEMBER -23 00018074 11/29/2023 E000022 Health Insurance Premiums
Check Total: 879.00
MW 011 RENDEN, BRIAN DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 448.36 DECEMBER -23 00018075 11/29/2023 E000083 Health Insurance Premiums
Check Total: 448.36
MW OH REYES, ROGER T DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018076 11/29/2023 E000024 Health Insurance Premiums
Check Total: 533.78
MW OH REYNOLDS, MATTHEW DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 571.00 DECEMBER -23 00018077 11/29/2023 E000132 Health Insurance Premiums
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
Page: 7
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 571.00
MW OH RICE, RUSSELL J DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,391.00 DECEMBER -23 00018078 11/29/2023 E000059 Health Insurance Premiums
Check Total: 1,391.00
MW OH RIVERA, AIDA DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018079 11/29/2023 E000026 Health Insurance Premiums
Check Total: 191.39
MW OH ROACH, MICHAEL DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,391.00 DECEMBER -23 00018080 11/29/2023 E000105 Health Insurance Premiums
Check Total: 1,391.00
MW OH ROBB, SANDRA DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018081 11/29/2023 E000043 Health Insurance Premiums
Check Total: 191.39
MW OH ROSE, RICHARD D DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,288.00 DECEMBER -23 00018082 11/29/2023 E000050 Health Insurance Premiums
Check Total: 1,288.00
MW OH RUIZ, ARNULFO DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,293.00 DECEMBER -23 00018083 11/29/2023 E000138 Health Insurance Premiums
Check Total: 1,293.00
MW OH SALE, LEE R DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018084 11/29/2023 E000031 Health Insurance Premiums
Check Total: 533.78
MW OH SANCHEZ, LAURA DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 191.39 DECEMBER -23 00018085 11/29/2023 E000058 Health Insurance Premiums
Check Total: 191.39
MW OH SCHLIEDER, BEVERLY DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 876.44 DECEMBER -23 00018086 11/29/2023 E000120 health Insurance Premiums
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 8
11/30/2023 :Date
10:55:14 :Time
City of Placentia
Check Register
For 11/30/2023
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date Check Total: 876.44
MW OH SMITH, WARD DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 584.00 DECEMBER -23 00018087 11/29/2023 E000128 Health Insurance Premiums
Check Total: 584.00
MW OH SOTO, PHILIP J DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018088 11/29/2023 E000052 Health Insurance Premiums
Check Total: 533.78
MW OH SPRAGUE, GARY A DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,685.00 DECEMBER -23 00018089 11/29/2023 E000064 Health Insurance Premiums
Check Total: 1,685.00
MW OH STEPHEN, JEFFREY DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 1,288.00 DECEMBER -23 00018090 11/29/2023 E000119 Health Insurance Premiums
Check Total: 1,288.00
MW OH TAYLOR, DAVID M DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 584.00 DECEMBER -23 00018091 11/29/2023 E000088 Health Insurance Premiums
Check Total: 584.00
MW OH TAYLOR, LINDA DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 529.37 DECEMBER -23 00018092 11/29/2023 E000126 Health Insurance Premiums
Check Total: 529.37
MW OH THOMANN, DARYLL L DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 533.78 DECEMBER -23 00018093 11/29/2023 E000101 Health Insurance Premiums
Check Total: 533.78
MW OH TRIFOS, WILLIAM DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 879.00 DECEMBER -23 00018094 11/29/2023 E000104 Health Insurance Premiums
Check Total: 879.00
MW OH VALENTINE, THOMAS DEC MEDICAL REIMBURSEMENT 395083-5161 RETDEC23 584.00 DECEMBER -23 00018095 11/29/2023 E000118 Health Insurance Premiums
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 9
11/30/2023 :Date
10:55:14 :Time
Type
Vendor Name/ID
MW OH VERSTYNEN, WILLIAM
E000092
MW OH WAHL, KATHLEEN A
E000030
MW OH WIEST, STEPHEN
E000079
MW OH WORDEN, LARRY M
E000116
MW OH YAMAGUCHI, BRIAN
E000123
MW OH ZINN, JOHN
E000009
MW OH CALIFORNIA PUBLIC
V006234
MW OH CALIFORNIA PUBLIC
V006234
MW OH CALIFORNIA PUBLIC
V006234
MW OH CALIFORNIA PUBLIC
V006234
MW OH CALIFORNIA PUBLIC
Description
City of Placentia
Check Register
For 11/30/2023
Account/Description
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
DEC MEDICAL REIMBURSEMENT 395083-5161
Health Insurance Premiums
NOV MEDICAL INS PREMIUM
NOV MEDICAL INS PREMIUM
NOV NON -PERS MEDICAL INS
DEC MEDICAL INS PREMIUM
DEC MEDICAL INS PREMIUM
User: Gabriela Calin
Report: API400M : AP: Warrant List - Machine
395083-5161
Health Insurance Premiums
395000-4715
ISF Health Ins Reimbursement
PREMB95000-4715
ISF Health Ins Reimbursement
395000-4715
ISF Health Ins Reimbursement
395083-5161
Page: 10
Batch ID
Check Total:
RETDEC23
Check Total:
RETDEC23
Check Total:
RETDEC23
Check Total:
RETDEC23
Check Total:
Amount Invoice#
584.00
148.68 DECEMBER -23
148.68
191.39 DECEMBER -23
191.39
533.78 DECEMBER -23
533.78
584.00 DECEMBER -23
584.00
RETDEC23 1,391.00 DECEMBER -23
Check Total:
1,391.00
RETDEC23 1,293.00 DECEMBER -23
Check Total:
1,293.00
PO # Check # Check Date
00018096 11/29/2023
00018097 11/29/2023
00018098 11/29/2023
00018099 11/29/2023
00018100 11/29/2023
00018101 11/29/2023
00018102 11/30/2023
00018102 11/30/2023
00018102 11/30/2023
00018102 11/30/2023
00018102 11/30/2023
ACH112923 15,550.72 10000001732439
ACH112923 198,735.80 10000001732439
ACH112923 32,696.95 10000001732439
ACH112923 200,800.80 10000001735430
ACH112923 14,939.51 10000001735430
11/30/2023 :Date
10:55:14 :Time
Type
MW OH
MW OH
MW OH
Vendor Name/ID
V006234
CALIFORNIA PUBLIC
V006234
CALIFORNIA PUBLIC
V006234
CALIFORNIA PUBLIC
V006234
MW OH WASHINGTON STATE
V011597
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
V010052
City of Placentia
Check Register
For 11/30/2023
Description Account/Description
Health Insurance Premiums
DEC NON -PERS MEDICAL INS PREMI395000-4715
ISF Health Ins Reimbursement
NOV FIRE UAL PMT 105525-6906
Ca1PERS-Fire Term. Principal
NOV FIRE UAL PMT 105525-6916
Ca1PERS-Fire Term Interest
PE 11/11 PD 11/17
CA CHILD SUPP. PE 11/11 PD 11/
CA CHILD SUPP. PE 11/11 PD 11/
CA CHILD SUPP. PE 11/11 PD 11/
CA CHILD SUPP. PE 11/11 PD 11/
PE 11/11 PD 11/17
PE 11/11 PD 11/17
PE 11/11 PD 11/17
PE 11/11 PD 11/17
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
0010-2196
Garnishments W/H
0029-2196
Garnishments W/H
0048-2196
Garnishments W/H
0037-2196
Garnishments W/H
0010-2196
Garnishments W/H
0054-2135
Calif Income Tax W/H
0040-2135
Calif Income Tax W/H
0078-2135
Calif Income Tax W/H
0076-2135
Calif Income Tax W/H
Page: 11
Batch ID
ACH112923
ACH112923
ACH112923
Amount Invoice# PO # Check # Check Date
32,696.95 10000001735430 00018102 11/30/2023
30,801.91 23 -DEC 00018102 11/30/2023
862.05 23 -DEC 00018102 11/30/2023
Check Total: 527,084.69
ACH112923 240.00 PR2301023
Check Total: 240.00
ACH112923 9.23 PR2301023
ACH112923 46.15 PR2301023
ACH112923 69.23 PR2301023
ACH112923 1,388.29 PR2301023
Check Total: 1,512.90
ACH112923 170.65 PR2301023
ACH112923 382.78 PR2301023
ACH112923 266.15 PR2301023
ACH 112923 15.62 PR2301023
00018103 11/30/2023
00018104 11/30/2023
00018104 11/30/2023
00018104 11/30/2023
00018104 11/30/2023
00018105 11/30/2023
00018105 11/30/2023
00018105 11/30/2023
00018105 11/30/2023
11/30/2023 :Date
10:55:14 :Time
Type
Vendor Name/ID
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
MW 011 EMPLOYMENT
V010052
MW OH EMPLOYMENT
V010052
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 011 INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
Description
PE 11/11 PD 11/17
PE 11/11 PD 11/17
PE 11/11 PD 11/17
PE 11/11 PD 11/17
PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/30/2023
Account/Description
0048-2135
Calif Income Tax W/H
0037-2135
Calif Income Tax W/H
0029-2135
Calif Income Tax W/H
Batch ID
Amount Invoice#
ACH112923 628.15 PR2301023
ACH112923 543.54 PR2301023
ACH112923 171.38 PR2301023
0033-2135 ACH112923 482.68 PR2301023
Calif Income Tax W/H
0010-2135 ACH112923 38,438.78 PR2301023
Calif Income Tax W/H
Check Total: 41,099.73
0010-2110 ACH112923 87,153.31 PR2301023
Federal Income Tax W/H
0029-2110 ACH112923 210.36 PR2301023
Federal Income Tax W/H
0033-2110 ACH112923 1,337.34 PR2301023
Federal Income Tax W/H
0037-2110 ACH112923 1,278.14 PR2301023
Federal Income Tax W/H
0040-2110 ACH112923 486.95 PR2301023
Federal Income Tax W/H
0048-2110 ACH112923 1,645.97 PR2301023
Federal Income Tax W/H
0054-2110 ACH112923 424.53 PR2301023
Federal Income Tax W/H
0076-2110 ACH112923 29.58 PR2301023
Federal Income Tax W/H
0078-2110 ACH112923 750.03 PR2301023
Federal Income Tax W/H
Page: 12
PO # Check # Check Date
00018105 11/30/2023
00018105 11/30/2023
00018105 11/30/2023
00018105 11/30/2023
00018105 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
11/30/2023 :Date
10:55:14 :Time
Type
Vendor Name/ID
MW 011 INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054
MW 011 INTERNAL REVENUE
V010054
MW OH INTERNAL REVENUE
V010054
MW 011 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
Description
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
FED TAX PE 11/11 PD 11/17
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 11/30/2023
Account/Description
0078-2115
Employee Medicare W/H
0076-2115
Employee Medicare W/H
0054-2115
Employee Medicare W/H
0048-2115
Employee Medicare W/H
0040-2115
Employee Medicare W/H
0037-2115
Employee Medicare W/H
0033-2115
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
0033-2120
Employer Medicare Payable
0037-2120
Employer Medicare Payable
0040-2120
Employer Medicare Payable
0048-2120
Page: 13
Batch ID
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
ACH112923
Amount Invoice#
64.73 PR2301023
4.55 PR2301023
56.73 PR2301023
229.61 PR2301023
81.82 PR2301023
178.85 PR2301023
120.00 PR2301023
57.49 PR2301023
12,314.66 PR2301023
11,757.41 PR2301023
55.09 PR2301023
120.00 PR2301023
145.58 PR2301023
81.82 PR2301023
208.42 PR2301023
PO # Check # Check Date
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
00018106 11/30/2023
11/30/2023 :Date
10:55:14 :Time
Type Vendor Name/ID Description
V010054
MW OH INTERNAL REVENUE FED TAX PE 11/11 PD 11/17
V010054
MW OH INTERNAL REVENUE FED TAX PE 11/11 PD 11/17
V010054
MW OH INTERNAL REVENUE FED TAX PE 11/11 PD 11/17
V010054
MW OH MISSION SQUARE 100091 401 A PE 11/11 PD 11/17
V012393
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
V012394
MW OH MISSION SQUARE 301387
City of Placentia
Check Register
For 11/30/2023
Account/Description
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0076-2120
Employer Medicare Payable
0078-2120
Employer Medicare Payable
Batch ID
ACH112923
ACH112923
ACH112923
Amount Invoice# PO # Check # Check Date
43.77 PR2301023 00018106 11/30/2023
4.55 PR2301023 00018106 11/30/2023
64.73 PR2301023 00018106 11/30/2023
Check Total: 118,906.02
0010-2170 ACH112923 9,197.08 PR2301023
Deferred Comp Payable - ICMA
EE/ER CONTR, EE LOANS PR230102 0010-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0033-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0037-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0040-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0048-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0061-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0076-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0054-2170
Deferred Comp
EE/ER CONTR, EE LOANS PR230102 0078-2170
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Page: 14
Check Total:
9,197.08
ACH112923 30,169.32 301387-PY023
ACH112923 108.72 301387-PY023
ACH112923 413.37 301387-PY023
ACH112923 300.00 301387-PY023
ACH112923 601.93 301387-PY023
ACH112923 0.00 301387-PY023
ACH112923 1.53 301387-PY023
ACH112923 75.64 301387-PY023
ACH112923 75.00 301387-PY023
00018107 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
00018108 11/30/2023
11/30/2023 :Date
10:55:14 :Time
Type
Vendor Name/ID
V012394
Description
City of Placentia
Check Register
For 11/30/2023
Account/Description Batch ID Amount Invoice#
Deferred Comp Payable - ICMA
MW OH MISSION SQUARE 301387 EE/ER CONTR, EE LOANS PR230102 0029-2170 V012394 Deferred Comp Payable - ICMA
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 15
PO # Check # Check Date
ACH112923 61.64 301387-PY023 00018108 11/30/2023
Check Total: 31,807.15
Type Total: 792,800.99
Check Total: 792,800.99
11/30/2023 :Date
10:55:14 :Time