1.B.1 ELECTRONIC DISBURSEMENT — Placentia City Council, February 6, 2024

Type Vendor Name/ID Description
Check Totals by ID
AP 274,855.98
EP 0.00
IP 0.00
OP 0.00
Fund Name
101 -General Fund (0010)
208-Sccssr Agncy Ret Oblg (0054)
231 -Placentia Reg Nay 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 Total:

City of Placentia
ACH Check Register
For 02/06/2024
Account/Description
Check Totals by Fund
201,499.21
538.47
1,173.83
481.65
2,921.73
3,349.92
2,193.56
61,407.71
1,289.90
ACH Payroll Direct Deposit for 01/26/2024:

Electronic Disbursement Total:
274,855.98
593,478.88
868,334.86
Batch ID
Amount Invoice#
Grand Total: 274,855.98
Void Total:

Check Total:

Funds will be transferred from the Cash Basis Fund as needed to fund the warrants included on this warrant register User: Gabriela Cahn
Report: AP 1400M : AP: Warrant List - Machine

0.00 274,855.98
PO # Check # Check Date
01/30/2024 :Date
17:15:25 :Time

Type Vendor Namc/ID

MW OH PLACENTIA POLICE
V000839
Description
PPFMA PE 1/6 PD 1/12
MW OH PLACENTIA FIREFIGHTERS PFFA PE 1/6 PD 1/12
V011878

MW OH PLACENTIA POLICE
V003519

MW OH CALIFORNIA STATE
V004813

MW OH EMPLOYMENT
V010052

MW OH EMPLOYMENT
V010052
PPOA PE 1/6 PD 1/12
PPOA PE 1/6 PD 1/12
CA GARN PE 1/6 PD 1/12
CA GARN PE 1/6 PD 1/12
CA GARN PE 1/6 PD 1/12
CA GARN PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/30/2024
Account/Description
0010-2180
Police Mgmt Assn Dues
0010-2178
Placentia Police Assoc Dues
Batch ID
ACH011724
Check Total:

Amount Invoice#

0.00 PR2401001

0.00 ACH011724 800.00 PR2401001
Check Total: 800.00
0010-2178 ACH011724 3,246.09 PR2401001
Placentia Police Assoc Dues
0078-2178 ACI -I011724 47.66 PR2401001
Placentia Police Assoc Dues
Check Total: 3,293.75
0010-2196 ACH011824 1,272.91 PR2401001
Garnishments W/H
0029-2196 ACH011824 9.23 PR2401001
Garnishments W/H
0037-2196 ACH011824 69.23 PR2401001
Garnishments W/H
0048-2196 ACH011824 46.15 PR2401001
Garnishments W/H
Check Total: 1,397.52
0010-2135 ACH011824 37,810.88 PR2401001
Calif Income Tax W/H
0029-2135 ACH011824 131.36 PR2401001
Calif Income Tax W/H
0033-2135 ACH011824 783.31 PR2401001
Calif Income Tax W/H
0040-2135 ACH011824 367.02 PR2401001
Calif Income Tax W/H
Page: 1
PO # Check # Check Date
00000000 01/18/2024
00018225 01/18/2024
00018226 01/18/2024
00018226 01/18/2024
00018227 01/18/2024
00018227 01/18/2024
00018227 01/18/2024
00018227 01/18/2024
00018228 01/18/2024
00018228 01/18/2024
00018228 01/18/2024
00018228 01/18/2024
01/30/2024 :Date
17:15:25 :Time

Type Vendor Name/ID

MW OH EMPLOYMENT
V010052

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
MW OH
MW OH

INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
V010054
Description
PAYROLL PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
PAYROLL PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/30/2024
Account/Description
0037-2135
Calif Income Tax W/H
0054-2135
Calif Income Tax W/H
0048-2135
Calif Income Tax W/H
0078-2135
Calif Income Tax W/H
0078-2110
Federal Income Tax W/H
0010-2110
Federal Income Tax W/H
0029-2110
Federal Income Tax W/H
0033-2110
Federal Income Tax W/H
0037-2110
Federal Incotne Tax W/H
0040-2110
Federal Income Tax W/H
0048-2110
Federal Income Tax W/H
0054-2110
Federal Income Tax W/H
0054-2115
Employee Medicare W/H
0078-2115
Employee Medicare W/H
Page: 2
Batch ID
Amount Invoice#
ACH011824 430.51 PR2401001
ACH011824 111.86 PR2401001
ACH011824 476.83 PR2401001
ACH011824 232.91 PR2401001
Check Total: 40,344.68
ACH011824 693.40 PR2401001
ACH011824 88,458.36 PR2401001
ACH011824 190.03 PR2401001
ACH011824 2,066.46 PR2401001
ACH011824 1,021.67 PR2401001
ACH011824 458.70 PR2401001
ACH011824 1,479.38 PR2401001
ACH011824 252.11 PR2401001
ACH011824 37.11 PR2401001
ACI -1011824 62.43 PR2401001
PO # Check # Check Date
00018228 01/18/2024
00018228 01/18/2024
00018228 01/18/2024
00018228 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
01/30/2024 :Date
17:15:25 :Time

Type Vendor Name/ID

MW OH INTERNAL REVENUE
V010054

MW OH INTERNAL REVENUE
Description
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE 1/6 PD 1/12
FED TAX PE I/6 PD 1/12
User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/30/2024
Account/Description
0040-2115
Employee Medicare W/H
0048-2115
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
0037-2120
Employer Medicare Payable
0048-2120
Employer Medicare Payable
0040-2120
Employer Medicare Payable
0033-2120
Employer Medicare Payable
0078-2120
Employer Medicare Payable
0054-2120
Employer Medicare Payable
0010-2125
Page: 3
Batch ID
ACH011824
ACH011824
ACH011824
ACH011824
ACH011824
ACH011824
ACHOI 1824
ACH011824
ACH011824
ACH011824
ACH011824
ACH011824
ACH011824
ACH011824
ACH011824
Amount Invoice#

82.09 PR2401001
179.21 PR2401001
133.96 PR2401001
195.71 PR2401001

50.09 PR2401001
11,968.77 PR2401001
11,968.77 PR2401001

50.09 PR2401001
133.96 PR2401001
179.21 PR2401001

82.09 PR2401001
195.71 PR2401001

62.43 PR2401001

37.11 PR2401001

18.50 PR2401001
PO # Check # Check Date
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
00018229 01/18/2024
01/30/2024 :Date
17:15:25 :Time

Type
Vendor Name/ID
V010054

MW OH INTERNAL REVENUE
V010054
MW OH MISSION SQUARE 100091
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 WASHINGTON STATE
V011597

MW OH PLACENTIA POLICE
Description
FED TAX PE 1/6 PD 1/12
401A PE 1/6 PD 1/12
EE/ER CONTR PE 1/6 PD 1/12

EE/ER CONTR

EE/ER CONTR
PE 1/6 PD 1/12
PE 1/6 PD 1/12
PE 1/6 PD 1/12
EE/ER CONTR PE 1/6 PD 1/12
EE/ER CONTR PE 1/6 PD 1/12
EE/ER CONTR PE 1/6 PD 1/12
EE/ER CONTR PE 1/6 PD 1/12
WA GARN PE 1/6 PD 1/12
PPFMA PE01/16 PD 01/12
User: Gabriela Galin
Report: AP 1400M : AP: Warrant List - Machine
City of Placentia
Check Register
For 01/30/2024
Account/Description
Employee Social Sec W/H
0010-2130
Employer Soc Sec Payable
Batch ID
ACHO1 1824
Amount Invoice#

18.50 PR2401001
Check Total: 120,075.85
0010-2170 ACH011824 10,316.25 PR2401001
Deferred Comp Payable - ICMA
0010-2170
Deferred Comp
0029-2170
Deferred Comp
0054-2170
Deferred Comp
0078-2170
Deferred Comp
0033-2170
Deferred Comp
0037-2170
Deferred Comp
0040-2170
Deferred Comp
0048-2170
Deferred Comp
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
Payable - ICMA
0010-2196
Garnishments W/H
0010-2180
Page: 4
Check Total: 10,316.25
ACH011824 33,303.81 301387-PY2401
ACH011824 50.85 301387-PY2401
ACH011824 100.28 301387-PY2401
ACH011824 75.00 301387-PY2401
ACH011824 108.73 301387-PY2401
ACH011824 404.23 301387-PY2401
ACH011824 300.00 301387-PY2401
ACH011824 560.95 301387-PY2401
Check Total: 34,903.85
ACH011824 823.09 PR2401001
Check Total:
823.09
ACH011924 1,493.28 PR2401001.

PO #
Check # Check Date
00018229 01/18/2024
00018230 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018231 01/18/2024
00018232 01/18/2024
00018233 01/29/2024
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date V000839 Police Mgmt Assn Dues
Check Total: 1,493.28
MW OH ALDWIR, MAMOUN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 FEB -24 00018234 01/30/2024 E000113 Health Insurance Premiums
Check Total: 870.44
MW OH ANDERSON, MARLA FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 FEB -24 00018235 01/30/2024 E000071 Health Insurance Premiums
Check Total: 527.78
MW OH ARMSTRONG, JOHN T FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,137.00 FEB -24 00018236 01/30/2024 E000046 Health Insurance Premiums
Check Total: 1,137.00
MW 011 AUDISS, JAY SCOTT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 2,256.00 FEB -24 00018237 01/30/2024 E000125 Health Insurance Premiums
Check Total: 2,256.00
MW OH BABCOCK, CHARLES A FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 308.00 FEB -24 00018238 01/30/2024 E000015 Health Insurance Premiums
Check Total: 308.00
MW OH BEALS, SHARLENE FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 FEB -24 00018239 01/30/2024 E000076 Health Insurance Premiums
Check Total: 185.39
MW 011 BERMUDEZ, ALBERT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 547.69 MAR -24 00018240 01/30/2024 E000124 Health Insurance Premiums
Check Total: 547.69
MW OH BUNNELL, DONALD FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018241 01/30/2024 E000062 Health Insurance Premiums
Check Total: 527.78
MW OH BURGNER, ARTHUR FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018242 01/30/2024 User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 5
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000074 Health Insurance Premiums
Check Total: 527.78
MW OH BUSSE, MICHAEL FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,612.85 MAR -24 00018243 01/30/2024 E000131 Health Insurance Premiums
Check Total: 1,612.85
MW OH CHANDLER, JOHN P FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,879.80 MAR -24 00018244 01/30/2024 E000109 Health Insurance Premiums
Check Total: 1,879.80
MW OH CHANG, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,282.00 MAR -24 00018245 01/30/2024 E000107 Health Insurance Premiums
Check Total: 1,282.00
MW OH COBBETT, GEOFFREY FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018246 01/30/2024 E000007 Health Insurance Premiums
Check Total: 527.78
MW OH COOK, ARLENE M FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018247 01/30/2024 E000018 Health Insurance Premiums
Check Total: 527.78
MW OH D'AMATO, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 MAR -24 00018248 01/30/2024 E000056 Health Insurance Premiums
Check Total: 185.39
MW OH DAVID, PRESTON FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018249 01/30/2024 E000112 Health Insurance Premiums
Check Total: 527.78
MW OH DAVIS, CAROLYN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018250 01/30/2024 E000005 Health Insurance Premiums
Check Total: 527.78
MW OH DEAN, ANDREW FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,815.00 MAR -24 00018251 01/30/2024 User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 6
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000135 Health Insurance Premiums
Check Total: 1,815.00
MW OH DELOS SANTOS, JAMIE FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 229.55 MAR -24 00018252 01/30/2024 E000045 Health Insurance Premiums
Check Total: 229.55
MW OH DICKSON, ROBERTA JO FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 MAR -24 00018253 01/30/2024 E000011 Health Insurance Premiums
Check Total: 185.39
MW OH DOWNEY, CAROL FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018254 01/30/2024 E000082 Health Insurance Premiums
Check Total: 527.78
MW OH ECKENRODE, NORMAN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018255 01/30/2024 E000029 Health Insurance Premiums
Check Total: 527.78
MW OH ESCOBOSA, LILLIAN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 291.15 MAR -24 00018256 01/30/2024 E000055 Health Insurance Prerniums
Check Total: 291.15
MW OH ESPINOZA, ROSALINDA FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 565.00 MAR -24 00018257 01/30/2024 E000016 Health Insurance Premiums
Check Total: 565.00
MW OH FRICKE, JUERGEN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 873.00 MAR -24 00018258 01/30/2024 E000075 Health Insurance Premiums
Check Total: 873.00
MW OH FULLER, GLENN H FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 873.00 MAR -24 00018259 01/30/2024 E000081 Health Insurance Premiums
Check Total: 873.00
MW OH GALLANT, KAREN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018260 01/30/2024 User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 7
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000008 Health Insurance Premiums
Check Total: 527.78
MW OH GARNER, JO ANN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 MAR -24 00018261 01/30/2024 E000047 Health Insurance Premiums
Check Total: 185.39
MW OH GARNER, KITTY FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 MAR -24 00018262 01/30/2024 E000080 Health Insurance Premiums
Check Total: 870.44
MW OH GRIMM, DENNIS L FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 308.00 MAR -24 00018263 01/30/2024 E000042 Health Insurance Premiums
Check Total: 308.00
MW OH HOLTSCLAW, KATHERINE FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 565.00 MAR -24 00018264 01/30/2024 E000121 Health Insurance Premiums
Check Total: 565.00
MW OH IRVINE, SUZETTE FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAR -24 00018265 01/30/2024 E000019 Health Insurance Premiums
Check Total: 527.78
MW OH JENKINS, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 739.30 MAR -24 00018266 01/30/2024 E000084 Health Insurance Premiums
Check Total: 739.30
MW OH JOHNSON, SHARON FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 MAR -24 00018267 01/30/2024 E000099 Health Insurance Premiums
Check Total: 185.39
MW 011 JONES, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 184.72 MAR -24 00018268 01/30/2024 E000053 Health Insurance Premiums
Check Total: 184.72
MW OH JUAREZ, JANET FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 184.72 MAR -24 00018269 01/30/2024 User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 8
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000134 Health Insurance Premiums
Check Total: 184.72
MW OH JUDD, TERRELL FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 MAR -24 00018270 01/30/2024 E000115 Health Insurance Premiums
Check Total: 870.44
MW OH KIRKLAND, RICHARD L FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 184.72 APR -24 00018271 01/30/2024 E000110 Health Insurance Premiums
Check Total: 184.72
MW OH LITTLE, DIANE M FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 291.15 APR -24 00018272 01/30/2024 E000098 Health Insurance Premiums
Check Total: 291.15
MW OH LOOMIS, CORINNE FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 565.00 APR -24 00018273 01/30/2024 E000122 Health Insurance Premiums
Check Total: 565.00
MW OH LOWREY, B J FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 308.00 APR -24 00018274 01/30/2024 E000041 Health Insurance Premiums
Check Total: 308.00
MW OH MAERTZWEILER, MICHAEL EEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 APR -24 00018275 01/30/2024 E000032 Health Insurance Premiums
Check Total: 527.78
MW OH MILANO, JAMES FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 APR -24 00018276 01/30/2024 E000054 Health Insurance Premiums
Check Total: 527.78
MW OH MILLER, RICHARD FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,137.00 APR -24 00018277 01/30/2024 E000106 Health Insurance Premiums
Check Total: 1,137.00
MW OH NAJERA, JOSEPH D. FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 565.00 APR -24 00018278 01/30/2024 User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 9
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000136 Health Insurance Premiums
Check Total: 565.00
MW OH OLEA, ARLENE J FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 APR -24 00018279 01/30/2024 E000014 Health Insurance Premiums
Check Total: 527.78
MW OH PALMER, GEORGE FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 873.00 APR -24 00018280 01/30/2024 E000094 Health Insurance Premiums
Check Total: 873.00
MW OH PASCARELLA, RICHARD FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 2,095.45 APR -24 00018281 01/30/2024 E000129 Health Insurance Premiums
Check Total: 2,095.45
MW OH PASCUA, RAYNALD FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,720.00 APR -24 00018282 01/30/2024 E000114 Health Insurance Premiums
Check Total: 1,720.00
MW OH PASPALL, MIHAJLO FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 526.44 APR -24 00018283 01/30/2024 E000085 Health Insurance Premiums
Check Total: 526.44
MW OH PEREZ, ROBERT FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 184.72 APR -24 00018284 01/30/2024 E000111 Health Insurance Premiums
Check Total: 184.72
MW OH PICHON, WALTER FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 291.15 APR -24 00018285 01/30/2024 E000103 Health Insurance Premiums
Check Total: 291.15
MW OH PINEDA, MATEO FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 492.58 APR -24 00018286 01/30/2024 E000127 Health Insurance Premiums
Check Total: 492.58
MW OH PISCHEL, STEPHEN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 APR -24 00018287 01/30/2024 User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 10
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000130 Health Insurance Premiums
Check Total: 870.44
MW OH POINT, ERIC FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 2,256.00 APR -24 00018288 01/30/2024 E000133 Health Insurance Premiums
Check Total: 2,256.00
MW OH REDIFER, KIM R FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 873.00 APR -24 00018289 01/30/2024 E000022 Health Insurance Premiums
Check Total: 873.00
MW OH RENDEN, BRIAN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 526.44 APR -24 00018290 01/30/2024 E000083 Health Insurance Premiums
Check Total: 526.44
MW OH REYES, ROGER T FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 APR -24 00018291 01/30/2024 E000024 Health Insurance Premiums
Check Total: 527.78
MW OH REYNOLDS, MATTHEW FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 565.00 APR -24 00018292 01/30/2024 E000132 Health Insurance Premiums
Check Total: 565.00
MW OH RICE, RUSSELL J FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,385.00 APR -24 00018293 01/30/2024 E000059 Health Insurance Premiums
Check Total: 1,385.00
MW OH RIVERA, AIDA FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 APR -24 00018294 01/30/2024 E000026 Health Insurance Premiums
Check Total: 185.39
MW OH ROACH, MICHAEL FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,879.80 APR -24 00018295 01/30/2024 E000105 Health Insurance Premiums
Check Total: 1,879.80
MW OH ROBB, SANDRA FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 APR -24 00018296 01/30/2024 User: Gabriela Calin
Report: AP 1400M : AP: Warrant List - Machine
Page: 11
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000043 Health Insurance Premiums
Check Total: 185.39
MW OH ROSE, RICHARD D FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 APR -24 00018297 01/30/2024 E000050 Health Insurance Premiums
Check Total: 870.44
MW OH RUIZ, ARNULFO FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,287.00 APR -24 00018298 01/30/2024 E000138 Health Insurance Premiums
Check Total: 1,287.00
MW OH SALE, LEE R FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 APR -24 00018299 01/30/2024 E000031 Health Insurance Premiums
Check Total: 527.78
MW OH SANCHEZ, LAURA FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 APR -24 00018300 01/30/2024 E000058 Health Insurance Premiums
Check Total: 185.39
MW OH SCHLIEDER, BEVERLY FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 MAY -24 00018301 01/30/2024 E000120 Health Insurance Premiums
Check Total: 870.44
MW 011 SMITH, WARD FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 722.70 MAY -24 00018302 01/30/2024 E000128 Health Insurance Premiums
Check Total: 722.70
MW OH SOTO, PHILIP J FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAY -24 00018303 01/30/2024 E000052 Health Insurance Premiums
Check Total: 527.78
MW OH SPRAGUE, GARY A FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,679.00 MAY -24 00018304 01/30/2024 E000064 Health Insurance Premiums
Check Total: 1,679.00
MW OH STEPHEN, JEFFREY FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 870.44 MAY -24 00018305 01/30/2024 User: Gabriela Calla
Report: AP1400M : AP: Warrant List - Machine
Page: 12
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01130/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000119 Health Insurance Premiums
Check Total: 870.44
MW OH TAYLOR, DAVID M FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 578.00 MAY -24 00018306 01/30/2024 E000088 Health Insurance Premiums
Check Total: 578.00
MW 011 TAYLOR, LINDA FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 565.00 MAY -24 00018307 01/30/2024 E000126 Health Insurance Premiums
Check Total: 565.00
MW OH THOMANN, DARYLL L FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAY -24 00018308 01/30/2024 E000101 Health Insurance Premiums
Check Total: 527.78
MW OH TRIFOS, WILLIAM FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 873.00 MAY -24 00018309 01/30/2024 E000104 Health Insurance Premiums
Check Total: 873.00
MW OH VALENTINE, THOMAS FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,879.80 MAY -24 00018310 01/30/2024 E000118 Health Insurance Premiums
Check Total: 1,879.80
MW OH VERSTYNEN, WILLIAM FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 184.72 MAY -24 00018311 01/30/2024 E000092 Health Insurance Premiums
Check Total: 184.72
MW OH WAHL, KATHLEEN A FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 185.39 MAY -24 00018312 01/30/2024 E000030 Health Insurance Premiums
Check Total: 185.39
MW OH WIEST, STEPHEN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 527.78 MAY -24 00018313 01/30/2024 E000079 Health Insurance Premiums
Check Total: 527.78
MW OH WORDEN, LARRY M FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 578.00 MAY -24 00018314 01/30/2024 User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 13
01/30/2024 :Date
17:15:25 :Time

City of Placentia
Check Register
For 01/30/2024
Type Vendor Name/ID Description Account/Description Batch ID Amount Invoice# PO # Check # Check Date E000116 Health Insurance Premiums
Check Total: 578.00
MW OH YAMAGUCHI, BRIAN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,612.85 MAY -24 00018315 01/30/2024 E000123 Health Insurance Premiums
Check Total: 1,612.85
MW OH ZINN, JOHN FEB MEDICAL REIMBURSEMENT 395083-5161 RETFEB24 1,287.00 MAY -24 00018316 01/30/2024 E000009 Health Insurance Premiums
User: Gabriela Calin
Report: AP1400M : AP: Warrant List - Machine
Page: 14
Check Total: 1,287.00
Type Total: 274,855.98
Check Total: 274,855.98
01/30/2024 :Date
17:15:25 :Time

Placentia City CouncilFebruary 6, 2024

Placentia City Council
February 6, 2024