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UI I Y 01- UtN I tIZVILLE 11/21/11 3:40 PM <br /> Page 1 <br /> Check Detail - November 23, 2011 - UPDATE <br /> Check Check <br /> # Vender Name Comments Amount <br /> ;3/2011000229F PFRA PAY PERIOD 24 - PFRA $7 765,72 <br /> 11/23/2011000230E IRS/EFTPS SS & MED. PAYROLL TAXES - PAY PERIOD 24 $2,733.80 <br /> 11/23/2011000230E IRS /EFTPS FED PAYROLL TAXES - PAY PERIOD 24 $2,621.80 <br /> Check Nbr 000730 IRS /EFTPS $5.355 60 <br /> • 111 a .. • II ■ ' • . I. 1i\ _ . :• _. - . . : •• ' <br /> 11/23/2011000232E WELLS FARGO FINAL H.S.A PYMT - K. STEPHAN - PAY PERIOD 24, 25, & 26 $312.51 <br /> 11/23/2011000232E WELLS FARGO FINAL H.S.A PYMT - A. ANDERSON - PAY PERIOD 24, 25, & 26 $127.08 <br /> 11/23/2011000232E WELLS FARGO FINAL H.S.A PYMT - A. ANDERSON - PAY PERIOD 24, 25, & 26 $127.08 <br /> 11/23/2011000232E WELLS FARGO FINAL H.S.A PYMT - A. ANDERSON - PAY PERIOD 24, 25, & 26 $127.08 <br /> 11/23/2011000232E WELLS FARGO H.S.A PYMT - PAY PERIOD 24 $1,281.29 <br /> Check Nbr 000232 WELLS FARGO $1975.04 <br /> • 1 ■.. • 01/ _ . • _ • . :. - ■ ._ •1 <br /> 11/23/2011026870 DELTA DENTAL #PF99867701 - DEC. 2011 DENTAL $411.10 <br /> 11/23/2011026870 DELTA DENTAL #PF99867701 - DEC. 2011 DENTAL - COBRA - K STEPHAN $58.15 <br /> 11/23/2011026870 DELTA DENTAL #PF99867701 - DEC. 2011 DENTAL - COBRA- A. ANDERSON $9.29 <br /> 11/23/2011026870 DELTA DENTAL #PF99867701 - DEC. 2011 DENTAL - COBRA - A ANDERSON $9.28 <br /> 11/23/2011026870 DELTA DENTAL #PF99867701 - DEC. 2011 DENTAL - COBRA - A ANDERSON $9.28 <br /> Check Nbr 026870 DELTA DENTAL $497.10 <br /> 11/23/2011026871 JF7IORSKI MIKE Mil FAGF RFIMRI IRSFMFNTS FROM 9 -2 -11 THRU 11 -17 -11 $17 31, <br /> 11/23/2011026872 LARSON, DALLAS MILEAGE REIMBURSEMENT FROM 5 -3 -11 THRU 10 -20-11 $38.30 <br /> 11/23/2011026872 LARSON, DALLAS PARKING REIMBURSEMENT - LMC CONFERENCE $13.50 <br /> 11/23/2011026872 LARSON, DALLAS MILEAGE REIMBURSEMENT FROM 5-3-11 THRU 10 -20 -11 $142.64 <br /> Check Nbr 026872 CARSON. DALLAS $194.44 <br /> 11/23/2011026873 MENARDS - FOREST LAKE IN FLOOR HEATING SUPPLIES AT LAMOTTE PARK GARAGE $1,135.19 <br /> 23/2011026873 MENARDS - FOREST LAKE CREDIT - RETURNED ITEMS 472 <br /> 3/2011026873 MENARDS - FOREST LAKE REPAIR & MAINT. SUPPLIES $243.95 <br /> 23/2011026873 MENARDS - FOREST LAKE REPAIRS & MAINT. PARK BLDG $58.18 <br /> Check Nbr 076873 MENARDS - FORFST I AKE $1 364.34 <br /> 11/21/2011026874 NATIONWIDF RFTIRFMFNT SOI 11TION DFF COMP - W/H - PAY PERIOD 24 5160 00 <br /> 11/23/2011026875 SEH 2011 GIS SERVICFS $393,90 <br /> 11/23/2011026876 SUN LIFE INSURANCE COMPANY A. ANDERSON - LIFE /DIS. $6.68 <br /> 11/23/2011026876 SUN LIFE INSURANCE COMPANY A. ANDERSON - LIFE /DIS. $6.67 <br /> 11/23/2011026876 SUN LIFE INSURANCE COMPANY A. ANDERSON - LIFE /DIS. $6.68 <br /> 11/23/2011026876 SUN LIFE INSURANCE COMPANY K. STEPHAN LIFE/DIS. $17.16 <br /> 11/23/2011026876 SUN LIFE INSURANCE COMPANY LIFE INS. THRU DEC. 2011 $50.60 <br /> 11/23/2011026876 SUN LIFE INSURANCE COMPANY DISABLITY INS. THRU DEC. 2011 $150.06 <br /> heck Nbr 026876 SUN LIFE INSURANCE COMPANY $237.85 <br /> 11/23/2011026877 VERIZION WIRELESS CELL PH SERV THRU 11 -9 -11 $47.03 <br /> 11/23/2011026877 VERIZION WIRELESS CELL PH SERV THRU 11-9-11 $47.03 <br /> 11/23/2011026877 VERIZION WIRELESS CELL PH SERV THRU 11 -9 -11 & NEW CELL PHONE $244.94 <br /> 11/23/2011026877 VERIZION WIRELESS CELL PH SERV THRU 11-9-11 $47.02 <br /> 11/23/2011026877 VERIZION WIRELESS CELL PH SERV THRU 11 -9 -11 $47.03 <br /> ;heck Nbr 026877 VERIZION WIRELESS 5433.05 <br /> 11/73/2011026878 HOMFS RY .IAMFS PARTIAI ESCROW RFJ FASF - 1613 HI INTFR'S RIDGF I N $3.80000 <br /> Total check $18,257.10 <br /> / -- ' d Check #26862 & reissued with check #26873 and voided check #26856 & reissued with check #26878. <br />