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Check NumberCheck Date Account Name V endor Name Fund Name Amount Invoice Desc. <br />FICA Employee Ded. Total: 2,088.27 <br /> IRS EFTPS- Non Bank 0 08/06/2013License Center FICA Employers Share 395.81 PR Batch 00001.08.2013 Medicare Employer Portion <br /> IRS EFTPS- Non Bank 0 08/06/2013License Center FIC A Employers Share 1,692.46 PR Batch 00001.08.2013 FICA Employer Portion <br />FICA Employers Share Total: 2,088.27 <br /> ING ReliaStar 71025 08/08/2013License Center HR A Employer 1,030.00 PR Batch 00001.08.2013 HRA Employer Paid <br />HRA Employer Total: 1,030.00 <br /> Premier Bank 71049 08/08/2013License Center HS A Employee 38.46 PR Batch 00001.08.2013 HSA Employee <br />HSA Employee Total: 38.46 <br /> Premier Bank 71049 08/08/2013License Center HS A Employer 790.00 PR Batch 00001.08.2013 HSA Employer Paid <br />HSA Employer Total: 790.00 <br /> Standard Insurance Company 71067 08/08/2013License Center Life Ins. Employee 55.98 Life Insurance Premium <br />Life Ins. Employee Total: 55.98 <br /> Standard Insurance Company 71067 08/08/2013License Center Life Ins. Employer 72.72 Life Insurance Premium <br />Life Ins. Employer Total: 72.72 <br /> Standard Insurance Company 71067 08/08/2013License Center Long Term Disability 122.42 Life Insurance Premium <br />Long Term Disability Total: 122.42 <br /> NJPA 71042 08/08/2013License Center Medical Ins Employee 2,230.08 Medical Insurance Premium <br />Medical Ins Employee Total: 2,230.08 <br /> NJPA 71042 08/08/2013License Center Medical Ins Employer 5,757.84 Medical Insurance Premium <br />Medical Ins Employer Total: 5,757.84 <br /> MSRS-Non Bank 0 08/06/2013License Center MN State Retirement 285.72 PR Batch 00001.08.2013 Post Employment Health Plan <br />AP-Checks for Approval (8/13/2013 - 10:21 AM)Page 21