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Check Number Check Date Fund Name <br />0 <br />0 <br />73920 <br />73920 <br />73920 <br />73779 <br />73779 <br />73779 <br />0 <br />73778 <br />73763 <br />0 <br />05/15/2014 General Fund <br />OS/28/2014 General Fund <br />05/28/2014 General Fund <br />05/28/2014 General Fund <br />05/28/2014 General Fund <br />OS/15/2014 General Fund <br />05/15/2014 General Fund <br />05/15/2014 General Fund <br />05/15/2014 General Fund <br />OS/15/2014 General Fund <br />05/15/2014 General Fund <br />OS/15/2014 General Fund <br />0 OS/15/2014 General Fund <br />0 OS/28/2014 General Fund <br />AP-Checks far Approval (6/3/2014 - 1032 AM) <br />Account Name <br />ICMA Def Comp <br />ICMA Def Comp <br />Life Ins. Employee <br />Life Ins. Employer <br />Long Term Disability <br />Medical Ins Employee <br />Medical Ins Employee <br />Medical Ins Employer <br />Medical Services <br />Medical Services <br />Memberships & Subscriptions <br />Memberships & Subscriptions <br />Minnesota Benefit Ded <br />Minnesota Benefit Ded <br />Vendor Name Invoice Desc. Amount <br />HSA Employer Total: 7,071.51 <br />ICMA Retirement Trust 457-30022' PR Batch 00001.05.2014 ICMA Defe 2,941.87 <br />ICMA Retirement Trust 457-30022' PR Batch 00002.05.2014 ICMA Defe� 3,046.69 <br />ICMA Def Comp TotaL 5,988.56 <br />Standard Insurance Company Life Insurance Premium far May 201� 1,601.46 <br />Life Ins. Employee Total: 1,601.46 <br />Standard Insurance Company Life Insurance Premium far May 201� 639.44 <br />Life Ins. Employer Total: 639.44 <br />Standard Insurance Company Life Insurance Premium for May 201� 1,380.11 <br />Long Term Disability Total: 1,380.11 <br />NJPA Health Insurance Premium-May 2014 5,701.05 <br />NJPA Health Insurance Premium-May 2014 6,709.78 <br />Medical Ins Employee Total: 12,410.83 <br />NJPA Health Insurance Premium-May 2014 35,965.13 <br />Medical Ins Employer Total: 35,965.13 <br />First Advantage LNS Occ. Health S Drug Tests 179.00 <br />Multicare Associates Medical Services 74.00 <br />Medical Services Total: 253.00 <br />IAFC Membership Membership Dues-Loftus 209.00 <br />IAFCI- CC Membership Dues-Peterson 25.00 <br />Memberships & Subscriptions Total: 234.00 <br />MN Benefit Association PR Batch 00001.05.2014 Minnesota F 272.82 <br />MN Benefit Association PR Batch 00002.05.2014 Minnesota F 788.01 <br />Page 12 <br />