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Check Number Check Date Fund Name <br />73765 05/15/2014 P& R Contract Mantenance <br />73781 OS/15/2014 P& R Contract Mantenance <br />73781 05/15/2014 P& R Contract Mantenance <br />73914 05/28/2014 P& R Contract Mantenance <br />73914 05/28/2014 P& R Contract Mantenance <br />73781 OS/15/2014 P& R Contract Mantenance <br />73920 05/28/2014 P& R Contract Mantenance <br />73920 05/28/2014 P& R Contract Mantenance <br />73920 05/28/2014 P& R Contract Mantenance <br />73779 OS/15/2014 P& R Contract Mantenance <br />73779 05/15/2014 P& R Contract Mantenance <br />0 OS/15/2014 P& R Contract Mantenance <br />0 OS/27/2014 P& R Contract Mantenance <br />AP-Checks far Approval (6/3/2014 - 1032 AM) <br />Account Name <br />HRA Employer <br />HSA Employee <br />HSA Employee <br />HSA Employee <br />HSA Employee <br />HSA Employer <br />Life Ins. Employee <br />Life Ins. Employer <br />Long Term Disability <br />Medical Ins Employee <br />Medical Ins Employer <br />MN State Retirement <br />MN State Rerirement <br />Vendor Name Invoice Desc. Amount <br />FICA Employers Share Total: 3,250.74 <br />ING ReliaStar PR Batch 00001.05.2014 HRA Emplc 370.00 <br />HRA Employer Total: 370.00 <br />Premier Bank PR Batch 00001.05.2014 HSA WI E� 34.62 <br />Premier Bank PR Batch 00001.05.2014 HSA Emplc 213.84 <br />Premier Bank PR Batch 00002.05.2014 HSA WI En 32.55 <br />Premier Bank PR Batch 00002.05.2014 HSA Emplc 207.48 <br />HSA Employee Total: 488.49 <br />Premier Bank PR Batch 00001.05.2014 HSA Emplo 1,065.00 <br />HSA Employer Total: 1,065.00 <br />Standard Insurance Company Life Insurance Premium for May 201� 50.09 <br />Life Ins. Employee Total: 50.09 <br />Standard Insurance Company Life Insurance Premium far May 201� 66.66 <br />Life Ins. Employer Total: 66.66 <br />Standard Insurance Company Life Insurance Premium for May 201� 115.62 <br />Long Term Disability Total: 115.62 <br />NJPA Health Insurance Premium-May 2014 675.02 <br />Medical Ins Employee Total: 675.02 <br />NJPA Health Insurance Premium-May 2014 4,282.66 <br />Medical Ins Employer Total: 4,282.66 <br />MSRS-Non Bank PR Batch 00001.05.2014 Post Emplo� 196.38 <br />MSRS-Non Bank PR Batch 00002.05.2014 Post Emplo� 197.73 <br />Page 31 <br />