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Check Number Check Date Fund Name <br />73765 <br />73781 <br />73914 <br />73781 <br />0 <br />0 <br />73920 <br />73920 <br />73920 <br />73779 <br />73779 <br />05/15/2014 Recreation Fund <br />OS/15/2014 Recreation Fund <br />05/28/2014 Recreation Fund <br />05/15/2014 Recreation Fund <br />05/15/2014 Recreation Fund <br />OS/28/2014 Recreation Fund <br />05/28/2014 Recreation Fund <br />05/28/2014 Recreation Fund <br />05/28/2014 Recreation Fund <br />OS/15/2014 Recreation Fund <br />05/15/2014 Recreation Fund <br />AP-Checks far Approval (6/3/2014 - 1032 AM) <br />Account Name <br />HRA Employer <br />HSA Employee <br />HSA Employee <br />HSA Employer <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 Employer <br />Vendor Name Invoice Desc. Amount <br />FICA Employers Share Total: 8,037.76 <br />ING ReliaStar PR Batch 00001.05.2014 HRA Emplc 933.00 <br />HRA Employer Total: 933.00 <br />Premier Bank PR Batch 00001.05.2014 HSA Emplc 330.19 <br />Premier Bank PR Batch 00002.05.2014 HSA Emplc 314.57 <br />HSA Employee Total: 644.76 <br />Premier Bank PR Batch 00001.05.2014 HSA Emplo 945.00 <br />HSA Employer Total: 945.00 <br />ICMA Retirement Trust 457-30022' PR Batch 00001.05.2014 ICMA Defe 525.00 <br />ICMA Retirement Trust 457-30022' PR Batch 00002.05.2014 ICMA Defe 632.38 <br />ICMA Def Comp Total: 1,157.38 <br />Standard Insurance Company Life Insurance Premium far May 201� 135.06 <br />Life Ins. Employee Total: 135.06 <br />Standard Insurance Company Life Insurance Premium far May 201� 96.96 <br />Life Ins. Employer Total: 96.96 <br />Standard Insurance Company Life Insurance Premium for May 201� 208.07 <br />Long Term Disability Total: 208.07 <br />NJPA Health Insurance Premium-May 2014 1,108.33 <br />Medical Ins Employee Total: 1,108.33 <br />NJPA Health Insurance Premium-May 2014 8,037.46 <br />Medical Ins Employer Total: 8,037.46 <br />Page 40 <br />