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Check Number Check Date Fund Name <br />0 05/15/2014 Storm Drainage <br />0 OS/15/2014 Storm Drainage <br />0 05/27/2014 Storm Drainage <br />0 05/27/2014 Storm Drainage <br />0 05/15/2014 Storm Drainage <br />0 OS/15/2014 Storm Drainage <br />0 05/27/2014 Storm Drainage <br />0 05/27/2014 Storm Drainage <br />73781 <br />73920 <br />73920 <br />73920 <br />73779 <br />05/15/2014 Storm Drainage <br />OS/28/2014 Storm Drainage <br />05/28/2014 Storm Drainage <br />05/28/2014 Storm Drainage <br />05/15/2014 Storm Drainage <br />0 OS/15/2014 Storm Drainage <br />0 05/27/2014 Storm Drainage <br />AP-Checks far Approval (6/3/2014 - 1032 AM) <br />Account Name <br />FICA Employee Ded. <br />FICA Employee Ded. <br />FICA Employee Ded. <br />FICA Employee Ded. <br />FICA Employers Share <br />FICA Employers Share <br />FICA Employers Share <br />FICA Employers Share <br />HSA Employer <br />Life Ins. Employee <br />Life Ins. Employer <br />Long Term Disability <br />Medical Ins Employer <br />MN State Retirement <br />MN State Retirement <br />Vendor Name Invoice Desc. Amount <br />Federal Income Tax Total: 2,052.16 <br />IRS EFTPS- Non Bank PR Batch 00001.05.2014 Medicare E� 158.38 <br />IRS EFTPS- Non Bank PR Batch 00001.05.2014 FICA Emplc 677.21 <br />IRS EFTPS- Non Bank PR Batch 00002.05.2014 FICA Empl� 684.50 <br />IRS EFTPS- Non Bank PR Batch 00002.05.2014 Medicare E� 160.10 <br />FICA Employee Ded. Total: 1,680.19 <br />IRS EFTPS- Non Bank PR Batch 00001.05.2014 FICA Emplc 677.21 <br />IRS EFTPS- Non Bank PR Batch 00001.05.2014 Medicare E� 158.38 <br />IRS EFTPS- Non Bank PR Batch 00002.05.2014 FICA Emplc 684.50 <br />IRS EFTPS- Non Bank PR Batch 00002.05.2014 Medicare E� 160.10 <br />FICA Employers Share Total: 1,680.19 <br />Premier Bank PR Batch 00001.05.2014 HSA Emplo 140.00 <br />HSA Employer Total: 140.00 <br />Standard Insurance Company Life Insurance Premium far May 201� 13.50 <br />Life Ins. Employee Total: 13.50 <br />Standard Insurance Company Life Insurance Premium far May 201� 39.33 <br />Life Ins. Employer Total: 39.33 <br />Standard Insurance Company Life Insurance Premium far May 201� 63.61 <br />Long Term Disability Total: 63.61 <br />NJPA Health Insurance Premium-May 2014 255.63 <br />Medical Ins Employer Total: 255.63 <br />MSRS-Non Bank PR Batch 00001.05.2014 Post Emplo� 104.58 <br />MSRS-Non Bank PR Batch 00002.05.2014 Post Emplo� 105.76 <br />Page 51 <br />