5.c) Addition 5 �)
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� �, CITY OF SCANDIA 04/18/11 9P 9eM ' `
'C� �� rr-_, .•-� Payments
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SCANDIA
Current Period:April 2011
Batch Name 4-18-11 User pollar Amt $840.00
Payments Computer pollar Amt $840.00
, $0.00 In Balance
Refer 4231 SELECT ACCOUNT _
Cash Payment E 101-41000-131 Employer Paid Health Hurlburt HSA $105.00
Invoice 4-2011
Cash Payment E 101-41910-131 Employer Paid Health Thorp HSA $105.00
Invoice 4-2011
Cash Payment G 101-21706 Accrued Medical Ins Thorp Contribution $150.00
Invoice 4-2011
Cash Payment E 101-43000-131 Employer Paid Health Egelkraut HSA $140.00
Invoice 4-2011
Cash Payment G 101-21706 Accrued Medical Ins Egelkraut Contribution $200.00
Invoice 4-2011
Cash Payment E 101-43000-131 Employer Paid Health Anderson HSA $140.00
Invoice 4-2011
Transaction Date 4/18/2011 SECURITY STATE B 10100 Total $840.00
Fund Summary
10100 SECURITY STATE BANK
101 GENERAL FUND $840.00
$840.00
Pre-Written Check $0.00
Checks to be Generated by the Compute $840.00
Total $840.00