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Invoice Number Invoice Date Amount Quantity Payment Date <br />Description Reference <br />Type PO #Close PO Line #Task Label <br />Account Number <br />1025AJ16 Total: 520.00 <br />MNCLNS Total: 520.00 <br />MNDOHDW MN Department of Health <br /> 8,602.00 0.00 10/22/2025 09/30/2025 No2025 Qtr 3 Fees <br /> 601-494-9400-43820 Water Utility Community Water Supply Svc Conn Fee - Qtr 3 2025 <br />2025 Qtr 3 Fees Total: 8,602.00 <br />MNDOHDW Total: 8,602.00 <br />MNLABOR MN Dept of Labor & Industry <br /> 14,695.36 0.00 10/22/2025 09/30/2025 NoSEPT1630752025 <br /> 101-000-0000-20801 Building Permit Surcharge Q3 State Surcharge - SEPT1630752025 <br />SEPT1630752025 Total: 14,695.36 <br />MNLABOR Total: 14,695.36 <br />MNLIFE Minnesota Life Insurance Comp <br /> 898.40 0.00 10/22/2025 010/1/2025 No86240661-00 <br /> 101-000-0000-21708 Other Benefits Monthly Life Ins Prem - Pol #0034644 <br />86240661-00 Total: 898.40 <br />MNLIFE Total: 898.40 <br />MNPEIP MN PEIP <br /> 22,762.62 0.00 10/22/2025 010/10/2025 No1561344 <br /> 101-000-0000-21706 Medical Insurance Monthly Health Insurance Premium - Nov <br />1561344 Total: 22,762.62 <br />MNPEIP Total: 22,762.62 <br />MNSPCT Safebuilt LLC <br />AP-To Be Paid Proof List (10/16/2025 - 9:15 AM)Page 21 <br />*** means this invoice number is a duplicate.