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t: 1 CI0-02 OOR CHECK CHECK .NDOR NAMl:. NUMBER DA'I E. 04 NORfH MEMORIAL MEDICA. 35044 06/06/91 ACCOUNT NUMBf..R- 100-4200-:::6:::000 AM'I- ACCOUNTS PAYABLE PRE-PALO CHECK REGIS fER MOUNDS VIlW INvorCJ:: INVOICE DISCOUNT INVOICE. NMBR DAlE MiOUNl AMOUNT 06/06/91 58.00 58.00 nESC-NO MEMORIAL MlD/TRNG-CHMIHERS VENDOR TOTAL 58.00 23 dE:.FF WACHOWIA.':35045 06/06/91 06/06/91 ~:50.00 ACCOUNT NUMBER- ~~55-4121-70:3000 AMf- 2::iO.00 DESC-dEfF WACHOWIAK/6 HP ourBRO MfR VE.NIJOR TO'l Al. 2!:)0 ~ 00 50 MIKE ULRICH 35046 06/0//91 06/07/91 15.20 ACCOUNl NUMBER- 100-4260-368000 AM'I- 1!:1.20 DESC-M]'CHAEL ULR1CH/DONUlS VENDOR lorAL 15.20 00 COMMERICAL LIFE INSUR* 35047 06/10/91 ACCOUN r NUMBER- 100-'4120-041000 AM 1'- ACCOUNT NUMBER- 100-4130-041000 AM]- ACCOUNT NUMBER- 100-41 :;:iO-041 000 AM f- ACCOUNT NUMBER- 100-4180-04:t.OOO AMT- ACCOUNT NUMBER- 100-4190-041000 AMf- ACCOUNT NUMBER- 100-4L~60-04l000 AM1- ACCOUNf NUMBER- 100-4200-041000 AMl- ACCOUNT NUMBER- 100-42/0-041000 AMT- ACCOUNT NIJMBER- 100-4230-041.000 AMf- ACCOUNl NUMBER- 100-4350-041000 AM1- tCOUNT NUMBER- 100-4~360-041000 AMl- ""OUNT NUMBER- 700-4120-041000 AM'I- .~COUNrNUMBER- 700-4121-041000 AMf- ACCOUN'I NUMBE.R- 730-4120-041000 AM'l- ACCOIJNfNUMBER- 130-4121-041000 AM1- 06/10/91 834.00 35.30 DESC-COMMERCIAL LIFE/JUNE INS PREM ~~4.6!;:i DE:.SC-COI'IMERCIAL LIFE:./JUNE INS PRE!"I 4.25 DJ::SC-COMI1ERCIAL LIFE/JUNE INS PREi1 10.89 DlSC-COMMERC]'AL LIFE/JUNE INS PREM ~35.70 [IESC.-COi1MERCIAL LIFE/JUNE INS PREM 1.70 DESC-COMMERCIAL LIfE/JUNE: INS PREM 96.68 OESC-'COMMERCI.AL LIFE/JUNE INS PREM :3.98 D1::SC-COMI'lERCI AL LIFf:.! JUNE INS PREPI .42 Dt:SC-COMI1ERCIAL UfEldUNJ:: INS PREM :::.40 DESC-COtlI'1ERt1AL LH f:.! JUNE INS Pf<El'i 3.40 OESC-COMMERCIALLIFE/JUNE INS PREM 45.02 DESC-COMMERCIAL LIFE:./JUNE INS PREM 3.40 DJ::8c-cm1i1ERCIAL LIfJ::/dUNE INS PRf~1 42.81 IJI:,SC-COMMERCIAL LlHJJUNE INS PRHI 22.40 OESC-COrlt'IERCIAL LIFE/JUNf.: INS f'Rf.M VENDOR TOTAL 334.00 :18 OEPT OF NAflJRAL RESOU* 35048 06/11/91 06/10/91 55.00 ACCOUN', NUMBER- 255-4Ul-160000 AM'l- 5!;:..OO DESC-DNR/BOA'I UCE.NSE VENDOR I'D f AL 5:;i . 00 '00 PHYSICIANS HEAL'I H PLA* 35049 06/14/91 ACCOUNT NUMBJ::R- 100~4120-040000 AMT- ACCOUNT NUMBER- 100-4130-040000 AM1- ACCOUNr NUMBER- 100-4200-040000 AMT- ACCOUNl NUMBER- 100-4360-040000 AM1- 170 GROUP HEAL lH PLAN, IN* :3~.051 06/14/91 ACCOUNT NUM8J::R- 100-4120-042000 A~f- ACCOUNl NUMBER- 100-4130-042000 AM]- ACCOUNT NUMBER- 100-4180-042000 AMl- ACCOUN1 NUMBER- 100-4200-042000 AM1- ACCOUN I' NUMBER- 700'-41:20-042000 A11f- ACCOUNT NUMBE.R- 730-4120-042000 AMl- . 3S052 06/14/91 . COUN"' NUMf:lER- 100-4120-040000 AM"- 06/14/91 886.30 147.00 f.ll:::SC-f'HP/dUNE: HJ::ALfH INS PREM 294.00 DlSC-PHP/JUNE. HEALl H INS PRE:M :1.47.00 DESC-PHP/JUNE HfAL.TH INS F'Rf.M ;~48. ~:O DES(;-PHP / JUNE. HEALTH INS PREM VENDOR ro rAt 836.30 06/14/91 214.1/ 44./7 [lJ::SC-GfWUP !-IEAL TH/[IHIfAL INS-JUNE 25.41 DlSC-GROUP HlAL'lH/Df:N'IAL INS-JUNE 14.;;;~3 DJ::SC-GROUf' Ht::AUH/OEtHAL INS-JUNE 101.64 lIE..SC-'GRtJllP HJ:..AL 1 H/IJEN1AL INS-"IUNE 14.06 flESC'.'6ROUP HEAUH/Ot::NTAL INS-JUNI:: 14.06 DE.SC-C1I:.:oUP HE:.ALTH/IJEN" AL INS'-JUNE 06/14/91 6974.92 ~::21. 46 nE:.SC-GROUP HE:AL TH/ JUNE. INS PREMIUM CHECK AMOIJNl ~j8. 00 58.00 250.00 2:'0.00 15.20 1 ~j . :20 3:34.00 334.00 :55.00 5~j . 00 836.30 B~36 . 30 214.17 6974.92