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, . GE 4 -C10-02 NDOR NO ~~DOR NAME ACCOUNT NUMBER- ACCOUNT NUMBER- f'\CCOutfr NUl1BER- ACCOUNT NUt1BER- ACCOUNT NUMBER- ACCOUNT NUMBER- ACCOUNT NUITIBER- ACCOUNT NUt'IBER- CHECK NUMBER CHEC~( DATE 100~4270-041000 100-42~:O-041000 1 00-4:::!:.0-041 000 100-4:::60-041000 700-4120-041000 700-41:;;~1 -041000 nO-4120-'041000 7:::0-4121-'041000 AMT- AMT'- AMl- AMT- Arll- AMT- AMT- AMf- 2~50 LMen HEALTHPROTECTU :::2515 03/08/91 ACCOUNT NUMBEF:- 100-4180-040000 AMl- ACCOUNT NUMBER- 100-4200-040000 AMT- ACCOUNTS PAYABL.E PRE-PAID CHEU( REGISTER MOUNDS VIEW INVOICE INVOICE DISCOUNT INVOICE NMBR DATE AMOUNT AMOUNT 3.98 DESC-COI1. LIFE/LIFE INS. FOR /'lARCH .42 .OESC-CI.lM. LIFE/LIFE INS. fOR M~'lRCH :::.40 DESC~COI'1. LIFE/LIFE INS. FOR MARCH 8.40 OESC-(;OM. LIFE/LIFE HIS. FOR MARCH aZ-n:::4 rH::sc-cmt. LIF E/LIFl::. INS. FOR MARCH :::.40 DESC'-COM. LIFE/LIFE INS. FOR MAF<CH 26.99 HESC-COM. LIfE/LIFE INS. FOR MARCH 2~: . 40 (lESC-COM. LIFE/LIFE INS. FOR MARCH VENDOR TOTAL :::2:3.40 03/08/91 210.84 10~i.42 DESC-LMCIT/HEALTH FOR MARCH 105.42 DESC-Lt'ICIT/HEALfH FOR MARCH VENDOR TOTAL. 210.g4 100 PC EXPRESS/PCTRONIC8 32517 03/12/91 82404 02/28/91 2~.~0 ACCOUNT NUMBER- 100-4190-10::;:000 AMT- 20.00 [IESC-PC EXPRESS/FREIGH'I VENDOR TOTAL 20.00 97'0 GROUP HEALTH PLAN, IN:1(' %~518 0:::/08/91 ACCOUNT NUMBER- 100-4120-040000 AMT- ACCOUNT NUMBER- 100-4130-040000 AMT~ ACCOUNT NUMBER- 100-4150-040000 AMf- ACCOUNT NUMBER- 100-4180-040000 AMT- _UNT NUI'IBER- 100-4190-040000 AMf- UNT NUMBER- 100-4260-040000 AM1- ACCQ.UNT NlH1BER- 100-4200-040000 AMT- ACCOUNT NUMBER- 100-4270-040000 AMT- ACCOUNT NUMBER- 100-4230-040000 AMT- ACCOUNT NUMBER- 100-4350-040000 AMT- ACCOUNT NUMBER- 100-4360-040000 AMT- ACCOUNT NU1~BER-- 700--4120'-040000 AI'tT- ACCOUNT NUMBER- 700-4121-040000 AMT- ACCOUNT NUMBER- ,730-4120-040000 AMT- ACCOUNT NUMBER- 730-4121-040000 AMT- 410 PATRICIA MICHNA 32519 08/11/91 ACCOUNT NUMBER- 100-4190-114000 AMl- 03/08/91 6628.94 :;:21.46 DESC-GfWUP HEALTH/HJ:::AL fH FOR MARCH ~~87. 07~ DESe-GROllP HEAL TH/HEAL TH FOR MARCH 620.74 DESC-GROUP HEALfH/HEALrH FOF< MARCH 98.97 DESe-GROUP H!::.AL1H/Hl::.ALTH FOR MARCH 117.82 DESC-GROUP HEAUH/HEAUH FOR MARCH 248. :::0 [lE.SG-GROUP HEALTH/HEALTH FOR MAHCH 2774. ~:8 DESC--GROUF' HEAL fH/I-IEALTH fOR MARCH 581.02 DESC-GROUPHEAL.TH/HEAL1HFOR MARCH 62.08 DJ:::SC-GROUP HEALfH/HEALfHFOR MARCH 496.60 DEllC-GROUP HE.AL TH/Hl::AL TH FOR MARCH 248a30 DESC-GROUP HEALfH/HEALTH FOR MARCH 241. 81 DESC-GROUP HEALTH/HEAL 1H FOR MARCH 496.60 DE:SC-"GROUp. HEAUH/HEALTH FOR MARCH 241.81 DESC-GROUP H~.ALTH/HEALTH FOR MARCH :::66.1.2 [IESC-GROllP HEAL fH/HEALTH .FOR MAF:CH VENDOR TOTAL 6628.94 03/11/91 12.96 12.96 DESC-PAT MICHNA/REIMBURSEMENl FOR S VENDOR TOTAL 12.96 CHECk 111~OUNT :32:::.40 21.0.84 210.84 20.00 20.00 6628.94 662:8.94 12.96 12.96 201 DiWE YlIRI<EW :32~:i20 0:3/11/91 0::;:;11/91 !:iO.OO 50.0C ACCOUNT NUMBER.- 100--4::::50-~:90000 A~IT- 50.00 lIESC-DAVE YUR~(EW/SUNRISE SRS ENT VENDOR TOTAL 50.00 50.0C ~i80 SHARON LIr~~(E :32521 0:;:/11/91 0~:!11/9126.()1 ACCOUNT NUMBER- 250-4352-160147 AM1- 26.01 DESC-L.INKE S./REIMBURSEMENT VENDOR TOTAL. 26.01 165"V OF MOUNDS VIEW n522 0:3/11/91 0::;:;11./91 59.65 26.01 26.01 ~,9 . 6~