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<br />ACCOUNTS PA'( ABLE F'F~E -PA I D CHECK REG I STER
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<br />II\!VOICE
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<br />INI/OICE NMBR
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<br />INVOICE
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<br />_oum NUt":BER"- 250 - 4.:351- 0:30000 AI'H- 3.9"1 DESC-'FICA 9/12
<br />, 'QU~,IT NUMBE!~- 1'7 (1.- 422,~. '. i)'::!(H)(li) AMT- 12.~.1 DE~3C-qCA '?/1:?
<br />COUNT NUMBER-- 270-4227--030000 AMT-' 12,.62 DESC-FICA 9/12
<br />ACCOUNT NUt"!BER- 1':ii)'.4121 ..I)':::l)()(H) AMT- ''7:!1 ~ .~.1 I)E.SC-FICA ~1/!.2
<br />ACCDUI\!T NUI'IEER -. 495-- 45:30-' 030000 Ai'lT'.. 1~:2 to 80 DESC-FICA 9/12
<br />ACCfjUNT NU!"!I~E~:- 4 95 - 4 55i) -1)-?-(1(1(1(1 AMT- ~~.~~ 01 () .~. DESC-FICA I;J/i2
<br />ACCOUNT NUMBER..- 700-4120-0:30000 AMT-. 17.:34 DESC-FICA 9/12
<br />ACCOUNT NUMBER- ? r:lf) - 4 11'~! -- i) ? r)(H) (1 A!"!T- '"')11.,) .:!t::; !:)ESC--FICA 1;:>/12
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<br />ACCOUNT NUI'1BEF; -, 700--4125'-0:;:0000 AMT-" 47.68 DESC-FICA 9/12
<br />ACCOUNT NUMBER- 7';~O'-"~ 12(1... Cl.~~(H)(li) AMT- 1.~.. 41 DESC,..r: ICA 1~/1:2
<br />ACCOUNT NUMBER- 730-412:3-"0::;::0000 AMT- 174, . 57 DESC--FI CI=\ 9/12
<br />ACCQUNT NUMBEP- T~!)'-41 :2~.-!:I'~l(I(1(H) (~MT - 1,<1.4.57 I:'i::SC-FICA 9/12
<br />ACCOUr-n- NUt1BEF-" 750"-4600--030000 A1'1f- 155.07 DESC-FICA 9/12
<br />ACCOUNT NUMBE~~ - '?5(1-4~.(11 -1}?(H)(l!) AMT- i'::-r3.. 78 !)ESC--F!CA '::>/12
<br />ACCOUNT I\!UMBER-, 750 - 4602 - 0::::0000 AMT- 96..22 DESC--FIC?\ 9/12
<br />ACCOUNT NU!"iBE!~:- 1 (H)-41'?-:2-(I';l(1(H)(1 AMT.. 14(1..87-- !::rESC-F!CA ';;/1:2
<br />ACCOUNT I\!UMBEF - 100-4130-030000 AMT- 140.87 DESC--FICA 9/12
<br />ACCOUNT NUME1Er-;~ -- :l t:1(1.- ,;~:~~'5'5- r)'?-(H)/)(I AMT- 1'72. ?~~- !::rESC-F-- ICA '?i/12
<br />ACCOUf\!T NUMBER-' 100-"4356-030000 AMT-- 172.78 DESC-,FICP, 9/12
<br /> c:; 1 ,-:;,().-:;, I)";} /1 2/'?(:. rY:J/12/9~. ':1 1 (1 . ';;8
<br />ACCOUNT NUMBER- 100-4100-'031000 ANT- 22104::: DESC-MEDICARE 9/12
<br />ACCOUNT NUMBEr-;:- 1 r)r)'-41'?-(1-f)? 1 (1(11) AMT- 44. 12 I)!::SC...r'1ED I CAPE ';; /! 2
<br />ACCOUI\!T I\!Ul'1BEI:;: - 100"'4150-031000 Am - 16.44 DESe -:VIED I CPIRE 9/12
<br />ACCOUNT NUMBER- 1 (1(1'. L1152 --(1"?-1 !)i)(1 l~MT-' ! ,:; . !:?4 DESC,.MEDICARE ':'/12
<br />ACCOUj\,!T NUMBER... 1 0O--415~5-()::::1000 Al'll'- 13.05 DESC ,- MED I CARE 9/12
<br />c.,t~rnlll\l'" NU!"!BEP - 1 (;(1-41 ~;"? --(1.~~1 (u)r) A!'1T-- 1 i) . 44 m::sc n-ME!)! ~=APE ':'/11
<br />.OU~\!i- I\!UMBER -, 100..41 :::7-031 000 AMT- 110.76 DEE~C - MED I CARE 9/12
<br />...:DUNT NUMBEr;~- 1 (u) ,- [~ 1':11) -- (l? 1, i)r)(1 AMT- 16.44 !)ESC - MED I C?'~r-:E q /1 '-,:,
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<br />ACCDUl\rr !\!UI'1BER- i 0(1,,-4200,-0:3 1000 Af'n- 7. 1~3 DESC.,MEDICAF:E 9/12
<br />ACCOUNT Nt...!!'1!3ER- 1 ~:1(1-42(1:2..-iY:: 1 (\I)r:1 A!"!T"- 1(1~4'~! D!::SC'-MEDICA~~E q Ii .::.
<br />0' __.
<br />ACCOUNT NUI'IBER-- 100--420~~;-031 000 AI'lT-- 129 .. 9:~: DESC-MEDICPlf~E 9/12
<br />ACCOUNT NUMBE~: - 1 (li)- tl2/)7 -'(I? 1 (1(1(1 ?~MT - 1 i) . '52 [IESC-ME!JICAPE 1://11
<br />ACCOUr,~T NUt1BER - 100-"4240-031000 AMT- 5Al DESe - r'lED I C(~lr'<E 9/12
<br />ACCOUNT NUMBEP,. 1 (ll) - 4 '~~!5,~' -, i:l'::ll (ll)r) !~MT- - - .2'1 I)ESC-..MEDICARE 1:)/1:2
<br />ACCOUNT 1\!Ut1BER- 100--4:;:60--031000 AMT-' 40 o. !:i 1 DESC -- MED I CAF~E 9/12
<br />ACCOUNT NUME~E~~- 1 (1C~'-,~ ?~:2 -.- (l;~ 1 r:~i)() AMT- . -':~ 1 D!::SC--!'1EI:I! CA~:E ?/11
<br />~ICCOUNT NU~1BER-- 100-43(:,5-031000 Ai"lT- 26,.59 DESC -, MED I CAEE 9/12
<br />t'~CCQLNT l\lllr<i1=!j:."h'- 1 (11)- 4'::!(:,?'. i)-;: 1 i)(li) AMT- 14.27 [IESC-r~ED!CAFE ":' /1 2
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<br />ACCOUNT NUMBER- 100-44t,2-031000 PiNT -, 19.45 DESC-MEDICAfi:E 9/12
<br />ACCOUNT NUMBE~: - i (If).... .t!-4 71:"~"()'::~:!. (\I){~> A!"!T- '-':'7 . P./-. DEl3C-ME'ICAPE '?/12
<br />ACCOUNT NUI'1BER- 100....4472-031000 AMT-' 1 t, 0, 93 DESC.' MED I CARE 9/12
<br />PCCQUNT NIJ!"!BEP-, 1 (11)-- 4,4'7 ':;- !y;~ 1 ')(11) AMT-- "~".1 3o;! I)ESC-MEDICAPE '?/12
<br />(4CCOUNT NUMBER ,- 250-4:3::i1-'031000 AMT- ..93 DESC-t1ED I CARE 9/12
<br />ACCOUNT NUMBER- "::'7n-LL'"/'-::I!~-.-n':!1 (inn A!"iT- .) ,=.,c; DESC-MEDICAPE ':\/11
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<br />ACCDUI\!T NUMBEFi:- 270-422'7-031000 ?IMl - 2L95 DESe-MEDICARE 9/12
<br />AeCOU!'I''! ~,IUMB!~:~: - 1':1/)-4121 .-(1'~! 1 (H)!) ?::MT- '7..lli) [IESC-!'~En!CA~:E ':1/12
<br />ACCOUNT r,!UMBEF:- 4'?~:5-Lj.::i~30-0:;: 1 000 AMT- 31 .Ot, DESC..-r1EDICi4RE 9/12
<br />ACCOUNT NUMBER- 41:'5'- ~.~5'50'~ (1"31 (1(11") AMT- '7 . ?'~~ DESC-MED I CA!~E ':>/11
<br />ACCOUNT NUl'lBER'- 700-4120-031000 AI'lT- 4.0~i DESC-MEDIUiF,E 9/12
<br />ACCOUNT NU!"!BEr-;:- '70(1"w412'3-.(1? 1 (u)c) A!"!T- 5~. ~ .!.-:.~:! DESC - r~E!) I CAPE 0:)/12
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