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9/02/2025 4:31 PM A/P HISTORY CHECK REPORT <br />VENDOR SET: 01 City of Mounds View <br />BANK: PYBNK Western Bank <br />DATE RANGE: 0/00/0000 THRU 99/99/9999 <br />CHECK <br />VENDOR I.D. NAME STATUS DATE <br />AMOUNT <br />E1200 <br />EFTPS-Direct <br />CONT <br />I-T3 <br />20250821 <br />FICA W/H <br />D 8/21/2025 <br />252 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEFICA W/H <br />2,158.95 <br />252 <br />4350-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />213.19 <br />252 <br />4730-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />365.24 <br />252 <br />4732-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />1,580.52 <br />290 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEFICA W/H <br />33.21 <br />290 <br />4420-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />33.21 <br />700 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEFICA W/H <br />939.67 <br />700 <br />4820-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />146.03 <br />700 <br />4823-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />721.89 <br />700 <br />4825-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />71.75 <br />730 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEFICA W/H <br />791.70 <br />730 <br />4820-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />146.02 <br />730 <br />4823-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />645.68 <br />740 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEFICA W/H <br />49.10 <br />740 <br />4416-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />49.10 <br />745 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEFICA W/H <br />591.36 <br />745 <br />4415-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />552.38 <br />745 <br />4417-0300 <br />SOCIAL <br />SECURITY <br />FICA W/H <br />38.97 <br />I-T4 <br />20250821 <br />Medicare W/H <br />D 8/21/2025 <br />100 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare <br />W/H <br />2,330.93 <br />100 <br />4100-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />45.85 <br />100 <br />4110-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />4.57 <br />100 <br />4130-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />184.97 <br />100 <br />4150-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />61.75 <br />100 <br />4180-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />144.94 <br />100 <br />4200-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />1,364.39 <br />100 <br />4360-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />210.75 <br />100 <br />4380-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />4.62 <br />100 <br />4410-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />68.51 <br />100 <br />4460-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />9.95 <br />100 <br />4465-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />27.22 <br />100 <br />4470-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />145.69 <br />100 <br />4472-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />43.04 <br />100 <br />4475-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />14.36 <br />100 <br />4700-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />0.38 <br />210 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare <br />W/H <br />18.83 <br />210 <br />4350-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />18.83 <br />230 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare <br />W/H <br />60.67 <br />230 <br />4650-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />60.67 <br />252 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare <br />W/H <br />504.90 <br />252 <br />4350-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />49.87 <br />252 <br />4730-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />85.44 <br />252 <br />4732-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />369.59 <br />290 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare <br />W/H <br />7.77 <br />290 <br />4420-0300 <br />SOCIAL <br />SECURITY <br />Medicare <br />W/H <br />7.77 <br />700 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare <br />W/H <br />219.78 <br />PAGE <br />CHECK CHECK CHECK <br />DISCOUNT NO STATUS AMOUNT <br />000954 <br />000954 <br />2 <br />