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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 />PAGE <br />CHECK CHECK CHECK <br />AMOUNT DISCOUNT NO STATUS AMOUNT <br />E1200 <br />EFTPS-Direct <br />CONT <br />I-T4 <br />20250821 <br />Medicare <br />W/H <br />D <br />8/21/2025 <br />700 <br />4820-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />34.15 <br />700 <br />4823-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />168.85 <br />700 <br />4825-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />16.78 <br />730 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare W/H <br />185.17 <br />730 <br />4820-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />34.15 <br />730 <br />4823-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />151.00 <br />740 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare W/H <br />11.48 <br />740 <br />4416-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />11.47 <br />745 <br />2011 <br />FICA & <br />FEDERAL W/H <br />TAX PAYABLEMedicare W/H <br />138.32 <br />745 <br />4415-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />129.17 <br />745 <br />4417-0300 <br />SOCIAL <br />SECURITY <br />Medicare W/H <br />9.12 <br />H1016 <br />HSA Bank <br />I-12520250821 <br />C1211 HSA CONTRIBUTIONS <br />D <br />8/21/2025 <br />100 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />3,017.11 <br />100 <br />4110-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />7.07 <br />100 <br />4130-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />182.13 <br />100 <br />4150-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />67.00 <br />100 <br />4180-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />225.00 <br />100 <br />4200-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />1,862.15 <br />100 <br />4360-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />210.71 <br />100 <br />4410-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />116.00 <br />100 <br />4460-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />27.50 <br />100 <br />4465-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />72.50 <br />100 <br />4470-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />146.88 <br />100 <br />4472-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />91.88 <br />100 <br />4475-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />25.62 <br />100 <br />4700-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />0.35 <br />210 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />40.29 <br />210 <br />4350-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />18.50 <br />230 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />201.04 <br />230 <br />4650-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />95.00 <br />252 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />103.86 <br />252 <br />4350-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />94.38 <br />252 <br />4730-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />116.88 <br />252 <br />4732-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />206.87 <br />290 <br />2014 <br />ACCRUED INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />49.54 <br />290 <br />4420-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />23.50 <br />700 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />521.11 <br />700 <br />4820-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />51.63 <br />700 <br />4823-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />324.35 <br />700 <br />4825-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />42.49 <br />730 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />247.60 <br />730 <br />4820-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />51.61 <br />730 <br />4823-0400 <br />HEALTH <br />INSURANCE - <br />EMPLOYER <br />COC1211 <br />HSA CONTRIBUTI <br />337.12 <br />740 <br />2014 <br />ACCRUED <br />INSURANCE <br />PAYABLE <br />C1211 <br />HSA CONTRIBUTI <br />18.25 <br />000954 <br />000955 <br />49,137.12 <br />3 <br />