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10/21/2025 3:57 PM A/P HISTORY CHECK REPORT PAGE: 2 <br /> VENDOR SET: 01 City of Mounds View <br /> BANK: PYBNK American National Bank <br /> DATE RANGE: 0/00/0000 THRU 99/99/9999 <br /> CHECK CHECK CHECK CHECK <br /> VENDOR I.D. NAME STATUS DATE AMOUNT DISCOUNT NO STATUS AMOUNT <br /> E1200 EFTPS-Direct CONT <br /> I-T3 20251002 FICA W/H D 10/02/2025 000980 <br /> 252 4732-0300 SOCIAL SECURITY FICA W/H 674.10 <br /> 290 2011 FICA & FEDERAL W/H TAX PAYABLEFICA W/H 55.69 <br /> 290 4420-0300 SOCIAL SECURITY FICA W/H 55.69 <br /> 700 2011 FICA & FEDERAL W/H TAX PAYABLEFICA W/H 964.10 <br /> 700 4820-0300 SOCIAL SECURITY FICA W/H 146.79 <br /> 700 4823-0300 SOCIAL SECURITY FICA W/H 738.82 <br /> 700 4825-0300 SOCIAL SECURITY FICA W/H 78.50 <br /> 730 2011 FICA & FEDERAL W/H TAX PAYABLEFICA W/H 779.22 <br /> 730 4820-0300 SOCIAL SECURITY FICA W/H 146.79 <br /> 730 4823-0300 SOCIAL SECURITY FICA W/H 632.41 <br /> 740 2011 FICA & FEDERAL W/H TAX PAYABLEFICA W/H 44.93 <br /> 740 4416-0300 SOCIAL SECURITY FICA W/H 44.93 <br /> 745 2011 FICA & FEDERAL W/H TAX PAYABLEFICA W/H 590.99 <br /> 745 4415-0300 SOCIAL SECURITY FICA W/H 551.73 <br /> 745 4417-0300 SOCIAL SECURITY FICA W/H 39.25 <br /> I-T4 20251002 Medicare W/H D 10/02/2025 000980 <br /> 100 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 2,185.11 <br /> 100 4130-0300 SOCIAL SECURITY Medicare W/H 183.84 <br /> 100 4150-0300 SOCIAL SECURITY Medicare W/H 103.71 <br /> 100 4180-0300 SOCIAL SECURITY Medicare W/H 145.40 <br /> 100 4200-0300 SOCIAL SECURITY Medicare W/H 1,301.18 <br /> 100 4360-0300 SOCIAL SECURITY Medicare W/H 169.82 <br /> 100 4380-0300 SOCIAL SECURITY Medicare W/H 4.62 <br /> 100 4410-0300 SOCIAL SECURITY Medicare W/H 69.08 <br /> 100 4460-0300 SOCIAL SECURITY Medicare W/H 9.95 <br /> 100 4465-0300 SOCIAL SECURITY Medicare W/H 31.71 <br /> 100 4470-0300 SOCIAL SECURITY Medicare W/H 99.97 <br /> 100 4472-0300 SOCIAL SECURITY Medicare W/H 43.96 <br /> 100 4475-0300 SOCIAL SECURITY Medicare W/H 13.49 <br /> 100 4700-0300 SOCIAL SECURITY Medicare W/H 8.39 <br /> 210 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 21.27 <br /> 210 4350-0300 SOCIAL SECURITY Medicare W/H 21.27 <br /> 230 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 62.51 <br /> 230 4650-0300 SOCIAL SECURITY Medicare W/H 62.51 <br /> 252 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 288.65 <br /> 252 4350-0300 SOCIAL SECURITY Medicare W/H 48.99 <br /> 252 4730-0300 SOCIAL SECURITY Medicare W/H 81.97 <br /> 252 4732-0300 SOCIAL SECURITY Medicare W/H 157.69 <br /> 290 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 13.03 <br /> 290 4420-0300 SOCIAL SECURITY Medicare W/H 13.03 <br /> 700 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 225.47 <br /> 700 4820-0300 SOCIAL SECURITY Medicare W/H 34.33 <br /> 700 4823-0300 SOCIAL SECURITY Medicare W/H 172.79 <br /> 700 4825-0300 SOCIAL SECURITY Medicare W/H 18.36 <br /> 730 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 182.24 <br /> 730 4820-0300 SOCIAL SECURITY Medicare W/H 34.33 <br />