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11/18/2025 1:42 PM A/P HISTORY CHECK REPORT PAGE: 7 VENDOR SET: 01 City of Mounds View BANK: PYBNK American National Bank DATE RANGE: 0/00/0000 THRU 99/99/9999 VENDOR I.D. E1200 I-T4 20251113 700 2011 700 4820-0300 700 4823-0300 700 4825-0300 730 2011 730 4820-0300 730 4823-0300 740 2011 740 4416-0300 745 2011 745 4415-0300 745 4417-0300 H1016 I-12520251113 100 2014 100 4130-0400 100 4150-0400 100 4180-0400 100 4200-0400 100 4360-0400 100 4410-0400 100 4460-0400 100 4465-0400 100 4470-0400 100 4472-0400 100 4475-0400 100 4700-0400 210 2014 210 4350-0400 230 2014 230 4650-0400 252 2014 252 4350-0400 252 4730-0400 252 4732-0400 290 2014 290 4420-0400 700 2014 700 4820-0400 700 4823-0400 700 4825-0400 730 2014 730 4820-0400 730 4823-0400 740 2014 CHECK NAME STATUS DATE EFTPS-Direct CONT Medicare W/H D 11/13/2025 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H SOCIAL SECURITY Medicare W/H SOCIAL SECURITY Medicare W/H SOCIAL SECURITY Medicare W/H FICA & FEDERAL W/H TAX PAYABLEMedicare W/H SOCIAL SECURITY Medicare W/H SOCIAL SECURITY Medicare W/H FICA & FEDERAL W/H TAX PAYABLEMedicare W/H SOCIAL SECURITY Medicare W/H FICA & FEDERAL W/H TAX PAYABLEMedicare W/H SOCIAL SECURITY Medicare W/H SOCIAL SECURITY Medicare W/H HSA Bank C1211 HSA CONTRIBUTIONS D 11/13/2025 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI CHECK CHECK CHECK AMOUNT DISCOUNT NO STATUS AMOUNT 224.57 33.90 173.69 16.97 185.41 33.90 151.51 10.51 10.51 139.06 129.86 9.19 3,062.11 182.13 179.50 225.00 1,961.80 219.63 116.00 27.50 72.50 146.88 91.88 25.63 0.70 40.29 18.50 201.04 95.00 103.86 94.38 116.88 206.87 49.54 23.50 521.11 51.63 322.50 42.49 247.60 51.61 337.13 18.25 001003 001004 45,803.83