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2/02/2026 4:17 PM A/P HISTORY CHECK REPORT PAGE: 3 <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-T4 20260122 Medicare W/H D 1/22/2026 001048 <br /> 252 4730-0300 SOCIAL SECURITY Medicare W/H 86.74 <br /> 252 4732-0300 SOCIAL SECURITY Medicare W/H 188.75 <br /> 290 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 8.13 <br /> 290 4420-0300 SOCIAL SECURITY Medicare W/H 8.13 <br /> 700 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 222.61 <br /> 700 4820-0300 SOCIAL SECURITY Medicare W/H 35.66 <br /> 700 4823-0300 SOCIAL SECURITY Medicare W/H 168.65 <br /> 700 4825-0300 SOCIAL SECURITY Medicare W/H 18.30 <br /> 730 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 2O2.97 <br /> 730 4820-0300 SOCIAL SECURITY Medicare W/H 35.70 <br /> 730 4823-0300 SOCIAL SECURITY Medicare W/H 167.31 <br /> 740 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 11.32 <br /> 740 4416-0300 SOCIAL SECURITY Medicare W/H 11.32 <br /> 745 2011 FICA & FEDERAL W/H TAX PAYABLEMedicare W/H 141.31 <br /> 745 4415-0300 SOCIAL SECURITY Medicare W/H 132.51 <br /> 745 4417-0300 SOCIAL SECURITY Medicare W/H 8.79 46,211.55 <br /> H1016 HSA Bank <br /> I-12520260122 C1211 HSA CONTRIBUTIONS D 1/22/2026 001049 <br /> 100 2014 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI 3,201.29 <br /> 100 4130-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 228.75 <br /> 100 4150-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 192.00 <br /> 100 4180-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 262.50 <br /> 100 4200-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 1,674.62 <br /> 100 4360-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 233.19 <br /> 100 4410-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 86.00 <br /> 100 4460-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 30.00 <br /> 100 4465-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 80.00 <br /> 100 4470-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 113.95 <br /> 100 4472-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 116.41 <br /> 100 4475-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 17.31 <br /> 100 4700-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 0.38 <br /> 210 2014 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI 58.75 <br /> 210 4350-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 20.00 <br /> 230 2014 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI 120.84 <br /> 230 4650-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 55.00 <br /> 252 2014 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI 258.24 <br /> 252 4350-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 98.75 <br /> 252 4730-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 118.75 <br /> 252 4732-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 218.75 <br /> 290 2014 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI 52.92 <br /> 290 4420-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 26.00 <br /> 700 2014 ACCRUED INSURANCE PAYABLE C1211 HSA CONTRIBUTI 383.91 <br /> 700 4820-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 52.25 <br /> 700 4823-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 241.11 <br /> 700 4825-0400 HEALTH INSURANCE - EMPLOYER COC1211 HSA CONTRIBUTI 37.19 <br />