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12/08/05 10 :03:23 BATCH: 20555 City of Louisville Page 1 <br />ap215-15 PERIOD: 12/08/05 CASH DISBU RSEMENTS ED IT caloren <br /> FOR HANK ACCOU NT: 3 FIRST NATIONAL BANK OF COLO 301005059 General Operating Account <br /> <br />-------- Inv No. <br />-------------- Description <br />---------------------- Inv Dt <br />--- - ----- Due Dt <br />---------- Disc Dt <br />----------- Inv <br />------- Amt Disc <br />------------ Amt <br />---------- Pay <br />--- - -- Amt <br />--- Crieck Amt <br />-~ <br />10037 <br />ARTECH BUSINESS FORMS ---------- ---- <br /> 002535-00 2005 TAX FORMS 11/15/OS 11/25/05 11/15/OS 231 .59 .00 231. 59 231. 59 <br />2000 CIGNA HEALTHCARE OF COLORADO <br /> 243164 #7057N DEC05 EMP PRE 11/21/05 12/01/05 11/21/05 72,132 .72 .00 72,132. 72 72,132. 72 <br />1115 COLONIAL INSURANCE <br /> 1000113712 PREMS FOR DEC & JAN 12/03/05 12/13/05 12/03/05 239 .21 .00 239. 21 239. 21 <br />1205 COLORADO DEPT OF REVENUE <br /> 06TAXLIC RENEW SLSTX LIC 10-6 11/29/05 12/09/05 11/29/05 16 .00 .00 16. 00 16. 00 <br />2749 PATTY LESLIE <br /> 111505 TRAVEL REIMBURSE-LES 11/15/OS 11/25/05 11/15/OS 638 .47 .00 638. 47 638. 47 <br />3370 PETTY CASH <br /> 103105 PETTY CASH REIMBURSE 10/31/05 11/10/OS 10/31/05 55 .41 .00 55 .41 55 .41 <br />9750 PRE PAID LEGAL <br /> DEC2005 #22554 DECOS EMP PRE 11/25/05 12/05/05 11/25/05 273 .10 .00 273 .10 273 .10 <br /> <br />TOTAL PAYMENTS - ------- <br />73,586 ---- ------- <br />.50 ----- - <br />.00 ------ <br />73,586 ---- <br />.50 - ------- <br />73,586 ----- <br />.50 <br />