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City of Louisville <br />Open Item Listing (Date: 10/30/2008) <br />Status =POSTED <br />Due Date = 10/30/2008 <br />Bank Account =First National Bank of CO-Genera] Operating Account <br />Vendor# Vendor Name Total <br />2000 CIGNA HEALTHCARE OF COLORADO $68,540.97 <br />Invoice# 108-10038 $68,540.97 <br />$7057 NOV08 EMP PREMS 1.00@ $68540.97 Each Net Amount = $68,540.97 Tax Amount = $0.00 Total = $68,540.97 <br />010-000-20040.02 Employee Cigna Deduction Payable $68,540.97 <br />11298 DELTA DENTAL $10,659.82 <br />Invoice# 108-10035 $10,627.53 <br />#007562-0000 NOV OS EMP PREMS 1.00@ $10627.53 Each Net Amount = $10,627.53 Tax Amount = $0.00 Total = $10,627.53 <br />010-000-20040.03 Employee Delta Deduction Payable $10,627.53 <br />Invoice# 108-10036 $32.29 <br />#007562-0900 NOV 08 EMP PREMS (COBRA) 1.00@ $32.29 Each Net Amount = $32.29 T'ax Amount = $0.00 Total = $32.29 <br />010-000-20040.03 Employee Delta Deduction Payable $32.29 <br />12975 GLOBAL IMAGING $1,126.00 <br />Invoice# 108-10032 $1,126.00 <br />REFUND CITY OF LOUISVILLE SALEX TAX PAID ON 08/08 TAX RETURN 1.00@ $1126.00 Each Net Amount = $1,126.00 Tax Amount = $0.00 Tota] <br />=$1,126.00 <br />010-000-29998.00 Sales Tax Clearing Account $1,126.00 <br />9704 KATHY MARTIN $60.00 <br />Invoice# 108-10033 $60.00 <br />REIMBURSE FOR SPECIAL EVENT SUPPLIES 1.00@ $60.00 Each Net Amount = $60.00 Tax Amount = $0.00 Total = $60.00 <br />010-724-53825.00 Rec Center-Special Events $60.00 <br />12976 OPUS MANAGEMENT SOLUTIONS $390.00 <br />Invoice# 108-10034 $390.00 <br />CONSULTING SERVICES ON INNOPRISE SOFTWARE 1.00@ $390.00 Each Net Amount = $390.00 Tax Amount = $0.00 Total = $390.00 <br />051-210-53801.00 Education Expense $390.00 <br />9750 PRE PAID LEGAL $263.15 <br />Invoice# 108-]0039 $263.15 <br />#22554 NOV08 EMP PREMS 1.00@ $263.15 Each Net Amount = $263.15 Tax Amount = $0.00 Total = $263.15 <br />O] 0-000-20091.00 Employee Prepaid Legal Deduction $263.15 <br />8442 VISION SERVICE PLAN $2,389.29 <br />Invoice# 108-10037 $2,389.29 <br />#13 059727 0001 NOV08 EMP PREMS 1.00@ $2389.29 Each Net Amount = $2,389.29 Tax Amount = $0.00 Total = $2,389.29 <br />010-000-20040.06 Employee VSP Deduction Payable $2,389.29 <br />$83,429.23 <br />Page 7 <br />