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City of Louisville <br />Open Item Listing (Date: 05/28/2009) <br />Status POSTED <br />Due Date _05/28/2009 <br />Bank Account First National Bank of CO- General Operating Account <br />Vendor Name <br />BRIDGET BACON <br />11343 $53.90 <br />Invoice# I09 -12485 $53.90 <br />Vendor Invoice# 052809 <br />TRAVEL RECON 5/7/09 5/10/09 1.00@ $53.9000 Each Net Amount $53.90 Tax Amount $0.00 Total $53.90 <br />010- 144 53808.00 Travel $53.90 <br />DELTA DENTAL OF COLORADO <br />HAGEMEYER NORTH AMERICA, INC <br />Vendor# Total <br />11298 $11,112.64 <br />Invoice# 109 -12489 $10,990.09 <br />Vendor Invoice# 7562000 -0609 <br />#007562 -0000 JUN 09 EMPLOYEE PREMIUMS 1.00@ $10990.0900 Each Net Amount $10,990.09 Tax Amount $0.00 Total $10,990.09 <br />010- 000 20040.03 Employee Delta Deduction Payable $10,990.09 <br />Invoice# 109 -12490 $122.55 <br />Vendor lnvoice# 7562900 -0609 <br />#007562 -0900 JUN 09 EMPLOYEE PREMIUMS (COBRA) 1.00@ $122.5500 Each Net Amount $122.55 Tax Amount $0.00 Total S122.55 <br />010- 000 20040.03 Employee Delta Deduction Payable $122.55 <br />13139 $517.00 <br />Invoice# 109 -12487 $517.00 <br />Vendor Invoice# 052109 <br />REFUND OVERPAYMENT SALES TAX FILING PERIOD 3/07 -6/08 1.00@ $517.0000 Each Net Amount $517.00 Tax Amount $0.00 Total <br />$517.00 <br />010 000 29998.00 Sales Tax Clearing Account $517.00 <br />KAISER PERMANENTE <br />Invoice# 109 -12491 $99,255.27 <br />Vendor Invoice# 0011423651 <br />05920 -01 -16 JUN 09 EMPLOYEE PREMIUMS 1.00@ 899255.2700 Each Net Amount $99,255.27 Tax Amount $0.00 Total $99,255.27 <br />010- 000 20040.01 Employee Kaiser Deduction Payable $99,255.27 <br />LINCOLN FINANCIAL GROUP <br />Invoice# 109-12492 82,132.87 <br />Vendor Invoice# 10008470-0609 <br />000010008470 JUN 09 LTD PREMIUMS 1.00@ $2132.8700 Each Net Amount $2,132.87 Tax Amount $0.00 Total 82,132.87 <br />010- 000 20040.04 Employee Jefferson Pilot Deduction Payable $2,132.87 <br />Invoice# 109 -12493 $4,083.36 <br />Vendor Invoice# 10008469 -0609 <br />000010008469 JUN 09 LIFE, AD &D PREMIUMS 1.00@ $4083.3600 Each Net Amount $4,083.36 Tax Amount $0.00 Total $4,083.36 <br />010 000 20040.04 Employee Jefferson Pilot Deduction Payable $4,083.36 <br />MEREDYTH MUTH <br />6455 $99,255.27 <br />7735 $6,216.23 <br />2132 $158.87 <br />Invoice# 109-12486 8158.87 <br />Vendor Invoice# 052109 <br />EXPENSE REPORT 3/5/09 5/21/09 1.00@ $158.8700 Each Net Amount $158.87 Tax Amount 80.00 Total $158.87 <br />010- 144 53808.00 Travel $158.87 <br />MINES AND ASSOCIATES, P.C. <br />1131 $347.31 <br />