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<br />10/13/03 15,55,38 BATCH: 14869 City of Loulsville Paoe 1 <br />ap215-ls PERIOD, 10/13/03 CASH DISBURSEMENTS EDIT - <br /> gehlel <br /> FOR BANK ACCOUNT, 2 WELLS FARGO 0188735104 General Account <br /> Inv No. Description Inv Dt Due Dt Disc Dt Inv Amt Disc Amt Pay Amt Check Amt <br />-------- -- ------- ----- -- - - - - - -- - ---------- --------- ---- --- -- - -- - -- - - -- --- --------------- - - ------ -- - - - - - - - - - - - - - - - - - -- - -- -- - -- <br />2000 CIGNA HEALTHCARE OF COLORADO <br /> 97376 #7057 OCT03 EMP PREM 09/28/03 10/08/03 09/28/03 67,000.16 .00 67,000.16 67,000.16 <br />1115 COLONIAL INSURANCE <br /> 10000863 E9711888 9/12-10/12 09/02/03 09/12/03 09/02/03 279.44 .00 279.44 279.44 <br />1205 COLORADO DEPT OF REVENUE <br /> SEPT2003 10698040000,0001 SEP 10/09/03 10/19/03 10/09/03 9.00 .00 9.00 9.00 <br />1013 HORIZON BEHAVIORAL SRVS <br /> 039990 #06131 OCT03 EMP PRE 09/15/03 09/25/03 09/15/03 383.52 .00 383.52 383.52 <br />7735 JEFFERSON PILOT FINANCIAL <br /> OCT03-35 BL-20935 OCT03 EMP P 10/01/03 10/11/03 10/01/03 3,484.73 .00 3,484.73 <br /> OCT03-36 BL-20936 OCT03 EMP P 10/01/03 10/11/03 10/01/03 1,683.25 .00 1,683.25 5,167.98 <br />6455 KAISER PERMANENTE <br /> 0006793603 05920 01 OCT03 EMP P 09/08/03 09/18/03 09/08/03 9,233.45 .00 9,233.45 9,233.45 <br /> 6 CARE CONNECTIONS . <br /> 090203 DONATION NOV/DEC SR 02/03/03 02/13/03 02/03/03 500,00 .00 500.00 500.00 <br />9750 PRE PAID LEGAL 212.3<1-- <br /> OCT2003 #22554 OCT03 EMP PRE 09/25/03 10/05/03 09/25/03 212,30 .00 212.30 <br /> W <br />8442 VISION SERVICE PLAN ~ <br /> OCT2003 #120597270001 OCT03 09/19/03 09/29/03 09/19/03 2,580.28 .00 2,580.28 2,580.28\J <br /> , ~ <br />3875 XCEL ENERGY Q.. <br /> 9/03NONMTR SEPT03 NONMETERED AC 09/25/03 10/05/03 09/25/03 45,943.13 .00 45,943.13 <br /> 9/03SPRKLR 1002579767 SEPT03 SP 09/25/03 10/05/03 09/25/03 243.84 .00 243.84 46,186.97 <br /> ------------ ------------ ------------ ------------ <br /> TOTAL PAYMENTS 131,553.10 .00 131,553.10 131,553.10 <br />