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HomeMy WebLinkAboutHSA Benefit Worksheet 2016 47-04 EmployeeHSA Gen Fund Building StormTotalTotal NumberNameEmpr AmtHSA Total AdmnFinancePoliceInspectionsStreetsParksWaterSewerSewerUtilities 11ANDERSON, KENNETH R - - - - - 17HULTMAN, JULIE A 600.00 60.00 540.00 600.00 - 600.00 25DEROSIER, BRIAN W 600.00 600.00 600.00 - 600.00 28CROFT, JOSEPH A 600.00 600.00 600.00 - 600.00 33VIERLING, CHRISTOPHER M 600.00 600.00 600.00 - 600.00 34KISCH, DAVID R 1,800.00 1,800.00 1,800.00 - 1,800.00 35ZWACH, BRIAN M 600.00 600.00 600.00 - 600.00 36GIVAND, JONATHAN E 600.00 600.00 600.00 - 600.00 37WYNIA, DAVID L 600.00 600.00 600.00 - 600.00 38PARADISE, LINDSEY 1,800.00 1,800.00 1,800.00 - 1,800.00 39HICKS, JENNA M 1,800.00 1,800.00 1,800.00 - 1,800.00 40KRUSE-ROSLIN, SANDRA K 600.00 600.00 600.00 - 600.00 44PINSKI, JENNIFER 600.00 432.00 48.00 480.00 48.00 48.00 24.00 120.00 600.00 45SEIGER, MARY M 600.00 540.00 540.00 30.00 30.00 60.00 600.00 47JOHNSON, ERIC A. 600.00 600.00 600.00 - 600.00 48TETZLAFF, JUDY 1,800.00 1,440.00 1,440.00 144.00 144.00 72.00 360.00 1,800.00 49CARUSO, BETTY J 600.00 600.00 600.00 - 600.00 56ROBERTSON, MARK C - - - - - - - - - 57KEGLEY, ANDREW L 1,800.00 144.00 126.00 270.00 900.00 540.00 90.00 1,530.00 1,800.00 59SWENSON, ANDREW R 1,800.00 144.00 126.00 270.00 900.00 540.00 90.00 1,530.00 1,800.00 60DANIELSON, LISA M 1,800.00 144.00 126.00 270.00 900.00 540.00 90.00 1,530.00 1,800.00 19,800.00 1,632.00 2,040.00 9,600.00 540.00 432.00 426.00 14,670.00 2,922.00 1,842.00 366.00 5,130.00 19,800.00 DEANNE DEROSIER 1,800.00 1,800.00 1,800.00 1,800.00 HSA PAYBACK KISCH (900.00) (900.00) (900.00) (900.00) SCHROEDER 450.00 450.00 450.00 450.00 TENNISON 1,425.00 1,425.00 1,425.00 1,425.00 MARKS 375.00 30.00 26.25 56.25 187.50 112.50 18.75 318.75 375.00 22,950.00 1,632.00 2,040.00 12,375.00 540.00 462.00 452.25 17,501.25 3,109.50 1,954.50 384.75 5,448.75 22,950.00