Report of Payment Authorizations for September 2014

Transcription

Report of Payment Authorizations for September 2014
CITY OF LOS ANGELES
DEPARTMENT OF WATER AND POWER
INTRADEPARTMENTAL CORRESPONDENCE
Date:
To:
October 9, 2014
r-
Retirement Board Members
From:
C~ Higgins, Interim Relirament Plan Manager
Subject: Board Agenda Item No. 2: Report of Payment Authorizations for
September 2014 (October 22, 2014, Regular Retirement Board Meeting)
The following benefit payments were approved for the month of September 2014:
1. Death Benefits - Payment Authorization Nos. DB 15-76 through DB 15-89
totaling $1,141,434.23 (see attached).
2. Disability Benefits- Payment Authorization Nos. DIS 15.027 through
DIS 15-o34; DIS 15..()36 through DIS 15.038 totaling $1,256,374.89
(see attached).
3. Payments of Fonner Members' Withdrawals, Refunds, and Transfers to City
Employees' Retirement System - Payment Authorization Nos. MEM 15-()9
through MEM 15-10 totaling $26,454.48 (see attached).
4. Retirement Benefits - Payment Authorization Nos. RET 15-10 through
RET 15-13 totaling $195,508.81 (see attached).
5. Administration - Payment Authorization Nos. ADM 15-14 through ADM 15-20
totaling $6,472,929.36 (see attached).
MCH: alpc
Attachments
2.1
Payment Authorization No. DB 15 Claim No. 14 M 250
In accordance with Plan Section Ill A (7Xc) and Resolution No.99-119,
adopted August 20, 1998, approval of the following claim is delegated to the'
Retirement Plan Manager by the Board of Admlnlstratian.
The claims for payments to the beneficiaries of Donna B. CIODinpr, deceased,
listed below, is hereby certifiod as due and payable, pursuant to the provisions of tbe Water. and
Power Emplo)'eCS' Retimnent Plan; and the Chief Accountins Employee is hereby authorized and
directed to authenticate demands on the JeSPCCtive Funds in favor of said beneficiaries in the
JeSPCCtive amounts specified hereunder opposite their names in~ of said claims. .
RETIREMENT FUND .. . .DEATJfBENEFIT ,· ·.:I :
Agqued Retil'lmenl Allowanci
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. ·, $554.06;· -,. !''
.. $554.05
SI,IOI.I I
fl®>
TQTAL
SI 0,000.00 .: ·:": · ' $1 0~54.06 ·
, SIOJ)OO,OO .·· ··.: > SIO.SSJ.QS
·$20,000.00
$21,108. I 1
.
Approved:
·, SEP 0 4 2014
Date:
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.Payment Authortzatlon No. DB 15Claim No. 14 M 250
() 7 7
In acoorctance with ,_, Section Ill A (7)(c) and Resolution
No.-.119, adapted Auguet 20, 1888, approval of e. following claim Ia
delegated to the Retirement Plan Manager by 0. Board of Admlniatratlon.
By reiiOD of the deaah of Donaa B. ctonmaer. the claim for Optioa B
Allowanco • provided by Section IV D (6) of the Water and Power Emplo)WI' Retirement
Plan ill the amount of$474.91 for the period tiom June 22, 2014, tbroush J._ 30, 2014, and
in the amount of $1.§00.42 per QlOftth cluriaa the lifetime of the benefidary, or uatil
otherwise ordered by the Boanl. commenciaa July I, 2014 ftlod by Kim Belnns, as the ·
beneficiary of aaid decedent, is hereby certified by the RcltiNmellt Plan Maaaaer to the
Chief A«ountins Employee as clue aad payable punuaat to the pmvisions of the Water and
Power Emplo)a&' Retiremcot Plan; and the Chief ACXXJUDtiag Employee is hereby
au1borized aad directecl to auaa-tiAto demands in favor of Ktm Behrens On the respective
fimds tiom whida said benefits are payablo in~~ in payment of said daim,
and with ~aped to said Optioa 8 Sumvonbip Allowance, in the 811110 respective monthly
amount for eada IUCCellivc month followlos July I, 2014, for which limil• QDI'tificatioa is
made:
Approved:
Date:
SEP· 0 4 2014
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07 8
Payment Authartzatlon No. DB 15-.
a.nNo.15M3
In accordance with Plan Section Ill A (7)(c) and ReeolutJon
No.89-119, adapted August 20, 1888, approval of 118 following claim Ia
delegated to the Retirement Plan Manager by the Board of Adminiltratlan.
By reasoa of the death of Mlrtia B. Kaplon. the claim for Option 8
Allowance • provided by Section IV D (6) of the Water and Pov.w Employees' Retimnoat
Plan in the llllOUilt of S20..2Q for the paiocl fiom Jw. 26, 2014, tbroush Juno 30, 2014, and
in the amount of $12,,31 per m.oath duriJta .tho lifetime of the beaeficiary. or until otherwise
ordeNd by the Board, commeneiag July I, 2014, plus the member's accrued and unpaid
monthly miNment allowance due in the amount of$104.41• payable 6om the Retirement
Fund, ftled by LeatriQO A. Kaplan, as the bateftcia1y of said deeedent, is heNby certified by
the Retimnent Plan Manager to the Chief Accountina Empio)'ee as due_ ~ payable
pursuant to the provisions of the Water and ·Pow• 'Employees' Rctilanent Plait; end the
aucf Accountina Employee is hcnby authorized and dftc:tcld to aulhenticato demands in
favor of' Sllriss A. JWiag Oil the Retinmcnt Fund fium wbida said benefits a pa)'Bble, in
payment of Slid ·daim. and with respect to Slid ·Option 8 SuMWnhip AllOwlilce, m· .the
...o.-...,_aive moOddy amouat for. Clda ·SUQCC~Sivo month followina· July. l, 2014, for
whichlimi.. c,Btificadioe is made.
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-No paymcat will~ made for the~
AUowaaoe - , ors·t~~48..; ~~.:.
~aboVe. The Accrued ltetiremeat AUOwaaOo will be plid with the_BC.efidary ' . .
lcmaneat
c-.unaance.
....
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Date:
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StP· 0 4 ,2014
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Pa~Authorllllon No.
0815-
QIIm No. 14M 213
In acconllnce wllh Plan Section IH A (7Xc) and Re80iutlon No.S.111,
adooted ~- 20. 1888, 8PPfOVII of the fallowing claim II delegated to lie Reli8ment Plln
MIMger by ... 8olnt d Adminiltratiolt.
The claim for payment to the beMflciary of Michael M. Miley, cleG111ed. lilted
below, .. hereby C8ftitled. due and payable, .......,. to . . PRMIIoN of thew......
Power Employees' Retirement Plan: end the Chief Accounting~ II hereby 8Uihortlld
and directed to authentic8te demand• on
Fundi In fewJr cf eeid beMflciary In the
........ amouniiiP8dlled.......,. apposite ........ In~ of said dllm.
the,..._.....
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1211 ,tM8.17* '. ' . 133.101.21*. '
• PAY 10: w.thleen Mltllv
PAY TO: tRS/F£DERAL TAX
~AY TO: LA. CI1'Y lREAS/STATE TAX
12.702.34.
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1101,337.80- . 1348,012.17
.,,
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$ 117,152.27
$ 43,546.05
$
4J54.11
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. TOTAL:
·~
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'$245$.13
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SEP 0 4 2014
Dele:
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079·
Payment Authorization No. 08'15Claim No. 14 M 253
.
nR0
ln'accordance with Plan Section Ill A (7)(c) and Resolution No.9Q..119,
adopted August 20, 1898, appiOV8I of the following claims Is delegated to the
Retirement Plan Manager by the Board of Administration.
.
By reason of the death of Micbael M. Malley, Kathle&'lft Malley u Oualdian of
named bcneticimy in golumn one below is entided to a Family Death Benefit Allowance in the
amount of$416.00 per month and a Supplemental Family Death Benefit Allowance in the amount
of$520.00 per month totaling $936.00 per month payable to her for the benefit of the decedent's
child under qe 18 oamed in column one below; and that for the month of July 2014, and for eadl
month thereafter, a Family Death Benefit Allowa:e and Supplemental Family Death Benefit
Allowance shall be paid on aa:ount of the beneficiary aamed in column one below, in the amount
set forth in column two below, in axon:laace with and subject .to all the terms and conclitions of
Section VI D (8) and Section VI D (9) of the Water and POW« Employees' Retirement Plan; ancl
tbat until evidenge is received that sueh named benetidary is DOt eligible for said allowance, the
Retirement Plan Manqer shall =tif.y monthly to the Chief Accounting Employee, commencing
with the month of July 2014, that said Family Death Benefit Allowance and Supplemental Family
Death· Benefit Allowance is clue and payable to said Katbleai Malley for the '-eftt 'of aamecl
benefidary and that the Chief Accounq .Employee is hereby authorized and clirected upon eadl
such eertiftcation to authenticate a clemancl upon the ·Death Benefit Funcl in payment of said
allowance.
·
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. Jilmc
Amovnt
Katel)'ll Malley
$936.00
Approved: ..
SEP 0 4 2014
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PA·FDBancl SFDB
Q:\PAI for PcafAx
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Payment Authorization No. DB 15-
Claim No.15 M 24
08 1
In accordance Mth Plan Section Ill A (7Xc) and Reaolullon No.9Q.119,
adopted August 20. 1998. approval of the following claim Is delegated to the
Retirement Plan Manager by the Board of Administration.
The daim for payment to the bencftci~ of Alan W. Turkheimer. ~ listed
below, is hereby certified as clue and payable, pursuant to tho provisioas of the Water and Power
Emplo)ws' Retirement Plan; aad the Chief Accounting Employee is hereby autborizcd and
~ to authenticate demands on the l'e~J'Cdive Funds in favor of said beneficiary in the
l'e~J'Cdive amounts specified hereunder opposite name in payment of said claim .
PBATH
BENEFIT
FUND
. $44,081.95•
'
• PAY TO: GERALDINE H. TUilKHEIMER
$36,896.35 .
PAY TO: L.A. CrrY TREASJSTATE TAX
s 6,532.36
s 653.24
TOTAL:
$44,081.95
PAY TO: IRS/FEDERAL TAX
Date:
. $20,000.00
SEP 0 4 2014
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2.7
$64,081.95
·
Payment AUthorization No. DB 16Claim No. 15 M 23
082
In accordance with Plan Section Ill A (7Xc) lnd Resolution No.99-119,
adopted August 20, 1998, approval of the following tlaim Ia delegated to the
Retirement Plan Manager by the Board of Adminlalration.
By reason of the death of Allen B. Nielaen. the _claim for the Continuance to
EliJible Spouse Benefit as pmvided by Section IV E (9) of the Water and Power Employees'
Retirement Plan in the amount of 1603.13 for the period tiom Jilly 29, 2014, tbroulh July 31,
2014, and in the amount of$6.232,32 per month during the lifetid\6 of the eliaible spouse, or until
otherwise ordered by the Boant, COIIIIIlellcing August 1, 2014, plus the member's accrued and
unpaid monthly retirement allowance due in the amount ot $5,629.17* payahle ftom the
Retirement Fund, plus the sum ofmoooJ)Q payable tiom the Death Beaiefit Fund, as provided by
Section VI D (3) of said Plan, filed by Laura Nielaen as the eligible spouse and beneficiary of said
decedent, is hen:by certified as due and payable pursuant to the ~Visions of the Water and Power
Emplo)"'ee' Retirement Plan; and the Chief AccOunting Emplo)'ee is hereby authorized and
directed to authenticate demands in favor of LMa Nielsen on· the respeetive Funds ftom which
said benefits are payable in said reipeetive llllOUDts, in pa:yment said claim, and with respect to
said· ContinUanee to Elisible Spouse. Benefit,. in the same respeetive monthly··-amount for cadi .
successive lliOilth followins August 2014, for whiduimilar certification is made.
or
•s~ the July allowance in the amount of$4,280.37 w11 olec:trooi~y deposited aad not
returned to Retiranent, the adual amount paid to the-beneficiary tot the Accrued btiJanent .
Allowance will be $1 ,348.80. ($5,629.17 - $4,280.37 = S1,348.80)
Approved:
· SEP.,.ll 2014
Date:
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Payment AUthorization No. DB 15Claim No. 11 M 29
In accordance with Plan Section Ill A (7)(c)8nd Resolution No.98-119,
to the
adopted August 20, 1998, approval of the fallowing Claim Ia delegated
Retirement Plan Manager by the Board of Admlnlstratloh.
The daim for payment to the. bencficimy of Robert J. lgel, doceased, listed below,
is hereby eertifted as due and payable, pursuant to tbe provi$l011S of the Water and Power
Employees' Retirement Plan; and the Chief ACQ)Uilting Empin)'ee is hereby authorized and
directed to authenticate demands on the _,ective Funds in favor of said beneficiary in tbe
_,ective amounts specified hereunder opposite the name in~ of said daim.
RETIREMENT FUND ··
. DEATH BENEFIT,
Accrued Retirement AlloWJD9'
8eneftcjary
Richard c. Schilperoort
$2,523.99*
'
fUND
$20,000.00
WfAL
'$22,523.99
•si!a the July retirement allowance in tbe amount of S2J29.23 was electroniadly
deposited and not Rtumed to Retimneftt. tho actual amount .,aid to the benefia.y for the
Accrued Retiranent Allowaaa wiU be $194.76. ($2,523.99 • $2,329.23 = $194~76) ,
Approved:
· ·SEP 11 2014
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2.9
08 3
Payment AUthorization No. DB 15Cialm No.1& M8
.
08 4
In accordance with Plan Section 111 A (7Xc) and Resolution No.99-119,
adopted August 20, 1998. appnwal of the following 'Claim Ia delegated to the
Retirement Plan Manager by the Board d AdmlniatratioW\.
1be claim for .-~t to tho henefidary of Edw~ 0. Murphy, deceased, listed
below, is hcRihy certified as due and payable, pursuant to the proVisions of tho Water and Power
Elnployoes' Retirement Plan; and the Chief Accouatins Elnpk))'ee is hcRihy authorized and
directed to authenticate demands on the respective Funds ia tavor of said beneficiary ia the
respective amounts specified hemander opposite her name in paydliat of said claim.
RETIREMENT FUND
Acqued )\etjmpegt Allowance
s:m,ooo.oo
$240.41
· JaneFong
DEATH BENEFIT· ·
fUNp
mtAL
.$20,240.41
SEP 11 2014
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Payment AUthorization No. DB 15Claim No. 15 u 34
0 R5
In accordance with Plan Section Ill A (7)(c) and ResolutJon No.99-119,
adopted August 20, 1998, approval of the following. claim is delegated to the
Retirement Plan Manager by the Board of Admlnlstratlo'n.
The ~laim for pa)'Dlellt to the beneficiary of Jimmy D. Powers, deceased, listed
below, is ben:by certified as due and payable, putSUIIIt to the prOvisions of the Water and Power
Employees' Retimnent Plan; and the Chief Accounting Emplbyee is hereby authorized and
dRctecl to authenticate demands on the respective FWlds in f*vor of said beneficiary in the
respective amounts ·specified hereunder opposite the name in payrllebt of said claim.
RETIREMENT FUND.
John A. Powers
ACCI'Uld Betinmmt AJiowepgr ·
'DEAtH BENEFIT:
· FtJNJ)
$1,602.69
$20,000.00
Approved:
SEP
Date: _ _ _
_11
_2014
_ _ _ __
2.11
JOTAL
. ·,
$21~602.69
Payment AUthorization No. DB 15Claim No. 15 M 35
In accordance with Plan Section Ill A (7)(c)and Reaolutlon No.99-119,
adopted August 20, 1998, approval of the following claim Is delegated to the
Retirement Plan Manager by the Board of Administration.
By reason of the death of Buell W. Keith, the claim for the Continuance to Eligible
Spouse Benefit as provided by Section IV E (9) of the Water and Power Employees' Retirement
Plan in the amount ofSl.QS7.S8 for August 21,2014 tbrouah Aullut 31,2014, and in the amount
of $2.980.46 per month during the lifetime of the eliJible spouse, or until otherwise ordered by the
Board, commencina September I, 2014, plus the member's. accrued and unpaid monthly
retirement allowance due in the amount ofSI.!J3.11* payable th»U the Retirement Fund, plus the
sum of Ut.WM payable ftom the Death Benefit Fund, as provided by Section VI D (3) of said
Plan, filed by Janie M. Keith as the eligible spouse and beneficiary of said decedent, is hereby
certified as clue and payable Pursuant to the provisions of the Water and Power Emplo~'
Retimnent Plan; and the Chief Accounting Employee is ·heltby authorized and directed to
authenticate demands in favor of h+ M. KeD on the respoc:tiv" Funds from which said benefits
are payable in said respoc:tive amounts, in payment of said elaim, and with .aped to said
Continuance to Eligible Spouse Benefit, in the same respective ·monthly amount for each
suecessive month following September 1, 2014, for which similar Certification is made.
• No payment will be made for tbe Accrued Retirement AlloW8ftCO amount of$ 1,922.88 to
the benefieiary above. The Acmaed Retirement Allowance will bt: paid with the Elisible Spouse
Contin.....
Approved:
SEP 11 2014
Date: _ _ _ _ _ _ _ _ __
2.12
086
Payment Authorization No. DB 16Claim No. 13M 140
In accordance with Plan Sadlon Ill A (7)(c) and R6solutlon No.99-119,
adopted August 20, 1998, approval of the following Claim Is delegated to the
Retirement Plan Manager by the Board of AdministratiOn.
The claim for payment to the beneficiary of Josepb L Martinez, deceasod, listed
below, is henlby certified as due and payable, pursuant to the proVisions of the Water and Power
Employeos' Retimnent Plan; and the Chief Aecounting Empl~)ree is .hereby authorized and
directed to authenticate demands on the NSpeetive Funds in ftVol' of said henoftciary in the
NSpeetive amounts specified bereuader opposite the name in pa)'ll*t of said claim.
DISABILITY
FUND
Accrued
Disability
Allowanc::e
Name
Geraldine Martinez
'
$604.45*
RETI&EMEJa
FUND
DEATH
· BENEfli
fUND
Total
Accumulated
Contributions
$129,79(US••
TOTAL
$51,126.74~ •• .· Si8t,S2t.34
(Above amounts Include ilflereat) ·
. $599.22
• PAY TO: GERALDINE MARTINEZ
PAY TO: IRS/FEDERAL TAX
s
5,23 '
$604.45
TOTAL:
•• PAY 10: PERSHING LlC FBO
GERALDINE MARTINEZ- N6Q..o2SS48
S129,790.1S
s 50,684.47
. ••• PAY TO: GERALDINE MARTINEZ
PAY TO: IRS/FEDERAL TAX
s
442.27
SS1,126.74
TOTAL:
SEP 11 2014
Approved:
·~
~M8Naer
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2.13
OB?
Payment Authorization No. DB 15Ciaim No. 15M 28
In accordance with Plan Section Ill A (7)(c) ;and Resolution No.99-119,
adopted August 20, 1998, approval of the following iCiaim is delegated to the
Retirement Plan Manager by the Board of Administration.
The claim for payment to the beneficiary of Gaynelle M. Bell, deceased, listed
below, is hereby certified as due and payable, pursuant to the proVisions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting Empio:yee is hereby authorized and
directed to authenticate demands on the respective Funds in favor of said beneficiary in the
respective amounts specified hereunder opposite the name in payment of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Eric Anderson
DEATH BENEFIT
FUND
$1,113.43
$10,000.00
Approved:
SEP 18 2014
Date:
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J)S ds
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Accrued Retire./Dth. Ben.
Q:BenPymt3.doc
2.14
TOTAL
$21,113.43
088
Payment Authorization No. DB 15Claim No. 14 M 249
0 8 9·
In accordance with Plan Section Ill A (7)(b) and Resolution No.99119, adopted August 20, 1998, approval of the following claim is delegated to the
Retirement Plan Manager by the Board of AdministratiOn.
The ~laim for payment to the benefidary of Chart• S. Cumiskey, deceased, listed
below, is hereby certified as due and payable, pursuant to the ~visions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting EmploYee is hereby authorized and
directed to authenticate demands on the respective Funds in &vor of said beneficiary in the
respective amounts specified hereunder opposite the name in pa~ of said ~laim.
RETIREMENT FUND
DEATH
BENEFIT
FUND · ···
Total Accumulated Conlributlons ·
Name
Carol SUZIDIIC Cuypers,
$276,
. 723.35•.
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TOTAL
. $124,406.~~ . ' .~l,.J29.87
.
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• PAY TO: CAROL SUZANNE CUYPERS
$224,001.1S .
PAY TO: IRS/FEDERAL TAX
$ $2.722.20
TOTAL:
S276,723.35
SEP 18 2014
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2.15
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
15-027
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (C) AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20 1 1998 1 APPROVAL OF THE
FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARMENT OF WATER AND POWER
THAT PURSUANT TO THE TERMS OF THE RETIREMENT PLAN, THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM THE
WATER AND POWER EMPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED. AND THAT SAID CHIEF
ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD
04-21~~_10~~~~1~.
TEMPORARY DISABILITY ROLL
I
PERIOD:
04-21-14 TO 08-24-14
_ _ _ _ _ _ _ _ _ _...,C..,.La.AI1111M..___ _ _..a.i!1.f .l:IQ
N
:e:.....
(J)
PPE:
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NAME
TOTAL
04-21-14 TO 05-04-14
14 D 0736
DAVID R MOELLER
06-02-14 TO 06-15-14
14 D 0608
MERRILEE L BROWN
3,727.49
06-16-14 TO 06-29-14
14 D 0608
MERRILEE L BROWN
4,659.36
06-30-14 TO 07-13-14
14 D 0608
MERRILEE L BROWN
4,659.36
07-28-14 TO 08-10-14
15 D 0058
15 D 0059
15 D 0044
14 D 1055
14 D 1051
15 D 0073
15 D 0064
14 D 0949
JOHN E LOZANO
TONY I MORRISON
ERIC ROBERTS
CINDY A ROUGHAN
JOHNNY D TEXEIRA
STEVE P TORRES
TELESFORO VALLEJOS
PHILIP VEE
1,066.84
336.29
1,260.75
573.07
741.89
1.620.58
1,375.66
3,404.95
08-11-14 TO 08-24-14
14 D 1112
ANDY JUNNE AGRA II
3,927.00
$
2,064.47
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Ill
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REPORT NO:
PAYHENT AUTHORIZATION NO. DIS:
PAGE:
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08-11-14 TO 08-24-14
14 D 1100
14 D 1101
14 D 0259
14 D 101.5
13 D 0921
15 D 001.5
15 D 0108
15 D 0031
14 D 0823
15 D 0109
15 D 0080
15 D 0029
14 D 0821
14 D 0652
14 D lOll
14 D 0878
15 D 0037
14 D 0913
15 D 0072
13 D 0581
15 D 0110
15 D 0014
14 D 0916
15 D 0074
14 D 0639
15 D 0013
14 D 0603
14 D 0599
15 D 0035
14 D 0867
14 D 1030
15 D 0091
15 D 0078
14 D 0880
14 D 0501
14 D 1113
14 D 1104
14 D 1132
13 D 0564
~
Ill
EHP NO
NAHE
JOSE AGUAYO JR
NATHAN_AGUAYO
LUIS AGUILAR
GILBERT F AGUILAR
CLAUDIA ALVARADO
SUSAN AVILA SUAREZ
SELAHAWIT H AZAGE
BILL W BABISHOFF
HA VIRGI BACIERTO
ANGELA S BALENTINE
HICHAEL W BALL
JOE R BEAS
ADRIAN BENITEZ
SANFORD L BLUMBERG
STEVEN A BROUGHTON
EDWARD C BRYANT
ROBERT BRYHER
ELLEN D BURD
DAHlEN D BURRIS
OSCAR W CALDER
HICHAEL N. CARRANO
GONZALITO C CASTRO
JESUS CHAVARRIA
LYDEL D. CHEA
YUNAE CHOI
JENNIFE CLINGERMAN
LAURA CONTRERAS
ROBIN N COOLEY
DAVID CORNELL
DEMETRIUS DE ANDA
ARTHUR DEL TORO
FERNANDO DIAZ
SALLIE 0 DOMINGUEZ
HYRA DORSEY
AHISA R. DURHAH
PATRICE A DUVALL
DIRK T EDMUNDSON
LORA L EGGAN
GERI ENGSTROM
PT7015Pl
15-027
002
TOTAL
$
2 1 270.07
3,455.08
1,312.80
2,882.70
923.65
3,927.00
1,673.82
2,951.10
3,226.60
1.795.61
928.56
2,903.94
1,152.09
3,571.29
2,330.36
1,311.31
3,650.19
2,292.28
2,209.32
956.27
1,190.64
2,664.92
3,095.36
2,063.05
809.04
1,882.24
1,766.40
1,328.64
2,909.72
2,578.21
3,322.08
1,883.34
2,509.20
2,292.28
1,766.40
2,502.40
4,092.94
3,009.00
1,354.93
e
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•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
-
•
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~
~
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•
•
•
•
•
•
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
N
~.:......
~
"
(X)
~
"
~·
;.
~
3
~
3
::.
•
•
•
•
•
•
-
-
Ill
08-11-14 TO 08-24-14
14 D 0946
14 D 0969
14 D 1012
15 D 0075
15 D 0036
13 D 0585
14 D 0477
13 D 0699
14 D 0712
15 D 0052
15 D 0038
15 D 0107
14 D 0321
15 D 0115
15 D 0103
14 D 0967
14 D 1129
14 D 1114
15 D 0062
15 D 0053
14 D 0733
14 D 1107
15 D 0076
15 D 0081
15 D 0033
14 D 07bl
15 D 0050
14 D 0897
14 D 1022
14 D 0675
13 D 1084
14 D 0236
15 D 0027
15 D 0082
14 D 0960
14 D 1045
13 D 1105
14 D 0226
14 D 1038
-
EHP NO
NAHE
JONATHAN H ERDAY
ROBfRI_ESCAHILLA
LOUISE A ESTES
HAZEL FAHA
ANNETTE FLORES
CHUNG FONG
LEONARD J FORD
WENDY FU
JOSE E FUENTES
DARYL H. FUJII
MARGARITA GAFARE
ROBERT S GALAN
JORGE A GALAN
MARGIE ANN GARCIA
ALFREDO C GARCIA
GILBERT GARCIA JR
JOHN W GARDNER JR
RAYMOND D GAYTAN
JEFFREY S GENTRY
MICHAEL N GIBSON
CHRISTOPHE GILBERT
CYNTHIA D GLOVER
STEFAN A. GOLEA
RICHARD GONZALES
JOSE GONZALEZ JR
DARLENE GOODRUM
SYNTHIA S GORDON
DAWN H GRAHAM
JUAN R GUEVARA
KYLE A GUYOT
LETICIA S HALE
RICHARD HAMILTON
PERCY L HAMPTON
NANCY A HARDY
GARY H HARRIES
HARTIN J HAUPTMAN
NICOLE HAYNES
JAMIE D HEATHERLY
ROY L HERNANDEZ
PT7015P1
15-027
003
IOJAL
$
1 1 312.80
2.826.94
916.91
568.48
3,927.00
1.270.93
1,876.80
312.96
529.64
1,882.24
1,774.80
802.79
1,765.47
515.76
1,238.08
2,292.28
2,466.36
2.572.44
3,753.59
887.40
1,215.20
2.292.28
2,231.76
1,774.80
2,463.64
2,509.20
3,100.12
2,292.28
3,928.63
1,302.24
554.19
1,285.60
3,024.87
2,220.88
3,404.95
4,150.72
1,744.40
2,002.91
2,989.28
--
-
•
•
•
•
•
•
•
•
•
•
•
•
*
•
•
•
•
•
•
•
•
•
•
•
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-REPORT NO:
PAY"ENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-11-14 TO 08-24-14
14 D 1090
Hi D 0040
15 D 0041
14 D 0411
15 D 0096
14 D 0719
14 D 0743
15 D 0084
14 D 1064
14 D 1032
14 D 0942
14 D 1000
14 D 1119
14 D 0986
15 D 0085
14 D 0804
14 D 1092
14 D 1120
14 D 1123
14 D 1046
14 D 1039
15 D 0016
15 D 0017
14 D 0840
14 D 0182
15 D 0018
15 D 0057
14 D 1040
15 D 0058
14 D 1096
14 D 0973
15 D 0043
14 D 1121
13 D 0722
14 D 0802
14 D 0853
15 D 0086
14 D 0838
14 D 0720
e -
E"P NO
NA"E
DAVID S HERNANDEZ
JASON L HOLLISTER
BRYAN C HOLLOWAY
CATHY D HOOKS
PA"ELA D HOWARD
HARLEN R HUNT
ANDREA HWANG
GLORIA A JACKSON
CYNTHIA V JACKSON
GUY A JAEGERS
GARY JOHNSON
RONALDO JUVERA
PHILLIP J. KEARNEY
TERESA KEARNEY
HU"A KHAN
DAVID H KISHI"OTO
FLORTESSA B LALU
NOR"AN H LAU
LATISIA LAWSON
DAVID J LEHIGH
DO"INIC D LER"A
JESSICA W__LEUNG
DOLORES LILLARD
HENRY D LOPEZ
DIXIE L. LOQUET
PHYLLIS LOSORELLI
DO"INZO R LOVE
ERNESTINE LOVE
JOHN E LOZANO
CAROLYN L LUJAN
ADA" B "ACIAS
FABIAN "ALINOVITZ
"AURICIO "ARIN
BRENT K._HARIENS
LINDA K. "ARTIN
CARISA E "ASSEY
PATRICK T "AYFIELD
CARLTON E "C CLOUD
KEVIN " "C CUE
PT7015P1
15-027
004
TOTAL
$
2 1 173.30
2.309.96
3 1 572.72
1,456.27
1 1 774.63
2.157.92
692.74
1,458.74
2 1 292.28
3.558.55
4,259.52
2,820.06
2 1 509.20
2.355.3_2
288.02
2 1 010.08
3,281.49
1.429.63
2,292.28
3 1 507.83
4,290.12
2.292.26
2,292.28
3,140.61
2,292.28
2.292.26
2,292.28
1 1 774.80
2 1 438.48
1.260.75
3 1 195.63
2,292.28
2 1 165.11
1.357.33
2 1 292.28
1,348.40
3,404.95
2.231.76
1,965.88
e
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•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
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•
•
•
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-REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-11-14 TO 08-24-14
13 D 0798
15 D 0060
14 D 0803
15 D 0039
14 D 0490
14 D 0180
14 D 1095
15 D 0059
14 D 1094
13 D 0919
15 D 0097
14 D 0611
14 D 0825
1'LD_1047
15 D 0098
13 D 0303
14 D 1126
14 D 0929
14 D 1078
14 D 1067
14 D 0748
14 D 0938
14 D 1097
15 D 0070
14 D 0993
14 D 0930
13 D 0353
14 D 0555
14 D 0229
15 D 0089
14 D 0622
14 D 1068
14 D 0551
14 D 1007
14 D 0884
14 D 1056
14 D 0970
15 D 0044
14 D 0751
-
El'lf>___NO_____NAME___
TORI S MC NEEL
JAMES MCMURRY__
EULISSES J MERCADO
CIMONE P DANIELS
ERICA D MINOR
ELAINE D_HOELLER
DALE R HORGAN
TONY I MORRISON
RAFAEL V MOYANO
EVELYN OAKRY
VIENNA Y OLIPHANT
CHRISTINE ORELLANA
WILLIAM ORTEGA
SCOTT OSBORN
ERLINDA F PABON
T D PARFENOVICH
EDITH PAVIA
JAMES E PAYNE
DEBORAH L PERALTA
ESTHER D PEREA
DARLENE PEREZ
DAVID M PHIBBS
LEARA L PHILLIPS
STEVEN L PIKE
MEDEL A PRADO
RALPH A PRATHER JR
IRENE P QUEVEDO
LUIS RAMIREZ
CHRISTOPHE RAMIREZ
JACK RAPPOLDT
GREGORY E RAYMOND
KIMBERLY E. REDDIX
EVERETT M REESE
MICHAEL E. RENWICK
GLORIA REVILLA
SALVADOR M RIVERA
CHER T ROBERTS
ERIC ROBERTS
MICHAEL ROBERTSON
PT7015P1
15-027
005
TOTAL
$
981.33
2.438.48
1,820.80
2 1 292.28
797.94
1.078.72
2,052.24
2 1 989.28
2,560.20
898.93
1,242.36
1 1 662.58
1,502.80
3,662.04
1 1 260.75
881.33
2 1 355.32
1,774.80
2 1 842.40
2,292.28
155.87
4,684.49
1 1 949.40
3,453.63
2 1 267.80
2,150.16
923.65
1,434.40
1 1 147.52
1,757.51
3,788.73
3,100.12
2,773.15
2,751.28
1,385.48
1 1 463.09
2 1 292.28
2,292.28
3,235.63
-
-
-
•
•
•
•
•
•
•
•
•
•
•
•
*
•
•
•
•
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-11-14 TO 08-24-14
14 D 0.591
14 D 0704
14 D 0826
13 D 0908
1.5 D 0067
14 D 0907
14 D 0369
14 D 1008
14 D 0526
1.5 D 0079
1.5 D 0063
14 D 0830
13 D 081.5
14 D 0430
15 D 0111
14 D 0764
14 D 0827
14 D 0935
15 D 0054
14 D 1017
14 D 0866
14 D 0990
14 D 064.5
14 D 1069
14 D 1087
14 D 0777
14 D 0315
14 D 1098
15 D 0090
14 D 1002
14 D 1019
14 D 1110
14 D 1127
15 D 0071
14 D 1070
15 D 0073
15 D 0047
15 D 0061
15 D 0045
:e
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......
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•
•
•
•
•
•
-
-
•
•
•
•
•
•
tt
Ill
EHP NO
NAME
ROBERTO RODRIGUEZ
GERALD P RODRIGUEZ
RENE ROMERO JR
SARAH J ROPER
LORENA D ROSAS
JOHN L ROSE
HARK C RUBIN
MICHAEL J SALAZAR
HARIA H SALAZAR
WILSON A SALVADOR
NINA L. SANCHEZ
CELIA V SANCHEZ
GARY L SCHATTL
KRYSTIE L SERRANO
CHERYLEE P SEVILLA
VERONICA R SHORTER
VANESSA A SINCLAIR
NANCY SKIDGEL
VICKI SMITH
TERENCE L SMITH
SYLVIA SMITH
PAMELA D SNEED
TONY L. SNYDER
SCOTT L SORRELL
DAVID H SOTO
FREDDIE J SPEARS
ANTHONY S SPOON
NICHOLAS V STAVES
SHELLEY C SUMPTER
ROBERT R TAPIA
DANIEL TAPIA
DONALD C TAYLOR JR
SHALONDA H TAYLOR
FREDERICK THOMPSON
STEVEN C THORNTON
STEVE P TORRES
J TORRES-MEDINA
CHARLES TWEEDY JR
JOSE VALLADAREZ
PT701.5P1
1.5-027
006
TOTAL
$
2,228.27
2.016.48
3,928.63
1,268.87
1,82.5.37
2.681.95
2,277.60
2,292.28
1,618.08
844 . .56
3,273.52
1,618.08
1,467.23
1,108.38
1,530.94
1,348.40
2,094.83
1,348.40
3,484.97
1,152.09
2,292.28
1,348.40
1,771. 20
2,267.80
4,130.09
1.721.28
1,946.18
2,692.48
2,502.40
3.429.58
2,998.12
3,193.48
2,292.28
1,984.24
4,684.49
5,401.92
3,578.16
1,872.31
653.16
e
------
tt
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
• e
e
e
•
•
•
•
•
•
•
•
•
•
•
•
•~. ·~~~~------~S~E~-p~OD4242~01M4----------~T~oT~A~L~==~~--$$~4~84~,~55~1~.4~3---------------------------------------- •
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
.,.
>
i
I
f\5
EMP NO
08-11-14 TO 08-24-14
15 D 0024
14 D 1071
14 D 0317
14 D 0655
14 D 0978
15 D 0003
15 D 0012
14 D 1128
15 D 0020
15 D 0099
14 D 0949
15 D 0026
13 D 0960
,·
NAME
GARRY A VARNADO
CORINNE C VASQUEZ
ESMERALDA VENEGAS
ROBERT S WHITFIELD
JAMES C WILLIAMS
RUDDY A WYNDON JR
FARRIS YARBROUGH
GABRIEL YBARRA
IRMA YBARRA
KARYN H YBARRA
PHILIP VEE
JOHN P ZAMBORY
ROBERT M ZIRBECK
PT7015P1
15-027
007
TOTAL
$
2,052.24
2,292.28
1,385.48
1 1 576.40
2,502.40
4,316.85
2,292.28
281.52
2,292.28
1,260.75
3,404.95
1 1 827.14
1,540.27
•
DATE:
)
•
•
•
•
•
•
~
-Ill
---
--------
'-
-
-
•
•
•
*
•
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•
•
•
•
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
;
''
1
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
POWER THAT THE CLAIMS HEREINAFTER LISTED ARE DUE AND PAYABLE FROM THE WATER AND POWER EMPLOYEES' DISABILITY
FUND AS A SUPPLEMENTAL BENEFIT FOR AN INDUSTRIAL DISABILITY. EXCLUSIVE OF THE FIRST THREE DAYS THEREOF; AND
THAT SAID CHIEF ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN
PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED BELOW ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD 07-14-14 TO 08-24-14.
INDUSTRIAL SUPPLEMENIAL
PERIOD:
:w
1\:)
,.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
PT701.5P1
1.5-028
001
IN ACCORDANCE WITH PLAN SECTION III A 17) ICJ AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20 1 1998, APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
PPE:
PPE:
DISABILITY ROLL
EMP NO
NAME
07-14-14 TO 07-27-14
14 c 016.5
9669.51
KEITH E WILLIAMS
07-28-14 TO 08-10-14
14 c 016.5
9669.51
KEITH E WILLIAMS
CLAIM
PPE:
08-11-14 TO 08-24-14
14 c 0018
14 c 0242
14 c 0193
1.5 c 0017
14 c 0031
14 c 01.52
14 c 01.57
14 c 0180
14 c 0194
13 c 0111
13 c 0201
14 c 0197
14 c 0139
13 c 0099
1.5 c 0002
1.5 c 0011
" -Ill
COM~EK~AIION
07-14-14 TO 08-24-14
. r-·!"
'.
---- --- •
.·- -
BENIGNO ACOSTA
VICENTE S AGUILAR
JOHN ALFARO
IGNACIO ANAYA JR
RICHARD G ANDREWS
FRANCISCO V AYALA
DARRELL J BALLARD
MICHAEL P BATH
ELVIRA BLAS
SHIRLEY BROWN
OSWALDO C BURBANO
RICK BURGESS
LINDA J BYRD
JU~IAN F CAMPBELL
GILBERTO CARDENAS
JESUS S CASTILLO
TOTAL
'•
741.28
$
369.33
o.oo
2,616 . .54
1l111.29
1,061.46
o.oo
o.oo
o.oo
o.oo
487 . .52
898.93
o.oo
31.5.00
1,618.08
o.oo
98.32
2,3.54.16
---
-----
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•
•
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•
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•
•
•
•
•
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•
•
•
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
14
14
14
14
1§
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
15
14
15
14
13
14
14
15
14
14
14
14
14
14
14
14
15
14
.,
•
Ill
EMP NO
08-11-14 TO 08-24-14
15 c 0006
-.. ,1\5
'•
·~
•
•
•
•
•
•
•
e
c
0247
c 0209
c 0154
c 0178
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
c
0001
0214
0236
0147
017!'
0224
0206
0225
0127
0174
0226
0232
0217
0052
0218
0142
0010
0203
0005
0239
0229
0245
0211
0014
0078
0057
0251
0227
0202
0188
0212
0103
0009
0179
_ ~ _ u~
'
~.-
-------
NAME__
ANDREWS CASTRO
ROBERT R_. CHARLES
ISAAC CONTRERAS
D CUNNINGHAM
PHILIP E DAVIDSON
TRAVIS 0 DEATON
HANS W DELSOIN
JAVIER DOMINGUEZ
JOSEPH EAGEN
CONNIE R EAMES
GAY L. EMANS
GARY C EMORY
FRANK ESTRADA
ANGELlE D. FULTON
CIRILO GALVAN JR
DAMON GANGI
FRED GONZALEZ
MANUEL A GONZALEZ
JEFFREY P GORDON
JAMES P GOSSELIN
HUMBERTO GUZZETTI
BRYON_HARLACHER
TONY L. HARRIS
MICHELLE HOONG
DEWAYNE E JACKSON
DANIEL _C_ JIMENEZ
PAUL JOHNSON
DARNELL JONES
JIN H KANG
ROBERT KELLY
OWEN L KNAPPER
SONIA V LAJAS
DOUGLAS L LAND
JAMES_LITTLEEIELD
JOHN C LOLL
JERRY R LOWE
VINCENT MAMMOLITI
OSCAR.I'IARROQUIN
JUSTIN MARTINEZ
PT7015P1
15-028
002
TOTAL
0.00
$
___
363.~
0.00
1 1 618.08
359.92
0.00
0.00
149.36
1,575.36
315 .14
353.12
0.00
317.08
1.618.08
1 1 057.12
2,292.28
421.94
0.00
2 1 040.40
575.33
0.00
_____177.68
0.00
506.44
488.20
0. 00
0.00
0.00
780.57
0._00
0.00
693.12
1 1 378.55
0.00
3,640.72
2 1 790.87
0.00
2 ... 2«!2~28
0.00
-
~
-
•
•
•
•
•
•
•
•
,._'
--
•
•
•
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•
•
•
•
-
•
•
•
•
•
•
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CLAIM
PPE:
1\5
. 01
i'V
)
.
~
0
s
~·
3
0
3
~
~·
08-11-14 TO 08-24-14
14 c 0170
13 c 0183
14 c 0223
14 c 0136
14 c 0158
14 c 0249
14 c 0213
14 c 0143
13 c 0227
15 c 0015
13 c 0157
14 c 0248
14 c 0240
15 c 0008
14 c 0204
14 c 0138
15 c 0007
14 c 0231
14 c 0189
15 c 0013
13 c 0246
14 c 0241
15 c 0003
14 c 0221
13 c 0215
13 c 0249
14 c 0084
14 c 0162
14 c 0216
14 c 0177
14 c 0207
14 c 0219
14 c 0222
14 c 0087
15 c 0012
14 c 0165
15 c 0016
14 c 0237
EHP NO_____MAME__
$
TOTAL
$
APPROVED:
Ill
TOTAL
DARREN R MCGUIRE
JOSEPH H MEDINA
ANDRE E HINTON
ENRIQUE H MUNOZ
MICHAEL HISENHIHER
C HO~O~JIMENEZ
DANIEL MONTANO
GLENN MORRIS
IGNACIO OLIVEROS
VICTOR___11_EREZ
KYLE N POKORSKI
ERNIE G PRECIADO
FRANK H PRECIADO
BETTY REED
CHAD R REESE
STEVIE RENFRO
ROBIN K ROBERSON
CHRIS ROBERTS
EMIL D RUIAN
SANDRA SAGE
ANNETTE SALAZAR
A P SANTISTEVAN
HENRY A SIMON
RICHARD T SMITH JR
PAM SOUTH-HAYFIELD
CHARLOTTE A TAYLOR
JUDITH H THOMPSON
DAVID P TURNEY
CHARLES UPDEGROVE
GABRIEL VENEGAS
MARIO VILLANUEVA
CARL WASHINGTON
XAVIER WATKINS
AARON C WESTON
BRADLEY R WICKHAM
KEITH E WILLIAMS
LARRY D WILLIAMS
CHUCK WON
--
- - · · · - · - - - -
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
•3
•
•
•
•
•
•
-
-
602.00
0.00
2,231.76
0.00
602.00
473.5~
532.67
1,771.20
0.00
411__._!!..2.
0.00
900.59
900.59
148.40
0.00
1,721.28
2,509.20
0.00
0.00
2,292.28
898.93
501.48
1 1 044.20
0.00
898.93
984.00
1 1 266.84
1,091.77
52.08
0.00
0.00
1,156.20
403.44
1,004.68
804.16
0.00
937.42
0.00
63,617.65
PT7015P1
15-028
003
•
•
•
•
•
•
•
•
••
•
•
•
•
•
•
•
•
-
•
•
•
•
•
•
•
•
r\5
~.
~
)
.
(j)
,.
-
.
-~-
----
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
15-029
001
IN ACCORDANCE WITH PLAN SECTION III A (7J lCJ AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20 1 1998 1 APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
THE MEMBERS OF THE WATER AND POWER EMPLOYEES• RETIREMENT PLAN HEREINAFTER LISTED HAVE AN ENFORCEABLE RIGHT
EITHER TO RECEIVE WORKERS• COMPENSATION FROM THE DEPARTMENT BY REASON OF THEIR DEPARTMENT EMPLOYMENT FOR
INDUSTRIAL DISABiliTY OR TO RECEIVE BENEFITS FOR TEMPORARY DISABILITY FOR THE SAME PERIOD. BUT IT IS UNCERTAIN
AS TO WHICH AND THAT THE MEMBERS HAVE EXECUTED THE ACKNOWLEDGMENT AND AGREEMENT REQUIRED UNDER SECTION V D (7)
OF THE PLAN.
THE RETIREMENT
POWER THAT PURSUANT
THE WATER AND POWER
ACCOUNTING EMPLOYEE
PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
TO THE TERMS OF THE RETIREMENT PLAN, THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM
EMPLOYEES• DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED, AND THAT SAID CHIEF
IS AUTHORIZED AND DIRECTED TO AUrHENTICATE A DEMAND ON SUCH FUND IN PA'ltiENLOFSAID CLAIMS.
CONTINGENT DISABILITY ROLL
'>
•
•
~
PERIOD:
07-28-14 TO 08-24-14
CLAIM
EHP NO_ ...... NAME
TOTAL
~
~·
•
•
•
•
•
•
PPE:
PPE:
07-28-14 TO 08-10-14
15 D 0008
14 D 0991
ROOSEVELT JOHNSON
JOHN M TANAKA
08-11-14 TO 08-24-14
14 D 0747
14 D 0766
13 D 0887
14 D 0515
15 D 0008
14 D 1033
14 D 0824
14 D 0904
14 D 0991
CURTICE CONWAY
KIRK_ R_HANSON
LETIEIA Z HEDGEMAN
ELIEZER HERNANDEZ
ROOSEVELT JOHNSON
DAVID P LU£YANO
JULIE S MANALANSAN
VAN NGOCTHI NGUYEN
JOHN M TANAKA
\
$
2 1 929.85
1...2.8!f_.2't.
&.<
2 1 705.51
2, 751.28
898.93
1,530.72
2 1 929.85
3,235.63
2,502.40
3,719.60
1,984.24
TOTAL
$
27,172.25
I
DATE:
~
e
SEP 0 4 2014
--- ----
I
V11tf
•
•
•
•
•
•
•
.
THE CLAIMS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEFITS PURSUANT TO SECTION V D l7J OF THE PLAN DURING
THE PERIOD OF 07-28-14 TO 08-24-14.
3
>
3
•
---- --- - -
•
•
•
•
•
•
•
•
•
•
•
•
•
:;;.
,
"8
I
~
e
e
REPORT NO:
PAYHENT AUTHORIZATION NO. DIS:
PAGE:
•
•
•
•
•
•
•
•
PT7015P1
15-030
001
IN ACCORDANCE WITH PLAN SECTION III A 17J ICJ AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20 1 1998 1 APPROVAL OF THE
FOLLOWING CLAIHS IS DELEGATED TO THE RETIREHENT PLAN HANAGER BY THE BOARD OF ADHINISTRATION.
THE RETIREHENT PLAN HANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EHPLOYEE OF THE DEPARHENT OF WATER AND POWER
THAT PURSUANT TO THE TERHS OF THE RETIREHENT PLAN, THE CLAIHS HEREINAFTER LISTED AS DUE AND PAYABLE FROH THE
~R_AND POWER_EHPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AHOUNTS SPECIFIED, AND THAT SAID CHIEF
ACCOUNTING EHPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEHAND ON SUCH FUND IN PAYHENT OF SAID CLAIHS.
THE CLAII'ISLISTED ARE_EOR_DISABILITY BENEFITS ACCRUING DURING THE PERIOD 05-19-14 TO 08-24-14.
TEHPORARY DISABILITY ROLL
PERIOD:
05-19-14 TO 08-24-14
CLAIH
1\)
~
PPE:
---.1
EHP NO
NAHE _
TOTAL
05-19-14 TO 06-01-14
14 D 0989
SHANNON J LA LANDE
07-14-14 TO 07-27-14
14 D 1037
LORRAINE E SORIANO
1 1 505.11
HALINTZIN JULIEN
1,860.00
GLADYS AVINA
LIBIA BECERRA-VAIL
ROBERTO BUSTOS
GLEN CUSTIS
RENE N DIAZ
HURIEL P GARCERA
HARISSA C GONZALEZ
BARON GREENHOUSE
HOSTAFA HAJI
DESHOND D JOHNSON
JUDY P LE
JO ANN NEWHAN
ERICA SAHAGUN
ALAN L SWANSON
1l348.40
458.46
1,451.66
3,883.48
2,582.21
2,917.88
1,348.40
272.60
3,927.00
1,845.62
813.28
1,107.20
254.36
$
229.23
:!1
;;
_tt
~
PPE:
PPE:
07-28-1~
PPE:
TO 08-10-14
14 D 0974
08-11-14 TO 08-24-14
14 D 0511
15 D 0105
15 D 0120
15 D 0004
15 D 0094
14 D 0806
14 D 0684
15 D 0119
14 D 0933
14 D 1091
15 D 0118
14 D 0189
15 D 0117
· 15 D 0093
TOTAL
DATE:
e
Ill
~ 2 406.12
$
29,211.01
•
•
•
•
•
•
•
•
••
•
•
•
*•
•
•
•
•
•
•
•
•
•
•
•
)
2
s
~·
.
THE MEMBERS OF THE WATER AND POWER EMPLOYEES' RETIREMENT PLAN HEREINAFTER LISTED HAVE AN ENFORCEABLE RIGHT
EITHER TO RECEIVE WORKERS' COMPENSATION FROM THE DEPARTMENT BY REASON OF THEIR DEPARTMENT EMPLOYMENT FOR
TNDIISTRTAI DISABiliTY OR TO RECEIVE BENEFITS FOR TEMPORARY DISABILITY FOR THE ~RIOD. BUT IT IS UNCERTAIN
AS TO WHICH AND THAT THE MEMBERS HAVE EXECUTED THE ACKNOWLEDGMENT AND AGREEMENT REQUIRED;UNDER SECTION V D (7)
OF THE PLAN.
CX>
•
CONTINGENT DISABILITY ROLL
.
08-11-14 TO 08-24-14
•,-
CLAIM
3
EMf' NO
NAME
TOTAL
~
PPE:
08-11-14 TO 08-24-14
15 D 0102
SEPI12014
DATE:
--
JOHN J GALLAGHER
$
2.078.51
TOTAL
$
2,078.51
~
~
·
APPROV
RE ~N
5
I
MANAGE
..
V' .
(\}
e
e
•
•
•
•
•
•
THE CLAIMS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEFITS PURSUANT TO SECTION V D (7) OF THE PLAN DURING
THE PERIOD OF 08-11-14 TO 08-24-14.
PERIOD:
•
•
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
POWER THAT PURSUANT TO THE TERMS OF THE RETIREMENT PLAN 1 THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM
THE WATER AND POWER EMPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED, AND THAT SAID CHIEF
ACCDUNIING_EMP~OVEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
,
0.
•
•
•
•
•
•
PT7015P1
15-031
001
IN ACCORDANCE WITH PLAN SECTION III A (7) lC) AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20, 1998 1 APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
i\J
-
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
_I\)
g •
e
e
e
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
e
e
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT701.5P1
1.5-032
001
IN ACCORDANCE WITH PLAN SECTION III A 17) !C) AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20 1 1998 1 APPROVAL OF THE
FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARMENT OF WATER AND POWER
THAT PURSUANT TO THE TERMS OF THE RETIREMENT PLAN, THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM THE
WATER AND POWER EMPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED, AND THAT SAID CHIEF
ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD 0.5-0.5-14 TO 09-07-14.
TEMPORARY DISABILITY ROLL
PERIOD:
CLAIM
1\5
• tg
PPE:
•
•
•
•
•
•
•
•
PPE:
PPE:
PPE:
PPE:
PPE:
e
Ill
0.5-0.5-14 TO 09-07-14
EMP
~Q
NAME
TOTAL
0.5-0.5-14 TO 0.5-18-14
14 D 09.5.5
TROY S HANNA
06-16-14 TO 06-29-14
14 D 1122
BRIAN A MACIAS
06-30-14 TO 07-13-14
14 D 0920
14 D 09.52
E F MC ANDREW JR
JOHN R WINTERS JR
2,036.60
2,967.07
07-14-14 TO 07-27-1~
14 D 1036
14 D 09.52
JUAN R PEREZ
JOHN R WINTERS JR
1,209.04
2,967.07
07-28-14 TO 08-10-14
14 D 074.5
1.5 D 00.5.5
1.5 D 006.5
14 D 09.52
14 D 0887
ROBIN T LAMB
GUADALUPE T REYNA
CHARLES S RICE
JOHN R WINTERS JR
CARLOS C ZAMORA
2,0.53.69
847 •.50
898.14
2,967.07
2,316.69
08-11-14 TO 08-24-14
1.5 D 009.5
14 D 0584
BELDEN S ALIVIO
YOLANDA BOLDEN
2,271 . .55
161.81
$
1,413.04
916.91
e
e
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•g.
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
PPE:
1\)
w
0
)
,'
s
~·
,3
3
0
~·
•
•
•
•
•
•
-
e
e
e
Ill
EMP NO
NAME
08-11-14 TO 08-24-14
15 D 0100
15 D 0083
14 D 0422
14 D 0745
15 D 0116
15 D 0113
15 D 0065
15 D 0088
14 D 0952
14 D 0887
JOHN A DEMONTE
MARK G HERNANDEZ
DAVINA L HOLBERT
ROBIN T LAMB
BLASE A LOPEZ
GREGORY T NGO
CHARLES S RICE
ROBERT SCHNEIDER
JOHN R WINTERS JR
CARLOS C ZAMORA
08-25-14 TO 09-07-14
15 D 0150
14 D 1112
14 D 1100
14 D 1101
14 D 0259
15 D 0095
15 D 0015
14 D 0511
15 D 0108
15 D 0031
14 D 0823
15 D 0109
15 D 0126
15 D 0029
15 D 0105
14 D 0652
14 D lOll
15 D 0037
14 D 0913
15 D 0072
13 D 0581
15 D 0165
15 D 0110
15 D 0014
14 D 0916
15 D 0013
14 D 0603
GRACE C ADAJAR
ANDY JUNNE AGRA II
JOSE AGUAYO JR
NATHAN AGUAYO
LUIS AGUILAR
BELDEN S ALIVIO
SUSAN AVILA SUAREZ
GLADYS AVINA
SELAHAWIT H AZAGE
BILL W BABISHOFF
HA VIRGI BACIERTO
ANGELA S BALENTINE
DAVID L BAY
JOE R BEAS
LIBIA BECERRA-VAIL
SANFORD L BLUMBERG
STEVEN A BROUGHTON
ROBERT BRYHER
ELLEN D BURD
DAHlEN D BURRIS
OSCAR W CALDER
RANDYN Y CALVO
MICHAEL N. CARRANO
GONZALITO C CASTRO
JESUS CHAVARRIA
JENNIFE CLINGERMAN
LAURA CONTRERAS
PT7015Pl
15-032
002
TOTAL
$
1,583.24
3z240.88
1,348.40
2,053.69
542.45
750.72
2,763.52
2,710.49
333.80
lzl60.54
1,561.06
3z927.00
2,270.07
3,455.08
1,312.80
4 130.09
3,927.00
1,348.40
3,719.60
2 473.71
3,226.60
3,990.24
3,410.66
2z6l9.24
2,292.28
3,061.10
2,330.36
3z650.19
2,292.28
2,209.32
956.27
773.64
3,527.83
2,664.92
2,492.22
1,577.76
1,766.40
e
-
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
••
•
•
•
•
•
•
•w
•
•
•
•
•
•
•
•
•
-
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-25-14 TO 09-07-14
14 D 0599
15 D 0035
15 D 0128
15 D 0004
14 D 0867
15 D 0100
15 D 0091
15 D 0078
14 D 0880
14 D 0501
14 D 1113
14 D 1132
14 D 0946
14 D 0969
15 D 0145
15 D 0036
14 D 0477
13 D 0699
15 D 0038
15 D 0107
14 D 0321
0806
14
15
0103
14
0967
14
1129
14
1114
0062
15
15
0161
0733
14
14
1107
0081
15
14
0761
0050
15
14 D 0897
15 D 0119
14 D 1022
14 D 0933
13 D 1084
14 D 0236
1\)
......
Ill
e
e
e
EMP NO
!
I
I
NAME
ROBIN N COOLEY
DAVID CORNELL
JAMES F COWGILL
GLEN CUSTIS
DEMETRIUS DE ANDA
JOHN A DEMONTE
FERNANDO DIAZ
SALLIE 0 DOMINGUEZ
MYRA DORSEY
AMISA R. DURHAM
PATRICE A DUVALL
LORA L EGGAN
JONATHAN M ERDAY
ROBERT ESCAMILLA
GLENN FILES JR
ANNETTE FLORES
LEONARD J FORD
WENDY FU
MARGARITA GAFARE
ROBERT S GALAN
JORGE A GALAN
MURIEL P GARCERA
ALFREDO C GARCIA
GILBERT GARCIA JR
JOHN W GARDNER JR
RAYMOND D GAYTAN
JEFFREY S GENTRY
SUZON GERSTEL
CHRISTOPHE GILBERT
CYNTHIA D GLOVER
RICHARD GONZALES
DARLENE GOODRUM
SYNTHIA S GORDON
DAWN M GRAHAM
BARON GREENHOUSE
JUAN R GUEVARA
MOSTAFA HAJI
LETICIA S HALE
RICHARD HAMILTON
PT7015P1
15-032
003
TOTAL
$
149.47
11636.72
785.73
436.89
2,578.21
21878.61
2,092.60
2,509.20
2,292.28
11766.40
563.04
3,009.00
1,312.80
21826.94
442.32
3,927.00
1,876.80
312.96
1,774.80
2,378.64
1,765.47
21917.88
2,751.28
2,292.28
2,466.36
2z572.44
3,753.59
773.64
1,215.20
2z063.05
887.40
2,509.20
3,100.12
21292.28
2,180.76
3,928.63
3,927.00
923.65
1,285.60
e
•
•
•
•
•
•
•
•
•
•
•
•
*•
--
•
•
•
••
•
•
•
•
•
•
•.• w
CLAIM
PPE:
08-25-14 TO 09-07-14
15 D 0027
14 D 0960
14 D 1045
13 D 1105
14 D 0226
14 D 1038
14 D 1090
15 D 0083
14 D 0422
15 D 0040
15 D 0041
15 D 0096
14 D 0719
15 D 0084
14 D 1032
14 D 0942
14 D 1091
14 D 1119
14 D 0986
14 D 0804
14 D 1066
14 D 1092
14 D 0745
14 D 1123
14 D 1046
14 D 1039
15 D 0016
15 D 0017
14 D 0840
14 D 0182
15 D 0018
15 D 0057
14 D 1040
15 D 0058
14 D 0973
15 D 0043
14 D 1121
13 D 0722
14 D 0802
1\)
1\)
)
'j
)
·•
)
3
)
3
~
~-
•
•
•
•
•
•
e
Ill
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
~
g
e
EHP NO
NAME
PERCY L HAMPTON
GARY H HARRIES
HARTIN J HAUPTMAN
NICOLE HAYNES
JAMIE D HEATHERLY
ROY L HERNANDEZ
DAVID S HERNANDEZ
HARK G HERNANDEZ
DAVINA L HOLBERT
JASON L HOLLISTER
BRYAN C HOLLOWAY
PAMELA D HOWARD
HARLEN R HUNT
GLORIA A JACKSON
GUY A JAEGERS
GARY JOHNSON
DESMOND D JOHNSON
PHILLIP J. KEARNEY
TERESA KEARNEY
DAVID H KISHIHOTO
ROBERT KISHLANSKY
FLORTESSA B LALU
ROBIN T LAMB
LATISIA LAWSON
DAVID J LEHIGH
DOMINIC D LERMA
JESSICA W LEUNG
DOLORES LILLARD
HENRY D LOPEZ
DIXIE L. LOQUET
PHYLLIS LOSORELLI
DOHINZO R LOVE
ERNESTINE LOVE
JOHN E LOZANO
ADAM B MACIAS
FABIAN HALINOVITZ
MAURICIO MARIN
BRENT K. MARTENS
LINDA K. HARTIN
PT7015P1
15-032
004
TOTAL
$
2,419.90
3,404.95
1,867.82
1,744.40
2,002.91
2,989.28
953.20
3,240.88
151.70
1,630.56
3,572.72
3,226.60
1,575.36
1,882.24
3,558.55
4,259.52
364.07
2,509.20
2,355.32
1,773.60
3,252.06
2,763.36
2,053.69
2,292.28
3,507.83
4,290.12
2,292.28
2,292.28
3,140.61
2,292.28
2,292.28
2,292.28
1,774.80
2,438.48
3,195.63
2,292.28
2,165.11
1,357.33
1,820.34
tt
--
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•w
,.g.
~.
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIH
PPE:
08-25-1~
1\5
(,.)
)
,'
,3
3
~
•
•
•
•
•
•
-
-
••
e
TO 09-07-14
1~ D 0853
15 D 0086
14 D 0838
14 D 0720
13 D 0798
15 D 01~3
15 D 0060
1~ D 0803
15 D 0039
1~ D 0180
15 D 0132
15 D 0059
14 D 1094
15 D 0131
14 D 0189
15 D 0113
13 D 0919
15 D 0097
14 D 0611
14 D 0825
1~ D 1047
15 D 0098
13 D 0303
1~ D 1126
1~ D 0929
1~ D 1078
14 D 1067
1~ D 0938
14 D 1097
15 D 0070
14 D 0993
14 D 0930
13 D 0353
15 D 0122
14 D 0555
1~ D 0229
15 D 0138
15 D 0089
14 D 0622
EHP NO
NAHE
CARISA E HASSEY
PATRICK T HAYFIELD
CARLTON E HC CLOUD
KEVIN H HC CUE
TORI S HC NEEL
MICHAEL MCGUIRE
JAHES HCHURRY
EULISSES J MERCADO
CIHONE P DANIELS
ELAINE D MOELLER
DIANNE HORRIS
TONY I MORRISON
RAFAEL V MOYANO
SONIA MURILLO
JO ANN NEWHAN
GREGORY T NGO
EVELYN OAKRY
VIENNA Y OLIPHANT
CHRISTINE ORELLANA
WILLIAM ORTEGA
SCOTT OSBORN
ERLINDA F PABON
T D PARFENOVICH
EDITH PAVIA
JAHES E PAYNE
DEBORAH L PERALTA
ESTHER D PEREA
DAVID H PHIBBS
LEARA L PHILLIPS
STEVEN L PIKE
HEDEL A PRADO
RALPH A PRATHER JR
IRENE P QUEVEDO
KRESHELL RAHEY
LUIS RAMIREZ
CHRISTOPHE RAMIREZ
NOHEHI RANGEL
JACK RAPPOLDT
GREGORY E RAYMOND
-
•
••
-
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
PT7015P1
15-032
005
TOTAL
$
1,348.~0
3l404.95
1,936.38
1,965.88
981.33
2l682.96
1,52~.05
1,820.80
2,292.28
1l058.49
1,518.6~
2,989.28
2,560.20
1l509.33
~42.88
2,502.~0
898.93
1l774.80
1,662.58
1,502.80
3,662.0~
2l292.28
881.33
1,662.58
887.40
2l842.40
1,518.64
4,684.~9
1,559.52
3 ~53.63
2,267.80
1,075.08
923.65
2l292.28
322.74
1,147.52
1,767.15
2l231. 76
1,575.16
e
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
e
e
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-25-14 TO 09-07-14
14 D 1068
14 D 0551
14 D 0884
15 D 0044
14 D 0970
14 D 0751
14 D 0704
14 D 0591
14 D 0826
13 D 0908
14 D 0907
14 D 0369
14 D 0526
14 D 1008
15 D 0063
14 D 0830
15 D 0163
13 D 0815
15 D 0088
14 D 0430
15 D 0111
14 D 0764
14 D 0935
14 D 1017
14 D 0866
14 D 0645
14 D 1037
14 D 1069
14 D 1087
14 D 0777
14 D 0315
14 D 1098
15 D 0093
14 D 1002
14 D 1019
14 D 1110
14 D 1127
15 D 0071
14 D 1070
t\)
w
+:>.
e
Ill
EMP NO
NAME
KIMBERLY E. REDDIX
EVERETT M REESE
GLORIA REVILLA
ERIC ROBERTS
CHER T ROBERTS
MICHAEL ROBERTSON
GERALD P RODRIGUEZ
ROBERTO RODRIGUEZ
RENE ROMERO JR
SARAH J ROPER
JOHN L ROSE
MARK C RUBIN
MARIA M SALAZAR
MICHAEL J SALAZAR
NINA L. SANCHEZ
CELIA V SANCHEZ
MAUREEN P SCHAEFER
GARY L SCHATTL
ROBERT SCHNEIDER
KRYSTIE L SERRANO
CHERYLEE P SEVILLA
VERONICA R SHORTER
NANCY SKIDGEL
TERENCE L SMITH
SYLVIA SMITH
TONY L. SNYDER
LORRAINE E SORIANO
SCOTT L SORRELL
DAVID M SOTO
FREDDIE J SPEARS
ANTHONY S SPOON
NICHOLAS V STAVES
ALAN L SWANSON
ROBERT R TAPIA
DANIEL TAPIA
DONALD C TAYLOR JR
SHALONDA M TAYLOR
FREDERICK THOMPSON
STEVEN C THORNTON
PT7015P1
15-032
006
TOTAL
$
3,100.12
2z773.15
1,385.48
2,292.28
2,292.28
3z045.29
2,016.48
668.48
3,928.63
1z268.87
2,504.47
2,277.60
1,618.08
2z292.28
3,273.52
1,618.08
458.46
1z467.23
3,388.11
1,108.38
3,499.28
1z348.40
1,348.40
288.02
2,090.02
1l771.20
2,150.16
2,267.80
4,130.09
1l721.28
1,946.18
2,228.27
1,873.37
3z429.58
2,998.12
3,193.48
2,292.28
1,984.24
4,684.49
e
•
•
•
•
•
•
•
•
•
•
•
•
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-
•
•
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•
•
•
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-25-14 TO 09-07-14
15 D 0047
14 D 0828
15 D 0024
14 D 1071
14 D 0655
14 D 0978
15 D 0003
15 D 0020
15 D 0099
14 D 0949
14 D 0887
15 D 0156
15 D 0123
13 D 0960
EMP NO
NAME
J TORRES-MEDINA
TRACY N TURNER
GARRY A VARNADO
CORINNE C VASQUEZ
ROBERT S WHITFIELD
JAMES C WILLIAMS
RUDDY A WYNDON JR
IRMA YBARRA
KARYN H YBARRA
PHILIP VEE
CARLOS C ZAMORA
LAWRENCE ZIELINSKI
BRIAN L ZILIOTTO
ROBERT M ZIRBECK
PT7015P1
15-032
007
TOTAL
$
3,578.16
458.46
2,052.24
2,292.28
1,576.40
1,501.44
4,316.85
2,292.28
2,292.28
3,404.95
1,635.31
714.60
4,292.56
1.540.27
SEP 18 2014
1\)
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DATE:
"""~·
~
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•
•
•
•
•
•
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•
•
•
•
•
•
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•
•
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•
•
•
•
•
•
-
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•
•
•
•
•
•
•
;.
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-
,
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
15-033
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (C) AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20, 1998, APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
POWER THAT THE CLAIMS HEREINAFTER LISTED ARE DUE AND PAYABLE FROM THE WATER AND POWER EMPLOYEES" DISABILITY
FUND AS A SUPPLEMENTAL BENEFIT FOR AN INDUSTRIAL DISABILITY, EXCLUSIVE OF THE FIRST THREE DAYS THEREOF; AND
THAT SAID CHIEF ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN
PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED BELOW ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD 08-11-14 TO 09-07-14.
INDUSTRIAL SUPPLEMENTAL COMPENSATION DISABILITY ROLL
PERIOD:
1\)
.(,.)
0')
)
PPE:
PPE:
3
'3
"
e
Ill
08-11-14 TO
09-07-1~
CLAIM
'
;'
•
•
•
•
•
•
e
e
EMP NO
TOTAL
NAME
08-11-14 TO 08-24-14
14 c 0235
15 c 0027
DONALD L JOHNS
LINDA MEEKS BARNES
08-25-14 TO 09-07-14
14 c 0018
14 c 0242
14 c 0193
15 c 0017
14 c 0031
14 c 0152
14 c 0157
14 c 0180
14 c 0194
15 c 0023
13 c 0111
13 c 0201
14 c 0139
13 c 0099
15 c 0002
15 c 0011
15 c 0006
14 c 0209
BENIGNO ACOSTA
VICENTE S AGUILAR
JOHN ALFARO
IGNACIO ANAYA JR
RICHARD G ANDREWS
FRANCISCO V AYALA
DARRELL J BALLARD
MICHAEL P BATH
ELVIRA BLAS
MARK A BRAXTON
SHIRLEY BROWN
OSWALDO C BURBANO
LINDA J BYRD
JULIAN F CAMPBELL
GILBERTO CARDENAS
JESUS S CASTILLO
ANDREW S CASTRO
ISAAC CONTRERAS
o.oo
$
563.04
o.oo
2,616.54
679.74
2,653.66
850.40
o.oo
1,942.08
0.00
487.52
222.31
898.93
o.oo
o.oo
1z618.08
98.32
2,354.16
0.00
o.oo
e
-
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
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,.
-
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
1\)
0.,
-...,J
)
''
''
'
1
~·
•
•
•
•
•
•
-
e
-----
Ill
08-25-14 TO 09-07-14
14 c 0154
14 c 0214
14 c 0236
14 c 0147
14 c 0175
14 c 0224
14 c 0206
14 c 0225
14 c 0127
14 c 0174
14 c 0226
14 c 0232
14 c 0217
14 c 0052
14 c 0218
14 c 0142
1S C 0018
1S C 0010
14 c 0203
1S C 0020
1S C OOOS
1S C 0021
13 c 0229
14 c 0235
14 c 0245
14 c 0211
1S C 0014
14 c 0078
14 c 0057
14 c 0251
14 c 0227
14 c 0202
14 c 0188
14 c 0212
1S C 0022
14 c 0103
1S C 0009
14 c 0179
14 c 0170
-
EMP NO
•\
NAME
D CUNNINGHAM
HANS W DELSOIN
JAVIER DOMINGUEZ
JOSEPH EAGEN
CONNIE R EAMES
GAY L. EMANS
GARY C EMORY
FRANK ESTRADA
ANGELlE D FULTON
CIRILO GALVAN JR
DAMON GANGI
FRED GONZALEZ
MANUEL A GONZALEZ
JEFFREY P GORDON
JAMES P GOSSELIN
HUMBERTO GUZZETTI
WAYNE L HANLEY
BRYON HARLACHER
TONY L. HARRIS
RICARDO HERNANDEZ
HICHELLE HOONG
JOHN V HUTCHISON
DANIEL C JIMENEZ
DONALD L JOHNS
PAUL JOHNSON
DARNELL JONES
JIN H KANG
ROBERT KELLY
OWEN L KNAPPER
SONIA V LAJAS
DOUGLAS L LAND
JAMES LITTLEFIELD
JOHN C LOLL
JERRY R LOWE
EDUARDO MADRID
VINCENT MAMMOLITI
OSCAR MARROQUIN
JUSTIN MARTINEZ
DARREN R MCGUIRE
PT701SP1
15-033
002
TOTAL
$
1,618.08
o.oo
149.36
1,575.36
99.98
353.12
o.oo
317.08
1,618.08
634.84
2,292.28
421.94
o.oo
o.oo
o.oo
1,776.85
364.67
177.68
o.oo
o.oo
512.16
o.oo
82.48
o.oo
o.oo
780.57
o.oo
o.oo
1,776.79
693.12
1,378.55
o.oo
•
•
•
•
•
•
•
•
•
•
•
*•
3,640.72
3,404.95
413.20
o.oo
o.oo
2,292.28
419.93
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•
•
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•
•
•
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•
•
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
1\J-
w
(X)
I
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~
""":1~·
gj.
•
•
•
•
•
•
-
e
08-25-14 TO 09-07-14
13 c 0183
15 c 0027
14 c 0223
14 c 0136
14 c 0158
14 c 0249
14 c 0143
13 c 0227
15 c 0024
15 c 0015
13 c 0157
14 c 0248
14 c 0240
15 c 0008
14 c 0204
14 c 0138
15 c 0007
14 c 0231
14 c 0189
15 c 0013
13 c 0246
14 c 0241
15 c 0019
15 c 0003
14 c 0221
13 c 0215
15 c 0025
13 c 0249
14 c 0084
14 c 0162
14 c 0216
14 c 0177
14 c 0207
14 c 0219
14 c 0222
14 c 0087
15 c 0012
14 c 0237
SEP 18 2014
••
DATE:
{/
EMP NO
\
j
NAME
PT7015P1
15-033
003
TOTAL
JOSEPH M MEDINA
LINDA MEEKS BARNES
ANDRE E MINTON
ENRIQUE 11 MUNOZ
MICHAEL 11ISENHIMER
C MONTALVO-JIMENEZ
GLENN MORRIS
IGNACIO OLIVEROS
BRENDON G OWENS
VICTOR PEREZ
KYLE N POKORSKI
ERNIE G PRECIADO
FRANK 11 PRECIADO
BETTY REED
CHAD R REESE
STEVIE RENFRO
ROBIN K ROBERSON
CHRIS ROBERTS
EMIL D RUIAN
SANDRA SAGE
ANNETTE SALAZAR
A P SANTISTEVAN
JOSEPH R SEWELL
HENRY A SIMON
RICHARD T SMITH JR
PAM SOUTH-MAYFIELD
GEFEI SUN
CHARLOTTE A TAYLOR
JUDITH M THOMPSON
DAVID P TURNEY
CHARLES UPDEGROVE
GABRIEL VENEGAS
MARIO VILLANUEVA
CARL WASHINGTON
XAVIER WATKINS
AARON C WESTON
BRADLEY R WICKHAM
CHUCK WON
$
TOTAL
$
o.oo
2l502.40
2,231. 76
o.oo
278.32
473.58
1,173.42
0.00
99.46
1,793.56
o.oo
900.59
900.59
148.40
o.oo
774.58
2,509.20
o.oo
o.oo
2,292.28
898.93
501.48
398.32
1,044.20
o.oo
898.93
1,375.64
984.00
1,242.00
976.61
52.08
0.00
o.oo
1,156.20
403.44
1,004.68
804.16
o.oo
69,597.66
~·~
e
•
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•
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•
•
•
•
•
•
•
•
•
•
•
•
•·· · e
•
•
•
•
•
PT7015P1
15-034
001
IN ACCORDANCE WITH PLAN SECTION III A (7) lCJ AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20, 1998, APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
THE MEMBERS OF THE WATER AND POWER EMPLOYEES' RETIREMENT PLAN HEREINAFTER LISTED HAVE AN ENFORCEABLE RIGHT
EITHER TO RECEIVE WORKERS' COMPENSATION FROM THE DEPARTMENT BY REASON OF THEIR DEPARTMENT EMPLOYMENT FOR
INDUSTRIAL DISABILITY OR TO RECEIVE BENEFITS FOR TEMPORARY DISABILITY FOR THE SAME PERIOD, BUT IT IS UNCERTAIN
AS TO WHICH AND THAT THE MEMBERS HAVE EXECUTED THE ACKNOWLEDGMENT AND AGREEMENT REQUIRED UNDER SECTION V D (7)
OF THE PLAN.
THE RETIREMENT
POWER THAT PURSUANT
THE WATER AND POWER
ACCOUNTING EMPLOYEE
PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
TO THE TERMS OF THE RETIREMENT PLAN, THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM
EMPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED, AND THAT SAID CHIEF
IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEFITS PURSUANT TO SECTION V D (7) OF THE PLAN DURING
THE PERIOD OF 08-11-14 TO 09-07-14.
1\)
.
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'
(.0
I
CONTINGENT DISABILITY ROLL
••
PERIOD:
:e
PPE:
i
08-11-14 TO 09-07-14
CLAIM
i
•
•
•
•
•
•
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
:e
•
e
EMP NO
08-11-14 TO 08-24-14
14 D 1133
PPE:
08-25-14 TO 09-07-14
14 D 0747
14 D 0766
13 D 0887
14 D 0515
15 D 0008
14 D 1033
14 D 0824
14 D 0904
NAME
R DICKERSON SR
TOTAL
$
1,623.10
2,705.51
2,751.28
898.93
1,530.72
2,929.85
3,235.63
2,502.40
31719.60
CURTICE CONWAY
KIRK R HANSON
LETIEIA Z HEDGEMAN
ELIEZER HERNANDEZ
ROOSEVELT JOHNSON
DAVID P LUEVANO
JULIE S MANALANSAN
VAN NGOCTHI NGUYEN
TOTAL
$
APPROVED:
DATE:
RETIREMENT
Ill
•
•
•
•
•
•
•
•
•
•
•
*•
21,897.02
8 2014
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•
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•
•
•
•
•
•
-
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REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
15-036
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (CJ AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20 1 1998 1 APPROVAL OF THE
FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
~
, THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARMENT OF WATER AND POWER
PURSUANT TO THE TERMS OF THE RETIREMENT PLAN, THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM THE
WATER AND POWER EMPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED, AND THAT SAID CHIEF
ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
T~T
THE CLAIMS LISTED ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD 05-05-14 TO 09-07-14.
TEMPORARY DISABILITY ROLL
PERIOD:
05-05-14 TO 09-07-14
CLAIM
~
PPE:
0
PPE:
PPE:
PPE:
PPE:
PPE:
e
EMP NO
NAME
TOTAL
05-05-14 TO 05-18-14
14 D 0943
NICOLA R. ANTRILLI
05-19-14 TO 06-01-14
14 D 0943
NICOLA R. ANTRILLI
2,578.21
06-02-14 TO 06-15-14
14 D 0291
PETER GION
1,220.90
07-28-14 TO 08-10-14
15 D 0042
15 D 0068
ARMANDO MARTINEZ
MICHAEL SINGSON
08-11-14 TO 08-24-14
14 D 1058
15 D 0101
14 D 0604
15 D 0077
15 D 0068
15 D 0121
15 D 0092
THOMAS E AXELRAD
DOLORES M DUKE
LARRY W GOOD JR
ROBERT A KERRIGAN
MICHAEL SINGSON
HERBERT WILLIAMS
ANNETTE YOUNG
4z069.36
1,251.20
2,156.95
2,606.30
2z292.28
2,509.20
1,720.13
08-25-14 TO 09-07-14
15 D 0146
IRENE E ADONIS
1,776.52
$
1,160.19
296.71
773.64
e
•
•
•
•
•
•
•
•
•
•
•
•
*•
-
•
•
•
•
•
•
•
•
•
•
•
.•
g
-
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIH
PPE:
08-2.5-14 TO 09-07-14
14 D 1015
15 D 0159
14 D 1058
1.5 D 0127
1.5 D 0158
1.5 D 0120
14 D 0740
14 D 1030
15 D 0101
15 D 0134
13 D 0585
15 D 0052
14 D 0684
1.5 D 0033
14 D 0604
14 D 0675
1.5 D 0082
1.5 D 0141
14 D 0743
15 D 0151
15 D 0152
15 D 0154
15 D 0139
15 D 0065
15 D 0133
15 D 0068
15 D 0157
1.5 D 0090
15 D 0140
1.5 D 0012
1\)
~
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0
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0
0
0
0
0
~
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•
•
•
•
•
•
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SEP 3:5 2014
~
DATE:
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Ill
e
~
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~--
-~--
EHP NO
PT701.5P1
1.5-036
002
TOTAL
NAHE
GILBERT F AGUILAR
ALFREDO J AHARO
THOHAS E AXELRAD
HARTIN D BRADLEY
C L BUCHHEIT
ROBERTO BUSTOS
MICHAEL E COLLINS
ARTHUR DEL TORO
DOLORES H DUKE
ADRIAN Y FLORES
CHUNG FONG
DARYL H. FUJII
MARISSA C GONZALEZ
JOSE GONZALEZ JR
LARRY W GOOD JR
KYLE A GUYOT
NANCY A HARDY
HICHAEL HERNANDEZ
ANDREA HWANG
VIOLET JONES
ROLAND R HANUEL
LILLIAN V REESE
RICARDO RENTERIA
CHARLES S RICE
BRUCE A ROUTT
MICHAEL SINGSON
KIMBERLY H SHITH
SHELLEY C SUMPTER
RICHARD L TAPERT
FARRIS YARBROUGH
$
2,882.70
1,279.83
5,086. 71
2,781.03
1,0.53.29
1,774.26
282.29
3,322.08
2,502.40
2,356.20
1,270.93
1,882.24
1,348.40
2,463.64
1,900.40
1,302.24
2,.502.40
1,227.47
969.84
354.96
3,240.88
635.26
1,356.50
2,763 •.52
1,097.32
2,292.28
229.23
2,.502.40
1,689.11
458.46
TOTAL
$
79,219.86
APPd~.
Ill/ ~ - -
"'~·w.w
-
--~--
y
-
--
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
-
•
•
•
•
•
•
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
.;.
;.
THE MEMBERS OF THE WATER AND POWER EMPLOYEES' RETIREMENT PLAN HEREINAFTER LISTED HAVE AN ENFORCEABLE RIGHT
EITHER TO RECEIVE WORKERS' COMPENSATION FROM THE DEPARTMENT BY REASON OF THEIR DEPARTMENT EMPLOYMENT FOR
INDUSTRIAL DISABILITY OR TO RECEIVE BENEFITS FOR TEMPORARY DISABILITY FOR THE SAME PERIOD, BUT IT IS UNCERTAIN
AS TO WHICH AND THAT THE MEMBERS HAVE EXECUTED THE ACKNOWLEDGMENT AND AGREEMENT REQUIRED UNDER SECTION V D (7)
OF THE PLAN.
THE RETIREMENT
POWER THAT PURSUANT
THE WATER AND POWER
ACCOUNTING EMPLOYEE
PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
TO THE TERMS OF THE RETIREMENT PLAN, THE CLAIMS HEREINAFTER LISTED AS DUE AND PAYABLE FROM
EMPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AMOUNTS SPECIFIED, AND THAT SAID CHIEF
IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEFITS PURSUANT TO SECTION V D (7) OF THE PLAN DURING
THE PERIOD OF 08-25-14 TO 09-07-14.
1\)
~
CONTINGENT DISABILITY ROLL
-
)
•
•
•
•
•
•
PT7015P1
15-037
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (C) AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20, 1998, APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
~·
•
-
e
PERIOD:
08-25-14 TO 09-07-14
CLAIM
08-25-14 TO 09-07-14
15 D 0116
PPE:
DATE:
(2_-
e
Ill
SEP Jli 20t4
EMP NO
TOTAL
NAME
BLASE A LOPEZ
$
2,552.72
TOTAL
$
2,552.72
,-
,,.
lfe~iifl'iENT rt.LA'fil1~
1/
e
e
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
-
•
•
•
•
•
•
REPORT NO:
PAYMENT AUTHORIZATION NO, DIS:
PAGE:
I
II~·
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTMENT OF WATER AND
POWER THAT THE CLAIMS HEREINAFTER LISTED ARE DUE AND PAYABLE FROM THE WATER AND POWER EMPLOYEES' DISABILITY
FUND AS A SUPPLEMENTAL BENEFIT FOR AN INDUSTRIAL DISABILITY, EXCLUSIVE OF THE FIRST THREE DAYS THEREOF; AND
THAT SAID CHIEF ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN
PAYMENT OF SAID CLAIMS.
THE CLAIMS LISTED BELOW ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD
08-25-1~
TO
09-07-1~.
INDUSTRIAL SUPPLEMENTAL COMPENSATION DISABILITY ROLL
PERIOD:
08-25-1~
1\5
~
(J.)
I
TO 09-07-19
CLAIM
PPE:
08-25-1~
;
TO 09-07-19
1~ c 0165
15 c 0016
i
:e
•
•
•
•
•
•
PT7015P1
15-038
001
IN ACCORDANCE WITH PLAN SECTION III A 17) !C) AND RESOLUTION NO. 99-119 1 ADOPTED AUGUST 20 1 1998 1 APPROVAL OF
THE FOLLOWING CLAIMS IS DELEGATED TO THE RETIREMENT PLAN MANAGER BY THE BOARD OF ADMINISTRATION.
,.
•I.
-
e
SEP ~-5 2014
~
DATE:
e
Ill
EMP NO
NAME
TOTAL
KEITH E WILLIAMS
LARRY D WILLIAMS
$
TOTAL
$
APPRod/D..:
o.oo
157.59
157.59
~ fl I~_; ...
MK.f.:f!iiP.fjf
-
-
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
PAYMENT AUTHORIZATION NO. MEM 15-
In accordance with Plan Section III A (7) (c) and Resolution No. 99-119,
adopted August 20, 1998, approval of the following claims is delegated to the Retirement
Plan Manager by the Board of Administration.
RESOLVED, that the claims for the return of "Total Accumulated Contributions"
listed below in accordance with Section IV B (2) of the Water and Power Employees' Retirement
Plan be certified by the Retirement Plan Manager to the Chief Accounting Employee as due and
payable from the Water and Power Employees' Retirement Fund to the persons and in the
amounts specified in the schedule, and that said Chief Accounting Employee is hereby authorized
and directed to authenticate a demand on such.Fund in payment of such claims, to wit:
RETURN OF CONTRIBUTIONS
R.I. NO.
NAME
AMOUNT
RETURNABLE
922911
Salvador Villegas
$
5,201.81
TOTAL
$
5,201.81
PAY TO IRS/FEDERAL TAX
$
2,156.44
PAY TO L.A. CITY
TREAS/STATE TAX
$
215.64
PAY TO: CALIFORNIA STATE DISBURSEMENT UNIT
VILLEGAS, SALVADOR.:
CSE CASE NUMBER 0370016001158
$
3,208.29
TOTAL
$
10,782.18
APPROVED
DATE:
SEP 0 4 2014
---------------------
RET
n<IG)
rs
p..~
2.44
MEN
LAN MANAGER
09 ~----
PAYMENT AUTHORIZATION NO. MEM 15-
-=-to
In accordance with Plan Section III A (7) (c) and Resolution No. 99-119,
adopted August 20, 1998, approval of the following claims is delegated to the Retirement
Plan Manager by the Board of Administration.
RESOLVED, that the claims for the return of "Total Accumulated Contributions"
listed below in accordance with Section IV B (2) of the Water and Power Employees' Retirement
Plan be certified by the Retirement Plan Manager to the Chief Accounting Employee as due and
payable from the Water and Power Employees' Retirement Fund to the persons and in the
amounts specified in the schedule, and that said Chief Accounting Employee is hereby authorized
and directed to authenticate a demand on such Fund in payment of such claims, to wit:
RETURN OF CONTRIBUTIONS
AMOUNT
RETURNABLE
R.I. NO.
NAME
970397
953123
Adam A. Gonzalez
Randal A. Higa
$
$
10,142.50
2,395.34
TOTAL
$
12,537.84
PAY TO IRS/FEDERAL TAX
$
3,134.46
PAY TO L.A. CITY
TREAS/STATE TAX
$
0.00
TOTAL
$
15,672.30
APPROVED
SEP 18 2014
DATE:
----------------~---
nc(o/
rs f'-6-
2.45
PAYMENT AUTHORIZATION NO. RET 15~tv=
In accordance with Plan Section Ill A (7)(c) and Resolution No. 99-119, adopted August 20, 1998, approval of
the following claims is delegated to the Retirement Plan Manager by the Board of Administration .
. The Retirement Plan Manager certifies to the Chief Accounting Employee that each such person whose name
is listed has applied for a retirement allowance payable monthly for life under the option set forth described in
the following schedule and is due and payable from the Water and Power Employees' Retirement Fund in the
amounts specified in the schedule commencing with the month of September 1, 2014
and that said Chief Accounting Employee is authorized and directed to authenticate a demand on such Fund in
payment thereof.
NAME
OPTION
BASIC
ALLOWANCE
INCREASED
ALLOWANCE
BANUELOS, RAUL
FULL
$6,265.15
$6,321.54
BATUNGBAKAL, DARIO V
C27%
$5,575.91
$5,626.09
CABRERA, JERRY P
FULL
$5,636.68
$5,687.41
CHAN, TERRY D
C90%
$7,382.56
$7,449.00
COMPTON, GARNET G
FULL
$6,343.51
$6·,400.60
COMPTON, GARNET G
FULL
$484.22
$484.22
A
$6,803.18
$6,M4.41
ELBINGER, ROBERT M
FULL
$7,297.77
$7·,363.45
ESPARRAGO, JOSEFA
A
$1,153.87
$1•, 153.87
ESPARRAGO, JOSEFA
FULL
$4,173.11
$4,210.67
A
$6,194.09
$6,249.84
FUJIKI, KATHLEEN
FULL
$5,713.98
$5,765.41
FUJIKI, KATHLEEN
FULL
$297.30
$297.30
GONZALEZ, CARMEN
FULL
$4,424.18
$4,464.00
GONZALEZ, CARMEN
FULL
$11120.30
$1,120.30
ADDL
GROPP SR., WILLIAM
FULL
$573.24
$573.24
ADDL
GROPP SR., WILLIAM
FULL
$4,618.86
$4,660.43
GUTIERREZ, MARCUS
FULL
$7,114.18
$7,178.21
HAYDEL, MICHAEL A
E75%
$10,490.90
$10\585.32
HEAD, RICHARD
D
$3,185.09
$3,213.76
HODGES, JAMES H
D
$4,870.54
$4\914.37
HOPKINSON, HENRY JR
D
$8,412.55
$8,'488.26
FULL
$75.00
$75.00
ASSIGNEE
JONES, NANCY
D
$426.42
$646.04
ASSIGNEE
JONES, WANDA S
B
$74.09
$74.09
ADDL
JONES, WANDA S
D
$4,747.06
$4\789.78
LEROY, KURT EUGENE
D
$5,111.90
$5,157.91
LOUIE, WILLIAM
D
$5,694.92
$5,746.17
CUSTIS, GLEN
FITZPATRICK, MICHAEL J
IVIE, DEBRA
MCKNIGHT, LYNDA
C18%
MCTEVIA, WANDA V
D
$728.60
$3,834.79
2.46
$740.30 .
$3\869.30
ADDL
ADDL
ADDL
ASSIGNEE
... - . ~· •• ~I
Payment Authorization
Page2
September 1, 2014
MCTEVIA, WANDA V
FULL
$689.26
$689.26
NICHOLS, DENNIS P
FULL
$5,731.99
$5,783.58
OLIVARES, LYDIA
FULL
$7,234.00
$7,299.11
POOSTI, SEYED S
D
$8,243.05
$8,317.24
PRATHER JR., RALPH A
B
$213.02
$213.02
PRATHER JR., RALPH A
D
$3,441.82
$3,472.80
E70%
$9,453.16
$9,538.24
RAYMOND, GREGORY E
D
$7,421.01
$7',487.80
RENFRO, STEVIE
A
$3,884.57
$3,919.53
TRAN, QUANG T
FULL
$7,537.18
$7',605.01
WEBER, MARY R
FULL
$5,037.09
$5,082.42
$187,710.10
$18&,578.30
PRINS, JOHN M
ADDL
ADDL
The Retirement Plan Manager certifies to the Chief Accounting Employee that each such person whose name
is listed was separated from the service of the Department of Water and PoWer and has permitted his or her
"Total Accumulated Contributions" to remain on deposit in the Retirement Fund; and that said person has
applied for a retirement allowance payable monthly for life under the option s~t forth described in the following
schedule; and is due and payable from the Water and Power Employees' Retirement Fund in the amounts
specified in the schedule commencing with the month of September 1, 2014 ·
and that said Chief Accounting Employee is authorized and directed to authenticate a demand on such Fund in
payment thereof.
NAME
OPTION
ADAMS, LEAMON
BASIC
ALLOWANCE
FULL
$1,582.20
A
$2,073.17
FISHEL, ROBERT B
FULL
$2,233.13
JIMENEZ, MITCHELL
FULL
CARPENTER, EMMA L
$42.01
$5,930.51
Approved
SEP 18 2014
Date:
-----------------
2.47
Payment Authorization No. RET 15-
-
-ll----·
In accordance with Plan Section ill A (7)(c) and Resolution No. 99-119, adopted
August 20, 1998, approval of the following claim is delegated to the Retirement Plan
Manager by the Board of Administration.
James F. McKnight was granted a retirement allowance of $4,339.71 per month,
effective April1, 2014, and that allowance has increased to $4,409.39.
A Stipulated Domestic Relations Order for Division of Petitioner's Department of
Water and Power Employees' Retirement Plan (Order), Case No. SD 016755, between
James Frank McKnight and Lynda Christianne McKnight was filed August 4, 2014, with
the Superior Court of California, County of Ventura and received by the Water and Power
Employees' Retirement Plan (Plan) on August 22,2014. The Plan was joined and is bound to
comply with the Order.
The Order directs that 18.1790 percent of James F. McKnight's Water and Power
. Employees' Retirement Plan retirement allowance go to Lynda McKnight and the balance go
to James F. McKnight.
The Order further directs that James F. McKnight change the Option Full, selected at
retirement, to an Option Cat 18 percent, naming Lynda McKnight as the beneficiary for the
continuance, thereby reducing his allowance to $4,286.81.
The Order also states that the cost of the Option C will be shared equally, changing
the division of the allowance to 17.2692 percent for Lynda McKnight and 82.7308 percent
for James F. McKnight.
The Chief Accounting Employee shall disburse the $3,981.74 held in abeyance for the
months of April2014 through August 2014 to Lynda McKnight.
As of September 1, 2014, and until otherwise ordered by the Retirement Plan
Manager, the Chief Accounting Employee shall apportion $3,546.51 to James F. McKnight
'and $740.30 to Lynda McKnight with cost-of-living increases to be awarded to each party
·
proportionately.
Approved:
Date:
SEP 18 2014
-------------------
2.48
Payment Authorization No. RET 15-
·
1J --·--
In accordance with Plan Section Ill A (7)(c) and Resolution No. 99-119, adopted
August 20, 1998, approval of the following claim is delegated to the Retirement Plan
Manager by the Board of Administration.
James F. Eskew was granted a retirement allowance of $1,193.45 per month effective
July 1, 1982, and that allowance has increased to $3,408.70 per month.
A Domestic Relations Order (Case NWD24311) between James F. Eskew and Nina
Mae Eskew was filed February 28, 1996 with the Superior Court of California, County of Los
Angeles. The Water and Power Employees' Retirement Plan (Plan) was joined and is bound to
comply with the Order.
The Domestic Relations Order directed the Plan to pay $300.00 of James F. Eskew's
monthly retirement allowance to Nina Mae Eskew effective April 30, 1996, with all cost-of-living
allowances payable to James F. Eskew. Ms. Eskew's benefit is payable for the lifetime of
James F. Eskew.
Nina Mae Eskew received the monthly benefit until her passing on May 20, 2004. Her
portion of the pension benefit continued after her death to her beneficiary, James R. Eskew.
James R. Eskew passed away on January 3, 2014. As a result, Nina Mae Eskew's
portion of the pension ·benefit passed to her three surviving children, Nina Harmon (25% );
Glenda Klippel (25%); Debra lvie (25%); and two surviving grandchildren, Karen Oppelt (12.5%)
and Robert Eskew (12.5%) via intestate succession.
Until otherwise ordered by the Retirement Plan Manager, the Chief Accounting
Employee shall apportion $3,108.70 to James F. Eskew and $75.00 to Nina Harmon, $75.00 to
Glenda Klippel, $75.00 to Debra lvie, $37.50 to Karen Oppelt, and $37.50 to Robert Eskew.
As of September 1, 2014, the claim for payment to Debra Diana lvie, listed below, is
certified.and due payable.
Monthly
Allowance
January 4-31, 2014
February 2014
March 2014
April2014
May2014
June 2014
July 2014
August2014
September 2014
TOTAL FOR
SEPTEMBER ROLL
$67.75
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$75.00
$667.75 .
Approved:
SEP 18 2014
Date: _ _ _ _ _ _ _ __
Rftl{gment Plan Manager
4 of 5/
mq~Jkn
0
'Jl\f\.._
Payment Authorization No. RET 15-
---
In accordance with Plan Section Ill A (7)(c) and Resolution No. 99-119, adopted
August 20, 1998, approval of the following claim is delegated to the Retirement Plan
Manager by the Board of Administration.
Blake W. McCune was granted a retirement allowance of $3,622.97 per month effective
September 1, 1998, and that allowance has increased to $5,488.91 per month.
A Stipulated Qualified Domestic Relations Order (Case ltAD 82155) (Order) between
Blake W. McCune and Marsha B. McCune was filed Novembet 10, 1998 with the Superior
Court of California, County of Los Angeles. The Water and Power Employees' Retirement Plan
(Plan) was joined and is bound to comply with the Order.
The Order directed the Plan· to pay 11.77 percent of Blake W.. McCune's monthly
retirement allowance to Marsha B. McCune and the balance to Blake W. McCune effective
September 1, 1998. Marsha B. McCune's benefit is payable lor the lifetime of Blake W.
McCune.
Marsha B. McCune received the monthly benefit until her passing on July 3, 2014. Her
community property portion of the pension benefit will be passed bn to her beneficiary, Nancy
Elizabeth Jones (fka Nancy E. McCune).
As of September 1, 2014, the claim for payment held in abeyance for Nancy Elizabeth
Jones, listed below, is certified and due payable.
Monthl1
Allowan~
Accrued Benefit
July 1, 2014 to July 3, 2014
July 4, 2014- July 31, 2014
August2014
TOTAL OVERRIDE
$62.52
$583.52
$646.04..
$1,292.0$
In addition, until otherwise ordered by the Retiremen\ Plan Manager, the Chief
Accounting Employee shall also apportion $646.04 monthly to Nancy Elizabeth Jones with
cost-of-living increases to be awarded to each party proportionately.
Approved:
SEP 18 2014
Date:
-----------------
2.50
11
PAYMENT AUTHORIZATION NO. ADM 15-14
In accordance with Plan Section Ill A (7) (c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegated to the
Retirement Plan Manager by the Board of Ad1;11inistration.
The Retirement Plan Manager certifies to the Chief Accounting Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Retirement Fund, in the amount specified in the schedule, and
that said Chief Accounting Employee is authorized and directed to authenticate a
demand on such Fund in payment of such invoice. Detail of charges appears on each
invoice.
AMOUNT
PAY TO
DESCRIPTION
Evestment UJJ~
ALLIANCE, LLC ~
Subscription 7/10/14- 7/9/15
$12,000.00
$12,000.00
TOTAL
APPROVED BY:
~~ANAGER
9/4/14
Date
Misc. lnv. - Retirement
Admin: alpc
~
2.51
PAYMENT AUTHORIZATION NO. ADM 15- 15
In accordance with Plan Section Ill A (7) (c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegated to the
Retirement Plan Manager by the Board of Administration.
The Retirement Plan Manager certifies to the Chief Accounting Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Retirement Fund, in the amount specified in the schedule, and
that said Chief Accounting Employee is authorized and directed to authenticate a
demand on such Fund in payment of such invoice. Detail of charges appears on each
invoice.
PAY TO
DESCRIPTION
AMOUNT
Bloomberg
Finance L.P.
Invoice No. 56025555015- Bloomberg
Terminal from Rate Period 09/02/1412/01/14
$5,250.00
TOTAL
$5,250.00
APPROVED BY:
Date
9/11/14
Misc. lnv.- Retirement
Admin: alpc1C
2.52
PAYMENT AUTHORIZATION NO. ADM 15-16
In accordance with Plan Section Ill A (7) (c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegat~d to the
Retirement Plan Manager by the Board of Administration.
The Retirement Plan Manager certifies to the Chief Accounting Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Retiree Health Benefits Fund, in the amount specified in the
schedule, and that said Chief Accounting Employee is authorized and directed to
authenticate a demand on such Fund in payment of such invoice. Detail of charges
appears on each invoice.
PAY TO
DESCRIPTION
AMOUNT
Water ICs
Invoice# GA77994/ Retirees' Health Care
Contributions for September 2014 (based on
actual August 2014 Department subsidy)
$1,970,244.27
Power ICs
Invoice# GA 182462/ Retirees' Health Care
Contributions for September 2014 (based on
actual August 2014 Department subsidy)
$4,171 ,806.51
TOTAL
$6,142,050.78
APPROVED BY:
Date
9/11/14
·t
Misc. lnv. - Retiree Health
Admin: alpc
O{L
2.53
PAYMENT AUTHORIZATION NO. ADM ~5-17
In accordance with Plan Section Ill A (7) (c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegated to the
Retirement Plan Manager by the Board of Administration.
The Retirement Plan Manager certifies to the Chief Accounting Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Retirement Fund, in the amount specified in the schedule, and
that said Chief Accounting Employee is authorized and directed to authenticate a
demand on such Fund in payment of such invoice. Detail of charges appears on each
invoice.
PAY TO
DESCRIPTION
AMOUNT
Water & Power
Employees' Disability
Fund
Salaries paid to Retirement Plan
Administrative Office Employees for the pay
periods:
06/16/14 to 06/29/14
06/30/14 to 07/13/14
$114,622.44
120,033.86
$234,656.30
TOTAL
APPROVED BY:
Date
. $234,656.30
09/11/14
Misc. lnv.- Retirement
Admin: alpff-
2.54
PAYMENT AUTHORIZATION NO. ADM 15-18
In accordance with Plan Section Ill A (7} (c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegated to the
Retirement Plan Manager by the Board of Administration.
The Retirement Plan Manager certifies to the Chief Accounting Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Death Benefit Fund, in the amount specified in the schedule,
and that said Chief Accounting Employee is authorized and directed to authenticate a
demand on such Fund in payment of such invoice. Detail of charges appears on each
invoice.
AMOUNT
PAY TO
DESCRIPTION
Water & Power
Employees' Disability
Fund
Salaries paid to Retirement Plan Administrative
Office Employees for the pay period/s ending:
06/16/14 to 06/29/14
06/30/14 to 07/13/14
$26,384.13
26,284.01
$52,668.14
TOTAL
APPROVED BY:
Date
$52,668.14
09/11/14
Misc. lnv.- Death
Admin: alpc~ ·
2.55
PAYMENT AUTHORIZATION NO. ADM 15-19
In accordance with Plan Section Ill A {7) {c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegated to the
Retirement Plan Manager by the Board of Administration.
The Retirement Plan Manager certifies to the Chief Accounting Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Retiree Health Benefits Fund, in the amount specified in the
schedule, and that said Chief Accounting Employee is authorized and directed to
authenticate a demand on such Fund in payment of such invoice. Detail of charges
appears on each invoice. ·
PAY TO
· Water & Power
Employees'
Disability Fund
DESCRIPTION
AMOUNT
Salaries paid to Retirement Plan
Administrative Office Employees for the pay
period/sending:
$25,054.14
06/16/14 to 06/29/14
06/30/14 to 07/13/14
$12,582.03
12,472.11
$25,054.14
TOTAL
APPROVED BY:
Date
09/11/14
Misc. lnv.- Retiree Health
Admin: alp<Vt e._
2.56
PAYMENT AUTHORIZATION NO. ADM 15-20
In accordance with Plan Section Ill A {7) {c) and Resolution No. 99119, adopted August 20, 1998, approval of the following claims is delegated to the .
Retirement Plan Manager by the Board of Administration.
The Retirement Plan Manager certifies to the Chief Accounting· Employee
that the invoice described in the following schedule is due and payable from the Water
and Power Employees' Disability Fund, in the amount specified in the schedule, and
that said Chief Accounting Employee is authorized and directed to authenticate a
demand on such Fund in payment of such invoice. Detail of charges appears on each
invoice.
AMOUNT
PAY TO
DESCRIPTION
Dr. Michael Z. Mekjian
Psychiatric IME provided for Leticia
Hedgeman
$1,250.00
TOTAL
$1,250.00
APPROVED BY:
Date
9/18/14
GER
Mise lnv - Disability
Admin:
alp~·
2.57