Report of Payment Authorizations for August 2010

Transcription

Report of Payment Authorizations for August 2010
CITY OF LOS ANGELES
DEPARTMENT OF WATER AND POWER
INTRADEPARTMENTAL CORRESPONDENCE
Date:
October 1,2010
To:
Retirement Board Members
~
From'
(
Sangeeta Bhatia
Retirement Plan Manager
Subject: Board Agenda Item NO.3 (October 13, 2010, Retirement Board
Meeting)
The following benefit payments were approved for the month of
August 2010.
.
1.
Death Benefits - Payment Authorization Nos. DB 11-31
through DB 11-59 totaling $393,110.40.
2.
Disability Benefits - Payment Authorization Nos.
DIS 11-15 through DIS 11-24 totaling $1,098,799.23
(see attached).
3.
Payments of Former Members' Withdrawals, Refunds, and
Transfers to City Employees' Retirement System ­
Payment Authorization No. MEM 11-8 through MEM 11-9
totaling $118,335.82 (see attached).
4.
Retirement Benefits - Payment Authorization No.
RET 11-3 through RET 11-4 totaling $172,586.15 (see
attached).
5.
Administration Payment Authorization Nos. ADM 11-11
through ADM 11-18 totaling $6,647,651.43 (see attached).
SB:lpc ~ (..,
Attachments
3.1
.
Payment Authorization No. DB 11- 31
Claim No. 11 M 04
In accordance with Plan Section III 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.
By reason of the death of Benjamin Cornwell, the claim for the Continuance to
Eligible Spouse Benefit as provided by Section N E (9) of the Water apd Power Employees'
Retirement Plan in the amount of $3,169.40 for July.5, 2010 thru July 31,2010, and in the amount
of $3,638.94 per month during the lifetime of the eligible spouse, or until otherwise ordered by the
Board, commencing August 1, 2010, plus the member's accrued and unpaid monthly retirement
allowance due in the amount of $469.54 payable from the Retirement Fund, plus the sum of
$20,000.00 payable from the Death Benefit Fund, as provided by Section VI D (3) of said Plan,
filed by Peggy R. Cornwell as the eligible spouse and beneficiary of said decedent, is hereby
certified as due and payable pursuant to the provisions of the Water and Power Employees'
Retirement Plan; and the Chief Accounting Employee is hereby authorized and directed to
authenticate demands in favor of Peggy R. Cornwell on the respective Funds from which said
benefits are payable in said respective amounts, in payment of said claim, and with respect to said
Continuance to Eligible Spouse Benefit, in the same respective monthly amount for each
successive month following August 1, 2010, for which similar certification is made.
Approved:
Date:
AUG.05 2010
----'-.,....-
Dth Ben/AccrlElig Spouse
DB-ESI.doc
~
~
Ret ment Plan Manager
_
3.2
Payment Authorization No. DB 11- 32
Claim No. 11 M 06
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Ruth H. Culver 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite her name in payment of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Carolyn L. Guilford
DEATH BENEFIT
FUND
$150.84
$10,000.00.
Approved:
AUG 0 5 2010
Date: - - - - - - i - - - - - - - - - ­
1 0/2
Accrued Retire./Dth. Ben.
Q:BenPymtll.doc
3.3
TOTAL
$10,150.84
Payment Authorization No. DB 11- 33
Claim No. 09 M 142
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Ismael Herrera, 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 Employee is hereby authorized and
directed to authenticate demands on the respective Funds in favor of said beneficiary in the
respective amounts specified hereunder opposite her name in payment of said claim.
Beneficiary
Patricia Spencer
RETIREMENT FUND
Accrued Retirement
Allowance
DEATH
BENEFIT
FUND
$] ,967.37*
$20,933.34**
$22,900.71
(Death Benefit amount includes
8% interest)
*No payment will be made for the Accrued Retirement Allowance as the December
2008 allowance was electronically deposited and not returned to the Reti'rement Fund.
**The Death Benefit amount of $20,933.34 will be reduced by $529.59 to recover
overpayment of the December, 2008 allowance. ($20,933.34 - $529.59 = $20,403.75). The
. beneficiary will receive $20,403.75 and $529.59 will be returned to the Retirement Fund.
Approved:
Date:
AUG 0 5 2010
_
Retirement Plan Manager
Prepaid Accr /Dth Ben
Q:BenPymt5:doc
3.4
Payment Authorization No. DB 11- 34
Claim No. 11 M 14
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Milorad N. Marinovich 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite his name in payment of said claim.
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
DEATH BENEFIT
FUND
$475.23
$20,000.00
Michael N. Marinovich
TOTAL
$20,475.23
Approved:
Date:
AUG 0 5 2010
-~~
etirellleIltPla
_
Manager
1 0/2
Accrued Retire./Dth. Ben.
Q:BenPymt11.doc
3.5
Payment Authorization No. DB 11Claim No. 11 M 07
~
5
In accordance with Plan Section III 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.
By reason of the death of Carl D. Ruiz, 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 of $1,491.11 for July 6, 2010 thru July 31, 2010, and in the amount of
$1,777.86 per month during the lifetime of the eligible spouse, or until otherwise ordered by the
Board, commencing August 1,2010, plus the member's accrued and unpaid monthly retirement
allowance due in the amount of $637.23 payable from the Retirement Fund, plus the sum of
$20,000.00 payable from the Death Benefit Fund, as provided by Section VI D (3) of said Plan,
filed by Rosalie Ruiz as the eligible spouse and beneficiary of said decedent, is hereby certified as
due and payable pursuant to the provisions of the Water and Power Employees' Retirement Plan;
and the Chief Accounting Employee is hereby authorized and directed to authenticate demands in
favor of Rosalie Ruiz on the respective Funds from which said benefits are payable in said
respective amounts, in payment of said claim, and with respect to said Continuance to Eligible
Spouse Benefit, in the same respective monthly amount for each successive month following
August 1, 2010, for which similar certification is made.
Approved:
AUG 0 5 2010
Date:
~
~
R rement Plan Manager
_
ds
\~
Dth Ben/AccrlElig Spouse
DB'-ES1.doc
3.6
Payment Authorization No. DB 11-3 8
Claim No. 10M 284
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Marvin Graham, deceased, listed
below, is hereby certified as due and payable, pursuant to the provisions ofthe Water and Power
Employees' Retirement Plan; and the Chief Accounting Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite her name in payment of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Heather Gail Graham Tonkiss,
Successor Trustee of the Marvin
Graham & Beverly Jean
Graham Living Trust Dated
June 5,1992
DEATH BENEFIT
FUND
$1,129.55
$20,000.00
TOTAL
$21,129.55
Approved:
Date:
AUG 1'2 2010
s;
ds
Accrued Retire.lDth. Ben.
Q:BenPymt11.doc
~
~
~Manager
_
3.7
~_~_,
­
Payment Authorization No. DB 11-3·7
Claim No. 11 M 11
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of William M. Hall, Jr., 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite his name in payment of said claim.
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
DEATH BENEFIT
FUND
$359.57
$6,666.67
Raymond E. Hall
TOTAL
$7,026.24
Approved:
Date:
AUG 1·2 2010
~nag~
_
·1 0/2
Accrued Retire.lDth. Ben.
Q:BenPymtll.doc
3.8
Payment Authorization No. DB 11 3 8
Claim No. 10M 268
In accordance with Plan Section III 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.
The claim for payments to the beneficiaries of Minoru Ito, 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 Employee is hereby authorized and
directed to authenticate demands on the respective Funds in favor of said beneficiaries in the
respective amounts specified hereunder opposite their names in payments of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Ann H. Cullum
Masaru Ito
TOTAL
DEATH BENEFIT
FUND
$10,000.00
$10,000.00
$20,000.00
$1,103.81
$1,103.82
$2,207.63
TOTAL
$11,103.81
$11,103.82
$22,207.63
Approved:
Date:
AUG 1 2 laID
Accrued Retire.lDth. Ben.
Q:BenPymt3.doc
·~Ma~
_
3.9
::i~
._.,
........
Payment Authorization No. DB 11- 3 9
Claim No. 11 M 19
In accordance with Plan Section III 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.
By reason of the death of Norman N. Kimura, 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 of $1,456.23 for the period from July 15,2010 thru July 31,2010,
and in the amount of $2,655.49 per month during the lifetime of the eligible spouse, or until
otherwise ordered by the Board, commencing August 1, 2010, plus the member's accrued and
unpaid monthly retirement allowance due in the amount of $2,398.50* payable from the
Retirement Fund, plus the sum of $20,000.00** payable from the Death Benefit Fund, as provided
by Section VI D (3) of said Plan, filed by Carolyn J. Kimura as the eligible spouse and beneficiary
of said decedent, is hereby certified as due and payable pursuant to the provisions of the Water
and Power Employees' Retirement Plan; and the Chief Accounting Employee is hereby authorized
and directed to authenticate demands in favor of Carolyn J. Kimura on the respective Funds from
w~ich said benefits are payable in said respectiv~ amounts, in payment of said claim, and with
respect to said Continuance to Eligible Spouse Benefit, in the same respective monthly amount for
each successive month following August 1, 2010, for which similar certification is made.
*
No payment will be made for the Accrued Retirement Allowance amount of
$2,398.50 to the beneficiary above where the date of retiree's death was on or before the date of
final retirement allowance payment. and such payment was electronically deposited and not
returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $1,937.58 to
recover overpayment of the July allowance. ($20,000.00 - $1,937.58 = $18,062.42). The
beneficiary will receive $18,062.42 and $1,937.58 will be returned to the Retirement Fund.
Approved:
AU_G_l_2_2_0'----"O,.'---Date: _ _
Dth BeniAccrlElig Spouse
DB-ES1.doc
_
3.10
~- i
.]
Payment Authorization No. DB 11- 4 0
Claim No. 10 M 194
In accordance with Plan Section III 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.
By reason of the death of Alex Lynn, 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 of $1,271.83 for the period from March 16, 2010 thru March 31, 2010, and in
the amount of $2,464.18 per month during the lifetimeof the eligible spouse, or until otherwise
ordered by the Board, commencing April 1, 2010, plus the member's accrued and unpaid monthly
retirement allowance due in the amount of $1,192.35* payable from the Retirement Fund, plus the
sum of $20,000.00** payable from the Death Benefit Fund, as provided by Section VI D (3) of
. said Plan, filed by Helen Lynn as the eligible spouse and beneficiary of said decedent, is hereby
certified as due and payable pursuant to the provisions of the Water and Power Employees'
Retirement Plan; and the Chief Accounting Employee is hereby authorized and directed to
authenticate demands in favor of Helen Lynn on the respective Funds from which said benefits
are payable in said respective amounts, in payment of said claim, and with respect to said .
Continuance to Eligible Spouse Benefit, in the same respective monthly amount for each
successive month following April 1, 2010, for which similar certification is made.
* No payment will be made for the Accrued Retirement Allowance amount of
$1,192.35 to the beneficiary above where the date of retiree's death was on or before the date of
final retirement allowance payment and such payment was electronically deposited and not
returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $1,053.23 to
recover overpayment of the March allowance. ($20,000.00 - $1,053.23 = $18,946.77). The
beneficiary will receive $18,946.77 and $1,053.23 will be returned to the Retirement Fund.
, Approved:
Date:
AU_G_l_2_Z_01_0
~~
Plan Manager
_
~etIrement
Dth BenlAccrlElig Spouse
DB-ESl.doc
3.1 1
.:: I
'-~
Payment Authorization l\Jo. DB 11""4
Claim No. 11 M 01
1
In accordance with Plan Section III 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.
By reason of the death of John T. McAllister, 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 of $744.67 for the period from June 24, 2010 thru June 30, 2010,
and in the amount of $3,287.20 per month during the lifetime of the eligible spouse, or until
otherwise ordered by the Board, commencing July 1,2010, plus the member's accrued and unpaid
monthly retirement allowance due in the amount of $2,446.79* payable from the Retirement Fund,
plus the sum of $20,000.00** payable from the Death Benefit Fund, as provided by Section VI D
(3) of said Plan, filed by Neata N. McAllister as the eligible spouse and beneficiary of said
decedent, is hereby certified as due and payable pursuant to the provisions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting Employee is hereby .authorized and
directed to authenticate demands in favor of Neata N. McAllister on the respective Funds from
which said benefits are payable in said respective amounts, in payment of said claim, and with
respect to said Continuance to Eligible Spouse Benefit, in the same respective monthly amount for
each successive month following July 1,2010, for which similar certification is made.
* No payment will be made for the Accrued Retirement Allowance amount of
$2,446.79 to the beneficiary above where the date of retiree's death was on or before the date of
final retirement allowance payment and such payment was electronically deposited and not
returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $361.39 to recover
overpayment of the June allowance. ($20,000.00 - $361.39 = $19,638.61). The beneficiary will
receive $19,638.61 and $361.39 will be returned to the Retirement Fund.
Approved:
Date:
A_U_G_l_2_Z_0_10
~~
_
tlfement Plan Manager
Dth BeniAccrlElig Spouse
DB-ESl.doc
3.12
.:.. 1
.
- .....
Payment Authorization No. DB 11- 4 2
Claim No. 10M 263
In accordance with Plan Section III 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.
By reason of the death of Walter Warren, 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 of $303.72 for the period from May 27, 2010 thru May 31, 2010, and in the
amount of $1,883.06 per month during the lifetime of the eligible spouse, or until otherwise
ordered by the Board, commencing June 1, 2010, plus the member's accrued and unpaid monthly
retirement allowance due in the amount of $3,716.10* payable from the Retirement Fund, plus the
sum of $20,000.00** payable from the Death Benefit Fund, as provided by Section VI D (3) of
said Plan, filed by Vickie L. Warren as the eligible spouse and beneficiary of said decedent, is
hereby certified as due and payable pursuant to the provisions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting Employee is hereby authorized and
directed to authenticate demands in favor of Vickie L. Warren on the respective Funds from
which said benefits are payable in said respective amounts, in payment of said claim, and with
respect to said Continuance to Eligible Spouse Benefit, in the same respective monthly amount for
each successive month following June 1,2010, for which similar certification is made.
*
No payment will be made for the Accrued Retirement Allowance amount of
$3,716.10 to the beneficiary above where the date of retiree's death was on or before the date of
final retirement allowance payment and such payment was electronically deposited and not
returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $412.75 to recover
overpayment of the May allowance. ($20,000.00 - $412.75 = $19,587.25). The beneficiary will
receive $19,587.25 and $412.75 will be returned to the Retirement Fund.
Approved:
Date:
AUG 1 2 Z010
s
-~~
tireII1eI1tPi;n Manager
_
.
DS
ds
(~~
Dth BenJAccrlElig Spouse
DB-ESl.doc
3.13
"
.- .-
~~
Payment Authorization No. DB 11Claim No. 11 M 20
43
In accordance with Plan Section III 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.
By reason of the death of James R. Besco, 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 of $236.36 for the period from July 27, 2010 thru July 31, 2010, and in the
amount of $1,465.42 per month during the lifetime of the eligible spouse, or until otherwise
ordered by the Board, commencing August 1, 2010, plus the member's accrued and unpaid
monthly retirement allowance due in the amount of $1,229.06* payable from the Retirement Fund,
plus the sum of $20,000.00** payable from the Death Benefit Fund, as provided by Section VI D
(3) of said Plan, filed by Karen Besco as the eligible spouse and beneficiary of said decedent, is
hereby certified as due and payable pursuant to the provisions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting Employee is hereby authorized and
directed to authenticate demands in favor of Karen Besco on the respective Funds from which
said benefits are payable in said respective amounts, in payment of said claim, and with respect to
said Continuance to Eligible Spouse Benefit, in the same respective monthly amount for each
successive month following August 1,2010, for which similar certification is made.
* No
payment will be made for the Accrued Retirement Allowance amount of
$1,229.06 to the beneficiary above where the date of retiree's death was on or before the date of
final retirement allowance payment and such payment was electronically deposited and not
returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $208.86 to recover
overpayment of the July allowance. ($20,000.00 - $208.86 = $19,791.14). The beneficiary will
receive $19,791.14 and $208.86 will be returned to the Retirement Fund.
Approved:
Date:
AUG 1 9 2010
Dth Ben/AccrlElig Spouse
DB-ESl.doc
c~anManager
~.
_
3.14
Payment Authorization No. DB 11Claim No. 11 M 08
4 4"
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Ola Carpenter, 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite his name in payment of said claim.
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
Robert L. Carpenter
DEAlHBENEFIT
FUND
$20,000.00**
$1,057.10*
TOTAL
$21,057.10
* No payment will be made for the Accrued Retirement Allowance amount of $1,057.10 to
the beneficiary above where the date of retiree's death was on or before the date of final retirement
allowance payment and such payment was electronically deposited and not returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $2,710.91 to recover
overpayment of the June allowance ($20,000.00 - $2,710.91 = $17,289.09). The beneficiary will
receive $17,289.09 and $2,710.91 will be returned to the Retirement Fund.
Approved:
Date:
AUG 19 20\0
_
lrement Plan Manager
Accrued Retire./Dth. Ben.
Q:BenPymtll.doc
3.15
Payment Authorization No. DB 11­
Claim No. 11 M 13
"5
In accordance with Plan Section III 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.
By reason of the death of Virgil L. Carroll, the claim for Option B Allowance
as provided by Section IV D (6) of the Water and Power Employees' Retirement Plan in the
amount of $214.61 for the period from July 11, 2010 through July 31, 2010, and in the
amount of $316.80 per month during the lifetime of the beneficiary, or until otherwise
ordered by the Board, commencing August 1, 2010, plus the member's accrued and unpaid
monthly retirement allowance due in the amount of $102.19 payable from the Retirement
Fund, plus the sum of $5.342.96 payable from the Death Benefit Fund as provided by
Section VI D (3) of the Water and Power Employees' Retirement Plan, filed by Pauline A.
Carroll, as the beneficiary of said decedent, is hereby certified by the Retirement Plan
Manager to the Chief Accounting Employee as due and payable pursuant to the provisions of
the Water and Power Employees' Retirement Plan; and the Chief Accounting Employee is
hereby authorized and directed to authenticate demands in favor of Pauline A. Carroll on
the respective funds from which said benefits are payable in respective amounts, in payment
of said claim, and with respect to said Option B Survivorship Allowance, in the same
respective monthly amount for each successive month following August 1, 2010, for which
similar certification is made.
Approved:
Date:
AUG 1 9 2010
~~
_
ebrement Plan Manager
OptB/Dth BeniAccr
Q:DB-OptBR.doc
3.16
Payment Authorization No. DB 11Claim No. 11 M 06
4: •
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Ruth H. Culver 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite his name in payment of said claim.
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
DEATH BENEFIT
FUND
$150.84
$10,000.00
Richard A. Culver
Approved:
Date:
AUG 1 9 2010
_
20/2
Accrued Retire./Dth. Ben.
Q:BenPymtll.doc
3. '\1
TOTAL
$10,150.84
Payment Authorization No. DB 11Claim No. 10M 204
C7 .
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Nicolas J. Flores, 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite his name in payment ofsaid claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Robert Flores
DEATH BENEFIT
FUND
$20,000.00**
$2,238.40*
TOTAL
$22,238.40
* No payment will be made for the Accrued Retirement Allowance amount of $2,238.40 to
the beneficiary above where the date of retiree's death was on or before the date of final retirement
allowance payment and such payment was electronically deposited and not returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $919.62 to recover
overpayment ofthe March allowance ($20,000.00 - $919.62 = $19,080.38). The beneficiary will
receive $19,080.38 and $919.62 will be returned to the Retirement Fund.
Approved:
Date:
AUG 1 9 2010
~~
_
Retirement Plan Manager
Accrued Retire.lDth. Ben.
Q:BenPymtll.doc
3.18
Payment Authorization No. DB 11Claim No. 11 M 14
4· B
In accordance with Plan Section III 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.
The claims for payments to the beneficiaries of Milorad N. Marinovich deceased,
listed below,are hereby certified as due and payable, pursuant to the provisions 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 favor of said beneficiaries in the
respective amounts specified hereunder opposite their names in payment of said claim.
Beneficiary
Earl E. Haines, Jf.
Lisa M. Hogan
TOTAL
RETIREMENT FUND
Accrued Retirement Allowance
TOTAL
$64.88
$64.88
$129.76
$64.88
$64.88
$129.76
Approved:
Date:
AUG 1 9 2010
_
~~
Retirement Plan Manager
20i2
Accrued Retire.lDth. Ben.
Q:BenPymtll.doc
3.19
Payment Authorization No. DB 11- 4:
Claim No. 11 M 15
8
In accordance with Plan Section III 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.
By reason of the death of Joseph A. Origel, 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 of $2,136.80 for the period from July 7, 2010 thru July 31, 2010,
and in the amount of $2,649.64 per month during the lifetime of the eligible spouse, or until
otherwise ordered by the Board, commencing August 1, 2010, plus the member's accrued and
unpaid monthly retirement allowance due in the amount ·of $50.67* payable from the Retirement
Fund, plus the sum of $988.00 payable from the Death Benefit Fund, as provided by Section VI D
"
(3) of said Plan, filed by Ingrid H. Origel as the eligible spouse and beneficiary
of said decedent, is
hereby certified as due and payable pursuant to the provisions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting Employee is hereby authorized and
directed to authenticate demands in favor of Ingrid H. Origel on the respective Funds from which
said benefits are payable in said respective amounts, in payment of said claim, and with respect to
said Continuance to Eligible Spouse Benefit, in the same respective monthly amount for each
successive month following August 1, 2010, for which similar certification is made.
*
No payment will be made for the Accrued Retirement Allowance amount of
$50.67 to the beneficiary above where the date of retiree's death was on or before the date of final
retirement allowance payment and such payment was electronically deposited and not returned to
Retirement.
Approved:
Date:
AUG 1 9 2010
_
1 0/2
Dth Ben/AccrlElig Spouse
DB-ESl.doc
3.20
Payment Authorization No. DB 11 5'.0.
Claim No. 11 M 10
In accordance with Plan Section III 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 ..
The claims for payments to the beneficiaries of Jesse Barnes, Jr., 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 Employee is hereby authorized and
directed to authenticate demands on the respective Funds in favor of said beneficiaries in the
respective amounts specified hereunder opposite their names in payments of said claims. ,
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
DEATH BENEFIT
FUND
$45.69
$45.69
$45.69
$137.07
$1,983.02
$1,983.02
$1,983.02
$5,949.06
Terry Barnes
Jerry Barnes
Bryant Barnes
TOTAL
TOTAL
Approved:
Date:
AUG 26 2010
_
RetIrement Plan Manager
1 0/2
ds
Accrued Retire./Dth. Ben.
Q:BenPymt3.doc
3.21
$2,028.71
$2,028.71
$2,028.71
$6,086.13
Payment Authorization No. DB 11Claim No. 10M 287
S1
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Elmer V. Burrell 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite her name in payment of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Shelia L. McGowan
DEATH BENEFIT
FUND
TOTAL
$6,666.67
$705.80
Approved:
Date:
AUG 26 2010
_
etIrement Plan Manager
20/2
I
Accrued Retire./Dth. Ben.
Q:BenPymt11.doc
3.22
$7,372.47
Payment Authorization No. DB 11Claim No. 11 M 23
S2
In accordance with Plan Section III 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 ..
The claims for payments to the beneficiaries of Thomas L. Ellis, 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 Employee is hereby authorized and
directed to authenticate demands on the respective Funds in favor of said beneficiaries in the
respective amounts specified hereunder opposite their names in payment of said claims.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
DEATH'BENEFIT
FUND
TOTAL
Randal L. Ellis
Peter G. Ellis
$1,481.94
$1,481.94
$6,666.67
$6,666.67
$8,148.61
$8,148.61
TOTALS
$2,963.88
$13,333.34
$16,297.22
Approved:
."
Date:
AUG 2 6 2010
_
etIrement Plan Manager
1 0/2
ds
J)S
t
Accrued Retire./Dth. Ben.
Q:Benpymtll.doc
3.23
Payment Authorization No. DB 11Claim No. 11 M 18
53
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Virginia R. Hicks, 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite her name in payment of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Melody A. Hansen'
DEATH BENEFIT
FUND
$20,000.00**
$885.30*
TOTAL
$20,885.30
* No payment will be made for the Accrued Retirement Allowance amount of $885.30 to
the beneficiary above where the date of retiree's death was on or before the date of final retirement
allowance payment and such payment was electronically deposited and not returned to Retirement.
** The Death Benefit amount of $20,000.00 will be reduced by $1,609.64 to 'recover
overpayment of the July allowance ($20,000.00 - $1,609.64 = $18,390.36). The beneficiary will
receive $18,390.36 and $1,609.64 will be returned to the Retirement Fund.
Approved:
Date:
AUG 26 2010
_
Retirement Plan Manager
i>~
ds
Accrued Retire.lDth. Ben.
Q:BenPymtll.doc
3.24
Payment Authorization No. DB 11Claim No. 10 M 214
5 4'
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.
By reason of the death of Lincoln R. Juarez, Maria Perez as Guardian is entitled to
a Family Death Benefit Allowance at the rate of $416.00 per month, payable to her for the benefit
of the decedent's child under age 18; and that for the month of May 2010, and for each month
thereafter, a Family Death Benefit Allowance shall be paid on account of the person named in
column one below, in the amount set forth in column two below, in accordance with and subject to
all the terms and conditions of Section VI D (8) of the Water and Power Employees' Retirement
Plan; and that until evidence is received that any or all such named person is not eligible for said
allowance, the Retirement Plan Manager shall certify monthly to the Chief Accounting Employee,
commencing with the month of May 2010, that said Family Death Benefit Allowance is due and
payable to said Maria Perez and that the Chief Accounting Employee is hereby authorized and
directed upon each such certification to authenticate a demand upon the Death Benefit Fund in
payment of said allowance.
Name
Isaiah Juarez
Amount
$416.00
Approved:
Date:
AUG 2 6 2010
_
Retirement Plan Manager
FDB Only
Q:FDB2.doc
3.25
Payment Authorization No. DB 11- 5 5" "
Claim No. 10M 249
In accordance with Plan Section III 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.
The claim for payment to the beneficiary of Desmond F. Knight, 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite his name in payment of said claim.
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
Brian Knight
$279.34*
DEATH BENEFIT
FUND
$17,319.12**
TOTAL
$17,598.46
* No payment will be made for the Accrued Retirement Allowance amount of $279.34 to
the beneficiary above where the date of retiree's death was on or before the date of final retirement
allowance payment and such payment was electronically deposited and not returned to Retirement.
** The Death Benefit amount of $17,319.12 will be reduced by $622.25 to recover
overpayment of the May allowance ($17,319.12 - $622.25 = $16,696.87). The beneficiary will
receive $16,696.87 and $622.25 will be returned to the Retirement Fund.
Approved:
Date:
AUG 26 2010
_
Retirement Plan Manager
.s
ds
~~
Accrued Retire./Dth. Ben.
Q:BenPymtll.doc
3.26
Payment Authorization No. DB 11Claim No. 10M 264
56
In accordance with Plan Section III 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.
The claim for payment to the 'beneficiary of Victoria Obregon 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 Employee is hereby authorized and
directed to authenticate a demand on the respective Fund in favor of said beneficiary in the
respective amount specified hereunder opposite her name in payment of said claim.
RETIREMENT FUND
Accrued Retirement Allowance
Beneficiary
Milagros H. Suva
DEATH BENEFIT
FUND
$2,166.08
$129.77
Approved:
AUG 26 2010
Date:
Accrued Retire./Dth. Ben.
Q:BenPymt11.doc
_
3.27
TOTAL
$2,295.85
Payment Authorization No. DB 11-57
Claim No. 11 M 15
In accordance with Plan Section III 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.
The claims for payments to the beneficiaries of Joseph A. Origel, 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 Employee is hereby authorized and
directed to authenticate demands on the respective Funds in favor of said beneficiaries in the
respective amounts specified hereunder opposite their names in payments of said claims.
Beneficiary
RETIREMENT FUND
Accrued Retirement Allowance
DEATH BENEFIT
FUND
$325.00
$325.00
$325.00
$975.00
$6,337.33
$6,337.33
$6,337.34
$19,012.00
Christopher Origel
Jessica Ray
Noah Origel
TOTAL
Approved:
Date:
AUG 26 20tO
_
20/2
Accrued Retire.fDth. Ben.
Q:BenPymt3.doc
3.28
TOTAL
$6,662.33
$6,662.33
$6,662.34
$19,987.00
Payment Authorization No. DB 11- 5 8
Claim No. 10 M 247
In accordance with Plan Section III 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.
.
By reason of the death of Bernard Orner, 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 of $81.60 for the period from April 24, 2010 thru April 30, 2010, and in the
amount of $349.70 per month during the lifetime of the eligible spouse, or until otherwise ordered
by the Board, commencing May 1, 2010, plus the member's accrued and unpaid monthly
retirement allowance due in the amount, of $536.21 * payable from the Retirement Fund, plus the
sum of $9,791.60** payable from the Death Benefit Fund, as provided by Section VI D (3) of said
Plan, filed by Vera Orner as the eligible spouse and beneficiary of said decedent, is hereby
certified as due and payable pursuant to the provisions of the Water and Power Employees'
Retirement Plan; and the Chief Accounting Employee is hereby authorized and directed to
authenticate demands in favor of Vera Orner on the respective Funds from which said benefits
are payable in said respective amounts, in payment of said claim, and with respect to said
Continuance to Eligible Spouse Benefit, in the same respective monthly amount for each
successive month following May 1, 2010, for which similar certification is made.
* No
payment will be made for the Accrued Retirement Allowance amount of
$536.21 to the beneficiary above where the date of retiree's death was on or before the date of final
retirement allowance payment and such payment was electronically deposited and not returned to
Retirement.
** The Death Benefit amount of $9,791.60 will be reduced by $152.69 to recover
overpayment of the April allowance. ($9,791.60 - $152.69 = $9,638.91). The beneficiary will
receive $9,638.91 and $152.69 will be returned to the Retirement Fund.
Approved:
Date:
AUG 2 6 20JO
_
etlfement Plan Manager
Dth Ben/AccrlElig Spouse
DB-ESl.doc
3.29
Payment Authorization No. DB 11- £i 9
Claim No. 11 M 17
In accordance with Plan Section III 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.
By reason of the death of David D. Russell, the claim for the Survivor's Optional
Death Benefit Allowance from the Retirement Fund in the amount of $1,112.70 for the period
from July 22, 2010 through July 31, 2010, and in the amount of $3,449.38 per month during the
lifetime of the survivor, or until otherwise order by this Board, commencing August 1, 2010, plus
the sum of $4,721.34 payable from the Death Benefit Fund, as provided by Section VI D (3) of
said Plan, plus the sum of $14.83 payable from the Disability Fund, as provided by Section VI D
(3) of said Plan subject to the provisions of Section VI D (7) of said Plan, filed by Celeste Russell
as the beneficiary of said decedent, is hereby certified by the Retirement Plan Manager to the
Chief Accounting Employee as due and payable pursuant to the provisions of the Water and Power
Employees' Retirement Plan; and the Chief Accounting Employee is hereby authorized and
directed to authenticate demands in favor of Celeste Russell on the respective fund from which
said benefit is payable in said respective amounts, in payment of said claim, and with respect to
said Survivor's Optional Death Benefit Allowance, in the same respective monthly amount for
each successive month following August 2010, for which similar certification is made.
Approved:
Date:
AUG 2 6 2010
_
etirel1leI1tPlan Manager
10f2
Surv Spouse Only
Q:DB-SS.doc
3.30
III
III
r
,
•
•
•
•
•
•
:g.
-e
i.
-.
el
_­
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
11-015
001
IN ACCORDANCE WITH PLAN SECTION III A (7) IC) AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20, 1998, APPROVAL OF THE
FOLLOWING CLAI~S 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' DISABIlITV 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.
BENEFITS ACCRUING DURING THE PERIOD 04-12-10 TO 08-01-10.
~CEA~TED-ARe-FOW-OISABllITY
bl
'~"
e
TEMPORARY DISABILITY ROLL
"C
OJ
I
PERIOD:
04-12-10 TO 08-01-10
....
W
I~
0
w
:;:
'"
~
VJ
VJ
PPE:
...A
•
•
•
•
PPE:
PPE:
PPE:
PPE:
PPE:
04-12-10 TO 04-25-10
10 D 1042
346727
KENNETH T GRIGGS
04-26-10 TO 05-09-10
10 D 1007
500015
JASON A WEST
1,547.00
05-10-10 10 05-23-10
10 D 1056
10 D 1007
307114
500015
MARGARET P GARCIA
JASON A WEST
1,224.65
442.00
U5-24-1U 10 Ub-Ob-10
10 D 1056
307114
MARGARET P GARCIA
2,177.15
ru-o-rU56
3UTrr~A~GAKEI
10 D 1171
10 D 1158
323496
846217
JASON HURR
JOHN R WINTERS JR
088839
125926
145630
RENE R ANDERSON
ORNETHA D BUTLER
NORMA E CASTILLO
U&-21-1U IU U/-u"PIU
10 D 1253
10 D 1224
10 D 1209
IU5~~U/~~q
10 D 1171
•
$
1,587.56
06-07-10 TO 06-20-10
IU U
•
•
•
10TAl
CLA~~AME
323496
P
nARGAREI P
JASON HURR
GAKCr~
~AK~lA
2,11/.15
211.89
270.20
1,290.02
423.78
1,950.62
2,~11.~~
2,118.88
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
-•
..­
~"""""IlI-----------------------------------"""""""'-
•
III
•
•
•
:g.•
e
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
06-21-10 TO 07-04-10
10 0 0863
IU-U~T58
PPE:
07-05-10 TO 07-18-10
10 0 1253
EMP NO
NAME
735658
EVERETT M REESE
JOHN R "lNIERS JR
8~bZII
088839
LU-O-UbZ~-----UZZ~~~
0
0
11 0 0001
10 0 1224
10 0 1209
a
'~"
I~qu
"0
@
784264
125926
145630
15Z/08
307114
353029
119755
~.
10 0 1056
09 0 0303
11 0 0005
0:
I~-238
16~374
10
10
11
10
10
11
757833
758156
828343
495040
846217
728293
en
...
,'....."
0
'"~
<0
0<...
...
VJ
VJ
I\J
:.
!'l.
a
~
•
•
•
•
•
•
PPE:
0
0
0
D
0
0
1078
0436
0003
lZ4"--1158
0004
•
•
•
•
•
•
•
•
•
•
•
PT7015P1
11-015
002
JOIAL
$
RENE R ANDERSON
-UKIANIANDERSON
SONIA BRITO
ORNETHA 0 BUTLER
NORMA E CASTILLO
RAUL CHAVEZ
MARGARET P GARCIA
CARMEN G GUTIERREZ
DANIELLE E JOHNSON
EDUARDOIMELCROR
DENNIS J RODRIGUEZ
RAUL RODRIGUEZ
TED A SMISSF.N
MICHAEL-P-WALKER
JOHN R WINTERS JR
ALICIA ZAMORA
3,542.15
Z,Q01./6
1,246.40
l,O~O.oo
435.43
1,059.44
2,944.33
1,528.15
2,177.15
564.27
551.41
742.97
1,699.04
1,425.60
1,452.28
563~38
2,401.76
278.94
0~~u-TO-U8-01-10
10 0 0989
007020
10 0 0789
004843
10 0 1154
934965
11 D11017 ------'9I985
10 0 1231
251319
10 0 1097
166447
10 0 0972
016015
Io-n-Da25
022935
10 0 1253
088839
10 0 1141
024458
U 0 0025
025831
•
•
~T95
021189
10 0 1208
10 0 1107
10 0 1010
031273
036581
043080
r~V3Z
0~b995
10 0 0791
046129
CLARITO G ABANADOR
AARON M ACEVEDO
PAUL ADAMS
ROSSANA-W ADRIANO
YAW DJAN ADU
MARIA E AGUILAR
ROBERT ALMANZA
BRIAN ANDERSON
RENE R ANDERSON
"VONNE C ANG
SANDRA 0 APARICIO
JOSE A ARGUEtA
RICHARD ASA
R 0 AYOS-PADILLA
BRENDA G BALDWIN
NICK R BANUELOS
JOS J BARANOWSKI
1,220.00
1,448.80
2,114.40
2I~2
1,838.04
1,495.68
3,260.63
1,030.00
1,246.40
1,740.12
587.29
2,795.55
2,681.24
423.78
2,688.72
•
-Jt-I
Z,4~
2,175.32
•
•
•
•
•
•
~
•
•
•
•
•
•
•
CLAIM
PPE:
m
)(
"0
iil
~.
I
.
t:;
'",
'"
~.
...
co
C
07-19-10 TO 08-01-10
11 D 0029
iil 0 1250
10 D 0963
11 D 0060
10 D 1086
69 0 0406
10 D 0325
10 D 1096
10 D 1230
09 D 08')8
10 D 1033
10 D 0937
11 D 0001
§.
•
•
•
•
•
•
i\l
046660
886288
063950
074680
081140
081867
086496
086550
089673
0')')031
099405
101439
784264
RICHARD BARBOSA
BellZAD
SHAWN W BELLER
JACK G. BIERMAN
STELLA BLAS-NUNO
WILLIAII B BLINN
GARY D BOLSTER
PATRICE L. BOOKER
C J BORNHAUSER
FRANSENE BRAVERNAN
LORENZO BRAZILE
PAMELA D BRIANO
SONIA BRITO
~3IIIA
$
1,088.57
2, 626. 84
2,061. 08
663.72
2,177.15
1,476.S'
1,851.20
2,319.48
3,069.88
'J1)''"''.-j!j6rftO-----------------------------­
2,150.84
2,312.00
2,177.15
LU-T-,c.~nrlt-T-L-n_Dn:un...
z:,.....,..~
SHIRLEY BROWN
STEPHEN M BROWN
JAMES G BROWN
CRANSTON BRYANT
OSCAR W CALDER
MACARIO CARRILLO
JOEL S CHAMBERLAIN
JOSEP" J C"AM,
RAUL CHAVEZ
TIMOTHY J CHAVEZ
DAVID CLARK
2,118.88
1,740.12
1,677.60
2,S41.84
1,776.96
2,177.15
3,209.91
2,512.00
3,056.31
1,309.07
2,995.01
.1V1r .1-U.."-----­
nt'J"!J-Uti
JAnE::> K\;;UQ:
;), 162.
10
10
10
11
10
10
11
964709
180766
195230
198612
073122
055604
215673
211170
212725
216029
215138
195518
984710
A WILLIAMS-COLLIER
JOE COPELAND
STEPHEN J CULLEN
GLEN CUSTIS
CIMONE P DANIELS
HENRY DE LA CRUZ
RICHARD DE LOACH
STANLEY 8. DEAN
MANNY H. DEE
ARTHUR. DEL TORO
JUAN DELGADILLO
JUAN J DELGADIllO
CARLOS F. DELOVINO
2,865.52
3,782.17
3,495.68
1,211.50
1,246.40
2,807.72
346.29
2,312.00
2,118.88
2,724.52
2,368.64
1,254.80
1,268.80
D
D
D
D
D
D
D
D
D
D
D
D
D
D
0696
1040
0687
1210
1240
0841
1011
0812
1243
0804
0043
0978
1160
0030
10
11
11
10
10
D
D
D
D
D
1020
0013
0022
1177
0566
PT7015Pl
11-015
003
TOTAL
111449
111460
109569
114630
129178
137150
148970
149748
152708
152730
158981
-----------~1n-D-09t7
•
NAIIE
10 D 1163
10 D 1142
10 D 0622
10
10
10
10
10
09
10
UJ
UJ
UJ
ellP NO
IV--U-.L-J,:O'"
----------~In_0_t242
'­
oCO
•
~~_
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
~.
c;;
"
.~
111
III
•
J: 1
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
m
• -e
•
•
•
•
•
PPE:
If •
tt.
~
Cil
"0
I
f:;
leo
~.
'"E'" •
e,.,
e,.,
~
•
•
•
•
•
~
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
EMP NO
NAME
790643
221800
231188
584673
278908
241501
244860
247611
874436
260512
261195
062849
262264
266604
271895
273632
275425
285950
291328
573320
300087
304604
455305
306725
307114
888515
857905
329332
DARYLL DESANTIS
ENRIQUE DIAZ
MYRA DORSEY
KATHLEEN DOUGHERTY
JOHN DUFT
AMISA R. DURHAM
STEVEN EASTERLING
PAUL I EDMONDS JR
GERI ENGSTROM
MARTHA P. ESPINO
ROBERT J ESTRADA
DAPHNE EVANGELISTA
GEORGE E EVANS
FANIEl-STAFFORD T.
MARK R FELTON
DAVID R FERREIRA
HUMBERTO J FIERRO
DARREll l fOOKES
STEPHANIE FRAM
SUREN FRANKLIN
KATHLEEN E FUJIKI
IRMA GAllARDO
ISABEL C GALLEGOS
LORETTA S GALVAN
CRISTINA H. GARCIA
MARGARET P ~ARCIA
JOHN WGARDNER JR
MARY GARSON
DENISE GONZALES
10 D 0811
52~152
CHRISrrNEIGDNZA~EZ
2iII8~8B
10 D 1197
10 D 1042
10 D 0736
162602
346727
635242
MICHAEL GONZALEZ
KENNETH T GRIGGS
ANA L GUERRERO
2,118.88
2,396.32
1,536.81
555025
CAMITEEliUTIERREZ
2,118.88
·364545
956175
386753
REGINA HANKS
DAMIAN J HARRIS
ANITA G HENDERSON
2,118.88
1,942.40
1,495.68
CLAIM
07-19-10 TO 08-01-10
10 D 1193
10 D 1147
10 D 0264
10 D 1108
10 D 0102
10 D 0857
10 D 0964
10 D 0923
10 D 0806
10 D 0602
10 D 1185
10 D 1161
10 D 0895
10 D 1212
10 D 1149
10 D 1083
10 D 1050
ro-n-0776
10 D 0323
10 D 1013
10 D 0662
10 D 1085
10 D 1116
10 D 0859
10 D 0520
Iu-D'IU56
10 D 1232
10 D 0966
10 D 1098
•
10 D 1255
~O
D 1106
10 D 0828
10 D 0527
10 D
•
_- •
•
305~72
•
•
•
•
•
•
•
•
•
•
•
•
•
•
PT7015Pl
11-015
004
TOTAL
$
1,480.80
2,253.52
1,246.40
2,448.68
1,196.16
2,312.00
2,253.52
3,457.81
3,192.60
2,337.60
3,687.64
3,192.60
2,496.96
2,118.88
2,795.55
3,457.81
3,029.56
2,221.44
1,364.40
2,541.84
2,100.00
5,641.52
587.33
2,319.48
2,104.80
2;177~1,
2,278.00
2,118.88
2,118.88
01~5
5~I025
EllEZER HERNANDEZ
2,005.~6
10 D 1138
391128
JOHN J HERNANDEZ
3,816.46
0
o
•
III
•
•
•
•
•
•
'8.
•
-
-
-
•
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PPE:
NAME
EM~U
LLAIM
07-19-10 TO 08-01-10
10 D 0723
640933
ERIC Y. NAGAMINE
~~~S7!O
E~ME~AVE
Z,&I~I
10 D 0440
11 D 0041
11 D 0016
645969
646769
438063
CARL J NELSON
JAMES E NELSON
TOMAS R NEVAREZ JR
1,495.68
943.50
1,493.51
$
03~b
bSQ800
RAYMOND 1 NODA
1,9ZZ.b~
659149
662840
666005
HUMBERTO S NUNO
DOREEN A O'DONNELL
ROSE OLIVER
1,816.96
2,118.88
476.75
IU-U-IOQ~
I~8S&~
---CHRISTINc-DKELLANA
...
'"
10 D 0393
11 D 0055
10 D 0780
085024
688449
981109
I",
TO-u<U58S
710130
~.
...
"'
10 D 0885
10 D 0918
10 D 0933
714125
715106
412020
C GABRIELA ORTEGA
FINA M PAYTON
LEARA L PHILLIPS
BARRV J POOLE
DANIEL C POWERS
LORRINE A PRATT
CRYSTLE L PRESSLER
IU-U-U783
Ol/lbi
CARMEN RANGEL
Z,118.88
10 D 0435
1~ D 1113
10 D 1166
736283
140475
744470
FSTEVAN REGALADO
RYAN A REVIGLIO
CAROL Y RICHARDSON
1,553.92
1,474.68
2,118.88
~
"iil
~.
I
....
f
~
UJ
UJ
0)
•
•
•
•
•
•
•
2,552.04
2,365.04
2,118.88
IIZ~'~~Z~U---
MI~"AtL
1059
0436
0010
1118
0014
1111
1252
757970
758156
548234
159052
770594
772180
772187
JOHN R RODRIGUEZ
RAUL RODRIGUEZ
ARLENE RODRIGUEZ.
DEBORAH A. ROGERS
CHARLES RUBIN
DANNY R RUGGLES
WILLIAM RUHE
2,438.96
1,425.60
1,906.99
2,118.88
934.98
3,069.88
2,061.08
ru-D'II~~
H~'~"
ANURAG SAHNI
I,ZU3.33
09 D 0277
10 D 10~9
10 D 0247
779276
780265
780742
STEVEN S SALAS
RODOLFO M SALON
FRANCISCA SHIELDS
909.60
3,315.00
238.37
J:J: U
•
1,942.40
10
10
11
10
11
10
10
OUI~~'IfJ:'''!:i
10 D 1174
10 D 1214
11 D 0048
215836
789993
790300
11 D 0049
976409
10 D 0470
781456
UANJ~EL
K KIDS
ZJI77~15
1,246.40
1,016.23
996.80
10 U
D
D
D
D
D
D
D
PT7015P1
11-015
006
1,238.02
10 D 0980
10 D 1206
11 D 0042
~
•
IUTAL
IU-U-07SI
TO D
b'
-
SANLnt£
A DELOS SANTOS
ALBERT W SCHEY
JUSTIN E SCHILL
DAVID W SCHUSTER
JANELVA S WILLIAMS
Z,U~~.,&
J:,ZOb.!:ib
2,118.88
2,707.67
886.89
588.13
847.04
•
•
~
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
m
III
-e
~
•
•
•
•
•
•
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
07-19-10 TO 08-01-10
10 0 1134
135662
1OlJl)852 ------SU38r­
10 0 0534
325357
10 0 1003
824491
11 0 0003
828343
1~0--1-~76
440590
10 0 0887
850280
10 0 1006
863780
10 0 0296
870365
10 0 1131
881130
10 0 1215
917813
11 0 0050
406262
10 0 1248
116953
O'TTll2SZ-- 81)9313
10 0 0971
899515
09 0 030S
908045
10 0 0728
845515
PPE:
t.
tt.
CD
~
iil
I
t';
I~
~
(..)
(..)
.......
~
~.
!
~.
•
•
•
•
•
EM~O
_
~N:::AM'-!.!E,,--
TO-U-Tl~3
9U~27
10 0 0884
10 0 0012
11 0 0051
10 D 0927
10 0 1249
10 0 1235
10 0 0936
ru-D-rI58
10 0 1217
10 0 1008
10 0 1105
918641
919810
922864
9251TO
495040
643830
964980
846217
979725
986017
989364
ELISA C. SELEM
VERONICA R SHORTER
CAROL H SIN
RENATE 0 SISKIND
TED A SMISSEN
LINDA R SMITH
DIANE STANLEY
ALEIOA L STONES
RUTH SULLIVAN
CHARLOTTE A TAYLOR
SHALONOA M TAYLOR
ANGELA B THOMPSON
ESTELA B TIEMAN
VREZH TORoMAN~
J TORRES-MEDINA
TRACY N TURNER
TERRELL T TURNTINE
ARTHUR R IVRIE
KENNETH G VARGAS
RONALD 0 VAZQUEZ
RICARDO VILLAVERDE
LAURA VON DER LUHE
MICHAEL 0 WALKER
CARMEN E WEBB
CHARLES B WILLIAMS
J~INTERS JR
TZE L WONG
STEVEN 0 WRIGHT
IRMA YBARRA
1-0 -U-0961
191662
UANU:L
11 0 0004
728293
ALICIA ZAMORA
AUG 0 5 2010
$
~b:7iIl
1,364.40
1,115.74
$
APPROVED:
2,312.00
1,495.68
2,680.56
3,630.71
2,118.88
1,740.12
2,383.26
1,312.64
2,319.48
2,118.88
1,165.38
4,386.68
1,048.00
2,334.72
784.53
1,087.60
3,209.91
2,883.20
3,189.06
1,815.36
1,640.84
2,253.52
715.12
1,683.97
2,322.29
1,537.38
2,995.01
2,177.15
t: YBARRA
TOTAL
DATE:
TOTAL
455,426.59
~ ~
--~
(47
•
•
PT7015Pl
11-015
007
_­ •
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
HI
--
--------•
III
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
11-016
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.
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-ASA-SUPPlEMENTALBENEFIT FOR AN INDUSTRIAlDISABIlI"TYICXClUSIVE OF THE-FIRST THREEDAYS-THEREOFj AND
THAT SAID CHIEF ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN
PAYMENT OF SAID CLAIMS.
I~e •
THE CLAIMS LISTED BELOW ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD 07-05-10 TO 08-01-10.
CD
m
x
"Q
INDUSTRIAr-sUPP[EMENTALitOMPENS~IONIDrSABI~OL[
CD
~.
I
...
''"e
PERIOD:
cr;
~
:;;
~
-.
<C
f...
(X)
07-05-10 TO 08-01-10
CLAIM
PPE:
07-05-10 TO 07-18-10
II,C,1257
10 C 0270
10 C 0260
EMP NO
NAME
305734
943815
533127
STACYA-SARRON
CAMILO CASAS JR
RONALD J LONA
TOTAL
$
1,740.12
103.30
2,681.24
§
<D
;;s
PP~
0
•
•
•
•
•
•
OT~T9-1OT01lIr-llT~TO
10 C 0264
10 C 0212
10 C 0266
~.
TOr,rZZ5
10
10
10
1o
10
09
10
C 0268
C 0219
C 0252
CIl 244
C 0257
C 0010
C 0241
o'1CIl 232
10 C 0110
10 C 0148
10 C 0025
10-C025~
10 C 0270
•
007844
DARLA E ADEOYE
010187
DANIEL ALBA JR
017126
PEDRO A ALVARADO
025li7..--------NICOLA R. ANTRILLI
026527
ELISEO A ARAGON
026920
SHARON P. ARCH
030407
JAMES A. AROS
996276 ----...AR~RVIZU
305734
STACY A BARRON
059008
LIBIA BECERRA-VAIL
070370
MARCOS A BERNAL
074900
THO~IGGART
LEON BLAND
080833
114787
JOHN N BRYANT
136940
JAMES WCAREY
578204 ---~mHN WCARTER
943815
CAMILO CASAS JR
2,118.88
843.59
690.71
557. 06
1,082.93
491.70
445.70
0.00
1,740.12
0.00
984.31
0. 00
0.00
0.00
621.16
466.73
265.42
.
•
•
•
•
•
•
•
•
•
•
•
•
.­
.
•
•
•
~.
()
•
•
•
•
•
•
III
III
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
t:L~U
PPE:
~.
a
'"m
)(
"0
iil
~.
...
'"
1!;5
c
~
~
(.,.)
•
(.,.)
co
0
c..
...
~.
a
!::l.
~
0
•
•
•
•
•
•
.~
•
07-19-10 TO 08-01-10
10 C 0256
110110
ARTURO DAVILA
zrqZ$O
fEKNANDU DE LA LUZ
10 C 0149
10 C 0255
10 C 0248
212888
213875
242360
JUDY ANN DEERE
GLEN DEJARNETT
JOHN T DUX
U¥'L-U02Z
$UqaZI
KENNEl" GALLENILNE
10 C 0134
10 C 0043
10 C 0044
305958
307186
325900
DAMON GANGI
PETER GARCIA III
RUBY M GOFFE
$
0.00
345.92
479.26
1,553.23
QL5.I$
0.00
0.00
0.00
"A.'IILIUN
:lbZUZU
KILnAKU
10 C 0096
10 C 0146
10 C 0259
878659
857510
177465
JAMES HAN
JOHN L HEMPHILL
ROBERT HERNANDEZ
10 C OZZ3
391987
MICHAEL R HERRMANN
697.90
10
10
10
09
10
10
10
406560
409644
391033
449260
471309
484817
PHYLLIS G HOLLIER
ROGER M HOLMES
GREGORY T IACHELLI
MARGARET JACKSON
ROOSEVELT JOHNSON
JAMES E KENNEDY
LEWIS KNIGHT
450.64
621.09
0.00
0.00
734.29
479.26
0.00
~Irl.-"<:~b
b~-'~UU
::>"'UI~-"JO
09 C 0268
10 C 0272
10 C 0260
493374
078287
533127
BRYCE KRUSE
DOLORES LILLARD
RONALD J LONA
10 C OHiO
566581
JOHNNY IIARTINEZ
10 C 0153
10 C 0231
09 C 0095
745017
594361
596502
JAIME MAYORGA
BRENT E MCREYNOLDS
PHILLIP MEEKS
0.00
1,096.50
0.00
IIICHAEl E IItJNIS
Z,Z5~
0164
0262
0227
OZ31
0222
0230
0214
~3~730
09 C 0271
10 C 0082
10 C 0251
346293
544602
679785
002
2,995.40
~£X:i
C
C
C
C
C
C
C
PT7015P1
11-016
lulAL
LO-t: OL50
-----------T1fto.,C~0t11t-t;5iili_ar--...,6~35ft96
•
NAME
•
-----"""''''------_
:LJ:L~
0.00
0.00
295.87
u.uu
808.27
1,880.56
1,206.56
e
568. 46
JORGE NAVARRO
JOSE ORNELAS JR
LILIANNE M PANTA
0.00
0.00
543.78
RA~IIREZ
10 C 0086
7Z13Hi
lORENZO A
11 C 0003
10 C 0217
11 C 0002
10&981
940000
228034
CASSIE ANN D REGO
DAVID A RICOTTONE
DAVID R RIOS
10 C OZ38
153116
MICHAEL l
10 C 0070
614398
ERIC ROBERTS
SZ8. 96
60.14
0.00
479.26
RO~'I'T~S------'----'6f;i!i'-;3t"::.""IIl4"'(j.----------------------------------
0.00
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
r·
----,
m
•
0
0
•
•
•
•
e---
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
07-19-10 TO 08-01-10
11 C 0004
10 C 0267
11 C 0005
10 C 0246
10 C 0253
11 C 0001
10 C 0:!39
U C 0119
10 C 0263
09 C 0227
10 C 0240
10 C 0261
10 C 0216
PPE:
~.
iii
It.
m
><
"@
I
...
'"'~
~
NAME
757822
758155
779258
783078
679038
352214
:;52501
893798
902895
912455
193273
922844
895016
C R RODRIGUEZ
RAUL RODRIGUEZ
HERIBERTO M SALAS
CARMEL INA SANDOVAL
LUIS A SAUCEDO
JOHN E SMOLICH
hICHAEL J STAT LAND
RANDALL L THORPE
CARL A TRICE
PHILLIP V URENIA
JESUS L VALADEZ
JUAN C VILLARRUEL
TRAVIS J YOUNG
~
0
.,~
DATE:
AUG 0 5. 2010
P17015Pl
11-016
003
TOTAL
$
248.95
843.59
723.56
1,391.50
501.66
301.95
3,147.05
0.00
843.59
0.00
0.00
690.71
0.00
$
43,661.59
.
~
§.
•
~
EMP NO
TOTAL
...~.
'"
•
--- e
~
APPROVED:
RETIREMENT
ftJ
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
."--
g
•
•
•
•
•
1·
m
)(
.
Co>
0
Co>
:;:
<c
.
0
.
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
11-017
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.
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
INUUSIRIAL UISA8ILIIY'OR IU RELEIVE 8ENEFIIS FUR IEMPuRARY UISA81LIIY FuR IRE SAME PERluU, 8UI II IS UNLERIAIN
AS TO WHICH AND THAT THE MEMBERS HAVE EXECUTED THE ACKNOWLEDGMENT AND AGREEMENT REQUIRED UNDER SECTION V D (7)
OF THE PLAN.
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, 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
"til
~.
I
'...",
.
--
•
III
THE CLAIMS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEFITS PURSUANT TO SECTION V D (7) OF THE PLAN DURING
---~TH~c-PE~-IO
TO 08-01-10.
CN
~
.....
CONTINGENT DISABILITY ROLL
'­
~.
PERIOD:
co
i§
01-05-10 TO 08-01-10
LLAIM
~.
•
•
•
•
•
•
PPE:
PPE:
EMr NU
NAME
07-05-10 TO 07-18-10
10 D 1047
419049
GREGORY NASO
07-19-10 TO 08-01-10
10 D 0521
10 D 0900
012512
507583
BEVERLY A ADAMS
AHMED DMINI
1,495.68
1,081.20
-.,"---.
$
1,651.63
b,
U-r-u~~~:)2'fU
rlL .. tfRt:~-bUKWUU"---
LJUC:C:.
10 D 1254
10 D 0512
10 D 1181
525437
397990
086881
LETIEIA Z HEDGE MAN
SHARON M HILL
VIOLET JONES
2,118.88
1,495.68
1,640.84
10 U 0/20
5620$0
USLAR MARRUQUIN
1,2Q6.QO
10 D 0874
10 D 1047
10 D 1121
579224
419049
997)61
BELINDA MC CONNELL
GREGORY NASO
CYNDA L. ZUMWALT
1,165.38
1,448.80
1.740.12
TOTAL
DATE,
tOTAL
AUG 05 2010
$
16,107.28
APPRDVE~~
RETIREI1~.
.
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
0
0
•
•
•
•
•
•
n
•
•
•
REPORT NO:
PAYHENT AUTHORIZATION NO. DIS:
PAGE:
PT7015Pl
11-018
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (C) AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20, 1998, APPROVAL OF
THE FOLLOWING CLAIHS 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 FROH THE WATER AND POWER EMPLOYEES' DISABILITY
rur1U H., H ...urrLCllcr.,HL DClter ... )
rUI\-R~-.--n-~~~""D:LLOIOI',
Cn""Lu;;a",vc ur
Inl: r ... " ....
'hnce UR''''
InCl\cu~nu
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 06-21-10 TO 08-01-10.
~.
c;
m
~"
~"II~~vr~cnTJt~rt:n;lH-J-.LU"-U.L"'''D~a;-'''-'-T-~J,;r.;
~.
I
...
OJ
I
~
06-21-10 TO 08-01-10
I\J
PPE:
...
~.
§.
•
•
•
•
•
•
PPE:
15
:mm
~
NAME
06-21-10 TO 07-04-10
11 e 0009
042819
EDWARD H BAlBANEDA
07-19-10 TO 08-01-10
10 D 1101
751096
JANIS L ROACH
W!I1
CN
~
~
PERIOD:
;g
TOTAL
DATE:
AUG 1 220ft}
v
•
•
85.83
1-1495.68
$
1,581.51
::::~:~::.~ ~
ncl~RcnCnl
rLR~~~
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
-
-­
•
b'
•
•
•
•
~.
CD
m
><
-­
REPORT NO:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015P1
11-019
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.
THE RETIREMENT PLAN MANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARHENT 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 AHOUNTS-SPECIFIE~D THAT SAID CHIEF
ACCOUNTING EMPLOYEE IS AUTHORIZED AND DIRECTED TO AUTHENTICATE A DEMAND ON SUCH FUND IN PAYMENT OF SAID CLAIMS.
fHCl;OUl'IS LIS I ED ARE FUR DISABlLIIY BENEFlI S ACCRUING
DURING-THE-P-ERIUD-U5~lU~l:O-TU-U8~U~O.
TEMPORARY DISABILITY ROLL
"C
CD
~.
...
PERIOD:
Co>
'",
"
...~.
PPE:
~
PPE:
CfJIDI
<0
o
~
~
~
~
'"
rn::
~.
PPE:
•
•
•
•
•
•
05-10-10 TO 08-01-10
PPE:
•
~
NAME
05-10-10 TO 05-23-10
10 D 1178
202240
DENISE ELLIS
05-24-10 TO 06-06-10
10 D 0888
923673
DUSTIN
J
TAYLOR
1,456.40
06-07-10 TO 06-20-10
10 D 0888
923673
DUSTIN
J
TAYLOR
655.38
07-05-10 TO 07-18-10
10 D 1160
11 D 0007
10 D 1259
10 D 1245
055604
528899
542344
732603
HENRY DE LA CRUZ
TOBIAS D LIST
STEPHANIE PEREIRA
SCOTT A READER
5'6.64
328.72
2,118.88
1,061.51
07-19-10 TO !!=!l=!!
10 D 1186
11 D 0062
149890
202240
DARREN G CHANDLER
DENISE ELLIS
2,988.44
927.01
IUIAC==
•
2,118.88
~£
U
uu~z
zo~,~o
ANNt~~UKt~
~
11
11
10
11
10
D 0054
D 0031
D 0704
D 0026
D 0242
930450
604297
628315
616260
465136
GAYLE D GREEN
RICHARD B GUARENTE
PATRICK G GUERENA
SANDRA D IMPERIAL
TIMOTHY A KEARNS
. .~~~
237.66
1,239.44
227.80
1,191.87
2,089.48
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
n
0
0
•
•
•
•
•
•
•
PPE:
07-1'-10 TO 08-01-10
11 D 0027
11 U
m
><
~.
t
....
I",
...~.
630756
UUb~
~llf~b
11 D 0007
10 D 1227
10 D 1188
5288"
528122
155583
lU U
Cil
'"i'3
tm::..ml
...pun
"0
C5
•
REPORT NO:
PAYHENT AUTHORIZATION NO. DIS:
PAGE:
~.
CD
'"
~
H KHADJEHNOURI
~A~l~lA
1,150.Z~
bb5~5Z
VIENNA Y
ALFREDO PANLASIGUI
INDIA PARKS
STEPHANIE PEREIRA
ULl~HANI
DATE:
I~ZbU~
~LUII
216467
358531
6'5822
BEN A. SHORTRIDGE
LUIS A SILVA
ANDRE STEWART
AUG 122010
345.36
1,403.76
2,118.88
A READER
rv-u-l,~~
10 D 0767
11 D 0057
10 D 1005
ZZob7b
1,U~~~~
2,'21.'6
2,118.88
2,061.08
67'710
'40120
542344
'66'61
'84558
PT7015P1
11-019
002
1,890.94
TOBIAS D LIST
REGINA LUNA
CAYLE HARTIN
U50~
11 U UUbo
$
LAW~UN
11 D 0046
10 D 1165
10 D 125'
11 D 0024
11 D 005'
•
I UI K:
nAn);
Z,~~Z
614.16
217.71
'65.20
rER~~t-VALUEZ
~57~U7
KENNETH WILLIAHS
ANITRA L WRIGHT
rUTA~
CN
~
~
--­
2,487.68
476.75
•
~Z,UZ7.57
APPROVED:~ ~
KETIlfEJ1ENTI"~Alfll'ANAGElf
0
~.
•
•
•
•
•
•
t7
•
•
•
•
•
•
•
•
•
•
•
•
-­•
•
•
•
•
•
•
.---­
----
~
\I
• -e
•
•
•
•
•
e-
•
e
REPORT NO:
PAYHENT AUTHORIZATION NO. DIS:
PAGE:
•
•
•
•
•
•
•
•
•
•
•
•
PT7015Pl
11-020
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (C) AND RESOLUTION NO. 99-119, ADOPTED AUGUST 20, 1998, APPROVAL OF
THE FOLLOWING CLAIHS IS DELEGATED TO THE RETIREHENT PLAN HANAGER BY THE BOARD OF ADHINISTRATION.
THE HEHBERS OF THE WATER AND POWER EHPLOYEES' RETIREHENT PLAN HEREINAFTER LISTED HAVE AN ENFORCEABLE RIGHT
EITHER TO RECEIVE WORKERS' COHPENSATION FROH THE DEPARTHENT BY REASON OF THEIR DEPARTHENT EHPLOYHENT FOR
InUlr.>.lUAL "01;)AD01L ... T~~~-nt:-Y-4n>--r~
n:nl"UlC~-mt01L01
I'
rVJrTlfl:-;)""t:I"t:I(.I.U~
I
01;) un,,!:" I ".I.N
AS TO WHICH AND THAT THE HEHBERS HAVE EXECUTED THE ACKNOWLEDGHENT AND AGREEHENT REQUIRED UNDER SECTION V 0 (7)
OF THE PLAN.
()
0
~.
*
m
~
THE RETIREHENT PLAN HANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EHPLOYEE OF THE DEPARTHENT OF WATER AND
THAT PURSUANT TO THE TERHS OF THE RETIREHENT PLAN, THE CLAIHS HEREINAFTER LISTED AS DUE AND PAYABLE FROH
THE WATER AND POWER EHPLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AHOUNTS SPECIFIED, AND THAT SAID CHIEF
PO~ER
In;l;QU~
iil
J:nn;;un:J:~~UTnUn"'J:"
An" U.l.nJ:"'IJ:JTOU AUlnJ:nr.l."'A-.J: A IICI1An" un ;:tu\rnrun" .I.n-rATncnr-vr ;)A.l.U "'LA.l.rGt.
'"
~.
THE CLAIHS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEFITS PURSUANT TO SECTION V 0 (7) OF THE PLAN DURING
A
,'..."
nnr-r~~~UU-Ur-vI-~7~Lv-TU
<Xl
0
'"
:;;:
<0
~
uo u£ xu.
CN
~
C1I
:.
CONTINGENT DISABILITY ROLL
PERIOD:
07-19-10 TO 08-01-10
2>
i§
~
IUIR-':;
I:nr-----n~RIIIt:
0
~.
•
•
•
•
•
•
07-19-10 TO 08-01-10
11 0 0047
11 D 00S3
PPE:
AUG 1 2 l'O1O
DATE:
752197
990S22
CHER T ROBERTS
TADELLE VaSEP"
$
TOTAL
$
1,483.22
IJ30S.l!
2,788.41
APPROVE~~~
RETIREH~
•
-f};L-------------------­
•
•
•
•
•
•
Payment Authorization No. DIS 11-021
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.
The Retirement Plan Manager finds that the person whose name is listed in
the second column hereunder was permanently and totally disabled with the meaning of
Section V A (c) of the Retirement Plan on April 29, 2010 and is eligible to receive
Permanent Total Disability benefits under Section V D (2) of said Plan in the monthly
amount set forth opposite his name in the third column hereunder in satisfaction of the
claim set forth opposite his name in the first column hereunder;
CLAIM NO.
NAME
AMOUNT
08 D 0867
William Henry Cole
$2,395.49
NOW, THEREFORE, BE IT RESOLVED, that the person listed
hereinabove be, and is, hereby granted a Permanent Total Disability benefit, in the
amount of $159.70 for the period from April 29, 2010 through April 30, 2010, and a total
of $9,742.02 for the combined months beginning with Mayl, 2010 through August 31,
2010, and in the amount of $2,395.49 payable monthly so long as he is permanently and
totally disabled as defined in said Section V A (3) and eligible, therefore, to receive said
benefit in accordance with said Section V D (2), or until otherwise ordered by this Board,
commencing September 1, 2010, and the Chief Accounting Employee is authorized and
directed to authenticate demands on the Water and Power Employees' Disability Fund in
payment thereof.
Approved:
Date:__A_U_G_2_6_"_20_10
~~
~Manager
_
RL
i :\masters\ptdnew.doc
3.46
I~
•
•
•
•
•
•
II
-
-­
-­
K~rUnl
AU.
PAYI1ENT AUTHORIZATION NO. DIS:
PAGE:
~I~
11-022
001
IN ACCORDANCE WITH PLAN SECTION III A (7) (C) AND RESOLUTION NO. 99-119. ADOPTED AUGUST 20. 1998. APPROVAL OF THE
FOLLOWING CLAI~ IS DELEGATED TO THE RETIREI1ENT PLAN I1ANAGER BY THE BOARD OF ADI1INISTRATION.
THE RETIREI1ENT PLAN I1ANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EI1PLOYEE OF THE DEPARMENT OF WATER AND POWER
THAT PURSUANT TO THE TERI1S OF THE RETIREI1ENT PLAN. THE CLAII1S HEREINAFTER LISTED AS DUE AND PAYABLE FROI1 THE
WATER AND POWER EI1PLOYEES' DISABILITY FUND TO THE PERSONS AND IN THE AI10UNTS SPECIFIED. AND THAT SAID CHIEF
-----ACCOu~rING-EI1PtoY~E-IS_AUrHOR~ZfD_AND-DlRE~T_ED
TO AUfHfNTICATE A DEI1AND ON SUCH FUND IN PArllENT OF SAID eLAIMS.
THE
1"8.
CLAI~
LISTED ARE FOR DISABILITY BENEFITS ACCRUING DURING THE PERIOD 03-01-10 TO 08-1S-10.
TEI1PORARY DISABILITY ROLL
I~
,m
><
1l
'"
PERIOD:
~.
03-01-10 TO 08-1S-10
...
I~
"
CLAII1
PPE:
U)
~
l:t..
...
-.I
~.
•
NAI1E
62071S
CHRISTOPHE RAI1IREZ
TOTAL
$
497.10
---PPE":--04-2b-1;0-TO .!!JOS~-~0!.29~--!JIO!!.---:-=-:=-=-----=-=
==-------=--=- = - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
10 D 0833
62071S
CHRISTOPHE RAI1IREZ
1.S90.72
PPE:
•
03-01-10 TO 03-14-10
10 D 0833
EI1P NO
OS-10-10 TO OS-23-10
•
•
•
•
•
•
•
•
•
•
1O-D-0833--6201lS--CHItISTOPHE-RA1tlRP'EZ'r------'lll-:.:64et<58"-'.1~'6<------------------------------
PPE:
OS-24-1O TO 06-06-10
10 D 0833
•
62071S
CHRISTOPHE RAMIREZ
1.32S.60
----------·lO-D-U02--8S860o--RAQUEl----A-STEVENNSS10mNt-------11tfl9~5'7".1'116_---------------------------
PPE:
•
•
•
•
•.
06-21-10 TO 07-04-10
10 D 0492
6123S3
HUI1A KHAN
1.360.00
--------·1O-D-OS08--2072S1;--T-D-PARPENOV'f1ICr-tH------.....9rH4~4l"':".~3,.2----------------------------10 D 0833
62071S
CHRISTOPHE RAI1IREZ
994.20
10 D 11S6
920S12
ESI1ERALDA VENEGAS
979.72
•
JIiL
~
--PPE":--01-0S-U-TO ·.!!.0"t7-::l1~·8~-~1.!!.0·- ---=-==---:-:::=----:~=---------=-::-=---------------------------10 D 0432
127130
LINDA J BYRD
0.00
10 D 1194
299808
WENDY FU
3.687.64
•
10 D 0492
6123S3
HUMA KHAN
1.360.00
---------~1O-D-ulS--S4n2'7--MARK-A-I;OZANOn-------+l-:'.lHOHlOt-:-.:64*6-----------------------------
•
•
•
•
••
-
n
• -----"­
•
•
•
•
•
PPE:
ffl:.ruKI_~17IJL~J",I;
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
07-05-10 TO 07-18-10
10 D 0508
10 D 1244
~
NAME
207251
692830
T D PARFENOVICH
EDWARD F PEPPER JR
. .•
•
•
11-022
002
TOTAL
$
118.04
307.03
•
---------~lcrIH)833--620715--CHRISTOptfe_RAMlR~EZ'r----Tl~,3~2H5i7."fr6f1-0----------------------------
f.
PPE:
Q)
~
"0
~.
I~
11 D 0008
10 D 1247
10 D 1156
07-19-10 TO 08-01-10
11 D 0035
11 D 0033
824018
839193
920512
GLEN M SINGLETON
WENDELL J SNYDER
ESMERALDA VENEGAS
073854
628223
ANA CASILLAS
ALVA I CHAVEZ-RIOS
---------~ll_o_01tO,...__353648
11 D 0044
10 D 0492
11 D 0038
099535
612353
551549
---------~1-1-D-0061--624048
10 D 0833
11 D 0018
10 D 1247
~.
It
620715
133610
839193
345.78
2,113.71
2,177.15
•
505.67
423.78
•
MA'f-rHEw-R-£MItBRIlIE~E~----~2~,3!l60f8l-:."i:14"ct-----------------------------
ROBERTA JONES
HUHA KHAN
GARY MADRIGAL
231.20
1,237.60
1,061.51
•
MARK-G-HORAt£S------~3lt.03~.;_:3t22~----------------------------
CHRISTOPHE RAMIREZ
ELISA M B REYNOLDS
WENDELL J SNYDER
1,325.60
3,221.48
2,727.36
•
---------~11rD-U"3s________9l_l020--GI:ENN_e_UNIDDJOIERIlIWIffOtfOlflDr-------:22-,;-C9Hl2"1:1-=-.'t196fi-----------------------------
~
10 D 1156
11 D 0052
~
CO
920512
956144
ESMERALDA VENEGAS
EDGAR E WHITE
2,177.15
1,014.77
•
----pPE-:--08-ct2--U-ro .!U08!t·-:jl~-5t:--l:10!!.--_:_:_:::_:__:_------------____=____:__:_:___:_---------------------------10 D 0989
007020
CLARITO G ABANADOR
1,220.00
•
10 D 0789
004843
AARON M ACEVEDO
1,448.80
10 D 1154
934965
PAUL ADAMS
1,960.23
•
•
•
•
•
•
•.
---------~1O-D-1231--25l"31cr____YAw_D;tAN_ADtft.l-------ll-,.,-l2~9t'i7'-:-.4"ctctl'r-----------------------------
10 D 1097
10 D 0972
10 D 0625
166447
016015
022935
MARIA E AGUILAR
ROBERT ALMANZA
BRIAN ANDERSON
1,246.40
3,260.63
1,030.00
•
---------~lcrD-n41--024458--YVONNE_e_AHG------__Tlo',711.ctIiOt:."i:l~2-----------------------------
10 D 1195
10 D 1208
10 D 1010
027789
031273
043080
JOSE A ARGUETA
RICHARD ASA
BRENDA G BALDWIN
2,795.55
2,681.24
2,688.72
•
----------1O-D-103~046995--NICK-R_8ANttEtoS-----~2>-;,4"cti'i78R-:-;.3§:;3t------------------------------
10 D 0791
11 D 0029
10 D 0963
046129
046660
063950
JOS J BARANOWSKI
RICHARD BARBOSA
SHAWN W BELLER
2,175.32
2,177.15
2,061.08
..
----------10-D-1086--081-140--S1'-eI:I:A-BI:AS-NUN'lfO)-----~2o',ll-i7M7'-:-."i:l~5-----------------------------
•
•
•
•
••
-------e
REPORT-NO:- PT7axsPI
PAYMENT AUTHORIZATION NO. DIS: 11-022
PAGE: 003
CLAIM
08-02-10 TO 08-15-10
09 D 0406
10 D 0325
~
NAME
081867
086496
WILLIAM B BLINN
$
1.470.59
GARY D BOLSTER
1.851.20
PATRICcL--:-BOOKER----,Zr.:"'I3tTl " 0 9 ' . 4 r & l 8 r - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
C J BORNHAUSER
3.069.88
FRANSENE BRAVERMAN
909.60
LORENZO BRAZILE
2.150.84
----------ro-D-ro9·~08·6550
10 D 1230
09 D 0898
10 D 1033
TOTAL
e­ •
•
•
•
089673
099031
099405
•
•
----------rol)-0937--101439--PAMELA-D-BRIANO-----....,2.-.~3...-12.,......,.
onO,-----------------------------­
11 D 0001
784264
SONIA BRITO
2.049.08
10 D 1183
107726
CHERYL M BROWN
2.496.96
10 D 1163
111449
SHIRLEY BROWN
2.118.88
----------ro-D-0"622--109569--:JAliEs-G-SROWN------TI'.6l;"77":7,...-,;6"'0----------------------------­
10 D 1242
114630
CRANSTON BRYANT
1.398.01
10 D 0696
129178
OSCAR W CALDER
1.776.96
10 D 1040
137150
MACARIO CARRILLO
2.177.15
----------lrD-0035---073854--ANA-CASIcrAS------~2-..0
....9""8,........6...
8----------------------------­
10 D 0687
148970
JOEL S CHAMBERLAIN
3.209.91
JOSEPH J CHAMY
2.312.00
10 D 1210
149748
10 D 1186
149890
DARREN G CHANDLER
2.988.44
---------10-o-1240--152708--RAUL-cHAVE7Z-------1.....:-I5~2..
8:-."151::"----------------------------­
09 D 0841
152730
TIMOTHY J CHAVEZ
441.81
10 D 1011
158981
DAVID CLARK
2.995.01
10 D 1049
169506
JAMES R COLE
2.978.46
•
•
•
•
----------'10-D-0812--964709--A-"'Itl-rAtlS-=1-CI""10mL~L1I'J'EllR-------;2,....:1J8r,;6;1:5:-.5~2~----------------------------
11 D 0075
173535
10 D 1243
180766
10 D 0804
195230
-----------'l10-o-lt978--lt7Sl2Z
10 D 1160
055604
11 D 0030
215673
10 D 0907
211170
BELINDA A COMODA
JOE COPELAND
STEPHEN J CULLEN
CIMONE P DANIELS
HENRY DE LA CRUZ
RICHARD DE LOACH
STANLEY B. DEAN
1.442.14
3.782.17
3.161.54
1.246. 40
2.807.72
2.770.32
2.312.00
•
JUAN J DELGADILLO
JUAN DELGADILLO
CARLOS F. DELOVINO
1.254.80
3.056.31
1.268.80
•
•
----------'l:o-o-l:020--212n5--MANNV1':"""1)EI"E-------2,..7'11Hl~8o-.'llt88A-----------------------------
10 D 1177
11 D 0022
10 D 0566
193518
215138
984710
----------'l:O-01·l:93------'1cro64·3--------u-ARYtLDE~SAf[1NlI'ITI"lI~S~------jlr..c64<88:ft0-:1.81t10rt-----------------------------
10 D 1147
10 D 0264
10 D 0102
221800
231188
278908
ENRIQUE DIAZ
MYRA DORSEY
JOHN DUFT
2.253.52
1.246.40
996.80
•
----------'l:O-D-n857-------2lrtSltl--A~RKAIliM-------+l-:-'.1,.9Hl-.-A811'0-----------------------------
•
•
•
•
•
IT
------
-----------
--------
RcrUnl
E"P NO
08-02-10 TO 08-15-10
10 D 0964
244860
10 D 0923
247611
n-D-oo-n---250992
11 D 0062
202240
11 D 0009
353648
10 D 0806
874436
-11-022
004
TOTAL
NA"E
2,253.52
3,457.81
3,1ct9.22----------------------------­
2,118.88
2,706.45
2,887.43
---------~lo_D-0602--260512--"ARTHA_P_;_ESPfNOr--------:2~,~3i33r'177'.
6&101t----------------------------­
10 D 1185
261195
ROBERT J ESTRADA
1,659.44
10 D 1161
062849
DAPHNE EVANGELISTA
3,192.60
FANIEL-STAFFORD T.
2,118.88
10 D 1212
266604
---------~:tl-D-0081--5-79851
10 D 1149
10 D 1083
10 D 1050
271895
273632
275425
STEVEN EASTERLING
PAUL I ED"ONDS JR
R08E1ff " EL8INGER
DENISE ELLIS
"ATTHEW R E"BREE
GERI ENGSTROM
---~--
"~T7V~
PAY"ENT AUTHORIZATION NO. DIS:
PAGE:
CLAI"
•
573320
300087
056428
•
•
•
"AItlA-FAV£I;lrA-------'1l-,~8~cto«l9,.,..4-ct6-----------------------------
"ARK R FELTON
DAVID R FERREIRA
HUHBERTO J FIERRO
---------~1O-D-0'776--285950--DARREt_L_t_FOOK"ES
10 D 1013
10 D 0662
11 D 0079
$
•
•
•
•
SUREN FRANKLIN
KATHLEEN E FUJIKI
ALAN A GALIANO
2,795.55
2,334.02
340.83
•
21222'l-1:-i.ct~ctr-----------------------------
2,541.84
2,100.00
3,629.84
•
---------~1O-D-1085--30460e,_______'I_R"A~ALI:"ARDOr--------il-:-,'I:116&1SIi-,.,..;l311l8r__----------------------------
10 D 0859
305272
LORETTA S GALVAN
10 D 0520
306725
CRISTINA H. GARCIA
"ARGARET P GARCIA
10 D 1056
307114
-----------i1O-D-J:232--8885U-----.roHN-W-GA1WNER-jR
10 D 0966
857905
"ARY GARSON
11 D 0073
490585
G GIACHETTI-GONZAL
DENISE GONZALES
10 D 1098
329332
2,319.48
2,030.26
2,177.15
212"1;781r.1.O t f o t - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
2,118.88
2,177.15
2,118.88
•
•
---------~lO_D-08-n---329732____cHRlS'UNE-GON-ZA·&iLHEI'1Z-----il-:-,88'3!§l81l-:.~4164,.-------------------------------
10 D 1197
11 D 0054
11 D 0031
162602
930450
604297
"ICHAEL GONZALEZ
GAYLE D GREEN
RICHARD B GUARENTE
2,118.88
2,376.60
760.56
•
---------~10-D-0-736--635242--ANA-L-GtIERREROr---------'ll:-:,1iS3136(r.1.8Hlr-------------
10 D 1233
10 D 1106
11 D 0089
353025
364545
366076
CA"ILLE GUTIERREZ
REGINA HANKS
TI"OTHY J HANSEN
JIiL
2,118.88
2,118.88
1,038.87
~
---------~1O-D-0828--956l_75--DAtlIl\tt.HtARR1Sr-------;1I-:,,<l9ICoct9-2-l.
ct~ot------------------------------
11 D 0090
10 D 0527
10 D 0793
377496
386753
391023
STEPHEN HATFIELD
ANITA G HENDERSON
ELIEZER HERNANDEZ
1,271.60
1,321.18
2,003.96
•
---------~1O-D-0946--39163~YOLANDA_E_HE_RRERAlr-----12~,:ii6r22w6~.8'll:4r-----------------------------
•
•
•
•
•
()
0
•
•
•
•
•
•
rr---­
~.
Ii!
lD
~
~
~.
I
...
'"
"
'CD
...~.
'"
...e VJ
(J1
a'
~
i§
~.
•
•
•
•
•
-------
•--------KtrUKI NU:
PAY"ENT AUTHORIZATION NO. DIS:
PAGE:
CLAI"
E"P NO
NA"E
rl'UL~rL
. .•
•
•
11-022
005
TOTAL
PPE:
08-02-10 TO 08-15-10
10 D 1218
396618
TED HICK"AN
$
1,933.60
11 D 0015
395365
" R HIGGINBOTHA"
3,307.52
----------10-D-1067--410840--"ICHELHLEI'"-IH",OltlOrNNr.-G--------?2-=',2:>101H0 t - . " 6 q < A s , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
11 D 0091
197851
ROSA I HURTADO
278.94
ANDREA HWANG
979.12
10 D 1024
429456
11 D 0026
616260
SANDRA D I"PERIAL
2,118.88
•
•
----------10-D-1236--429459--GLEN-ItINFUSO'------c33c:-,7'.j'2~8~~.:1lq<Ci~,-------------------------------
10 D 1202
732322
BRENDA B JA"ES
1,768.33
PA"ELA C JENKINS
238.37
11 D 0036
440665
11 D 0005
119755
DANIELLE E JOHNSON
1,838.04
----------09-D-ons--4502Cfo------R--;:I()HNSON-OSBORNE------c9tflOtlo6-=-.6 1 < ' 1 7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
11 D 0044
099535
ROBERTA JONES
2,080.80
10 D 1204
457515
TERRY D JUDD
2,774.11
10 D 0242
465136
TI"OTHY A KEARNS
2,089.48
----------U-D-0021--4-73035--BONNI-rA-KERNES,--------~2~,c33cJ:-l2"2:1.
QIHQr-----------------------------­
11 D 0019
607837
KAWANA ". KEY
2,118.88
11 D 0027
630756
H KHADJEHNOURI
3,438.08
HU"A KHAN
1,088.00
10 D 0492
612353
•
•
•
rd8~4r.-"I1"2--------------------------------------10-D-122o-480804--DONALD-I-K-lSfR-R--------?2-=',4
10 D 1081
480858
10 D 0633
504720
11 D 0064
411786
----------lo-D-U:81-----s-:tn31
10 D 1261
112508
11 D 0102
269783
11 D 0028
078287
DAVID H KISHI"OTO
CHYRAN LARRY
LATISIA LAWSON
1,857.76
965.20
2,118.88
•
NOEL-l:EftONN--------~3r.,-lI63-3O-0:-i.1Mlr-------------------------------
TEHIA LEONARD
LYNDA L LEUNG
DOLORES LILLARD
2,319.48
932.00
2,118.88
•
----------10-D-104S--535l-65--HENRY-o-tOPE;lZ------~2z-,~9HlOtll-:-.2218!t-----------------------------
10 D 1237
538515
PHYLLIS LOSORELLI
2,118.88
10 D 1115
541127
"ARK A LOZANO
366.82
11 D 0045
888210
RAY"OND A LUSSIER
3,130.04
----------10-D-01l9--549012--ANNETT-e-c-"ACK
2,562-:-2'64----------------------------­
11 D 0038
551549
GARY "ADRIGAL
2,358.92
10 D 1140
540757
BRENT K. "ARTENS
3,198.04
CAYLE "ARTIN
1,454.88
10 D 1188
155583
----------09-D-0140--5669U---fHOttAs-tfARnflNffE;zZ'-:fJR-R------31h,ol12'33447'.1l-:3't----------------------------­
10 D 0982
578466
STUART I "C CLOUD
2,040.74
10 D 0901
590614
ARAINA A "C LAURIN
2,118.88
10 D 0226
593119
TORI S "C NEEL
1,360.00
•
•
..
----------10-D-0653--593D-35--AI:I:AN-tH1CNEAt:-t------;-1.:,22t8~2!_;._S566-----------------------------
.... •
•
.-
•
•
•
•
•
•
•
•
•
-
--
-­
REPORT NO: -pr]UI5Yr
PAYnENT AUTHORIZATION NO. DIS:
PAGE:
CLAIn
~
NAnE
11-022
006
IOTAL
PPE:
08-02-10 TO 08-15-10
10 D 0529
609875
nARK W nILLER
$
1 / 518.24
11 D 0080
611862
JOHN nILLONE
1 / 300.77
----------n-D-00U--62ffOrt8-------..1AlUrG ...
nD"'R....A
L"E""S----------..,2r-,"l::6"'Oo""".'9m9 r - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
KENNETH nORGAN III
1 / 992.88
10 D 1221
515793
10 D 0723
640933
ERIC Y. NAGAnINE
932.16
10 D 0757
643575
ELnER W NAVE
2 / 610.51
l
----------'ro-D-OffffO--645969--CA"RL-rNELSONr-------nc481l16C"".-,lnO
...------------------------------­
g
11 D 0041
646769
JAnES E NELSON
2 / 795.55
~.
11 D 0016
438063
TOnAS R NEVAREZ JR
1 / 043.09
c;;
11 D 0093
653841
nICHAEL S NINE
1 / 100.46
----------10-D-034O-----65480·0--RAYJ1OHD-rmJlJA:---------,I--:/-cr9722~.6;Ji
... - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
10 D 0980
659149
HUnBERTO S NUNO
908.48
10 D 1206
662840
DOREEN A O'DONNELL
2 / 118.88
~.
10 D 0583
665452
VIENNA Y OLIPHANT
1 / 158.24
~
----------llrD-ro48--148564--CHRISTINE-oRElIAff"..--------;:2..-,..,.177 7 ' 7 - ' 1 . 1 1 " 1 5 0 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
'..,",
11 D 0056
691532
ARTHUR J PENA
2 / 552.04
~.
10 D 1259
542344
STEPHANIE PEREIRA
2 / 118.88
~
10 D 0780
981109
LEARA L PHILLIPS
996.80
----------10-D-0585--710130--BARRY-.rPOOt:"J:E------1"I""'",7r.2"8r ....,7'.G.: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
cw
10 D 0885
714125
DANIEL C POWERS
2 / 552.04
10 D 0918
715106
LORRINE A PRATT
2 / 365.04
C11
I\J
10 D 0933
412020
CRYSTLE L PRESSLER
2 / 118.88
rT
i
§.
~
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
----------10-D-0833--(;2071S--CHRISTOPHcRImID1RE~Z.,.-----...,2..-,77'll134!r.--10l1:5°------------------------------
10 D 0783
11 D 0095
10 D 1245
017161
729405
732603
CARnEN RANGEL
ERICKA RANson
SCOTT A READER
10 D 1166
10 D 1122
11 D 0010
744470
749290
548234
CAROL Y RICHARDSON
nICHAEL R RIOS
ARLENE RODRIGUEZ
2 / 118.88
211.89
2 / 358.92
A1
----------n-D-ODl8--13'6""11l-.;tISAI'MMfs:'EVVlNlItOttL"f1Drc::S---~3't-,:-l6"2'Cl9t-.
84lr-----------------------------
•
•
•
•
•
•.
2 / 118.88
2 / 095.76
2 / 118.88
----------lD-D-lDS9--751'970--;JOHN-RIWDRIGtltpE.,.Z--------;!3r./"'t1~477-:-1.
Ottis:-----------------------------­
10 D 0436
758156
RAUL RODRIGUEZ
1 / 425.60
10 D 1118
759052
DEBORAH A. ROGERS
2 / 118.88
11 D 0066
761573
DAVID RonERO , JR
2 / 061.08
---------~lo_o_nll--77218O___DAtmv_1HWGGtfS
10 D 1252
11 D 0096
09 D 0277
772187
777039
779276
WILLIAn RUHE
A. T. SAADATI-SOHI
STEVEN S SALAS
3/06')-;-88~-----------------------------
1 / 159.36
2 / 375.58
909.60
---------~1D-D-lD29--18D265--RODOtfo_n_sAt:O
....
N-----~3r7/~31I-lSrr.:-fIOHlO.--------------------------------
•
•
•
•
•
•
•
•
•
"8.
~
Ii!CD
~
Cil
~.
I~
~.
Ii>
UJ
(]I
UJ
~.
..
------
-
- - - --
-
~'n
I'tU;
PAY"ENT AUTHORIZATION NO. DIS:
PAGE:
CLAI"
PPE:
08-02-10 TO 08-15-10
10 D 1174
10 D 1214
E"P NO
NA"E
215836
789993
A DELOS SANTOS
ALBERT W SCHEY
r,-,v,l;;:)r~
. .•
•
•
11-022
007
TOTAL
$
2.118.88
2.707.67
•
·:tl-D-01l4S--79o-3ttO-------;;ltlST"IN-E-Sf"CtfHI'flLHL-----~2~.,..;3W6ii'i5r-:-.ft104&-----------------------------
11 D 0049
976409
DAVID WSCHUSTER
2.613.92
•
JANELVA S WILLIA~
423.52
10 D 0470
781456
10 D 1134
135662
ELISA C. SELE"
2.312.00
-----------llo-D-07'6-7----a6467-BEN A. SHORTRIDGE
1. 023. 60
10 D 0534
325357
CAROL H SIN
1.495.68
10 D 1003
824491
RENATE 0 SISKIND
2.680.56
•
TED A S"ISSEN
3.630.71
11 D 0003
828343
----------11,-D-lo-76
4405911
LINDA-R-Si4"l"IT'flH------~2i>c.:-'I1-l1fl8~.8Rl8!r----------------------------10 D 1247
839193
WENDELL J SNYDER
2.727.36
•
DIANE STANLEY
1.740.12
10 D 0887
850280
10 D 1005
695822
ANDRE STEWART
193.04
- - - - - - - - - - l O - D - l O 06--863-780-AtE-IDIrt;-S;TTOOINIittEI!!'Sr--------:22-•.-!31f!8~3r..~26f<----------------------------10 D 0296
870365
RUTH SULLIVAN
1.312.64
11 D 0067
876994
ELEAZAR D. TABA"O
1.880.51
•
10 D 1215
917813
SHALONDA " TAYLOR
2.118.88
- - - - - - - - - - U - D - O050--411 6262
ANGELA B TH01tPSft
ON-------i2>-;;.-l1'l;18A-:-l.8:t18t-----------------------------­
10 D 1248
116953
ESTELA B TIE"AN
4.386.68
09 D 0252
899313
VREZH TORO"ANIAN
1.048.00
•
2.334.72
10 D 0971
899515
J TORRES-"EDINA
-----------09-D-0305-----908045
TRACY N TURNER
784.53
10 D 0728
845515
TERRELL T TURNTINE
1.087.60
•
ARTHUR R TYRIE
3.209.91
10 D 1103
909427
10 D 1135
911020
GLENN C UNDERWOOD
876.59
----------l1rD-1I884--918641
KENNETtHrVARGA~S-------i2>-;;.fl8fl8"1-3~.2~0t-----------------------------lID 0068
656636
LUIS A VILLASENOR
2.136.99
11 D 0051
922864
RICARDO VILLAVERDE
2.178.43
•
LAURA VON DER LUHE
1.640.84
10 D 0927
925110
•
•
•
•
• ti
•
----------lo-D-1249--495040------tllCHAEL-O-WALK£EIl"R--------:12'-;.~25§;3~.~5i:i2>------------------------------
10 D 1235
643830
CARHEN E WEBB
2.118.88
11 D 0099
915932
GINA RENE WELLS
1.165.38
11 D 0024
966961
KENNETH WILLIAHS
1.765.45
-----------1O-D-1008--9860U-S-T-EVEN-o-tfItIGHTT--------22••99'91Jl5r..:1IOrll:-----------------------------­
11 D 0059
984558
ANITRA L WRIGHT
2.118.88
2.177.15
10 D 1105
989364
IR"A YBARRA
10 D 0961
797662
DANIEL C YBARRA
1.364.40
AUG 2 6 2010
--OklE.
II
TOTAL
469.498.97
APPRO.EO~~
RETIRE"ENT PLAN
•
$
GER
•
•
JIiL
~
•
•
•
•
• -------'!.
•
•
•
•
•
- - •
•
RePORT NO.
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
PT7015Pl
11-023
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.
THE RETIREHENT PLAN HANAGER HEREBY CERTIFIES TO THE CHIEF ACCOUNTING EMPLOYEE OF THE DEPARTHENT OF WATER AND
POWER THAT THE CLAIHS HEREINAFTER LISTED ARE DUE AND PAYABLE FROH THE WATER AND POWER EMPLOYEES· DISABILITY
FUND AS A SUPPLEMENTAL BENEFIT FOR AN INDUSTRIAL DISABILITY, EXCLUSIVE OF THE FIRST THREE DAYS THEREOFj AND
--THAT-SA-ID-CHlEF-ACCOUNT-ING-EHPtOYEE-IS-AUTHORI-ZED-ANIH)I1tECTED-T-o-AU1'HEHTFIffe~Ar1T'FE-Ar-tD""E>tIMtaAtdNDft-10"N~S:HtleeHM-IFOI:tlIIiINIftDr'fIINIII------------------­
PAYHENT OF SAID CLAIMS.
b'
-----TTifE-CI:A-IMS-I;-ISfED-BEtOW-ARE-FOR-D-ISAUI;-I-TY-8ENEF-lfS-AeeRUlNG-DtIRfNG-flfE-PpjE~RiP'IIEflOIftDrlt'Ol~11:<i9'-""1il"O-'TFfOt-flOIB8;-T!15!S-'llHlOr-:.-----------------­
~.
OJ
It.
iii
INDUSTRIAL SUPPLEHENTAL COHPENSATION DISABILITY ROLL
m
~"
PERIOD:
I
I~
---------~Cal:~A-!lIH:I==---EHP-NO---1ttfjA~M~E===========-----:IflOtlI:!A!;;:L
-~
4
'-c...
07-19-10 TO 08-15-10
PPE:
C1I
~
~
PPE:
~.
C5
07-19-10 TO 08-01-10
11 C 0006
083820
NINA H BOARD
08-02-10 TO 08-15-10
10 C 0264
10 C 0212
007844
010187
DARLA E ADEOYE
DANIEL ALBA JR
$
===-------------------------­
927.18
2,118.88
843.59
•
•
•
•
•
•
•
•
•
•
•
•
~
----------1O-C-e266--o-1-·H-26-------t"EDRO-A-AAlLI::1V~AHiR!AAfiD60------fr6990D-:-i.7Alc-----------------------------­
o
10 C 0225
025670
10 C 0268
026527
10 C 0219
026920
----------:1O-e-0252--03048·7
10 C 0244
996276
11 C 0007
041012
10 C 0257
305734
I\)
~.
•
•
•
•
•
•
NICOLA R. ANTRILLI
ELISEO A ARAGON
SHARON P. ARCH
JAHES A. AROS
HARK A. ARVIZU
AHELIA A BAKER
STACY A BARRON
557.06
1,082.93
491.70
249-;-60
0.00
592.88
1,740.12
------------'10-e-024·1--0·703·70------ttARCOS-A-BfRHAAlLI::-------'91Jf8~4t-:.-33il:l----------------------------­
10 C 0110
080833
10 C 0148
114787
11 C 0010
318185
----------:lO-C-O025--13694il
10 C 0254
578204
10 C 0256
110110
10 C 0150
214230
----------1O-e-fl49--212888
II
•
LEON BLAND
0.00
JOHN N BRYANT
0.00
JULIAN F CAMPBELL
0.00
JA..e5 WCAREY
621.16
JOHN W CARTER
217.02
ARTURO DAVILA
2,995.40
FERNANDO DE LA LUZ
0.00
JUDY ANN-DIEEE<ERRlEI;------~354;4~§'"=-.~922_---------------------------­
•
•
•
•
••
b'
•
•
•
•
•
•
I.
~.
en
~
l
t­
I!
(..,)
C11
C11
~
~.
Cl
sg
'"
~.
-
--
-­
K~rUKl
NU:
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
CLAIM
PPE:
08-02-10 TO 08-15-10
10 C 0255
10 C 0248
EMP NO
NAME
213875
242360
GLEN DEJARNETT
JOHN T DUX
rT7u~~r~
11-023
002
TOTAL
15.30
1,553.23
115 l : " " " . ' 7 " " 3 r - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
----------'o9-C-oo52--3o'i82r--KENNETH\;1iO:EN~1
T1INtJlEr-----t&'i1
10 C 0134
305958
DAMON GANGI
0.00
10 C 0043
307186
PETER GARCIA III
0.00
10 C 0044
325900
RUBY M GOFFE
0.00
- - - - - - - - - - n - c - o 0U--32976O---FRED-GONZ1i["rEZ-r-------2....,-:3,..,7"'5,-."1<58..----------------------------­
10 C 0213
362020
RICHARD HAMILTON
1,188.00
10 C 0096
878659
JAMES HAN
0.00
10 C 0146
857510
JOHN L HEMPHILL
0.00
$
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
----------rO-C-0223--39t987--MICHA"EL·~R~RlI1EMRnlR""t1I1l"1iIil1NNg-------.:6co9T7-..9~0r------------------------------
10 C 0164
10 C 0227
09 C 0231
406560
391033
434730
PHYLLIS G HOLLIER
GREGORY T IACHELLI
MARGARET JACKSON
37.77
0.00
0.00
----------rO-C-0222--449260~00SEVE[T__;roHNNSc:10mNr-------T73~qr
.. . , 2 > Q 9 , - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
10 C 0230
471309
JAMES E KENNEDY
479.26
10 C 0214
484817
LEWIS KNIGHT
0.00
10 C 0236
615100
SCOTT K KOBAYASHI
0.00
----------'09-C1268--493374--BRYCEICRU<:-S..-E--------8tftO..
8-.2~7.,...----------------------------10 C 0160
566581
JOHNNY MARTINEZ
568.46
10 C 0153
745017
JAIME MAYORGA
0.00
10 C 0231
594361
BRENT E MCREYNOLDS
1,096.50
- - - - - - - - - - 0 1 7 C - O095--59650 2--PHIttIP-MEEKc:-S--------O..-. - n O l l ' O - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
10 C 0158
635096
MICHAEL E MUNIS
2,112.68
09 C 0271
346293
JORGE NAVARRO
0.00
11 C 0008
666213
CHARLES E OLMSTED
2,019.17
----------·10-c-1l25~6-7l)_185--t1:tIANNE
M
•
•
•
•
•
•.
11 C 0012
10 C 0086
11 C 0003
699163
727316
108981
PANTA
JAMES M PETTY
LORENZO A RAMIREZ
CASSIE ANN D REGO
543. 78
1,717.41
328.96
0.00
------------'l11t-C-02I-7--~OOOo___________DAV"'If\D-,A6-IRHIFf'C."O'FTT'FtomN'"E>--------fOt-.-ftOitO-----------------------------
11 C 0002
10 D 1101
10 C 0238
228034
751096
753116
---------~11t_c_oo_7O___6_l4"3<J8
DAVID R RIDS
JANIS L ROACH
MICHAEL L ROBERTS
479.26
1,495.68
653.46
ERIC R O B E R f S - - - - - - - - - f O l - : : . - f t O i t O - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
11 C 0004
757822
C R RODRIGUEZ
975.10
10 C 0267
758155
RAUL RODRIGUEZ
0.00
11 C 0005
779258
HERIBERTO M SALAS
906.62
------------llO-e-O246--'183D-n----eA1tHEtfNIrS-AlANNlDIltOltVfjArl:L----lJ:-,'""'3¥;9tll:-:-.~SftO-----------------------------
•
•
•
---
•
•
•
•
•
•
'8.
K~rUKI
nu;
PAYKENT AUTHORIZATION NO. DIS:
PAGE:
CLAIK
PPE:
08-02-10 TO 08-15-10
10 C 0253
11 C 0001
11rC-0239
11 C 0013
10 C 0119
10 C 0263
EKP NO
NAKE
679038
352214
852.51l1
777428
893798
902895
LUIS A SAUCEDO
JOHN E SKOLICH
rI/V~~r~
. .•
•
•
11-023
003
TOTAL
132.88
0.00
KICKAEt--"TST'JtAT'I'ILHA"NmDr-----227,l~2~"'r. .. , . 2 . , . 6 - - - - - - - - - - - - - - - - - - - - - - - - - - - - ­
LAVON STONUK JR
427.89
RANDALL L THORPE
0.00
CARL A TRICE
175.95
$
10 C 0240
10 C 0261
10 C 0216
~
m
x
"<il
193273
922844
895016
JESUS L VALADEZ
JUAN C VILLARRUEL
TRAVIS J YOUNG
TOTAL
~.
0.00
690.71
0.00
$
•
•
•
•
•
•
40,603.46
...
0
'"~
"0
Co,)
CJ1
0>
DATE:
AUG. 2 6 2010
APPROVED:~ ~
RET-1REKENIPLAN \!PIAGfft
...
'-
~.
(f
0to
'~.
"
0
•
•
•
•
•
•
•
-----------tl09-C-0227--9"1245S--PHItL-r..-v-tJ'IJRECliN~IHA<----------flOt-.-&Oft-O-----------------------------
C"J
0
''"....",
•
-­•
II
•
•
•
•
•
•
•
•
•
•
•
•
"8.
b'
•
•
ltCTUlt I
nu;
PAYMENT AUTHORIZATION NO. DIS:
PAGE:
r" 1-' U-,I;~r",I;
11-024
001
IN ACCORDANCE WITH PLAN SECTION III A (7) IC) 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-WHIeH-AHD-THA~-THE-MEMBERS-HAVE-ExEeUTED-THE_AeK~L~ENf-AND-AeREEtIENT
REDUIRED UNDER SE£TIBN V B (7)
OF THE PLAN.
OF THE DEPARTMENT 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.
--------~T~H·E-RE~IREMENT-P~AN-MANAGER-HEREBY-eERTIF~Es_T~HE-titIEF-AeEeUNTiH&-EHPLOYEE
~
~
iil
~.
I
THE CLAIMS LISTED BELOW ARE FOR CONTINGENT DISABILITY BENEfITS PURSUANT TO SECTION V D (7) OF THE PLAN DURING
THE PERIOD OF 06-21-10 TO 08-15-10 .
....
I~
~.
....
CONTINGENT DISABILITY ROLL
to
(..)
PERIOD:
06-21-10 TO 08-15-10
C1l
-....I
EMP NO
NAME
06-21-10 TO 07-04-10
10 D 1181
10 D 0363
086881
541806
VIOLET JONES
JOSEPH R LUCERO
07-05-10 TO 07-18-10
10 D 1181
10 D 0363
086881
541806
VIOLET JONES
JOSEPH R LUCERO
1,640.84
2,166.97
07-19-10 TO 08-01-10
10 D 0363
541806
JOSEPH R LUCERO
2,166.97
CLAIM
C;
~.
•
•
•
PPE:
PPE:
PPE:
TOTAL
$
1,312.67
2,166.97
e_
•
•
•
•
•
•
•
•
•
•
•
•
•
----PPE-:--08-02-!O-TO .!!!08~-:j-l~05~-·~10!!.--=-:=-=----=-==-:--:-:-:--:-=-:-:=--------::--=-=--=-=----------------------------10 D 0521
012512
BEVERLY A ADAMS
1,495.68
•
10 D 0900
507583
AHMED DMINI
1,081.20
11 D 0063
319087
PAULA L. GILES
2,118.88
-------------------09-D-0922--333S4O--MIeHAEL-A-GORWOOD
1.0227.6~7r--------------------------------------------------------
•
•
•.
•
•
•
•
•
•
01
(")
0
•
•
•
•
•
•
--.
...-------
-
.
._-----
KEYOxr-NU:
PAY"ENT AUTHORIZATION NO. DIS:
PAGE:
CLAI"
~
08-02-10 TO 08-15-10
10 D 0512
397990
10 D 0363
541806
----------'101)-0720-5"62030
10 D 1047
419049
11 D 0047
752197
11 D 0053
990522
. .
•
---,--------,
PJ'015Pl
11-024
002
TOTAL
NA"E
PPE:
SHARON" HILL
$
1,246.40
JOSEPH R LUCERO ~
2,166.97
lDf1T1
Irl
rn
OSCAR-.rAIl1RI1JRJtOQUINg--------,.17,2:>1q6;-."1lq
O----------------------------­
GREGORY NASO
1,448.80
CHER T ROBERTS
1,906.99
TADELLE YOSEPH
2,175.32
----------'ro-D-n21--997961--CYNDAL~AJ::TI----"'::tl::L,
7~qll!0G:.l:12r---------------------------
~.
CD
TOTAL
$
27,103.85
.s
til
~.
I
AUG 2 GZOIO
t:;
I
UJ
C1l
t:...
•
•
•
•
•
•
•
(X)
~.
§.
~
•
•
•
•
•
• ..
-oATE-:
'PP'D.ED~ ~~
RETI RE"ENTPlANAGER
r
·•
•
•
•
•
•
0
o
••
PAYMENT AUTHORIZATION NO. MEM 11- (J '8
-
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
296029
264107
594622
Kevin P. Green
Gilroy A. Pitts, Sr.
Michael D. Synagogue
$
$
$
0.00
4,375.38
2,830.19
TOTAL
7,205.57
PAY TO IRS/FEDERAL TAX
1,824.21
PAY TO L. A. CITY
TREAS/STATE TAX
91.30
PAY TO: JP MORGAN CHASE BANK,
NA FBO: KEVIN P. GREEN
#500072879650
TOTAL
1,767.40
10,888.48
APPROVED
A_UG_l_2_2_D1_0
DATE: _ _
s::-----T~<--;r-- ~' _ RETIR~MANAGER
3.59
..­_::t'
PAYMENT AUTHORIZAnON NO. MEM 11-
0·; Au·:'
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 N 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
017221
877712
028870
107242
Juan R. Alvarez
Manuel Hernandez
Tasha A. Muldrew
Ricardo Rivas Salazar
$
$
$
$
36,917.00
39,92733
1,186.36
5,284.55
TOTAL
83,315.24
PAY TO IRS/FEDERAL TAX
21,489.47
.,
PAY TO L. A. CITY
TREAS/STATE TAX
1,382.63
PAY TO: STATE DISBURSEMENT UNIT
(MANUEL HERNANDEZ, CASE
NUMBER: 0370020795146)
600.00
PAY TO: STATE DISBURSEMENT UNIT
(RICARDO RNAS SALAZAR, CASE
NUMBER: 03 70021087992)
660.00
TOTAL
107,447.34
APPROVED
DATE:
AUG 1 9 2010
----------
RETIREMENT PLAN MANAGER
kbiJJ
nr
v\V'
3.60
0I
Resolution No. 11Page 2
Singletary
Gabor
Singletary
Slater
Slick
Tavlian
Ybarra
Ybarra
--:'i-.
Richard
Judith
Richard
Lucille
Roy
Ovsanna
Victor
Victor
o
c
A
Assignee
Lump Sum
Full
H
M
M
D
D
D
B
$
$
$
$
$
$
$
$
1,522.36
380.21
221.78
4,063.34
5,762.75
963.92
14,091.96
577.25
$
$
$
$
$
$
$
$
1,522.36
380.21
221.78
4,063.34
5,762.75
963.92
14,091.96
577.25 A ddt'I
$
172,586.15
$
172,586.15
Each such person listed hereinabove is hereby granted a retirement allowance, payable monthly for
life, or until otherwise ordered by the Board of Administration or the Retirement Plan Manager acting
for the Board in the amount set forth opposite his or her name in the last column and under the terms
of the option set forth opposite his or her name in the second column, commencing with the month of
August 1, 2010 and the Chief Accounting Employee is authorized and directed to authenticate
demands on the Water and Power Employees' Retirement Fund in payment thereof.
Approved:
.
Date:
/'
~
~~
AUG 12 20ta·
- ,<
Retirement Plan Manager
3.62
Payment Authorization No. RET 11-
In accordance with Plan Section III 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.
Moralle Gray, eligible spouse ofFrank Gray, was granted an Eligible Spouse
Continuance, effective June 13, 1989.
Letters of Conservatorship have been received by this Board on behalf of Moralle
Gray, issued by the Superior Court of California, County of Los Angeles, Case Number
BP120885, filed July 23,2010, appointing Linda DeClouette as her Conservator.
Until this Conservatorship is removed, revoked or suspended, Linda DeClouette
shall be recognized as Moralle Gray's Conservator to exercise or enforce any option,
election, or right to which Moralle Gray may be entitled under the terms of the Water
and Power Employees' Retirement Plan.
Effective October 1, 2010, any Plan benefits payable to Moralle Gray shall be
paid in the name of Linda DeClouette, Conservator of Moralle Gray.
Approved:
~9480
3.63
4:
PAYMENT AUTHORIZATION NO. ADM 11-11
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.
The Retirement Plan Manager cerhfies 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.
PAY TO
DESCRIPTION
AMOUNT
Belmont Heights
Mental Health
Medical Records fee for Carmen Gutierrez
Dr. Michael Z. Mekjian.
Medical Services Provided for
Sandra Curdes
$ 25.00
$1,670.00
TOTAL
$1,695.00
APPROVED BY:
Date
8/5/2010
R
Misc Inv - Disability
Admin:
IPcl~~
3.64
IREMENT PLAN MANAGER
PAYMENT AUTHORIZATION NO. ADM 11-12
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.
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.
PAY TO
DESCRIPTION
Kaiser Permanente ­
Patient Support
Services
Medical Records Fee for Linda Smith
$31.70
BACTES
Medical Records Fee for Regalado
Estevan
$62.27
AMOUNT
TOTAL
$93.97
APPROVED BY:
Date
~~
8/12/2010
RETIRE EI\JT PLAN MANAGER
Misc Inv - Disability
Admin: kvJ1-V
3.65
PAYMENT AUTHORIZATION NO. ADM 11-13
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.
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
Wendy Loo
Reimburse Depu.ty CA advanced filing fee
for Complaint on Moel.ler
Nondischargeability of Debt
TOTAL
$250.00
$250.00
APPROVED BY:
Date
'~~-
08/19/10
RETI EMENT PLAN MANAGER
Misc Inv - Retirement
Admin:
Ip~~
3.66
PAYMENT AUTHORIZATION NO. ADM 11-14
o
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.
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 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.
PAY TO
DESCRIPTION
Water ICs
Invoice #GA75690 / Retirees' Health Care
Contributions for August 2010 (based on
actual July 2010 Department subsidy)
$1,965,202.40
Power ICs
Invoice #GA 165266/ Retirees' Health Care
Contributions for August 2010 (based on
actual July 2010 Department subsidy)
$4,165,151.27
AMOUNT·
TOTAL
$6,130,353.67
APPROVED BY:
Date
~~
R~MANAGER
8/19/2010
Misc. Inv. - Retiree Health Benefit Fund
Admin: Ipc
CfL
3.67
PAYMENT AUTHORIZATION NO. ADM 11-15
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.
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
W&P Employees'
Disability Fund
Salaries paid to Retirement Plan Admin.
Office Employees for the pay periods ending:
July 4, 2010 $35,898.48
July 18, 2010 $36,763.23
$72,661.82
TOTAL
$72,661.82
APPROVED BY:
"
Date
_s,~~
8/26/2010
RE EMENTPLAN MANAGER
Misc. Inv. - Death Benefits
Admin: IPc01-(,
3.68
PAYMENT AUTHORIZATION NO. ADM 11-16
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.
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.
PAY TO
DESCRIPTION
AMOUNT
Michael Z. Mekjian
Medical Services provided for Estevan
Regalado
$1,270.00
W&P Employees'
Retiree Health Benefits
J Stuart Meisner
Error in billing Disability IC No.1 0-21 DIS
$76,969.39
Medical Services provided for Timothy
Chavez
TOTAL
$2,000.00
$80,239.39
APPROVED BY:
Date
~~
8/26/10
REEMENTPLAN MANAGER
Misc Inv - Disability
Admin: Ipc l~ v
3.69
PAYMENT AUTHORIZATION NO. ADM 11-17
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.
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
W&P Employees'
Disability Fund
Salaries paid to Retirement Plan Admin.
Office Employees for the pay periods ending:
$108,045.35
July 4,2010
July 18,2010
$110,668.24
Bottomline
Techno logies
Inv #INV11 01367 Digitizing Service
$218,713.59
$ 500.00
$219,213.59
TOTAL
APPROVED BY:
Date
~~
8/26/10
RETIR
Misc. Inv. - Retirement
Admin: Ipc ~v
3.70
ENT PLAN MANAGER
PAYMENT AUTHORIZATION NO. ADM 11-18
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.
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.
AMOUNT
PAY TO
DESCRI PTIOI'J
W&P Employees'
Retirement
Fund
Investment Advisor fees for RHBF quarter
ending 03/31/10:
T Rowe Price
$37,225.54
Boston Co.
$37,545.38
Wells High Yield $38,654.73
$113,425.65
W&P Employees'
Disability Fund
Salaries paid to Retirement Plan Admin.
Office Employees for the pay periods ending:
July 4,2010
$14,616.62
July 18,2010
$15,101.72
$29,718.34
TOTAL
$143,143.99
APPROVED BY:
Date
8/26/10
~~
RE
Misc. Inv. - Retiree Health Benefits
Admin: Ipc
ltt
3.71
EMENT PLAN MANAGER