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I - 11)
<br />'11005 21 6 V8
<br />2004 2003 0QI8IKAL QAIGIHN-
<br />ACCDVHT HUrIS[8 ACCQURT u[SCDIPTIQH AC?UALC ACTUALS 8U0c[T 0U0UT
<br />101-04O4-15l11-08 GRQU9 IHSURARC[ - HEALTH 58,962 56'600 71'tYY 83 ,Y89
<br />LEVEL. TEXT TEXT AMT
<br />10 LQH0-7[KM DISABILITY:
<br />7 [MP X $5.80 X 24 PAY P[KIBH 848
<br />4 [MP X $500 X 24 PAY P[KIM X 60,06X(0JA,SE,00,
<br />UH> 288
<br />N[ALYH IHS/RAMILY COVERAGE:
<br />5 [MP X $4-M78 X 24 PP(0�'UVU,A0,MAC,ZS) 57,d54
<br />2 [MP X W8.78 X 24 PP X 68.0O%(0JA.D0 8,789
<br />9[AL7H IRS/SIHGLE MV[RAG[:
<br />1 [UP X $18l51 X 24 PP (Ac) 4,404
<br />1 UP X s183, 51 X 24 PP # ,68 (MN ,SE) 3,285
<br />HEALTH IHC/R�8AT[�
<br />1 803 X g65.00 K 24 PP (80V) 1,560
<br />BENEFITS A8MIH ALLDCATIDH EXPENSE:
<br />1 [MP X S15.36 X 24 PP 369
<br />181-U404-45�1l-0Y GRD&P IHSUHAHC[ - LIFE
<br />L[V[L T[XT
<br />l0 7 [UP X �7 00 X 24 PP
<br />4 0M9 X $7.00 X 24 PP X 60 0JA,SE'00,M8)
<br />101-U404-45l11-18
<br />FLEX, SPENDING ACCOUMT
<br />L[V[L TEXT
<br />10 4 [MPLQY[[S X $500.00 X .060 (VJA,CE,00^MH)
<br />7 EMPL8Y[[S X $580.0U
<br />8.3,989
<br />1,227 1,404 1,57Y 1,579
<br />TEXT MT
<br />1'176
<br />40�
<br />1.5yy
<br />4,}6O 4'70O 4,708 4,70O
<br />TEXT ANT
<br />1.2U0
<br />3,500
<br />4,700
<br />101-0404-453,11-22 PARKING ALLDQAHC[ 2,750 2,200 2,820 1,948
<br />LEVEL TEXT TEXT AUT
<br />l0 7 [N9LOYE[C X 12 VOKTHC X �35�00 2,941)
<br />4 81PLDY[[S X 12 MQKTHS X $35.00 X .60(0JA,S[,
<br />0D,MH) 1.000
<br />* PERCDHK[L SERVICES
<br />CUPPLlIS
<br />101-0404-453.21-03 C.C,DTH[R 0FFIC[ SUPPLICC
<br />1O1-040�-45l21-04
<br />OTHER - OFFICE SUPPLIES
<br />101-0494-03, 22-95 UK-TFURMS
<br />],Y48
<br />495'551 483,152 501,596 52]'15]
<br />1,820 1,754 1,553 1,553
<br />4,943 4'5U9 4,700 4,700
<br />90 2Y5 20U 200
<br />
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