WED, MAY 5, 2004, 3:58 PM PAGE 1
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: AGUILAR, ISIDRO ID: 548-08-4699
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03N-AE-00 20 0.94 5,113.36 385.31 383.50 9.16 12.46 482.38 1272.81
TOTAL PRG/ORG 111-P03N 0.94 5,113.36 385.31 383.50 9.16 12.46 482.38 1272.81
TOTAL EMPLOYEE 0.94 5,113.36 385.31 383.50 9.16 12.46 482.38 1272.81
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 2
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ALBARRAN, PEDRO ID: 542-07-6544
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AU-00 20 0.11 413.82 30.76 5.47 1.13 1.54 0.00 38.90
TOTAL PRG/ORG 111-G015 0.11 413.82 30.76 5.47 1.13 1.54 0.00 38.90
TOTAL EMPLOYEE 0.11 413.82 30.76 5.47 1.13 1.54 0.00 38.90
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 3
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ALEXANDER, CARLA ID: 546-25-4099
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AH-00 05 0.15- 502.00- 38.53- 6.39- 0.97- 1.32- 0.00 47.21-
145-111-G015-AH-00 15 0.15 502.00 38.51 6.39 1.05 1.42 0.00 47.37
145-111-G015-AH-00 20 0.15 502.00 38.53 6.39 0.97 1.32 0.00 47.21
TOTAL PRG/ORG 111-G015 0.15 502.00 38.51 6.39 1.05 1.42 0.00 47.37
TOTAL EMPLOYEE 0.15 502.00 38.51 6.39 1.05 1.42 0.00 47.37
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 4
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ALVARADO, MICHAEL ID: 546-12-1183
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 165.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 165.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 165.60 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 5
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ALVAREZ, BEATRICE ID: 544-48-9601
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.12 200.33 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.12 200.33 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 200.33 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 6
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: AMADOR, ELIZABETH ID: 543-28-2419
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.15 183.71 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.15 183.71 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.15 183.71 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 7
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ARMIHO, DENISE ID: 542-80-6778
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.18 306.38 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.18 306.38 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 306.38 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 8
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ARMSTRONG, BYRON ID: 545-88-8933
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03J-AD-00 20 0.40 794.88 60.80 0.00 3.95 5.38 0.00 70.13
TOTAL PRG/ORG 111-P03J 0.40 794.88 60.80 0.00 3.95 5.38 0.00 70.13
TOTAL EMPLOYEE 0.40 794.88 60.80 0.00 3.95 5.38 0.00 70.13
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 9
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ASHLOCK, LARRY ID: 547-48-1401
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-W03C-AH-99 20 0.13 418.33 31.83 31.27 0.77 1.05 0.00 64.92
TOTAL PRG/ORG 111-W03C 0.13 418.33 31.83 31.27 0.77 1.05 0.00 64.92
145-111-WA3A-AC-00 20 0.34 1,085.96 81.58 81.18 2.51 3.41 158.70 327.38
TOTAL PRG/ORG 111-WA3A 0.34 1,085.96 81.58 81.18 2.51 3.41 158.70 327.38
145-111-WA3B-AC-00 20 0.34 1,118.92 84.50 84.10 2.59 3.53 164.98 339.70
TOTAL PRG/ORG 111-WA3B 0.34 1,118.92 84.50 84.10 2.59 3.53 164.98 339.70
145-111-WA3C-AC-00 20 0.34 1,085.96 81.58 81.18 2.51 3.41 158.70 327.38
145-111-WA3C-AH-99 20 0.13 418.33 32.41 31.84 0.78 1.06 0.00 66.09
TOTAL PRG/ORG 111-WA3C 0.47 1,504.29 113.99 113.02 3.29 4.47 158.70 393.47
TOTAL EMPLOYEE 1.28 4,127.50 311.90 309.57 9.16 12.46 482.38 1125.47
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 10
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BANKS, ELAINE ID: 543-40-8318
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.20 243.23 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.20 243.23 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.20 243.23 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 11
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BEAM, RACHELLE ID: 541-27-8221
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AE-00 20 0.94 4,259.92 322.34 319.15 7.26 9.88 482.38 1141.01
TOTAL PRG/ORG 111-G015 0.94 4,259.92 322.34 319.15 7.26 9.88 482.38 1141.01
TOTAL EMPLOYEE 0.94 4,259.92 322.34 319.15 7.26 9.88 482.38 1141.01
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 12
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BEAN, DEENA ID: 543-65-6352
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-WA3B-AK-00 20 0.25 438.61 31.83 5.78 2.29 3.11 120.12 163.13
TOTAL PRG/ORG 111-WA3B 0.25 438.61 31.83 5.78 2.29 3.11 120.12 163.13
145-111-WA3C-AK-00 20 0.25 438.59 31.75 5.76 2.28 3.10 120.12 163.01
TOTAL PRG/ORG 111-WA3C 0.25 438.59 31.75 5.76 2.28 3.10 120.12 163.01
TOTAL EMPLOYEE 0.50 877.20 63.58 11.54 4.57 6.21 240.24 326.14
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 13
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BETENCOURT, MARIA ELENA ID: 544-26-9999
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.19 657.50 50.50 49.51 0.97 1.32 0.00 102.30
TOTAL PRG/ORG 111-1H01 0.19 657.50 50.50 49.51 0.97 1.32 0.00 102.30
TOTAL EMPLOYEE 0.19 657.50 50.50 49.51 0.97 1.32 0.00 102.30
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 14
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BIRD, COREY ID: 527-68-6400
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 137.14 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 137.14 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 137.14 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 15
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BLACK, TERESA ID: 544-20-1547
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1EPC-AK-00 20 1.00 2,586.00 193.97 34.14 9.16 12.46 482.38 732.11
145-111-1EPC-AK-00 30 0.00 0.00 0.28- 0.00 0.07 0.10 719.34- 719.45-
TOTAL PRG/ORG 111-1EPC 1.00 2,586.00 193.69 34.14 9.23 12.56 236.96- 12.66
TOTAL EMPLOYEE 1.00 2,586.00 193.69 34.14 9.23 12.56 236.96- 12.66
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 16
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BLAINE, THOMAS ID: 541-25-8935
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.13 394.50 30.08 39.32 0.51 0.70 0.00 70.61
TOTAL PRG/ORG 111-1H01 0.13 394.50 30.08 39.32 0.51 0.70 0.00 70.61
TOTAL EMPLOYEE 0.13 394.50 30.08 39.32 0.51 0.70 0.00 70.61
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 17
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BLOEDEL, PELL ID: 545-61-1090
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 129.38 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 129.38 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 129.38 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 18
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BOONE, E ID: 541-85-7877
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-W03A-AH-99 20 0.38 1,255.00 95.64 125.88 2.56 3.48 0.00 227.56
TOTAL PRG/ORG 111-W03A 0.38 1,255.00 95.64 125.88 2.56 3.48 0.00 227.56
TOTAL EMPLOYEE 0.38 1,255.00 95.64 125.88 2.56 3.48 0.00 227.56
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 19
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BOWDEN, K R ID: 546-08-3528
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6520-AH-00 20 0.10 350.67 27.17 0.00 0.67 0.91 0.00 28.75
TOTAL PRG/ORG 111-6520 0.10 350.67 27.17 0.00 0.67 0.91 0.00 28.75
TOTAL EMPLOYEE 0.10 350.67 27.17 0.00 0.67 0.91 0.00 28.75
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 20
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BOWER, NEIL ID: 540-21-2775
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 21
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BOWERMAN, GEORGE ID: 576-72-5300
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6068-AD-00 20 0.03 624.88 47.80 0.00 0.25 0.33 0.00 48.38
TOTAL PRG/ORG 111-6068 0.03 624.88 47.80 0.00 0.25 0.33 0.00 48.38
TOTAL EMPLOYEE 0.03 624.88 47.80 0.00 0.25 0.33 0.00 48.38
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 22
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BRIBIESCA, CIRILO ID: 271-30-1723
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.34 570.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.34 570.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.34 570.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 23
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BRICKELL, W ID: 548-88-9177
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.11 190.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.11 190.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 190.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 24
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BROWN, CLIFFORD ID: 541-73-8020
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1CS3-AM-0T 20 0.20 367.50 0.00 0.00 2.00 2.73 0.00 4.73
TOTAL PRG/ORG 111-1CS3 0.20 367.50 0.00 0.00 2.00 2.73 0.00 4.73
TOTAL EMPLOYEE 0.20 367.50 0.00 0.00 2.00 2.73 0.00 4.73
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 25
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: BUCHBERGER, ELIZABETH ID: 541-28-5114
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.17 281.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.17 281.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 281.20 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 26
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CABALLERO, MANUEL ID: 543-69-0114
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.31 367.43 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.31 367.43 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.31 367.43 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 27
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CARBARY, DONNA ID: 582-95-7257
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 28
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CARGILE, ROBERT ID: 542-69-9969
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.20 232.88 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.20 232.88 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.20 232.88 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 29
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CASTELLANOS, ABRAM ID: 464-21-4421
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1X00-AK-00 20 1.00 2,526.00 189.19 33.34 9.16 12.46 482.38 726.53
TOTAL PRG/ORG 111-1X00 1.00 2,526.00 189.19 33.34 9.16 12.46 482.38 726.53
TOTAL EMPLOYEE 1.00 2,526.00 189.19 33.34 9.16 12.46 482.38 726.53
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 30
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CHACON, JORGE ID: 544-81-0174
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.12 144.90 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.12 144.90 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 144.90 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 31
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CHRISTENSEN, STEV ID: 545-87-0925
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.21 250.99 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.21 250.99 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.21 250.99 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 32
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CLARK, CALVIN ID: 544-81-8484
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 201.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 201.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 201.83 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 33
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CLOW, BRUCE ID: 575-14-1417
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.04 70.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.04 70.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.04 70.70 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 34
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: COMERY, KEITH ID: 544-09-5559
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 203.13 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 203.13 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 203.13 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 35
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: COUCH, HELEN ID: 548-69-4705
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.02 31.05 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.02 31.05 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.02 31.05 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 36
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: COURSEY, ROY ID: 542-72-6409
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.23 269.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.23 269.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.23 269.10 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 37
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: COUTURE, A ID: 571-16-8536
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.08 136.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.08 136.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.08 136.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 38
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CROOK, D ID: 583-47-1355
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.40 1,338.66 101.64 100.40 1.53 2.08 482.38 688.03
TOTAL PRG/ORG 111-1H01 0.40 1,338.66 101.64 100.40 1.53 2.08 482.38 688.03
TOTAL EMPLOYEE 0.40 1,338.66 101.64 100.40 1.53 2.08 482.38 688.03
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 39
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CROSSER, PAT ID: 542-21-2992
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1CS3-AM-0T 30 0.17 317.63 0.00 0.00 0.00 1.73 2.36 4.09
TOTAL PRG/ORG 111-1CS3 0.17 317.63 0.00 0.00 0.00 1.73 2.36 4.09
TOTAL EMPLOYEE 0.17 317.63 0.00 0.00 0.00 1.73 2.36 4.09
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 40
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CROUCH, SUSAN ID: 545-47-4024
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.07 117.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.07 117.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.07 117.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 41
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: CUFF, DARREL W ID: 550-64-2678
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-PC02-AH-00 20 0.06 251.00 19.21 0.00 0.57 0.78 0.00 20.56
TOTAL PRG/ORG 111-PC02 0.06 251.00 19.21 0.00 0.57 0.78 0.00 20.56
145-111-W03C-AH-00 20 0.08 251.00 19.20 0.00 0.57 0.78 0.00 20.55
TOTAL PRG/ORG 111-W03C 0.08 251.00 19.20 0.00 0.57 0.78 0.00 20.55
TOTAL EMPLOYEE 0.14 502.00 38.41 0.00 1.14 1.56 0.00 41.11
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 42
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DABNEY, J ID: 546-09-2351
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 43
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DAHL, MARK ID: 544-61-0901
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 44
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DEAL, MARY ID: 528-08-5148
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6325-AE-00 20 0.94 4,976.52 377.45 373.24 9.16 12.46 482.38 1254.69
TOTAL PRG/ORG 111-6325 0.94 4,976.52 377.45 373.24 9.16 12.46 482.38 1254.69
TOTAL EMPLOYEE 0.94 4,976.52 377.45 373.24 9.16 12.46 482.38 1254.69
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 45
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DECAMERA, LEROY ID: 540-81-6012
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 46
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DECHAND, CHERYLE ID: 552-69-1493
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 160.43 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 160.43 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 160.43 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 47
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DECHENNE, JASON ID: 541-68-6594
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 48
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DEMELE, SUE ID: 306-67-5842
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.07 125.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.07 125.70 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G015-AM-0T 20 0.05 62.10 0.00 0.00 0.41 0.55 0.00 0.96
TOTAL PRG/ORG 111-G015 0.05 62.10 0.00 0.00 0.41 0.55 0.00 0.96
TOTAL EMPLOYEE 0.12 187.80 0.00 0.00 0.41 0.55 0.00 0.96
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 49
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DEMPSEY, DOROTHY ID: 546-87-8913
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AK-00 20 0.80 1,642.40 121.77 21.68 8.24 11.22 482.38 645.29
TOTAL PRG/ORG 111-G015 0.80 1,642.40 121.77 21.68 8.24 11.22 482.38 645.29
TOTAL EMPLOYEE 0.80 1,642.40 121.77 21.68 8.24 11.22 482.38 645.29
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 50
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: DUNN, BOB ID: 544-41-6817
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 135.85 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 135.85 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 135.85 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 51
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ENGEL, BARBARA ID: 543-00-1841
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.06 75.04 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.06 75.04 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.06 75.04 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 52
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ENGELHARD, MARK ID: 541-15-9838
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1CS3-AM-0T 20 0.14 257.25 0.00 0.00 1.40 1.91 0.00 3.31
TOTAL PRG/ORG 111-1CS3 0.14 257.25 0.00 0.00 1.40 1.91 0.00 3.31
TOTAL EMPLOYEE 0.14 257.25 0.00 0.00 1.40 1.91 0.00 3.31
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 53
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ENGENE, GENE ID: 489-60-0280
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 125.50 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 125.50 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 125.50 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 54
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ESTES, DELAYNE ID: 551-46-8524
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6320-AC-00 20 0.50 1,472.92 112.11 19.44 4.58 6.24 241.19 383.56
TOTAL PRG/ORG 111-6320 0.50 1,472.92 112.11 19.44 4.58 6.24 241.19 383.56
145-111-W03A-AC-00 20 0.50 1,472.92 112.09 19.44 4.58 6.22 241.19 383.52
TOTAL PRG/ORG 111-W03A 0.50 1,472.92 112.09 19.44 4.58 6.22 241.19 383.52
TOTAL EMPLOYEE 1.00 2,945.84 224.20 38.88 9.16 12.46 482.38 767.08
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 55
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: EVERITT, JUDY ID: 542-41-9997
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-WA3A-AK-00 20 1.00 2,005.00 152.25 26.46 9.16 12.46 482.38 682.71
TOTAL PRG/ORG 111-WA3A 1.00 2,005.00 152.25 26.46 9.16 12.46 482.38 682.71
TOTAL EMPLOYEE 1.00 2,005.00 152.25 26.46 9.16 12.46 482.38 682.71
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 56
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FAGG, RICHARD ID: 493-07-5742
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.45 1,578.00 114.75 118.35 2.29 3.12 482.38 720.89
TOTAL PRG/ORG 111-1H01 0.45 1,578.00 114.75 118.35 2.29 3.12 482.38 720.89
TOTAL EMPLOYEE 0.45 1,578.00 114.75 118.35 2.29 3.12 482.38 720.89
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 57
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FERGERSON, C ID: 543-00-3280
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.35 600.98 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.35 600.98 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.35 600.98 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 58
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FIELDS, ADA ID: 548-67-7341
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.14 220.40 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.14 220.40 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 220.40 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 59
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FIFIELD, SHEILA ID: 540-60-7669
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.17 273.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.17 273.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 273.60 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 60
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FINCH, NORMAN ID: 225-81-3056
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03G-AE-00 20 0.94 4,976.52 376.05 248.81 7.57 10.30 482.38 1125.11
TOTAL PRG/ORG 111-P03G 0.94 4,976.52 376.05 248.81 7.57 10.30 482.38 1125.11
TOTAL EMPLOYEE 0.94 4,976.52 376.05 248.81 7.57 10.30 482.38 1125.11
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 61
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FITZGERALD, JODY ID: 543-40-0883
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.08 97.04 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.08 97.04 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.08 97.04 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 62
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FLEEK, IRVIN ID: 635-71-7553
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 63
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FLETCHER, JEFF ID: 545-20-5720
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 131.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 131.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 131.96 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 64
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FLINT, TOM ID: 485-12-2400
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 157.84 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 157.84 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 157.84 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 65
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FLOCK, BEULAH ID: 546-68-1634
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.19 227.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.19 227.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.19 227.70 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 66
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FOLLETT, NEIL ID: 546-40-9870
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.06 102.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.06 102.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.06 102.60 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 67
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: FUENTES, JORGE ID: 540-61-4709
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G079-AD-00 20 0.03 52.50 4.01 0.00 0.29 0.39 0.00 4.69
TOTAL PRG/ORG 111-G079 0.03 52.50 4.01 0.00 0.29 0.39 0.00 4.69
TOTAL EMPLOYEE 0.03 52.50 4.01 0.00 0.29 0.39 0.00 4.69
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 68
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GALAVIZ, MANUEL ID: 580-20-4446
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6319-AH-00 30 0.15 478.00 36.47 47.68 0.57 0.78 0.00 85.50
TOTAL PRG/ORG 111-6319 0.15 478.00 36.47 47.68 0.57 0.78 0.00 85.50
145-111-6320-AH-00 20 0.11 400.86 28.15 40.24 0.46 0.62 151.95 221.42
TOTAL PRG/ORG 111-6320 0.11 400.86 28.15 40.24 0.46 0.62 151.95 221.42
145-111-6520-AH-00 30 0.15- 478.00- 36.47- 47.68- 0.57- 0.78- 0.00 85.50-
TOTAL PRG/ORG 111-6520 0.15- 478.00- 36.47- 47.68- 0.57- 0.78- 0.00 85.50-
TOTAL EMPLOYEE 0.11 400.86 28.15 40.24 0.46 0.62 151.95 221.42
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 69
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GILBERT, MARILYN ID: 545-86-7629
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.12 200.33 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.12 200.33 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G015-AP-OX 20 0.03 50.08 0.00 0.00 1.46 1.99 0.00 3.45
TOTAL PRG/ORG 111-G015 0.03 50.08 0.00 0.00 1.46 1.99 0.00 3.45
TOTAL EMPLOYEE 0.15 250.41 0.00 0.00 1.46 1.99 0.00 3.45
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 70
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GOBER, JAMES ID: 543-29-8873
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.18 217.35 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.18 217.35 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 217.35 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 71
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GOCKE, GARY ID: 540-66-0906
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G020-AD-00 20 0.44 852.19 65.19 0.00 4.33 5.90 0.00 75.42
TOTAL PRG/ORG 111-G020 0.44 852.19 65.19 0.00 4.33 5.90 0.00 75.42
TOTAL EMPLOYEE 0.44 852.19 65.19 0.00 4.33 5.90 0.00 75.42
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 72
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GOMSRUD, G ID: 546-66-6539
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.22 353.40 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.22 353.40 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.22 353.40 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 73
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GONZALES, ESTELA ID: 399-89-4302
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.07 82.80 0.00 0.00 0.69 0.94 0.00 1.63
TOTAL PRG/ORG 111-G015 0.07 82.80 0.00 0.00 0.69 0.94 0.00 1.63
TOTAL EMPLOYEE 0.07 82.80 0.00 0.00 0.69 0.94 0.00 1.63
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 74
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GOODNER, KENNETH ID: 545-12-7347
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 75
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GORDE, C ID: 540-66-0655
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-PC02-AB-00 20 0.04 227.28 16.85 22.24 0.32 0.44 0.00 39.85
TOTAL PRG/ORG 111-PC02 0.04 227.28 16.85 22.24 0.32 0.44 0.00 39.85
TOTAL EMPLOYEE 0.04 227.28 16.85 22.24 0.32 0.44 0.00 39.85
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 76
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GRACE, H ID: 548-00-4883
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.13 151.37 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.13 151.37 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.13 151.37 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 77
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GREEN, CHARLES R ID: 548-09-7845
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G079-AC-00 20 1.00 3,780.84 285.33 283.56 9.16 12.46 482.38 1072.89
145-111-G079-GF-89 20 0.00 0.00 2.49 0.00 0.00 0.00 0.00 2.49
TOTAL PRG/ORG 111-G079 1.00 3,780.84 287.82 283.56 9.16 12.46 482.38 1075.38
TOTAL EMPLOYEE 1.00 3,780.84 287.82 283.56 9.16 12.46 482.38 1075.38
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 78
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GRIFFIN, ANITA ID: 547-21-8299
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 134.55 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 134.55 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 134.55 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 79
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GUTIERREZ, ADELA ID: 540-40-0074
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 80
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: GUTIERREZ, ROGELIO ID: 548-49-6192
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-0T 20 0.44 532.00 0.00 0.00 4.35 5.92 0.00 10.27
TOTAL PRG/ORG 111-G015 0.44 532.00 0.00 0.00 4.35 5.92 0.00 10.27
TOTAL EMPLOYEE 0.44 532.00 0.00 0.00 4.35 5.92 0.00 10.27
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 81
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HAGARTY, D J ID: 541-64-8030
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-TP03-AD-00 20 0.14 731.40 55.88 0.00 0.88 1.20 0.00 57.96
TOTAL PRG/ORG 111-TP03 0.14 731.40 55.88 0.00 0.88 1.20 0.00 57.96
TOTAL EMPLOYEE 0.14 731.40 55.88 0.00 0.88 1.20 0.00 57.96
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 82
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HALL, EARL ID: 541-27-6139
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-PC02-AH-00 20 0.07 251.00 19.09 18.76 0.32 0.44 77.66 116.27
TOTAL PRG/ORG 111-PC02 0.07 251.00 19.09 18.76 0.32 0.44 77.66 116.27
TOTAL EMPLOYEE 0.07 251.00 19.09 18.76 0.32 0.44 77.66 116.27
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 83
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HALL, JESS ID: 568-49-0221
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 170.78 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G015-AM-OT 20 0.05 65.55 0.00 0.00 0.54 0.74 0.00 1.28
TOTAL PRG/ORG 111-G015 0.05 65.55 0.00 0.00 0.54 0.74 0.00 1.28
TOTAL EMPLOYEE 0.19 236.33 0.00 0.00 0.54 0.74 0.00 1.28
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 84
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HAMBLIN, BRYAN ID: 540-40-5660
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.07 128.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.07 128.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.07 128.10 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 85
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HARDING-AHRENS, ONA ID: 224-72-5609
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.15 259.25 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.15 259.25 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.15 259.25 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 86
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HARGROVES, CATHY ID: 401-29-0356
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.04 46.58 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.04 46.58 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.04 46.58 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 87
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HAYDON, CLIFFORD ID: 547-88-6822
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.14 243.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.14 243.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 243.20 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 88
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HELLE, DARREN ID: 544-40-7254
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 174.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 174.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 174.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 89
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HILDRETH, JESSE ID: 567-37-5518
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03J-AD-00 20 0.34 676.80 51.78 0.00 3.36 4.58 0.00 59.72
TOTAL PRG/ORG 111-P03J 0.34 676.80 51.78 0.00 3.36 4.58 0.00 59.72
TOTAL EMPLOYEE 0.34 676.80 51.78 0.00 3.36 4.58 0.00 59.72
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 90
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HILKER, TOM ID: 566-79-9302
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.18 212.18 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.18 212.18 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 212.18 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 91
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HOF, R ID: 545-89-4919
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.07 89.70 0.00 0.00 0.74 1.01 0.00 1.75
TOTAL PRG/ORG 111-G015 0.07 89.70 0.00 0.00 0.74 1.01 0.00 1.75
TOTAL EMPLOYEE 0.07 89.70 0.00 0.00 0.74 1.01 0.00 1.75
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 92
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HOFFMEISTER, LINDA ID: 540-00-6978
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.07 129.62 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.07 129.62 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.07 129.62 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 93
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HUFFMAN, JOHN ID: 548-08-3462
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.22 364.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.22 364.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.22 364.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 94
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: HURSH, JIM ID: 540-09-9264
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.09 111.26 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.09 111.26 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.09 111.26 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 95
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JEFFERS, TRACI ID: 543-41-6008
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.15 181.13 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.15 181.13 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.15 181.13 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 96
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JENDRO, GERALD ID: 540-95-6036
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6325-AC-00 20 0.18 471.34 36.06 35.36 1.46 2.00 77.18 152.06
TOTAL PRG/ORG 111-6325 0.18 471.34 36.06 35.36 1.46 2.00 77.18 152.06
145-111-PCA3-AC-00 20 0.16 382.96 29.30 28.72 1.20 1.62 62.71 123.55
TOTAL PRG/ORG 111-PCA3 0.16 382.96 29.30 28.72 1.20 1.62 62.71 123.55
145-111-WA3A-AC-00 20 0.34 883.74 67.60 66.26 2.74 3.72 144.71 285.03
TOTAL PRG/ORG 111-WA3A 0.34 883.74 67.60 66.26 2.74 3.72 144.71 285.03
145-111-WA3C-AC-00 20 0.30 736.46 56.34 55.24 2.30 3.12 120.60 237.60
TOTAL PRG/ORG 111-WA3C 0.30 736.46 56.34 55.24 2.30 3.12 120.60 237.60
TOTAL EMPLOYEE 0.98 2,474.50 189.30 185.58 7.70 10.46 405.20 798.24
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 97
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JENNINGS, WES ID: 540-29-6676
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.26 419.90 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.26 419.90 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.26 419.90 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 98
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JOHNSON, ALBERT ID: 547-48-2642
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 99
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JOHNSON, BOB ID: 540-60-8130
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.18 217.35 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.18 217.35 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 217.35 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 100
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JOHNSON, BRELIN ID: 553-40-0952
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G079-AD-00 20 0.06 105.00 8.04 0.00 0.57 0.78 0.00 9.39
TOTAL PRG/ORG 111-G079 0.06 105.00 8.04 0.00 0.57 0.78 0.00 9.39
TOTAL EMPLOYEE 0.06 105.00 8.04 0.00 0.57 0.78 0.00 9.39
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 101
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JONER, LISA ID: 487-26-6215
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6441-AC-00 20 2.00 2,945.84 219.93 294.58 9.16 12.46 482.38 1018.51
TOTAL PRG/ORG 111-6441 2.00 2,945.84 219.93 294.58 9.16 12.46 482.38 1018.51
TOTAL EMPLOYEE 2.00 2,945.84 219.93 294.58 9.16 12.46 482.38 1018.51
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 102
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JONES, CALVIN ID: 540-60-9769
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 103
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JONES, CAROLYN ID: 547-60-5281
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 15 0.26 305.33 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G008-AP-99 20 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.50 595.13 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.50 595.13 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 104
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: JUAREZ, JAMES ID: 530-29-7335
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G035-AH-99 20 0.66 2,151.44 163.65 215.53 2.92 3.98 0.00 386.08
TOTAL PRG/ORG 111-G035 0.66 2,151.44 163.65 215.53 2.92 3.98 0.00 386.08
TOTAL EMPLOYEE 0.66 2,151.44 163.65 215.53 2.92 3.98 0.00 386.08
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 105
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: KEENEY, MARY L ID: 581-21-6546
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AK-00 20 1.00 2,468.00 184.94 32.58 9.16 12.46 482.38 721.52
TOTAL PRG/ORG 111-1H01 1.00 2,468.00 184.94 32.58 9.16 12.46 482.38 721.52
TOTAL EMPLOYEE 1.00 2,468.00 184.94 32.58 9.16 12.46 482.38 721.52
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 106
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: KENNER, ROBERT ID: 546-72-9178
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.08 90.56 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.08 90.56 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.08 90.56 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 107
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: KLUCAS, A CRAIG ID: 541-08-6113
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H41-AK-00 20 0.26 603.26 45.81 7.97 2.07 2.81 121.08 179.74
TOTAL PRG/ORG 111-1H41 0.26 603.26 45.81 7.97 2.07 2.81 121.08 179.74
TOTAL EMPLOYEE 0.26 603.26 45.81 7.97 2.07 2.81 121.08 179.74
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 108
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: KROBETZKY, ROBERT ID: 553-87-2067
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6068-AK-00 20 0.50 1,050.00 79.74 13.86 4.58 6.22 241.19 345.59
TOTAL PRG/ORG 111-6068 0.50 1,050.00 79.74 13.86 4.58 6.22 241.19 345.59
145-111-G035-AK-00 20 0.50 1,050.00 79.77 13.86 4.58 6.24 241.19 345.64
TOTAL PRG/ORG 111-G035 0.50 1,050.00 79.77 13.86 4.58 6.24 241.19 345.64
TOTAL EMPLOYEE 1.00 2,100.00 159.51 27.72 9.16 12.46 482.38 691.23
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 109
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LAABS, LEONARD ID: 541-81-4460
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 30 0.05 91.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.05 91.20 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G008-AP-99 20 0.07 114.00 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G008-AP-99 30 0.05- 85.50- 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.02 28.50 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.07 119.70 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 110
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LARK, DEMETRIA ID: 273-52-1049
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H24-AH-00 20 0.47 1,358.83 103.95 0.00 2.96 4.03 0.00 110.94
TOTAL PRG/ORG 111-1H24 0.47 1,358.83 103.95 0.00 2.96 4.03 0.00 110.94
TOTAL EMPLOYEE 0.47 1,358.83 103.95 0.00 2.96 4.03 0.00 110.94
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 111
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEE, BONNIE ID: 553-28-3219
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.14 251.39 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.14 251.39 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 251.39 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 112
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEFFLER, BILL ID: 544-29-2141
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.03 58.92 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.03 58.92 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.03 58.92 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 113
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEIBELT, ALBERT ID: 546-32-8792
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 165.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 165.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 165.60 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 114
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEINAN, JAMES ID: 548-89-2096
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.11 201.46 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.11 201.46 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 201.46 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 115
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEISKE, JIM ID: 581-78-5732
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.08 90.56 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.08 90.56 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.08 90.56 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 116
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEMATTA, NANCY ID: 543-87-4336
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 134.55 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 134.55 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 134.55 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 117
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LENICKA, SANDY ID: 542-81-9933
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.16 188.89 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.16 188.89 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 188.89 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 118
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LEWIS, DEAN ID: 525-85-6234
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.22 263.93 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.22 263.93 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.22 263.93 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 119
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LIEN, NICK ID: 540-60-8358
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 15 0.13 155.25 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G008-AP-99 20 0.10 119.03 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.23 274.28 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.23 274.28 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 120
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LINDBERG, CURTISS ID: 544-69-6116
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 288.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 121
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LITTLE, MARK ID: 543-14-3750
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.16 191.48 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.16 191.48 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 191.48 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 122
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LONGBEHN, JANET ID: 547-26-3930
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6068-AK-00 20 0.50 1,151.50 85.40 15.19 4.44 6.04 241.19 352.26
145-111-6068-AU-00 20 0.02 74.48 5.66 1.00 0.28 0.39 0.00 7.33
TOTAL PRG/ORG 111-6068 0.52 1,225.98 91.06 16.19 4.72 6.43 241.19 359.59
TOTAL EMPLOYEE 0.52 1,225.98 91.06 16.19 4.72 6.43 241.19 359.59
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 123
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LOPEZ, ADAN ID: 546-09-0922
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AK-00 20 0.50 1,002.50 75.55 13.24 5.04 6.86 482.38 583.07
TOTAL PRG/ORG 111-1H01 0.50 1,002.50 75.55 13.24 5.04 6.86 482.38 583.07
TOTAL EMPLOYEE 0.50 1,002.50 75.55 13.24 5.04 6.86 482.38 583.07
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 124
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LOPEZ, GLORIA ID: 543-13-8486
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G079-AK-00 20 0.76 1,765.50 133.39 23.28 6.86 9.34 361.30 534.17
TOTAL PRG/ORG 111-G079 0.76 1,765.50 133.39 23.28 6.86 9.34 361.30 534.17
TOTAL EMPLOYEE 0.76 1,765.50 133.39 23.28 6.86 9.34 361.30 534.17
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 125
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LOWE, MARCUS ID: 544-53-5055
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1CS3-AM-0T 20 0.08 139.13 0.00 0.00 0.76 1.03 0.00 1.79
TOTAL PRG/ORG 111-1CS3 0.08 139.13 0.00 0.00 0.76 1.03 0.00 1.79
TOTAL EMPLOYEE 0.08 139.13 0.00 0.00 0.76 1.03 0.00 1.79
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 126
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LUCATERO, GODOFREDO ID: 558-95-1620
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 127
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LUKAS, KAREY ID: 271-70-1472
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03P-AK-00 20 0.27 538.01 41.15 7.10 2.44 3.31 135.07 189.07
TOTAL PRG/ORG 111-P03P 0.27 538.01 41.15 7.10 2.44 3.31 135.07 189.07
145-111-WA3B-AK-00 20 0.69 1,383.45 105.83 18.26 6.26 8.53 347.31 486.19
TOTAL PRG/ORG 111-WA3B 0.69 1,383.45 105.83 18.26 6.26 8.53 347.31 486.19
TOTAL EMPLOYEE 0.96 1,921.46 146.98 25.36 8.70 11.84 482.38 675.26
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 128
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LUND, GAIL ID: 545-40-1707
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.20 690.81 53.23 34.80 1.22 1.64 0.00 90.89
TOTAL PRG/ORG 111-1H01 0.20 690.81 53.23 34.80 1.22 1.64 0.00 90.89
145-111-PC02-AH-00 20 0.22 753.00 57.49 37.57 1.31 1.78 0.00 98.15
TOTAL PRG/ORG 111-PC02 0.22 753.00 57.49 37.57 1.31 1.78 0.00 98.15
TOTAL EMPLOYEE 0.42 1,443.81 110.72 72.37 2.53 3.42 0.00 189.04
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 129
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: LUNDQUIST, DEBBIE ID: 546-68-2771
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.27 456.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.27 456.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.27 456.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 130
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MABBOTT, DORA ID: 541-85-7838
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.06 75.04 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.06 75.04 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.06 75.04 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 131
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MAGGARD, TIM ID: 553-85-3047
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6068-AU-00 20 0.02 135.04 10.31 1.80 0.37 0.50 0.00 12.98
TOTAL PRG/ORG 111-6068 0.02 135.04 10.31 1.80 0.37 0.50 0.00 12.98
TOTAL EMPLOYEE 0.02 135.04 10.31 1.80 0.37 0.50 0.00 12.98
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 132
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MALLADY, ROBERT ID: 541-27-5780
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.19 222.53 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.19 222.53 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.19 222.53 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 133
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MASON, GREGORY ID: 543-46-4378
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 196.65 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 196.65 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 196.65 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 134
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MAY, JERRY ID: 553-89-2045
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.14 227.82 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.14 227.82 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 227.82 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 135
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MCDANIEL, KEVIN ID: 540-60-7538
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.16 267.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.16 267.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 267.10 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 136
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MCKEEHAN, P ID: 569-34-2715
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G035-AE-00 20 1.00 5,013.22 381.17 376.00 9.16 12.46 482.38 1261.17
TOTAL PRG/ORG 111-G035 1.00 5,013.22 381.17 376.00 9.16 12.46 482.38 1261.17
TOTAL EMPLOYEE 1.00 5,013.22 381.17 376.00 9.16 12.46 482.38 1261.17
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 137
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MCKERNAN, S ID: 546-09-8031
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.25 430.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.25 430.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.25 430.12 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 138
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MELTON, ROD ID: 545-84-3794
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.00 30.00 2.18 2.89 0.04 0.06 10.61 15.78
TOTAL PRG/ORG 111-1H01 0.00 30.00 2.18 2.89 0.04 0.06 10.61 15.78
TOTAL EMPLOYEE 0.00 30.00 2.18 2.89 0.04 0.06 10.61 15.78
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 139
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MENARD, GEORGE ID: 473-34-8483
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6068-AK-00 20 0.08 176.82 13.35 2.32 0.58 0.79 33.28 50.32
145-111-6068-AU-00 20 0.06 239.58 18.51 3.21 0.80 1.10 0.00 23.62
TOTAL PRG/ORG 111-6068 0.14 416.40 31.86 5.53 1.38 1.89 33.28 73.94
145-111-WA3B-AK-00 20 0.26 644.14 48.90 8.48 2.13 2.89 123.98 186.38
TOTAL PRG/ORG 111-WA3B 0.26 644.14 48.90 8.48 2.13 2.89 123.98 186.38
TOTAL EMPLOYEE 0.40 1,060.54 80.76 14.01 3.51 4.78 157.26 260.32
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 140
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MERKLE, MABEL ID: 447-55-4398
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.09 157.12 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 141
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MEYER, BARBARA ID: 541-52-5260
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.07 80.21 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.07 80.21 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.07 80.21 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 142
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MEZA, ARACELY ID: 543-48-8977
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 143
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MINIUM, D ID: 542-87-8798
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.03 41.40 0.00 0.00 0.34 0.47 0.00 0.81
TOTAL PRG/ORG 111-G015 0.03 41.40 0.00 0.00 0.34 0.47 0.00 0.81
TOTAL EMPLOYEE 0.03 41.40 0.00 0.00 0.34 0.47 0.00 0.81
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 144
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MOLANO, JENENE ID: 544-32-8131
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.02 28.46 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.02 28.46 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.02 28.46 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 145
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MOLINERO, MARIA ID: 580-17-3764
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.13 209.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.13 209.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.13 209.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 146
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MOLOSO, SHANA ID: 547-60-5331
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.31 372.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.31 372.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.31 372.60 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 147
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MONAHAN, JAMES ID: 548-74-7462
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 124.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 124.20 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 124.20 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 148
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MUCHMORE, YVONNE ID: 547-08-3539
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.21 342.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.21 342.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.21 342.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 149
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MUELLER, ANNETTE ID: 546-66-2920
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1X00-AC-00 20 1.00 2,945.84 221.63 220.86 8.22 11.18 482.38 944.27
TOTAL PRG/ORG 111-1X00 1.00 2,945.84 221.63 220.86 8.22 11.18 482.38 944.27
TOTAL EMPLOYEE 1.00 2,945.84 221.63 220.86 8.22 11.18 482.38 944.27
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 150
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: MURPHY, F ID: 542-61-6976
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.23 274.28 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.23 274.28 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.23 274.28 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 151
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: NASS, C I ID: 530-07-9800
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AB-01 20 0.30 1,385.00 104.21 138.50 2.74 3.74 144.71 393.90
TOTAL PRG/ORG 111-G015 0.30 1,385.00 104.21 138.50 2.74 3.74 144.71 393.90
TOTAL EMPLOYEE 0.30 1,385.00 104.21 138.50 2.74 3.74 144.71 393.90
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 152
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: NEWCOMB, ROBIN ID: 541-69-5052
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.16 192.77 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.16 192.77 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 192.77 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 153
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: NICHOLS, CLAUDE ID: 569-18-1342
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.06 109.98 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.06 109.98 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.06 109.98 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 154
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: NOBLE, M ID: 617-52-7941
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.04 66.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.04 66.78 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.04 66.78 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 155
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: OLSEN, ROBERT ID: 551-40-0103
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 155.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 155.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 155.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 156
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ORTEGA, LATISHA ID: 514-26-9450
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03E-AK-00 20 0.00 0.00 0.00 0.00 0.00 0.00 482.38 482.38
TOTAL PRG/ORG 111-P03E 0.00 0.00 0.00 0.00 0.00 0.00 482.38 482.38
TOTAL EMPLOYEE 0.00 0.00 0.00 0.00 0.00 0.00 482.38 482.38
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 157
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PALACHUK, GAYLE ID: 547-86-0503
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G035-AH-99 20 0.30 1,004.00 76.96 75.45 1.47 2.00 0.00 155.88
TOTAL PRG/ORG 111-G035 0.30 1,004.00 76.96 75.45 1.47 2.00 0.00 155.88
TOTAL EMPLOYEE 0.30 1,004.00 76.96 75.45 1.47 2.00 0.00 155.88
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 158
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PALAFOX, MARCIMILIANO ID: 589-33-8945
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.20 337.81 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.20 337.81 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.20 337.81 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 159
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PARKISON, KEITH ID: 540-13-9573
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.11 129.38 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.11 129.38 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.11 129.38 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 160
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PATNODE, LINDY ID: 546-00-2490
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.25 294.98 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.25 294.98 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.25 294.98 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 161
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PENCE, DAVID E ID: 543-28-5940
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H40-AD-00 20 0.85 1,699.20 129.99 0.00 8.44 11.49 0.00 149.92
TOTAL PRG/ORG 111-1H40 0.85 1,699.20 129.99 0.00 8.44 11.49 0.00 149.92
TOTAL EMPLOYEE 0.85 1,699.20 129.99 0.00 8.44 11.49 0.00 149.92
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 162
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PERRY, JOHN ID: 541-00-6020
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.24 285.92 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.24 285.92 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.24 285.92 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 163
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PETERS, TAMMIJO ID: 543-46-6796
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G079-AK-00 20 1.00 2,841.00 214.08 37.50 9.16 12.46 482.38 755.58
TOTAL PRG/ORG 111-G079 1.00 2,841.00 214.08 37.50 9.16 12.46 482.38 755.58
TOTAL EMPLOYEE 1.00 2,841.00 214.08 37.50 9.16 12.46 482.38 755.58
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 164
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PIEFER, CRAIG ID: 543-00-5595
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.12 208.18 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.12 208.18 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 208.18 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 165
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PIEFER, DIANA ID: 542-40-5669
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.05 67.28 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.05 67.28 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.05 67.28 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 166
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PILLERS, JAMES ID: 580-38-4608
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.12 206.22 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.12 206.22 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 206.22 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 167
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PINEDA, DAVID ID: 541-25-3075
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.00 30.00 2.23 0.38 0.05 0.06 9.65 12.37
TOTAL PRG/ORG 111-1H01 0.00 30.00 2.23 0.38 0.05 0.06 9.65 12.37
TOTAL EMPLOYEE 0.00 30.00 2.23 0.38 0.05 0.06 9.65 12.37
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 168
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PORTER, FRANKLIN ID: 545-29-3087
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1CS3-AM-0T 20 0.07 126.00 0.00 0.00 0.69 0.93 0.00 1.62
TOTAL PRG/ORG 111-1CS3 0.07 126.00 0.00 0.00 0.69 0.93 0.00 1.62
TOTAL EMPLOYEE 0.07 126.00 0.00 0.00 0.69 0.93 0.00 1.62
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 169
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: PRICE, DEAN ID: 540-66-8874
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AE-00 20 0.48 2,100.74 159.04 210.48 4.68 6.36 246.50 627.06
TOTAL PRG/ORG 111-1H01 0.48 2,100.74 159.04 210.48 4.68 6.36 246.50 627.06
TOTAL EMPLOYEE 0.48 2,100.74 159.04 210.48 4.68 6.36 246.50 627.06
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 170
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: QUILANTAN, DAVID ID: 541-61-7222
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 171
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: RALPH, LEONARD ID: 548-81-0477
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.09 108.68 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.09 108.68 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.09 108.68 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 172
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: RAY, ALLEN ID: 400-27-4261
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.10 113.85 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.10 113.85 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 113.85 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 173
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: READE, GRACE ID: 546-21-5218
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 159.14 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 159.14 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 159.14 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 174
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: RECKNAGEL, DIANNE ID: 567-93-5272
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 165.30 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 165.30 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 165.30 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 175
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: REDD, DAVID ID: 535-16-0561
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.04 74.63 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.04 74.63 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.04 74.63 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 176
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: REECE, MARY ID: 546-29-0834
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-0T 20 0.05 62.10 0.00 0.00 0.51 0.70 0.00 1.21
TOTAL PRG/ORG 111-G015 0.05 62.10 0.00 0.00 0.51 0.70 0.00 1.21
TOTAL EMPLOYEE 0.05 62.10 0.00 0.00 0.51 0.70 0.00 1.21
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 177
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: REED, BRIAN ID: 546-65-5876
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.30 371.00 0.00 0.00 3.04 4.13 0.00 7.17
TOTAL PRG/ORG 111-G015 0.30 371.00 0.00 0.00 3.04 4.13 0.00 7.17
TOTAL EMPLOYEE 0.30 371.00 0.00 0.00 3.04 4.13 0.00 7.17
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 178
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: RICE, TILLIE ID: 552-61-6170
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.21 343.90 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.21 343.90 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.21 343.90 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 179
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ROGERS, CANDY ID: 530-93-6450
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.12 142.31 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.12 142.31 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 142.31 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 180
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ROWE, J ID: 542-00-4227
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 174.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 174.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.10 174.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 181
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SANCHEZ, ANGELICA ID: 540-47-3222
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03M-AE-00 20 0.94 5,113.36 386.64 255.59 8.88 12.07 482.38 1145.56
TOTAL PRG/ORG 111-P03M 0.94 5,113.36 386.64 255.59 8.88 12.07 482.38 1145.56
TOTAL EMPLOYEE 0.94 5,113.36 386.64 255.59 8.88 12.07 482.38 1145.56
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 182
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SCAMAHORN, A ID: 546-68-7026
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 196.65 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 196.65 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 196.65 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 183
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SERNS, DAN ID: 540-81-8912
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03L-AK-00 20 0.50 1,688.00 128.18 22.28 4.58 6.23 482.38 643.65
TOTAL PRG/ORG 111-P03L 0.50 1,688.00 128.18 22.28 4.58 6.23 482.38 643.65
TOTAL EMPLOYEE 0.50 1,688.00 128.18 22.28 4.58 6.23 482.38 643.65
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 184
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SHEA, BILL ID: 540-49-5227
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1FDN-AD-00 20 0.34 794.40 60.78 0.00 3.43 4.67 0.00 68.88
TOTAL PRG/ORG 111-1FDN 0.34 794.40 60.78 0.00 3.43 4.67 0.00 68.88
TOTAL EMPLOYEE 0.34 794.40 60.78 0.00 3.43 4.67 0.00 68.88
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 185
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SHELTON, DEBBY ID: 542-88-0739
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AE-00 20 0.48 2,744.28 206.69 206.22 4.68 6.36 246.50 670.45
TOTAL PRG/ORG 111-1H01 0.48 2,744.28 206.69 206.22 4.68 6.36 246.50 670.45
TOTAL EMPLOYEE 0.48 2,744.28 206.69 206.22 4.68 6.36 246.50 670.45
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 186
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SHINN, KYLE ID: 548-85-4454
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.18 218.65 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.18 218.65 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.18 218.65 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 187
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SHOWMAN, BILL ID: 543-46-3268
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 172.07 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 172.07 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 172.07 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 188
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SHULDA, RAMIN ID: 547-88-5373
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.21 250.99 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.21 250.99 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.21 250.99 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 189
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SIDWELL, RON ID: 552-21-1543
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-0T 20 0.06 67.28 0.00 0.00 0.56 0.76 0.00 1.32
TOTAL PRG/ORG 111-G015 0.06 67.28 0.00 0.00 0.56 0.76 0.00 1.32
TOTAL EMPLOYEE 0.06 67.28 0.00 0.00 0.56 0.76 0.00 1.32
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 190
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SIEBERS, ALMEDA ID: 540-47-5425
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AK-00 20 1.00 2,468.00 184.32 32.58 9.16 12.46 482.38 720.90
TOTAL PRG/ORG 111-1H01 1.00 2,468.00 184.32 32.58 9.16 12.46 482.38 720.90
TOTAL EMPLOYEE 1.00 2,468.00 184.32 32.58 9.16 12.46 482.38 720.90
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 191
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SIMMONS, CLAUDE ID: 547-66-9819
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6068-AE-00 20 0.94 4,318.92 329.08 431.67 7.88 10.72 482.38 1261.73
145-111-6068-AH-99 20 0.30 836.66 64.17 83.89 1.28 1.74 0.00 151.08
TOTAL PRG/ORG 111-6068 1.24 5,155.58 393.25 515.56 9.16 12.46 482.38 1412.81
TOTAL EMPLOYEE 1.24 5,155.58 393.25 515.56 9.16 12.46 482.38 1412.81
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 192
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SLAWSON, AMY ID: 543-88-8104
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.20 243.23 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.20 243.23 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.20 243.23 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 193
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SOLBACH, MILLIE ID: 544-48-4099
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.06 95.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.06 95.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.06 95.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 194
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SOLIS, CESAR ID: 547-00-5732
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.01 17.25 0.00 0.00 0.14 0.19 0.00 0.33
TOTAL PRG/ORG 111-G015 0.01 17.25 0.00 0.00 0.14 0.19 0.00 0.33
TOTAL EMPLOYEE 0.01 17.25 0.00 0.00 0.14 0.19 0.00 0.33
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 195
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SPADONI, BETH ID: 619-22-8061
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.23 269.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.23 269.10 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.23 269.10 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 196
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: STOETZEL, GREG ID: 552-12-6753
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.17 273.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.17 273.60 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 273.60 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 197
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SWAN, R ID: 540-40-7597
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.24 289.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 198
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SWANSON, COLIN ID: 541-32-3063
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.26 432.08 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.26 432.08 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.26 432.08 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 199
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SWENSON, MERRICK ID: 542-61-9695
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.14 243.54 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.14 243.54 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 243.54 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 200
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: SWOOPE, STEVE ID: 593-78-2004
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-W03B-AK-00 20 1.00 2,468.00 187.66 32.58 9.16 12.46 482.38 724.24
TOTAL PRG/ORG 111-W03B 1.00 2,468.00 187.66 32.58 9.16 12.46 482.38 724.24
TOTAL EMPLOYEE 1.00 2,468.00 187.66 32.58 9.16 12.46 482.38 724.24
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 201
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TABOR, BUD ID: 381-47-7202
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-TP03-AB-00 20 0.64 3,300.26 249.61 247.12 5.86 7.96 308.24 818.79
TOTAL PRG/ORG 111-TP03 0.64 3,300.26 249.61 247.12 5.86 7.96 308.24 818.79
TOTAL EMPLOYEE 0.64 3,300.26 249.61 247.12 5.86 7.96 308.24 818.79
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 202
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TAHARA, RYO ID: 582-55-9217
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AK-00 20 1.00 2,841.00 213.47 37.50 9.16 12.46 482.38 754.97
TOTAL PRG/ORG 111-G015 1.00 2,841.00 213.47 37.50 9.16 12.46 482.38 754.97
TOTAL EMPLOYEE 1.00 2,841.00 213.47 37.50 9.16 12.46 482.38 754.97
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 203
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TIERNEY, GINNY ID: 100-25-5622
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.11 394.50 30.04 29.69 0.52 0.71 145.20 206.16
TOTAL PRG/ORG 111-1H01 0.11 394.50 30.04 29.69 0.52 0.71 145.20 206.16
TOTAL EMPLOYEE 0.11 394.50 30.04 29.69 0.52 0.71 145.20 206.16
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 204
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TORGERSON, GARY ID: 552-00-2271
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.12 198.37 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.12 198.37 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 198.37 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 205
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TORRES, MOISES ID: 528-88-1861
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.01 17.25 0.00 0.00 0.14 0.19 0.00 0.33
TOTAL PRG/ORG 111-G015 0.01 17.25 0.00 0.00 0.14 0.19 0.00 0.33
TOTAL EMPLOYEE 0.01 17.25 0.00 0.00 0.14 0.19 0.00 0.33
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 206
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TOWNE, D ID: 540-09-8982
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G035-AH-99 20 0.23 753.00 57.82 38.12 1.03 1.39 0.00 98.36
TOTAL PRG/ORG 111-G035 0.23 753.00 57.82 38.12 1.03 1.39 0.00 98.36
TOTAL EMPLOYEE 0.23 753.00 57.82 38.12 1.03 1.39 0.00 98.36
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 207
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TREAT, RUSSELL ID: 540-93-9467
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.05 62.10 0.00 0.00 0.52 0.70 0.00 1.22
TOTAL PRG/ORG 111-G015 0.05 62.10 0.00 0.00 0.52 0.70 0.00 1.22
TOTAL EMPLOYEE 0.05 62.10 0.00 0.00 0.52 0.70 0.00 1.22
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 208
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TREFRY, MARNIE ID: 544-05-1309
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H41-AC-00 20 0.50 1,669.58 124.14 166.96 4.58 6.22 241.19 543.09
TOTAL PRG/ORG 111-1H41 0.50 1,669.58 124.14 166.96 4.58 6.22 241.19 543.09
TOTAL EMPLOYEE 0.50 1,669.58 124.14 166.96 4.58 6.22 241.19 543.09
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 209
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TREJO, CIRIA ID: 547-60-7188
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G015-AM-OT 20 0.03 34.50 0.00 0.00 0.29 0.39 0.00 0.68
TOTAL PRG/ORG 111-G015 0.03 34.50 0.00 0.00 0.29 0.39 0.00 0.68
TOTAL EMPLOYEE 0.03 34.50 0.00 0.00 0.29 0.39 0.00 0.68
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 210
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: TURNER, C ID: 548-49-9963
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 211
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: VALDEZ, LAURA ID: 635-51-9440
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 201.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 201.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 201.83 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 212
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: VASQUEZ, RUBY ID: 543-81-1546
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 274.96 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 213
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: VAZQUEZ, DANIEL ID: 548-20-9006
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G079-AD-00 20 0.06 105.00 8.04 0.00 0.57 0.78 0.00 9.39
TOTAL PRG/ORG 111-G079 0.06 105.00 8.04 0.00 0.57 0.78 0.00 9.39
TOTAL EMPLOYEE 0.06 105.00 8.04 0.00 0.57 0.78 0.00 9.39
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 214
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: VICKERS, LAURA ID: 546-20-7015
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.35 424.35 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.35 424.35 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.35 424.35 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 215
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: VILLANUEVA, LUIS ID: 541-68-9034
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1EPC-AK-00 20 1.00 2,468.00 184.94 32.58 9.16 12.46 482.38 721.52
145-111-1EPC-AK-00 30 0.00 0.01- 0.14- 0.00 1.96- 2.68- 671.89- 676.67-
TOTAL PRG/ORG 111-1EPC 1.00 2,467.99 184.80 32.58 7.20 9.78 189.51- 44.85
TOTAL EMPLOYEE 1.00 2,467.99 184.80 32.58 7.20 9.78 189.51- 44.85
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 216
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WACHSNICHT, S ID: 540-00-1954
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 209.59 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 209.59 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 209.59 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 217
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WALANIA, ALAN ID: 244-89-3929
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.16 186.30 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.16 186.30 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 186.30 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 218
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WALKER, GEORGE ID: 546-12-2353
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.07 98.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.07 98.80 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G015-AP-OX 20 0.00 5.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G015 0.00 5.70 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.07 104.50 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 219
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WALLAWINE, ERMA ID: 528-47-8321
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.10 172.83 0.00 0.00 0.00 0.00 0.00 0.00
145-111-G015-AP-0X 20 0.03 43.21 0.00 0.00 1.26 1.71 0.00 2.97
TOTAL PRG/ORG 111-G015 0.03 43.21 0.00 0.00 1.26 1.71 0.00 2.97
TOTAL EMPLOYEE 0.13 216.04 0.00 0.00 1.26 1.71 0.00 2.97
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 220
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WEBB, BEVERLY ID: 546-69-3918
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-P03D-AH-00 20 0.05 263.00 20.08 0.00 0.57 0.77 0.00 21.42
TOTAL PRG/ORG 111-P03D 0.05 263.00 20.08 0.00 0.57 0.77 0.00 21.42
145-111-TP03-AH-00 20 0.08 263.00 20.16 0.00 0.57 0.79 0.00 21.52
TOTAL PRG/ORG 111-TP03 0.08 263.00 20.16 0.00 0.57 0.79 0.00 21.52
TOTAL EMPLOYEE 0.13 526.00 40.24 0.00 1.14 1.56 0.00 42.94
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 221
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WELCH, LANCE ID: 540-32-3375
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.16 188.89 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.16 188.89 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.16 188.89 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 222
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WENDEL, R ID: 548-20-5946
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.14 159.14 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.14 159.14 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 159.14 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 223
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WESSELIUS, JOSHUA ID: 544-60-5779
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.19 221.24 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.19 221.24 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.19 221.24 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 224
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WHITE, A W ID: 553-29-0287
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-PC02-AH-00 20 0.07 251.00 18.85 18.73 0.32 0.43 72.84 111.17
TOTAL PRG/ORG 111-PC02 0.07 251.00 18.85 18.73 0.32 0.43 72.84 111.17
TOTAL EMPLOYEE 0.07 251.00 18.85 18.73 0.32 0.43 72.84 111.17
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 225
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WILES, K ID: 539-21-3194
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.12 139.73 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.12 139.73 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.12 139.73 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 226
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: WOLFE, WADE ID: 084-87-9711
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.14 239.61 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.14 239.61 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.14 239.61 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 227
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ZAMORA, MARIA ID: 564-78-7746
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-G008-AP-99 20 0.17 207.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-G008 0.17 207.00 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.17 207.00 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 228
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ZAUHAR, JOHN ID: 546-09-7626
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-6202-AD-00 20 0.50 648.75 49.63 0.00 4.95 6.74 0.00 61.32
TOTAL PRG/ORG 111-6202 0.50 648.75 49.63 0.00 4.95 6.74 0.00 61.32
TOTAL EMPLOYEE 0.50 648.75 49.63 0.00 4.95 6.74 0.00 61.32
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 229
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ZEIGLER, R ID: 547-49-1491
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.24 404.58 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.24 404.58 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.24 404.58 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 230
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ZOMMERS, IVARS ID: 636-91-4430
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1SWS-AP-99 20 0.08 136.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL PRG/ORG 111-1SWS 0.08 136.80 0.00 0.00 0.00 0.00 0.00 0.00
TOTAL EMPLOYEE 0.08 136.80 0.00 0.00 0.00 0.00 0.00 0.00
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
WED, MAY 5, 2004, 3:58 PM PAGE 231
16 YAKIMA VALLEY COMMUNITY COLL. REPORT PS1555A
ACCOUNTING PERIOD: 12/02 EXPENSE DISTRIBUTION VER007
EMPLOYEE CONTRACT AND GRANT CERTIFICATION
NAME: ZUCKER, GEORGE I ID: 545-47-9116
ACCOUNT REIM SEQ STAFF MEDICAL INDUST HEALTH TOTAL
DISTRIBUTION CODE CD MONTHS GROSS PAY OASI RETIREMENT AID INSUR INSUR BENEFITS
__________________ ____ __ _______ ____________ __________ __________ ________ ________ ________ ________
145-111-1H01-AH-00 20 0.23 789.00 59.90 59.08 1.18 1.60 225.75 347.51
TOTAL PRG/ORG 111-1H01 0.23 789.00 59.90 59.08 1.18 1.60 225.75 347.51
TOTAL EMPLOYEE 0.23 789.00 59.90 59.08 1.18 1.60 225.75 347.51
I HEREBY CERTIFY THAT, EXCEPT AS NOTED, THE ITEMS LISTED ABOVE REPRESENT TRUE AND CORRECT
STATEMENTS OF EFFORT, ARE PROPER CHARGES TO THE FEDERAL AGREEMENT CONCERNED, AND ARE IN
COMPLIANCE WITH PUBLIC LAW, REGULATIONS, AND CONTRACTS ISSUED THEREUNDER.
SIGNED:___________________________________________________ DATE:___________________
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