| Function Code | Function Description | Object Code | Object Description | Amount |
| 7800 | Long-term Disability (LTD) Claims | 195 | Salary for Disabilities on Self Insurance | $3,060.00 |
| 7800 | Long-term Disability (LTD) Claims | 215 | Long-Term Disability Insurance - Certified Personnel | $5,306.94 |
| 7800 | Long-term Disability (LTD) Claims | 231 | FICA - Employer's Contribution - Certified Personnel | $11.16 |
| 7800 | Long-term Disability (LTD) Claims | 232 | Medicare - Employer's Contribution - Certified Personnel | $2.61 |
| 7800 | Long-term Disability (LTD) Claims | 241 | FICA - Employer's Contribution - Noncertified Personnel | $178.56 |
| 7800 | Long-term Disability (LTD) Claims | 242 | Medicare - Employer's Contribution - Noncertified Personnel | $41.78 |
| 7800 | Long-term Disability (LTD) Claims | 336 | Medical Services | $183,124.06 |
| | | | Total: | $191,725.11 |