Autobill Bank EFT Payment Listing Report
| Name |
Member No. |
Cycle |
Amount |
Transit |
Acct No. |
Trans. Date |
| , OPEN MRI |
DR-999999 |
2 |
247.50 |
081908833 |
**0419 |
08/20/2010 |
| CAIN, JOE |
DR-00069 |
2 |
22.50 |
081908833 |
**5091 |
08/20/2010 |
| COURTOIS, SCOTT |
DR-00043 |
2 |
22.50 |
081908833 |
**8786 |
08/20/2010 |
| DEAL, BETHANY |
DR-00040 |
2 |
30.00 |
081918425 |
***4794 |
08/20/2010 |
| EYE, KELLY |
DR-00049 |
2 |
40.00 |
081918425 |
***0979 |
08/20/2010 |
| JOHNSON, SHANE |
DR-00064 |
2 |
30.00 |
081000210 |
********4592 |
08/20/2010 |
| JONES, AMBER |
DR-00079 |
2 |
15.00 |
081918425 |
***9977 |
08/20/2010 |
| JONES, LADONNA |
DR-00153 |
2 |
22.50 |
081918425 |
**2997 |
08/20/2010 |
| LAWSON, BRITTANY |
DR-00143 |
2 |
22.50 |
081918425 |
***1674 |
08/20/2010 |
| LOUGHARY, JULIE |
DR-00127 |
2 |
22.50 |
081908833 |
**5229 |
08/20/2010 |
| MARLER, KEVIN |
DR-00147 |
2 |
37.50 |
081918425 |
***5981 |
08/20/2010 |
| MCCOY, ERIC |
DR-00057 |
2 |
20.00 |
081908833 |
**7068 |
08/20/2010 |
| MCCUE, JENNIFER |
DR-00074 |
2 |
30.00 |
081000210 |
********8418 |
08/20/2010 |
| MOSIER, JORDAN |
DR-00052 |
2 |
22.50 |
081918425 |
**3235 |
08/20/2010 |
| PICKETT, TIMOTHY |
DR-00121 |
2 |
20.00 |
081908833 |
**7655 |
08/20/2010 |
| PORTELL, LYNDSEY |
DR-00011 |
2 |
15.00 |
081908833 |
**0852 |
08/20/2010 |
| SAVAGE, JOHN |
DR-00088 |
2 |
22.50 |
081918425 |
***8793 |
08/20/2010 |
| SMITH, KENNY |
DR-00039 |
2 |
68.00 |
081908833 |
**0872 |
08/20/2010 |
| WEST, RETA |
DR-00115 |
2 |
30.00 |
081908833 |
**6270 |
08/20/2010 |
| |
Count: 19 |
Total: |
740.50 |
|
|
|
Rejected Input Items
| Name |
Member No. |
Cycle |
Amount |
Transit |
Acct No. |
Reason |
Trans. Date |
| |
Count: 0 |
Total: |
0 |
|
|
|
|