07/19/2011
08:10:56
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 07/20/2011
BENNETT, JOHN DR-00224 2 30.00 081910436 **0325 07/20/2011
BRADLEY, TONYA DR-00190 2 22.50 081908833 **2918 07/20/2011
CAIN, JOE DR-00885 2 22.50 081908833 **5091 07/20/2011
COURTOIS, SCOTT DR-00043 2 90.00 081908833 **8786 07/20/2011
DEAL, BETHANY DR-00040 2 45.00 081918425 ***4794 07/20/2011
EYE, KELLY DR-00049 2 320.00 081918425 ***0979 07/20/2011
FINCH, BRADY DR-00835 2 21.65 081908833 **3515 07/20/2011
FORTNER, KEVIN DR-00274 2 19.47 081000210 ********4149 07/20/2011
FRANKLIN, LAURI DR-00712 2 35.98 541210032 ******7124 07/20/2011
GIDEON, PAIGE DR-00482 2 15.00 101000019 *****3035 07/20/2011
JACOBSON, JONI DR-00188 2 30.00 081910436 **3553 07/20/2011
JONES, AMBER DR-00079 2 15.00 081918425 ***9977 07/20/2011
JONES, LADONNA DR-00153 2 22.50 081918425 ***9977 07/20/2011
MCCUE, JENNIFER DR-00074 2 30.00 081000210 ********8418 07/20/2011
MOSIER, JORDAN DR-00052 2 22.50 081918425 ***2351 07/20/2011
NASH, MICHELLE DR-00486 2 15.00 081910436 **6200 07/20/2011
NIVENS, DEIRDRE DR-00329 2 40.00 081910436 **0771 07/20/2011
PICKETT, TIMOTHY DR-00121 2 32.47 081908833 **7655 07/20/2011
RAYFIELD, AMBER DR-00346 2 37.50 081918425 ***3312 07/20/2011
RIDDLE, KAMERON DR-00371 2 22.50 081000210 ********5753 07/20/2011
RULO, MICKEY DR-00905 2 22.50 081918425 ***6160 07/20/2011
SAVAGE, JOHN DR-00088 2 22.50 081918425 ***8793 07/20/2011
SKILES, LINDSEY DR-00325 2 15.00 081910588 ***4807 07/20/2011
SMITH, KENNY DR-00039 2 73.00 081908833 **0872 07/20/2011
THOMPSON, CODY DR-00245 2 48.70 081910436 **4763 07/20/2011
THURMOND, HARRY DR-00042 2 48.70 081908833 ***9516 07/20/2011
TURNBOUGH, BRAD DR-00223 2 15.00 081910436 **5188 07/20/2011
VANCE, SHANNON DR-00433 2 19.47 081910436 **1514 07/20/2011
WORTHEN, MELISSA DR-00268 2 30.00 081908833 **5474 07/20/2011
  Count:  30 Total: 1431.94      



Rejected Input Items
Name Member No. Cycle Amount Transit Acct No. Reason Trans. Date
DEAN, DARRELL DR-00983 2 22.50 Invalid Bank Account No. 07/20/2011
  Count:  1 Total: 22.50