07/12/2012
05:46:48
Autobill Bank EFT Payment Listing Report
Name Member No. Cycle Amount Transit Acct No. Trans. Date
ARMSTRONG, VIKKI A3-MEDICAL361 2 120.00 114000093 *****8434 07/16/2012
BEAN, DARLA A3-MEDICAL237 2 129.00 314088637 ******8071 07/16/2012
FRIEDEL, CURTIS A3-10056 2 75.68 114021933 ******5779 07/16/2012
GARZA, MELISSA A3-MED55 2 105.00 314074269 ****5148 07/16/2012
GREEN, CHRIS A3-MEDICAL346 2 220.00 111900659 ******6068 07/16/2012
LIPSIT, DAVID A3-MEDICAL44 2 133.33 314088637 ****2202 07/16/2012
RAMIREZ, ALEJANDRA A3-10878 2 81.09 111000614 ******5826 07/16/2012
RAMIREZ, ALEJANDRA A3-MEDICAL306 2 80.00 111000614 ******5826 07/16/2012
STARR-WHITE, LYNETTE A3-10131 2 20.00 314088637 ******4071 07/16/2012
VORPAHL, BEVERLY A3-MEDICAL329 2 258.00 111000614 ******7796 07/16/2012
WORTH, BRAD A3-10821 2 100.00 113000023 ********4480 07/16/2012
ZAMORA, WYNETTE A3-MEDICAL367 2 129.00 113000023 ********3936 07/16/2012
  Count:  12 Total: 1451.10      



Rejected Input Items
Name Member No. Cycle Amount Transit Acct No. Reason Trans. Date
  Count:  0 Total: 0