10/12/2012
05:30:59
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 10/15/2012
ARRECHE, JOYCE A3-MEDICAL447 2 100.00 314074269 ****7729 10/15/2012
BEAN, DARLA A3-MEDICAL237 2 89.99 314088637 ******8071 10/15/2012
CORBETT, REBECCA A3-MEDICAL23 2 69.99 114000093 *****2662 10/15/2012
FRIEDEL, CURTIS A3-10056 2 75.68 114021933 ******5779 10/15/2012
GREEN, CHRIS A3-MEDICAL346 2 110.00 111900659 ******6068 10/15/2012
LEVY, JACK A3-MEDICAL450 2 129.00 111321270 ***0619 10/15/2012
LIPSIT, DAVID A3-MEDICAL44 2 133.33 314088637 ****2202 10/15/2012
PORTER, SUSAN A3-10757 2 129.00 114000093 *****8444 10/15/2012
RAMIREZ, ALEJANDRA A3-10878 2 81.09 111000614 ******5826 10/15/2012
RAMIREZ, ALEJANDRA A3-MEDICAL306 2 80.00 111000614 ******5826 10/15/2012
STARR-WHITE, LYNETTE A3-10131 2 20.00 314088637 ******4071 10/15/2012
ZAMORA, WYNETTE A3-MEDICAL367 2 129.00 113000023 ********3936 10/15/2012
  Count:  13 Total: 1267.08      



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