Autobill Bank EFT Payment Listing Report
| Name |
Member No. |
Cycle |
Amount |
Transit |
Acct No. |
Trans. Date |
| , OPEN MRI |
DR-999999 |
1 |
247.50 |
081908833 |
**0419 |
04/05/2012 |
| EYE, HILLARY |
DR-00509 |
1 |
30.00 |
081908833 |
**6876 |
04/05/2012 |
| PICKETT, CRYSTAL |
DR-00084 |
1 |
24.35 |
081000210 |
******7908 |
04/05/2012 |
| SCHNEEDLE, LOUIS |
DR-01425 |
1 |
32.47 |
081908833 |
**1742 |
04/05/2012 |
| SMITH, HEDI |
DR-01456 |
1 |
22.50 |
081908833 |
**7414 |
04/05/2012 |
| SUMMERS, DEBBIE |
DR-00978 |
1 |
19.47 |
081918425 |
***6972 |
04/05/2012 |
| WALKER, GEORGE |
DR-00702 |
1 |
16.23 |
081908833 |
**0211 |
04/05/2012 |
| |
Count: 7 |
Total: |
392.52 |
|
|
|
Rejected Input Items
| Name |
Member No. |
Cycle |
Amount |
Transit |
Acct No. |
Reason |
Trans. Date |
| |
Count: 0 |
Total: |
0 |
|
|
|
|