02/13/2013
07:43:20
Autobill Bank EFT Payment Listing Report
Name Member No. Cycle Amount Transit Acct No. Trans. Date
ARMSTRONG, SIDNEY A3-MEDICAL351 2 120.00 114000093 *****8434 02/15/2013
ARMSTRONG, VIKKI A3-MEDICAL361 2 120.00 114000093 *****8434 02/15/2013
BAYLOG, JEAN A3-10644 2 32.44 314088637 ******0871 02/15/2013
DE LA GARZA, LORENA A3-10721 2 129.00 114910280 **8170 02/15/2013
FRIEDEL, CURTIS A3-10056 2 75.68 114021933 ******5779 02/15/2013
GREEN, CHRIS A3-MEDICAL346 2 110.00 111900659 ******6068 02/15/2013
JACINTO, LISA A3-10676 2 64.88 111000614 *****5013 02/15/2013
LEVY, JACK A3-MEDICAL450 2 129.00 111321270 ***0619 02/15/2013
LIPSIT, DAVID A3-MEDICAL44 2 133.33 314088637 ****2202 02/15/2013
PORTER, SUSAN A3-10757 2 129.00 114000093 *****8444 02/15/2013
RAMIREZ, ALEJANDRA A3-10878 2 81.09 111000614 ******5826 02/15/2013
RAMIREZ, ALEJANDRA A3-MEDICAL306 2 80.00 111000614 ******5826 02/15/2013
SYMONS, PAT A3-10663 2 129.00 114013284 ******2979 02/15/2013
WILSON, RAYANNE A3-10664 2 129.00 314088828 ******8109 02/15/2013
ZAMORA, WYNETTE A3-MEDICAL367 2 129.00 113000023 ********3936 02/15/2013
  Count:  15 Total: 1591.42      



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