04/12/2013
07:05:52
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 04/15/2013
ARMSTRONG, VIKKI A3-MEDICAL361 2 120.00 114000093 *****8434 04/15/2013
BAYLOG, JEAN A3-10644 2 32.48 314088637 ******0871 04/15/2013
DE LA GARZA, LORENA A3-10721 2 129.00 114910280 **8170 04/15/2013
GREEN, CHRIS A3-MEDICAL346 2 110.00 111900659 ******6068 04/15/2013
LEVY, JACK A3-MEDICAL450 2 129.00 111321270 ***0619 04/15/2013
LIPSIT, DAVID A3-MEDICAL44 2 133.33 314088637 ****2202 04/15/2013
PORTER, SUSAN A3-10757 2 99.00 114000093 *****8444 04/15/2013
RAMIREZ, ALEJANDRA A3-10878 2 81.19 111000614 ******5826 04/15/2013
RAMIREZ, ALEJANDRA A3-MEDICAL306 2 80.00 111000614 ******5826 04/15/2013
SYMONS, PAT A3-10663 2 129.00 114013284 ******2979 04/15/2013
WILSON, RAYANNE A3-10664 2 129.00 314088828 ******8109 04/15/2013
ZAMORA, WYNETTE A3-MEDICAL367 2 129.00 113000023 ********3936 04/15/2013
  Count:  13 Total: 1421.00      



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