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 |
05/15/2013 |
| ARMSTRONG, VIKKI |
A3-MEDICAL361 |
2 |
120.00 |
114000093 |
*****8434 |
05/15/2013 |
| BAYLOG, JEAN |
A3-10644 |
2 |
32.48 |
314088637 |
******0871 |
05/15/2013 |
| DE LA GARZA, LORENA |
A3-10721 |
2 |
129.00 |
114910280 |
**8170 |
05/15/2013 |
| GREEN, CHRIS |
A3-MEDICAL346 |
2 |
110.00 |
111900659 |
******6068 |
05/15/2013 |
| HICKS JR., JAMES |
A3-MED4601 |
2 |
129.00 |
111913170 |
***0985 |
05/15/2013 |
| JIMENEZ, DANELL |
A3-MED31601 |
2 |
119.00 |
314088860 |
**********5403 |
05/15/2013 |
| LEVY, JACK |
A3-MEDICAL450 |
2 |
129.00 |
111321270 |
***0619 |
05/15/2013 |
| LIPSIT, DAVID |
A3-MEDICAL44 |
2 |
133.33 |
314088637 |
****2202 |
05/15/2013 |
| PORTER, SUSAN |
A3-10757 |
2 |
99.00 |
114000093 |
*****8444 |
05/15/2013 |
| RAMIREZ, ALEJANDRA |
A3-10878 |
2 |
81.19 |
111000614 |
******5826 |
05/15/2013 |
| RAMIREZ, ALEJANDRA |
A3-MEDICAL306 |
2 |
80.00 |
111000614 |
******5826 |
05/15/2013 |
| SYMONS, PAT |
A3-10663 |
2 |
129.00 |
114013284 |
******2979 |
05/15/2013 |
| WILSON, RAYANNE |
A3-10664 |
2 |
129.00 |
314088828 |
******8109 |
05/15/2013 |
| ZAMORA, WYNETTE |
A3-MEDICAL367 |
2 |
129.00 |
113000023 |
********3936 |
05/15/2013 |
| |
Count: 15 |
Total: |
1669.00 |
|
|
|
Rejected Input Items
| Name |
Member No. |
Cycle |
Amount |
Transit |
Acct No. |
Reason |
Trans. Date |
| |
Count: 0 |
Total: |
0 |
|
|
|
|