02/14/2014
09:03:01
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 02/17/2014
CORDOBA, MONICA A3-11197 2 89.00 111000614 *****5738 02/17/2014
DE LA GARZA, LORENA A3-10721 2 129.00 114910280 **8170 02/17/2014
GARCIA, EDUARDO A3-11095 2 200.00 113024915 ******3609 02/17/2014
GREEN, CHRIS A3-MEDICAL346 2 110.00 111900659 ******6068 02/17/2014
GROFF, TAMALA A3-11190 2 238.00 113010547 ******7974 02/17/2014
HICKS JR., JAMES A3-MED4601 2 129.00 111913170 ***0985 02/17/2014
HOUSTON, GREGORY A3-11149 2 89.00 314088637 ******8071 02/17/2014
LIPSIT, DAVID A3-MEDICAL44 2 133.33 314088637 ****2202 02/17/2014
MCDONALD, SHERRI A3-10918 2 27.06 314074269 ****7923 02/17/2014
  Count:  10 Total: 1264.39      



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