| ACH
Settlement |
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| Lasalle General Hospital |
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| December 20, 2012 |
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| Total EFT Submitted |
12/20/2012 |
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$0.00 |
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| Hold for Returns |
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$250.00 |
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| Return Items/Chargebacks |
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($40.00) |
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| Return Item Fees |
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($10.00) |
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| Total EFT for
Disbursement |
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$200.00 |
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| FNBO CC |
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$0.00 |
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| Total Revenue Collected |
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$200.00 |
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| Club Systems Fees |
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| Wire Transfer Fee |
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$0.00 |
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| Service Fees |
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$0.00 |
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$0.00 |
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| Net Due |
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$200.00 |
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| Payout |
ACH |
12/21/2012 |
$200.00 |
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CC |
12/23/2012 |
$0.00 |
$200.00 |
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| EFT |
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| 111101898 / 0201413 |
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| ******************************************************************************************************************** |
| LL - Return/Chargebacks |
12/20/2012 |
1 |
40.00 |
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| LL - Return/Chargeback
Totals |
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1 |
$40.00 |
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