| ACH
Settlement |
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| Lasalle General Hospital |
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| October 15, 2015 |
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| Total EFT Submitted |
10/15/2015 |
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$2,225.00 |
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| Hold for Returns |
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$0.00 |
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| Return Items/Chargebacks |
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($20.00) |
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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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$2,195.00 |
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| FNBO CC |
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$0.00 |
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| Total Revenue Collected |
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$2,195.00 |
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| Club Systems Fees |
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| Wire Transfer Fee |
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$20.00 |
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| Service Fees |
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$294.95 |
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($314.95) |
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| Net Due |
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$1,880.05 |
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| Payout |
ACH |
10/16/2015 |
$1,880.05 |
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CC |
10/18/2015 |
$0.00 |
$1,880.05 |
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| EFT |
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| 111101898 / 0201413 |
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| ******************************************************************************************************************** |
| LL - Return/Chargebacks |
9/21/2015 |
1 |
20.00 |
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| LL - Return/Chargeback
Totals |
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1 |
$20.00 |
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