<br />)!-:;j:".~)
<br />"- :.- ~.
<br />:'_C.i. .,)2
<br />
<br />::NDOF;
<br />
<br />NO \/ENDOi:;~ !\~I~\1"~1j::~
<br />
<br />\1 U 1"1 r:; E ~:;~
<br />
<br />CHEC)< CHECK
<br />
<br />D{~TE
<br />
<br />ACCOUNT NUMBER- 700-412c)-041.000 AM1"-
<br />
<br />ACCOLJN"r N~JMBER- 700-'4121-0410()O AM'f-
<br />
<br />P1CC:CUNT NUf'lBEF...
<br />l\CCiJUt\!T NU!....1E~EF:....
<br />
<br />7:~~()- .l~.12G.- 04 J. (:.00
<br />
<br />7:30'--[~ 121-0.~~:;' ~)OO
<br />
<br />~ooo MEDCENTERS HEALTH PLA* ~79AO
<br />ACCOUNT NUMBER- 100-4120-04()OOO
<br />
<br />i\MT _
<br />I;; I;
<br />
<br />{i r-i T
<br />
<br />... .. . . - -
<br />.. ~ I ."",.. ,=:.,
<br />;,jC:/ .L .i / :;....:'
<br />
<br />j::-iCCDUNT NU!"~'lBEF~ -. 1 ()::).-. 4 :20() .... O.~~()::)GO 1~;\liT ..~
<br />
<br />Pif"llT'-
<br />
<br />ACCOUN1" NUMBER-' 700-4120-'0400C)0 AM"f-
<br />ACCOLJNT NUMBER- 730-4120-04000() AMT-
<br />
<br />f.:1CCCiUNT
<br />
<br />.919 WES"fERN BANK
<br />
<br />NUt'1BEh ....
<br />
<br />~~[:COUhfT
<br />
<br />ACCOUNT
<br />
<br />r:'iCCCU!.'H
<br />ACCOUrn
<br />?TCOU!\H
<br />~DUNT
<br />.:OUi\!T
<br />HC:CCiUNT
<br />:~~CCiJUi\i'r
<br />{:lCeOiJ!'{r
<br />i~~CCOUNT
<br />
<br />AC::COUNT
<br />
<br />~1CCOU!'fr
<br />
<br />Nur~1BEF;~ -
<br />
<br />NU1't1E:EF-
<br />
<br />NLi!'ibEh--
<br />NUt'lBEF: ...
<br />
<br />NU!"!BEP-
<br />
<br />t',jUi1BEP-
<br />
<br />NUt'"lBEP-
<br />
<br />NUt'IBEF -.
<br />
<br />r~~Ui''''iBEF< ~..
<br />
<br />NUt~.tBEP -
<br />
<br />!'..H3"B3E F -
<br />
<br />NU!"1BEF~-
<br />
<br />ACCOUj',tT i'.IUi'1BEF:-..
<br />r':;CCOUi".jT NUi'1i3EF:-.
<br />
<br />r\!U['~"IBEr;~ -
<br />
<br />AC:CDur\iT r~JU!':1BEF~-
<br />
<br />i:)CCOU1"'~'r i"~~Ut"'iPEF~~-
<br />
<br />ACCCJUt\IT NUrlEFP--
<br />
<br />PiCCDUj\!"r NUt"'!PE~:\'-
<br />
<br />ACCOUN'TS PAYABl_E PRE-PAID CHEC1( REGISTER
<br />
<br />1''''lC!.U;\~D~:} !~j 1 ELlJ
<br />
<br />I r'.J~../D I CE f-..j!~lE':i:;~
<br />
<br />I N....,JO ICE:
<br />
<br />INl)OICE
<br />
<br />~.',.:~ ,'?"",
<br />.U!-i; c_
<br />
<br />ril\-1DUNT
<br />
<br />Ii I SC:OUNT
<br />
<br />CHECK
<br />
<br />F~r:l0Ui\!T
<br />
<br />Al:rjDU1\ior
<br />
<br />42=89 DESC--LIFE INSURANCE PREMIUM - JUNE
<br />
<br />Ii '",:: ::":.
<br />'"::".,, l_."..'
<br />
<br />4~25 DESC-LIFE INSURANCE PREMIUM - JUNE
<br />
<br />.JU!\jE
<br />
<br />." -. ."
<br />.",.'_" :1 ......_.
<br />
<br />],<1-(." 90
<br />
<br />DEse-LIFE INSURANCE PREMIUM
<br />
<br />\i[}JDCJF TOT (lL
<br />
<br />DE~3C'-'L.IFE Ii\!SURf;t\!CE PFE!~IIUt~l
<br />
<br />:~;;~::::: = 65
<br />
<br />~,~'li/92 739~OO
<br />
<br />DESC-'HEALTH INS PRE:M - JUNE
<br />
<br />293~80 DESC'-HEAL.l'H INS PREM ~JLJNE
<br />
<br />149~15 DESC-.HEALT.~ INS PREM - JUNE:
<br />
<br />149=15 DESC-HEALTH Thj~ PREM - JUNE
<br />
<br />i (::0-.41 00-,0 1. ()OOO
<br />
<br />::::/961 06/:l1,<<::
<br />
<br />. ...... -..
<br />14UOuUU
<br />
<br />100-4120-0.1UOOO
<br />
<br />1. ()()- 4150-,0 1. ()O()O
<br />
<br />1 ()()-4:l :::0-0 i 0000
<br />
<br />1 00 ~~ .q.l ::;!~)_. 020000
<br />
<br />i 00 .-. 41 '::~'O -. 01 GOOO
<br />
<br />100 - 4.1';::10 _. O:;?()OOO
<br />
<br />1 00-420()-O:t CiOOO
<br />
<br />100 -ll- ~~()O - 02()OOO
<br />
<br />1 O()-.423U._.Ol (;00(:=
<br />
<br />1 00 -~ -4240 - O::::GOOO
<br />
<br />:l O()'-42/;,(,!'- 0 1. 0000
<br />
<br />100-.,q.26()-'01.1000
<br />
<br />1 (H)-4270-() 1. ()OOO
<br />
<br />1 (H"';.. l.1. '::0"7 (1 - (',.j 'j ('. (H~';
<br />.... .... .~. , .l.... .... .....:..:.. .... '.' '..
<br />
<br />1 (H) _. 4 :3:::{:: -. c :t C()OG
<br />
<br />. .... - -.... . - -..-
<br />.. ...- ....... -... ..-....-
<br />1. :.)\) "M .,..:ii~)!.j -u 1 !.)!.)UU
<br />
<br />i()O.-..:l:::60.-0:L iOO()
<br />
<br />J. 00 - 1+::';60 - () 200;)0
<br />
<br />'-"='-', li .-,,-:::-.; ,-...-,t.."..............1
<br />.' "'-"'1. ... "--':.':" ,: : .'
<br />.to_ -~." .~. I .._...... .::.. '.' .".. .... "_." '_' .to..
<br />
<br />ACCOU!~T NUMBER- 250--4351-0:20011
<br />
<br />{;CCDU1\.iT NU!~'lBEF.~-
<br />
<br />{:iCCDUNT NUi'iBEP-
<br />{~C:C:JlH\:T l'lUi'fE:E F~-
<br />{.iCCDU\iT Nl...ii'1BEF-
<br />riCCJU:\jT NU"If:EF:-
<br />ACCCJUNT Nuti!BEF~.-
<br />ACCDU!\IT NU'''leEF~-.
<br />
<br />f:)CCC]UNT t".JtJ!"IBEF~-
<br />
<br />?'iCCOU!\iT NUiYiJ3E~:;~-
<br />
<br />f~CCCiUNT
<br />f-iCCD\fiT
<br />.'l~rJ' i i~\iT
<br />.. WI,.
<br />XOLJi\.rr
<br />
<br />NUi"'lBEF~ -.
<br />
<br />j-~U!~IE:Ee .-
<br />
<br />NUI"'1BEb~ -
<br />
<br />NUi":1BER-
<br />
<br />:2:50....4::::::;:t '-'G200~'~.2
<br />
<br />2:::.;(i-,q.3::, :[".020260
<br />
<br />25(:; - ,'!~.3~~5:2 - 0202/::.:0
<br />
<br />250- .!~.::.:::;:2~ ~-():20 1 ::::.0
<br />
<br />:2 ~:; G .- LL ::::::; ::~: .- C :? c.;: 6 (::
<br />
<br />2::iO - ..q.J:i.q. -. 0 ;2():229
<br />
<br />2:50 - 4:::::~:;4'- ()202:::: 1
<br />
<br />:250 - 4::::54 -. 0202::::3
<br />
<br />250-4354-020:2::::7
<br />
<br />2:;0... -'1- :~~~54 _. C 2(~2:~:::~:,
<br />
<br />2:5G-..;.35..:.l....C:20:24 :t
<br />
<br />2~;C - 43:;.4.-U202.q..q.
<br />
<br />2:5(:: - L135-4 - C 202~i:3
<br />
<br />{.:it;j'f -.
<br />AI~rr.-"
<br />
<br />!~~lt'#1T -.
<br />
<br />A~1T'-.
<br />
<br />(.~'it-'fT .-
<br />
<br />Ar"1T'~'
<br />
<br />f:.it4T-'
<br />
<br />Ai':T...
<br />?:It'#1T--
<br />
<br />f':;1'"1T-.
<br />
<br />Arrr -.
<br />!~i'F.-
<br />
<br />~lMT-
<br />
<br />Af'1"1.-
<br />
<br />.:". ~...;-;.
<br />!~';; : i
<br />
<br />{i;viT .~.
<br />
<br />HP'll -.
<br />
<br />?WiT-'
<br />
<br />At'#lT-
<br />
<br />(1filT.-.
<br />
<br />(.":'!r~T -.
<br />
<br />?"'-\;~':T .-
<br />
<br />~!~'\:'iT -..
<br />
<br />,;MT.-
<br />
<br />(~!.'n..
<br />
<br />~~ifriT _.
<br />
<br />Pi['li .-
<br />
<br />Al~1T-.
<br />{:i~lT...
<br />
<br />t--W1i'M.
<br />
<br />?:'it"'lT .~.
<br />
<br />~;r"'lT _.
<br />
<br />ACCOUNT NUMBER- 250-4354-(j20254 AMT-
<br />
<br />Fi!"ll..
<br />Al'1"r .-
<br />
<br />i"~CCOLH\~T NU{viBEF~-' 2~5C.-::~~:::;::::>~.-'(:2C:25S Ai'rr.~.
<br />
<br />.. ._ _ _ . _M"
<br />.ti....:~-~.~: ,Jw. f
<br />,..~.._.._. 'I .._.,
<br />
<br />4247,,01.
<br />
<br />31~i::~4 II ::57
<br />
<br />2i:::8uOO
<br />
<br />14/:.9..Ci;:;
<br />
<br />-77r.:; Lt.-:::
<br />t .' '_' II I~
<br />
<br />2~:;03.::1- II 12
<br />
<br />::i34 . Ob
<br />
<br />4'::"'111 ~:;~i
<br />
<br />422.. .q.(:;
<br />
<br />1178,,40
<br />
<br />154..l:'17
<br />
<br />:2904 ;I ::~7
<br />
<br />:~::::12:1 22
<br />
<br />-',I="-7!::" -7!=
<br />M .. . ..
<br />.:..'.:.. '.1
<br />... -. - - . -
<br />
<br />!)EI\!DDP TCJTAL.
<br />
<br />7:::::~:.: ..00
<br />
<br />DESC-!~:/11
<br />
<br />06/11/=)3 70701a55
<br />
<br />GF~DSE
<br />
<br />DE~3C.-6./11
<br />
<br />DESC-,S/11
<br />DESC-,::'/11
<br />
<br />DEEC;-'6/1.1
<br />
<br />DESC'~'6../11
<br />
<br />LiEse-.b/ll
<br />
<br />DESC-(:./l i
<br />DEf.:;C-6/1.1.
<br />
<br />Di::SC-('/l i
<br />
<br />DEse-b/ll
<br />
<br />DESC-'6./11
<br />DE~;C-b/ 11
<br />DESC-/:'/:ll
<br />
<br />DESCM~6/11
<br />
<br />Dr:~~~C ._,~: if:t :t
<br />
<br />Gi~~DS:3
<br />
<br />- GF<OSS
<br />
<br />-. GF:DSS
<br />
<br />GPDSS
<br />
<br />- GF.~OSS
<br />
<br />-" i3F~OS:;
<br />
<br />- Gf,DSS
<br />
<br />- Gf:;~OSS
<br />
<br />G~;~OSS
<br />
<br />- GHOSE>
<br />
<br />,-'I..I,M",r"",,'.
<br />- wnu.:;:..::>
<br />- (JHfJSS
<br />
<br />C3ECSS
<br />
<br />- l;ROS:3
<br />
<br />2333~6(~ DESS-'b/ll - GRO!3S
<br />
<br />R" r::'i:::nc:c
<br />'_I! "='R~'_"'~;
<br />
<br />281~58 DESC-6/11 - GF~OSS
<br />
<br />437.81 DESC-6/ll - GROSS
<br />
<br />.. -'!!~C ::::-,-\
<br />.L l '._' " ._i~';
<br />
<br />6()~OO DESC-6/11 - GROSS
<br />96=00 DESC-6/l.1 - GROSS
<br />
<br />;,;~:'r:c:'C
<br />,...:., \'..~"""':'-';
<br />
<br />23') I: 4::;
<br />
<br />.'M,"-,1"~1 ."11::"
<br />..::...::;:: ......r._.:
<br />
<br />:3:3 l: ()()
<br />
<br />.'"7":'0 ..1C::
<br />..0...., ..' ""._'
<br />
<br />~::;(... _ ()C}
<br />
<br />'-,i':. ......,...
<br />.'::._!" :.....'.j
<br />
<br />1. 00 = ~5U
<br />
<br />7..00
<br />
<br />"7 (.,(j
<br />: :: .~. .~.
<br />
<br />:?:t uOO
<br />
<br />14.: OCi
<br />
<br />.:1.... i::".-....
<br />..' ;:; :. ._,tj
<br />
<br />DESC.R.6/11
<br />
<br />DE~:;;C -.. i~)../ 1. 1
<br />
<br />I)ESC-6./l1
<br />
<br />DESC-6/1.1.
<br />
<br />DESC-.(./ll
<br />
<br />DEC;C.M.!:)/11
<br />
<br />DE~3C'M'6/l1
<br />
<br />DEE:;C-.6./11
<br />
<br />DESC-.(-::,../i 1
<br />
<br />C3F~GSS
<br />
<br />_. C1~:;~DS~:3
<br />
<br />GF:O~);;
<br />
<br />..- GF~[JSS
<br />
<br />;3 f;:!] S::;:
<br />
<br />_. GR1]~:;~:;
<br />
<br />[+D~;S
<br />
<br />DESC-6/11 - C;ROSS
<br />
<br />.- I:3F(DSS
<br />
<br />DESC-6/1.1 _. GROSS
<br />
<br />DE:SC-6/11 - C3ROSS
<br />
<br />DE8C-6/11 - 0~U~~
<br />
<br />28=()O DESC-6/1.1 GROSS
<br />
<br />7!~ ~,rt DESC-.6/11 - GROSS
<br />
<br />.JUNE
<br />
<br />- ..-... '-'
<br />. 1I:r, .. l...
<br />.. - - ... .
<br />.":i 1_':.'
<br />- -. .. - - -
<br />
<br />73':.! I: 00
<br />
<br />7:::9. ()()
<br />. _. ~ ~ w
<br />
<br />70701 i,55
<br />
|