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<br />Pf~GE 6
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<br />p;p.-c 1 ()~~02
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<br />100-" 4J::i::5 ....O::~;:)OOO
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<br />1 OO'.'44:~,2-.03i)OOO
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<br />100-,,4470-1:)30000
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<br />f:iCCCUNT
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<br />ACCOUNT NUMBER- 100-4472-030000 H~:-
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<br />1 CO... 447';:;-030000
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<br />ACCOUNT NiJMBEP-" 100-'.4~;:3(~-()30000 OMT_
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<br />P1CCOU\\!T !\Ur'ii:3ER-
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<br />ACCOUNT NUMBEP- 420'-4122'-O:300()O A~!T"-
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<br />ACCDUI\iT !\iLi!'1B[::P'-
<br />.i:r::;COUNT !'JU-jBi:Y:.-
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<br />ACCCl....iNT \iUt'iBEP-
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<br />ACCOlJNT NlJMBER- 770-41.27-030000
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<br />ACCOUNTS PAYABLE PRE-PAID CHECK PEGISTER
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<br />Ii\iVDICE
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<br />11 ':;' ~ 69
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<br />106.49
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<br />D!::::SC'-FEB
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<br />DE:::;C~~FEB 2
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<br />120~;7 DESS-'FEE _ ..~ ~ll~R
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<br />~~l.:= 11 ,i;..b
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<br />il.'~' '1 '7
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<br />21::36 DESC-'FEE L - FICA
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<br />FICA
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<br />64~:~5 DESC-FEB ~ FICA
<br />
<br />.j..:;" i.)/
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<br />13.37
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<br />12=89 DESC-FEB L FICA
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<br />DEse-FES _ - FICA
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<br />21(:;" :=1-2
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<br />117=04
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<br />!".lL..:A
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<br />DESC'-.FEB 2 - FICA
<br />DESC-FEB L FICA
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<br />DEEe-FEB
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<br />FICA
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<br />DESC-FEB L - ~iLH
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<br />DESC~"FEB
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<br />FICPi
<br />
<br />DEse-FEP
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<br />1::::: = I:/U
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<br />35a70 DESC--FEB 2 - ~lL;A
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<br />749 = I~"" 1
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<br />DE~;~~;-'FE;:'l
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<br />FIC;!
<br />
<br />02/02/95
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<br />FEE: i...,.~.
<br />
<br />DEse.- t1ED I C;-iF~:E
<br />
<br />FEB 02
<br />
<br />DE;3C-j''l'1ED:r cr:::'F~E
<br />DEse - NED I Cl~!F~E
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<br />FEE 02
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<br />r..t:.b '.R}~
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<br />DE:SC;." i'IED I cr~FE
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<br />cc:"C! r~i'.'::
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<br />DESC - r~'IED I C!~RE
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<br />FEE: O~
<br />
<br />Di::~~C;'- r-1ED I CARE
<br />
<br />.-. I i:..t:: U:L
<br />
<br />9=10 DESC-MEDICARE
<br />
<br />FEB (\.')
<br />
<br />FEB iY;'
<br />
<br />'.0~ DEse-MEDICARE
<br />
<br />FEB U~:::
<br />
<br />31~21 DESC-MEDICARE
<br />
<br />13~87 DESC-MEDICARE FEB O?
<br />
<br />34.10 DESC-MEDICARE FEE: 02
<br />?~ ~n DEse-MEDICARE FEB 02
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<br />... fj.... DE:::;C.-f"lEDICAF{E ~~ FEB ._..IoM
<br />
<br />~~M99 DESC-MEDICARE FEE 02
<br />
<br />4?~ DEse-MEDICARE FEB 02
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<br />D I ::3COUNT
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<br />CHECK
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<br />{:.i!'''1DUNT
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<br />~~r10UNT
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