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1
Q

Serial Number

A

Description

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2
Q

0

A

DIR DEP Optum CoreSource CCD 582252315 TRN11903033561135184603600 00ECHOH*\

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3
Q

0

A

CORP PYMT BLUE CROSS BLUE CCD GA02085363 TRN1GA02085363*1580469845\

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4
Q

0

A

AETNAEFTS AETNA LIFE INS CCD XXXXX2315 TRN1813015330000103*10660334 92\

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5
Q

0

A

DIR DEP UNITED HEALTH CA CCD 582252315 TRN11079372047136273957100 0036273*1952396665\

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6
Q

0

A

DEPOSIT MERCHANT BNKCD CCD 434485468889

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7
Q

0

A

EFT CLAIMS BLUE CROSS BLUE CCD GA02088517 TRN1GA02088517*1580469845\

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8
Q

0

A

DEPOSIT MERCHANT BNKCD CCD 434485468889

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9
Q

0

A

EFT CLAIMS BLUE CROSS BLUE CCD GA02087980 TRN1GA02087980*1580469845\

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10
Q

0

A

CORP PYMT BLUE CROSS BLUE CCD GA02087267 TRN1GA02087267*1580469845\

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11
Q

0

A

DIR DEP UNITEDHEALTHCARE CCD 582252315 TRN11QG4136243914112892450 00087726*1952396665\

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12
Q

0

A

Deposit

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13
Q

0

A

Deposit

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14
Q

0

A

Deposit

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15
Q

0

A

Deposit

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16
Q

0

A

Deposit

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17
Q

6041

A

Check 6041

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18
Q

6045

A

Check 6045

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19
Q

6048

A

Check 6048

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20
Q

6050

A

Check 6050

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21
Q

6051

A

Check 6051

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22
Q

6053

A

Check 6053

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23
Q

6058

A

Check 6058

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24
Q

6061

A

Check 6061

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25
6066
Check 6066
26
6067
Check 6067
27
6068
Check 6068
28
6069
Check 6069
29
0
DIR DEP Golden Rule Insu CCD 582252315 TRN*1*1P01161311235*1376028756 *000037602*1952396665\
30
0
DIR DEP UNITEDHEALTHCARE CCD 582252315 TRN*1*1QG41364889*1411289245*0 00087726*1952396665\
31
0
DIR DEP UnitedHealthcare CCD 582252315 TRN*1*1079475725*1111187726*00 0087726*1952396665\
32
0
Deposit
33
0
Deposit
34
0
ADP - FEES ADP PAYROLL FEES CCD 13N2O 1114431
35
6043
Check 6043
36
6047
Check 6047
37
6056
Check 6056
38
0
DEPOSIT MERCHANT BNKCD CCD 434485468889
39
0
CORP PYMT BLUE CROSS BLUE CCD GA02092279 TRN*1*GA02092279*1580469845\
40
0
DIR DEP UnitedHealthcare CCD 582252315 TRN*1*1079638863*1111187726*00 0087726*1952396665\
41
0
ADP - FEES ADP PAYROLL FEES CCD 13N2O 1682871
42
0
PLI PAC WASH.NTL.(PION) PPD
43
6038
Check 6038
44
6044
Check 6044
45
6062
Check 6062
46
6063
Check 6063
47
6064
Check 6064
48
6065
Check 6065
49
0
CUSTEFTS AETNA LIFE INS CCD XXXXX2315 TRN*1*813019540000581*10660334 92\
50
0
AETNAEFTS AETNA LIFE INS CCD XXXXX2315 TRN*1*813019550000537*10660334 92\
51
0
PAYMENT BCBS OF GEORGIA CCD CC12526730 TRN*1*CC12526730*1580469845\
52
0
DEPOSIT MERCHANT BNKCD CCD 434485468889
53
0
CORP PYMT BLUE CROSS BLUE CCD GA02094225 TRN*1*GA02094225*1580469845\
54
0
CUSTEFTS AETNA LIFE INS CCD XXXXX2315 TRN*1*813021580002467*10660334 92\
55
0
TRANSFER TO LOAN Acct No. 53673
56
0
EDI MISC US TREASURY 310 CTX ST*820*008566219\ BPR*C*39.5*C*ACH*CTX*01*101036
57
0
EFT CLAIMS BLUE CROSS BLUE CCD GA02098486 TRN*1*GA02098486*1580469845\
58
0
DEPOSIT MERCHANT BNKCD CCD 434485468889
59
0
CORP PYMT BLUE CROSS BLUE CCD GA02100089 TRN*1*GA02100089*1580469845\
60
0
CORP PYMT BLUE CROSS BLUE CCD GA02097309 TRN*1*GA02097309*1580469845\
61
0
EFT CLAIMS BLUE CROSS BLUE CCD GA02097966 TRN*1*GA02097966*1580469845\
62
0
DIR DEP UNITEDHEALTHCARE CCD 582252315 TRN*1*1QG41376453*1411289245*0 00087726*1952396665\
63
0
Deposit
64
0
Deposit
65
0
Deposit
66
0
Deposit
67
0
Deposit
68
1013
Chargeback
69
0
ADP - TAX ADP TX/FINCL SVC CCD E4N2O 6009696VV
70
6042
Check 6042
71
6046
Check 6046
72
6059
Check 6059
73
6070
Check 6070
74
6074
Check 6074
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6075
Check 6075
76
6076
Check 6076
77
6077
Check 6077
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6082
Check 6082
79
130284
Check 130284
80
0
DIR DEP UnitedHealthcare CCD 582252315 TRN*1*1079864666*1111187726*00 0087726*1952396665\
81
0
DIR DEP UnitedHealthcare CCD 582252315 TRN*1*1079855116*1111187726*00 0087726*1447354642\
82
0
DEPOSIT MERCHANT BNKCD CCD 434485468889
83
0
DI PREMIUM UNUM AMERICA PPD
84
0
DI PREMIUM UNUM AMERICA PPD
85
6037
Check 6037
86
6060
Check 6060
87
6071
Check 6071
88
6072
Check 6072
89
6078
Check 6078
90
6079
Check 6079
91
0
CORP PYMT BLUE CROSS BLUE CCD GA02102405 TRN*1*GA02102405*1580469845\
92
0
DEPOSIT MERCHANT BNKCD CCD 434485468889
93
6010
Check 6010
94
6083
Check 6083

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