FO CODE: 100 FIELD OFFICE DAILY RECEIPT LISTING PAGE 001
073099
ACCT ID NAME RECEIPT # # OF REMIT AMT CREDIT AMT T R
LAST FST ACCTS P C
010256931A DART JIM 90211100006 01 50.00 50.00 C H
005104472C1 KINER RAL 90211100012 01 5.00 5.00 C F
178324406B PASKOW MIC 90211100013 01 100.00 100.00 C P
200344384A TURNER TIN 90211100020 01 200.00 200.00 C B
****FO REMITTANCE TRANSMITTAL GENERATED FOR PC 2
****CREDIT CARD FO REMITTANCE TRANSMITTAL GENERATED FOR PC 2
***********************************END OF REPORT*******************
FO SIGNATURE TITLE (Remittance Clerk)
NAME (print)
FO SIGNATURE TITLE
NAME (print)