INVOICES
| Automated Collection |
Example
|
Client No.: 99999
|
| Services, Inc. |
Client Name: ABC, Inc.
|
|
| P.O. Box 17423 |
12/01/98 to 12/31/98
|
123 Any St.
|
| Nashville, Tn. 37217 |
Anywhere, St 99999
|
|
Debtor
|
Account
|
Trans
|
Paid to
|
Paid to
|
|
|
|
Payment
|
|
Name
|
Number
|
Date
|
Agency
|
Client
|
Rate
|
Fees
|
Balance
|
Description
|
| Previous Balance: |
0.00
|
|||||||
| Adam, Larry |
01380050
|
02/28/98
|
100.00
|
0.00
|
0.4000
|
40.00
|
2819.39
|
Cash Payment
|
| Berry, John |
01975264
|
02/15/98
|
10.00
|
0.00
|
0.4000
|
4.00
|
430.73
|
Cash Payment
|
| Couch, Darlene |
01345726
|
02/09/98
|
265.00
|
0.00
|
0.4000
|
106.00
|
3.51
|
Settlement
|
| Long, Mabel |
01578426
|
02/27/98
|
350.00
|
0.00
|
0.4000
|
140.00
|
562.45
|
Cash Payment
|
| Mazza, Natale |
01394602
|
02/01/98
|
0.00
|
150.00
|
0.5000
|
60.00
|
918.20
|
Paid to Client
|
| Owens, William |
01751625
|
02/10/98
|
0.00
|
0.00
|
0.4000
|
100.00
|
5033.00
|
Court Cost
|
| Rosales, Ralph |
02541963
|
02/13/98
|
200.00
|
0.00
|
0.4000
|
80.00
|
747.94
|
Cash Payment
|
| Siler, Charlene |
94682103
|
02/28/98
|
0.00
|
0.00
|
0.4000
|
25.00
|
6314.78
|
Private Process
|
| Weber, Annette |
76430258
|
02/28/98
|
0.00
|
562.45
|
0.4000
|
224.98
|
562.45
|
Paid to Client
|
| Yunker, James |
76458236
|
02/20/98
|
2000.00
|
0.00
|
0.4000
|
800.00
|
0.00
|
Settlement
|
|
Client Totals:
|
2925.00
|
712.45
|
1579.98
|
|||||
|
Remit to:
|
ACSI
|
Total Collections: $
|
3637.45
|
|||||
| PO Box 17423 | ||||||||
| Nashville, Tn 37217 |
Check Attached For: $
|
1345.02
|
||||||