Batch: 5

DateOfEntry: 2005-08-24

Amount: 22.99

AppliedAmount: 22.99

PayerName: Newman, Alfred

PayerId: 9

PayerType: Patient

PaymentType: 2

CheckCardNumber: 1044

DateOfCheck: 2005-08-24

CardTypeID: 59

PatientVisitId: 23

identifier: Unspecified Identifier/Posting1

code: Invoice

subject: Robert S Benson (official) Male, DoB: 1974-05-21 ( Medical record number)

created: 2001-07-09