Customer Name: ABC COMPANY
Billing Customer Number: 123456
Confirmation Number:
Payment ID: LB452445
Amount: $320.12
Payment Account:
Creation Date: 08/12/2014
Payment Date: 08/12/2014
Date Received: 08/12/2014
Status: Complete


Hide Header


Invoices Included in Payment

Activity Date Activity Invoice
DateFilter
Invoice
NumberFilter
Policies Bill
Group		 Invoice
Type		 Coverage
Type		 Amount
Paid
08/12/2014
Payment
05/10/2014
0034783265
04H4799
1
List Adj
NO-HMO POS
 $320.12



Payment Activity Log

Date User Action
Nov 13, 2014 06:07:11 PM System Payment Created