TEMPLATE

Chart Title
600
500
400
300
200
100
0
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64
REPORT OF HEALTH COUPONS RECEIVED / USED
JANUARY 2019
TOWN
Control No. Total per piece C O N S I G N M E N T G E N E R A L
G E N E R A L CONSIGNMENT CONSIGNMENT LESS DISC GENERAL LESS DISCOUNT
No. NAME OF PATIENT GENDER ISSUED BY MED SUPP LAB RAD ECG PT MISC MED SUP LAB RAD MED SUP LAB RAD CONS CHECK MED SUPP LAB RAD ECG PT MISC GEN.CHECK Grand Total
-P- 100.00 -P- 200.00 100 200 MEDS SUPPLIES LAB. RAD. MEDS. SUPPLIES LAB. RAD.
1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
2 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
3 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
6 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
7 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
9 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
10 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
11 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
12 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
13 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
14 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
15 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
16 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
17 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
18 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
19 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
20 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
21 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
22 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
23 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
24 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
25 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
26 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
27 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
28 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
29 - - - - - - - - - - - - - - - - - - - 1,100.00 - - - 1,100.00 - - - - - - -
30 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
31 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
32 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
33 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
34 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
35 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
36 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
37 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
38 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
39 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
40 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
41 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
42 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
43 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
44 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
45 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
46 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
47 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
48 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
49 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
50 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
51 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
52 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
53 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
54 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
55 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
56 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
57 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
58 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
59 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
60 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
61 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
62 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
63 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
64 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
65 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
66 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
67 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
68 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
69 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
70 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
71 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
72 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
73 - - - - - - - - - - -
Page 2 of 250
Name of Hospital: QUEZON MEDICAL CENTER

Date: JANUARY 2019
TOWN
Control No. Total per piece GENERAL CONS C O N S I G N M E N T G E N E R A L
G E N E R A L CONSIGNMENT CONSIGNMENT LESS DISC TOTAL GENERAL LESS DISCOUNT
Date used COUPON ROOM, CASH CASH ROOM, TOTAL TOTAL TOTAL
No. NAME OF PATIENT GENDER ISSUED BY TOTAL TOTAL DISCOUN GEN CONS CONS CONS OTHER Grand Total
(mm/dd/yy) AMOUNT MED SUPP LAB RAD ECG PT DR, OR MISC MED SUP LAB RAD AND AND GEN DISC MED SUP LAB RAD CONS CHECK MED SUPP LAB RAD ECG PT DR, OR MISC GEN BILL GEN.CHECK CONSIGNMENT GENERAL
-P- 100.00 -P- 200.00 100 200 GEN BILL BILL CONS TS COUPON COUPON DISC BILL LESS MEDS SUPPLIES LAB. RAD. MEDS. SUPPLIES LAB. RAD. HOSPITAL
FEES GUARANT GUARAN FEES LESS DISC
DISC CHARGES
OR TOR
337 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
338 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
339 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
340 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
341 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
342 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
343 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
344 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
345 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
346 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
347 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
348 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
349 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
350 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
351 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
352 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
353 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
354 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
355 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
356 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
357 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
358 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
359 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
360 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
361 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
362 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
363 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
364 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
365 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
366 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
367 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
368 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
369 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
370 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
371 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
372 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
373 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
374 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
375 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
376 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
377 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
378 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
379 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
380 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
381 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
382 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
383 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
384 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
385 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
386 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
387 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
388 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
389 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
390 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
391 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
392 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
393 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
394 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
395 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
396 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
397 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
398 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
399 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
400 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
401 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
402 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
403 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
404 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
405 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
406 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
407 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
408 - - - - - - - - - - - - - - - - - - - - - -
Page 3 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
674 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
675 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
676 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
677 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
678 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
679 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
680 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
681 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
682 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
683 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
684 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
685 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
686 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
687 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
688 - - - - - - - - - - - - - - - - - - - - - 874.75 - 874.75 - - - - - - -
689 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
690 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
691 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
692 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
693 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
694 - - - - - - - - - - - - - - - - - - - 200.00 - 100.00 - 300.00 - - - - - - -
695 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
696 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
697 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
698 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
699 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
700 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
701 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
702 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
703 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
704 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
705 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
706 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
707 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
708 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
709 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
710 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Page 4 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
711 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
712 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
713 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
714 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
715 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
716 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
717 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
718 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
719 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
720 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
721 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
722 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
723 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
724 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
725 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
726 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
727 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
728 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
729 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
730 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
731 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
732 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
733 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
734 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
735 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
736 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
737 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
738 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
739 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
740 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
741 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
742 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
743 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
744 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
745 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
746 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
747 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
748 - - - - - - - - - - - - - - - - - - - 200.00 - - - 200.00 - - - - - - -
749 - - - - - - - - - - - - - - - - - - - 200.00 - - - 200.00 - - - - - - -
750 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
751 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
752 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
753 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
754 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
755 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
756 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
757 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
758 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
759 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
760 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
761 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
762 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Page 5 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
763 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
764 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
765 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
766 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
767 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
768 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
769 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
770 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
771 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
772 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
773 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
774 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
775 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
776 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
777 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
778 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
779 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
780 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
781 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
782 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
783 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
784 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
785 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
786 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
787 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
788 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
789 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
790 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
791 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
792 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
793 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
794 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
795 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
796 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
797 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
798 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
799 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
800 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
801 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
802 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
803 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
804 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
805 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
806 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
807 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
808 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
809 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Page 6 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
810 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
811 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
812 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
813 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
814 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
815 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
816 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
817 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
818 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
819 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
820 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
821 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
822 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
823 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
824 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
825 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
826 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
827 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
828 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
829 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
830 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
831 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
832 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
833 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
834 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
835 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
836 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
837 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
838 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
839 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
840 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
841 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
842 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
843 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
844 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
845 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
846 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
847 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
848 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
849 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
850 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
851 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
852 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
853 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
854 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
855 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
856 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
857 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
858 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
859 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
860 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
861 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
862 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
863 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
864 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
865 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
866 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
867 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
868 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
869 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
870 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
871 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
872 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
873 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
874 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
875 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
876 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
877 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
878 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
879 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
880 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
881 - - - - - - - - - - - - - - - - - - - - - -
Page 7 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
927 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
928 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
929 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
930 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
931 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
932 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
933 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
934 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
935 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
936 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
937 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
938 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
939 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
940 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
941 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
942 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
943 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
944 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
945 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
946 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
947 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
948 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
949 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
950 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
951 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
952 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
953 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
954 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
955 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
956 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
957 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
958 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
959 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
960 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
961 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
962 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
963 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
964 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
965 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
966 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
967 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
968 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
969 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
970 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
971 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
972 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
973 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
974 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
975 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
976 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
977 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
978 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
979 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
980 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
981 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
982 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Page 8 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
983 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
984 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
985 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
986 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
987 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
988 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
989 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
990 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
991 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
992 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
993 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
994 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
995 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
996 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
997 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
998 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
999 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1000 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1001 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1002 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1003 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1004 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1005 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1006 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1007 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1008 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1009 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1010 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1011 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1012 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1013 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1014 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1015 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1016 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1017 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1018 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1019 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1020 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1021 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1022 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1023 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1024 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1025 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1026 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1027 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1028 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1029 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1030 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1031 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1032 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1033 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1034 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1035 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1036 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1037 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1038 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Page 9 of 250

Date: JANUARY 2019
TOWN
DISC CHARGES
OR TOR
1039 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1040 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1041 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1042 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1043 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1044 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1045 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1046 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1047 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1048 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1049 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1050 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1051 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1052 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1053 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1054 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1055 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1056 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1057 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1058 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1059 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1060 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1061 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1062 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1063 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1064 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1065 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1066 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1067 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1068 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1069 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1070 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1071 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1072 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1073 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1074 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1075 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1076 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1077 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1078 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1079 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1080 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1081 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1082 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1083 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1084 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1085 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1086 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1087 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1088 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1089 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1090 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1091 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1092 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1093 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1094 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1095 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1096 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1097 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1098 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1099 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1100 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1101 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1102 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1103 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1104 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1105 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1106 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1107 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1108 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1109 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1110 - - - - - - - - - - - - - - - - - -
Page 10 of 250
SIR BEN 2
S, JOE 2
SHINE 2
dayan 1
ash 1
quia 2
marlon 2
s. ruel 1
kert 1
rene 1 10
con 1 10
ivy 1
anni 1
rendel 3
mine 1
tira 1
john
QUEZON MEDICAL CENTER
SUMMARY OF HEALTH COUPONS USED
FOR THE MONTH OF JANUARY 2019
On Coupons
Total per piece 100's 0 -
200's 0 -
TOTAL -
On Bill Charges
Consignment Medicine 2,300.00

Supply -
Laboratory 6,244.75
Radiology 200.00
Total Consignment 8,744.75
General Medicine 136.00

Supply -
Laboratory
Radiology -
Other Hospital 1,897.85
Charges
Total General 2,033.85
Grand Total 10,778.60
Prepared by:
MARIA ANDREA S. PASION

Admin Aide I
Reviewed by: Noted by:
JOEMAR R. BORROMEO ROLANDO A. PADRE, MD, FPCS

Accountant II Chief of Hospital
###
QUEZON MEDICAL
CENTER
SUMMARY OF HEALTH
COUPONS USED
FOR THE MONTH OF JULY 2017
On Coupons
Total per piece 100's 3,215 321,500.00
200's 8,828 1,765,600.00
TOTAL 2,087,100.00
2215 2656 577.5 441
4275 8059.5 1514.2 2284.5
4335 9566 5635.8 2771
7750 16697 9181.75 5252
4365 10653 3,624.50 4788

2210 11535.5 5,715.50 7825.5
68646 81689.5 7,916.70 8788.5
2060 5602 1,645.00 2042
7675 17866 10319.85 6,466.00
29656 36027.25 19361 3,191.25
7735 22404 7,911.25 11014
7765 21248.25 15,624.53 9758.25
1370 2842 4,681.60 1372
4360 5762.75 6,760.25 1102.75
1985 2432.5 577.50 447.5
8675 19646.25 5,149.75 7138.25
4180 12946.5 9,709.25 6186.5
2790 3155.5 1,133.10 365.5
8765 19290.5 10449.8 6,716.50
4725 12077.25 21444 7,352.25
37875 54705.25 8691.85 7,575.25
8300 17881.5 5241.3 5,946.50
6935 11864.75 23607.2 3,629.75
3315 6687.5 31617.75 3,372.50

2075 6129.75 2355.9 2554.75
2060 5962.75 1474.1 2402.75
2100 2478 1051.5 378
7690 18109.5 8643.9 6644.5
1695 5218 12749.5 3223
5749 8724.25 3270.42 1385.25
1985 2432.5 659.1 447.5
9070 23877.25 5567 8537.25
2060 5637.75 947.3 2077.75
2205 5747.25 3884.5 3542.25
38085 65184 23608.36 17824
3265 14662.5 13655.5 7137.5

Date: OCTOBER 2016
Total per
Control No. piece
Date used COUPON NAME OF GENDER TOWN
ISSUED G E N E R A L
(mm/dd/yy) AMOUNT BY
-P- 100.00 -P- 200.00 100 200
PATIENT MED SUPP LAB RAD ECG PT
ROOM, DR,
OR FEES
10/01/16 104584-593 10 2,000.00 ARELLANO, NORIEL ALI MALE TIAONG, Q BARANGAY - - - - - - 1,600.00
10/01/16 018361-362 098829-831 2 3 800.00 PIZARRO, DANICA HERN FEMALE CANDELARBARANGAY - - - - - - 1,000.00
10/01/16 079590-592 3 600.00 AÑONUEVO, SHAINE ANNFEMALE PAGBILAO, BARANGAY - - 50.00 - - - 1,200.00
10/01/16 098063-090 28 5,600.00 GALEON, ROSALINDA OBFEMALE CANDELARBARANGAY 2,400.00 - - 3,550.00 400.00 - 400.00
10/01/16 064826-831 6 1,200.00 POCHE, EDERLYN RONQUFEMALE LUCBAN, BARANGAY - - - - - - 6,500.00
10/01/16 080290, 298 2 400.00 BARANA, JOMAR VALENTMALE SARIAYA, BARANGAY - - - - - - 502.00
10/01/16 080291-292 2 400.00 BARANA, JEMAR VALENTMALE SARIAYA, BARANGAY - - - - - - 502.00
066626, 088496-
500, 209441, 445-
CONCHADA, CYRUZ
10/01/16 447, 455, 213189- 19 3,800.00 MALE INFANTA, BARANGAY 90.00 170.00 - - - - 14,300.00
CEASAR BORREO
192, 773567-569,
821193
016861, 016874- CANTOS, ROSE
10/01/16 8 800.00 FEMALE SARIAYA, BRGY. CAP - - - - - - -
880 MELINDA ARANDIA
10/01/16 007016-023 817734 8 1 1,000.00 MOLAS, NICOLE ANN JU FEMALE MAUBAN, BRGY. CAP - - - - - - -
10/01/16 160217 1 200.00 DEL MUNDO, JOHN EGEBO MALE LUCENA CIBRGY. CAP - - - - - - -
10/01/16 015501-519 19 1,900.00 REYES, DIONISIO CABRI MALE TAYABAS CBRGY. CAP - - - - - - -
10/01/16 725587-589 3 600.00 MENDIOLA, MARK BJ SATMALE LUCENA CIGOVERNO - - - - - - -
10/01/16 074940-944 5 1,000.00 MARASIGAN, APRIL JOY FEMALE MAUBAN, BRGY. CAP - - - - - - -
10/01/16 205350-352 3 600.00 MARINO, JOAN CAPISTR FEMALE LUCENA CIGOVERNO - - - - - - -
10/01/16 100159-163 5 1,000.00 PESTANO, VERONICA FEMALE TAYABAS CBRGY. CAP - - - - 200.00 - -
10/01/16 007027-029 3 300.00 MOLAS, NICOLE ANN JU FEMALE MAUBAN, BRGY. CAP - - - - - - -
078431, 078433- LUSABIO, VALERIANO - - - - - - -
10/01/16 4 800.00 MALE MAUBAN, BRGY. CAP
434, 078436 LETADA
10/01/16 881751, 757, 760 3 300.00 RICO, ANGELINE AGUILAFEMALE SAN ANDREBRGY. CAP - - - - - - -
135980-984, REYES, SHERELL - - - - - - -
10/01/16 10 2,000.00 FEMALE UNISAN, Q BRGY. CAP
138770-774 GONZALES
10/01/16 775599 1 200.00 MACALINTAL, EMELYN LFEMALE LUCENA CIBRGY. CAP - - - - 200.00 - -
10/02/16 811271-275 5 1,000.00 PARUCHA, MARITES LAUFEMALE CAINTA, R BARANGAY - - - - - - 100.00
0007115-116, 124- BAJARO, VINCENT 825.00 - - - - - 200.00
10/02/16 076323-325 8 3 1,400.00 MALE MAUBAN, BARANGAY
129 MACINAS
10/02/16 105442-451 10 2,000.00 HIZON, WENNIE ANN GAVFEMALE TIAONG, Q BARANGAY 90.00 150.00 - - - - 6,500.00
017816-830, 841- GONZALVO, ATHENA - - - 700.00 - - 4,910.00
10/02/16 20 2,000.00 FEMALE CANDELARBARANGAY
845 REIGN DEJUCOS
10/02/16 013391-398 088492-495 8 4 1,600.00 DEODORES, JESSA FATIM FEMALE LUCENA CIBARANGAY 90.00 170.00 - - - - 29,724.00
10/02/16 018477-484 8 800.00 ROMEO, LADY JEAN NAT FEMALE CANDELARBRGY. CAP - - - - - - -
062943-947, ELLA, SHARMAINE SHA - - - - - - -
10/02/16 8 1,600.00 FEMALE LUCBAN, BRGY. CAP
062951-953 SHA MELARPEZ
10/02/16 160223 1 200.00 SOBREVIÑAS, RENATO A MALE LUCENA CIBRGY. CAP - - - - - - -
037295, 048902- 136697, 138778, CUIZON, NECIE - - - - - - -
10/02/16 3 7 1,700.00 FEMALE BURDEOS, BRGY. CAP
903 159910-914 COMBALICER
10/02/16 013544 078751 1 1 300.00 CABILE, CLARISSE MAE FEMALE PAGBILAO, BRGY. CAP - - - - - - -
10/02/16 045915-916 2 200.00 SAAVEDRA, FELIZARDO MALE LOPEZ, QU BRGY. CAP - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/03/16 012587-588 2 200.00 CABALLERO, YOLHIE RIZMALE TAYABAS CBARANGAY - - - - - - 100.00
10/03/16 096882, 888-897 11 2,200.00 VILLADIEGO, EDGARDO MALE SARIAYA, BARANGAY - - - - 200.00 - 300.00
008843-844, 846- 104350, 871, 873- PARACALE, NICOLE - - - - - - 505.00
10/03/16 12 4 2,000.00 FEMALE TIAONG, Q BARANGAY
850, 021114-118 874 LUSTINA
10/03/16 021053-062 104346-349, 872 10 5 2,000.00 LUSTINA, NINGNING REDFEMALE TIAONG, Q BARANGAY - - - - - - 4,000.00
10/03/16 147664-668 5 1,000.00 ROSELIA, JECILLE SALU FEMALE CALAUAG, BARANGAY - - - - - - 600.00
10/03/16 129101-110 10 2,000.00 BALILO, HASH LHIAN N/AFEMALE SAN ANDREBARANGAY 240.00 - 175.00 - 200.00 - 200.00
132639-648,
VERONA, ANGELINE - - - 900.00 200.00 - 2,000.00
10/03/16 133121-122, 720- 15 3,000.00 FEMALE CATANAUABARANGAY
ALFORTE
722
007132-133, 227, 076343-345, 560, RODRIGUEZA, MAURO - - 50.00 - 200.00 - 3,300.00
10/03/16 5 5 1,500.00 MALE LUCENA CIBARANGAY
925313-314 816961 ARMENTA
10/03/16 131001-040 40 8,000.00 AZARCON, GESABEL DE LFEMALE CATANAUABARANGAY 840.00 - - - - - 1,400.00
094762-771,
094832, 844-850, ATIENZA, MYRA 90.00 170.00 - - - - 55,000.00
10/03/16 017401 1 23 4,700.00 FEMALE SARIAYA, QUEZON
096993-995, 997, SARMIENTO
097029
110633, 110693-
047451-452, 695, 157001-004, - - - - - - 4,000.00
10/03/16 3 16 3,500.00 CABAÑERO, CRISTY MALFEMALE TAYABAS CBRGY. CAP
047476 157059, 748751,
748754-759
10/03/16 086399-400 2 400.00 BUERA, JUANCHO DIEGOMALE TAYABAS CBRGY. CAP - - - - - - 506.00
10/03/16 775249-250 2 400.00 GENTON, KAISER EMPRE MALE SAN ANDREGOVERNO - - - - - - 505.00
062436-440, 2,160.00 - - - - - 8,310.00
10/03/16 8 1,600.00 SALIVIA, CYMON ZANE AMALE LUCBAN, BRGY. CAP
062816-818
133245-259, - - - - - - 5,500.00
10/03/16 20 4,000.00 DE LOS REYES, FLORENCIFEMALE CATANAUABRGY. CAP
133440-444
10/03/16 015231-235 5 500.00 ABRAGON, ALDEN ABADIMALE TAYABAS CBRGY. CAP - - - - - - 8,220.00
10/03/16 099386, 099397 2 400.00 UMALI, EUGENIO OBLETAMALE CANDELARBRGY. CAP 90.00 170.00 - - - - 8,240.00
062147, 063083,
333-334, 336-337,
901; 064917, 928-
929; 065120-121, 90.00 95.00 - - - - 13,800.00
10/03/16 25 5,000.00 MACABUHAY, RICKY HA MALE LUCBAN, BRGY. CAP
132-133, 135-137;
084440, 445, 466,
491-492, 494-495,
500
10/03/16 105259-264, 268 7 1,400.00 PEÑALOZA, ROSANA ROXFEMALE TIAONG, Q BRGY. CAP - - - - - - 8,520.00
10/03/16 105265-267 3 600.00 ABIAR, LANCE PEÑALOZ MALE TIAONG, Q BRGY. CAP - - - - - - 502.00
012321-330, 345, 90.00 75.00 - - - - 14,600.00
10/03/16 35 3,500.00 BUERA, JOJE PEÑA FEMALE TAYABAS CBRGY. CAP
347-349, 103-123

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
110690-692,
169252-262,
179257-261,
10/03/16 179530-531, 35 7,000.00 CUDILLO, LOREJANE CA FEMALE ALABAT, BRGY. CAP 120.00 170.00 3,600.00 - - - 17,200.00
179552-555,
179764-768,
179932-936
746358-367,
749151-152, 90.00 75.00 - - - - 13,700.00
10/03/16 17 3,400.00 PALMADO, KAILA SHENNFEMALE TAYABAS CBRGY. CAP
752143-144,
752151-153
145101-110,
146719-728,
147657-661,
040901-910, 6,675.00 17.00 3,600.00 2,100.00 - - 11,680.00
10/03/16 148241-250, 12 49 11,000.00 VILLAREY, QUEEN LIX KEFEMALE CALAUAG, BRGY. CAP
061512, 061518
185149-150,
185161, 185163,
185165-174
110791, 946, 951, - - - - - - 350.00
10/03/16 024422 1 9 1,900.00 BALMES, MARY ROSE FEMALE BRGY. CAP
952, 961-965
097234, 337, 338- DALISAY, RAYMUNDA - - - - - - -
10/03/16 8 1,600.00 FEMALE BRGY. CAP
341, 604, 610 TESICO
10/03/16 096320, 321-323 4 800.00 OBISPO, DULCE REMOROFEMALE BRGY. CAP - - - - - - 350.00
10/03/16 737032-036 5 1,000.00 DIOQUINO, ROGEL V. MALE BRGY. CAP - - - - - - 350.00
10/03/16 040607-616 10 1,000.00 LIBAO, JESELLE C FEMALE CATANAUABRGY. CAP - - - - - - -
10/03/16 100145-146, 149 3 600.00 QUINCENA, FILOMENA FEMALE LUCENA CIBRGY. CAP - - - - - - -
10/03/16 172143, 149 2 400.00 QUEVEDO, SUZETTE N/A FEMALE LUCBAN, BRGY. CAP - - - - - - -
10/03/16 138775-777, 779 4 800.00 MASCARIÑA, MONICA SAFEMALE ALABAT, BRGY. CAP - - - - - - -
006765-766, RECAÑA, ESTAQUIO - - - - - 1,400.00 -
10/03/16 077943-947 4 5 1,400.00 MALE MAUBAN, BRGY. CAP
007668-769 RUBIO
10/03/16 020554-557 4 400.00 PANGANIBAN, PEEJAY BAMALE TIAONG, Q BRGY. CAP - - - - - - -
10/03/16 063224, 231-233 4 800.00 ORACION, LOVELY ANDREFEMALE LUCBAN, BRGY. CAP - - - - - - -
209458-461, 464, - - - - - - -
10/03/16 10 2,000.00 PACUITA, ROSELLE * FEMALE LUCENA CIMUNICIPA
466-470
10/03/16 000151 062456-462 1 7 1,500.00 DELAS ALAS, MARK JAYSMALE LUCBAN, BRGY. CAP - - - - - - -
10/03/16 066991 1 200.00 CONCEPCION, TERESITA FEMALE LUCENA CIBRGY. CAP - - - - - 200.00 -
10/03/16 783831, 835 2 400.00 CAMPANO, ANGELITO * MALE LOPEZ, QU BRGY. CAP - - - - - - -
10/03/16 763474-477 4 800.00 LLANDILAR, MERCY LOPFEMALE SARIAYA, BRGY. CAP - - - - - - -
0088171, 088173- ACOB, ANNA LISA - - - - - - -
10/03/16 5 1,000.00 FEMALE TAYABAS CBRGY. CAP
174, 088176-177 MENDOZA
048463, 048465, PERSEVERANDA, - - - - - - -
10/03/16 159026 3 1 500.00 FEMALE LOPEZ, QU BRGY. CAP
899936 MEROLITA MACALLA

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
066116, 619, 622- ASTOVEZA, MIYA JEAN - - - - - - -

10/03/16 4 800.00 FEMALE INFANTA, BRGY. CAP
623 CAÑON
159806, 159808- BANDOJO, JEFRREY - - - - - - -
10/03/16 5 1,000.00 MALE CANDELARBRGY. CAP
810, 159821 AQUINO
10/03/16 008169 078437 1 1 300.00 LUSABIO, VALERIANO L MALE MAUBAN, BRGY. CAP - - - - - - -
10/03/16 093059-060 2 400.00 CAÑIZARES, ERNESTO A MALE SARIAYA, BRGY. CAP - - - - - - -
10/03/16 078966-975 10 2,000.00 CATAUSAN, RYAN NIL ORMALE PAGBILAO, BRGY. CAP - - - - - - -
10/03/16 097890-894 5 1,000.00 AMPELOQUIO, MARILIE FEMALE CANDELARBRGY. CAP - - - - - - -
10/03/16 146516-518 3 600.00 BAIS, FREDERICK REMEGMALE CALAUAG, BRGY. CAP - - - - - - -
062149, 063082,
063084-086, MACABUHAY, RICKY - - - - - - -
10/03/16 12 2,400.00 MALE LUCBAN, BRGY. CAP
063335, 063902, HAYUMA
064930-934
008273, 008275- - - - - - - -
10/03/16 078669-670 3 2 700.00 SAN JUAN, RAMON A MALE PAGBILAO, BRGY. CAP
276
146519, 146522- BAIS, FREDERICK - - - - - - -
10/03/16 5 1,000.00 MALE CALAUAG, BRGY. CAP
525 REMEGIO
10/03/16 110346-350 5 1,000.00 EBIO, JULIETA C. F SAN ISIDR CAPTAIN - - - - 200.00 - -
10/03/16 897434-435 783833 2 1 400.00 CAMPANO, ANGELITO M LOPEZ CAPTAIN - - - - - - -
10/03/16 921671 073758-760 1 3 700.00 ABOCADO, MARILOU L. F POLILIO - - - - - - -
10/03/16 095654-655 2 400.00 MENES, AGUSTINA F SARIAYA CAPTAIN - - - - - - -
10/03/16 202575-576 2 400.00 FABIE, ANTHONY VILLALM LUCENA GOVERNO - - - - - - -
10/03/16 040209 142595 1 1 300.00 CADUNAY, SHERLYN V. F CALAUAG CAPTAIN - - - - - - -
10/03/16 058302 178702 1 1 300.00 AGUILAR, MICHAEL D. M LUCENA CAPTAIN - - - - - - -
10/03/16 000405 1 100.00 DEAPERA, ELDY L. F LUCENA CAPTAIN - - - - - - -
104143-147, 149-
10/03/16 7 1,400.00 BRIONES, MICHELLE F TIAONG CAPTAIN - - - - 200.00 - -
150
073756-757, PUCHERO, JESALYN
10/03/16 921955 1 3 700.00 F POLILIO CAPTAIN - - - - - - -
791297 ATENDIDO
10/03/16 133438-439 2 400.00 BOSITO, JOVIE F CATANAUACAPTAIN - - - - - - -
10/03/16 169961-963 3 600.00 RECTO, RANNIE M ALABAT CAPTAIN - - - - - - -
043571-572, 149227-228, 231, COMENTAN, CONCHITA
10/03/16 5 4 1,300.00 F CALAUAG CAPTAIN - - - - - - -
888714-715, 712 843857 JUVIDA
10/03/16 741681 1 200.00 CUEVAS, EUFEMIA M LUCENA CAPTAIN - - - - - - -
10/03/16 094795-798 4 800.00 ROBLES, NELSON RODRI M SARIAYA CAPTAIN - - - - 200.00 - -
10/03/16 011769-771 3 300.00 BELTRAN, MARIA LUCY F CAPTAIN - - - - - - -
MALABANAN, NEIDENE
10/04/16 076703-708 6 1,200.00 FEMALE LUCENA CIBARANGAY 1,650.00 - - - 200.00 - 2,600.00
MARTINEZ
011901-908, 910- ABANTE, ERWIN
10/04/16 093286-295 10 10 3,000.00 MALE SARIAYA, BARANGAY 180.00 75.00 - 3,790.00 - - 7,460.00
911 MACARAIG

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
164398-399, 573,
033556, 558, 580, 584-586, 593- BASCO, ORLANDO
10/04/16 24 31 8,600.00 MALE ATIMONANBARANGAY 120.00 75.00 1,800.00 - 200.00 - 19,700.00
051206-227 601, 165055, 066- CANALES
069, 166242-251
10/04/16 065217-220, 223 5 1,000.00 DE VERA, RHENZ JOSEPHMALE LUCBAN, BRGY. CAP - - - - - - 503.00
10/04/16 065221-222 2 400.00 EVANGELISTA, JEANILYNFEMALE LUCBAN, BRGY. CAP 30.00 170.00 - - - - 12,600.00
10/04/16 107811-825 15 3,000.00 MAGNAYE, MARITES GUCFEMALE SAN ANTONBRGY. CAP 120.00 185.00 - - - - 16,900.00
064031, 033-042,
OBDIANELA, CECILIA
10/04/16 045, 152-155, 212- 25 5,000.00 FEMALE LUCBAN, BRGY. CAP 90.00 170.00 - - - - 12,000.00
NOMBRE
216, 218-220, 474
099055-056, CARREON, CRISTINA
10/04/16 018497-500 4 12 2,800.00 FEMALE CANDELARBRGY. CAP 120.00 95.00 - - - - 15,600.00
212871-880 ALPEREZ
152817-819,
154056-057,
154059, 155216-
045956, 958, 220, 155869-873, CALIWARA, MARILOU
10/04/16 6 35 7,600.00 FEMALE LOPEZ, QU BRGY. CAP 4,710.00 - 100.00 - 400.00 - 10,400.00
048409-412 157526-530, EREZUELA
158973-975,
212568-572,
780795-800
062417-421,
213377-383,
000276-280, 751608-609, CONCHA, JANE - - - - - - 9,600.00
10/04/16 10 59 12,800.00 FEMALE MULANAY, BRGY. CAP
000381-385 775226-235, DELGADO
775391-400,
789826-850
10/04/16 14327-334 8 800.00 EXTERNON, ALBERT OBI MALE BRGY. CAP - - - - - - -
10/04/16 104757, 759-761 4 800.00 CABASA, RICARDO REYEM TIAONG CAPTAIN - - - - - - -
166920-925, 967- - - - - - - -
10/04/16 14 2,800.00 LAUDE, EVA AMANDY F ATIMONANCAPTAIN
972, 976-977
10/04/16 871821 765959-960 1 2 500.00 RONDERO, RENELITO M SARIAYA CAPTAIN - - - - - - -
10/04/16 094031, 033 2 400.00 IBARRA, DIOVANI M SARIAYA CAPTAIN - - - - - - -
011773-775, 766, BELTRAN, MA LUCY - - - - - - -
10/04/16 5 500.00 F JOMALIG CAPTAIN
768 MAGLASANG
210830-832, ZURBANO, ARNALDO - - - - - - -
10/04/16 5 1,000.00 M LOPEZ QU GOVERNO
154432-433 ZABELLA
10/04/16 011772 074101, 107-113 1 8 1,700.00 ABETRIA, MYRNA M. F POLILIO CAPTAIN - - - - - - -
10/04/16 205253-255 3 600.00 PORTINTO, AMADO M. M LUCENA CIGOVERNO - - - - - - -
10/04/16 19006-008 3 300.00 DORO, VICTOR B. M LUCENA CICAPTAIN - - - - - - -
10/04/16 803046-047 2 400.00 CONSTANTINO, ARTEMIOM QUEZON CAPTAIN - - - - - - -
148652, 654-655, LOPEZ, ARMADO - - - - - - -
10/04/16 042509 1 4 900.00 M CALAUAG CAPTAIN
657 ANDRADA
10/04/16 107830-836 7 1,400.00 MAGNAYE, MARITES F CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/04/16 203419 1 200.00 PAYOD, ANALIZA YAP F LUCENA CIGOVERNO - - - - - - -
163240, 527-528, - - - - - - -
10/04/16 11 2,200.00 MONREAL, MARITES S. F CAPTAIN
162945-952
10/04/16 078959-965 7 1,400.00 REVADOLLA, JIMUEL MAM PAGBILAO CAPTAIN - - - - - - -
10/04/16 090620 1 200.00 FERRER, NANCITA S. F TAYABAS CAPTAIN - - - - - 200.00 -
10/04/16 033559 1 100.00 MARFIL, MICHAEL M CAPTAIN - - - - - - -
10/04/16 016727 080328, 198787 1 2 500.00 CENTENO, IAN T. M LUCENA CAPTAIN - - - - - - -
062819-820, ABUEL, HANNA - - - - - - -
10/04/16 000060 1 10 2,100.00 F LUCBAN CAPTAIN
062428-435 PERMALINO
10/04/16 098612, 641 2 400.00 LLANTO, ARLENE LIRA F CANDELARCAPTAIN - - - - - - -
10/04/16 017198-200 3 300.00 ALBITOS, JENELYN F SARIAYA CAPTAIN - - - - - - -
10/04/16 089406, 408-411 5 1,000.00 PALMADO, KAILA SHENNF CAPTAIN - - - - - - -
10/04/16 095391-400 10 2,000.00 MARANAN, ALFREDO P. M SARIAYA CAPTAIN - - - - - - -
10/04/16 023261-264 4 400.00 FLORES, WILLIAM C. M SAN ANTO CAPTAIN - - - - - - -
10/04/16 878378 169714, 721 1 2 500.00 CAPARROS, MARIA LUISAF ALABAT CAPTAIN - - - - - - -
910711-716, 720- DE ASIS, SHERYLL - - - - - - -
10/04/16 17 1,700.00 F LUCBAN CAPTAIN
730 SALES
10/04/16 212840, 642-644 4 800.00 LOPEZ, NATALIA Q. F LUCENA GOVERNO - - - - - - -
051293-294, DESEMBRANA, DAISY - - - - 200.00 - -
10/04/16 164693-695 12 3 1,800.00 F ATIMONANCAPTAIN
011731-740 AUDITOR
10/04/16 105244-251 8 1,600.00 DE TORRES, AMELIA A. F CAPTAIN - - - - 200.00 - -
10/04/16 011158 1 100.00 PENIDA, ALEXANDER C. M PANUKULACAPTAIN - - - - - - -
10/04/16 000886 063871-873 1 3 700.00 ALCANTARA, MILDRED MF LUCBAN CAPTAIN - - - - - - -
10/04/16 008631 079384 1 1 300.00 DALEON, ROSSEL M. F PAGBILAO CAPTAIN - - - - - - -
10/04/16 078276-283 8 1,600.00 JARMIN, IMELDA SALUD F MAUBAN CAPTAIN - - - - - - -
018780, 783-791, DELOS REYES, - - - - - - -
10/04/16 11 1,100.00 F CANDELARCAPTAIN
793 ELEANOR M.
10/04/16 095220 1 200.00 SEÑORIN, MARY F SARIAYA CAPTAIN - - - - - - -
10/04/16 094030, 032, 034 3 600.00 IBARRA, DIOVANI M SARIAYA CAPTAIN - - - - - - -
10/04/16 009809 081725-729 1 5 1,100.00 LAZARO, CRISTINA P. F SAMPALOCCAPTAIN - - - - - - -
10/04/16 201464-465 2 400.00 NATAL, ARIEL M MULANAY GOVERNO - - - - - - -
091972-974, 976, - - - - - - -
10/04/16 6 1,200.00 SINECULA, MICHELLE F TAYABAS CAPTAIN
092083, 092094
10/04/16 000694 063492-497 1 6 1,300.00 BOJILADOR, RACHEL E. F LUCBAN CAPTAIN - - - - - - -
10/04/16 93248-250 3 600.00 NATAL, JHARRED R. M SARIAYA CAPTAIN - - - - - - -
10/04/16 017191-197 7 700.00 ALBITOS, JENELYN F SARIAYA CAPTAIN - - - - - - -
10/04/16 103946-947 2 400.00 DIMAYUGA, TEOFILO DI M TIAONG CAPTAIN - - - - - - -
10/04/16 205231-232, 235 3 600.00 MARINO, JOAN CAPISTR F LUCENA GOVERNO - - - - - - -
10/05/16 097085-100 16 3,200.00 OBNASCA, ISABELO DIA MALE SARIAYA, BARANGAY 2,340.00 - - - - - 200.00
10/05/16 128610-619 10 2,000.00 MADRID, KORINA BUTALFEMALE SAN ANDREBARANGAY - - - - - - 7,100.00
021187-191; 744691-700, 893- ARPON, QUEEN SHARON 90.00 170.00 1,800.00 - - - 12,300.00
10/05/16 11 13 3,700.00 FEMALE TIAONG, Q BRGY. CAP
913745-750 895 FERNANDEZ
10/05/16 080295-296 2 400.00 HERNANDEZ, RHEENA M FEMALE SARIAYA, BRGY. CAP - - - - - - 4,000.00

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/05/16 058413-417 5 500.00 SOLOMON, SAMUEL SEL MALE CANDELARBRGY. CAP 228.00 170.00 - - 200.00 - 8,520.00
088491, 096133,
102751-760,
109778-782,
ORIEL, JANICE 120.00 170.00 - - - - 59,465.62
10/05/16 110887, 889, 895, 28 5,600.00 FEMALE PADRE BU BRGY. CAP
VERANGA
897-898, 209442,
451, 454, 821194-
195, 197
205895-896, - - - - - - -
10/05/16 4 800.00 SAN JUAN, RODILLO ME MALE BRGY. CAP
212737, 739
10/05/16 060676 183488-492 1 5 1,100.00 ABRENICA, REMERSON B.M GUINYANGCAPTAIN - - - - - - -
10/05/16 133406-408 3 600.00 CASERES, MELESA A. F CATANUANCAPTAIN - - - - - - -
129701-705, MAHINAY, AILENE - - - - - - -
10/05/16 8 1,600.00 F SAN FRAN CAPTAIN
129708-710 BORJAL
10/05/16 202256-259 4 800.00 BORJA, INES F LUCENA GOVERNO - - - - - - -
10/05/16 103503-510 8 1,600.00 LARA, RICA MAE F TIAONG CAPTAIN - - - - - - -
10/05/16 907571 861595 1 1 300.00 REBAÑO, CARLOS M UNISAN CAPTAIN - - - - - - -
10/05/16 212573-575 3 600.00 BASCO, ORLANDO CANA M ATIMONANGOVERNO - - - - - - -
10/05/16 863133 1 200.00 SALVADOR, FLOR PARCO F UNISAN CAPTAIN - - - - - - -
10/05/16 212602-603 2 400.00 SANTUA, ANDREA JOY P F SARIAYA GOVERNO - - - - - - -
10/05/16 040210-212 3 300.00 ADONAY, SHARLENE VIL F CALAUAG CAPTAIN - - - - - - -
212019-020, 594, ABREA, ORLANDO - - - - - - -
10/05/16 4 800.00 M LUCENA GOVERNO
596 AGUILON
10/05/16 868400 091568-578 1 11 2,300.00 YACABA, ROSAURO HILARM TAYABAS CAPTAIN - - - - - - -
10/05/16 062648-650 3 600.00 MERLE, YOHAN ROVERO M LUCBAN CAPTAIN - - - - - - -
063905-906,
SALIPANDY, CHRISTIAN - - - - - - -
10/05/16 063701-705, 10 2,000.00 M LUCBAN
PAUL B.
064727-729
10/05/16 16086-092 094277, 282-284 7 4 1,500.00 TANEO, PABLITO LANDICM SARIAYA CAPTAIN - - - - - - -
10/05/16 165388, 390-391 3 600.00 ZATARAIN, JENNY ALVARF ATIMONANCAPTAIN - - - - - - -
103501-502, 550- GLORIOSO, MA. APRIL - - - - - - -
10/05/16 5 1,000.00 F SARIAYA CAPTAIN
552 MAY VILLAFLOR
882116-126, 101, ROVEDILLO, REY - - - - - - -
10/05/16 20 2,000.00 M SAN FRAN CAPTAIN
107-112, 114-115 CARLO O.
016571-572, 577, - - - - - - -
10/05/16 6 600.00 HERNANDEZ, JESSICA F SARIAYA CAPTAIN
580-581, 583
10/05/16 197047-049 3 600.00 SADSAD, ARMANDO L. M GOVERNO - - - - - - -
10/05/16 078089 1 200.00 SARDEA, ARLENE MANA F MAUBAN GOVERNO - - - - - - -
10/05/16 165377-381 5 1,000.00 ZATARAIN, JENNY ALVARF ATIMONANCAPTAIN - - 100.00 - - - -
10/05/16 097067-069 3 600.00 COMISO, ERLINDA F SARIAYA CAPTAIN - - - - - - -
10/05/16 016574 095236-237, 240 1 3 700.00 HERNANDEZ, JESSICA F. F SARIAYA CAPTAIN - - - - - - -
10/05/16 129711-712 2 400.00 SUPREMO, ABIGAIL C. F SAN FRAN CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/05/16 789919 1 200.00 PADOLINA, MICHALE DI M PAGBILAO CAPTAIN - - - - - 200.00 -
10/05/16 111639-641 3 600.00 ICAL, ROSEMARIE R. F PADRE BU CAPTAIN - - - - - - -
10/05/16 65138-142 5 1,000.00 EMATA, NIECA F LUCBAN CAPTAIN - - - - - - -
10/05/16 111187-191 5 1,000.00 SALVADOR, FLOR PARCO F PADRE BU CAPTAIN - - - - 900.00 - -
10/05/16 801435 1 200.00 ILEMA EDUARDO C. M PADRE BU CAPTAIN - - - - - - -
10/05/16 109270-271, 279 3 600.00 VILLAREAL, MRIFE F SAN ANTO CAPTAIN - - - - - - -
171601-605,
211228-230, BARRETTO, DELFIN - - - - - - -
10/05/16 054856-857 2 13 2,800.00 M QUEZON CAPTAIN
171811-813, SANAO
170714-715
10/05/16 138356-357 2 400.00 PEREZ, EDGAR DE RAMOM UNISAN CAPTAIN - - - - - - -
10/05/16 33703-710 8 800.00 PELAEZ, KAREN T. F CAPTAIN - - - - - - -
10/05/16 093046-047 2 400.00 MALENAO, SULFICIO MAM CAPTAIN - - - - - - -
10/05/16 138358 1 200.00 PEREZ, EDGAR DE RAMOM UNISAN CAPTAIN - - - - - - -
10/05/16 086514-516 3 600.00 EVANGELISTA, ERNESTO M TAYABAS CAPTAIN - - - - - - -
024106-108, 111-
10/05/16 114, 282-284, 484- 20 2,000.00 LERON, KEYZEL LIWAG F CAPTAIN - - - - 2,200.00 - -
488, 101-105
10/05/16 013689 089097-098 1 2 500.00 ALBAN, GERMAN J. M TAYABAS CAPTAIN - - - - - - -
10/05/16 098297-300 4 800.00 QUIZON, DARIUS A. M CANDELARCAPTAIN - - - - - - -
021859-862, 866- - - - - - - -
10/05/16 105895, 898-900 8 4 1,600.00 DE CASTRO, BENILDA F TIAONG
869
10/05/16 058418-420 3 300.00 REYES, RONALYN N. F PEREZ CAPTAIN - - 50.00 - - - -
10/05/16 020936, 938, 943 3 300.00 LLAGA, CELESTINO M TIAONG CAPTAIN - - - - - - -
717147-154, - - - - - - -
10/05/16 9 1,800.00 LARGADO, LARSSIE JANEF LUCENA GOVERNO
728273
10/05/16 021315 104758 1 1 300.00 MANALO JR, RUBEN LEO M MAUBAN CAPTAIN - - - - - - -
077466-468, ACUEZA, KARL ALEN - - - - - - 503.00
10/06/16 8 1,600.00 MALE MAUBAN, BRGY. CAP
078438-442 PATIÑO
063081, 087-090,
064302-310, ZARSUELA, CONRADO 3,360.00 - - 900.00 200.00 - 2,400.00
10/06/16 32 6,400.00 MALE LUCBAN, BRGY. CAP
133033-035, 136- JR ABUEL
145, 054-058
090425, 428-429, - - - - - - 1,200.00
10/06/16 8 1,600.00 MAAÑO, LYSSA ABORDO FEMALE TAYABAS CBARANGAY
432-433, 461-463
076419, 077219- - - - - - - 1,600.00
10/06/16 007985-986 2 6 1,400.00 FLORES, JOBEL PERNIA FEMALE MAUBAN, BARANGAY
221, 078047-048
10/06/16 217318 1 200.00 PORTES, GIAN ISAIAH JU MALE PAGBILAO, BARANGAY - - - - - - 4,769.29
10/06/16 888399 145384, 386 1 2 500.00 JUNIO, GIRLIE BAIGAN FEMALE PAGBILAO, BARANGAY 90.00 - - - - - 19,895.12
10/06/16 776046-050 5 1,000.00 ALAN, CHRISTINE JOY R FEMALE LUCENA CIGOVERNO - - - - - - 5,000.00
10/06/16 013201-220 088196-200 20 5 3,000.00 ACOB, NATHAN MENDOZMALE TAYABAS CBRGY. CAP - - - - - - 13,070.00

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
151613, 617, 619-

621; 153830-834;
156421-422;
BAGAMASBAD, JOEL 180.00 75.00 - - - - 18,400.00
10/06/16 155372-373; 25 5,000.00 MALE LOPEZ, QU BRGY. CAP
ABATAYO
156805-808;
157009-010;
173528-532
10/06/16 045870 156913-915 1 3 700.00 ANACION, ZENAIDA OSU FEMALE BRGY. CAP - - - - - - -
ALMANDRONES,
169008-010, - - - - - - -
10/06/16 4 800.00 NICANORE MALE BRGY. CAP
190877
VILLABROZA
10/06/16 150170-174 5 1,000.00 SATIRA, ALEXANDER JUBMALE BRGY. CAP - - - - - - -
10/06/16 880378-392, 400 16 1,600.00 AURELLANA, SEAN KERBMALE BRGY. CAP - - - - - - -
151622, 153302, - - - - - - -
10/06/16 6 1,200.00 BAGAMASBAD, JOEL M LOPEZ CAPTAIN
326-329
10/06/16 016468-472 095096, 098-100 5 4 1,300.00 ALBITOS, CARLA REGIN F SARIAYA CAPTAIN - - - - - - -
014001-006, 008, PASCUA JR, CEFERINO
10/06/16 8 800.00 M TAYABAS CAPTAIN - - - - - - -
010 ADAME
090441, 443, 448,
10/06/16 5 1,000.00 MAAÑO, LYSSA ABORDO F TAYABAS CAPTAIN - - - - - - -
450, 459
086926-930,
10/06/16 10 2,000.00 LLEVA, JUVENAL A. F TAYABAS CAPTAIN - - - - - - -
087062, 064-067
10/06/16 112451 1 200.00 EROA, RANDY ESTRADA M AGDANGA CAPTAIN - - - - - - -
10/06/16 132546-547 2 400.00 ORGANO, LYDIA F CATANAUACAPTAIN - - - - - - -
10/06/16 719388-389, 396 3 600.00 ENELO, JUAQUIN M LUCENA GOVERNO - - - - - - -
10/06/16 212570 1 200.00 REYES, RUFINO B. M LUCENA GOVERNO - - - - - - -
10/06/16 164279-281 3 600.00 DELOS, REYES EDGARDOM ATIMONANCAPTAIN - - - - - - -
10/06/16 719390 1 200.00 QUINDARA, NIGEL M LUCENA GOVERNO - - - - - - -
10/06/16 090611, 617 2 400.00 FERRER, NANCITA S. F TAYABAS CAPTAIN - - - - - 400.00 -
10/06/16 021855 1 100.00 BUYET, IAN EULO C. M TIAONG CAPTAIN - - - - - - -
10/06/16 739416, 422 2 400.00 PERMALINO, ANTONIO M TAYABAS GOVERNO - - - - - - -
10/06/16 185424, 783 2 400.00 MAGTIBAY, MARY JANE BF CAPTAIN - - - - - - -
10/06/16 018781 1 100.00 DELOS, REYES ELEONOR F CANDELARCAPTAIN - - - - - - -
10/06/16 014071 087802-803, 805 1 3 700.00 JAVUNEZ, AURELIA L. F TAYABAS CAPTAIN - - - - - - -
202648-650,
10/06/16 4 800.00 DIAZ, ROSALINDA F LUCENA GOVERNO - - - - - - -
205806
10/06/16 089052-055 4 800.00 CORDOVILLA, TECHIE RAF TAYABAS CAPTAIN - - - - - 800.00 -
10/06/16 136765-766 2 400.00 GULIFARDO, MARIBETH F UNISAN CAPTAIN - - - - - - -
10/06/16 093351-352 2 400.00 ALUAN, RIELL ANICA PA F SARIAYA CAPTAIN - - - - - - -
10/06/16 811233-237 5 1,000.00 CUANTON, KHIEN RUEL P.M GENERAL CAPTAIN - - - - - - -
10/06/16 202183-184 2 400.00 DELOS SANTOS, JERWIN M ATIMONANGOVERNO - - - - - - -
10/06/16 921051-062 12 1,200.00 CADIZ, GLORIA AREVALOF AGDANGAN - - - - - - -
10/06/16 141731-740 10 2,000.00 ALMONTE, RONALYN R. F TAGKAWAYCAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
093514, 590, 592, ESCAMILLAS, MARA - - - - - - -

10/06/16 4 800.00 F SARIAYA CAPTAIN
599 CLARA ESCAMILLAS
10/06/16 890439 164931-934 1 4 900.00 TENA, ERWIN C. M AIMONAN CAPTAIN - - - 900.00 - - -
096916-917, - - - - - - -
10/06/16 871128, 017439 2 3 800.00 SALUDES, LORNA D F SARIAYA CAPTAIN
095627
10/06/16 722641 1 200.00 LACUARIN, YNAH MARIEF INFANTA GOVERNO - - - - - - -
10/06/16 002670-700 31 3,100.00 COMBALICER, ERLINDA F INFANTA CAPTAIN - - - 3,790.00 - - -
10/06/16 025136-143, 176 112449, 452 9 2 1,300.00 EROA, RANDY ESTRADA M AGDANGA CAPTAIN - - - - - - -
10/06/16 136698-700 3 600.00 REYES, SHERELL F UNISAN CAPTAIN - - - - - - -
10/06/16 062531 1 200.00 DE CHAVEZ, CATALINA F LUCBAN CAPTAIN - - - - 200.00 - -
10/06/16 097080-084 5 1,000.00 BLANCA, CARLO C. M SARIAYA CAPTAIN - - - 100.00 - - -
10/06/16 109273-276 4 800.00 VILLAREAL, MARIFE F SAN ANTO CAPTAIN - - - - - - -
165944-948, - - - - 200.00 - -
10/06/16 890437 1 8 1,700.00 TENA, ERWIN C. M ATIMONANCAPTAIN
166636-638
10/06/16 020306 102761-770 1 10 2,100.00 REVILLOSA, ANGELITA F LUCENA CAPTAIN - - - - - - -
10/06/16 096991-992 2 400.00 MAAS, FLORDELIZA MARF SARIAYA CAPTAIN - - - - - - -
10/06/16 212931-940 10 2,000.00 LAYOSA, EGLESERIO D. M TAGKAWAYGOVERNO - - - 5,950.00 - - -
10/06/16 129713-715 3 600.00 RUANTO, GODOFREDO M REAL CAPTAIN - - - - - - -
105279-283, - - 50.00 - - - 800.00
10/07/16 011721-730 10 7 2,400.00 CONCHA, ALDEN FULE MALE SARIAYA, BARANGAY
762526, 570
10/07/16 929851-855 5 1,000.00 OBCIANA, GENALYN RA FEMALE LUCENA CIBOARD M 5,520.00 - - - - - 10,700.00
10/07/16 062821, 825 2 400.00 VALDE, MARIE ANGELIE FEMALE LUCBAN, BRGY. CAP - - - - - - 3,900.00
10/07/16 106173 1 200.00 MERCADO, EDERLINDA BFEMALE SARIAYA, BRGY. CAP - - - - - - 6,700.00
106171-172, 174- MERCADO, DAN - - - - - - 502.00
10/07/16 5 1,000.00 MALE SARIAYA, BRGY. CAP
176 NATHANIEL BASILIYO
10/07/16 882131-135 5 500.00 PEDRIGAL, LEZIA ORMASFEMALE MULANAY, BRGY. CAP - - - - - - 501.00
087139, 141-143, ORIAS, PRINCESS 4,950.00 - - - - - 5,010.00
145 SAVANNA REGANION
10/07/16 186587-591 5 1,000.00 DE CASTRO, DANIEL SOLMALE TAYABAS CGOVERNO 3,840.00 - - - - - 41,810.00
10/07/16 074443, 449-450 3 600.00 PORTUCELA, CRISTAN DEMALE POLILLO, BRGY. CAP - - - - - - 502.00
016423-426, 429, REMOJO, ACESHELL - - - - - - 7,200.00
10/07/16 8 800.00 FEMALE SARIAYA, BRGY. CAP
432, 437, 444 CALATRAVA
16441-443, 430- REMOJO, ERICH SHANE - - - - - - 502.00
10/07/16 5 500.00 FEMALE SARIAYA, BRGY. CAP
431 CALATRAVA
10/07/16 130501-505 5 1,000.00 NARVAEZ, ROSE ANN RO FEMALE CANDELARBRGY. CAP - - - - - - 6,040.00
094182-191, 193-
DE LUMEN, LEAH 120.00 170.00 1,800.00 - - - 16,100.00
10/07/16 196; 763063-065, 18 3,600.00 FEMALE SARIAYA, BRGY. CAP
HERNANDEZ
067
109416-421, 435- - - - - - - 5,000.00
10/07/16 10 2,000.00 OSEÑA, PILIPINA DOTE FEMALE TIAONG, Q BRGY. CAP
438
108001-010; DIMASUPIL, APPLE - - 3,600.00 - - - 6,100.00
10/07/16 10 2,000.00 FEMALE SAN ANTONBRGY. CAP
109121-130 BALBOA
10/07/16 882136-150 15 1,500.00 PEDRIGAL, BRENDA ORMFEMALE MULANAY, BRGY. CAP - - - - - - 3,700.00

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
164414, 417-418;
052809-818; 180067-070, 646- PAUTORE, JENNELYN 120.00 170.00 1,800.00 - - - 17,100.00
10/07/16 15 26 6,700.00 FEMALE ATIMONANBRGY. CAP
059062-066 649, 811-815; VILLASOTO
211105-114
10/07/16 096990, 097000 2 400.00 MAAÑO, FERNANDO RAMMALE LUCENA CIBRGY. - - - - 200.00 - 8,840.00
10/07/16 017061, 062-065 096295 5 1 700.00 QUISAO, NELIA CORONA FEMALE BRGY. CAP - - - - - - 350.00
10/07/16 838973, 974-976 4 800.00 GAGALAC, DOROTHY T. FEMALE BRGY. CAP - - - - - - -
012618, 620-621,
KIMAY KIMAY, MYRNA - - - - - - -
10/07/16 625-627, 014436, 8 800.00 FEMALE BRGY. CAP
CERONA
438
10/07/16 198935-939 5 1,000.00 QUINCENA, FILOMENA R*F LUCENA CIGOVERNO - - - - - 1,000.00 -
10/07/16 758334-336 3 600.00 ENTHIA, HERLYN MAE A F PAGBILAO, BARANGAY - - - - - - -
10/07/16 719391-392 2 400.00 HOLANDA, GEMMA* F LUCENA CIGOVERNO - - - - - - -
10/07/16 090612, 614 2 400.00 FERRER, NANCITA F TAYABAS CBARANGAY - - - - - 400.00 -
007409, 076918- CALIWANAGAN, - - - - - - -
10/07/16 3 600.00 F MAUBAN, BARANGAY
919 ARABELLE L.
10/07/16 078984 1 200.00 CATAUSAN, RYAN NIL U M PAGBILAO, BARANGAY - - - - - - -
10/07/16 726667-673 7 1,400.00 VELASCO, MARINA FLORF TAYABAS CGOVERNO - - - - - 1,400.00 -
10/07/16 012251-265 15 1,500.00 NEGRETI, MARICEL B. F LUCENA CIMAYOR/BR - - - - - - -
10/07/16 075028, 030-032 4 800.00 BALDOVINO, CARLA MARF LUCENA CIBARANGAY - - - - - - -
076427, 077754-
755, 796, 151618, ENCOMIENDA, LOREVIE - - - - - - -
10/07/16 4 800.00 F MAUBAN, BARANGAY
157023-024, P.
151625
151618, 157023- BAGAMASBAD, JOEL - - - - - - -
10/07/16 4 800.00 M LOPEZ, QU BARANGAY
024, 151625 ABATAYO
011644-645, 647, - - - - - - -
10/07/16 092995 4 1 600.00 UMILDA, CERILA M. F SARIAYA, BARANGAY
011650
10/07/16 147143-145, 147 4 800.00 SIOSON, MARY JOY* F CALAUAG, BARANGAY - - - - - - -
10/07/16 012730 087137, 140, 144 1 3 700.00 ORIAS, PRINCESS SAVAN F TAYABAS CBARANGAY - - - - - - -
10/07/16 048466-468 159022 3 1 500.00 VILLANUEVA, DANILO M.M CANDELARMAYOR/BR - - - - - - -
10/07/16 213193-194 2 400.00 RAMENTO SR. BENJAMINM LUCENA CI.BOARD M - - - - - - -
10/07/16 062532-533, 538 3 600.00 DE CHAVEZ, CATALINA LAF LUCBAN, BARANGAY - - - - - - -
130702, 130706- CAÑEGA, ROSALINDA - - - - - - -
10/07/16 5 1,000.00 F SAN FRANCBARANGAY
707, 709-710 PINTO
10/07/16 084463-465 3 600.00 ADONAIS, JENNY JANE N F PANUKULABARANGAY - - - - - - -
10/07/16 910186 104242-244 1 3 700.00 BAUTISTA, NENITA C. F TIAONG, Q BARANGAY - - - - - - -
10/07/16 103602 1 200.00 UMALI, ROLAND M. M TIAONG, Q BARANGAY - - - - - - -
10/07/16 078936-938 3 600.00 MANDIGMA, DOMINADORM PAGBILAO, BARANGAY - - - - - - -
10/07/16 180421-425 5 1,000.00 CABAIS, ERWIN P. M PLARIDEL, BARANGAY - - - 3,550.00 - - -
077523-525, BABISTA, MAYZ - - 900.00 - - - -
10/07/16 007741 1 4 900.00 F MAUBAN, BARANGAY
075879 MONTANIEL
10/07/16 003720 066877 1 1 300.00 MANLUGON, ARJAY SUP M GENERAL BARANGAY - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/07/16 081123, 127 2 400.00 LUSING, CRISPOLO* M PAGBILAO, BARANGAY - - - - - - -
10/07/16 011648 092994, 093000 1 2 500.00 UMILDA, CERILA M. F SARIAYA, BARANGAY - - - - - - -
10/07/16 086220 1 200.00 TRINIDAD, RIALYN S F PATNANUNMAYOR/BR - - - - - - -
10/07/16 002361 129706 1 1 300.00 MANLUGON, RECARDO OM INFANTA, MAYOR/BR - - 50.00 - - - -
10/07/16 087528-529 2 400.00 ROBLES, ARLENE R. F TAYABAS CBARANGAY - - - - - - -
10/07/16 001251 064601-612 1 12 2,500.00 ALONER, MARGELYN L. F LUCBAN, BARANGAY - - - - - - -
10/07/16 789917, 918 2 400.00 PADOLINA, MICHAEL DII M PAGBILAO, BARANGAY - - - - - 400.00 -
10/07/16 074890-891 2 400.00 RINOS, ELIZABETH ANDAF MAUBAN, BARANGAY - - - - - - -
147333-334, - - - - 200.00 - -
10/07/16 3 600.00 SACLAG, MARIVIC F CALAUAG, BARANGAY
735411
138276, 278, 280- VIBAR, JERSON
10/07/16 8 1,600.00 M UNISAN, Q BARANGAY - - - - - - -
285 PLAZUELO
10/07/16 091691, 695 2 400.00 ABADILLA, JORRYLUN J F TAYABAS CBARANGAY - - - - - - -
10/08/16 064613-622 10 2,000.00 BERNALES, JEMELYN VA FEMALE LUCBAN, BARANGAY - - - - - - 3,800.00
10/08/16 212801-802 2 400.00 CHAVEZ, JOHN DANIEL MALE LUCENA CIBOARD M 120.00 75.00 100.00 - - - 10,200.00
10/08/16 062826-835 10 2,000.00 COSEJO, LYKA SALVANIAFEMALE LUCBAN, BRGY. CAP 90.00 75.00 - - - - 6,900.00
10/08/16 036251-259 9 900.00 GLINDO, MERNALYN REGFEMALE CATANAUABRGY. CAP - - - - - - 10,200.00
10/08/16 011001 084102-104 1 3 700.00 PADILLA, LIAN JAH AVE FEMALE TAYABAS CBRGY. CAP - - - - - - 504.00
084101, 084143-
145, 088944, PADILLA, LIWANAG
10/08/16 10 2,000.00 FEMALE TAYABAS CBRGY. CAP - - - - - - 6,000.00
088948-951, AVELLANEDA
088954
10/08/16 012594-600 086898-900 7 3 1,300.00 DALURAYA, ANABEL RA FEMALE TAYABAS CBRGY. CAP 90.00 170.00 - - - - 6,900.00
088792-793, GACIS, RHONA MARIE
10/08/16 013549 1 6 1,300.00 FEMALE TAYABAS CBRGY. CAP - - - - - - 3,700.00
088797-800 LUNA
10/08/16 064836-845 10 2,000.00 RADA, ROSEMAE UNLAY FEMALE LUCBAN, BRGY. CAP - - - - - - 4,500.00
10/08/16 016947-948 095970-973 2 4 1,000.00 DELOS REYES, JELLY GA FEMALE SARIAYA, BRGY. CAP - - - - - - 4,500.00
159710-712,
023476-485, 159715, 160243- ELLI, ROSE AN
10/08/16 11 14 3,900.00 FEMALE TAGKAWAYBRGY. CAP 60.00 150.00 - - - - 15,100.00
050855 246, 160879-883, CAMACHO
163839
071144-145,
071147-148, RESPLANDOR, PRINCE
10/08/16 10 2,000.00 MALE REAL, QUE BRGY. CAP - - - - - - 8,220.00
072223, 072249, AMIL FALLER
072251-254
123742, 743-744,
SAN JUAN, RODILLO
10/08/16 746-748, 212017- 8 1,600.00 MALE BRGY. CAP - - - - - - -
MENDOZA
018
10/08/16 027313 116722, 726, 728 1 3 700.00 GLINOGA, ANTONINA TA F PITOGO, Q BARANGAY - - - - - - -
10/08/16 011153 084409 1 1 300.00 PINEDA, ALEXANDER C M INFANTA, MAYOR/BR - - - - - - -
10/08/16 075746-748 3 600.00 VILLALUZ, JOCELYN MO F MAUBAN, BARANGAY - - - - - - -
10/08/16 017013-015 3 300.00 AUSTRIAL, RAFAELA T. F LUCENA CIMAYOR/BR - - - - - - -
10/08/16 726664-665 2 400.00 DURANTE, VIRGINIA MA F PAGBILAO, GOVERNO - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/09/16 022551-560 10 1,000.00 BARIA, KHAYCEE MAE P FEMALE DOLORES, BARANGAY - - - - - - 1,400.00
020486-500, 924- 080324-327, ABANIA, KYLA COLEN - - - - - - 1,200.00
10/09/16 22 9 4,000.00 FEMALE TIAONG, Q BARANGAY
925, 021316-320 104751, 777-780 TORRENUEVA
10/09/16 001461-465 065016-020 5 5 1,500.00 CARAIG, NERISSA MANA FEMALE TIAONG, Q BRGY. CAP 90.00 170.00 1,800.00 - - - 14,100.00
10/09/16 807237-241 5 1,000.00 LUSTADO, HANNAH RICHFEMALE PAGBILAO, BRGY. CAP - - - - - - 505.00
062446-453, 455; 120.00 95.00 - - - - 12,700.00
10/09/16 000881-884 4 13 3,000.00 RADA, DIAN LOGMAO FEMALE LUCBAN, BRGY. CAP
063863-865, 870
098789-790, 841- AGARIN, MELVIN - - - - - - -
10/09/16 6 1,200.00 M CANDELARBARANGAY
844 NANTONA
10/09/16 903566-567 2 200.00 GAJUDO, JOHN ANDREI C.M AGDANGANBARANGAY - - - - - - -
066133-136, 141- - - - - - - -
10/09/16 6 1,200.00 OROZCO, JEAN QUINTO F INFANTA, MAYOR/BR
142
10/09/16 089677-683 7 1,400.00 PARAGO, JUDE MICHAEL M TAYABAS CBARANGAY - - - - - - -
10/09/16 062958-963 6 1,200.00 RADA, DIAN LOGMAO F LUCBAN, BARANGAY - - - - - - -
10/09/16 170156 1 200.00 LAMBET, JESSIE CAGUIMM LUCENA CIBARANGAY - - - - - - -
10/09/16 109963, 968-971 5 1,000.00 MARTINEZ, ADORA PAUL F PADRE BU BARANGAY - - - - - - -
10/09/16 103521-528 8 1,600.00 PERLAS, LOUIE CASTILL M TIAONG, Q BARANGAY - - - - - - -
10/10/16 062969-978 10 2,000.00 CRISPE, JOAN RIVERA FEMALE LUCBAN, BARANGAY - - - - - - 3,700.00
10/10/16 104359 1 200.00 UMALI, PAULYNE ANDREA FEMALE TIAONG, Q BARANGAY - - - - - - 1,000.00
10/10/16 014673-682 750728-730 10 3 1,600.00 CABALSA, MARK REYES MALE TAYABAS CBARANGAY - - - - - - 600.00
10/10/16 008597-600 4 800.00 SALUDES, SIDMARIE POLFEMALE PAGBILAO, BRGY. CAP - - - - - - 2,400.00
10/10/16 104649-654 6 1,200.00 MANALO, LYZA DE LOS RFEMALE TIAONG, Q BRGY. CAP - - - - - - 503.00
10/10/16 021262-265 4 400.00 MANALO, MARISSA DE LO FEMALE TIAONG, Q BRGY. CAP - - - - - - 7,200.00
10/10/16 156683-692 10 2,000.00 CARISO, RHEIN MARIZ J FEMALE LOPEZ, QU BRGY. CAP 240.00 - - - - - 1,300.00
10/10/16 074115, 118 2 400.00 ALMOROS, CHOLO DALE MALE LUCENA CIBRGY. CAP - - - - - - 505.00
10/10/16 210091-093 3 600.00 VERDAN, RODCEL ESTRAMALE UNISAN, Q MUNICIPA 90.00 170.00 - - - - 13,400.00
153019-021;
154606-614;
OFRECIO, CHERRY MAE 4,020.00 - - 900.00 - - 11,000.00
10/10/16 155681-685; 27 5,400.00 FEMALE LOPEZ, QU BRGY. CAP
BACARRO
158574-578;
210873-877
10/10/16 124109-138 30 6,000.00 ALVARADO, KURTH MJ G MALE LUCENA CIBRGY. CAP 2,280.00 - - - - - 1,700.00
150401-410, 545-
549; 159168-172;
10/10/16 061375-376 184887-893; 2 57 11,600.00 GONZALES, MARJORIE B FEMALE LUCENA CIBOARD M 120.00 75.00 1,800.00 - - - 14,600.00
212576-600, 941-
945
111681-683, 685- RODIL, JENELYN 90.00 170.00 100.00 - - - 50,520.00
10/10/16 903289 1 6 1,300.00 FEMALE PADRE BU BOARD M
686, 692 OLAYAN
10/10/16 111684 1 200.00 RODIL, STEPHEN MALE PADRE BU BOARD M - - - - - - 6,102.00
10/10/16 737042-046 5 1,000.00 DIOQUINO, ROGEL V. MALE BRGY. CAP - - - - - - -
10/10/16 096345-348 4 800.00 OBISPO, DULCE REMOROFEMALE BRGY. CAP - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
153828-829, 070, - - - - - - -
10/10/16 4 800.00 ANACION, ZENAIDA FEMALE BRGY. CAP
072
110437, 782-783, - - - - - - -
10/10/16 876373 1 9 1,900.00 BALMES, MARY ROSE FEMALE BRGY. CAP
924-929
751926-927, 929, MALOLOY ON, LOLITA - - - - - - -
10/10/16 5 1,000.00 FEMALE BRGY. CAP
933, 937 FLORES
10/10/16 105638-640 3 600.00 AGDURO, NIMFA MANGUIFEMALE BRGY. CAP - - - - - - -
17756-766, 846- DALISAY, RAYMUNDO - - - - - - -
10/10/16 16 1,600.00 FEMALE BRGY. CAP
850 TESICO
142528-532,
10/10/16 014377-378 144630-632, 2 10 2,200.00 GAGALAC, DOROTHY FEMALE BRGY. CAP - - - - - - -
146868, 838972
10/10/16 001410 064935-937 1 3 700.00 MAGSINO, JONA THAN V. M LUCBAN, BARANGAY - - - - - - -
10/10/16 065224-231 8 1,600.00 SALVADORA, REYNALYN F LUCBAN, BARANGAY - - - - - - -
059572, 575-581, - - - - - - -
10/10/16 181294, 296, 299 8 3 1,400.00 URRETA, TERESA H. F GUINAYAN MAYOR/BR
061461
10/10/16 048117, 119 158347-348 2 2 600.00 VILLASANTA, ROMUALDOM LOPEZ, QU BARANGAY - - - - - - -
10/10/16 014932-950 19 1,900.00 YACABA, ROSAURO HILAR
M TAYABAS, BARANGAY - - - - - - -
10/10/16 051240-245 6 600.00 BASCO, ORLANDO CANA M ATIMONANBARANGAY - - - - - - -
10/10/16 200462 1 200.00 MADRID, RHODORA D. F SAMPALOCGOVERNO - - - - - - -
10/10/16 103604 1 200.00 UMALI, ROLAND M. M TIAONG, Q BARANGAY - - - - - - -
10/10/16 103601, 603 2 400.00 UMALI, SINFOROSA M. F TIAONG, Q BARANGAY - - - - - - -
815635, 436-437, - - - - - - -
10/10/16 4 800.00 GAELA, MARIANITO* M MAUBAN, BARANGAY
818440
10/10/16 726666 1 200.00 QUIAMBAO, RENE ALAN SM LUCENA CIGOVERNO - - - - - - -
10/10/16 090613 1 200.00 FERRER, NANCITA S. F TAYABAS, BARANGAY - - - - - 200.00 -
10/10/16 027525 1 100.00 LAYON, AIDA ANDRADE F PITOGO, Q MAYOR/BR - - - - - - -
10/10/16 084476-483 8 1,600.00 DE VILLA, ADORA SAMIJ F CANDELAR.MAYOR - - - - - - -
10/10/16 013390 088437, 485 1 2 500.00 FLORES, DOLORES* F LUCENA CIBARANGAY - - - - - - -
091430-440, - - - - 200.00 - -
10/10/16 014117-124, 129 9 14 3,700.00 VILLABROZA, SUSANA C.F TAYABAS, BARANGAY
089562-563, 566
10/10/16 015483-493 11 1,100.00 GUTIERREZ, JOEL MAHINM TAYABAS, BARANGAY - - - - - - -
10/10/16 200653, 655 2 400.00 LIMPO, AGNES MISOLAS F LUCENA CIGOVERNO - - - - - - -
10/10/16 088945, 947 2 400.00 ARROCO, JENNY MACARIF LUCENA CIBARANGAY - - - - - - -
10/10/16 108331-333, 347 4 800.00 MAGTIBAY, CYNDI GARCIF SAN ANTONMAYOR/BR - - - - - - -
10/10/16 098642-651 10 2,000.00 PISICO, LADY NATHALIE F CANDELARBARANGAY - - - 2,200.00 - - -
10/10/16 019101 100165 1 1 300.00 YAGO, JAYSON QUINCEN M LUCENA CIBARANGAY - - - - - - -
10/10/16 082001-005 5 1,000.00 GALLENO, GENEROSO O M SAMPALOCMAYOR/BR - - - 900.00 - - -
10/10/16 154040-043, 046 5 1,000.00 SAWALI, LIWAYWAY CAMF LOPEZ, QU BARANGAY - - - - - - -
007840, 455-456, 075041-045, 458- - - - 3,790.00 - - -
10/10/16 4 7 1,800.00 SANTAMENA, JAZZ M MAUBAN, BARANGAY
662 459
084401, 410-411, - - - 4,350.00 - - -
10/10/16 7 1,400.00 ALEXANDER, PINEDA M INFANTA, MAYOR/BR
416, 418-419, 426

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/10/16 213207-208 2 400.00 ARCEGA, MYLENE A. F SAN NARCI*BOARD M - - - 1,030.00 200.00 - -
094568-573, 575- OCQUIANA, KEIN - - - 3,790.00 - - -
10/10/16 9 1,800.00 M SARIAYA, BARANGAY
577 MIGUEL
075029, 078736- ABUNDO, MA. THERESA - - - - - - -
10/10/16 5 1,000.00 F LUCENA CIBARANGAY
738, 735412 *
105168-177, 284- EVANGELISTA, BABY 600.00 - - - - - 1,000.01
10/11/16 20 4,000.00 MALE TIAONG, Q BARANGAY
293 BOY N/A
108132, 134-140, - - - - - - 600.00
10/11/16 12 2,400.00 BATORIANO, JAY ANN AL FEMALE SAN ANTONBARANGAY
143-146
10/11/16 015468-182 15 1,500.00 ARANETA, CLAIRE MIA FEMALE LUCENA CIBARANGAY 2,880.00 - - - - - 200.00
174592-594, - - - - - - 3,600.00
10/11/16 056235-237, 239 4 8 2,000.00 TECALANG, VANN GALE MALE GUMACA, BARANGAY
207926-930
10/11/16 011741-750 10 1,000.00 MABINI, BABY BOY MEN MALE SARIAYA, BARANGAY - - - - - - 504.00
10/11/16 204855 1 200.00 FERNANDEZ, BABY BOY NMALE LUCENA CIGOVERNO - - - - - - 800.00
10/11/16 087641-650 10 2,000.00 ADAN, JOHN PAUL DADESMALE TAYABAS CBARANGAY - - - - - - 800.00
10/11/16 211626-628 3 600.00 NAVAJA, ENGRACIA SAR FEMALE TAYABAS CVICE GOV 2,400.00 - - - 600.00 - 3,000.00
10/11/16 159357-361 5 1,000.00 MAGNAYE, AILEEN AGUI FEMALE CANDELARBRGY. CAP - - - - - - 4,000.00
10/11/16 080601-610 10 2,000.00 GARAIS, JUDYNEL N/A FEMALE PAGBILAO, BRGY. CAP - - - - - - 4,100.00
038430-431, 435- 135630, 633-634, 120.00 170.00 - - - - 11,600.00
10/11/16 8 5 1,800.00 ABAD, AIREN ESPINAR FEMALE UNISAN, Q BRGY. CAP
438, 446, 448 138916, 138954
10/11/16 086210 1 200.00 VERZO, GENESIS FORTALMALE PATNANUNBRGY. CAP - - - - - - 3,500.00
10/11/16 105188-190, 192 4 800.00 DE RAMOS, JOSE PACHECMALE TIAONG, Q BRGY. CAP - - - 900.00 200.00 - 5,600.00
066663-665, VALENZUELA, NELDA 90.00 170.00 - - - - 11,800.00
10/11/16 4 800.00 FEMALE INFANTA, BRGY. CAP
067422 ABIQUE
104351-353, 496-
PAJO, MA DULCE
10/11/16 021351-357, 660 497, 930-932, 8 10 2,800.00 FEMALE CANDELARBRGY. CAP 120.00 75.00 - - - - 19,500.00
PAGKALIWAGAN
105149-150
10/11/16 739427-429 3 600.00 DONDONILLA, ZAI RON MALE LUCENA CIBOARD M - - - - - - 505.00
132490-494,
133538-540,
035177-181, 154101-126,
10/11/16 9 55 11,900.00 MALASA, CENEN ALMARMALE LOPEZ, QU BRGY. CAP 90.00 150.00 3,600.00 - - - 17,100.00
048113-116 158176-185,
158335-340,
212949-953
166111-112, 115-
10/11/16 8 1,600.00 LACERNA, NORBERTO A MALE BRGY. CAP - - - - - - -
120
10/11/16 180416-420 5 1,000.00 AGUILAR, JAYSON TOLD MALE BRGY. CAP - - - - - - -
10/11/16 789851-858 8 1,600.00 TAN, FERNANDO T. MALE BRGY. CAP - - - - - - -
212895, 750287,
10/11/16 3 600.00 KIMAY KIMAY, MYRNA C FEMALE BRGY. CAP - - - - - - -
294
10/11/16 090615-616 2 400.00 FERRER, NANCITA S. F TAYABAS CAPTAIN - - - - - 400.00 -
10/11/16 000692 063498 1 1 300.00 BOJILADOR, RACHEL E. F LUCBAN CAPTAIN - - - - - - -
10/11/16 109960-962 3 600.00 SATUITO, BRANDO S. M CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
089996-090000,
10/11/16 10 2,000.00 LLEVA, JUVENAL A. F TAYABAS CAPTAIN - - - - - - -
102746-750
10/11/16 723993 1 200.00 ILO, DAYSON C. M LUCENA CAPTAIN - - - - - - -
10/11/16 767663 1 200.00 VIRTUCIO, MELODY M. F MACALEL CAPTAIN - - - - - - -
084408, 421, 427, - - - - - - -
10/11/16 4 800.00 PENIDA, ALEXANDER M CAPTAIN
432
10/11/16 820936-938 3 600.00 ISABEDRA, REYNANTE M SAN ANTO CAPTAIN - - - - - - -
10/11/16 743992 1 200.00 EVANGELISTA, BABY BO M TIAONG CAPTAIN - - - - - - -
10/11/16 021651-659 9 900.00 PAJO, MA DULCE P. F TIAONG CAPTAIN - - - - - - -
10/11/16 013133-136 4 400.00 TARRAY, IMELDA PADEREF TIAONG CAPTAIN - - - - - - -
10/11/16 037592 1 100.00 VERAN, MA FE SELORICOF UNISAN CAPTAIN - - - - - - -
10/11/16 011159-160 084407 2 1 400.00 VIRREY, ZYMON M PANUKULACAPTAIN - - - - - - -
10/11/16 023005-010 6 600.00 ODESTE, IPENE CUENCA F SAN ANTO CAPTAIN - - - - - - -
10/11/16 040206 142596-598 1 3 700.00 VILLAOS, SHARON A. F CALAUAG CAPTAIN - - - - - - -
143128-129, - - - - - - -
10/11/16 7 1,400.00 LOPEZ, ARMANDO ANDR M CALAUAG CAPTAIN
147540-544
10/11/16 164757, 759-764 7 1,400.00 SOCORRO,JOHN RHOMIN M ATIMONA CAPTAIN - - - - - - -
011602, 614-616, - - - - - - -
10/11/16 092961-962 10 2 1,400.00 LONTOC, MANUEL MENDM SARIAYA CAPTAIN
619-623, 625
10/11/16 790190-191 2 400.00 LADLAD, ERIC ALAS AS M PAGBILAO CAPTAIN - - - - - - -
078991, 995- - - - - - - -
10/11/16 7 1,400.00 MAANO, IVY ROSE LUCA F PAGBILAO CAPTAIN
079000
10/11/16 179928-931 4 800.00 CABANILLA, JOSELITO I. M PEREZ QU CAPTAIN - - - - - - -
10/11/16 046164 210833-836 1 4 900.00 ZURBANO, ARNALDO M LOPEZ QU CAPTAIN - - - - - - -
062801-803, - - - - - - -
10/11/16 000370 1 9 1,900.00 CLADO, ROSALINDA F LUCBAN CAPTAIN
064123-128
10/11/16 015277 1 100.00 ANONUEVO, CRISTINA F TAYABAS CAPTAIN - - - - - - -
10/11/16 015278 1 100.00 PLATINO, BUNHILL M TAYABAS CAPTAIN - - - - - - -
10/11/16 015279 1 100.00 PLATINO, DONNA F TAYABAS CAPTAIN - - - - - - -
10/11/16 018800 174590-591 1 2 500.00 PASACSAC, GLEDAN MARI
F CANDELARCAPTAIN - - - - - - -
10/11/16 015752 093604, 608 1 2 500.00 SIAPO, RAQUEL F SARIAYA CAPTAIN - - - - - - -
10/11/16 150006-010 5 1,000.00 NOLLAS, SALVACION M CALUAG CAPTAIN - - - - - - -
10/11/16 084069-073 5 1,000.00 TENA, ELENA B. F PANUKULACAPTAIN - - - - - - -
190464, 090548, - - - - 200.00 - -
10/11/16 014421 1 8 1,700.00 BANTINGI, MILA ROSE F LUCENA CAPTAIN
552-557
210838, 154481- - - - - - - -
10/11/16 3 600.00 ZURBANO, ARNALDO M LOPEZ QU CAPTAIN
482
076073, 076107- - - - - - - -
10/11/16 4 800.00 VILLANUEVA, JOCELYN F MAUBAN CAPTAIN
109
10/11/16 015021, 024-025 3 300.00 ELLA, SHARLA F TAYABAS CAPTAIN - - - - - - -
10/11/16 730614-615 2 400.00 ISABEDRA, REYNANTE M SAN ANTO CAPTAIN - - - - - - -
10/11/16 074106, 117 2 400.00 LAMBAT, DOMINGO M POLILIO CAPTAIN - - - - - - -
10/11/16 078739 1 200.00 FORNEA, PRINCEES LYKAF CAPTAIN - - - - 200.00 - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/11/16 110121-123 3 600.00 BENOMAN, JOY IBAL F PADRE BU CAPTAIN - - - - - - -
10/11/16 039214 140525-528 1 4 900.00 OLIQUINO, JERRY PADRI M CAPTAIN - - - - - - -
10/11/16 095290, 292-296 6 1,200.00 ARELLANO, FRANCISCO M SARIAYA CAPTAIN - - 50.00 - - - -
081351, 353-354,
082525, 081356- ANARETA, ANASTACIA - - - - - - -
10/11/16 10 2,000.00 F SAMPALOCCAPTAIN
357, 082524, 526- D.
528
10/11/16 000451-456 063080 6 1 800.00 TAGBO, MICHA ELLA F LUCBAN CAPTAIN - - - - - - -
10/11/16 910731-750 064475-484 20 10 4,000.00 AVILA, ISIDRA F CAPTAIN - - - - - - -
10/11/16 110340-345 6 1,200.00 EBIO , JULIATA C. F CAPTAIN - - - - - - -
10/11/16 199069 1 200.00 DURAL, RAMIL M LUCENA CICAPTAIN - - - - - - -
10/11/16 076546-552 7 1,400.00 LUZON, EDMAR DE ASIS M MAUBAN CAPTAIN - - - 4,510.00 - - -
10/11/16 086397 1 200.00 CUEVAS, EUFEMIA M TAYABAS CAPTAIN - - - - - - -
10/11/16 021168-177 10 1,000.00 VILLAMIN, AIREEN F TIAONG CAPTAIN - - - - - - -
105474-478, 252- - - - 900.00 - - -
10/11/16 7 1,400.00 DE TORRES, AMELIA F QUEZON CAPTAIN
253
093048-050, 086- SANTUA, ANDREA JO 90.00 - - - - - 300.00
10/12/16 9 1,800.00 FEMALE SARIAYA, BARANGAY
090, 212604 PALERMO
10/12/16 124836-845 10 2,000.00 JIMENEZ, BABY BOY EVAMALE BUENAVISTBARANGAY - - - - - - 506.00
000693, 011165,
ANCLOTE, HARLY - - - - - - 400.00
10/12/16 058286, 292-293, 084442-444 7 3 1,300.00 MALE SAMPALOCBARANGAY
SANDRO AGUILAR
715, 726
10/12/16 084446 1 200.00 TALENTO, JUSTIN * MALE LUCENA CIMAYOR - - 100.00 - - - 700.00
159728-732, 930- ROMERO, JAYMARK - - - - - - 800.00
10/12/16 048971-980 10 20 5,000.00 MALE PADRE BU BARANGAY
939, 161455-459 BUHANGHANG
064446-455, AVILA, MARIA JANA 2,310.00 - - - - - 1,300.00
10/12/16 20 4,000.00 FEMALE LUCBAN, BARANGAY
064485-494 GUEMO
10/12/16 739430-439 10 2,000.00 JUVIDA, SHYRENE ANNE FEMALE SAN NARCIBOARD M - - - 3,790.00 - - 1,600.00
098163-166, 181- JIMENEZ, ROBERTO 4,320.00 - - 3,790.00 - - 1,000.00
10/12/16 10 2,000.00 MALE GUMACA, BARANGAY
186 BILOCURA
087363-372,
012466-485, CABALSA, CRIS ANN 1,080.00 - - - - - 200.00
10/12/16 091240-249, 27 31 8,900.00 FEMALE TAYABAS CBARANGAY
015280-286 AÑONUEVO
092290-300
157548-552,
158513-519, 224, BARRETTO, NELSON 3,252.00 - - 900.00 200.00 - 29,010.00
10/12/16 45955 1 17 3,500.00 MALE LOPEZ, QU BRGY.
228, 232, 233, PIDALGO
157555
10/12/16 014450 090598-600 1 3 700.00 PAGADOR, JAMES ARVY MALE TAYABAS CBRGY. CAP - - - - - - 504.00
094956, 094991,
LALUSIN, RICHELLE 60.00 75.00 - - - - 11,800.00
10/12/16 118018-021, 7 1,400.00 FEMALE TIAONG, Q BRGY. CAP
GARCIA
775236
000371-380, VILLANUEVA, KARLA - - - - - - 5,000.00
10/12/16 062809-810 20 2 2,400.00 FEMALE LUCBAN, BRGY. CAP
000391-400 SARA LANETE

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/12/16 789861-870 10 2,000.00 OBNASCA, ANGELYN VALFEMALE SARIAYA, BRGY. CAP 90.00 170.00 1,800.00 - - - 12,100.00
10/12/16 023052-061 10 1,000.00 ILARDE, MARY JANE RO FEMALE SARIAYA, BRGY. CAP - - - - - - 5,500.00
103327, 103329,
021871, 021876- 212891-894, 120.00 75.00 1,800.00 - - - 12,500.00
10/12/16 6 14 3,400.00 MERLE, LENY MELARPIS FEMALE LUCENA CIBRGY. CAP
880 212946-948,
736994-998
051876-877, GUEVARRA, EVA 180.00 170.00 3,600.00 - - - 17,700.00
10/12/16 7 700.00 FEMALE ATIMONANBRGY. CAP
052885-889 VERGARA
021119-123, 104354-358,
10/12/16 048459, 048461- 136871-880, 8 17 4,200.00 NILO, GEMMA TAPIRO FEMALE TIAONG, Q BRGY. CAP - - - - 200.00 - 3,100.00
462 159023-024
10/12/16 058518 179842-846 1 5 1,100.00 PABLO, MARK D. M LUCENA CAPTAIN - - - - - - -
10/12/16 091579-588 10 2,000.00 YACABA, ROSAURO HILARM TAYABAS CAPTAIN - - - - - - -
10/12/16 123011-016, 020 7 1,400.00 PANGANIBAN, MYLA F BUYENAVI CAPTAIN - - - - - - -
10/12/16 006698-006699 2 200.00 PEÑAMANTE, JERRY DE M CAPTAIN - - - - - 200.00 -
10/12/16 021164-167 105413-415 4 3 1,000.00 UMALI, MARISSA PATROCF TIAONG CAPTAIN - - - - - - -
10/12/16 000271-275 5 500.00 DELAS ALAS, MARK JAY M LUCBAN CAPTAIN - - - - - - -
000778-779, 208-
10/12/16 062597-600 8 4 1,600.00 CASIÑO, FEDENCIO E. M LUCBAN CAPTAIN - - - - - - -
210, 766-768
10/12/16 107837-843 7 1,400.00 MAGNAYE, MARITES GUCF SAN ANTO CAPTAIN - - - - - - -
10/12/16 079786 1 200.00 REYES, ROSAURO CLARI M PAGBILAO CAPTAIN - - - - - - -
10/12/16 075866-867 2 400.00 DARIUS, QUEZON M MAUBAN CAPTAIN - - - - - - -
10/12/16 006865 075868 1 1 300.00 QUEZON, ANGELICA F CANDELARIA - - - - - - -
10/12/16 129411-413 3 600.00 AÑASCO, EMILY M. F SAN FRAN CAPTAIN - - - - - - -
063860-862, SALIPANDY, CHRISTIAN - - - - - - -
10/12/16 000801-810 10 5 2,000.00 M LUCBAN CAPTAIN
063907, 064139 PAUL B.
093923, 927,
10/12/16 076342, 558-559, 10 2,000.00 ILAGAN, PEDRO M SARIAYA CAPTAIN - - - - - - -
093990-995
DIVINAGRACIA, ALDRIN - - - - - - -
10/12/16 018778 099694, 696 1 2 500.00 M CANDELARCAPTAIN
ABUEL
067420-421,
169651-652, - - - - - - -
10/12/16 8 1,600.00 VALENZUELA, NELDA F INFANTA CAPTAIN
084404, 413,
169659, 179732
10/12/16 015352 752161 1 1 300.00 SAAVEDRA, MARIANE JOF TAYABAS CAPTAIN - - - - - - -
803045, 803048, CONSTANTINO, - - - - - - -
10/12/16 3 600.00 M PADREA B CAPTAIN
803051 ARTEMIO OREAL
10/12/16 013985 089673-676 1 4 900.00 DINGLASAN, ASUNCION F TAYABAS CAPTAIN - - - - - - -
075869-870, 876- - - - - - 800.00 -
10/12/16 4 800.00 QUIZON, DARIUS A. M CANDELARCAPTAIN
877
LINGCORAN, - - - - - 800.00 -
10/12/16 204711-714 4 800.00 F GOVERNO
ELIZABETH B.

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/12/16 035760 133409, 133616 1 2 500.00 CASERES, MELISSA F LUCENA CAPTAIN - - - - - - -
10/12/16 099365-374 10 2,000.00 EBALE, KAISER JOSS DE M CANDELARCAPTAIN - - - - - 2,000.00 -
10/12/16 016014 205246 1 1 300.00 DE GALICIA, REMEDIOS F LUCENA CAPTAIN - - - - - - -
125612, 124620, - - - - - - -
10/12/16 3 600.00 GREGANA, FAUSTINO M BUENAVIS CAPTAIN
124938
082404-406, 407- LADINES, MARC GIANI
10/12/16 5 1,000.00 M SAMPALOCCAPTAIN - - - - - 1,000.00 -
408 DAYO
090402, 452-453, MAAÑO, ROSEGEN
10/12/16 6 1,200.00 F TAYABAS CAPTAIN - - - - - - -
458, 460 QUINTANA
103511-516, 326, LALUSIN, RICHELLE
10/12/16 9 1,800.00 F TIAONG CAPTAIN - - - - - - -
330, 332 GARCIA
10/12/16 016013 205247-248 1 2 500.00 DEL VALLE, MARLYN F LUCENA CAPTAIN - - - - - - -
10/12/16 092686-687, 694 3 600.00 FABREGAS, ARTEMIO F. M TAYABAS CAPTAIN - - - - - - -
10/12/16 752163, 092473 2 400.00 SAAVEDRA, MARIANE JOF TAYABAS CAPTAIN - - - - - - -
10/12/16 012940-944 087546 5 1 700.00 SERAD, MARILOU A F TAYABAS CAPTAIN - - - - - - -
10/12/16 014127-128, 130 3 300.00 REFUELA, NORA O F CALAUAG CAPTAIN - - - - - - -
775592-598, 600,
10/12/16 10 2,000.00 CASIÑO, VICTORINO M MACALEL CAPTAIN - - - - - - -
739411-412
10/12/16 205356 1 200.00 SAN IGNACIO, JORGE SA M LUCENA GOVERNO 60.00 - - - - - -
10/12/16 179344, 346 2 400.00 CUDILLO, LORIJANE C. F PEREZ CAPTAIN - - - - - - -
213407, 412, 365-
MENDELEBAR, JANAINE
10/12/16 366, 399, 212610- 20 4,000.00 F LUCENA GOVERNO - - - 3,790.00 - - -
SARAH JOY
624
10/12/16 014125 1 100.00 VILLABROZA, SUSANA F TAYABAS CAPTAIN - - - - - - -
10/12/16 015494-496 3 300.00 PUREZA, JAYCO J. M TAYABAS CAPTAIN - - - - - - -
092396-400, PABELLANO, MICHAELA
10/12/16 015341-348 7 6 1,900.00 F CAPTAIN - - - - - - -
162981 MIKEE
10/12/16 015349 162954, 982 1 2 500.00 RIVERA, FREDERICO TAGKAWAYCAPTAIN - - - - - - -
10/12/16 081117 1 200.00 RIGOS, ROMARTE GARCI M INFANTA CAPTAIN - - - - - - -
091129-134, 136,
10/12/16 8 1,600.00 OBCEMEA, ROCHEL A. F LUCENA CAPTAIN - - - - - - -
147
10/12/16 099073-074 2 400.00 LILIOSA, ELLA F CAPTAIN - - - - - - -
165226, 229,
10/12/16 4 800.00 ZATARAIN, JENNY A. F ATIMONANCAPTAIN - - 100.00 - - - -
847563-564
10/12/16 083741-743, 745 4 800.00 MAYHAY, LYDIA DELARAF BURDEOS CAPTAIN - - - 900.00 - - -
118610-621, 623, - - - 3,550.00 - - -
10/12/16 18 3,600.00 BARRETO, FRANCISCO M PITOGO CAPTAIN
625-629
10/12/16 051300 164696 1 1 300.00 JULI, JOVELYN Z F ATIMONANCAPTAIN - - - - - 500.00 -
10/12/16 106013-015, 017 4 800.00 PUNZALAN, SHARON F CAPTAIN - - - - - - -
10/12/16 879767 124941-942, 975 1 3 700.00 GREGANA, FAUSTINO M BUENAVIS CAPTAIN - - - - - - -
10/12/16 103732-734 3 600.00 ARACENA, CONRADA CAF TIAONG - - - - - - -
10/12/16 103721-731 11 2,200.00 ARACENA, MARJELYN C F TIAONG CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/12/16 103735 1 200.00 ARACENA, RODRIGO UMA F TIAONG CAPTAIN - - - - - - -
10/12/16 102791-792 2 400.00 MENANCIO, ERICKA JENNF LUCENA CAPTAIN - - 175.00 - - - -
10/12/16 035761 133617-618 1 2 500.00 CASERET, MELESA F CAPTAIN - - - - 200.00 - -
10/13/16 049767, 776-800 212954-973 26 20 6,600.00 MANGURALI, GAUDENCIA FEMALE TAGKAWAYBARANGAY 3,000.00 - 3,600.00 - 200.00 - 3,700.00
022266-270, 272- 106601-608, KAIBIGAN, RUFINO 3,960.00 - - - 400.00 - 400.00
10/13/16 22 9 4,000.00 MALE TIAONG, Q BARANGAY
275, 288-300 211456 MANALO
10/13/16 870143, 146-148 188606-607, 609 4 3 1,000.00 FLORES, 2ND TWIN BABYFEMALE LUCENA CIBARANGAY - - - - - - 504.00
013440-443,
FLORES, IST TWIN BABY - - - - - - 504.00
10/13/16 870140-142, 144- 11 1,100.00 FEMALE LUCENA CIBARANGAY
GIRL PAMANILAY
145, 149-150
10/13/16 000243-250 064141-150 8 10 2,800.00 MORALES, DANIEL LATO MALE LUCBAN, BARANGAY 2,160.00 - - - 400.00 - 200.00
188396-400, 601- FLORES, ANGEL - - - - - - 6,100.00
10/13/16 013444-450 7 10 2,700.00 FEMALE LUCENA CIBARANGAY
604, 608 PAMANILAY
10/13/16 098360-374 15 3,000.00 RAMOS, KARISSE JANE NFEMALE CANDELARBARANGAY 360.00 - - - - - 200.00
091758, 760-762, OBLENA, ROZALIE 870.00 - - - - - 7,310.00
10/13/16 015287-296 10 5 2,000.00 FEMALE TAYABAS CBARANGAY
781 RIVERA
160843-844, INOC, RHEA ANNE - - - - - - 504.00
10/13/16 3 600.00 FEMALE PAGBILAO, BARANGAY
205602 MAEDELLE GLORY
096269, 106609- - - - - - - 6,000.00
10/13/16 5 1,000.00 GLORY, LIEZEL JAYAG FEMALE PAGBILAO, BARANGAY
611, 200598
108532-535, 537, - - - - - - 2,230.00
10/13/16 6 1,200.00 GREÑA, MYLEN BELDA FEMALE SAN ANTONBARANGAY
539
10/13/16 200260-261 2 400.00 POQUIZ, ARC ANGHEL L MALE LUCENA CIGOVERNO 1,740.00 - - - - - 7,310.00
022868-877, 879- MENORCA, JEROME 600.00 - - - - - 3,450.00
10/13/16 12 1,200.00 MALE DOLORES, BARANGAY
880 MHIKE DELANTAR
153826-827, - - - - - - -
10/13/16 4 800.00 ANACION, ZENAIDA O. FEMALE BRGY. CAP
156906, 908
10/13/16 169025 1 200.00 ALMADRONES, NICANORMALE BRGY. CAP - - - - - - -
145611-612, - - - - - - -
10/13/16 888379-380 2 4 1,000.00 SATIRA, ALEXANDER J. MALE BRGY. CAP
144628-629
10/13/16 186702-704 3 600.00 LOZADA, JENNY F LUCENA CICAPTAIN - - - - - - -
10/13/16 124413-414 086533-535 2 3 800.00 NAPENAS, ELIZABETH F LUCENA CICAPTAIN - - - - - - -
10/13/16 124943-945 3 600.00 GREGANA, FAUSTINO M BUENAVIS CAPTAIN - - - - - - -
10/13/16 196573 1 200.00 GAJO, OMAR DEREQUITOM CAPTAIN - - - - - - -
10/13/16 186922 1 200.00 ZAIDE, JOSEPHINE F LUCBAN CAPTAIN - - - - - - -
10/13/16 205327 1 200.00 BALDO, ALDRIAN FABIE M LUCENA CICAPTAIN - - - - - - -
10/13/16 197468-470 3 600.00 PENALOSA, MANUEL NEPM CAPTAIN - - - - - - -
197128-129, - - - - - - -
10/13/16 3 600.00 RAMOS, FAITH EUNICE L F CANDELARCAPTAIN
196943
197122-124, - - - - - - -
10/13/16 4 800.00 RAMOS, JENNY LAYLO F CANDELARCAPTAIN
196944
10/13/16 013152 1 100.00 ROMERO, BABY BOY M TAYABAS CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
005608-610, 612- - - - - - - -
10/13/16 073340-342 9 3 1,500.00 ABOCADO, MARILOU F CAPTAIN
615, 005212-213
10/13/16 130560 1 200.00 BRACERO, MARGIE F LUCENA CAPTAIN - - - - - - -
072219, 074324- - - - - - - -
10/13/16 8 1,600.00 PURCHERO,JESSALYN F CAPTAIN
329, 331
10/13/16 070524-525 2 400.00 ARCHIE, ROMAN M CAPTAIN - - - - - - -
10/13/16 873960-861 205852 2 1 400.00 PANGANIBAN, MERCEDE F CAPTAIN - - - - - - -
10/13/16 921937-938 2 200.00 ARAOJO, ARNEL M CAPTAIN - - - - - - -
10/13/16 888381-382 145383 2 1 400.00 ASIS, JUDRIEK EZEKHIELM CALUAG CAPTAIN - - - - - - -
10/13/16 098947 1 200.00 ESTILLAR, LEONILA F CANDELARCAPTAIN - - - - - - -
10/13/16 095620-621 2 400.00 DEJUMA, JHOEZEL ALCA M SARIAYA CAPTAIN - - - - - - -
10/13/16 043707 149517-518 1 2 500.00 OLIVEROS, RIA F CALUAG CAPTAIN - - - - - - -
10/13/16 109011-013 3 600.00 LAREDO, REMEDIOS F SAN ANTO CAPTAIN - - - - - - -
763478-480, - - - - - - -
10/13/16 7 1,400.00 LLANDILAR, MERCY F SARIAYA CAPTAIN
093995-978
10/13/16 170150-155 6 1,200.00 OLIVEROS, ALBERTO M CAPTAIN - - - - - - -
10/13/16 775783-784 2 400.00 PARAISO, RUDOLFO URTAM LUCENA CAPTAIN - - - - - - -
10/13/16 922042-044 3 300.00 MAGSINO, JONATHAN M POLILIO CAPTAIN - - - - - - -
112923, 112926- - - - - - - -
10/13/16 3 600.00 AMPARO, ZOLETA F AGDANGA CAPTAIN
927
10/13/16 063131-139 9 1,800.00 DE CHAVEZ, CATALINA L F LUCBAN CAPTAIN - - - - - - -
073430-433, 435- - - - - - - -
10/13/16 10 2,000.00 BOLANOS, MARY ANN F CAPTAIN
441
10/13/16 020313-318 6 600.00 VALDEAVILLA, NEDY PA F CAPTAIN - - - - - 600.00 -
10/13/16 130557 1 200.00 PRESAS, MARILYN AURE F SAN FRAN CAPTAIN - - - - - - -
103711-713, 716- - - - - - - -
10/13/16 020844-849 7 6 1,900.00 SUMAGI, ROSALYN F TIAONG CAPTAIN
717, 720
169647, 084948, - - - - - - -
10/13/16 5 1,000.00 MAISA, CHRIS ADRIEL OLM ALABAT CAPTAIN
169650, 657-658
10/13/16 011563-570 085223-228, 230 7 7 2,100.00 ABORQUE, MAY ARLYN AZORES CAPTAIN - - - - - - -
10/13/16 076110-111 2 200.00 CALIAO, RIZA F MAUBAN CAPTAIN - - - - 200.00 - -
10/13/16 034326-340 15 1,500.00 EJURANGO, EVELYN F SAN FRAN CAPTAIN - - - 3,550.00 - - -
10/13/16 002667 169717-718 1 2 500.00 CAPPARAS, MARIA LUISAF ALABAT CAPTAIN - - - - - - -
10/13/16 058303-304, 307 3 300.00 OABEL, MARK VINCENT M CAPTAIN - - - - - - -
10/13/16 064623-625 3 600.00 SANTOS, DONABEL F LUCBAN CAPTAIN - - - - - - -
730133, 135-137, - - - - - - -
10/13/16 5 1,000.00 CARRIAZ, AURORA F SARIAYA CAPTAIN
720853
10/13/16 149945-952, 969 9 1,800.00 BROMEO, EDNA V. F PANUKULACAPTAIN - - 1,800.00 - - - -
10/13/16 789877-880 4 800.00 PADUA, APRIL JOY TABE F CAPTAIN - - - - - - -
072220-221, - - 50.00 - - - -
10/13/16 3 600.00 LABATETE, ROBBIE M LUCENA CICAPTAIN
074330
10/14/16 111511, 592-600 10 2,000.00 ZOLETA, REYNANTE AURMALE PAGBILAO, BARANGAY - - - - - - 600.00
10/14/16 090842-851 10 2,000.00 ESTERNON, ARTEMIO FL MALE TAYABAS CBARANGAY - - 75.00 - 400.00 - 700.00

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/14/16 008283-288 078678-684 6 7 2,000.00 BARBACENA, JENNIFER DFEMALE PAGBILAO, BARANGAY - - - - - - 3,800.00
212601-610,
MAÑAGO, MARK 3,810.00 - 3,650.00 4,250.00 - - 60,452.00
10/14/16 212974-977, 29 5,800.00 MALE LOPEZ, QU BRGY.
DEXTER RUTA
156874-888
103120-122;
104498-500; DE GUINIO, EDNA - - - - - - 4,100.00
10/14/16 10 2,000.00 FEMALE TIAONG, Q BRGY. CAP
105193-194, 198- GARING
199
10/14/16 020929-931 105195-197, 200 3 4 1,100.00 DE GUINIO, MARIE ROSE FEMALE TIAONG, Q BRGY. CAP - - - - - - 505.00
10/14/16 007740 075878, 880-882 1 4 900.00 BABISTA, MAYZA MONTAFEMALE MAUBAN, BRGY. CAP 120.00 170.00 - - - - 13,600.00
10/14/16 019018-022 100172-176 5 5 1,500.00 DAÑEZ, MILDRED DEJUR FEMALE LUCENA CIBRGY. CAP - - - - - - 3,900.00
0138822-831; 091780; 751747- YANILLA, CRISTINA 90.00 75.00 - - 200.00 - 7,780.00
10/14/16 20 11 4,200.00 FEMALE TAYABAS CBRGY. CAP
015026-035 756 OBCIANA
10/14/16 092527-533 7 1,400.00 COUVEAU, FLORIE MAY FEMALE TAYABAS CBRGY. CAP 90.00 170.00 3,600.00 - - - 17,600.00
10/14/16 016093-100 8 800.00 TANEO, PABLITO M SARIAYA CAPTAIN - - - - - - -
213090-094,
213110-111, 113, - - - - - - -
10/14/16 12 2,400.00 PARADERO, RICARDO M LUCENA CAPTAIN
973, 975, 213311,
736992
10/14/16 074119, 126 2 400.00 ABETRIA, MYRNA M. F POLILIO CAPTAIN - - - - - - -
10/14/16 155691-695 5 1,000.00 PARAISO, SONIA J. F LOPEZ CAPTAIN - - - - - - -
10/14/16 014449 090585-590 1 6 1,300.00 MALAQUILLA, RUDY S. M QUEZON CAPTAIN - - - - - - -
COMENTAN, CONCHITA - - - - - - -
10/14/16 149229-230, 253 3 600.00 F CALAUAG CAPTAIN
JUVIDA
10/14/16 023013-015 3 300.00 ODESTE, IRENE F SAN ANTO CAPTAIN - - - - - - -
10/14/16 074955 1 200.00 BELEN, LIEZEL JOY VALEF MAUBAN CAPTAIN - - - - - - -
10/14/16 108303, 308, 311 3 600.00 ESCALANTE, BERNADETHF MAUBAN CAPTAIN - - - - - - -
10/14/16 205378 1 200.00 ESTABILLO, ISAAC RAMOM CAPTAIN - - - - - - -
10/14/16 205380, 382 2 400.00 MAGTIBAY, HYDEE HACHF GOVERNO - - - - - - -
076922-923, - - - - - - -
10/14/16 007460 1 4 900.00 ROZALDO, ANGELITO M MAUBAN CAPTAIN
077039-040
009029-032, 037- LUSTERIO, LESLIE - - - - - - -
10/14/16 6 600.00 F PAGBILAO CAPTAIN
038 RAMOS
10/14/16 007836-839, 841 075036-040 5 5 1,500.00 OSOYOS, JOHN DAVID D. F MAUBAN CAPTAIN - - - - - - -
10/14/16 044144 150347, 351-352 1 3 700.00 BATAO, LUDENEA PANAGF LOPEZ CAPTAIN - - - - - - -
015354-356, 358- - - - - - - -
10/14/16 752158, 160, 162 5 3 1,100.00 SAAVEDRA, MARIANE JOF TAYABAS CAPTAIN
359
10/14/16 19016-017 2 200.00 RIVANO, MELANIE F LUCENA CAPTAIN - - - - - - -
080001-008, - - - - - - -
10/14/16 11 2,200.00 LUSTADO, DOMINGA F PAGBILAO CAPTAIN
080017-019
10/14/16 105316, 320 2 400.00 EBREO, ESTRELLITA V. F TIAONG CAPTAIN - - - - - - -
10/14/16 058305 199075, 090 1 2 500.00 ERICTA, LIZETTE F ATIMONANCAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/14/16 929874, 876-878 4 800.00 ARRABE, EUNICE CANTOF LUCENA GOVERNO - - - - - - -
10/14/16 045070 152276, 152282 1 2 500.00 OSEÑA, ANNALIZA UY F LOPEZ CAPTAIN - - - - - - -
10/14/16 091441-450 10 2,000.00 REYES, DIONISIO CABRI M TAYABAS CAPTAIN - - - - - - -
10/14/16 755494-495 2 400.00 TAÑEDO, MONICA PALINEF LUCBAN CAPTAIN - - - - - - -
10/14/16 092161-162 2 400.00 TABERNILLA, RODOLFO M TAYABAS CAPTAIN - - - - - - -
124404-405, ROSILLA, JINKEE
10/14/16 4 800.00 F BUENAVIS CAPTAIN - - - - - - -
825794-795 MORCOSO
10/14/16 179345, 347-349 4 800.00 NAYNES, MARIANNE RAZF CAPTAIN - - - - - - -
10/14/16 909745-747, 750 4 400.00 COSEJO, VIVIAN CELIS F LUCBAN CAPTAIN - - - - - - -
10/14/16 082520-523 4 800.00 IMPORTANTE, ROSIE ROGF SAN QUIZ CAPTAIN - - - 900.00 - - -
10/14/16 789873 1 200.00 PADUA, APRIL JOY TABE F LUCENA CAPTAIN - - - - - - -
10/14/16 202298 1 200.00 SANCHEZ, PAULA V. F LUCENA GOVERNO - - - - - - -
10/14/16 108302, 306, 313 3 600.00 ESCALANTE, BERNADETHF MAUBAN CAPTAIN - - - - - - -
10/14/16 213105-106 2 400.00 MARCO, ERNESTO M ATIMONANGOVERNO - - - - 200.00 - -
10/14/16 024871-890 20 2,000.00 ARANILLA, AUREA DELGF PADRE BU CAPTAIN - - - 2,000.00 - - -
10/14/16 092160 1 200.00 TABERNILLA, RODOLFO M TAYABAS CAPTAIN - - - - 200.00 - -
10/14/16 865990-994 092163-166 5 4 1,300.00 TABERNILLA, ERLINDA F TAYABAS CAPTAIN - - - - - - -
10/14/16 789881 1 200.00 LAGASON, EDUARDO M LUCENA CAPTAIN - - - - - - -
10/14/16 013653-656 4 400.00 SOMIDO, SALVACION F TAYABAS CAPTAIN - - - - - - -
10/14/16 023236 066998-999 1 2 500.00 LORCA, BRENDA F LUCENA CAPTAIN - - - - - - -
213814, 129, 131-
10/14/16 5 1,000.00 PADERNA, MARIANO M GOVERNO - - - - - - -
133
10/14/16 045071-073 152277-281, 283 3 6 1,500.00 OSEÑA, ANNALIZA UY F LOPEZ GOVERNO - - - - - - -
10/14/16 914601 745801, 804-807 1 5 1,100.00 BANCORO, BEVERLY BAUF TIAONG CAPTAIN - - - 3,550.00 - - -
064258, 722218, LABITIGAN, MARISTEL
10/15/16 058306 1 4 900.00 FEMALE TAYABAS CCAPTAIN - - - - - - 1,600.00
250, 199074 AMPARO
10/15/16 021622-641 20 2,000.00 DOMIÑOS, JERICK DEQUIMALE TIAONG, Q CAPTAIN - - 50.00 - - - 900.00
10/15/16 064251, 259-260 3 600.00 ARGAO, JOHN GENESIS T MALE LUCBAN, CAPTAIN - - - - - - 503.00
064252-254, 256-
10/15/16 5 1,000.00 TERRO, RAJELYN TISOY FEMALE LUCBAN, CAPTAIN - - - - - - 3,800.00
257
100166-168, 177- BONTOC, ALYSSA - - - - - - 4,000.00
10/15/16 6 1,200.00 FEMALE LUCENA CICAPTAIN
179 GUTIERREZ
10/15/16 198227-229 3 600.00 LUNA, SERGIO SOGABO MALE PAGBILAO, CAPTAIN 30.00 75.00 - - - - 7,540.00
062266-275,
NOLASCO, LEA LYN 120.00 170.00 - - - - 11,600.00
10/15/16 001356 064633-637, 1 23 4,700.00 FEMALE LUCBAN, CAPTAIN
LITANA
064846-853
021019-023, 025- 104173; 105868- ARELLANO, NORIEL - - - - - - 4,000.00
10/15/16 11 13 3,700.00 MALE TIAONG, Q CAPTAIN
027, 852-853, 857 869, 881-890 ALIMAGNO
10/15/16 013071-080 087856-860 10 5 2,000.00 PRILLO, VENUS REYES FEMALE TAYABAS CCAPTAIN - - - - - - 8,700.00
10/15/16 006423 064255; 074956 1 2 500.00 MONDER, DANA LINCEL FEMALE TAYABAS CCAPTAIN 120.00 75.00 - - - - 8,400.00
10/15/16 023201-204 108502, 507-508 4 3 1,000.00 SILVA, CELSO R. MALE BRGY. CAP - - - - - - -
016033, 044-048, ALCANTARA, FEDELITA - - - - - - -
10/15/16 7 700.00 FEMALE BRGY. CAP
050 SUÑIGA

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
123305, 310, 737- SAN JUAN, RODILLO - - - - - - -

10/15/16 030807-808 2 7 1,600.00 MALE BRGY. CAP
740, 124644 MENDOZA
10/15/16 093624-627 4 800.00 DE SILVA, ALVIN A. MALE BRGY. CAP - - - - - - -
076646-647, VILLAMAYOR, EUGENIO - - - - - - -
10/15/16 007263 1 3 700.00 MALE BRGY. CAP
077837 CAMBAL
10/15/16 132649-656 8 1,600.00 PABELLON, MARIA FE DEF CATANAUACAPTAIN - - - - - - -
10/15/16 786597-598 2 400.00 OBCIANA, GENALYN R. F LUCENA CAPTAIN - - - - - - -
086364, 095665-
013695, 697-698, - - - - - - -
10/15/16 666, 086368, 4 6 1,600.00 QUINTERO, EPIMACO M CAPTAIN
700
089099-100
10/15/16 719393 1 200.00 ILAGAN, EUGENIA F LUCENA CAPTAIN - - - - - - -
10/15/16 786594-596 3 600.00 PATENTE, VELMAR A. M POLILIO CAPTAIN - - - - - - -
118713, 178521- - - - - - - -
10/15/16 8 1,600.00 LLAGUNO, RAMON M GUMACA CAPTAIN
525, 173111
803668-670, 674- MORALES, - - - - - - -
10/15/16 903561, 025073 2 6 1,400.00 M AGDANGA CAPTAIN
676 CHRISTOPHER
10/15/16 823876, 878712 2 400.00 GUTTIEREZ, ELEN JOY F CAPTAIN - - - - - - -
10/15/16 074664, 659-662 5 1,000.00 TADURAN, TERESITA R. F MAUBAN CAPTAIN - - - - - - -
10/15/16 099695, 697-700 4 800.00 VALLEJO, REBEN M. M CANDELARCAPTAIN - - - - - - -
052322-324, 326- 164413, 729, IMPERIAL, ROCHELLE - - - - - - -
10/15/16 6 4 1,400.00 F ATIMONANCAPTAIN
328 166797-798 ZABALA
735410, 147332, SACLAG, JULZ KERBY - - - - - - -
10/15/16 3 600.00 M CALAUAG GOVERNO
341 NIPALES
200748-749, SALUCENA, ZAIRA - - - - - - -
10/15/16 867018 1 3 700.00 F TAYABAS CAPTAIN
201462 PERAS
164859-861,
ZATARAN, JENNY - - - - - - -
10/15/16 165227-228, 6 1,200.00 F ATIMONANCAPTAIN
ALVAREZ
165389
10/15/16 094872, 876-878 4 800.00 IBON, MARLENE CAPONPF SARIAYA CAPTAIN - - 50.00 - - - -
10/15/16 007603-606, 608 5 500.00 BAHILLO, SHAINA BALLAF CAPTAIN - - - - - - -
072541, 544, 546- ATENDIDO, - - - - - - -
10/15/16 4 800.00 F POLILIO CAPTAIN
547 LUZVIMINDA AZUL
10/15/16 078753, 760 2 400.00 CABILE JR, CELSO MARAM PAGBILAO CAPTAIN - - - - - - -
10/15/16 012628-635 8 800.00 TAN, ESMERALDA NATIV F TAYABAS CAPTAIN - - - - - - -
10/15/16 212787 1 200.00 RODA, JHEN RAMOS F LUCENA GOVERNO - - - - - - -
062521-522, 524,
OBLEADA, FERNANDO 284.00 75.00 - - - - 10,100.00
10/16/16 526-529; 196356- 10 2,000.00 MALE TAYABAS CCAPTAIN
RACELIS
358
10/16/16 866756 1 100.00 OLAES, CEDRICK BALOR M CAPTAIN - - - - - - -
10/16/16 094634-637 4 800.00 SEVILLA, ROMEL LOYOS M SARIAYA CAPTAIN - - 50.00 - - - -
10/16/16 170944-947, 949 5 1,000.00 OLIVEROS, REY ANN VIL M QUEZON-Q CAPTAIN - - - - - - -
016261, 383-384, 094652, 659, 662, RAMOS, BABY GIRL DE - - - - - - 504.00
10/17/16 6 7 2,000.00 FEMALE SARIAYA, BARANGAY
386-388 664-667 PEDRO

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
094651, 653-658, RAMOS, ZWIZZEL DE - - - - - - 6,100.00

10/17/16 016262-267, 385 7 10 2,700.00 FEMALE SARIAYA, BARANGAY
660-661, 663 PEDRO
147264, 266, 951, JAMILANO, JOHN 180.00 - 50.00 - - - 1,400.00
10/17/16 042930 1 4 900.00 MALE LUCENA CIBARANGAY
203615 JORLANDO BANA
10/17/16 007463 077045-046 1 2 500.00 CAÑETE, RONNEL ALBIO MALE MAUBAN, BARANGAY - - - - - - 3,550.00
10/17/16 211629-633 5 1,000.00 CANO, SUSAN LERIO FEMALE LUCENA CIBARANGAY - - 3,850.00 - - - 28,500.00
10/17/16 097345-351 7 1,400.00 REANO, IMELDA OCAMPOFEMALE CANDELARBRGY. CAP 120.00 150.00 - - - - 14,600.00
013032-033, YEMA, JARED ISAAC - - - - - - 505.00
10/17/16 5 500.00 MALE TAYABAS CBRGY. CAP
013048-050 CAALAMAN
000299-300, PINEDA, RONALYN - - - - - - 3,800.00
10/17/16 062163-164 5 2 900.00 FEMALE LUCBAN, BRGY. CAP
001416-418 MACASERO
064955-957, PINEDA, MARY MARTHA - - - - - - 503.00
10/17/16 001419 1 4 900.00 FEMALE LUCBAN, BRGY. CAP
064960 MACASERO
013031, 013034- YEMA, RIZZA 120.00 75.00 - - - - 13,600.00
047 CAALAMAN
10/17/16 082321-325 5 1,000.00 REVELLAME, JENIFER ESFEMALE SAMPALOCBRGY. CAP 120.00 75.00 - - - - 19,220.00
10/17/16 109975-984 10 2,000.00 MACALINDONG, GINA LAFEMALE TAYABAS CBRGY. CAP 120.00 170.00 3,600.00 - - - 16,100.00
10/17/16 879498-500 124004-049 3 46 9,500.00 FEVIDAL, VINA JOY LOSAFEMALE BUENAVISTBRGY. CAP 120.00 170.00 - - - - 16,500.00
10/17/16 020319-323 102796-800 5 5 1,500.00 GAGALAC, DOROTHY T. FEMALE BRGY. CAP - - - - - - -
165445, 447-448,
ANDA, MILAGROS - - - - - - -
10/17/16 453-454, 458-459, 8 1,600.00 FEMALE BRGY. CAP
MANALO
461
018334-335, DALISAY, RAYMUNDA - - - - - - -
10/17/16 097236-239 8 4 1,600.00 FEMALE BRGY. CAP
18421-425, 436 TESICO
10/17/16 047403-410 8 800.00 ANACION, ZENAIDA O. FEMALE BRGY. CAP - - - - - - -
10/17/16 133449-453 5 1,000.00 DIOQUINO, ROGEL V. MALE BRGY. CAP - - - - - - -
10/17/16 081114 1 200.00 BELENZO, SHERLY Q. FEMALE BRGY. CAP 174.00 - - - - - -
011155, 002668- 169725, 084430, - - - - - - -
10/17/16 3 3 900.00 PINEDA, ALEXANDER M INFANTA CAPTAIN
669 169653
10/17/16 088521, 675-677 4 800.00 CARTINA, MARIO JR. M TAYABAS CAPTAIN - - - - - - -
10/17/16 007173 077776, 778, 781 1 3 700.00 PASAGUI, BAYANI B. M MAUBAN CAPTAIN - - - - - - -
020329-333, - - - - - - -
10/17/16 7 700.00 QUIAÑO, MARIBEL F LUCENA CAPTAIN
025549-550
10/17/16 212023-025 3 600.00 CATAPANG, ALBERTO M SARIAYA GOVERNO - - - - - - -
10/17/16 214162 1 200.00 MERLE, LENY MELARPIS F LUCENA GOVERNO - - - - - - -
10/17/16 064854 1 200.00 PALMADO, PRINCE BEN M LUCBAN GOVERNO - - - - - - -
130564, 200746- - - - - - - -
10/17/16 927010 1 3 700.00 MANRIQUE, GELMA F SAN FRAN CAPTAIN
747
10/17/16 205249-251 3 600.00 DEL VALLE, MARLYN F LUCENA GOVERNO - - - - - - -
10/17/16 155237-240 4 800.00 ALANA, MAR M LOPEZ CAPTAIN - - - - - - -
012282-283, 293- VERZO, AMELIA - - - - - - -
10/17/16 6 600.00 F PATNANUNCAPTAIN
295, 297 REGONDULA

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/17/16 064231-240 10 2,000.00 DEAPERA, ELDY L. F LUCBAN CAPTAIN - - - - - - -
10/17/16 014132-147 16 1,600.00 AMORA, ENRICO ECLAVEM TAYABAS CAPTAIN - - - - - - -
012422-425, 086555-558, - - - - - 3,000.00 -
10/17/16 12 9 3,000.00 OABEL, RENA P. M TAYABAS CAPTAIN
014534-541 090789-793
10/17/16 751928, 930-932 4 800.00 MALOLOY ON, LOLITA FLF - - - - - - -
10/17/16 061436 184985-987 1 3 700.00 URREA, TERESA HORNIL F GUINYANGCAPTAIN - - - - - - -
10/17/16 146644-645 2 400.00 MENESES, REYMAR M CALAUAG CAPTAIN - - - - - - -
10/17/16 109709-713 5 1,000.00 MENDOZA, MARIETA NIE F PADRE BU CAPTAIN - - - - - - -
10/17/16 155246 1 200.00 ALANO, MARK M CAPTAIN - - - - - 200.00 -
10/17/16 020334-336 3 300.00 DELA CRUZ, ERNIE A. M SAN NARC CAPTAIN - - - - - - -
10/17/16 100169-171 3 600.00 ABAS, JERICK M CAPTAIN - - - - - - -
058291, 921090- - - - - - - -
10/17/16 3 300.00 SALES, SALVCION F JOMALIG CAPTAIN
921091
10/17/16 149953-954 2 400.00 ASTRERA, CRISELDA F PANUKULACAPTAIN - - - - - - -
10/17/16 021368-377 104781-785, 946 10 6 2,200.00 BLASCO, MARK ARVIE M TIAONG CAPTAIN - - - 2,200.00 - - -
093704-705, 712- - - - - - - -
10/17/16 7 1,400.00 SASUYA, NARCISA D. F SARIAYA CAPTAIN
713, 093739-741
10/17/16 865989 751292 1 1 300.00 ELLA, SHARLA F TAYABAS CAPTAIN - - - - - - -
084414, 420, 425, - - - - - - -
10/17/16 011151-152, 156 3 6 1,500.00 PINEDA, ALEXANDER M INFANTA CAPTAIN
428-429, 434
10/17/16 068135, 260-262 4 800.00 MOISES, LIZA F INFANTACAPTAIN - - 275.00 - - - -
10/17/16 129016-023 8 1,600.00 MERILO, GABRIEL EMPREM CAPTAIN - - - - 200.00 - -
10/17/16 770556-557, 561 3 600.00 MIRASOL, ROBYLENE FL F CAPTAIN - - - - - - -
10/17/16 008265 1 100.00 LABATETE, LORENS GRI F LUCENA CAPTAIN - - - - - - -
10/17/16 077528-529 2 400.00 BOLAÑOS, JOHANNA F MAUBAN CAPTAIN - - - - - - -
10/17/16 035751 133612 1 1 300.00 BALLESTEROS, DHAN JESM CAPTAIN - - - - - - -
086954, 196662- TAN, ESMERALDA - - - - - - -
10/17/16 012637 1 3 700.00 F TAYABAS CAPTAIN
663 NATIVIDAD
10/17/16 093594, 598 2 400.00 ESCAMILLAS, MARA CLAF CAPTAIN - - - - - - -
10/17/16 069664-671 8 1,600.00 PRUDENTE, JHON CRIS P M GEN NAKA CAPTAIN - - - - - - -
10/17/16 211637-639 3 600.00 ESCOBER, MA VICTORIA F TAYABAS GOVERNO - - - - - - -
10/17/16 212557, 563-564 3 600.00 CALAGUAN, GLORIA DE F CANDELARGOVERNO - - - - - - -
10/18/16 760391-395 5 1,000.00 SANCHEZ, BABY GIRL ES FEMALE CANDELARBARANGAY - - - - - - 501.00
070456-457, 459- PORRAL, WAYNE
10/18/16 4 800.00 MALE LUCENA CIBARANGAY - - - - - - 800.00
460 ELJOHN ANTILAS
10/18/16 211634-636 3 600.00 LANCETA, MIKELY ALMAMALE MAUBAN, VICE GOV - - - - - - 1,600.00
10/18/16 098509-518 10 2,000.00 CALADES, NANETTE ACI FEMALE CANDELARBRGY. CAP - - - - - - 4,000.00
10/18/16 013533 088374, 748 1 2 500.00 RENOMERON, IRENE MA FEMALE LUCENA CIBRGY. CAP - - 1,800.00 - - - 2,140.00
099008-011, UMANDAP, MARIA
10/18/16 018452 1 9 1,900.00 FEMALE SARIAYA, BRGY. CAP 120.00 75.00 - 5,950.00 - - 21,580.00
099096-100 LORETA JAVID
10/18/16 097352-356 5 1,000.00 DE GRANO, MARIBEL DIAFEMALE CANDELARBRGY. CAP 96.00 75.00 - - - - 16,700.00
007651, 007665- 077422-423, PASAMBA,
10/18/16 3 4 1,100.00 FEMALE MAUBAN, BRGY. CAP 120.00 75.00 - - - - 18,100.00
666 077469-470 FHOEVYKATE

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
088575, 147260- CATAMIO, DAVID CARL

10/18/16 013421-430 10 3 1,600.00 MALE LUCENA CIBRGY. CAP 1,500.00 - 50.00 - - - 3,100.00
261 BANA
033451-456, 129226-237, HANABANAB, LORNA
10/18/16 9 14 3,700.00 FEMALE PAGBILAO, BRGY. CAP - - - - - - 4,300.00
882023-025 830478-479 MAKIGANGAY
142319-333;
143740, 817-822,
828-831, 833, 836,
869-873; 145402- ZAMORA, ERLINDA
10/18/16 81 16,200.00 FEMALE LOPEZ, QU BRGY. CAP 300.00 75.00 - - - - 21,600.00
409, 414-415, 921- TARRONAS
925; 149457-465,
572, 737-743, 955-
968; 843194-195
212819-821, 823,
10/18/16 8 1,600.00 TUAZON, JENNIFER BRINFEMALE BRGY. CAP - - - - - - -
825-828
093403-404, 406,
PORTUGAL, REBECCA
10/18/16 412, 414, 212659- 7 1,400.00 FEMALE BRGY. CAP - - - - - - -
BRITANIA
660
789859-860, 891-
10/18/16 4 800.00 TAN, FERNANDO T. MALE BRGY. CAP - - - - - - -
892
ALCANTARA,
10/18/16 017853-854 200832 2 1 400.00 MALE BRGY. CAP - - - - - - -
FERNANDO APANTE
162929, 161671- MONREAL, MARITESS
10/18/16 050557, 723-727 6 7 2,000.00 FEMALE BRGY. CAP - - - - - - -
674, 679, 163065 SAYAT
10/18/16 109604 1 200.00 GARCIA, JUNVER JAY A. M SAN ANTO CAPTAIN - - - - - - -
10/18/16 751944, 946 2 400.00 ANTONIO, JULITA S. F TAYABAS CAPTAIN - - - - - - -
143125-127,
LOPEZ, ARMANDO
10/18/16 147594, 148653, 6 1,200.00 M CALUAG CAPTAIN - - - - - - -
ANRADA
656
10/18/16 929875, 879-883 6 1,200.00 ARABE, UNICE C. F LUCENA CICAPTAIN - - - - - - -
10/18/16 866293-300 087801, 804 8 2 1,200.00 JANINEZ, AURELIA L. F TAYABAS CAPTAIN - - - - - - -
10/18/16 140613-619 7 1,400.00 VILLALON, ALEX ORIAS M MACALEL CAPTAIN - - - - - - -
771542, 068327- - - - - - - -
10/18/16 875314 1 6 1,300.00 ZARSAGA, MARY JEAN F INFANTA CAPTAIN
330, 771539
BALLESTEROS, DHAN - - - - - - -
10/18/16 133614-615 2 400.00 M CAPTAIN
JESTERY TABERNILLA
736944, 948-951, - - - - - - -
10/18/16 7 1,400.00 RODRIGUEZ, MARIA F CAPTAIN
204251, 205062
10/18/16 200382-383 2 400.00 BEARNEZA, ROSEMARIE F LUCENA CICAPTAIN - - - - - - -
10/18/16 002795 1 200.00 RICAHUERTA, ROWENA F INFANTA CAPTAIN - - - - - - -
10/18/16 020795-800 6 600.00 UMALI, SINFOROSA MANF TIAONG CAPTAIN - - - - - - -
10/18/16 013137-142 6 600.00 TARRAY, IMELDA PADEREF TAYABAS CAPTAIN - - - - - - -
10/18/16 129729, 735-743 10 2,000.00 CAPERINA, DONALD BURM SAN FRAN CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/18/16 902753 1 200.00 ILEMA, EDUARDO C. M PADRE BU CAPTAIN - - - - - - -
10/18/16 093096, 098-100 3 600.00 ILAGAN, JR PEDRO SUPILM SARIAYA CAPTAIN - - - - - - -
10/18/16 129730-732 3 600.00 GARCIA, DANILO R. M SAN FRAN CAPTAIN - - - - - - -
10/18/16 775781-782 2 400.00 PARAISO, RODOLFO URTAM LUCENA CICAPTAIN - - - - - - -
10/18/16 927012 130559 1 1 300.00 MANRIQUE, GELMA N. F SAN FRAN CAPTAIN - - - - - - -
10/18/16 015461, 464 2 200.00 ERSANDO, DELIA ABAÑAF TAYABAS CAPTAIN - - - - - - -
10/18/16 838711-714 4 800.00 ORRECAMPO, RODOLFO TM CAPTAIN - - - 900.00 - - -
10/18/16 069672-673 2 400.00 PRUDENTE, JHON CRIS P M GEN NAKA CAPTAIN - - - - - - -
10/18/16 026907 115924-931 1 8 1,700.00 ISIDRO, BORJA Y. M POLILIO CAPTAIN - - - - 200.00 - -
10/18/16 023094-100 7 700.00 MURILLO, RENANTE PAR M SARIAYA CAPTAIN - - - - - - -
10/18/16 902751-752 802038-043 2 6 1,400.00 ILEMA, EDUARDO C. M PADRE BU CAPTAIN - - - - - - -
10/18/16 008097-100 078284-285 4 2 800.00 JARMIN, IMELDA F MAUBAN CAPTAIN - - - - - - -
10/18/16 051125, 130 2 400.00 MARQUEZ, JHON MARK M ATIMONANCAPTAIN - - - - - - -
10/18/16 002425 065375-376, 379 1 3 700.00 ROSAS, ROMEO NOLLEDOM INFANTA CAPTAIN - - - - - - -
10/18/16 129024-033 10 2,000.00 MERILO, GABRIEL EMPREM CAPTAIN - - - - - - -
10/18/16 075501, 503 2 400.00 FERNANDEZ, JESSICA F MAUBAN CAPTAIN - - - - - - -
079835-836, 838- - - - - - - -
10/18/16 4 800.00 HERMOSO, NOEME F PAGBILAO CAPTAIN
839
065377, 380, 382- ROSAS, JOSEPHINE - - - - - - -
10/18/16 002424 1 5 1,100.00 F INFANTA CAPTAIN
384 FESTAÑAS
10/18/16 079826-827 2 400.00 ARGANA, EROLYN F PAGBILAO CAPTAIN - - - - - - -
10/18/16 075531, 533, 560 3 600.00 NOGALES, KEVIN B. M MAUBAN CAPTAIN - - - - - - -
10/18/16 058287-290 4 400.00 ROM, JAYCENT ATIENZA M CAPTAIN - - - - 200.00 - -
10/19/16 089579-593 15 3,000.00 LISTANA, NESTOR MELG MALE TAYABAS CBARANGAY - - - - - - 200.00
10/19/16 077527, 891-892 3 600.00 REY, BABY BOY N/A MALE MAUBAN, BARANGAY 2,220.00 - - - - - 100.00
767569, 576, GEREZ, LHENCE - - - - - - 2,600.00
10/19/16 038859 1 8 1,700.00 FEMALE MACALELOBARANGAY
139824-829 NANSON
077855-857, 893- ASTOVEZA, ROBERTO - - - - 200.00 - 2,600.00
10/19/16 006926, 928 2 6 1,400.00 MALE MAUBAN, BARANGAY
895 OBLENA
10/19/16 097269, 290-291 3 600.00 PAGTALUNAN, JOANA MAFEMALE CANDELARBRGY. CAP - - - - - - 6,400.00
108701-704, 706, ILAGAN, JOSEFF - - - - - - 505.00
10/19/16 6 1,200.00 MALE TIAONG, Q BRGY. CAP
710 RAMIEL AYAO
023301-310, 314- ILAGAN, SHARA MAE - - - - - - 4,000.00
319 AYAO
097270-271, 289, PEREZ, KRISTAL - - - - - - 506.00
10/19/16 5 1,000.00 FEMALE CANDELARBRGY. CAP
292-293 MAIDEN
10/19/16 014000 089699-700 1 2 500.00 ARON, SEAN ALKID TAB MALE TAYABAS CBRGY. CAP - - - - - - 502.00
023251-255, 772- CASAS, KYRIE ROBIN - - - - - - 505.00
10/19/16 10 1,000.00 MALE SAN ANTONBRGY. CAP
776 KLAY CAPADA
108609-610;
10/19/16 023766-771 109326-335, 671- 6 22 5,000.00 CAPADA, APRIL AGNO FEMALE SAN ANTONBRGY. CAP 90.00 170.00 - - - - 13,600.00
680

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/19/16 013998 089697-698 1 2 500.00 ARON, EVANGELYN TAB FEMALE TAYABAS CBRGY. CAP - - - - - - 5,000.00
153488-492;
154082-086;
SUMACOLOB, 30.00 20.00 7,375.00 - 200.00 - 8,540.00
10/19/16 045982, 984-986 155842-846; 4 19 4,200.00 FEMALE LOPEZ, QU BRGY. CAP
JEANNETTE AVILA
155894-896;
157711-713
413372-374, 376, - - - - - - -
10/19/16 10 1,000.00 SATIRA, ALEXANDER MALE BRGY. CAP
380-382, 385-387
10/19/16 008903 079917-925 1 9 1,900.00 BANDOJO, JEFFREY A. MALE BRGY. CAP - - - - - - -
093619-621, - - - - - - -
10/19/16 4 800.00 DE SILVA, ALVIN A. MALE BRGY. CAP
763190
166113-114, 151- - - - - - - -
10/19/16 12 2,400.00 LACERNA, NORBERTO A MALE BRGY. CAP
160
064436-438, 441- - - - - - - -
10/19/16 8 1,600.00 CASIÑO, FEDENCIO E. MALE BRGY. CAP
445
123301-302, 741, SAN JUAN, RODILLO - - - - - - -
10/19/16 8 1,600.00 MALE BRGY. CAP
745, 124639-642 MENDOZA
10/19/16 015904, 909-910 189658, 658 3 2 700.00 GUNDA, BASILIO P. M SARIAYA CAPTAIN - - - - - - -
10/19/16 000901 064152-155 1 4 900.00 SALIPANDY, CHRISTIAN BM LUCBAN CAPTAIN - - - - - - -
10/19/16 822290-294 5 1,000.00 LATAGAN, MARIA CLAVIAF GENERAL CAPTAIN - - - - - - -
10/19/16 882637-638 2 200.00 MORANTE, CRIDEN L F GUMACA QCAPTAIN - - - - - - -
10/19/16 854876 1 200.00 ARADA, GLORIA M. F GUMACA QCAPTAIN - - - - - - -
10/19/16 105452-454 3 600.00 HIZON, WENNIE ANN GEDF TIAONG CAPTAIN - - - - - - -
10/19/16 205379 1 200.00 ESTABILLO, ARJAY M LUCENA CICAPTAIN - - - - - - -
10/19/16 074332 1 200.00 PUCHERP, JONAS ISAAC M POLILIO CAPTAIN - - - - - - -
10/19/16 789915 1 200.00 PADOLINA, MICHAEL DI M PAGBILAO CAPTAIN - - - - - 200.00 -
10/19/16 078654, 658 2 400.00 EVANGELISTA, CLAIRE FAF LUCENA CICAPTAIN - - - - - - -
105458, 460-464, HIZON, WENNIE ANN - - - - - - -
10/19/16 7 1,400.00 F TIAONG CAPTAIN
466 GEDARIA
205364, 213372- HUTALLA, MARK RODEL - - - - - 800.00 -
10/19/16 4 800.00 M LUCENA CICAPTAIN
373, 376 ARTUS
10/19/16 155241 1 200.00 ALANO, MARK DALOGO M CAPTAIN - - - - - 200.00 -
10/19/16 001163-164 2 200.00 AGUILA, ROBERTZON M LUCENA CICAPTAIN - - - - - - -
10/19/16 011776, 778 2 200.00 PAJOYO, RANILO FLORESM JUMALIG CAPTAIN - - - - - 200.00 -
109216-218, 220, - - - - - 1,280.00 -
10/19/16 7 1,400.00 CUSI, JENIFER LINDO F CAPTAIN
091137-139
108232-234, 236- - - - - - - -
10/19/16 023256-260 5 5 1,500.00 CAPADA, APRIL A. F SAN ANTO CAPTAIN
237
10/19/16 211594-595 2 400.00 BANTOC, MARY JOY MONF CAPTAIN - - - - - - -
160211-213, 225- JERES, CONSTANTINO - - - - - - -
10/19/16 7 1,400.00 M TAGKAWAYCAPTAIN
227, 222 MANDIGMA
10/19/16 009092-100 9 900.00 GOZO, MELANIE DOTE F PAGBILAO CAPTAIN - - - - - - -
10/19/16 082811-818 8 1,600.00 GENEBLAZO, MARIAFE C.F BURDEOS CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/19/16 789916 1 200.00 CORONEL, MICHELLE PA F PAGBILAO CAPTAIN - - - - - 200.00 -
10/19/16 190467 1 200.00 PASION, MA ANDREA S F SARIAYA CAPTAIN 19.60 - - - - - -
081126, 128, 130, - - - 900.00 - - -
10/19/16 4 800.00 LUSING, CRISPOLO M CAPTAIN
132
10/19/16 013757, 764-766 4 400.00 VALEZA, JOSSEL C. F TAYABAS CAPTAIN - - - - - - -
10/19/16 065378 1 200.00 ROSAS, ROMEO NOLLEDOM INFANTA CAPTAIN - - - - 200.00 - -
10/19/16 050430-435 6 600.00 BRAGA, BEVERLY F TAGKAWAYCAPTAIN - - - - - - -
10/19/16 789893-894 2 400.00 TAN FERNANDO M LUCENA CAPTAIN - - - - - - -
0111823, 826, 828,
10/19/16 4 800.00 VILLAREAL, JUANITO M PADRE BU CAPTAIN - - - - - - -
865
10/19/16 058283 1 200.00 AGUILAR, MICHAEL M LUCENA CICAPTAIN - - - - - - -
10/19/16 076075-076 2 400.00 MARTINEZ, SARAH FEATHF MAUBAN CAPTAIN - - - - - - -
10/19/16 211644-645 2 400.00 SUPREMO, ABIGAIL F REAL CAPTAIN - - - - - - -
109309, 311-315, ISLETA, MERCEDES
10/19/16 10 2,000.00 F CAPTAIN - - - - 200.00 - -
819297-300 MAGBIRAY
10/19/16 789900 1 200.00 LUNA, JOSEFINA S. F PAGBILAO CAPTAIN - - - - - - -
034024, -027, 029- BONIFACIO, XYRELL
10/19/16 8 800.00 F SAN FRAN CAPTAIN - - - 3,790.00 - - -
030, 032, 034 ANN
10/19/16 019023-025 3 300.00 MAANO, PETER C M LUCENA CICAPTAIN - - 75.00 - - - -
088782, 784-785,
10/20/16 5 1,000.00 AMO, RODRIGO VARGAS MALE SARIAYA, BARANGAY 90.00 170.00 - - 400.00 - 13,700.00
789-790
10/20/16 085802-814 13 2,600.00 SOLANO, RENE FULLON MALE PATNANUNBARANGAY - - 75.00 - 200.00 - 1,300.00
10/20/16 081349, 363-366 5 1,000.00 MADRID, RHODORA DE ASFEMALE SAMPALOCBRGY. CAP 240.00 75.00 - - 200.00 - 17,400.00
10/20/16 078685, 692-693 3 600.00 MERENE, ELINA NOSHIELFEMALE PAGBILAO, BRGY. CAP - - - - - - 507.00
091486, 491-495;
ANTONIO, JONALYN
10/20/16 746928-933, 936; 15 3,000.00 FEMALE TAYABAS CBRGY. CAP - - 50.00 - 200.00 - 3,150.00
SABELLANO
748047; 751945
10/20/16 168273-282 10 2,000.00 MANJARES, ALMA LEAL FEMALE ATIMONANBRGY. CAP 14,280.00 - - - - - 6,410.00
10/20/16 104535, 529 2 400.00 MEJIA, KALE RUSSELL D MALE LUCENA CIBRGY. CAP - - - - - - 503.00
10/20/16 019451-455 101021-025 5 5 1,500.00 CLAVERIA, CLAUDINE FAFEMALE LUCENA CIBRGY. CAP - - 1,800.00 - - - 4,200.00
10/20/16 013921 089561, 576-578 1 4 900.00 ZAFRANCO, DAHNNELA JFEMALE TAYABAS CBRGY. CAP - - - - - - 504.00
10/20/16 008289-293 078686-691, 694 5 7 1,900.00 MERENE, SHIELA ORIAN FEMALE PAGBILAO, BRGY. CAP 90.00 170.00 - - - - 14,600.00
10/20/16 013911-913 089570-575 3 6 1,500.00 ZAFRANCO, ANGELYN ALFEMALE TAYABAS CBRGY. CAP 120.00 170.00 - - - - 11,500.00
10/20/16 019456-460 101026-030 5 5 1,500.00 ROSAS, MIKEE DENISE A FEMALE LUCENA CIBRGY. CAP 90.00 170.00 1,800.00 - - - 17,600.00
110787-788, 790,
10/20/16 876364, 385-386 3 8 1,900.00 BALMES, MARY ROSE FEMALE BRGY. CAP - - - - - - -
947-950, 960
10/20/16 015532-535 088186-188 4 3 1,000.00 RASAY, EVELYN CANTOS FEMALE BRGY. CAP - - - - - - -
153071, 825, - - - - - - -
10/20/16 4 800.00 ANACION, ZENAIDA O. FEMALE BRGY. CAP
156907, 909
10/20/16 096316, 349-351 4 800.00 OBISPO, DULCE REMOROFEMALE BRGY. CAP - - - - - - -
10/20/16 089767-770, 774 5 1,000.00 MANUEL, ALLIANA MAE IF TAYABAS CAPTAIN - - - - - - -
10/20/16 104459-460 2 400.00 UMALI, MARISSA PATROCF TIAONG CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/20/16 015787 093678-681 1 4 900.00 VALENCIA, LILIA SALTO F SARIAYA CAPTAIN - - - - - - -
10/20/16 107930-932 3 600.00 GARCIA, ARNEL L. M SAN ANTO CAPTAIN - - - - - - -
10/20/16 097276-281 6 1,200.00 REBUDLADO, JERRY L. M CANDELARCAPTAIN - - - - - - -
210886-890, TOMBOC, DENNIS - - - - - - -
10/20/16 046524 1 6 1,300.00 M LOPEZ CAPTAIN
155163 ENCINADA
070956-957, 962- GARIL, JHON CEARL - - - - - - -
10/20/16 4 800.00 M REAL QUE CAPTAIN
963 ISAGRA
10/20/16 076016-017 2 400.00 ABEJO, NIDO GORRES M MAUBAN CAPTAIN - - - - - - -
094790, 792-793, REAL, ZENAIDA DE - - - - - - -
10/20/16 4 800.00 F CAPTAIN
788 M,AYUGA
10/20/16 866758 1 100.00 OLAES, CEDRICK M CAPTAIN - - - - - - -
085801, 749527, - - - - - - -
10/20/16 002051 1 3 700.00 PIOPONGCO,GLORIA F TIAONG CAPTAIN
107829
10/20/16 929918 1 200.00 CERVANTES, NENITA ACEF TIAONG CAPTAIN - - - - - 200.00 -
10/20/16 070563-564 2 400.00 ARCHE, ROMAN M GEN. NAK CAPTAIN - - - - - - -
109019, 021, 024, LAREDO, VICENTA - - - - - - -
10/20/16 4 800.00 F CAPTAIN
029 CABUÑAG
10/20/16 043400 148880-886 1 7 1,500.00 FERNANDEZ, NOEL F. M CALUAG CAPTAIN - - - - - - -
10/20/16 000282-288 7 700.00 LIPIT, ANDREA DION SABF CAPTAIN - - - - - - -
10/20/16 091589-597 9 1,800.00 YACABA, ROSAURO HILAR M TAYABAS CAPTAIN - - - - - - -
10/20/16 007032, 035 2 200.00 MALVAR, ALEXER GAPA M MAUBAN CAPTAIN - - - - - - -
10/20/16 051893-895 3 300.00 ESCOSIA, RONEL VILLACM ATIMONANCAPTAIN - - - - - - -
10/20/16 016881-892 12 1,200.00 DELEZ, REVELDA G. F SARIAYA CAPTAIN - - - - - - -
10/20/16 087711, 714-716 4 800.00 ONITA, LUCIA P. F TAYABAS CAPTAIN - - - - - - -
165444, 449, 452,
10/20/16 052654 455-457, 167575, 1 8 1,700.00 AMBA, MILAGROS M. F ATIMONANCAPTAIN - - - - - - -
847594
740652-653, - - - 900.00 - - -
10/20/16 4 800.00 BORJA, ISIDRO M PITOGO CAPTAIN
116049-050
772692-696, - - - - - - -
10/20/16 7 1,400.00 ASTRERA, AMADA P. F INFANTA CAPTAIN
070569, 571
10/20/16 129749-751 3 600.00 MORALES, JENELYN ATIEF SAN FRAN CAPTAIN - - - - - - -
10/20/16 801397 1 200.00 HERNANDEZ, MARLO AV M PADRE BU CAPTAIN - - - - - - -
10/20/16 917258-260 183665-672 3 8 1,900.00 CASTILLO, GLENDA UY F UNISAN CAPTAIN - - - - - - -
116221-222, 228- BALDESIMO, EMELDA - - - - - - -
10/20/16 5 1,000.00 F PITOGO CAPTAIN
230 CAPISONDA
10/20/16 093062-065 4 800.00 VILLOTA, JOSEFINA ILAOF SARIAYA CAPTAIN - - - - - - -
10/20/16 921089, 024275 2 200.00 MARCO, ERNESTO OBAL M CAPTAIN - - - - - - -
090549, 551, BANTIGUE, MILA ROSE - - - 900.00 - - -
10/20/16 014422-424 3 3 900.00 F CAPTAIN
200488 G.
088783, 786-788, DE LARA, ROMANA - - - - - - -
10/20/16 921087-088 2 5 1,200.00 F CAPTAIN
791 LARITA
10/20/16 083738-740 3 600.00 MAYHAY, LYDIA DELARIAF BURDEOS CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/20/16 094150-154 2 400.00 SIOREZ, JOHN RAYVER E.M CAPTAIN - - - - - - -
087712-713, ONITA, CAROL KEENE - - - - - - -
10/20/16 012567-570 4 4 1,200.00 F TAYABAS CAPTAIN
086849, 851 PLATINO
10/20/16 211646-648 3 600.00 GAMBOA, MARY ANN H. F LUCENA C CAPTAIN - - - 2,000.00 - - -
10/21/16 039715-720 141517-520 6 4 1,400.00 ALMONTE, BABY BOY ORMALE MACALELOBARANGAY - - - - - - 504.00
10/21/16 014035, 038-041 089787-791 5 5 1,500.00 CATALLA, MARILOU GLOFEMALE TAYABAS CBARANGAY - - - - 200.00 - 2,970.00
092534-541, 552- - - - - - - 1,400.00
10/21/16 10 2,000.00 BARTILLA, BABY BOY MALE TAYABAS CBARANGAY
553
10/21/16 018110-120 098383, 394-400 11 8 2,700.00 JAÑOZO, REYNALDO ARYMALE CANDELARBARANGAY - - - - 400.00 - 2,900.00
180655-660;
180795-800; RABINO, ROSIEVILLA 204.00 75.00 5,400.00 - - - 26,500.00
10/21/16 059307-350 44 17 7,800.00 FEMALE PLARIDEL, BARANGAY
212992-995; LUALHATI
212989
161043; 161801-
SARCILLA, JOHN CARLO - - - 5,950.00 - - 4,130.00
10/21/16 049484-486 805; 161830-839; 3 26 5,500.00 MALE TAGKAWAYBARANGAY
MAPA
792911-920
10/21/16 000889-890 063879-882 2 4 1,000.00 PAMIS, GEMMA PLATINO FEMALE LUCBAN, BARANGAY - - - - - - 7,200.00
098519-538; GARCIA, JOHN 3,180.00 - - - 200.00 - 4,000.00
10/21/16 023754-765 12 24 6,000.00 MALE CANDELARBARANGAY
109666-669 KENNETH BELISTA
10/21/16 045119-134 152399-400 16 2 2,000.00 TRILLANES, CRISTIAN K MALE LOPEZ, QU BARANGAY - - - - - - 2,750.00
074760-764, ALMARIEGO, QWIN - - - - - - 509.00
10/21/16 7 1,400.00 FEMALE MAUBAN, BRGY. CAP
074976-977 MICHELLE FLORES
075056-059,
006425, 007778- ALMARIEGO, MELJOY 120.00 75.00 - - - - 12,100.00
10/21/16 077478-480, 7 9 2,500.00 FEMALE MAUBAN, BRGY. CAP
783 FLORES
077658-659
10/21/16 052464-468 167096-100 5 5 1,500.00 OLANDEZ, MARIA LYN ASFEMALE ATIMONANBRGY. CAP 3,420.00 - - - - - 4,810.00
070954-955, DADA, ANALIZA 5,700.00 - - 900.00 - - 5,700.00
10/21/16 924246-250 5 6 1,700.00 FEMALE TAYABAS CBRGY. CAP
070958-961 DECANO
124654-656, 658- AURELLANA, SEAN - - - - - - -
10/21/16 8 1,600.00 MALE BRGY. CAP
662 KERBY D.
108323-325, 337, - - - - - - -
10/21/16 5 1,000.00 LATUZA, ROSALINA FEMALE BRGY. CAP
342
775016-020, KIMAY KIMAY, MYRNA - - - - - - -
10/21/16 012619 1 7 1,500.00 FEMALE BRGY. CAP
750285, 300 CERONA
10/21/16 163005-008 4 800.00 CUSTODIO, CARLITO DERMALE BRGY. CAP - - - - - - -
10/21/16 038230 1 100.00 GRANADA,NIÑO G. M UNISAN CAPTAIN - - - - - - -
10/21/16 211654-655 2 400.00 AGUILAR, GERALD PING M LUCENA CAPTAIN - - - - - - -
10/21/16 775291-299 9 1,800.00 ANAT, RB NACARIO M CAPTAIN - - - - - - -
10/21/16 063844-849, 851 7 1,400.00 CABARLES, ROWELITO YM LUCBAN CAPTAIN - - - - - - -
10/21/16 078992, 994, 987 3 600.00 MAAÑO, IVY ROSE LUCA F PAGBILAO CAPTAIN - - - - - - -
10/21/16 008294 078695-699 1 5 1,100.00 DE RAMA, MIRIAM LORE F PAGBILAO CAPTAIN - - - - - - -
10/21/16 092495-497, 500 4 800.00 JALBUENA, ANABEL EVA F TAYABAS CAPTAIN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
147034, 037-040, - - - - - - -
10/21/16 7 1,400.00 BROMEO, EDNA VERDAL F CALUAG CAPTAIN
149576-577
10/21/16 014721-740 20 2,000.00 LOMBRINO, VIRGENIA M F TAYABAS CCAPTAIN - - - - - - -
10/21/16 078756-758 3 600.00 CABILE JR, CELSO MARAM PAGBILAO CAPTAIN - - - - - - -
10/21/16 170148 1 200.00 VIRTUCIO, MELODIE M F CAPTAIN - - - - - - -
10/21/16 170149 1 200.00 VIRTUCIO, MELODIE M F CAPTAIN - - - - - - -
10/21/16 002794 067693-697, 700 1 6 1,300.00 RECAHUERTA, ROWENA M INFANTA CAPTAIN - - - - - - -
10/21/16 025262, 295-300 804081 7 1 900.00 TORMIS, ARVIN RANAN M AGDANGANCAPTAIN - - - - - - -
10/21/16 011169-170, 163 084439, 497-498 3 3 900.00 MANIEVO, JAYSON M SARIAYA CAPTAIN - - - - - - -
10/21/16 766234-236 3 600.00 BERDINA, JENNIFER PUN F SARIAYA CAPTAIN - - - - - - -
075527, 075532,
10/21/16 538, 588, 594, 597, 7 1,400.00 NOGALES, KEVIN B. M MAUBAN CAPTAIN - - - - - - -
557
10/21/16 098053, 058-059 3 600.00 RIBAMONTE, JEANNET G F CANDELARCAPTAIN - - - - - - -
160372, 375, - - - - - - -
10/21/16 061527-528 2 7 1,600.00 ESPINOSA, JARED DIVIN F CALUAG CAPTAIN
185175-179
10/21/16 135259-261 3 600.00 RODIL, PABLO R M CATANUANCAPTAIN - - - - - - -
107451-454, 469- - - - - - - -
10/21/16 7 1,400.00 MAGSINO, MARIAN PADI F CAPTAIN
471
10/21/16 034007-008 142514-515 2 2 600.00 PABELLO, LORNA LACHI F LUCENA CICAPTAIN - - - - - - -
10/21/16 087862-870 9 1,800.00 ZAFRANCO, ANGELYN F TAYABAS CAPTAIN - - - - - - -
10/21/16 867608-609 2 200.00 OABEL, ROMULO M TAYABAS CAPTAIN - - - - - - -
10/21/16 741058, 730691 2 400.00 MERCADO, YMMER F CAPTAIN - - - - - - -
078700, 211659- - - - - - - -
10/21/16 008300, 295-299 6 3 1,200.00 RICO, JULIUS OLESCO M LUCENA CAPTAIN
660
10/21/16 079787 1 200.00 REYES, ROSAURO CLARI M PAGBILAO CAPTAIN - - - - - - -
10/21/16 050318 1 100.00 PIMENTEL, DANIEL M TAGKAWAYCAPTAIN - - - - - - -
10/21/16 001692 066154-160 1 7 1,500.00 CORONACION, DONATO M INFANTA CAPTAIN - - - - - - -
10/21/16 079048, 055-058 5 1,000.00 APURA, CHERRY ANN PO F PAGBILAO CAPTAIN - - - - - - -
074313-314, PUCHERO, JONAS ISAAC - - - - - - -
10/21/16 005211 1 5 1,100.00 M CAPTAIN
074333, 339, 343 ATENDIDO
021915-916, 923, 107829, 820, 826- DE LOS SANTOS, ANA - - - - - - -
10/21/16 5 5 1,500.00 F CAPTAIN
928, 865999 828 CHRISTINE KRYSOL
000201, 768, 774- - - - - - - -
10/21/16 064871-875 6 5 1,600.00 CASIÑO, FEDENCIO E. M LUCBAN CAPTAIN
775, 202, 206
10/21/16 017115-116 2 200.00 POSTEJO, ANGELA REMO F SARIAYA CAPTAIN - - - - - 200.00 -
129550, 130021,
023, 130540, 543-
PERALTA, JAYPRIL - - - - - - -
10/21/16 031320 544, 209817-818, 1 12 2,500.00 M SAN FRAN CAPTAIN
TALLA
130711, 209814,
130022, 014
10/21/16 023551-575 25 2,500.00 RAMOS, MARILYN INOCEF CAPTAIN - - - - 200.00 - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/21/16 098062 1 200.00 RIBAMONTE, JEANNET G F CANDELARCAPTAIN - - - - - - -
10/21/16 765957, 095385 2 400.00 RONDERO, RENELITO MAM SARIAYA CAPTAIN - - - - - - -
10/21/16 063515-517 3 600.00 TALASTAS, BENITA Q. F LUCBAN CAPTAIN - - - - - - -
10/21/16 871824 1 100.00 RONDERO, RENELITO MAM SARIAYA CAPTAIN - - - - - - -
034004-006, 010- NAVARRO, RODEL - - - - - - -
10/21/16 141516 7 1 900.00 M SAN FRANCCAPTAIN
011 BAUTISTA
10/21/16 002936 066153 1 1 300.00 CORONACION, DONATO M INFANTA CAPTAIN - - - - - - -
873252, 262, 264- FORMARAN, NORMA - - - - 200.00 - -
10/21/16 768996-769000 10 5 2,000.00 F MACALEL CAPTAIN
271 LOREMIA
10/21/16 088881-883, 885 4 800.00 CAYANAN, FLORDELIZA UF TANUAN CAPTAIN - - - - - - -
10/21/16 077494-495 2 400.00 GOSAS, CLEA FAITH F MAUBAN CAPTAIN - - - - - - -
10/21/16 199879-880 2 400.00 SANGCAP, ZUNDREY F TAYABAS CAPTAIN - - - - - - -
108326-330,
10/21/16 023591 108530-531, 536, 1 10 2,100.00 GREÑA, MYLENE B. F SAN ANTO CAPTAIN - - - - 200.00 - -
538, 346
10/21/16 719394, 892153 2 400.00 ERELO, ARTHUR JUAQUINM LUCENA CICAPTAIN - - - - - - -
109014-015, 018, - - - - - - -
10/21/16 4 800.00 SEÑA, MICHELLE L. F CAPTAIN
027
10/21/16 100157-158 2 400.00 PANALIGAN, VAN PASTO M LUCENA CICAPTAIN - - - - - - -
10/21/16 019461-465 5 500.00 CABALLERO, AYELLO AVM BURDEOS CAPTAIN - - - - - - -
089594-596,
10/21/16 867606-607 086460-466, 2 17 3,600.00 OABEL, ROMULO M TAYABAS CAPTAIN - - - 3,550.00 - - -
750721-727
10/21/16 097549-550 2 400.00 MAGALLONA, ROSALIE F CANDELARCAPTAIN - - - - - - -
10/21/16 929890-891, 897 3 600.00 DEQUITO, ERIC JAYSON S.M LUCENA CICAPTAIN - - - - - - -
146520-521,
LABACO, ANGEL - - 100.00 - - - 10,300.00
10/22/16 841270-272, 274- 10 2,000.00 FEMALE CALAUAG, BARANGAY
LARIZA
278
068266-269, 272- OLIVA, SHERYL 120.00 170.00 - - - - 51,500.00
10/22/16 002917 1 7 1,500.00 FEMALE INFANTA, CAPTAIN
274 BUSTORMERA
10/22/16 0062842 1 200.00 GRACILLA, LANZ LLIAM MALE LUCBAN, CAPTAIN - - - - - - 5,990.00
062839-841; GRACILLA, ZARAH 300.00 170.00 - - - - 61,500.00
10/22/16 13 2,600.00 FEMALE LUCBAN, CAPTAIN
063711-720 VILLANUEVA
119428-429, BOSE, NENETH 120.00 75.00 - - - - 16,800.00
119437-440 MONTALBO
048125-128, 107660, 107691- MILANIO, MERYAN 120.00 170.00 1,800.00 - - - 14,600.00
10/22/16 14 18 5,000.00 FEMALE LOPEZ, QU BRGY. CAP
022791-800 699, 158354-361 FELICIDARIO
10/22/16 098956-965 10 2,000.00 LLAMADO, VIANNA DEL EFEMALE CANDELARBRGY. CAP - - - - - - 5,500.00
10/22/16 018158-162 5 500.00 OQUIALDA, JAMES ORLI MALE SARIAYA, BRGY. CAP - - 2,025.00 - - - 4,740.00
10/22/16 015756, 015794 168183 2 1 400.00 DURAGOS, GLENT VILLA MALE SAN NARCIBRGY. CAP 2,460.00 - - - - - 4,810.00
10/22/16 074527-530 4 800.00 VILLAMAYOR, EUGENIO MALE BRGY. CAP - - - - - - -
123303, 124643, SAN JUAN, RODILLO
10/22/16 4 800.00 MALE BRGY. CAP - - - - - - -
645, 647 MENDOZA

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
41368-370, 375,
10/22/16 383-384, 44026- 10 1,000.00 SATIRA, ALEXANDER MALE BRGY. CAP - - - - - - -
028, 888376
763177, 093622-
10/22/16 4 800.00 DE SILVA, ALVIN A. MALE BRGY. CAP - - - - - - -
623, 689
10/22/16 913562-567 103824 6 1 800.00 AURELIO, ROSENDO SAR M TIAONG, Q BARANGAY - - - - - - -
095657-659, 661-
10/22/16 016765, 768 2 7 1,600.00 QUINTERO, EPIMACO D. M TAYABAS CBARANGAY - - - - - - -
664
10/22/16 021358-367 104936-490 8 5 1,800.00 TORRES, AMELIA ANDES F TIAONG, Q BARANGAY - - - - - - -
10/22/16 129044-047 4 800.00 MERILO, GABRIEL EMPREM SAN ANTONMAYOR/BR - - - - - - -
10/22/16 091454-459, 461 7 1,400.00 REYES, DIONISIO CABRI M TAYABAS CBARANGAY - - - - - - -
10/22/16 023915 109935, 937 1 2 500.00 DELGADO, POTENCIANO M PADRE BU BARANGAY - - - - - - -
10/22/16 024694 111490 1 1 300.00 PAQUITA, ROSELLE N/A F XX BARANGAY - - - - - - -
10/22/16 930522-524, 528 4 800.00 MEDALLA JR. CESAR CALM PITOGO, Q MAYOR/BR - - - - - - -
10/22/16 084667-668 2 400.00 ORTEGA, ALMA PIMPES F XX MAYOR/BR - - - - - - -
10/22/16 119430-435 4 800.00 BOSE, NENETH MONTALBF PITOGO, Q MAYOR/BR - - - - - - -
073637-638, 753- MERCADO, BHILLY JAY
10/22/16 7 1,400.00 M LUCENA CIMAYOR/BR - - - - 200.00 - -
755, 771-772 DAZA
10/22/16 199881 1 200.00 SANGCAP, ZUNDREY M. F TAYABAS CGOVERNO - - - - - - -
146527-532, COMENTAN, CONCHITA - - - - 200.00 - -
10/22/16 043578 1 8 1,700.00 F CALAUAG, MAYOR/BR
149250-251 J.
10/23/16 081849-867 19 3,800.00 ANARETA, MARY ANN LAFEMALE SAMPALOCBARANGAY - - - - - - 1,000.00
751438-439, PARAGO, JUDE MICHAEL - - - - - - -
10/23/16 013989 1 3 700.00 M TAYABAS CBARANGAY
751446 GAELA
10/23/16 202182 1 200.00 CANELA, YHURIE DELOS F ATIMONANGOVERNO - - - - - - -
076366, 369-372, BUBAN, BABY GIRL - - - - - - 508.00
10/24/16 10 2,000.00 FEMALE MAUBAN, BARANGAY
375-379 MACINAS
076340, 355-357, DELUMEN, BABY BOY - - - - - - 504.00
10/24/16 10 2,000.00 MALE MAUBAN, BARANGAY
395-400 TUTICA
10/24/16 116640-649 10 2,000.00 ESTANNEOL, BABY GIRL FEMALE SARIAYA, BARANGAY - - - - - - 503.00
122848-857, 958-
959, 208801, 807- MONTEMOR, JOCELYN 2,100.00 - - 3,550.00 200.00 - 400.00
10/24/16 33 6,600.00 FEMALE BUENAVISTBARANGAY
810, 827376-390, FERRER
828381
212441-443, DEDUYO, ANDREA - - - - - - 1,200.00
10/24/16 5 1,000.00 FEMALE LUCENA CIBOARD M
929898-899 ORTINEZ
104565-567, 573, GLORIANE, ANGELICA - - - - - - 6,000.00
10/24/16 021221-230 10 5 2,000.00 FEMALE TIAONG, Q BARANGAY
745676 GODGAGA
103111-112, GLORIANE, BABY BOY - - - - - - 503.00
10/24/16 5 1,000.00 MALE TIAONG, Q BARANGAY
745673, 675, 677 GODGAGA
10/24/16 086453-459 7 1,400.00 URBANAN, CHARLIE CABMALE TAYABAS CBARANGAY - - 50.00 - - - 1,600.00
10/24/16 101031-033 3 600.00 PASTRANA, KATHLEEN A FEMALE PAGBILAO, GOVERNO - - - - - - 6,000.00

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
922008, 011, 012, MAAÑO, ANNE - - 3,650.00 - - - 6,100.00

10/24/16 5 500.00 FEMALE LUCENA CICAPTAIN
036, 037 CHRISTINE SALVA
10/24/16 014342-348 211668-670 7 3 1,300.00 DEODORES, JESSALYN A FEMALE TAYABAS CVICE GOV 120.00 170.00 - - - - 48,317.00
10/24/16 014338-341 4 400.00 DEODORES, GAVIEL ABA MALE TAYABAS CCAPTAIN 180.00 - - - - - 5,854.00
10/24/16 107933-941 9 1,800.00 HERNANDEZ, AIRA FLOR FEMALE TIAONG, Q CAPTAIN 120.00 170.00 - - - - 27,880.00
10/24/16 107950 1 200.00 HERNANDEZ, FILIUS JOH MALE TIAONG, Q CAPTAIN - - - - - - 4,461.00
10/24/16 086971-973, 980 4 800.00 BELTRAN, SAVANAH MARFEMALE TAYABAS CBRGY. CAP - - - - - - 506.00
10/24/16 006866-873 088053 8 1 1,000.00 SALSONA, EURHE ZEAIA FEMALE TAYABAS CBRGY. CAP - - - - - - 505.00
10/24/16 027254-264 116650-651 11 2 1,500.00 ESTANNEOL, MELANIE R FEMALE SARIAYA, BRGY. CAP 120.00 170.00 - - - - 12,600.00
105138-141, DEQUITO, LEONELL - - - - - - 503.00
10/24/16 5 1,000.00 MALE TIAONG, Q BRGY. CAP
106008 IGNACIO DIENTRE
10/24/16 104878-880 3 600.00 EMPLEO, REBECCA BUELFEMALE CANDELARBRGY. CAP - - - - - - 5,000.00
10/24/16 751204, 208-209 3 600.00 LOGRONIO, EVANGELINEFEMALE LUCBAN, BRGY. CAP - - - - - - 5,000.00
10/24/16 751202-203 2 400.00 DAYO, BIANCA LOGRONI FEMALE LUCBAN, BRGY. CAP - - - - - - 503.00
10/24/16 013161-180 20 2,000.00 TABERNILLA, NIÑA MED FEMALE TAYABAS CBRGY. CAP 60.00 170.00 - - - - 11,700.00
10/24/16 065240-249 10 2,000.00 PINEDA, MARITES RATIO FEMALE LUCBAN, BRGY. CAP 120.00 75.00 - - - - 12,600.00
10/24/16 212444-446 3 600.00 SAN MIGUEL, ANNALYN FEMALE LUCENA CIBOARD M 108.00 75.00 5,500.00 - - - 24,500.00
104941-943,
105142-147, DIENTRE, ROSE MARIE 90.00 170.00 - - - - 11,400.00
106001-007, 009- ALAGAR
010
10/24/16 086974-979 6 1,200.00 BELLEN, HANNAH DELU FEMALE TAYABAS CBRGY. CAP 120.00 170.00 - - - - 14,600.00
163584-590,
10/24/16 050750, 753 163658, 163676- 2 18 3,800.00 ZARA, EPITACIO ARPIA MALE TAGKAWAYBRGY. CAP - - 3,600.00 - - - 4,000.00
685
166172-175,
165443, 446, 463- ANDA, MILAGROS - - - - - - -
10/24/16 15 3,000.00 FEMALE BRGY. CAP
464, 858, 862, 578, MANALO
847595-598
10/24/16 018121-130 97616-618 10 3 1,600.00 DALISAY, RAYMUNDA TE FEMALE BRGY. CAP - - - - - - -
10/24/16 164755, 758 2 400.00 SOCORRO, JOHN RHOMI M ATIMONANBARANGAY - - - - - - -
10/24/16 079789 1 200.00 REYES, ROSAURO CLARI M PAGBILAO, BARANGAY - - - - - - -
10/24/16 822295-296 2 400.00 GARAIS, JAYSON D. M GENERAL BARANGAY - - - - - - -
10/24/16 014350 101039-044 1 6 1,300.00 DEODORES, JESSALYN A F TAYABAS, BARANGAY - - - - - - -
10/24/16 026004, 007 114101 2 1 400.00 BANGALAO, JAYNARD PAM CANDELARBARANGAY - - - - - - -
10/24/16 751601-604 4 800.00 LOGRONIO, EVANGELINEF LUCBAN, BARANGAY - - - - - - -
10/24/16 186102 1 200.00 ROSALES, JESUS BALMESM GUINAYAN BARANGAY - - - - - - -
10/24/16 075640 1 200.00 GARCIA, MARVIN C. M MAUBAN, BARANGAY - - - - - - -
10/24/16 074116 1 200.00 DIGNOS, CRISELDA F POLILLO, BARANGAY - - - - - - -
10/24/16 011783 109020, 031 1 2 500.00 LAREDO, REMEDIOS A. F SAN ANTONBARANGAY - - - - - - -
10/24/16 109022, 032 2 400.00 SEÑA, MICHELLE L F SAN ANTONMAYOR/BR - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
129722, 733-734, - - - - - - -
10/24/16 10 2,000.00 CAPIRIÑA, DONALD B. M SAN FRANCBARANGAY
744-748, 752-753
10/24/16 011779, 790-796 109026 8 1 1,000.00 PAJOYO, RONILO SR. F M JOMALIG, BARANGAY - - - - - - -
002926, 930, 932-
CORONACION, DONATO - - - - - - -
10/24/16 935, 937, 001689- 067190-192 11 3 1,700.00 M INFANTA, BARANGAY
S.
691, 693
10/24/16 768990-992 3 600.00 YULO, ROSE M. F MACALELOBARANGAY - - - - - - -
093244-247, 251, RIVAREZ, LAILANIE - - - - - - -
10/24/16 9 1,800.00 F SARIAYA, BARANGAY
267-270 RAMIRO
10/24/16 064856-858 3 600.00 PALMADO, PRINCE BEN BM LUCBAN, BARANGAY - - - - - - -
10/24/16 088189-191 3 600.00 CANTOS, ROXANNE GRACF TAYABAS, BARANGAY - - - - - - -
10/24/16 160218-219 2 400.00 DEL MUNDO, JOHN EGIB M LUCENA CIBARANGAY - - - - - - -
10/24/16 109353-355 3 600.00 CAPADA, APRIL F SAN ANTONBARANGAY - - - - - - -
10/24/16 155242 1 200.00 ALANO, MARK DALOGO M LOPEZ, QU BARANGAY - - - - - - -
10/24/16 009025 080831-834 1 4 900.00 LUSTERIO, LESLIE MANAF PAGBILAO, BARANGAY - - - - - - -
10/24/16 009547, 051, 059 3 300.00 LUSING, CRISPOLO* M XXX BARANGAY - - - - - - -
10/24/16 211656 1 200.00 AGUILAR, GERALD PING M LUCENA CIVICE GOV. - - - - - - -
10/24/16 109028, 030 2 400.00 DELGADO, EDUARDO PA M PADRE BU BARANGAY - - - - - - -
10/24/16 770560, 563 2 400.00 MIRASOL, FLORENTINO SM LUCENA CIBARANGAY - - - - - - -
060404-408,
10/24/16 917552-553, 557- 182365-367 30 3 3,600.00 LELIS, LOLITA R. F GUINAYAN BARANGAY - - 3,600.00 - - - -
579, 060381-400
10/24/16 000706 063514, 518 1 2 500.00 TALASTAS, BENITA F LUCBAN, BARANGAY - - - - 200.00 - -
084403, 084405,
10/24/16 061419, 011157 415, 417, 431, 433, 2 7 1,600.00 PINEDA, ALEXANDER M INFANTA, BARANGAY - - - - - - -
435
10/24/16 008470 079013-021 1 9 1,900.00 PALMERO, GEMMA MUHIF PAGBILAO, BARANGAY - - - - - - -
10/24/16 087146-155 10 2,000.00 ORTIZ, REMELINE F. F TAYABAS CBARANGAY - - - 900.00 200.00 - -
076014, 018,
006906, 066613-
10/24/16 075934-935, 7 6 1,900.00 AUSTRIA, MARIEFE F MAUBAN, BARANGAY - - - - - - -
618
075388-389
157646, 651, 654-
10/24/16 4 800.00 VILLARAZA, EVELYN F LOPEZ, QU BARANGAY - - - - - - -
655
10/24/16 061597 1 100.00 JERINGUILLO, PACENCIAF GUINAYAN BARANGAY - - - - - - -
10/24/16 088963 1 200.00 MAPAYE, ELIZABETH VA F TAYABAS CBARANGAY - - - - - - -
081644-648, - - - 3,790.00 - - -
10/24/16 10 2,000.00 JIMENEZ, JAN ZEDRICK M SAMPALOCMAYOR/BR
082153
10/24/16 62651-652 2 400.00 ALTAREJOS, JOSE ALBERTM LUCBAN CAPTAIN - - - - - - -
10/25/16 009445-448 4 400.00 VILLANUEVA, BABY GIRLFEMALE PAGBILAO, BARANGAY - - - - - - 507.00
041015-029, 315, 144760-765,
GRIMPULA, DANILO - - - - - - 1,400.00
10/25/16 317-320, 888351- 147879-882, 25 12 4,900.00 MALE CALAUAG, BARANGAY
GRUTA
355 843101-102

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
022001-010, 015- TALASTASIN, ROSALIE 1,080.00 - - - 400.00 - 400.00

10/25/16 106177-200 18 24 6,600.00 FEMALE DOLORES, BARANGAY
016, 023-028 SAMONTE
170324-350, 352,
170941-943, 948,
OLIVEROS, REY ANN 120.00 170.00 - - - - 14,000.00
10/25/16 950-964, 171660, 60 12,000.00 MALE QUEZON, BARANGAY
VILLEGAS
211256-265,
851571-572
018018, 869267- BELGICA, JOHN LESTER - - - - - - 800.00
10/25/16 098189, 200 11 2 1,500.00 MALE LUCENA CIBARANGAY
276 BALANSAG
10/25/16 025551-570 20 2,000.00 OSABEL, LEA N/A FEMALE SARIAYA, GOVERNO - 170.00 - - - - 4,400.00
10/25/16 077244, 246, 247 3 600.00 ALMACEN, ABEGEL PALAFEMALE MAUBAN, CAPTAIN - - - - - - 25,000.00
10/25/16 130565-574 10 2,000.00 MACARAIG, ALMER ISAAMALE SAN FRANCCAPTAIN 150.00 170.00 - - - - 28,380.00
10/25/16 065252-254 3 600.00 ABUAN, JHAREL PALMARMALE LUCBAN, BRGY. CAP - - - - - - 502.00
10/25/16 008511-520 10 1,000.00 MARTINEZ, CARL RAMOSMALE PAGBILAO, BRGY. CAP - - - - - - 511.00
065250-251, ABUAN, MARICEL - - - - - - 4,500.00
10/25/16 5 1,000.00 FEMALE LUCBAN, BRGY. CAP
065255-257 PALMARI
10/25/16 025587-600 14 1,400.00 PALECPEC, ZHANAIA AZAFEMALE TAYABAS CGOVERNO - - - - - - 504.00
088373, 375-378,
BREGONIA, GREGORIO 90.00 170.00 - - 200.00 - 13,500.00
10/25/16 380-381, 746-747, 10 2,000.00 MALE LUCENA CIBRGY. CAP
MARAÑO
118022
10/25/16 008501-510 10 1,000.00 RAMOS, LOLETA DE RAMFEMALE PAGBILAO, BRGY. CAP 90.00 75.00 1,800.00 - - - 12,200.00
CAMPOREDONDO, 90.00 170.00 - - - - 11,800.00
10/25/16 903564-565, 568 803683-687 3 5 1,300.00 FEMALE CANDELARBRGY. CAP
ODIELYN REYES
211678-680, SANTIAGO, FATIMA 90.00 170.00 - - - - 14,600.00
10/25/16 6 1,200.00 FEMALE CANDELARVICE GOV
929930-932 PANER
193341, 193768, ADAN, KRIS MARIELA 120.00 75.00 - - - - 11,700.00
10/25/16 3 600.00 FEMALE LUCENA CIGOVERNO
195279 CAYABYAB
025581-586, MALLARI, SARA MAY - - - - - - 6,000.00
10/25/16 10 1,000.00 FEMALE TAYABAS CGOVERNO
026051-054 SANTIDAD
10/25/16 095901-905 5 1,000.00 QUISAO, NELIA CORONA FEMALE BRGY. CAP - - - - - - -
097838,975, 977- MAGTIBAY, JONEL - - - - - - -
10/25/16 5 1,000.00 MALE BRGY. CAP
979 MANDOCDOC
10/25/16 133478-481, 484 5 1,000.00 DIOQUINO, ROGEL V. MALE BRGY. CAP - - - - - - -
10/25/16 768551-554 4 800.00 VIRTUCIO, MELODIE MA F MACALELON - - - - - - -
10/25/16 101011-017 7 1,400.00 BERNALES, MARY JANE F CAPTAIN - - - - - - -
10/25/16 070570, 572-574 4 800.00 ASTRERA, AMADA PORTEF GEN. NAK CAPTAIN - - - - - - -
10/25/16 047770 157643, 649, 653 1 3 700.00 ESPIÑA, JENLYN SALCED F LOPEZ CAPTAIN - - - - - - -
10/25/16 173213-214 2 400.00 LOZADA, JOSEPHINE M. F GUMACA CAPTAIN - - - - - - -
090282, 091640-
10/25/16 3 600.00 BRIN, YOLANDA HAVITA F TAYABAS CAPTAIN - - - - - - -
641
10/25/16 101037 1 200.00 ALBANO, KELVIN MAGNOM PAGBILAO CAPTAIN - - - - - 200.00 -
10/25/16 007747 077559-560 1 2 500.00 LEGASPI, ROSELITO RON M MAUBAN - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/25/16 807491 1 200.00 BORJA, ISIDRO YONSAGAM CAPTAIN - - - - - - -
10/25/16 178330 1 200.00 CONDAT, HANA BAYLON F GUMACA CAPTAIN - - - - - - -
10/25/16 007876-878 077809-813 3 5 1,300.00 BANTAYAN, MARIBEL VI F MAUBAN CAPTAIN - - - - - - -
10/25/16 020307-312 6 600.00 VALDEAVILLA, NEDY PA F LUCENA CAPTAIN - - - - - 600.00 -
10/25/16 143160, 162-168 8 1,600.00 BRUTAS, MANUEL M CALAUAG CAPTAIN - - - - - 200.00 -
10/25/16 078457-461 5 1,000.00 LAVADO, NELSON SAGONM MAUBAN CAPTAIN - - - - - - -
212448-449,
10/25/16 021321-322, 328 211673-674, 3 7 1,700.00 OLARTE, JOY F - - - - - - -
104881, 883-884
10/25/16 034271-273 187055 3 1 500.00 SANCHEZ, PAULA V. F LUCENA CAPTAIN - - - - - - -
10/25/16 869026-041 16 1,600.00 DE VILLA, ROSITA C. F CANDELARCAPTAIN - - - - - - -
10/25/16 023120 108305 1 1 300.00 ESCALANTE, BERNADET F MAUBAN CAPTAIN - - - - - - -
10/25/16 167586-589, 591 5 1,000.00 RICAFRENTE, RICARDO M ATIMONANCAPTAIN - - - - - - -
153155-159, - - - - - - -
10/25/16 10 2,000.00 YABA, EDILBERTO C. M LOPEZ CAPTAIN
157975-979
105726, 104564, MENDOZA, JOHN - - - - - - -
10/25/16 024239 1 4 900.00 M PADRE BU CAPTAIN
572, 745674 LAWRENCE
10/25/16 929914 1 200.00 CERVANTES, NENITA ACEF TIAONG GOVERNO - - - - - 200.00 -
151407-409, ZURBAN, ARNALDO - - - - - - -
10/25/16 045717 1 5 1,100.00 M LOPEZ CAPTAIN
210837, 839 ZABELLA
10/25/16 011784, 023486 2 200.00 DELGADO, EDUARDO PA M PADRE BU CAPTAIN - - - - - 200.00 -
10/25/16 159238-242 5 1,000.00 UBANA, RONIE RICARDOM LOPEZ CAPTAIN - - - - - - -
10/25/16 063912 1 200.00 GUCE, CARINA SARON F LUCBAN CAPTAIN - - - - - - -
10/25/16 087861 1 200.00 ALCALA, EVELYN F TAYABAS CAPTAIN - - - - - - -
10/25/16 178326, 118727 2 400.00 CONDAT, HANA BAYLON F GUMACA CAPTAIN - - - - - - -
10/25/16 039277-278 140612, 620-621 1 4 900.00 VILLALON, ALEX ORIAS M MACALEL CAPTAIN - - - - - - -
076730-731,
10/25/16 075033-035, 641, 8 1,600.00 GARCIA, MARVIN C. M MAUBAN CAPTAIN - - - - - - -
647-648
892290, 292, 294- - - - - - - -
10/25/16 171659, 661-663 4 4 1,200.00 OLIVEROS, REY ANN M QUEZON CAPTAIN
295
10/25/16 077245, 248-250 4 800.00 ALMACEN, JIA PALAGROSF MAUBAN CAPTAIN - - - - - - -
10/25/16 082826-828, 833 4 800.00 HICAP, PAULINE F BURDEOS CAPTAIN - - - - - - -
10/25/16 213973-974 2 400.00 BORJA, ISIDRO YONSAGAM GOVERNO - - - - - - -
10/25/16 917261-262 726677-678 2 2 600.00 CONZANA, ZEPPY KIZZ Z F LUCENA CAPTAIN - - - - - - -
10/25/16 141824-826 3 600.00 ALTAMIRA, VIANNA F CAPTAIN - - - - - - -
10/25/16 932022-024 3 600.00 ALMADRONES, MELGAR F GOVERNO - - - - - - -
10/25/16 726674-676 3 600.00 CANZANA, ZEPPY KIZZ Z F LUCENA GOVERNO - - - - - - -
10/25/16 045716, 231-235 6 1,200.00 ZURBANO, ARNALDO ZA M LOPEZ CAPTAIN - - - - - - -
10/25/16 092631-633 3 600.00 GRIMALDO, EMERENCIA F TAYABAS CAPTAIN - - - - - - -
10/25/16 043152-153 143382-384 2 3 800.00 JOSE, REYMARK M CALAUAG CAPTAIN - - - - - - -
10/25/16 100182 1 200.00 VILLAMENA, EVANGELINF LUCENA CICAPTAIN - - - - - - -
10/25/16 109016 1 200.00 SENA, MICHELLE LARED F SAN ANTO CAPTAIN - - - - - 200.00 -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/25/16 749539-540 2 400.00 ARPON, MARIA URSULIN F TAYABAS CAPTAIN - - - - - - -
10/25/16 104570-571 2 400.00 ITEM,MARY ANN ORTIZ F SARIAYA CAPTAIN - - - - - - -
10/25/16 017753-755 3 300.00 DE VILLA, ROSITA C. F CANDELARCAPTAIN - - - - - - -
10/25/16 088952, 956 2 400.00 ALONER, ROSARIO O. F TAYABAS CAPTAIN - - - - - - -
10/25/16 093076-079 4 800.00 JADER, LORNA F SARIAYA CAPTAIN - - - - - - -
886636-645,
IBAÑES, EDNA - - - - 200.00 - -
10/25/16 887700, 042527, 147580-583 13 4 2,100.00 F CALAUAG CAPTAIN
EVANGELISTA
040357
10/25/16 802394-397 4 800.00 VERGANIO, ILUMINADA F PADRE BU CAPTAIN - - - - - - -
10/25/16 023372-379 109203 8 1 1,000.00 PURILLO, RANILO BENEDM SAN ANTO CAPTAIN - - - - - - -
10/26/16 207983-987 5 1,000.00 DAYOT, CONSTACIO GONMALE CANDELARMAYOR 120.00 - - - 200.00 - 200.00
10/26/16 162471-480 10 2,000.00 MAGHIRANG, RENIEL M MALE TAGKAWAYBRGY. CAP 90.00 75.00 - - - - 10,100.00
10/26/16 104947-948 2 400.00 VECINAL, RENZ GABRIE MALE LUCENA CIBRGY. CAP - - - - - - 502.00
145728-730; 84.00 170.00 3,600.00 - - - 6,500.00
10/26/16 5 1,000.00 BAET, AIREEN ILAGAN FEMALE TIAONG, Q BRGY. CAP
149167-168
124348-359, - - 1,800.00 700.00 - - 8,100.00
10/26/16 031139-144 6 22 5,000.00 ROLDAN, ZAIREL MORO FEMALE BUENAVISTBRGY. CAP
124846-855
10/26/16 007146 077660-662 1 3 700.00 DEVERA, JOAN PEÑAMANFEMALE MAUBAN, BRGY. CAP 132.00 75.00 - - - - 22,600.00
109033-100;
CABRERA, TEODORICO 2,250.00 - 5,400.00 - - - 7,250.00
10/26/16 192220-231; 85 17,000.00 MALE SAN ANTONBRGY. CAP
MAALIJAN
211649-653
212822, 824, - - - - - - -
10/26/16 17016-017 2 12 2,600.00 TUAZON, JENNIFER BRINFEMALE BRGY. CAP
929901-910
10/26/16 091253, 260-268 10 2,000.00 PALMADO, REYNANTE P. MALE BRGY. CAP - - - - - - -
10/26/16 072474, 468-472 6 1,200.00 SOL, HYDEN R. F REAL CAPTAIN - - - - - - -
015171, 174-175,
GUIAO, JONAS SR - - - - - - -
10/26/16 865995-996, 104568-569 7 2 1,100.00 M LUCENA CAPTAIN
CANLAS
021924, 927
10/26/16 111864 1 200.00 BARRAL, LEOMAR B. M LUCENA CAPTAIN - - - - - - -
10/26/16 056062 174213-214 1 2 500.00 ARADA, GLORIA MUPAN F GENERAL CAPTAIN - - - - - - -
10/26/16 185614-615 2 400.00 JABRICA, MARITES F GUINYANGCAPTAIN - - - - - - -
10/26/16 023380-381 2 200.00 BANDOJO, JEFFREY AQUIM CANDELARIA - - - - - - -
10/26/16 096883 1 200.00 DALANGIN, JONASH M SARIAYA CAPTAIN - - - - - - -
10/26/16 081367-369 3 600.00 ELLA, LILIOSA F SAMPALOCCAPTAIN - - - - - - -
10/26/16 200688 1 200.00 CUSTODIO, CARLITO DERM LUCENA GOVERNO - - - - - - -
10/26/16 070583-584 2 400.00 ASTRERA, AMADA P. F GENERAL CAPTAIN - - - - - - -
022881, 109308, ISLETA, MERCEDES - - - - - - -
10/26/16 3 600.00 F CAPTAIN
310 MAGBIRAY
746865, 747180, TUTOR, PRINCE ALWIN - - - - - - -
10/26/16 4 800.00 M TAYABAS CAPTAIN
191, 194 SARMIENTO
929866-870, 892- - - - - - - -
10/26/16 10 2,000.00 HICAYO, REYMUND F LUCENA CICAPTAIN
896

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/26/16 927444 109783-787 1 5 1,100.00 ENCENA, LORNA F PADRE BU CAPTAIN - - - - - - -
10/26/16 074663, 665 2 400.00 TADURAN, TERESITA F MAUBAN CAPTAIN - - - - - - -
10/26/16 016084 094752-754 1 3 700.00 CANTOS, VANESSA F SARIAYA CAPTAIN - - - - - - -
10/26/16 130029-030, 036 3 600.00 LAGROSA, JOANE F LUCENA CICAPTAIN - - - - - - -
10/26/16 130031-035 5 1,000.00 NOSQUIAL, HAJILYN F PADRE BU CAPTAIN - - 250.00 - - - -
10/26/16 103443-444 2 400.00 DELOS REYES, MARLON M TIAONG CAPTAIN - - - - - - -
10/26/16 074124-125 2 400.00 ABETRIA, MYRNA F POLILIO CAPTAIN - - - - - - -
10/26/16 026055-064 10 1,000.00 ORINDAY, RAMON M LUCENA CICAPTAIN - - - - - - -
10/26/16 155243 1 200.00 ALANO, MARK DALAGO M LOPEZ QU CAPTAIN - - - - - 200.00 -
080350-353, 356- HUTALLA, MARK RODEL
10/26/16 6 1,200.00 M LUCENA CICAPTAIN - - - - - 1,200.00 -
357 ARTUS
10/26/16 086398 1 200.00 PAEZ, VALENTIN L. M TAYABAS CAPTAIN - - - - - - -
10/26/16 014543-550 4 800.00 BELLEN, HANNAH D. F TAYABAS CAPTAIN - - - - - - -
10/26/16 022770-776 107676-679 5 4 1,300.00 DIMAANO, EDWIN TABERM DOLORES CAPTAIN - - - - - - -
10/26/16 185187-188 2 400.00 COMENTEN, CONCHITA F CAPTAIN - - - - - - -
10/26/16 026012 066131 1 1 300.00 ELLA, SHARLA F MULANAY - - - - - - -
10/26/16 000516-520, 522 6 600.00 CONSTANTINO, LAILIEG F LUCBAN CAPTAIN - - - - - - -
10/26/16 802399 1 200.00 VERGANIO, ILUMINADA MF PADRE BU CAPTAIN - - - - - 200.00 -
10/26/16 913983-985 3 300.00 MANONGSONG, MARCELIM TIAONG CAPTAIN - - - - - - -
10/26/16 130545, 580-582 4 800.00 MANCIA, EFREN M CAPTAIN - - - - - - -
070464-469, AVELLANO, LOVELY - - - 2,000.00 - - -
10/26/16 10 2,000.00 F GENERAL CAPTAIN
068944-946, 949 ROSE J.
046174-177, 179- - - - - - - -
10/26/16 154496-500 9 5 1,900.00 VASQUEZ, MARITESS P. F LOPEZ CAPTAIN
183
165776, 164478- - - - - - - -
10/26/16 051176 1 3 700.00 ESCULLAR, JOSE JOEL L. M ATIMONANCAPTAIN
479
10/26/16 066786-795 10 2,000.00 PEÑAMANTE, RHONNEL PM INFANTA CAPTAIN - - - 2,000.00 - - -
10/26/16 831191 1 200.00 ARABIA, ZOSIMO M CAPTAIN - - - - - - -
104263-266, - - - - - - -
10/26/16 8 1,600.00 GALERA, JOSEFINA F TIAONG CAPTAIN
104919-921, 825
PONTEFEDRA, - - - - - - -
10/26/16 105824, 728 2 400.00 F TIAONG CAPTAIN
CLARISSE
109541-543, 546- - - - - 200.00 - -

10/26/16 9 1,800.00 AGUILA, THELMA F SAN ANTO CAPTAIN
550
10/26/16 150001-002 2 400.00 NOLLAS, SALVACION M. M CALAUAG CAPTAIN - - - - - - -

10/26/16 080354-355 2 200.00 HUTALLA, MARK RODEL M CAPTAIN - - - - - - -
10/26/16 150003, 005 2 400.00 NOLLAS, SALVACION M. M CALAUAG CAPTAIN - - - - - - -
10/26/16 021851, 920, 925 105821, 827 3 2 700.00 PONTIPEDRA, CLARISSE F TIAONG CAPTAIN - - - - - - -
109841-847;
HERNANDEZ, CESAR 6,768.00 - 3,675.00 2,000.00 400.00 - 32,786.00
10/27/16 023851 195865, 864, 866, 1 16 3,300.00 MALE PADRE BU CAPTAIN
CAGAPI
870; 739111-115

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/27/16 086235-238 4 800.00 PANUELOS, BABY BOY N/MALE PATNANUNBARANGAY - - - - - - 600.00
160086-090, LIWANAG, PABLITO 900.00 - - - 200.00 - 1,000.00
10/27/16 047987-996 10 10 3,000.00 MALE TAGKAWAYBARANGAY
213004-008 LALUNIO
089771-773, 775- MACARAIG, ENRICQUE - - 100.00 - - - 2,200.00
10/27/16 5 1,000.00 MALE LUCENA CIBARANGAY
776 MAHINAY
10/27/16 087600 1 200.00 GALIDO, MARY CELESTINFEMALE TAYABAS CBRGY. CAP - - - - - - 503.00
10/27/16 087597 1 200.00 ROJAS, MAUREEN SALIG FEMALE TAYABAS CBRGY. CAP - - - - - - 3,800.00
10/27/16 016268-275 094669-673 8 5 1,800.00 ATIENZA, CECILIA SALVAFEMALE SARIAYA, BRGY. CAP - - - - - - 3,800.00
10/27/16 094668, 674-675 3 600.00 ABDON, JOHN MATHEW AMALE SARIAYA, BRGY. CAP - - - - - - 502.00
062276-280,
000467-477, ANGELES, LORENA 114.00 75.00 - - - - 11,900.00
10/27/16 063253-256, 12 17 4,600.00 FEMALE LUCBAN, BRGY. CAP
910096 NUÑEZ
065258-265
10/27/16 211698-700 3 600.00ENDONILA, MAXINE MA FEMALE LUCENA CIVICE GOV - - - - - - 506.00
10/27/16 075074-078 5 1,000.00ABALAJEN, MARIBETH P FEMALE MAUBAN, BRGY. CAP - - 1,800.00 - - - 4,000.00
10/27/16 096352-355 4 800.00OBISPO, DULCE REMOROFEMALE BRGY. CAP - - - - - - -
10/27/16 169016 1 200.00ALMADRONES, NICANORMALE BRGY. CAP - - - - - - -
10/27/16 092543 1 200.00FERRER, NANCITA S. F TAYABAS CAPTAIN - - - - - 200.00 -
10/27/16 213209 1 200.00ARCEGA, RUPERTO M SAN NARC CAPTAIN - - - - - - -
10/27/16 023366 109150-151 1 2 500.00PATULAYIN, KEVIN C. M SAN ANTO CAPTAIN - - - - - - -
10/27/16 093513 1 200.00ESCAMILLAS, MARA CLAF SARIAYA CAPTAIN - - - - - - -
163442, 445, CONSTANTINO, - - - - - - -
10/27/16 4 800.00 F TAGKAWAYCAPTAIN
212981-982 JANNIQUE T.
072137-138, 140- - - - - - - -
10/27/16 4 800.00 ISAGRA, NICOLE F REAL QUE CAPTAIN
141
10/27/16 762517 1 200.00 JADER, LORNA F SARIAYA CAPTAIN - - - - - - -
10/27/16 020836 104746-750 1 5 1,100.00 GALERA, JOSEFINA C. F TIAONG CAPTAIN - - - - - - -
10/27/16 063466 1 200.00 SANGCAP, KYRIE MANAOM LUCBAN CAPTAIN - - - - - - -
10/27/16 045519 045520-523 1 4 900.00 SUMACOLOB, JEANNETTEF LOPEZ CAPTAIN - - - - - - -
10/27/16 018325 097601 1 1 300.00 MAGSINO, ROSA F CANDELARCAPTAIN - - - - - - -
10/27/16 752286 1 200.00 PUNONGBAYAN, DOLOREF TAYABAS CAPTAIN - - - - - 200.00 -
10/27/16 097358-361 4 800.00 POSADAS, IAN KYLE ME M CANDELARCAPTAIN - - - - - - -
10/27/16 100181 1 200.00 UMILIN, CESAR M LUCENA CICAPTAIN - - - - - - -
10/27/16 109349-352 4 800.00 VALENCIA, GERLIE F SAN ANTO CAPTAIN - - - - - - -
10/27/16 751440-441 2 400.00 PARAGO, JUDE MICHAEL M TAYABAS CAPTAIN - - - - - - -
10/27/16 063243-249 7 1,400.00 EMPAMANO, RONA LEE L.F LUCBAN CAPTAIN - - - - - - -
10/27/16 000710-712 063521-526 3 6 1,500.00 BORINES, JEAN CRYSTALF LUCBAN CAPTAIN - - - - - - -
10/27/16 011466-471 085043-048 6 5 1,600.00 POTES, ROSALINO UNGR M CAPTAIN - - - 3,550.00 - - -
10/27/16 118420, 442, 448 3 600.00 MOBATO, ELIZABETH F PITOGO CAPTAIN - - - - - - -
10/27/16 110143-152 10 2,000.00 AGUIBA, LUISITO SR S. M PADRE BU CAPTAIN - - - - - - -
017166-177, 180, MONTERMOSO, - - - - - - -
10/27/16 15 1,500.00 M SARIAYA CAPTAIN
020550, 543 LEONARDO C.

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
011632, 639, 643, - - - - - - -

10/27/16 5 500.00 UMILDA, CERILA F SARIAYA CAPTAIN
646, 649
087068, 074, 075-
10/27/16 5 1,000.00 INSILAY, NAZARIA B. F TAYABAS CAPTAIN - - - - - - -
077
021913-914, 922,
10/27/16 4 400.00 PERNIA, MARIDEL B. F LUCENA CICAPTAIN - - - - - - -
926
10/28/16 110486, 488, 489 3 600.00 ABRIA, LEMUEL RAMBO MALE PADRE BU CAPTAIN - - - 3,790.00 - - 20,000.00
10/28/16 211691-692 2 400.00 SIOSON, BABY BOY N/A MALE LUCENA CIVICE GOV - - - - - - 2,600.00
10/28/16 885146-150 135339-348 5 10 2,500.00 LARIETA, BABY BOY N/A MALE CATANAUABARANGAY - - - - - - 700.00
10/28/16 019491-500 10 1,000.00 PEREGRIN, KHARL MIRA MALE LUCENA CIGOVERNO 6,420.00 - - - - - 504.00
10/28/16 108157-166 10 2,000.00 DE CASTRO, MARCELINOMALE SAN ANTONCAPTAIN 10,593.00 - - 3,550.00 - - 33,000.00
10/28/16 090996, 997, 999 3 600.00 REYES, JOHN ROLAND C MALE TAYABAS CCAPTAIN 510.00 75.00 - 3,790.00 - - 60,500.00
10/28/16 004478-483 071080-086 6 7 2,000.00 BIEN, JOHN REXEL MOREMALE REAL, QUE BRGY. CAP - - - - - - 2,840.00
121602-605, 607- PARDILLA, DELIA
10/28/16 029707-708 2 8 1,800.00 FEMALE GENERAL BRGY. CAP 120.00 95.00 - - - - 13,100.00
610 FIDELINO
10/28/16 016153, 175-176 094457 3 1 500.00 GABOG, BRYLEE NOYNA MALE SARIAYA, BRGY. CAP - - - - - - 503.00
10/28/16 211704-708 5 1,000.00 HERNANDEZ, GILBERTO MALE LUCENA CIBRGY. CAP 7,140.00 - - - 400.00 - 10,700.00
749816, 088192- RASAY, EVELYN
10/28/16 5 1,000.00 FEMALE BRGY. CAP - - - - - - -
195 CANTOS
159807, 161670,
162801-803, MONREAL, MARITESS
10/28/16 10 2,000.00 FEMALE BRGY. CAP - - - - - - -
162925-926, 928, SAYAT
163066, 067
166176-178,
ANDA, MILAGROS - - - - - - -
10/28/16 167563-565, 581- 8 1,600.00 FEMALE BRGY. CAP
MANALO
582
108239-242, 244- - - - - - - -
10/28/16 16 3,200.00 LATUZA, ROSALINA FEMALE BRGY. CAP
253, 344, 113243
10/28/16 163446-450 5 1,000.00 CONSTANTINO, JANNIQUE
FEMALE BRGY. CAP - - - - - - -
118724, 178327- - - - - - - -
10/28/16 3 600.00 CONDAT, HANA B. FEMALE BRGY. CAP
328
023522-523, 526- - - - 900.00 - - -
10/28/16 108334, 345 5 2 900.00 GREÑA, MYLENE B. F SAN ANTO CAPTAIN
527, 530
064061, 063-065, - - - - - - -
10/28/16 5 1,000.00 SUMADSAD, JAZEL F LUCENA CICAPTAIN
069
10/28/16 107926-929 4 800.00 GARCIA, ARNEL L. M SAN ANTO CAPTAIN - - - - - - -
10/28/16 929917 1 200.00 CERVANTES, NENITA ACEF TIAONG CAPTAIN - - - - - 200.00 -
10/28/16 198620 1 200.00 ZAMORA, ABEGAIL N. F LUCENA CICAPTAIN - - - - - - -
10/28/16 202994, 996 2 400.00 LEYESA, LIZA B. F LUCENA CICAPTAIN - - - - - - -
047656, 657, - - - - - - -
10/28/16 154717 3 1 500.00 BAGAMASBAD, JOEL M LOPEZ CAPTAIN
044782

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
138182-184, 187- - - - - - - -
10/28/16 8 1,600.00 BASCO, LEORY F UNISAN CAPTAIN
191
903581-582, 585- ROLDAN, JESSIZA - - - - - - -
10/28/16 4 400.00 F CAPTAIN
586 LOPEZ
10/28/16 755114 1 200.00 TAITINFONG, LYNIEL JO F LUCBAN CAPTAIN - - - - - 200.00 -
10/28/16 091250-251 2 400.00 FERRER, NANCITA F TAYTAY CAPTAIN - - - - - 400.00 -
069831-832, 835- - - - - - - -
10/28/16 003870 1 4 900.00 CALADO, GREGORIO M LUCENA CAPTAIN
836
10/28/16 021441, 437 2 400.00 SALCEDO, MELVIN VILLAM TIAONG CAPTAIN - - - - - - -
086240-242, 233- - - - - - - -
10/28/16 6 1,200.00 PANUELOS, BABY BOY M PATNANUNCAPTAIN
234, 239
726680-284, 679,
ABRIA, LEMUEL - - - - - - -
10/28/16 110485, 487, 490- 10 2,000.00 M PADRE BU CAPTAIN
RAMBOYONG
491
10/28/16 091235-236 2 400.00 PABILLAR, ARMANDO VAM TAYTAY CAPTAIN - - - - - 400.00 -
10/28/16 202262 1 200.00 SEBASTIAN, ELOISA BUNF LUCENA CICAPTAIN - - - - - 200.00 -
10/28/16 092316-317 2 400.00 DE ROSAS, OFELIA ABISAF TAYABAS CAPTAIN - - - - - 400.00 -
10/28/16 816514, 516 2 400.00 BARAQUIEL, JANICE A. F CAPTAIN - - - - - - -
921095-099,
10/28/16 020349, 921100, 8 800.00 TAN, FERNANDO M LUCENA CAPTAIN - - - - - - -
020348
10/28/16 155244 1 200.00 ALANO, MARK DALOGO M LOPEZ CAPTAIN - - - - - 200.00 -
10/28/16 012649-650 086909-910 2 2 600.00 CATIBOG, MA IVANA CRYF TAYABAS CAPTAIN - - - - - - -
10/28/16 789872, 874 2 400.00 PADUA, APRIL JOY TABE F LUCENA CICAPTAIN - - - - - - -
10/28/16 011637, 640, 641 3 300.00 UMILDA, CERILA MANALF SARIAYA CAPTAIN - - - - - - -
124206, 208-209, - - - - - - -
10/28/16 7 1,400.00 ORTE, CEFRENIA BS. F BUENAVIS CAPTAIN
213-215, 230
10/28/16 212904-906 3 600.00 CALAGUAN, GLORIA F CANDELARCAPTAIN - - - - 200.00 - -
10/28/16 092241-243 3 600.00 CASABELLA, MARIA CRISF TAYABAS CAPTAIN - - - - - - -
10/28/16 023576-584 9 900.00 RAMOS, MARILYN INOCEF SAN ANTO CAPTAIN - - - 900.00 - - -
181884-185, JERINGUILLO, - - - 900.00 - - -
10/28/16 061587 1 4 900.00 F GUINAYAN CAPTAIN
185298-299 PACIENCIA G
133761-762, RAMOS, ROAN - - 100.00 - - - -
10/28/16 6 1,200.00 F CATANUANCAPTAIN
133184-187 ENRIQUEZ
10/29/16 080631-637 7 1,400.00 WAGWAG, JEALYN OCAMFEMALE PAGBILAO, BARANGAY - - - - - - 400.00
089416-420, 431- - - - - - - 503.00
10/29/16 10 2,000.00 GAZA, NIEGEL JAPIS MALE TAYABAS CBARANGAY
435
018157, 163-167, 120.00 - - - - - 600.00
10/29/16 111156-160 21 5 3,100.00 JABOLA, JARRED CHRISNMALE PADRE BU BARANGAY
008521-535
10/29/16 015124-150 27 2,700.00 CAPILI, KATRINA COLLINFEMALE TAYABAS CCAPTAIN 90.00 75.00 100.00 - - - 52,640.00
117464-472, - - 3,600.00 - 400.00 - 12,100.00
10/29/16 14 2,800.00 MARAVILLA, NOELIN BU FEMALE PITOGO, Q BRGY. CAP
117484-488

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
128621-623, - - - - - - 5,500.00
10/29/16 10 2,000.00 TIPANAO, JACKIELYN LI FEMALE LUCENA CIBRGY. CAP
128628-634
10/29/16 048967 160055-056 1 2 500.00 ANDAL, VIVENCIA ALAO FEMALE TAGKAWAYBRGY. CAP - - - - - - 5,500.00
108133, 108141-
10/29/16 142, 108171-172, 6 1,200.00 BATURIANO, JAY ANN AL FEMALE SAN ANTONBRGY. CAP - - - - - - 4,500.00
108175
10/29/16 108173-174 2 400.00REYES, ARJAY BATURIANMALE SAN ANTONBRGY. CAP - - - - - - 502.00
10/29/16 024519-527, 538 10 1,000.00VICENTE, JOY ANN BARJEFEMALE PADRE BU BRGY. CAP 120.00 170.00 - - - - 13,600.00
10/29/16 024528-537 10 1,000.00NUÑEZ, FRENCH JAKE VI MALE PADRE BU BRGY. CAP - - - - - - 505.00
10/29/16 089425-428, 430 5 500.00JAPIS, RECHEL BAYBAY FEMALE TAYABAS CBRGY. CAP - - - - - - 7,700.00
10/29/16 082468-470 3 600.00ROSALES, ANNE CLARA FEMALE SAMPALOCBRGY. CAP - - - - - - 502.00
10/29/16 082471-477 7 1,400.00CORAZA, CRISTEL ANN BFEMALE SAMPALOCBRGY. CAP - - - - - - 3,000.00
087084, 746378- PLACINO, YSABELLE 2,340.00 - - - - - 11,810.00
10/29/16 4 800.00 FEMALE TAYABAS CBRGY. CAP
380 ONGARIA
10/29/16 211609-610 2 400.00 ANDAL, VIVORY ALAON FEMALE TAGKAWAYVICE GOV - - - - - - 502.00
087083, 087085-
092, 089344-353, PLACINO, MARIBEL 60.00 75.00 - - - - 12,700.00
10/29/16 012486-500 15 35 8,500.00 FEMALE TAYABAS CBRGY. CAP
107472-484, ONGARIA
211709-711
140460, 463-469,
10/29/16 038829, 831-838 141209-212, 214- 9 15 3,900.00 GAGALAC, DOROTHY FEMALE BRGY. CAP - - - - - - -
216
142291-293, - - - - - - -
10/29/16 5 1,000.00 SATIRA, ALEXANDER MALE BRGY. CAP
145393-394
10/29/16 022081-087 7 700.00 PUNZALAN, GUILLERMO M QUEZON CAPTAIN - - - - - - -
10/29/16 106632-636, 641 7 1,400.00 AGUILA, SAMUEL JOBLE M TIAONG CAPTAIN - - - - - - -
10/29/16 077048-052 5 1,000.00 BRIGUERA, NIÑO JOSHUAM MAUBAN CAPTAIN - - - - - - -
10/29/16 038254 138673-675, 677 1 4 900.00 FERNANDO, MARIEL COSF UNISAN CAPTAIN - - - - - - -
10/29/16 166359-360 2 400.00 MANALO, CHERRY CAST F ATIMONANCAPTAIN - - - - - - -
10/29/16 000695-700 6 600.00 VILLEGAS, ROXANNE VI F LUCBAN CAPTAIN - - - - - - -
10/29/16 020588-590 106637-640 3 4 1,100.00 CUETO, CRISTINA TABIN F TIAONG - - - - - - -
174128-137,
NAÑOLA, RANDYLYN - - - - - - 1,200.00
10/30/16 209474-478, 18 3,600.00 FEMALE PADRE BU BARANGAY
LUSANTA
821198-200
105706-709, 714- - - - - - - 800.00
10/30/16 19 3,800.00 PAZ, ALDEN RIOS MALE TIAONG, Q BARANGAY
715, 741-753
10/30/16 039218-221 140537-541 4 5 1,400.00 ORFANEL, KAYE PRADO FEMALE MACALELOBARANGAY - - - 3,550.00 200.00 - 1,200.00
066171-180; ELSAID, JANA AHMED 6,512.00 - - - - - 23,990.00
10/30/16 12 2,400.00 FEMALE INFANTA, CAPTAIN
068270-271 ZAKARIA F
10/30/16 091391-393 3 600.00 PABILONIA, BERNARDITAFEMALE TAYABAS CCAPTAIN - - - - 400.00 - 9,000.00
10/30/16 108031-036, 039 7 1,400.00 HERMOSA, JHONE NOEL MALE SAN ANTONBRGY. CAP - - - - - - 504.00
10/30/16 108021-030 10 2,000.00 OBAL, MARY JANE FRAN FEMALE SAN ANTONBRGY. CAP - - - - - - 6,000.00

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
087352, 091066- HUELVA, BERNARD 90.00 75.00 - - - - 13,600.00

10/30/16 5 F MALE LUCENA CIBRGY. CAP
068, 092066 JIMENEZ
196549-551, 553- MANICAD, MARIA - - - - - - -
10/30/16 6 1,200.00 F LUCENA GOVERNO
555 CARMELA HERRERA
10/30/16 015236-240 5 500.00 TABERNILLA, RODOLFO M TAYABAS CAPTAIN - - - - - - -
023103-104,
023106-108, 110- ESCALANTE, - - - - - - -
10/30/16 108397, 108400 15 2 1,900.00 F MAUBAN CAPTAIN
115, 117, 122, 124, BERNADETH
126
10/30/16 146537 1 200.00 DUNGO, ANN JILLY NAVAF CALAUAG CAPTAIN - - - - - - -
10/30/16 092678, 688 2 400.00 FABREGAS, ARTEMIO M TAYABAS CAPTAIN - - - - - - -
10/30/16 212806, 808 2 400.00 CHAVEZ, PATRICK RUEDAM LUCENA GOVERNO - - - - - - -
10/30/16 077448 1 200.00 SAGUILER, KENEDY MEDM MAUBAN CAPTAIN - - - - - - -
10/30/16 000406-412 062979-983 7 5 1,700.00 VILLEGAS, RAMON ERNEM LUCBAN CAPTAIN - - - - - - -
064501-504, 507- REMOLONA, WENDY - - - - - - 6,000.00
10/31/16 10 2,000.00 FEMALE LUCBAN, BARANGAY
510, 512, 518 GAELA
064505-506, 521- REMOLONA, BABY BOY - - - - - - 502.00
10/31/16 12 2,400.00 MALE LUCBAN, BARANGAY
530 GAELA
10/31/16 098543-546 4 800.00 RONDOLO, BABY GIRL B FEMALE CANDELARBARANGAY - - - - - - 503.00
000001, 012-015, - - - - - - 1,200.00
10/31/16 062672-676 21 5 3,100.00 CABE, RAYGEN TABASA FEMALE LUCBAN, BARANGAY
0001169-184
10/31/16 006452, 453, 461 3 300.00 BALAURO, LEILA GANDI FEMALE MAUBAN, CAPTAIN - - - - - - 9,000.00
10/31/16 099569, 572 2 400.00 DE SILVA, XYEAN XYLERMALE CANDELARBRGY. CAP - - - - - - 504.00
098611, 652-660; DE SILVA, LENI 90.00 75.00 - - - - 14,600.00
10/31/16 13 2,600.00 FEMALE CANDELARBRGY. CAP
099570-571, 573 RENTORIA
10/31/16 133997-134000 4 800.00 PARAISO, SAISHA PASCU FEMALE CATANAUABRGY. CAP - - - - - - 512.00
10/31/16 209816 1 200.00 MENDUA, ARABELLA DENFEMALE SAN FRANCMUNICIPA - - - - - - 503.00
10/31/16 024142-149, 150 8 800.00 HIDALGO, AIVAN KESHNEMALE PADRE BU BRGY. CAP - - - - - - 503.00
10/31/16 024137-141, 149 110354-363 6 10 2,600.00 HIDALGO, MARINA DE L FEMALE PADRE BU BRGY. CAP 120.00 170.00 - - - - 12,500.00
10/31/16 211701-703 3 600.00 PARAISO, MARIA ELESSAFEMALE CATANAUAVICE GOV 930.00 170.00 - - - - 12,400.00
163451, 164079- CONSTANTINO, - - - - - - -
10/31/16 050981 1 4 900.00 FEMALE BRGY. CAP
081 JANNIQUE T.
133482-483, 485- - - - - - - -
10/31/16 5 1,000.00 DIOQUINO, ROGEL V. MALE BRGY. CAP
486
140461-462,
020324-326, - - - - - - -
10/31/16 141213, 212468- 4 6 1,600.00 GAGALAC, DOROTHY FEMALE BRGY. CAP
038830
470
097619-620, 623- - - - - - - -
10/31/16 8 1,600.00 DALISAY, RAYMUNDA TE FEMALE BRGY. CAP
625, 099076-078
038308-309, 313-
166171, 167568, ANDA, MILAGROS - - - - - - -
10/31/16 314, 316-324, 326- 16 4 2,400.00 FEMALE BRGY. CAP
579-580 MANALO
327, 052288
10/31/16 202001-004 4 800.00 LIBANTINO, RODOLFO J. MALE BRGY. CAP - - - - - - -

Date: OCTOBER 2016
Total per
Control No. piece
-P- 100.00 -P- 200.00 100 200
ROOM, DR,
OR FEES
10/31/16 096356-359 4 800.00 OBISPO, DULCE REMOROFEMALE BRGY. CAP - - - - - - -
10/31/16 000406-412 62979-983 7 5 1,700.00 MAAÑO, FERNANDO RAMM LUCBAN CAPTAIN - - - - - - -
10/31/16 205358 1 200.00 SAN IGNACIO, ELOISA C. F CALAUAG CAPTAIN - - - - - - -
10/31/16 012285, 296 2 200.00 VERZO, AMELIA REGONDF LUCENA CAPTAIN - - - - - - -
BAAY, BALDOMERA - - - - - - -
10/31/16 0922031, 033-034 3 300.00 F LUCENA CAPTAIN
BALINGBING
10/31/16 715859 1 200.00 CANO, PONCIANO B M LUCENA GOVERNO - - - - - 200.00 -
10/31/16 146929, 936 2 400.00 BAAY, BALDOMERA BALIM CALAUAG CAPTAIN - - - - - - -
105235-237,
871822-823, 825, - - - - - - -
10/31/16 765956, 958, 4 7 1,800.00 RONDERO, RENELITO MAM SARIAYA CAPTAIN
016650
095384, 390
10/31/16 131844-847 4 800.00 DE LUNA, JULIE ANN TA F CATANAUNCAPTAIN - - - - - - -
-
2914 6634 1,618,200.00
Prepared by: Reviewed by:
RAEL F. ALMOJUELA JOEMAR R. BORROMEO

Administrative Aide III Accountant II
CONSIGNMENT CONSIGNMENT LESS
GENERAL CONS CASH
TOTAL GEN TOTAL BILL GEN CONS CASH AND AND
MISC MED SUP LAB RAD DISCOUNTS GEN DISC CONS DISC MED SUP
BILL CONS COUPON COUPON GUARANTO GUARANTO
R R
135.00 1,735.00 4,471.65 794.50 2,085.00 830.00 8,181.15 1,656.62 78.38 1,921.62 - 6,259.53 1,656.62 - 4,471.65 794.50
90.00 1,090.00 3,104.23 401.50 2,430.00 230.00 6,165.73 1,157.57 - 800.00 - 5,298.16 1,090.00 67.57 3,036.66 401.50
105.00 1,355.00 4,489.27 1,354.25 500.00 250.00 6,593.52 1,348.52 - 600.00 6.48 5,993.52 1,348.52 - 4,489.27 1,354.25
70.00 6,820.00 2,835.00 1,883.25 2,935.00 230.00 7,883.25 2,278.83 2,541.17 3,058.83 2,000.00 4,824.42 2,278.83 - 2,835.00 1,883.25
105.00 6,605.00 2,209.75 1,959.45 875.00 - 5,044.20 4,449.20 155.80 1,044.20 2,000.00 4,000.00 4,449.20 - 2,209.75 1,959.45
1,370.00 1,872.00 - 371.50 - - 371.50 - 322.00 78.00 1,550.00 293.50 - - - 371.50
1,370.00 1,872.00 - 371.50 - - 371.50 - 322.00 78.00 1,550.00 293.50 - - - 371.50
1,595.00 16,155.00 23,156.90 9,964.75 1,485.00 230.00 34,836.65 16,191.65 - 3,800.00 9,600.00 21,400.00 6,555.00 9,636.65 13,520.25 9,964.75
- - 780.00 - - - 780.00 - - 780.00 - - - - 780.00 -

- - 953.70 - - - 953.70 - - 953.70 - - - - 953.70 -
- - 207.60 - - - 207.60 - - 200.00 - 7.60 - - 207.60 -
- - 1,920.00 - - - 1,920.00 - - 1,900.00 - 20.00 - - 1,920.00 -
- - 552.00 - - - 552.00 - - 552.00 - - - - 552.00 -
- - 986.40 - - - 986.40 - - 986.40 - - - - 986.40 -
- - 502.00 - - - 502.00 - - 502.00 - - - - 502.00 -
- 200.00 - - 1,210.00 - 1,210.00 - 200.00 800.00 - 410.00 - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - 53.00 371.00 - 230.00 654.00 - - 654.00 - - - - 53.00 371.00
- - - - - 230.00 230.00 - - 230.00 - - - - - -
- - 2,012.40 - - - 2,012.40 - - 2,000.00 - 12.40 - - 2,012.40 -
- 200.00 - - - - - - 200.00 - - - - - - -
15.00 115.00 890.75 14.75 - 300.00 1,205.50 - 115.00 25.00 - 1,180.50 - - 890.75 14.75
30.00 1,055.00 750.50 209.25 200.00 300.00 1,459.75 349.48 705.52 694.48 - 765.27 349.48 - 750.50 209.25
755.00 7,495.00 6,282.25 1,628.25 2,455.00 600.00 10,965.50 2,460.50 544.50 1,455.50 4,490.00 9,510.00 2,460.50 - 6,282.25 1,628.25
225.00 5,835.00 3,444.22 1,523.50 4,955.00 250.00 10,172.72 1,625.00 700.00 1,300.00 3,510.00 8,872.72 1,625.00 - 3,444.22 1,523.50
1,220.00 31,204.00 2,293.40 2,964.25 305.00 - 5,562.65 - 1,600.00 - 29,604.00 5,562.65 - - 2,293.40 2,964.25
- - 780.00 - - - 780.00 - - 780.00 - - - - 780.00 -
- - 1,530.00 - - - 1,530.00 - - 1,530.00 - - - - 1,530.00 -
- - 210.00 - - - 210.00 10.00 - 200.00 - - - 10.00 200.00 -
- - 1,782.00 - - - 1,782.00 - - 1,700.00 - 82.00 - - 1,782.00 -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - - - 250.00 - 250.00 50.00 - 200.00 - - - 50.00 - -
GENERAL CONS CASH
R R
15.00 115.00 - - 50.00 - 50.00 - 115.00 50.00 - - - - - -
15.00 515.00 609.75 520.25 1,265.00 - 2,395.00 310.00 205.00 1,995.00 - 400.00 310.00 - 609.75 520.25
1,715.00 2,220.00 81.60 254.00 - - 335.60 555.60 1,664.40 335.60 - - 555.60 - 81.60 254.00
90.00 4,090.00 622.25 1,464.00 675.00 - 2,761.25 3,351.25 738.75 1,261.25 - 1,500.00 3,351.25 - 622.25 1,464.00
60.00 660.00 565.25 1,059.50 2,080.00 - 3,704.75 785.48 - 1,000.00 - 2,579.27 660.00 125.48 439.77 1,059.50
40.00 855.00 1,760.20 1,366.50 3,785.00 250.00 7,161.70 796.67 - 2,000.00 58.33 5,161.70 796.67 - 1,760.20 1,366.50
165.00 3,265.00 5,329.85 592.50 3,155.00 830.00 9,907.35 2,292.24 - 3,000.00 972.76 6,907.35 2,292.24 - 5,329.85 592.50
285.00 3,835.00 3,386.75 807.25 2,090.00 1,430.00 7,714.00 2,549.00 - 1,500.00 1,286.00 6,214.00 2,549.00 - 3,386.75 807.25
120.00 2,360.00 7,098.92 1,270.25 250.00 230.00 8,849.17 1,359.92 - 8,000.00 1,000.08 849.17 1,359.92 - 7,098.92 1,270.25
1,335.00 56,595.00 8,599.80 6,233.95 2,575.00 - 17,408.75 - 4,500.00 - 52,095.00 17,408.75 - - 8,599.80 6,233.95
90.00 4,090.00 2,345.00 1,820.20 2,345.00 - 6,510.20 1,100.20 989.80 2,510.20 2,000.00 4,000.00 1,100.20 - 2,345.00 1,820.20
1,830.00 2,336.00 - 253.25 - - 253.25 639.25 146.75 253.25 1,550.00 - 639.25 - - 253.25
1,715.00 2,220.00 - 350.75 - - 350.75 620.75 49.25 350.75 1,550.00 - 620.75 - - 350.75
2,060.00 12,530.00 658.50 2,157.75 355.00 250.00 3,421.25 101.25 1,600.00 - 10,828.75 3,421.25 101.25 - 658.50 2,157.75
75.00 5,575.00 754.00 1,566.70 875.00 - 3,195.70 - 3,575.00 195.70 2,000.00 3,000.00 - - 754.00 1,566.70
2,405.00 10,625.00 123.75 404.00 730.00 - 1,257.75 2,432.75 500.00 - 7,692.25 1,257.75 2,432.75 - 123.75 404.00
740.00 9,240.00 3,563.75 2,534.25 405.00 230.00 6,733.00 1,033.00 400.00 - 7,807.00 6,733.00 1,033.00 - 3,563.75 2,534.25
770.00 14,755.00 8,946.10 6,278.75 1,840.00 230.00 17,294.85 3,049.85 2,015.15 2,984.85 9,690.00 14,310.00 3,049.85 - 8,946.10 6,278.75
60.00 8,580.00 2,465.50 1,069.95 1,325.00 - 4,860.45 - 1,320.45 - 7,259.55 4,860.45 - - 2,465.50 1,069.95
1,370.00 1,872.00 - 367.25 - - 367.25 89.25 232.75 367.25 1,550.00 - 89.25 - - 367.25
1,020.00 15,785.00 7,376.30 4,427.50 2,885.00 - 14,688.80 7,973.80 121.20 3,378.80 7,690.00 11,310.00 7,973.80 - 7,376.30 4,427.50
GENERAL CONS CASH
R R
1,535.00 22,625.00 15,273.32 8,313.25 3,210.00 - 26,796.57 5,421.57 4,683.43 2,316.57 12,520.00 24,480.00 5,421.57 - 15,273.32 8,313.25
1,505.00 15,370.00 10,638.75 6,830.50 1,325.00 230.00 19,024.25 1,194.25 2,485.75 914.25 11,690.00 18,110.00 1,194.25 - 10,638.75 6,830.50
615.00 24,687.00 17,450.15 6,960.00 7,930.00 3,000.00 35,340.15 14,543.15 1,977.00 9,023.00 8,182.85 26,317.15 14,527.15 - 17,450.15 6,960.00
- 350.00 1,920.00 - 2,250.00 - 4,170.00 - - 1,900.00 2,600.00 - (2,250.00) 2,270.00 - -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -

- 350.00 960.00 - 2,250.00 - 3,210.00 160.00 - 800.00 2,600.00 - (2,250.00) 2,410.00 - -
- 350.00 960.00 - 2,250.00 - 3,210.00 - - 960.00 2,600.00 - (2,250.00) 2,250.00 - -
- - 988.50 - - - 988.50 - - 988.50 - - - - 988.50 -
- - 577.50 - - - 577.50 - - 577.50 - - - - 577.50 -
- - 397.25 - - - 397.25 - - 397.25 - - - - 397.25 -
- - 792.00 - - - 792.00 - - 792.00 - - - - 792.00 -
- 1,400.00 - - - - - - 1,400.00 - - - - - - -
- - - 372.00 - - 372.00 - - 372.00 - - - - - 372.00
- - 707.00 - - - 707.00 - - 707.00 - - - - 707.00 -
- - 1,821.00 40.00 - - 1,861.00 - - 1,861.00 - - - - 1,821.00 40.00
- - 1,461.00 5.50 - - 1,466.50 - - 1,466.50 - - - - 1,461.00 5.50
- 200.00 - - - - - - 200.00 - - - - - - -
- - 125.50 186.50 - - 312.00 - - 312.00 - - - - 125.50 186.50
- - 797.00 - - - 797.00 - - 797.00 - - - - 797.00 -
- - 990.00 - - - 990.00 - - 990.00 - - - - 990.00 -
- - 448.00 - - - 448.00 - - 448.00 - - - - 448.00 -

GENERAL CONS CASH
R R
- - 757.50 - - - 757.50 - - 757.50 - - - - 757.50 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -

- - 270.00 - - - 270.00 - - 270.00 - - - - 270.00 -
- - 437.50 - - - 437.50 - - 400.00 - 37.50 - - 437.50 -
- - 1,998.00 - - - 1,998.00 - - 1,998.00 - - - - 1,998.00 -
- - 954.00 - - - 954.00 - - 954.00 - - - - 954.00 -
- - 623.50 - - - 623.50 - - 600.00 - 23.50 - - 623.50 -
- - 2,214.00 - - - 2,214.00 - - 2,214.00 - - - - 2,214.00 -
- - - - - 650.00 650.00 - - 650.00 - - - - - -
- - - - 720.00 230.00 950.00 - - 950.00 - - - - - -

- 200.00 465.00 - - 230.00 695.00 - - 895.00 - - 200.00 (200.00) 465.00 -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - 725.00 - 725.00 - - 700.00 - 25.00 - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - - 460.00 460.00 - - 400.00 - - - 60.00 - -
- - - - - 250.00 250.00 - - 250.00 - - - - - -
- - - - 280.00 - 280.00 - - 280.00 - - - - - -
- - - - 50.00 - 50.00 - - 50.00 - - - - - -
- 200.00 - - 1,120.00 - 1,120.00 - 200.00 1,120.00 - - - - - -
- - - - 725.00 - 725.00 - - 700.00 - 25.00 - - - -

- - - - 240.00 - 240.00 - - 240.00 - - - - - -
- - - - 450.00 - 450.00 - - 450.00 - - - - - -
- - 694.00 - - 530.00 1,224.00 - - 1,224.00 - - - - 694.00 -
- - 195.00 - - - 195.00 - - 195.00 - - - - 195.00 -
- 200.00 - - 330.00 230.00 560.00 - 200.00 560.00 - - - - - -
- - - - - 230.00 230.00 - - 230.00 - - - - - -
210.00 4,660.00 3,778.00 1,951.75 660.00 - 6,389.75 7,849.75 - 1,200.00 - 2,000.00 4,660.00 3,189.75 588.25 1,951.75
2,330.00 13,835.00 13,050.95 7,786.75 1,815.00 230.00 22,882.70 10,717.70 1,117.30 1,882.70 2,000.00 21,000.00 10,717.70 - 13,050.95 7,786.75
GENERAL CONS CASH
R R
1,910.00 23,805.00 35,526.33 10,251.30 11,075.00 1,030.00 57,882.63 63,243.63 - 8,600.00 - 10,000.00 23,805.00 39,282.63 - 6,495.00
1,485.00 1,988.00 81.60 363.50 - - 445.10 - 438.00 445.10 1,550.00 - - - 81.60 363.50
960.00 13,760.00 6,210.60 4,484.25 905.00 - 11,599.85 - 400.00 - 13,360.00 11,599.85 - - 6,210.60 4,484.25
1,490.00 18,695.00 6,797.85 7,322.50 2,250.00 - 16,370.35 1,065.35 3,000.00 - 14,629.65 16,370.35 1,065.35 - 6,797.85 7,322.50
1,050.00 13,310.00 8,294.20 7,053.50 1,575.00 - 16,922.70 4,232.17 1,387.83 3,612.17 7,690.00 13,310.53 4,232.17 - 8,294.20 7,053.50
1,020.00 16,835.00 10,507.20 5,320.25 1,635.00 - 17,462.45 3,997.45 2,117.55 682.45 10,720.00 16,780.00 3,997.45 - 10,507.20 5,320.25
160.00 15,770.00 19,999.35 6,919.00 9,465.00 460.00 36,843.35 10,013.35 - 7,600.00 12,000.65 22,999.35 3,769.35 6,244.00 13,755.35 6,919.00
600.00 10,200.00 52,449.71 2,856.50 5,040.00 630.00 60,976.21 23,676.21 - 12,800.00 4,200.00 30,500.00 6,000.00 17,676.21 34,773.50 2,856.50
- - 960.00 - - - 960.00 192.00 - 768.00 - - - 192.00 768.00 -

- - 751.75 - - - 751.75 - - 751.75 - - - - 751.75 -
- - 2,795.00 - - - 2,795.00 - - 2,795.00 - - - - 2,795.00 -
- - 497.00 - - - 497.00 - - 497.00 - - - - 497.00 -
- - 300.00 15.25 - - 315.25 - - 315.25 - - - - 300.00 15.25
- - 585.00 - - - 585.00 - - 500.00 - - - 85.00 500.00 -
- - 495.00 514.75 - - 1,009.75 - - 1,000.00 - - - 9.75 485.25 514.75

- - 1,512.00 - - - 1,512.00 - - 1,521.75 - - - (9.75) 1,512.00 -
- - 568.00 - - - 568.00 - - 568.00 - - - - 568.00 -
- - 297.00 - - - 297.00 - - 297.00 - - - - 297.00 -
- - 330.00 - - - 330.00 - - 330.00 - - - - 330.00 -
- - - 803.50 - - 803.50 - - 803.50 - - - - - 803.50
- - 1,386.00 - - - 1,386.00 - - 1,386.00 - - - - 1,386.00 -
GENERAL CONS CASH
R R
- - 216.00 - - - 216.00 - - 200.00 - - - 16.00 200.00 -
- - 2,174.00 - - - 2,174.00 - - 2,190.00 - - - (16.00) 2,174.00 -
- - 1,212.75 - - - 1,212.75 - - 1,212.75 - - - - 1,212.75 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 80.00 - - - 80.00 - 80.00 - - - (80.00) 80.00 - -
- - 497.00 - - - 497.00 - - 497.00 - - - - 497.00 -
- - 2,002.50 - - - 2,002.50 - - 2,002.50 - - - - 2,002.50 -
- - 336.00 66.00 - - 402.00 - - 400.00 - 2.00 - - 336.00 66.00
- - 500.00 - - - 500.00 - - 300.00 - 200.00 - - 500.00 -
- - 864.00 136.00 - - 1,000.00 - - 1,000.00 - - - - 864.00 136.00
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 353.50 - - - 353.50 - - 353.50 - - - - 353.50 -
- - 497.00 - - - 497.00 - - 497.00 - - - - 497.00 -
- - 1,638.00 - - - 1,638.00 - - 1,638.00 - - - - 1,638.00 -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- 200.00 - - 1,645.00 230.00 1,875.00 - 200.00 1,600.00 - 275.00 - - - -
- 200.00 - - 1,220.00 230.00 1,450.00 - - 1,600.00 - 50.00 200.00 (200.00) - -
- - - - 110.00 - 110.00 - - 100.00 - 10.00 - - - -
- - - - 650.00 - 650.00 - - 650.00 - - - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - - - 1,700.00 - 1,700.00 - - 1,600.00 - 100.00 - - - -
- - - - 1,085.00 - 1,085.00 - - 1,085.00 - - - - - -
- - - - 250.00 - 250.00 - - 200.00 - 50.00 - - - -
- - 132.00 - - 460.00 592.00 - - 592.00 - - - - 132.00 -
- - - - 1,090.00 - 1,090.00 - - 1,090.00 - - - - - -
- - 390.00 - - - 390.00 - - 390.00 - - - - 390.00 -
- - - - 2,265.00 - 2,265.00 - - 1,200.00 - 1,065.00 - - - -
- - 600.00 - - 690.00 1,290.00 - - 1,290.00 - - - - 600.00 -
- - - - - 600.00 600.00 - - 600.00 - - - - - -
- - 588.00 134.50 - - 722.50 - - 700.00 - 22.50 - - 588.00 134.50
- - - - - 280.00 280.00 - - 280.00 - - - - - -
- - - - 575.00 - 575.00 - - 575.00 - - - - - -
55.00 2,595.00 2,662.00 1,889.75 1,560.00 230.00 6,341.75 1,036.75 - 3,200.00 1,558.25 3,141.75 1,036.75 - 2,662.00 1,889.75
225.00 7,325.00 7,265.00 4,548.54 4,185.00 760.00 16,758.54 3,425.35 899.65 1,100.35 3,000.00 15,658.19 3,425.35 - 7,265.00 4,548.54
1,095.00 15,455.00 10,338.78 6,385.25 3,965.00 - 20,689.03 4,444.03 1,320.97 2,379.03 9,690.00 18,310.00 4,444.03 - 10,338.78 6,385.25
90.00 4,090.00 524.50 1,140.25 1,325.00 - 2,989.75 1,179.75 400.00 - 2,660.25 2,839.75 1,029.75 150.00 374.50 1,140.25
GENERAL CONS CASH
R R
960.00 10,078.00 7,402.50 3,822.50 825.00 230.00 12,280.00 2,138.00 500.00 - 7,440.00 12,280.00 2,138.00 - 7,402.50 3,822.50
1,614.00 61,369.62 6,584.02 5,266.00 705.00 - 12,555.02 35,365.62 5,600.00 - 20,404.00 12,555.02 35,365.62 - 6,584.02 5,266.00
- - 960.00 - - - 960.00 192.00 - 768.00 - - - 192.00 768.00 -

- - 1,008.00 - - - 1,008.00 - - 1,008.00 - - - - 1,008.00 -
- - 582.50 - - - 582.50 - - 582.50 - - - - 582.50 -
- - 1,588.50 - - - 1,588.50 - - 1,588.50 - - - - 1,588.50 -
- - 795.60 - - - 795.60 - - 795.60 - - - - 795.60 -
- - 1,579.50 - - - 1,579.50 - - 1,579.50 - - - - 1,579.50 -
- - 284.00 - - - 284.00 - - 284.00 - - - - 284.00 -
- - 588.00 - - - 588.00 - - 588.00 - - - - 588.00 -
- - 193.00 - - - 193.00 - - 193.00 - - - - 193.00 -
- - 321.90 - - - 321.90 - - 321.90 - - - - 321.90 -
- - 260.00 - - - 260.00 - - 260.00 - - - - 260.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 960.00 - - - 960.00 192.00 - 768.00 - - - 192.00 768.00 -
- - 2,324.00 - - - 2,324.00 - - 2,300.00 - 24.00 - - 2,324.00 -
- - - 436.75 - - 436.75 - - 436.75 - - - - - 436.75
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 1,484.00 - - - 1,484.00 - - 1,484.00 - - - - 1,484.00 -

- - 628.74 - - - 628.74 - - 600.00 - 28.74 - - 628.74 -
- - 894.00 101.00 - - 995.00 - - 995.00 - - - - 894.00 101.00
- - 1,998.00 - - - 1,998.00 - - 1,998.00 - - - - 1,998.00 -
- - 576.00 - - - 576.00 - - 576.00 - - - - 576.00 -

- - 485.10 - - - 485.10 - - 485.10 - - - - 485.10 -
- - - - - 230.00 230.00 - - 200.00 - 30.00 - - - -
- 100.00 - - 950.00 - 950.00 - 100.00 900.00 - 50.00 - - - -
- - - - - 500.00 500.00 - - 500.00 - - - - - -
- - - - 620.00 - 620.00 - - 620.00 - - - - - -
- - - - 325.00 - 325.00 - - 325.00 - - - - - -
GENERAL CONS CASH
R R
- 200.00 - - - - - - 200.00 - - - - - - -
- - - - - 630.00 630.00 - - 600.00 - - - - - -
- - - - 1,870.00 400.00 2,270.00 - - 1,000.00 - 1,270.00 - - - -
- 900.00 - - - - - - 900.00 - - - - - - -
- - - - - 230.00 230.00 - - 200.00 - 30.00 - - - -
- - - - 650.00 - 650.00 - - 600.00 - 50.00 - - - -
- - - - 2,030.00 1,030.00 3,060.00 406.00 - 2,654.00 - - - 406.00 - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -

- - - - 725.00 - 725.00 - - 725.00 - - - - - -
- - 330.00 - - - 330.00 - - 330.00 - - - - 330.00 -
- - - - - 230.00 230.00 - - 200.00 - 30.00 - - - -
- - - - 810.00 - 810.00 - - 600.00 - 210.00 - - - -
- 2,200.00 - - - - - - 2,000.00 - 200.00 - - - - -
- - - - - 530.00 530.00 30.00 - 500.00 - - - 30.00 - -

- - - - 750.00 - 750.00 - - 750.00 - - - - - -
- - - - 1,645.00 - 1,645.00 - - 1,600.00 - 45.00 - - - -
- 50.00 2,710.00 - - - 2,710.00 - 50.00 210.00 - 2,500.00 - - 2,710.00 -
- - 236.00 - - - 236.00 - - 236.00 - - - - 236.00 -
- - - - 1,850.00 - 1,850.00 - - 1,800.00 - 50.00 - - - -
- - 624.00 11.00 - 620.00 1,255.00 - - 255.00 - 1,000.00 - - 624.00 11.00
1,485.00 1,988.00 - 275.00 275.00 - 550.00 938.00 1,050.00 550.00 - - 938.00 - - 275.00
195.00 7,055.00 7,991.50 403.00 2,755.00 230.00 11,379.50 2,811.45 4,243.55 2,156.45 - 9,223.05 2,811.45 - 7,991.50 403.00
105.00 1,305.00 1,144.21 794.25 905.00 230.00 3,073.46 831.85 473.15 1,073.46 - 2,000.00 831.85 - 1,144.21 794.25
135.00 1,735.00 1,562.84 963.50 1,430.00 250.00 4,206.34 541.34 - 1,400.00 1,193.66 2,806.34 541.34 - 1,562.84 963.50
1,255.00 6,024.29 81.60 297.50 275.00 - 654.10 660.10 - 200.00 5,818.29 - 206.00 454.10 - -
212.00 20,197.12 1,059.50 2,216.70 305.00 - 3,581.20 1,383.20 500.00 - 18,313.92 3,581.20 1,383.20 - 1,059.50 2,216.70
60.00 5,060.00 957.75 1,799.45 1,430.00 - 4,187.20 2,747.20 312.80 687.20 2,000.00 3,500.00 2,747.20 - 957.75 1,799.45
4,065.00 17,135.00 1,615.75 5,564.25 3,725.00 250.00 11,155.00 2,840.00 3,000.00 - 11,295.00 11,155.00 2,840.00 - 1,615.75 5,564.25
GENERAL CONS CASH
R R
2,710.00 21,365.00 15,540.25 6,694.00 4,630.00 - 26,864.25 7,229.25 1,555.75 3,444.25 12,580.00 23,420.00 7,229.25 - 15,540.25 6,694.00
- - 960.00 - - - 960.00 192.00 - 700.00 - 68.00 - 192.00 768.00 -
- - 960.00 - - - 960.00 192.00 - 768.00 - - - 192.00 768.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -

- - 1,920.00 - - - 1,920.00 384.00 - 1,536.00 - - - 384.00 1,536.00 -
- - 1,153.50 - - - 1,153.50 - - 1,153.50 - - - - 1,153.50 -
- - 1,584.00 - - - 1,584.00 - - 1,300.00 - 284.00 - - 1,584.00 -
- - 732.20 - - - 732.20 - - 732.20 - - - - 732.20 -
- - 1,008.00 - - - 1,008.00 - - 1,000.00 - 8.00 - - 1,008.00 -
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -

- - 202.00 - - - 202.00 2.00 - 200.00 - - - 2.00 200.00 -
- - 321.00 - - - 321.00 - - 321.00 - - - - 321.00 -
- - 546.00 - - - 546.00 - - 546.00 - - - - 546.00 -
- - 180.00 - - - 180.00 - - 180.00 - - - - 180.00 -
- - 540.75 - - - 540.75 - - 540.75 - - - - 540.75 -
- - 197.70 - - - 197.70 - - 197.70 - - - - 197.70 -
- 400.00 - - - - - - 400.00 - - - - - - -
- - 64.38 - - - 64.38 - - 64.38 - - - - 64.38 -
- - 391.00 - - - 391.00 - - 391.00 - - - - 391.00 -
- - 162.00 - - 230.00 392.00 - - 392.00 - - - - 162.00 -
- - 105.00 - - - 105.00 - - 100.00 - 5.00 - - 105.00 -
- - 690.00 - - - 690.00 - - 690.00 - - - - 690.00 -
- - 751.00 240.00 - - 991.00 191.00 - 800.00 - - - 191.00 560.00 240.00
- 800.00 - - - - - - 800.00 - - - - - - -
- - 437.50 - - - 437.50 - - 400.00 - 37.50 - - 437.50 -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - 990.00 - - - 990.00 - - 990.00 - - - - 990.00 -
- - 240.00 - - - 240.00 - - 240.00 - - - - 240.00 -
- - 1,242.00 - - - 1,242.00 - - 1,200.00 - 42.00 - - 1,242.00 -
- - 1,890.00 - - - 1,890.00 - - 1,890.00 - - - - 1,890.00 -
GENERAL CONS CASH
R R
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- 900.00 - - - - - - 900.00 - - - - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- 3,790.00 - - - - - 690.00 3,100.00 - - - 690.00 - - -
- - 122.75 257.50 2,235.00 - 2,615.25 1,300.25 - 1,300.00 - 15.00 - 1,300.25 - -
- - - - - 500.00 500.00 - - 500.00 - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
- 100.00 - - 1,025.00 250.00 1,275.00 - 100.00 900.00 - 375.00 - - - -
- - - - 680.00 - 680.00 - - 680.00 - - - - - -
- 200.00 - - 1,450.00 - 1,450.00 - 200.00 1,450.00 - - - - - -
- - - - 2,150.00 - 2,150.00 - - 2,100.00 - 50.00 - - - -
- - - - - 310.00 310.00 - - 310.00 - - - - - -
- 5,950.00 - - 750.00 190.00 940.00 - 2,000.00 - 3,950.00 940.00 - - - -
- - 1,390.30 217.00 - - 1,607.30 107.30 - 600.00 - 900.00 - 107.30 1,283.00 217.00
60.00 910.00 1,653.00 968.75 920.00 250.00 3,791.75 778.18 - 2,400.00 131.82 1,391.75 778.18 - 1,653.00 968.75
180.00 16,400.00 18,284.65 1,882.75 860.00 230.00 21,257.40 26,809.40 - 1,000.00 - 10,000.00 16,400.00 10,257.40 8,027.25 1,882.75
75.00 3,975.00 972.50 1,680.95 675.00 - 3,328.45 - 400.00 - 3,575.00 3,328.45 - - 972.50 1,680.95
45.00 6,745.00 912.25 1,547.70 705.00 - 3,164.95 - 200.00 - 6,545.00 3,164.95 - - 912.25 1,547.70
1,370.00 1,872.00 129.75 397.25 - - 527.00 - 322.00 527.00 1,550.00 - - - 129.75 397.25
1,255.00 1,756.00 - 297.50 - - 297.50 3.50 202.50 297.50 1,550.00 - 3.50 - - 297.50
440.00 10,400.00 2,702.95 1,898.50 2,635.00 - 7,236.45 436.45 3.55 996.45 9,960.00 6,240.00 436.45 - 2,702.95 1,898.50
10,765.00 56,415.00 7,348.25 11,455.00 2,515.00 600.00 21,918.25 59,083.25 - 1,000.00 6,901.75 11,348.25 49,513.25 9,570.00 - 9,233.25
1,370.00 1,872.00 - 271.00 - - 271.00 - 322.00 271.00 1,550.00 - - - - 271.00
60.00 7,260.00 2,180.75 1,505.50 675.00 - 4,361.25 1,121.25 800.00 - 5,338.75 4,361.25 1,121.25 - 2,180.75 1,505.50
1,370.00 1,872.00 81.60 297.50 - - 379.10 201.10 120.90 379.10 1,550.00 - 201.10 - 81.60 297.50
135.00 6,175.00 15,153.75 1,376.75 2,375.00 230.00 19,135.50 - 1,000.00 - 5,175.00 19,135.50 - - 15,153.75 1,376.75
1,065.00 19,255.00 12,552.10 6,403.75 1,525.00 - 20,480.85 8,135.85 1,519.15 2,080.85 9,600.00 18,400.00 8,135.85 - 12,552.10 6,403.75
60.00 5,060.00 1,092.25 1,272.50 705.00 - 3,069.75 1,129.75 1,930.25 69.75 2,000.00 3,000.00 1,129.75 - 1,092.25 1,272.50
135.00 9,835.00 2,080.00 754.25 2,890.00 - 5,724.25 2,559.25 2,000.00 - 3,275.75 5,724.25 4,559.25 - 2,080.00 754.25
45.00 3,745.00 2,467.50 1,661.20 875.00 - 5,003.70 - 1,500.00 - 2,245.00 5,003.70 - - 2,467.50 1,661.20
GENERAL CONS CASH
R R
1,095.00 20,285.00 9,786.00 6,316.50 3,905.00 - 20,007.50 8,092.50 4,472.50 2,227.50 7,720.00 17,780.00 8,092.50 - 9,786.00 6,316.50
75.00 9,115.00 4,283.75 809.25 4,205.00 1,030.00 10,328.00 3,243.00 400.00 - 5,472.00 10,328.00 3,243.00 - 4,283.75 809.25
- 350.00 960.00 - 2,250.00 - 3,210.00 192.00 - 700.00 2,600.00 68.00 (2,250.00) 2,442.00 - -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- 1,000.00 - - - - - - 1,000.00 - - - - - - -
- - 566.75 - - - 566.75 - - 566.75 - - - - 566.75 -
- - 390.00 - - - 390.00 - - 390.00 - - - - 390.00 -
- 400.00 - - - - - - 400.00 - - - - - - -
- - 437.50 - - - 437.50 - - 437.50 - - - - 437.50 -
- - 90.00 - - - 90.00 - - 90.00 - - - - 90.00 -
- 1,400.00 - - - - - - 1,400.00 - - - - - - -
- - 1,500.00 - - - 1,500.00 - - 1,500.00 - - - - 1,500.00 -
- - 745.50 - - - 745.50 - - 745.50 - - - - 745.50 -
- - 745.50 - - - 745.50 - - 745.50 - - - - 745.50 -
- - 782.00 - - - 782.00 - - 782.00 - - - - 782.00 -
- - 747.00 - - - 747.00 147.00 - 600.00 - - - 147.00 600.00 -

- - 660.00 - - - 660.00 - - 660.00 - - - - 660.00 -
- - 656.00 - - - 656.00 - - 656.00 - - - - 656.00 -
- - 541.25 - - - 541.25 41.25 - 500.00 - - - 41.25 500.00 -
- - 397.75 - - - 397.75 - - 397.75 - - - - 397.75 -
- - 503.00 - - - 503.00 - - 503.00 - - - - 503.00 -
- - 941.00 - - - 941.00 - - 941.00 - - - - 941.00 -
- - 541.00 - - - 541.00 - - 541.00 - - - - 541.00 -
- - 855.75 - - - 855.75 155.75 - 700.00 - - - 155.75 700.00 -
- - 176.75 - - - 176.75 - - 176.75 - - - - 176.75 -
- - - - - 800.00 800.00 160.00 - 600.00 - 40.00 - 160.00 - -
- 3,550.00 - - - - - - 1,000.00 - 2,550.00 - - - - -
- 900.00 - - - - - - 900.00 - - - - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
GENERAL CONS CASH
R R
- - - - 325.00 - 325.00 - - 325.00 - - - - - -
- - - - 620.00 - 620.00 120.00 - 500.00 - - - 120.00 - -
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- 50.00 101.25 165.25 - - 266.50 - 50.00 250.00 - 16.50 - - 101.25 165.25
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - 2,425.00 - 2,425.00 - - 2,425.00 - - - - - -
- 400.00 - - - - - - 400.00 - - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- 200.00 - - - 230.00 230.00 - 200.00 230.00 - - - - - -
- - - 1,256.50 - 230.00 1,486.50 - - 1,486.50 - - - - - 1,256.50

- - - - - 400.00 400.00 - - 400.00 - - - - - -
60.00 3,860.00 1,823.25 1,303.50 675.00 - 3,801.75 2,661.75 1,198.25 801.75 - 3,000.00 2,661.75 - 1,823.25 1,303.50
960.00 11,455.00 3,172.75 5,838.75 1,400.00 - 10,411.50 266.50 - 400.00 11,128.50 9,871.50 326.50 140.00 3,032.75 5,838.75
695.00 7,760.00 3,426.75 1,496.75 2,455.00 - 7,378.50 1,000.50 2,000.00 - 4,759.50 7,378.50 1,000.50 - 3,426.75 1,496.75
150.00 10,350.00 2,043.85 1,722.45 1,385.00 - 5,151.30 3,901.30 900.00 - 5,548.70 5,151.30 3,901.30 - 2,043.85 1,722.45
1,600.00 2,104.00 - 271.00 - - 271.00 25.00 429.00 271.00 1,550.00 - 125.00 - - 271.00
90.00 6,090.00 974.25 1,150.25 875.00 - 2,999.50 2,089.50 2,000.00 - 2,000.50 2,999.50 2,089.50 - 974.25 1,150.25
695.00 7,855.00 4,599.50 1,233.25 1,775.00 - 7,607.75 2,662.75 532.25 767.75 4,660.00 6,840.00 2,662.75 - 4,599.50 1,233.25
45.00 3,745.00 807.75 981.75 705.00 - 2,494.50 - 1,239.50 - 2,505.50 2,494.50 - - 807.75 981.75
45.00 4,545.00 1,032.00 1,841.50 - - 2,873.50 - 2,000.00 - 2,545.00 2,873.50 - - 1,032.00 1,841.50
45.00 4,545.00 2,137.25 1,366.40 - - 3,503.65 - 1,000.00 - 3,545.00 3,503.65 - - 2,137.25 1,366.40
1,035.00 16,345.00 9,926.75 4,844.00 5,475.00 230.00 20,475.75 8,685.00 - 3,900.00 7,660.00 16,575.75 8,685.00 - 9,926.75 4,844.00
2,405.00 10,625.00 - 898.25 815.00 - 1,713.25 1,388.25 2,000.00 - 7,236.75 1,713.25 1,388.25 - - 898.25
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 687.00 - - - 687.00 - - 687.00 - - - - 687.00 -

- - 276.50 - - - 276.50 - - 276.50 - - - - 276.50 -
- - 504.00 - - - 504.00 - - 504.00 - - - - 504.00 -
- - - - - 230.00 230.00 - - 230.00 - - - - - -
- - 100.50 114.00 280.00 230.00 724.50 - - 400.00 - 324.50 - - 100.50 114.00
GENERAL CONS CASH
R R
120.00 1,520.00 5,020.25 1,025.50 250.00 250.00 6,545.75 1,183.58 336.42 663.58 - 5,882.17 1,183.58 - 5,020.25 1,025.50
105.00 1,305.00 2,095.59 1,476.50 770.00 250.00 4,592.09 1,897.09 - 4,000.00 - - 1,305.00 592.09 1,503.50 1,476.50
1,005.00 17,165.00 7,589.75 4,484.75 1,725.00 - 13,799.50 7,964.50 1,500.00 - 7,700.50 13,799.50 7,964.50 - 7,589.75 4,484.75
1,715.00 2,220.00 81.60 297.50 - - 379.10 49.10 620.90 379.10 1,550.00 - 49.10 - 81.60 297.50
755.00 13,670.00 6,217.35 4,897.00 1,555.00 - 12,669.35 339.35 3,000.00 - 10,330.65 12,669.35 339.35 - 6,217.35 4,897.00
- - 1,078.50 - - - 1,078.50 - - 1,078.50 - - - - 1,078.50 -

- - 182.40 - - - 182.40 - - 182.40 - - - - 182.40 -
- - 1,128.00 - - - 1,128.00 - - 1,128.00 - - - - 1,128.00 -
- - 1,401.75 - - - 1,401.75 - - 1,400.00 - 1.75 - - 1,401.75 -
- - 1,120.50 - - - 1,120.50 - - 1,120.50 - - - - 1,120.50 -
- - 168.00 - - - 168.00 - - 168.00 - - - - 168.00 -
- - - 775.25 - 230.00 1,005.25 - - 1,000.00 - - - 5.25 - 770.00
- - - 26.50 905.00 580.00 1,511.50 - - 1,511.50 - - - - - 26.50
45.00 3,745.00 1,289.75 1,540.70 675.00 - 3,505.45 2,250.45 1,494.55 505.45 - 3,000.00 2,250.45 - 1,289.75 1,540.70
90.00 1,090.00 889.00 808.75 - - 1,697.75 512.78 200.00 - 377.22 1,697.75 512.78 - 889.00 808.75
60.00 660.00 1,667.50 536.00 505.00 430.00 3,138.50 598.50 - 1,600.00 61.50 1,538.50 598.50 - 1,667.50 536.00
60.00 2,460.00 1,134.75 1,034.75 1,350.00 - 3,519.50 - - 400.00 2,460.00 3,119.50 - - 1,134.75 1,034.75
1,485.00 1,988.00 555.60 270.25 - - 825.85 63.85 374.15 825.85 1,550.00 - 63.85 - 555.60 270.25
60.00 7,260.00 724.75 1,500.75 705.00 - 2,930.50 90.50 400.00 - 6,769.50 2,930.50 90.50 - 724.75 1,500.75
40.00 1,580.00 1,387.25 2,514.25 200.00 250.00 4,351.50 - 140.00 1,791.50 1,440.00 2,560.00 - - 1,387.25 2,514.25
1,715.00 2,220.00 - 227.50 - - 227.50 497.50 172.50 227.50 1,550.00 - 497.50 - - 227.50
960.00 14,620.00 3,732.35 4,708.50 1,295.00 230.00 9,965.85 - 585.85 - 14,034.15 9,965.85 - - 3,732.35 4,708.50
240.00 16,160.00 17,874.78 3,977.00 2,115.00 230.00 24,196.78 7,956.78 1,203.22 4,196.78 7,000.00 20,000.00 7,956.78 - 17,874.78 3,977.00
780.00 4,760.00 1,288.50 1,390.75 2,475.00 - 5,154.25 - 780.00 5,134.25 3,980.00 20.00 - - 1,288.50 1,390.75
1,520.00 18,115.00 5,343.26 5,442.50 1,725.00 - 12,510.76 - 10,320.00 1,280.00 7,795.00 11,230.76 - - 5,343.26 5,442.50
1,062.00 51,942.00 4,243.20 5,267.50 275.00 - 9,785.70 - 1,300.00 - 50,642.00 9,785.70 - - 4,243.20 5,267.50
1,370.00 7,472.00 - 371.50 75.00 - 446.50 - - 200.00 7,305.00 413.50 167.00 (167.00) - 371.50
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
GENERAL CONS CASH
R R
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 1,920.00 - - - 1,920.00 - - 1,900.00 - 20.00 - - 1,920.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -

- - 960.00 - - - 960.00 192.00 - 600.00 - 168.00 - 192.00 768.00 -
- - 1,920.00 - - - 1,920.00 384.00 - 1,536.00 - - - 384.00 1,536.00 -
- - 2,880.00 - - - 2,880.00 576.00 - 2,200.00 - 104.00 - 576.00 2,304.00 -
- - 687.50 - - - 687.50 - - 687.50 - - - - 687.50 -

- - 1,579.50 - - - 1,579.50 - - 1,579.50 - - - - 1,579.50 -
- - 1,360.00 - - - 1,360.00 - - 1,360.00 - - - - 1,360.00 -
- - 576.00 - - - 576.00 - - 576.00 - - - - 576.00 -
- - 1,920.00 - - - 1,920.00 - - 1,900.00 - - - 20.00 1,900.00 -
- - 591.00 - - - 591.00 - - 591.00 - - - - 591.00 -
- - 200.00 - 2,020.00 - 2,220.00 - - 200.00 - 2,020.00 - - 200.00 -
- - 176.75 - - - 176.75 - - 176.75 - - - - 176.75 -
- - 309.75 - - - 309.75 - - 309.75 - - - - 309.75 -
- - 757.50 - - - 757.50 - - 757.50 - - - - 757.50 -
- - 192.00 - - - 192.00 - - 192.00 - - - - 192.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 109.75 - - - 109.75 9.75 - 100.00 - - - 9.75 100.00 -
- - 1,590.75 - - - 1,590.75 - - 1,590.75 - - - - 1,590.75 -
- - 489.00 - - - 489.00 - - 489.00 - - - - 489.00 -
- 200.00 931.00 - 1,490.00 1,030.00 3,451.00 - 200.00 3,451.00 - - - - 931.00 -
- - 84.00 923.50 - 230.00 1,237.50 - - 1,100.00 - 137.50 - - 84.00 923.50
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - 755.00 - 755.00 - - 755.00 - - - - - -
- 2,200.00 - - - - - - 2,000.00 - 200.00 - - - - -
- - - - 325.00 - 325.00 - - 300.00 - 25.00 - - - -
- 900.00 - - - - - - 900.00 - - - - - - -
- - 540.00 400.50 - - 940.50 - - 940.50 - - - - 540.00 400.50
- 3,790.00 - - - - - - 1,790.00 - 2,000.00 - - - - -
- 4,350.00 - - - - - - 1,350.00 - 3,000.00 - - - - -

GENERAL CONS CASH
R R
- 1,230.00 953.50 - 250.00 - 1,203.50 - 200.00 200.00 1,030.00 1,003.50 - - 953.50 -
- 3,790.00 - - - - - - 1,790.00 - 2,000.00 - - - - -
- - 2,365.75 - - - 2,365.75 - - 865.75 - 1,500.00 - - 2,365.75 -
90.00 1,690.01 909.00 482.50 600.00 250.00 2,241.50 - 1,690.01 2,241.50 - - - - 909.00 482.50
60.00 660.00 1,018.50 768.50 325.00 - 2,112.00 450.70 209.30 2,112.00 - - 450.70 - 1,018.50 768.50
55.00 3,135.00 1,511.25 402.75 1,050.00 250.00 3,214.00 4,349.00 - 1,500.00 - 500.00 3,135.00 1,214.00 297.25 402.75
105.00 3,705.00 6,440.60 734.75 2,035.00 300.00 9,510.35 3,215.35 489.65 1,510.35 - 8,000.00 3,215.35 - 6,440.60 734.75
1,572.00 2,076.00 555.60 404.25 - - 959.85 735.85 340.15 659.85 1,000.00 300.00 735.85 - 555.60 404.25
75.00 875.00 2,722.94 1,100.75 720.00 250.00 4,793.69 890.69 - 200.00 - 4,578.00 875.00 15.69 2,707.25 1,100.75
90.00 890.00 2,733.10 1,574.00 995.00 250.00 5,552.10 1,442.10 - 2,000.00 - 3,000.00 890.00 552.10 2,181.00 1,574.00
240.00 6,240.00 6,493.35 1,943.75 5,385.00 230.00 14,052.10 2,913.74 600.00 - 2,822.26 14,052.10 2,817.74 - 6,493.35 1,943.75
90.00 4,090.00 2,066.75 2,263.40 675.00 - 5,005.15 - 1,000.00 - 3,090.00 5,005.15 - - 2,066.75 2,263.40
105.00 4,205.00 1,964.50 2,091.70 675.00 - 4,731.20 - 2,000.00 - 2,205.00 4,731.20 - - 1,964.50 2,091.70
990.00 12,880.00 4,848.75 5,237.75 1,450.00 - 11,536.50 - 1,800.00 - 11,080.00 11,536.50 - - 4,848.75 5,237.75
90.00 3,590.00 2,022.00 1,416.00 1,000.00 - 4,438.00 - - 200.00 3,590.00 4,238.00 - - 2,022.00 1,416.00
180.00 6,880.00 12,657.50 2,029.25 1,920.00 1,780.00 18,386.75 5,053.35 713.40 - 4,750.60 14,749.40 1,416.00 3,637.35 9,020.15 2,029.25
1,020.00 13,080.00 3,894.70 4,298.50 1,525.00 - 9,718.20 498.20 800.00 - 11,673.80 9,826.20 606.20 (108.00) 3,894.70 4,298.50
1,535.00 21,230.00 6,020.00 5,505.75 5,000.00 - 16,525.75 - 2,755.75 - 18,474.25 16,525.75 - - 6,020.00 5,505.75
1,715.00 2,220.00 555.60 386.00 - - 941.60 11.60 - 600.00 2,208.40 341.60 11.60 - 555.60 386.00
1,095.00 22,035.00 15,352.45 6,139.97 4,435.00 230.00 26,157.42 2,292.42 11,900.00 - 7,842.58 26,157.42 2,292.42 - 15,352.45 6,139.97
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -

- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 960.00 - - - 960.00 360.00 - 600.00 - - - 360.00 600.00 -
- 400.00 - - - - - - 400.00 - - - - - - -
- - 296.25 - - - 296.25 - - 296.25 - - - - 296.25 -
- - 624.00 7.25 - - 631.25 - - 600.00 - 31.25 - - 624.00 7.25
GENERAL CONS CASH
R R
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 252.00 - - - 252.00 - - 200.00 - 52.00 - - 252.00 -
- - 195.00 - - - 195.00 - - 195.00 - - - - 195.00 -
- - 829.50 - - - 829.50 - - 800.00 - 29.50 - - 829.50 -
- - 625.00 - - - 625.00 - - 600.00 - 25.00 - - 625.00 -
- - 108.00 - - - 108.00 - - 108.00 - - - - 108.00 -
- - 895.75 - - - 895.75 - - 895.75 - - - - 895.75 -
- - 371.00 - - - 371.00 - - 371.00 - - - - 371.00 -
- - 48.80 - - - 48.80 - - 48.80 - - - - 48.80 -
- - 396.00 - - - 396.00 - - 396.00 - - - - 396.00 -
- - 574.50 - - - 574.50 - - 574.50 - - - - 574.50 -
- - 660.00 - - - 660.00 - - 660.00 - - - - 660.00 -
- - 486.00 716.75 - - 1,202.75 - - 1,202.75 - - - - 486.00 716.75
- - 1,386.00 - - - 1,386.00 - - 1,386.00 - - - - 1,386.00 -
- - 1,386.00 - - - 1,386.00 - - 1,386.00 - - - - 1,386.00 -
- - 398.25 - - - 398.25 - - 398.25 - - - - 398.25 -
- - 1,299.65 - - - 1,299.65 - - 1,299.65 - - - - 1,299.65 -
- - 671.25 - - - 671.25 - - 671.25 - - - - 671.25 -
- - 432.00 458.50 - - 890.50 - - 890.50 - - - - 432.00 458.50
- - 1,852.50 - - - 1,852.50 - - 1,852.50 - - - - 1,852.50 -
- - 62.50 - - - 62.50 - - 62.50 - - - - 62.50 -
- - 62.50 - - - 62.50 - - 62.50 - - - - 62.50 -
- - 62.50 - - - 62.50 - - 62.50 - - - - 62.50 -
- - 497.00 - - - 497.00 - - 497.00 - - - - 497.00 -
- - 495.00 - - - 495.00 - - 495.00 - - - - 495.00 -
- - - - 910.00 - 910.00 - - 910.00 - - - - - -
- - - - - 900.00 900.00 - - 900.00 - - - - - -
- 200.00 - - 1,500.00 - 1,500.00 - 200.00 1,500.00 - - - - - -
- - - - - 540.00 540.00 - - 540.00 - - - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -

- - - - - 300.00 300.00 - - 300.00 - - - - - -
- - - - - 310.00 310.00 - - 310.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
GENERAL CONS CASH
R R
- - - 570.00 - - 570.00 - - 570.00 - - - - - 570.00
- - - - - 900.00 900.00 - - 900.00 - - - - - -
- 50.00 345.90 322.50 440.00 - 1,108.40 - 50.00 1,108.40 - - - - 345.90 322.50
- - - - 920.00 900.00 1,820.00 - - 1,820.00 - - - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -

- - 1,795.50 - - - 1,795.50 - - 1,795.50 - - - - 1,795.50 -
- - 1,920.00 - - - 1,920.00 384.00 - 1,200.00 - 336.00 - 384.00 1,536.00 -
- - - - - 230.00 230.00 - - 200.00 - 30.00 - - - -
- 4,510.00 - - - - - - 1,400.00 - 3,110.00 - - - - -
- - 230.00 - - - 230.00 30.00 - 200.00 - - - 30.00 200.00 -
- - 252.00 - - 800.00 1,052.00 - - 1,000.00 - 52.00 - - 252.00 -
- 900.00 577.50 - - - 577.50 - 900.00 500.00 - 77.50 - - 577.50 -
45.00 435.00 351.75 216.50 1,015.00 250.00 1,833.25 457.83 - 1,800.00 - 10.42 435.00 22.83 328.92 216.50
1,830.00 2,336.00 427.00 - 240.00 - 667.00 503.00 1,833.00 167.00 - 500.00 503.00 - 427.00 -
30.00 430.00 81.75 694.00 455.00 - 1,230.75 330.75 99.25 1,200.75 - 30.00 330.75 - 81.75 694.00
75.00 875.00 1,435.60 610.00 2,055.00 250.00 4,350.60 960.56 - 200.00 - 4,065.04 875.00 85.56 1,350.04 610.00
75.00 875.00 2,887.50 3,307.00 790.00 540.00 7,524.50 1,092.45 - 5,000.00 - 2,307.05 875.00 217.45 2,670.05 3,307.00
120.00 3,730.00 3,717.27 1,687.25 200.00 250.00 5,854.52 1,275.45 2,454.55 1,545.45 - 4,309.07 1,275.45 - 3,717.27 1,687.25
135.00 5,525.00 1,050.75 2,035.25 250.00 460.00 3,796.00 1,687.60 1,204.00 796.00 2,633.40 3,000.00 1,687.60 - 1,050.75 2,035.25
115.00 9,225.00 26,976.45 3,373.25 4,645.00 2,620.00 37,614.70 30,839.70 - 2,000.00 - 14,000.00 9,225.00 21,614.70 5,361.75 3,373.25
55.00 1,335.00 4,551.00 3,123.25 7,570.00 230.00 15,474.25 2,071.43 - 8,900.00 - 5,837.82 1,335.00 736.43 3,814.57 3,123.25
237.00 33,599.00 17,615.58 938.50 6,160.00 230.00 24,944.08 10,000.00 3,500.00 - 20,099.00 24,944.08 10,000.00 - 17,615.58 938.50
1,600.00 2,104.00 - 297.50 - - 297.50 - 554.00 146.00 1,550.00 151.50 - - - 297.50
1,020.00 12,955.00 7,102.25 4,017.00 1,525.00 - 12,644.25 5,199.25 20.75 1,379.25 7,735.00 11,265.00 5,199.25 - 7,102.25 4,017.00
60.00 5,060.00 666.25 1,764.20 675.00 - 3,105.45 - 2,400.00 - 2,660.00 3,105.45 - - 666.25 1,764.20
GENERAL CONS CASH
R R
1,065.00 15,225.00 7,673.20 5,450.25 1,905.00 - 15,028.45 2,753.45 2,000.00 - 10,471.55 15,028.45 2,753.45 - 7,673.20 5,450.25
75.00 5,575.00 2,226.75 1,592.75 675.00 - 4,494.50 1,569.50 1,000.00 - 3,005.50 4,494.50 1,569.50 - 2,226.75 1,592.75
1,125.00 15,620.00 9,785.85 5,108.75 2,500.00 - 17,394.60 5,825.00 575.00 2,825.00 9,220.00 14,569.60 5,825.00 - 9,785.85 5,108.75
2,420.00 24,070.00 15,415.38 12,295.00 3,125.00 - 30,835.38 18,205.38 - 700.00 12,180.00 23,820.00 11,890.00 6,315.38 9,100.00 12,295.00
300.00 3,600.00 21,662.15 2,904.75 1,900.00 1,380.00 27,846.90 1,746.90 - 4,200.00 1,853.10 23,646.90 1,746.90 - 21,662.15 2,904.75
- - 1,032.50 - - - 1,032.50 - - 1,032.50 - - - - 1,032.50 -

- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 1,385.55 - - - 1,385.55 - - 1,385.55 - - - - 1,385.55 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 587.00 394.00 - - 981.00 - - 981.00 - - - - 587.00 394.00
- - 495.00 - - - 495.00 - - 495.00 - - - - 495.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,212.75 88.00 - - 1,300.75 - - 1,300.75 - - - - 1,212.75 88.00
- - - 205.00 - - 205.00 - - 200.00 - 5.00 - - - 205.00
- - 348.00 - - - 348.00 - - 348.00 - - - - 348.00 -
- - 252.00 - - - 252.00 - - 252.00 - - - - 252.00 -
- - 607.25 - - - 607.25 - - 600.00 - 7.25 - - 607.25 -
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 1,942.00 - - - 1,942.00 - - 1,942.00 - - - - 1,942.00 -
- - 462.00 - - - 462.00 - - 462.00 - - - - 462.00 -
- - 1,605.15 - - - 1,605.15 - - 1,600.00 - 5.15 - - 1,605.15 -
- - 247.50 - - - 247.50 - - 247.50 - - - - 247.50 -

- - 495.00 - - - 495.00 - - 495.00 - - - - 495.00 -
- - 883.00 - - - 883.00 - - 883.00 - - - - 883.00 -
- 800.00 - - - - - - 800.00 - - - - - - -
- 800.00 - - - - - - 800.00 - - - - - - -
GENERAL CONS CASH
R R
- 400.00 - - - - - - 400.00 - - - - - - -
- - 470.75 - - - 470.75 - - 470.75 - - - - 470.75 -
- 2,000.00 - - - - - - 2,000.00 - - - - - - -
- - 435.00 - - - 435.00 87.00 - 300.00 - - - 135.00 300.00 -
- - 540.00 - - - 540.00 - - 540.00 - - - - 540.00 -
- 1,000.00 - - - - - - 1,000.00 - - - - - - -
- - 1,188.25 - - - 1,188.25 - - 1,188.25 - - - - 1,188.25 -
- - 1,594.00 12.00 - - 1,606.00 - - 1,606.00 - - - - 1,594.00 12.00

- - 481.25 - - - 481.25 - - 481.25 - - - - 481.25 -
- - - - 750.00 - 750.00 150.00 - 600.00 - - - 150.00 - -
- - - - - 250.00 250.00 - - 250.00 - - - - - -
- - - - 650.00 - 650.00 - - 650.00 - - - - - -
- - - - 275.00 - 275.00 - - 275.00 - - - - - -
- - - - 2,000.00 - 2,000.00 - - 2,000.00 - - - - - -
- 60.00 - - - - - - 60.00 - - - - - - -
- - - - 430.00 - 430.00 - - 400.00 - 30.00 - - - -
- 3,790.00 - - - - - - 3,790.00 - - - - - - -
- - - - 75.00 - 75.00 - - 75.00 - - - - - -

- - - - - 300.00 300.00 - - 300.00 - - - - - -
- - 1,428.75 - - 400.00 1,828.75 - - 1,828.75 - - - - 1,428.75 -
- - - - - 500.00 500.00 - - 500.00 - - - - - -
- - - - - 230.00 230.00 - - 200.00 - 30.00 - - - -
- - - - 1,570.00 - 1,570.00 - - 1,570.00 - - - - - -
- - 434.00 - - - 434.00 34.00 - 400.00 - - - 34.00 400.00 -
- 100.00 - - 700.00 - 700.00 - 100.00 700.00 - - - - - -
- 900.00 - - - - - - 800.00 - 100.00 - - - - -
- 3,550.00 - - - - - - 3,550.00 - - - - - - -
- 500.00 - - - - - - 300.00 - 200.00 - - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - 680.00 - 680.00 - - 680.00 - - - - - -
- - - - - 540.00 540.00 - - 540.00 - - - - - -
- - 787.50 464.00 400.00 510.00 2,161.50 - - 2,161.50 - - - - 787.50 464.00
GENERAL CONS CASH
R R
- - 786.00 7.25 - 1,720.00 2,513.25 - - 200.00 - 2,313.25 - - 786.00 7.25
- 175.00 - - 360.00 800.00 1,160.00 - - 335.00 - 1,000.00 175.00 (175.00) - -
- 200.00 - - - 230.00 230.00 - 200.00 230.00 - - - - - -
120.00 10,620.00 6,846.75 1,399.25 4,055.00 1,030.00 13,331.00 4,790.20 5,829.80 770.20 - 12,560.80 4,790.20 - 6,846.75 1,399.25
70.00 4,830.00 4,090.20 308.75 4,535.00 230.00 9,163.95 2,012.90 2,817.10 1,082.90 - 8,081.05 2,012.90 - 4,090.20 308.75
1,600.00 2,104.00 - 215.00 - - 215.00 320.45 783.55 215.00 1,000.00 - 320.45 - - 215.00
1,600.00 2,104.00 - 219.00 - - 219.00 320.85 783.15 219.00 1,000.00 - 320.85 - - 219.00
55.00 2,815.00 1,247.40 761.00 7,570.00 230.00 9,808.40 3,823.40 - 2,800.00 - 6,000.00 2,815.00 1,008.40 239.00 761.00
75.00 6,175.00 2,342.93 2,002.00 305.00 - 4,649.93 1,002.49 2,700.00 - 2,472.51 4,649.93 1,002.49 - 2,342.93 2,002.00
55.00 615.00 1,391.00 2,611.25 13,265.00 230.00 17,497.25 6,456.31 - 3,000.00 - 8,655.94 615.00 5,841.31 - -
1,930.00 10,110.00 1,039.50 3,319.25 3,795.00 250.00 8,403.75 2,263.75 1,616.25 383.75 6,230.00 8,020.00 2,263.75 - 1,039.50 3,319.25
1,600.00 2,104.00 - 271.00 275.00 - 546.00 500.00 54.00 546.00 1,550.00 - 500.00 - - 271.00
90.00 6,090.00 699.75 1,477.50 675.00 - 2,852.25 2,942.25 1,000.00 - 2,147.75 2,852.25 2,942.25 - 699.75 1,477.50
75.00 2,305.00 3,271.75 767.00 610.00 800.00 5,448.75 453.75 21.25 1,178.75 1,830.00 4,270.00 453.75 - 3,271.75 767.00
2,030.00 11,080.00 716.50 2,122.00 3,795.00 250.00 6,883.50 713.50 400.00 - 9,966.50 6,883.50 713.50 - 716.50 2,122.00
195.00 4,245.00 11,635.85 3,378.25 1,200.00 230.00 16,444.10 10,000.00 - 1,189.10 2,250.00 7,250.00 1,995.00 8,005.00 3,630.85 3,378.25
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -

- - 960.00 - - - 960.00 192.00 - 200.00 - 568.00 - 192.00 768.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 577.50 - - - 577.50 - - 577.50 - - - - 577.50 -
- - 770.00 - - - 770.00 - - 770.00 - - - - 770.00 -
- - 540.00 - - - 540.00 - - 540.00 - - - - 540.00 -
- - 270.00 - - - 270.00 - - 200.00 - 70.00 - - 270.00 -
- - 196.50 - - - 196.50 - - 196.50 - - - - 196.50 -
- - 198.75 - - - 198.75 - - 198.75 - - - - 198.75 -
- - 571.50 - - - 571.50 - - 571.50 - - - - 571.50 -
- - 531.60 60.50 - - 592.10 - - 592.10 - - - - 531.60 60.50
- - 789.82 2.50 - - 792.32 - - 792.32 - - - - 789.82 2.50

- - 96.62 - - - 96.62 - - 96.62 - - - - 96.62 -
- 200.00 - - - - - - 200.00 - - - - - - -
GENERAL CONS CASH
R R
- - 1,316.25 202.50 - - 1,518.75 - - 1,500.00 - 18.75 - - 1,316.25 202.50
- - 198.00 - - - 198.00 - - 198.00 - - - - 198.00 -
- - 1,188.00 154.50 - - 1,342.50 - - 1,342.50 - - - - 1,188.00 154.50
- - 310.25 - - - 310.25 - - 310.25 - - - - 310.25 -
- - 391.00 - - - 391.00 - - 391.00 - - - - 391.00 -
- - 126.00 - - - 126.00 - - 126.00 - - - - 126.00 -
- - - - 325.00 - 325.00 - - 325.00 - - - - - -
- - 195.50 - - - 195.50 - - 195.50 - - - - 195.50 -
- - 353.55 45.00 - - 398.55 - - 398.55 - - - - 353.55 45.00
- - 479.50 - - - 479.50 - - 479.50 - - - - 479.50 -
- - 473.75 - - - 473.75 - - 473.75 - - - - 473.75 -
- - 1,436.25 - - - 1,436.25 - - 1,400.00 - 36.25 - - 1,436.25 -
- - 1,199.25 - - - 1,199.25 - - 1,199.25 - - - - 1,199.25 -
- - 397.00 - - - 397.00 - - 397.00 - - - - 397.00 -
- - 270.00 - - - 270.00 - - 270.00 - - - - 270.00 -
- - 540.00 - - - 540.00 - - 540.00 - - - - 540.00 -
- - 1,789.00 - - - 1,789.00 - - 1,789.00 - - - - 1,789.00 -
- - 1,998.49 - - - 1,998.49 - - 1,998.49 - - - - 1,998.49 -
- 600.00 - - - - - - 600.00 - - - - - - -
- - 192.00 - - - 192.00 - - 192.00 - - - - 192.00 -
- - 1,800.00 - - - 1,800.00 - - 1,800.00 - - - - 1,800.00 -
- - 840.00 85.50 - - 925.50 - - 925.50 - - - - 840.00 85.50

- - 821.75 - 1,280.00 - 2,101.75 - - 2,100.00 - - - 1.75 820.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- 3,550.00 - - - - - - 1,500.00 - 2,050.00 - - - - -
- - - - - 500.00 500.00 - - 500.00 - - - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - - - 555.00 - 555.00 - - 555.00 - - - - - -
- - - - 1,240.00 - 1,240.00 - - 1,000.00 - 240.00 - - - -
- 1,800.00 - - - - - - 1,800.00 - - - - - - -
- - - - 675.00 - 675.00 - - 675.00 - - - - - -
- 50.00 - - 325.00 230.00 555.00 5.00 50.00 550.00 - - - 5.00 - -
60.00 660.00 2,547.25 1,690.75 275.00 540.00 5,053.00 713.00 - 2,000.00 - 3,000.00 660.00 53.00 2,494.25 1,690.75
75.00 1,250.00 3,052.80 1,080.50 3,875.00 230.00 8,238.30 1,604.33 - 2,000.00 - 5,883.97 1,250.00 354.33 2,698.47 1,080.50
GENERAL CONS CASH
R R
60.00 3,860.00 1,706.00 824.00 675.00 - 3,205.00 2,965.00 895.00 1,105.00 - 2,100.00 2,965.00 - 1,706.00 824.00
320.00 72,482.00 9,596.50 6,549.50 4,235.00 250.00 20,631.00 10,000.00 5,800.00 - 51,542.25 25,770.75 15,139.75 (5,139.75) 9,596.50 6,549.50
105.00 4,205.00 1,368.36 1,379.50 705.00 - 3,452.86 657.86 1,547.14 452.86 2,000.00 3,000.00 657.86 - 1,368.36 1,379.50
1,715.00 2,220.00 - 283.00 80.00 - 363.00 - 670.00 363.00 1,550.00 - - - - 283.00

960.00 14,850.00 5,722.50 5,164.25 1,525.00 - 12,411.75 2,361.75 900.00 - 11,588.25 12,411.75 2,361.75 - 5,722.50 5,164.25
75.00 3,975.00 1,569.50 1,099.75 2,475.00 - 5,144.25 - 1,500.00 - 2,475.00 5,144.25 - - 1,569.50 1,099.75
725.00 8,870.00 12,786.75 2,237.50 930.00 - 15,954.25 1,644.25 - 4,200.00 7,225.75 11,754.25 1,644.25 - 12,786.75 2,237.50
1,080.00 22,540.00 10,466.50 5,804.50 3,050.00 - 19,321.00 9,961.00 1,400.00 - 11,179.00 19,321.00 9,961.00 - 10,466.50 5,804.50
- - 848.00 - - - 848.00 - - 800.00 - 48.00 - - 848.00 -
- - 2,430.00 - - - 2,430.00 - - 2,400.00 - 30.00 - - 2,430.00 -
- - - 400.00 - - 400.00 - - 400.00 - - - - - 400.00

- - 834.50 - - - 834.50 - - 834.50 - - - - 834.50 -
- - 1,134.00 69.00 - - 1,203.00 - - 1,203.00 - - - - 1,134.00 69.00
- 400.00 - - - - - - 400.00 - - - - - - -
- - 577.50 - - - 577.50 - - 577.50 - - - - 577.50 -
- - 292.50 - - - 292.50 - - 292.50 - - - - 292.50 -
- - 258.00 - - - 258.00 - - 200.00 - 58.00 - - 258.00 -
- - 639.03 - - - 639.03 - - 600.00 - 39.03 - - 639.03 -
- - 204.00 - - - 204.00 4.00 - 200.00 - - - 4.00 200.00 -
- - 360.00 - - - 360.00 - - 360.00 - - - - 360.00 -
- - 832.50 - - - 832.50 - - 832.50 - - - - 832.50 -
- - 517.00 - - - 517.00 - - 517.00 - - - - 517.00 -

- - 1,932.50 - - - 1,932.50 - - 1,500.00 - 432.50 - - 1,932.50 -
- - 657.60 - - - 657.60 - - 657.60 - - - - 657.60 -
- - 1,104.00 - - - 1,104.00 4.00 - 1,100.00 - - - 4.00 1,100.00 -
- - 210.00 - - - 210.00 10.00 - 200.00 - - - 10.00 200.00 -
- - 2,108.40 - - - 2,108.40 - - 2,108.40 - - - - 2,108.40 -
- - 330.00 - - - 330.00 - - 330.00 - - - - 330.00 -
- - 450.00 - - - 450.00 - - 450.00 - - - - 450.00 -
GENERAL CONS CASH
R R
- - - 808.00 - - 808.00 8.00 - 800.00 - - - 8.00 - 800.00
- - - 357.25 - - 357.25 - - 357.25 - - - - - 357.25
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 378.00 - - - 378.00 - - 378.00 - - - - 378.00 -
- - 353.50 - - - 353.50 - - 353.50 - - - - 353.50 -
- - 782.25 - - - 782.25 - - 782.25 - - - - 782.25 -
- - - - 810.00 - 810.00 - - 800.00 - - - 10.00 - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- 900.00 - - - - - - 800.00 - 100.00 - - - - -
- - 192.00 - - - 192.00 - - 192.00 - - - - 192.00 -
- - - - - 250.00 250.00 - - 200.00 - 50.00 - - - -
- - - - 700.00 - 700.00 - - 600.00 - 100.00 - - - -
- 200.00 - - - 190.00 190.00 - 200.00 190.00 - - - - - -
- 2,000.00 - - - - - - 2,000.00 - - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
- - - - 1,590.00 - 1,590.00 290.00 - 1,300.00 - - - 290.00 - -
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - 500.00 - 500.00 - - 500.00 - - - - - -
- - - - 1,020.00 - 1,020.00 - - 1,000.00 - 20.00 - - - -
- - - - 1,500.00 - 1,500.00 - - 1,500.00 - - - - - -
- 3,550.00 - - - - - - 1,050.00 - 2,500.00 - - - - -
135.00 1,735.00 1,537.25 585.50 755.00 800.00 3,677.75 1,712.75 22.25 877.75 - 2,800.00 1,712.75 - 1,537.25 585.50
90.00 1,040.00 1,618.50 724.50 1,110.00 - 3,453.00 893.00 147.00 1,853.00 - 1,600.00 893.00 - 1,618.50 724.50
1,485.00 1,988.00 - - 80.00 - 80.00 - 438.00 80.00 1,550.00 - - - - -
60.00 3,860.00 987.50 1,384.70 675.00 - 3,047.20 907.20 952.80 47.20 2,000.00 3,000.00 907.20 (0.00) 987.50 1,384.70
90.00 4,090.00 1,044.25 1,975.20 675.00 - 3,694.45 1,084.45 1,005.55 194.45 2,000.00 3,500.00 1,084.45 - 1,044.25 1,975.20
695.00 8,340.00 1,100.50 1,104.50 550.00 - 2,755.00 - 555.00 - 7,785.00 2,755.00 - - 1,100.50 1,104.50
990.00 12,880.00 6,425.05 4,575.00 1,525.00 - 12,525.05 - 4,700.00 - 8,180.00 12,525.05 - - 6,425.05 4,575.00
165.00 4,165.00 5,841.50 1,059.00 2,225.00 530.00 9,655.50 - 1,165.00 2,535.00 3,000.00 7,120.50 - - 5,841.50 1,059.00
105.00 8,805.00 3,658.25 2,488.95 4,645.00 - 10,792.20 2,897.20 1,707.80 292.20 4,200.00 10,500.00 2,897.20 - 3,658.25 2,488.95
740.00 9,335.00 5,963.25 3,290.15 3,025.00 - 12,278.40 4,813.40 1.60 498.40 4,520.00 11,780.00 4,813.40 - 5,963.25 3,290.15
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 192.00 - 700.00 - 68.00 - 192.00 768.00 -
GENERAL CONS CASH
R R
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 260.00 - 700.00 - - - 260.00 700.00 -
- - 1,527.60 12.00 - - 1,539.60 - - 1,539.60 - - - - 1,527.60 12.00
- - 398.50 - - - 398.50 - - 398.50 - - - - 398.50 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 180.00 - - - 180.00 - - 180.00 - - - - 180.00 -

- - 608.00 - - - 608.00 - - 600.00 - 8.00 - - 608.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,332.00 - - - 1,332.00 - - 1,332.00 - - - - 1,332.00 -

- - 247.50 - - - 247.50 - - 247.50 - - - - 247.50 -
- - 1,574.51 - - - 1,574.51 - - 1,000.00 - 574.51 - - 1,574.51 -
- - 981.75 - - - 981.75 - - 800.00 - - - 181.75 800.00 -
- - 1,339.50 - - - 1,339.50 - - 1,339.50 - - - - 1,339.50 -
- - 492.00 - - - 492.00 - - 492.00 - - - - 492.00 -
- - 647.50 - - - 647.50 - - 647.50 - - - - 647.50 -
- - 1,169.50 - - - 1,169.50 - - 1,169.50 - - - - 1,169.50 -
- 50.00 245.25 313.00 250.00 - 808.25 - - 800.00 - 58.25 50.00 (50.00) 245.25 313.00
- - 106.50 - 355.00 - 461.50 - - 461.50 - - - - 106.50 -
- - 438.50 292.25 - - 730.75 - - 730.75 - - - - 438.50 292.25
- - 101.00 - 250.00 - 351.00 - - 351.00 - - - - 101.00 -
- - - - 555.00 230.00 785.00 - - 785.00 - - - - - -
- - - - 250.00 - 250.00 - - 200.00 - 50.00 - - - -
1,195.00 11,654.00 4,792.50 7,387.05 1,400.00 - 13,579.55 2,233.55 661.45 1,338.55 8,759.00 12,241.00 2,233.55 - 4,792.50 7,387.05
- - 102.00 - - - 102.00 2.00 - 100.00 - - - 2.00 100.00 -

- 50.00 454.50 - 250.00 - 704.50 - 50.00 704.50 - - - - 454.50 -
- - 489.75 142.00 325.00 - 956.75 - - 956.75 - - - - 489.75 142.00
1,600.00 2,104.00 81.60 740.75 - - 822.35 926.35 1,177.65 822.35 - - 926.35 - 81.60 740.75
GENERAL CONS CASH
R R
75.00 6,175.00 252.50 1,229.20 875.00 - 2,356.70 2,831.70 2,700.00 - 643.30 2,356.70 2,831.70 - 252.50 1,229.20
92.00 1,722.00 4,950.05 939.75 250.00 250.00 6,389.80 784.08 - 827.72 937.92 5,562.08 784.08 - 4,950.05 939.75
225.00 3,775.00 12,556.20 1,997.25 2,715.00 1,030.00 18,298.45 12,073.45 - 500.00 - 9,500.00 3,775.00 8,298.45 4,257.75 1,997.25
175.00 32,525.00 12,532.62 1,920.00 9,825.00 1,030.00 25,307.62 - 1,000.00 - 31,525.00 25,307.62 - - 12,532.62 1,920.00
1,020.00 15,890.00 8,402.75 4,077.00 1,125.00 - 13,604.75 7,894.75 275.25 1,124.75 7,720.00 12,480.00 7,894.75 - 8,402.75 4,077.00
1,715.00 2,220.00 - 355.25 - - 355.25 525.25 144.75 355.25 1,550.00 - 525.25 - - 355.25
60.00 3,860.00 349.25 1,274.00 675.00 - 2,298.25 258.25 900.00 - 2,701.75 2,298.25 258.25 - 349.25 1,274.00
1,485.00 1,988.00 - 350.75 275.00 - 625.75 163.75 274.25 625.75 1,550.00 - 163.75 - - 350.75
990.00 14,785.00 6,523.10 4,793.75 1,555.00 - 12,871.85 2,656.85 1,500.00 - 10,628.15 12,871.85 2,656.85 - 6,523.10 4,793.75
1,505.00 20,920.00 8,804.75 5,403.75 4,725.00 - 18,933.50 5,605.50 74.50 925.50 15,322.00 18,008.00 5,523.50 - 8,804.75 5,403.75
1,065.00 21,055.00 11,414.95 5,649.50 3,025.00 - 20,089.45 8,144.45 1,310.55 689.45 11,600.00 19,400.00 8,144.45 - 11,414.95 5,649.50
2,725.00 19,515.00 7,796.25 4,219.25 1,810.00 - 13,825.50 - 6,795.00 2,705.00 12,884.00 11,120.50 (164.00) - 7,796.25 4,219.25
- - 1,920.00 - - - 1,920.00 384.00 - 1,500.00 - 36.00 - 384.00 1,536.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -

- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- 174.00 - - - - - - 174.00 - - - - - - -
- - 960.00 - - - 960.00 192.00 - 200.00 - 768.00 - (8.00) 960.00 -
- - 829.50 - - - 829.50 - - 829.50 - - - - 829.50 -
- - 1,030.00 - - - 1,030.00 197.50 - 800.00 - 32.50 - 197.50 832.50 -
- - 685.75 - - - 685.75 - - 685.75 - - - - 685.75 -
- - 678.00 - - - 678.00 - - 678.00 - - - - 678.00 -
- - 432.00 136.00 - - 568.00 - - 568.00 - - - - 432.00 136.00
- - - 214.00 - - 214.00 - - 200.00 - 14.00 - - - 214.00
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- - 652.50 - - - 652.50 - - 652.50 - - - - 652.50 -
- - 481.25 - - - 481.25 - - 481.25 - - - - 481.25 -
- - 756.00 - - - 756.00 - - 756.00 - - - - 756.00 -
- - 528.00 - - - 528.00 - - 528.00 - - - - 528.00 -
GENERAL CONS CASH
R R
- - 1,814.40 - - - 1,814.40 - - 1,814.40 - - - - 1,814.40 -
- - 1,537.50 - - - 1,537.50 - - 1,537.50 - - - - 1,537.50 -
- 3,000.00 - - - - - - 3,000.00 - - - - - - -
- - 960.00 - - - 960.00 192.00 - 768.00 - - - 192.00 768.00 -
- - 715.00 - - - 715.00 - - 700.00 - 15.00 - - 715.00 -
- - 315.75 - - - 315.75 - - 315.75 - - - - 315.75 -
- - 996.00 - - - 996.00 - - 996.00 - - - - 996.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 277.50 - - - 277.50 - - 277.50 - - - - 277.50 -
- - - - - 600.00 600.00 - - 600.00 - - - - - -
- - - - 360.00 - 360.00 - - 300.00 - - - 60.00 - -
- - 126.00 - - 230.00 356.00 - - 356.00 - - - - 126.00 -
- 2,200.00 - - - - - - 2,200.00 - - - - - - -
- - - - 1,645.00 - 1,645.00 245.00 - 1,400.00 - - - 245.00 - -
- - - - - 300.00 300.00 - - 300.00 - - - - - -
- - - - 1,500.00 - 1,500.00 - - 1,500.00 - - - - - -
- 275.00 - - 425.00 - 425.00 - 275.00 425.00 - - - - - -
- 200.00 - - 1,085.00 230.00 1,315.00 - 200.00 1,315.00 - - - - - -
- - - - 700.00 - 700.00 - - 600.00 - 100.00 - - - -
- - - - 80.00 - 80.00 - - 80.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - - - 730.00 - 730.00 - - 700.00 - 30.00 - - - -
- - - - 400.00 - 400.00 - - 400.00 - - - - - -
- - 168.00 1,006.50 - 230.00 1,404.50 - - 1,404.50 - - - - 168.00 1,006.50
- - 175.50 - 280.00 280.00 735.50 - - 600.00 - 135.50 - - 175.50 -
- - - - 770.00 800.00 1,570.00 - - 570.00 - 1,000.00 - - - -
1,255.00 1,756.00 - 277.25 - - 277.25 1,033.25 722.75 277.25 - - 1,033.25 - - 277.25
75.00 875.00 2,512.60 886.50 880.00 250.00 4,529.10 840.91 34.09 765.91 - 3,763.19 840.91 - 2,512.60 886.50
135.00 1,735.00 2,633.56 986.50 200.00 250.00 4,070.06 1,726.02 - 579.04 8.98 3,491.02 1,726.02 - 2,633.56 986.50
90.00 4,090.00 1,732.35 1,625.95 555.00 - 3,913.30 - 2,000.00 - 2,090.00 3,913.30 - - 1,732.35 1,625.95
30.00 3,970.00 1,776.75 649.50 1,375.00 400.00 4,201.25 871.25 100.00 400.00 2,998.75 3,801.25 871.25 - 1,776.75 649.50
1,155.00 28,880.00 10,208.36 9,711.50 8,515.00 1,030.00 29,464.86 14,764.86 915.14 984.86 13,200.00 28,480.00 14,764.86 - 10,208.36 9,711.50
1,005.00 17,876.00 4,412.25 4,857.00 4,645.00 - 13,914.25 2,990.25 114.75 885.25 14,771.00 13,029.00 2,990.25 - 4,412.25 4,857.00
1,125.00 19,420.00 13,736.35 6,025.50 3,900.00 - 23,661.85 9,981.85 - 1,100.00 9,438.15 22,561.85 9,981.85 - 13,736.35 6,025.50
GENERAL CONS CASH
R R
210.00 4,860.00 8,828.22 1,809.00 640.00 250.00 11,527.22 2,432.22 - 1,600.00 2,572.78 9,927.22 2,287.22 - 8,828.22 1,809.00
135.00 4,435.00 4,849.95 1,998.25 1,775.00 230.00 8,853.20 588.20 346.80 3,353.20 3,500.00 5,500.00 588.20 - 4,849.95 1,998.25
1,535.00 23,510.00 7,882.00 10,911.00 3,180.00 980.00 22,953.00 - 6,410.00 9,753.00 17,100.00 13,200.00 - - 7,882.00 10,911.00
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,920.00 - - - 1,920.00 520.00 - 1,400.00 - - - 520.00 1,400.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -

- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 - - 400.00 - 560.00 - - 960.00 -
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -

- - - - 240.00 - 240.00 - - 200.00 - 40.00 - - - -
- - 382.50 - - - 382.50 - - 382.50 - - - - 382.50 -
- - 1,203.25 - - - 1,203.25 - - 1,200.00 - 3.25 - - 1,203.25 -
- - 1,116.00 84.00 - - 1,200.00 - - 1,200.00 - - - - 1,116.00 84.00

- - 1,183.00 - - - 1,183.00 - - 1,183.00 - - - - 1,183.00 -
- - 1,212.75 - - - 1,212.75 - - 1,212.75 - - - - 1,212.75 -
- - 1,212.75 - - - 1,212.75 - - 1,212.75 - - - - 1,212.75 -
- - 424.20 - - - 424.20 - - 400.00 - 24.20 - - 424.20 -
- - 1,386.00 - - - 1,386.00 - - 1,386.00 - - - - 1,386.00 -

- - 252.00 - - - 252.00 - - 252.00 - - - - 252.00 -
- - - 82.00 - - 82.00 - - 82.00 - - - - - 82.00
- - 847.50 - - - 847.50 169.50 - 600.00 - 78.00 - 169.50 678.00 -
- - 629.50 - - - 629.50 - - 600.00 - 29.50 - - 629.50 -
- - 1,831.50 - - - 1,831.50 - - 1,831.50 - - - - 1,831.50 -
GENERAL CONS CASH
R R
- - - 89.75 - - 89.75 - - 89.75 - - - - - 89.75
- - 656.00 - - - 656.00 - - 600.00 - - - 56.00 600.00 -
- - 582.75 - - - 582.75 - - 582.75 - - - - 582.75 -
- - 380.00 18.75 - - 398.75 - - 398.75 - - - - 380.00 18.75
- 400.00 - - - - - - 400.00 - - - - - - -
- - 248.50 - - - 248.50 - - 248.50 - - - - 248.50 -
- - - - 160.00 - 160.00 - - 160.00 - - - - - -
- 900.00 - - - - - 180.00 720.00 - - - 180.00 - - -
- - 382.50 - - - 382.50 - - 382.50 - - - - 382.50 -
- 200.00 - - 1,645.00 230.00 1,875.00 375.00 200.00 1,500.00 - - - 375.00 - -
- - 631.25 - - 230.00 861.25 - - 700.00 - 161.25 - - 631.25 -
- - - - 2,000.00 - 2,000.00 - - 1,400.00 - 600.00 - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - - 210.00 210.00 - - 200.00 - 10.00 - - - -
- - - - 640.00 - 640.00 - - 640.00 - - - - - -
- - - - - 2,000.00 2,000.00 - - 2,000.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - 820.00 230.00 1,050.00 - - 1,050.00 - - - - - -

- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - 270.00 - 250.00 - 520.00 - - 520.00 - - - - 270.00 -
- 200.00 189.00 - - - 189.00 - 200.00 189.00 - - - - 189.00 -
30.00 230.00 3,106.50 2,150.75 2,535.00 230.00 8,022.25 1,149.73 - 3,000.00 - 4,102.52 230.00 919.73 2,186.77 2,150.75
30.00 2,350.00 310.10 1,754.25 515.00 250.00 2,829.35 652.44 526.91 - 1,170.65 2,829.35 652.44 - 310.10 1,754.25
210.00 2,810.00 3,965.00 669.50 2,455.00 780.00 7,869.50 2,679.50 - 1,700.00 130.50 6,169.50 2,679.50 - 3,965.00 669.50
210.00 3,010.00 11,712.00 1,932.75 4,650.00 1,430.00 19,724.75 15,834.75 - 1,400.00 - 5,500.00 3,010.00 12,824.75 - 820.00
120.00 6,520.00 2,002.25 1,474.70 725.00 - 4,201.95 421.95 600.00 - 5,498.05 4,201.95 421.95 - 2,002.25 1,474.70
1,715.00 2,220.00 81.60 402.25 - - 483.85 - 670.00 483.85 1,550.00 - - - 81.60 402.25
90.00 4,090.00 1,189.75 605.50 705.00 - 2,500.25 - 1,590.25 - 2,499.75 2,500.25 - - 1,189.75 605.50
1,830.00 2,336.00 81.60 254.00 - - 335.60 - 664.40 335.60 1,550.00 - 121.60 - 81.60 254.00
1,370.00 1,872.00 - 369.75 - - 369.75 191.75 130.25 369.75 1,550.00 - 191.75 - - 369.75
1,715.00 2,220.00 - 350.75 - - 350.75 20.75 649.25 350.75 1,550.00 - 20.75 - - 350.75
990.00 14,850.00 6,098.35 4,974.50 1,925.00 - 12,997.85 3,847.85 3,142.15 1,857.85 7,860.00 11,140.00 3,847.85 - 6,098.35 4,974.50
GENERAL CONS CASH
R R
60.00 5,060.00 1,082.50 1,528.50 675.00 - 3,286.00 846.00 500.00 - 3,714.00 3,286.00 846.00 - 1,082.50 1,528.50
965.00 17,130.00 9,793.50 3,279.25 11,065.00 1,380.00 25,517.75 14,603.75 - 4,200.00 5,040.00 18,900.00 12,090.00 2,417.75 7,375.75 3,279.25
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -

- - 1,920.00 - - - 1,920.00 - - 1,900.00 - 20.00 - - 1,920.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 2,880.00 - - - 2,880.00 480.00 - 2,400.00 - - - 480.00 2,400.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -

- - 690.00 - - - 690.00 - - 690.00 - - - - 690.00 -
- - 960.00 - - - 960.00 - - 900.00 - 60.00 - - 960.00 -
- - 937.50 - - - 937.50 - - 937.50 - - - - 937.50 -
- - 202.50 - - - 202.50 - - 200.00 - - - 2.50 200.00 -
- - 346.50 - - - 346.50 - - 200.00 - 146.50 - - 346.50 -
- - 449.82 - - - 449.82 - - 449.82 - - - - 449.82 -
- - 192.78 - - - 192.78 - - 192.78 - - - - 192.78 -
- - - 174.25 - - 174.25 - - 174.25 - - - - - 174.25
- 200.00 - - - - - - 200.00 - - - - - - -
- - 319.50 - - - 319.50 - - 319.50 - - - - 319.50 -
- - 1,380.00 - - - 1,380.00 - - 1,380.00 - - - - 1,380.00 -
- 800.00 - - - - - - 800.00 - - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 192.00 - - - 192.00 - - 192.00 - - - - 192.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- 1,280.00 - - - - - - 1,280.00 - - - - - - -
- - 1,473.75 - - - 1,473.75 - - 1,473.75 - - - - 1,473.75 -

- - 402.50 - - - 402.50 - - 400.00 - 2.50 - - 402.50 -
- - 1,382.75 - - - 1,382.75 - - 1,382.75 - - - - 1,382.75 -
- - 864.00 - - - 864.00 - - 864.00 - - - - 864.00 -
- - 1,432.50 - - - 1,432.50 - - 1,432.50 - - - - 1,432.50 -
GENERAL CONS CASH
R R
- 200.00 - - - - - - 200.00 - - - - - - -
- 19.60 178.60 - - - 178.60 - 19.60 178.60 - - - - 178.60 -
- 900.00 - - - - - 180.00 720.00 - - - 180.00 - - -
- - 102.60 - - 230.00 332.60 - - 332.60 - - - - 102.60 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - - - 725.00 - 725.00 - - 600.00 - 125.00 - - - -
- - - - 340.00 230.00 570.00 114.00 - 400.00 - 56.00 - 114.00 - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - 80.00 - 80.00 - - 80.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- 200.00 - - 1,630.00 - 1,630.00 - 200.00 1,630.00 - - - - - -
- - - - 110.00 - 110.00 - - 110.00 - - - - - -
- 3,790.00 - - - - - - 790.00 - 3,000.00 - - - - -
- 75.00 - - 1,810.00 - 1,810.00 - - 300.00 85.00 1,500.00 (10.00) 10.00 - -
740.00 15,100.00 5,282.25 4,231.25 1,375.00 230.00 11,118.50 13,218.50 - 1,000.00 1,881.50 10,118.50 13,218.50 - 5,282.25 4,231.25
120.00 1,695.00 6,381.75 580.50 3,735.00 230.00 10,927.25 2,023.23 - 2,599.02 - 8,000.00 1,695.00 328.23 6,053.52 580.50
2,710.00 20,625.00 7,707.65 5,892.50 900.00 - 14,500.15 3,125.15 1,000.00 - 16,499.85 14,500.15 3,125.15 - 7,707.65 5,892.50
1,945.00 2,452.00 81.60 402.25 - - 483.85 785.85 116.15 483.85 1,550.00 - 785.85 - 81.60 402.25
150.00 3,550.00 14,427.47 700.50 1,975.00 230.00 17,332.97 382.97 - 3,000.00 3,167.03 14,332.97 382.97 - 14,427.47 700.50
405.00 21,095.00 6,783.25 4,061.00 4,080.00 250.00 15,174.25 10,000.00 1,178.25 821.75 9,916.75 14,352.50 10,000.00 - 6,783.25 4,061.00
1,485.00 1,988.00 - 355.25 275.00 - 630.25 - 400.00 - 1,588.00 630.25 - - - 355.25
120.00 6,120.00 4,127.30 2,591.20 1,755.00 - 8,473.50 2,320.50 299.50 1,200.50 3,500.00 7,273.00 2,320.50 - 4,127.30 2,591.20
1,600.00 2,104.00 - 355.25 - - 355.25 9.25 544.75 355.25 1,550.00 - 9.25 - - 355.25
1,020.00 15,880.00 9,415.00 4,392.25 1,755.00 - 15,562.25 6,542.25 1,647.75 252.25 7,690.00 15,310.00 6,542.25 - 9,415.00 4,392.25
975.00 12,765.00 6,804.75 5,792.50 3,075.00 - 15,672.25 3,437.25 - 1,500.00 9,327.75 14,172.25 3,437.25 - 6,804.75 5,792.50
1,110.00 20,770.00 10,465.65 6,164.25 2,435.00 - 19,064.90 10,834.90 745.10 754.90 9,190.00 18,310.00 10,834.90 - 10,465.65 6,164.25
- - 1,920.00 - - - 1,920.00 - - 1,900.00 - 20.00 - - 1,920.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 192.00 - 200.00 - 568.00 - 192.00 768.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 1,092.00 - - - 1,092.00 - - 1,000.00 - 92.00 - - 1,092.00 -
- - 258.00 141.00 - - 399.00 - - 399.00 - - - - 258.00 141.00
GENERAL CONS CASH
R R
- - 858.00 - - - 858.00 - - 858.00 - - - - 858.00 -
- - 615.00 - - - 615.00 - - 600.00 - 15.00 - - 615.00 -
- - 1,158.50 - - - 1,158.50 - - 1,158.50 - - - - 1,158.50 -
- - 1,224.25 - - - 1,224.25 - - 1,224.25 - - - - 1,224.25 -
- - 678.00 - - - 678.00 - - 678.00 - - - - 678.00 -

- - 390.00 - - - 390.00 - - 390.00 - - - - 390.00 -
- - 783.75 - - - 783.75 - - 783.75 - - - - 783.75 -
- - 102.00 - - - 102.00 - - 100.00 - 2.00 - - 102.00 -
- - 829.50 - - - 829.50 129.50 - 700.00 - - - 129.50 700.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 425.25 - - - 425.25 - - 400.00 - 25.25 - - 425.25 -
- - 808.50 - - - 808.50 - - 800.00 - 8.50 - - 808.50 -
- - 1,437.50 - - - 1,437.50 - - 1,437.50 - - - - 1,437.50 -
- - 708.00 - - - 708.00 - - 700.00 - 8.00 - - 708.00 -
- - 2,190.00 - - - 2,190.00 390.00 - 1,800.00 - - - 390.00 1,800.00 -
- - 126.00 68.00 - - 194.00 - - 194.00 - - - - 126.00 68.00
- - 300.00 - - - 300.00 - - 300.00 - - - - 300.00 -
- - 1,920.00 - - - 1,920.00 384.00 - 1,200.00 - 336.00 - 384.00 1,536.00 -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - 2,200.00 - 2,200.00 440.00 - 1,700.00 - 60.00 - 440.00 - -
- 900.00 - - - - - 100.00 800.00 - - - 100.00 - - -
- - 180.00 - 1,035.00 350.00 1,565.00 165.00 - 1,400.00 - - - 165.00 15.00 -

- - 411.00 - 200.00 - 611.00 - - 600.00 - 11.00 - - 411.00 -
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- - - - 1,870.00 - 1,870.00 - - 1,870.00 - - - - - -
- - - - 880.00 - 880.00 - - 880.00 - - - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - - - 230.00 230.00 46.00 - 184.00 - - - 46.00 - -
- 900.00 - - - - - - 900.00 - - - - - - -
- - - - 620.00 600.00 1,220.00 - - 1,200.00 - 20.00 - - - -

- - - - - 530.00 530.00 - - 530.00 - - - - - -
GENERAL CONS CASH
R R
- - - - - 250.00 250.00 - - 250.00 - - - - - -
- - - - - 1,200.00 1,200.00 - - 1,200.00 - - - - - -
- 2,000.00 - - - - - - 600.00 - 1,400.00 - - - - -
1,715.00 2,219.00 - 363.25 - - 363.25 1,182.25 1,036.75 363.25 - - 1,182.25 - - 363.25
105.00 3,275.00 2,729.25 1,586.50 770.00 230.00 5,315.75 2,090.75 - 1,500.00 1,184.25 3,815.75 2,090.75 - 2,729.25 1,586.50
120.00 1,520.00 3,897.30 1,263.75 200.00 250.00 5,611.05 1,281.05 - 2,000.00 238.95 3,611.05 1,281.05 - 3,897.30 1,263.75
135.00 3,435.00 5,926.30 1,118.00 2,415.00 230.00 9,689.30 - 1,435.00 1,212.00 2,000.00 8,477.30 - - 5,926.30 1,118.00
1,730.00 33,909.00 26,105.10 10,858.97 12,685.00 830.00 50,479.07 30,603.07 - 7,800.00 12,000.00 34,000.00 21,909.00 8,679.07 17,426.03 10,858.97
180.00 10,260.00 22,316.50 3,058.30 2,395.00 650.00 28,419.80 16,269.00 - 5,500.00 3,030.00 13,880.80 7,230.00 9,039.00 13,277.50 3,058.30
60.00 7,260.00 1,545.50 1,816.65 725.00 - 4,087.15 - 1,000.00 - 6,260.00 4,087.15 - - 1,545.50 1,816.65
165.00 7,545.00 3,515.25 2,103.25 3,465.00 230.00 9,313.50 858.50 506.50 5,493.50 6,180.00 3,820.00 858.50 - 3,515.25 2,103.25
90.00 2,840.00 3,745.25 837.25 1,730.00 300.00 6,612.50 - 590.00 1,362.50 2,250.00 5,250.00 - - 3,745.25 837.25
2,175.00 2,684.00 - 355.25 - - 355.25 89.25 1,044.75 355.25 1,550.00 - 89.25 - - 355.25
1,065.00 13,360.00 6,134.85 5,330.00 2,155.00 - 13,619.85 3,476.85 2,163.15 336.85 7,720.00 13,283.00 3,476.85 - 6,134.85 5,330.00
210.00 8,440.00 5,485.10 1,833.25 2,730.00 - 10,048.35 1,288.35 - 1,500.00 7,151.65 8,548.35 1,288.35 - 5,485.10 1,833.25
195.00 12,495.00 7,537.50 1,088.00 3,805.00 230.00 12,660.50 1,455.50 1,700.00 - 9,339.50 12,660.50 1,455.50 - 7,537.50 1,088.00
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 1,920.00 - - - 1,920.00 420.00 - 1,500.00 - - - 420.00 1,500.00 -

- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 112.00 - - - 112.00 - - 100.00 - 12.00 - - 112.00 -
- - 397.50 - - - 397.50 - - 397.50 - - - - 397.50 -
- - 1,800.00 - - - 1,800.00 - - 1,800.00 - - - - 1,800.00 -
- - 1,386.00 - - - 1,386.00 - - 1,386.00 - - - - 1,386.00 -
- - 600.00 - - - 600.00 - - 600.00 - - - - 600.00 -
- - 1,034.16 - - - 1,034.16 - - 1,034.16 - - - - 1,034.16 -
- - 751.02 - - - 751.02 - - 751.02 - - - - 751.02 -
GENERAL CONS CASH
R R
- - 1,395.50 - - - 1,395.50 - - 1,395.50 - - - - 1,395.50 -
- - 1,979.00 - - - 1,979.00 - - 1,979.00 - - - - 1,979.00 -
- - 653.70 - - - 653.70 - - 600.00 - 53.70 - - 653.70 -
- - 195.00 - - - 195.00 - - 195.00 - - - - 195.00 -
- - - 210.00 - - 210.00 - - 200.00 - 10.00 - - - 210.00
- - 1,266.75 - - - 1,266.75 - - 1,266.75 - - - - 1,266.75 -
- - 963.00 - - - 963.00 - - 900.00 - - - 63.00 900.00 -
- - 891.00 - - - 891.00 - - 800.00 - 91.00 - - 891.00 -
- - 600.00 - - - 600.00 - - 600.00 - - - - 600.00 -
- - 1,562.70 - - - 1,562.70 - - 1,400.00 - 162.70 - - 1,562.70 -
- - 462.00 - - - 462.00 - - 462.00 - - - - 462.00 -

- - 1,590.75 - - - 1,590.75 - - 1,590.75 - - - - 1,590.75 -
- - 602.50 - - - 602.50 - - 600.00 - 2.50 - - 602.50 -
- - 1,317.75 - - - 1,317.75 - - 1,317.75 - - - - 1,317.75 -
- - 513.75 - - - 513.75 - - 513.75 - - - - 513.75 -
- - 1,639.60 - - - 1,639.60 - - 1,639.60 - - - - 1,639.60 -
- - 180.00 - - - 180.00 - - 180.00 - - - - 180.00 -
- - 393.30 - - - 393.30 - - 393.30 - - - - 393.30 -
- - 1,186.50 - - - 1,186.50 - - 1,186.50 - - - - 1,186.50 -
- - 117.00 88.00 - - 205.00 - - 200.00 - 5.00 - - 117.00 88.00
- - 59.25 - - - 59.25 - - 59.25 - - - - 59.25 -
- - 1,469.75 - - - 1,469.75 - - 1,469.75 - - - - 1,469.75 -
- - 985.25 - - - 985.25 - - 985.25 - - - - 985.25 -
- - 1,148.00 56.00 - - 1,204.00 - - 1,100.00 - 104.00 - - 1,148.00 56.00
- - 1,512.00 - - - 1,512.00 - - 1,500.00 - 12.00 - - 1,512.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -

- 200.00 - - - - - - 200.00 - - - - - - -
- - 1,848.00 - - - 1,848.00 - - 1,840.00 - 8.00 - - 1,848.00 -
- 200.00 - - 2,030.00 230.00 2,260.00 - 200.00 2,260.00 - - - - - -

GENERAL CONS CASH
R R
- - - - 220.00 - 220.00 - - 200.00 - 20.00 - - - -
- - 437.50 - - - 437.50 - - 400.00 - 37.50 - - 437.50 -
- - - - - 600.00 600.00 - - 600.00 - - - - - -
- - - - 110.00 - 110.00 - - 100.00 - 10.00 - - - -
- - - - 840.00 - 840.00 - - 800.00 - 40.00 - - - -
- - - - - 230.00 230.00 - - 230.00 - - - - - -
- 200.00 - - 1,645.00 230.00 1,875.00 - 200.00 1,800.00 - 75.00 - - - -
- - - - 725.00 - 725.00 - - 725.00 - - - - - -
- - - - - 350.00 350.00 - - 350.00 - - - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- 200.00 - - 1,345.00 230.00 1,575.00 - 200.00 1,575.00 - - - - - -
- - - - - 250.00 250.00 - - 250.00 - - - - - -

- - - - 770.00 - 770.00 - - 770.00 - - - - - -
- - 321.00 - - - 321.00 - - 321.00 - - - - 321.00 -
- - - - - 530.00 530.00 - - 500.00 - 30.00 - - - -
- 3,550.00 - - - - - - 3,550.00 - - - - - - -
- - - - - 800.00 800.00 - - 400.00 - 400.00 - - - -

- - 375.00 - - 230.00 605.00 - - 600.00 - 5.00 - - 375.00 -
2,225.00 12,625.00 532.25 1,170.00 990.00 430.00 3,122.25 12,547.25 77.75 1,922.25 - 1,200.00 12,547.25 - 532.25 1,170.00
1,077.00 52,867.00 4,527.50 5,095.00 275.00 - 9,897.50 - 1,500.00 - 51,367.00 9,897.50 - - 4,527.50 5,095.00
1,370.00 7,360.00 - 355.25 75.00 - 430.25 - 200.00 - 7,160.00 430.25 - - - 355.25
765.00 62,735.00 7,490.50 4,908.00 725.00 1,000.00 14,123.50 - 2,600.00 - 60,135.00 14,123.50 - - 7,490.50 4,908.00
1,475.00 18,470.00 6,108.25 6,574.50 1,050.00 - 13,732.75 2.75 1,200.00 - 17,267.25 13,732.75 2.75 - 6,108.25 6,574.50
770.00 17,460.00 8,867.05 6,080.00 3,225.00 - 18,172.05 6,632.05 3,107.95 1,892.05 7,720.00 16,280.00 6,632.05 - 8,867.05 6,080.00
75.00 5,575.00 1,361.85 1,447.95 675.00 - 3,484.80 2,059.80 1,515.20 484.80 2,000.00 3,000.00 2,059.80 - 1,361.85 1,447.95
150.00 6,915.00 1,995.00 1,406.00 3,605.00 300.00 7,306.00 953.00 200.00 300.00 5,794.00 7,006.00 921.00 - 1,995.00 1,406.00
210.00 7,480.00 9,829.01 1,465.00 2,655.00 250.00 14,199.01 4,079.01 - 400.00 3,510.00 13,690.00 3,970.00 109.01 9,720.00 1,465.00
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
GENERAL CONS CASH
R R
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -

- - 770.00 - - - 770.00 - - 770.00 - - - - 770.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,729.35 - - - 1,729.35 - - 1,729.35 - - - - 1,729.35 -
- - 790.00 - - - 790.00 - - 790.00 - - - - 790.00 -
- - 1,380.00 - - - 1,380.00 - - 1,380.00 - - - - 1,380.00 -
- - 406.00 - - - 406.00 - - 406.00 - - - - 406.00 -
- - 211.50 - - - 211.50 - - 211.50 - - - - 211.50 -
- - 631.25 - - - 631.25 - - 631.25 - - - - 631.25 -
- - 327.25 - - - 327.25 - - 327.25 - - - - 327.25 -
- - 1,008.00 - - - 1,008.00 - - 800.00 - 208.00 - - 1,008.00 -
- 200.00 360.00 105.00 720.00 - 1,185.00 - 200.00 1,185.00 - - - - 360.00 105.00
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- 200.00 - - 1,645.00 230.00 1,875.00 375.00 200.00 1,500.00 - - - 375.00 - -
90.00 1,090.00 799.95 817.00 1,245.00 800.00 3,661.95 951.95 138.05 3,661.95 - - 951.95 - 799.95 817.00
- - 720.00 - - - 720.00 - - 700.00 - 20.00 - - 720.00 -
- - - - 250.00 - 250.00 - - 200.00 - - - 50.00 - -
2,060.00 2,568.00 - 369.75 - - 369.75 589.75 1,630.25 369.75 348.00 - 589.75 - - 369.75
1,600.00 2,104.00 - 260.50 - - 260.50 364.50 1,739.50 260.50 - - 364.50 - - 260.50

1,485.00 1,988.00 555.60 286.50 - - 842.10 830.10 1,157.90 842.10 - - 830.10 - 555.60 286.50
70.00 6,320.00 3,258.00 1,006.75 3,465.00 230.00 7,959.75 2,269.48 4,050.52 2,549.48 - 5,410.27 2,269.48 - 3,258.00 1,006.75
105.00 1,305.00 1,779.25 1,405.50 530.00 250.00 3,964.75 800.68 - 969.07 504.32 2,995.68 800.68 - 1,779.25 1,405.50
60.00 6,060.00 1,072.25 1,018.70 755.00 - 2,845.95 4,905.95 - 2,000.00 1,154.05 845.95 4,905.95 - 1,072.25 1,018.70
1,485.00 1,988.00 555.60 402.25 - - 957.85 945.85 42.15 957.85 1,000.00 - 945.85 - 555.60 402.25
135.00 1,785.00 2,073.05 692.50 1,045.00 250.00 4,060.55 1,577.55 - 1,400.00 239.45 2,660.55 1,545.55 - 2,073.05 692.50
335.00 6,335.00 1,676.25 1,235.50 325.00 - 3,236.75 - 500.00 - 5,835.00 3,236.75 - - 1,676.25 1,235.50
GENERAL CONS CASH
R R
60.00 9,810.00 81.75 582.00 1,550.00 230.00 2,443.75 - 500.00 - 9,310.00 2,443.75 - - 81.75 582.00
1,155.00 49,762.00 2,876.60 4,486.25 305.00 - 7,667.85 2,000.00 1,300.00 - 46,462.00 7,667.85 2,000.00 - 2,876.60 4,486.25
1,600.00 7,634.00 129.75 344.25 275.00 - 749.00 - 400.00 - 7,234.00 749.00 - - 129.75 344.25
1,644.00 29,814.00 6,720.10 3,445.25 1,035.00 230.00 11,430.35 5,000.00 1,800.00 - 23,014.00 11,430.35 5,000.00 - 6,720.10 3,445.25
1,255.00 5,716.00 - - 275.00 - 275.00 - 200.00 - 5,516.00 275.00 - - - -
1,830.00 2,336.00 - 369.75 - - 369.75 355.75 430.25 369.75 1,550.00 - 355.75 - - 369.75
1,715.00 2,220.00 81.60 285.00 - - 366.60 - 670.00 330.00 1,550.00 36.60 - - 81.60 285.00
960.00 13,850.00 5,042.75 4,241.25 1,805.00 - 11,089.00 2,539.00 1,500.00 - 9,811.00 11,089.00 2,539.00 - 5,042.75 4,241.25
1,485.00 1,988.00 555.60 286.50 - - 842.10 - 438.00 562.00 1,550.00 280.10 - - 555.60 286.50
60.00 5,060.00 812.00 1,088.45 505.00 - 2,405.45 1,865.45 600.00 - 2,594.55 2,405.45 1,865.45 - 812.00 1,088.45
60.00 5,060.00 234.60 935.70 230.00 - 1,400.30 860.30 600.00 - 3,599.70 1,400.30 860.30 - 234.60 935.70
1,485.00 1,988.00 - 48.00 275.00 - 323.00 361.00 77.00 323.00 1,550.00 - 361.00 - - 48.00
1,005.00 12,935.00 5,668.25 5,356.25 905.00 - 11,929.50 - 2,000.00 - 10,935.00 11,929.50 - - 5,668.25 5,356.25
1,520.00 14,315.00 8,394.75 5,521.00 1,515.00 580.00 16,010.75 2,825.75 1,469.25 530.75 10,020.00 15,480.00 2,825.75 - 8,394.75 5,521.00
1,170.00 31,353.00 14,226.85 8,423.00 14,300.00 230.00 37,179.85 12,932.85 600.00 - 17,820.15 37,179.85 12,932.85 - 14,226.85 8,423.00
960.00 12,620.00 6,373.00 4,735.00 1,450.00 - 12,558.00 - 3,600.00 - 9,020.00 12,558.00 - - 6,373.00 4,735.00
1,020.00 15,910.00 10,164.00 4,844.70 1,075.00 - 16,083.70 5,793.70 1,200.00 - 8,916.30 16,083.70 5,793.70 - 10,164.00 4,844.70
165.00 7,765.00 6,911.85 1,890.50 9,060.00 1,030.00 18,892.35 1,165.00 3,600.00 200.00 3,000.00 18,692.35 1,165.00 - 6,911.85 1,890.50
- - 3,840.00 - - - 3,840.00 840.00 - 3,000.00 - - - 840.00 3,000.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -

- - 960.00 - - - 960.00 192.00 - 200.00 - 568.00 - 192.00 768.00 -
- - 396.00 - - - 396.00 - - 396.00 - - - - 396.00 -
- - 186.75 - - - 186.75 - - 186.75 - - - - 186.75 -
- - 366.00 - - - 366.00 - - 366.00 - - - - 366.00 -
- - 1,247.75 - - - 1,247.75 - - 1,247.75 - - - - 1,247.75 -
- - 1,078.50 - - - 1,078.50 - - 400.00 - 678.50 - - 1,078.50 -
- - 623.00 - - - 623.00 - - 623.00 - - - - 623.00 -
- - 197.80 - - - 197.80 - - 197.80 - - - - 197.80 -
- - 270.00 - - - 270.00 - - 200.00 - 70.00 - - 270.00 -
- - 291.00 - - - 291.00 - - 200.00 - 91.00 - - 291.00 -
- - 624.00 - - - 624.00 - - 500.00 - - - 124.00 500.00 -
- - 180.00 - - 300.00 480.00 - - 400.00 - - - 80.00 100.00 -
GENERAL CONS CASH
R R
- - 2,072.49 - - - 2,072.49 - - 2,000.00 - 72.49 - - 2,072.49 -
- - 907.50 - - - 907.50 - - 907.50 - - - - 907.50 -
- - 1,680.00 - - - 1,680.00 - - 1,680.00 - - - - 1,680.00 -
- - 540.00 - - - 540.00 - - 540.00 - - - - 540.00 -

- - - - 1,870.00 - 1,870.00 - - 1,800.00 - 70.00 - - - -
- - 546.00 - - - 546.00 - - 546.00 - - - - 546.00 -
- - 631.50 - - - 631.50 - - 600.00 - 31.50 - - 631.50 -
- - 375.00 - - - 375.00 - - 375.00 - - - - 375.00 -
- - 523.50 - - - 523.50 - - 523.50 - - - - 523.50 -
- - 200.00 - - - 200.00 - - 200.00 - - - - 200.00 -
- - 899.25 - - - 899.25 - - 899.25 - - - - 899.25 -
- - 271.25 - - - 271.25 - - 271.25 - - - - 271.25 -
- - 196.80 - - - 196.80 - - 196.80 - - - - 196.80 -
- - - - - 540.00 540.00 108.00 - 400.00 - 32.00 - 108.00 - -
- - 90.00 177.00 50.00 - 317.00 - - 267.00 - 50.00 - - 90.00 177.00
- 3,600.00 - - - - - - 3,600.00 - - - - - - -
- 200.00 - - - 230.00 230.00 - 200.00 230.00 - - - - - -
- - 1,613.50 - - - 1,613.50 - - 1,600.00 - 13.50 - - 1,613.50 -
- - - - 1,870.00 - 1,870.00 - - 1,870.00 - - - - - -

- 1,100.00 - - 725.00 - 725.00 - 1,100.00 725.00 - - - - - -
- - - - 3,620.00 - 3,620.00 - - 1,900.00 - 1,720.00 - - - -
- - - - 805.00 - 805.00 - - 800.00 - 5.00 - - - -

- - - - 75.00 - 75.00 - - 75.00 - - - - - -
- - - - 250.00 - 250.00 - - 200.00 - 50.00 - - - -
- 3,790.00 - - - - - - 2,000.00 - 1,790.00 - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
1,945.00 2,452.00 - 377.75 - - 377.75 1,529.75 400.00 - 122.25 377.75 1,929.75 - - 377.75
120.00 1,520.00 6,326.25 1,876.50 4,275.00 230.00 12,707.75 2,228.18 - 4,900.00 - 7,099.57 1,520.00 708.18 5,618.07 1,876.50
GENERAL CONS CASH
R R
55.00 1,935.00 3,270.50 1,138.75 7,105.00 230.00 11,744.25 2,171.93 - 6,507.32 - 5,000.00 1,935.00 236.93 3,033.57 1,138.75
800.00 15,090.00 9,194.00 8,102.25 730.00 1,030.00 19,056.25 19,281.25 - 12,000.00 - 3,000.00 15,090.00 4,056.25 5,137.75 8,102.25
75.00 875.00 1,893.10 1,749.75 200.00 250.00 4,092.85 1,467.85 - 1,500.00 - 2,000.00 875.00 592.85 1,300.25 1,749.75
990.00 5,560.00 3,657.00 1,175.75 1,355.00 - 6,187.75 3,747.75 312.25 1,687.75 1,500.00 4,500.00 3,747.75 - 3,657.00 1,175.75
270.00 25,270.00 3,101.00 1,848.50 305.00 - 5,254.50 - 295.00 305.00 24,975.00 4,949.50 - - 3,101.00 1,848.50
2,937.00 31,637.00 10,492.00 6,214.75 325.00 200.00 17,231.75 - 2,000.00 - 29,637.00 17,231.75 - - 10,492.00 6,214.75
1,370.00 1,872.00 129.75 178.00 - - 307.75 29.75 292.25 307.75 1,550.00 - 29.75 - 129.75 178.00
2,405.00 2,916.00 81.60 402.25 355.00 - 838.85 704.85 661.15 338.85 1,550.00 500.00 704.85 - 81.60 402.25
45.00 4,545.00 864.55 1,354.00 675.00 - 2,893.55 1,438.55 1,000.00 - 2,106.45 2,893.55 1,438.55 - 864.55 1,354.00
1,600.00 2,104.00 555.60 378.25 - - 933.85 - 554.00 846.00 1,550.00 87.85 - - 555.60 378.25
725.00 14,685.00 11,344.00 3,776.50 1,360.00 230.00 16,710.50 4,595.50 399.50 1,600.50 9,690.00 15,110.00 4,595.50 - 11,344.00 3,776.50
1,080.00 15,245.00 7,784.25 6,039.30 3,530.00 - 17,353.55 5,598.55 - 1,000.00 9,646.45 16,353.55 5,598.55 - 7,784.25 6,039.30
1,020.00 13,080.00 12,607.80 4,073.75 1,725.00 - 18,406.55 - 1,300.00 - 11,780.00 18,406.55 - - 12,607.80 4,073.75
1,020.00 15,880.00 15,543.25 5,119.00 1,575.00 - 22,237.25 7,917.25 - 1,200.00 7,962.75 21,037.25 7,917.25 - 15,543.25 5,119.00
1,005.00 12,900.00 13,374.25 5,466.75 875.00 - 19,716.00 5,016.00 284.00 316.00 7,600.00 19,400.00 5,016.00 - 13,374.25 5,466.75
90.00 6,090.00 705.00 1,418.70 675.00 - 2,798.70 1,388.70 1,000.00 - 3,701.30 2,798.70 1,388.70 - 705.00 1,418.70
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 805.00 - - - 805.00 - - 800.00 - 5.00 - - 805.00 -
- - 1,376.30 - - - 1,376.30 - - 1,376.30 - - - - 1,376.30 -
- - 808.50 - - - 808.50 - - 800.00 - 8.50 - - 808.50 -
- - 697.50 - - - 697.50 - - 697.50 - - - - 697.50 -
- - 270.00 - - - 270.00 - - 270.00 - - - - 270.00 -
- - 540.00 - - - 540.00 - - 540.00 - - - - 540.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 489.00 - - - 489.00 - - 489.00 - - - - 489.00 -
GENERAL CONS CASH
R R
- - 67.00 75.25 - - 142.25 - - 142.25 - - - - 67.00 75.25
- - 108.00 3.75 - - 111.75 - - 111.75 - - - - 108.00 3.75
- - 1,302.75 - - - 1,302.75 2.75 - 1,300.00 - - - 2.75 1,300.00 -
- 600.00 - - - - - - 600.00 - - - - - - -
- 200.00 1,372.50 - - - 1,372.50 - - 1,572.50 - - 200.00 (200.00) 1,372.50 -
- - 992.50 - - - 992.50 - - 992.50 - - - - 992.50 -
- - 1,669.50 - - - 1,669.50 - - 1,669.50 - - - - 1,669.50 -
- - 424.20 - - - 424.20 - - 424.20 - - - - 424.20 -

- - 1,512.00 - - - 1,512.00 - - 1,512.00 - - - - 1,512.00 -
- - - - 275.00 - 275.00 - - 275.00 - - - - - -
- - - 804.75 - - 804.75 - - 804.75 - - - - - 804.75
- - 1,980.50 - - - 1,980.50 - - 1,980.50 - - - - 1,980.50 -
- - 829.50 - - - 829.50 - - 829.50 - - - - 829.50 -

- 200.00 - - - - - - 200.00 - - - - - - -
- - - 1,112.25 - - 1,112.25 - - 1,100.00 - - - 12.25 - 1,100.00
- 200.00 - - - - - - 200.00 - - - - - - -
- - 927.50 - - - 927.50 - - 927.50 - - - - 927.50 -
- - - 81.25 - - 81.25 - - 81.25 - - - - - 81.25
- - 198.00 - - - 198.00 - - 198.00 - - - - 198.00 -
- - 282.00 - - - 282.00 - - 282.00 - - - - 282.00 -
- - 795.00 - - - 795.00 - - 795.00 - - - - 795.00 -
- - 1,536.75 - - - 1,536.75 - - 1,536.75 - - - - 1,536.75 -
- - 1,186.50 - - - 1,186.50 - - 1,186.50 - - - - 1,186.50 -

- - 820.00 90.25 - - 910.25 - - 800.00 - 110.25 - - 820.00 90.25
- - 757.50 - - - 757.50 - - 757.50 - - - - 757.50 -
- - - 371.50 - - 371.50 - - 371.50 - - - - - 371.50
- - 552.00 - - - 552.00 - - 552.00 - - - - 552.00 -
- - 114.00 - 250.00 250.00 614.00 - - 600.00 - 14.00 - - 114.00 -
- - - - - 770.00 770.00 - - 600.00 - 170.00 - - - -
- - - 525.25 - - 525.25 - - 525.25 - - - - - 525.25
- - - - - 540.00 540.00 - - 540.00 - - - - - -
- - - - - 800.00 800.00 160.00 - 600.00 - 40.00 - 160.00 - -
- - - - 750.00 - 750.00 - - 750.00 - - - - - -
- - - - 280.00 - 280.00 - - 200.00 - 80.00 - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
GENERAL CONS CASH
R R
- - - - - 230.00 230.00 - - 230.00 - - - - - -
- - - - 400.00 - 400.00 - - 400.00 - - - - - -
- - - - 250.00 - 250.00 - - 250.00 - - - - - -
- - 67.50 - - 300.00 367.50 - - 367.50 - - - - 67.50 -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- 200.00 - - 1,655.00 230.00 1,885.00 - 200.00 1,885.00 - - - - - -
- - 450.00 - - - 450.00 - - 450.00 - - - - 450.00 -

- - 1,002.50 - - - 1,002.50 2.50 - 1,000.00 - - - 2.50 1,000.00 -
55.00 575.00 2,569.50 2,507.25 3,285.00 230.00 8,591.75 1,663.28 - 1,000.00 - 6,503.47 575.00 1,088.28 1,481.22 2,507.25
1,195.00 11,460.00 5,924.75 5,377.25 1,905.00 230.00 13,437.00 1,397.00 1,498.00 502.00 8,565.00 12,935.00 1,397.00 - 5,924.75 5,377.25
1,370.00 1,872.00 - - - - - - 322.00 - 1,550.00 - - - - -
2,005.00 12,359.00 3,816.25 1,045.75 3,325.00 - 8,187.00 4,096.00 1,000.00 - 7,263.00 8,187.00 4,096.00 - 3,816.25 1,045.75
195.00 10,795.00 4,095.20 1,702.75 1,510.00 250.00 7,557.95 3,352.95 5,000.00 - 2,442.05 7,557.95 3,352.95 - 4,095.20 1,702.75
1,610.00 24,417.00 8,287.70 9,251.25 1,725.00 - 19,263.95 9,680.95 - 700.00 14,736.05 18,563.95 9,680.95 - 8,287.70 9,251.25
475.00 15,375.00 16,979.50 19,734.10 36,210.00 1,820.00 74,743.60 20,911.60 - 17,000.00 23,167.00 29,203.00 (7,792.00) 28,540.60 - 8,173.00
- - 2,880.00 - - - 2,880.00 - - 2,600.00 - 280.00 - - 2,880.00 -

- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 1,302.75 - - - 1,302.75 - - 1,200.00 - 102.75 - - 1,302.75 -
- - - - 250.00 800.00 1,050.00 - - 1,050.00 - - - - - -
- - 308.70 - - - 308.70 - - 200.00 - 108.70 - - 308.70 -

- - 495.00 - - - 495.00 - - 495.00 - - - - 495.00 -
- - 303.00 - - - 303.00 - - 303.00 - - - - 303.00 -
- - 195.00 - - - 195.00 - - 195.00 - - - - 195.00 -
- - 150.00 3.50 - - 153.50 - - 153.50 - - - - 150.00 3.50
- - 690.00 - - - 690.00 90.00 - 600.00 - - - 90.00 600.00 -
- 400.00 - - - - - - 400.00 - - - - - - -
- - 210.00 - - - 210.00 - - 200.00 - 10.00 - - 210.00 -
- - 270.00 - - - 270.00 - - 270.00 - - - - 270.00 -
- - 437.50 - - - 437.50 - - 437.50 - - - - 437.50 -
- - 678.00 - - - 678.00 - - 678.00 - - - - 678.00 -
- - 293.25 559.50 1,080.00 - 1,932.75 - - 1,932.75 - - - - 293.25 559.50

GENERAL CONS CASH
R R
- - 672.00 138.25 250.00 - 1,060.25 - - 1,060.25 - - - - 672.00 138.25
- - 420.00 - - - 420.00 20.00 - 400.00 - - - 20.00 400.00 -
- - - - 675.00 - 675.00 - - 675.00 - - - - - -
- - - - 600.00 - 600.00 - - 600.00 - - - - - -
- 250.00 - - 340.00 400.00 740.00 - 250.00 740.00 - - - - - -
- - 81.75 277.75 - - 359.50 - - 359.50 - - - - 81.75 277.75
- - - - 400.00 - 400.00 - - 400.00 - - - - - -
- - - - 1,000.00 - 1,000.00 - - 1,000.00 - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
- 1,200.00 - - - - - - 1,200.00 - - - - - - -
- - 230.00 - - - 230.00 30.00 - 200.00 - - - 30.00 200.00 -
- - 825.50 - - - 825.50 - - 800.00 - 25.50 - - 825.50 -
- - 1,350.00 - - - 1,350.00 - - 1,300.00 - - - 50.00 1,300.00 -
- - - - 400.00 - 400.00 - - 400.00 - - - - - -
- - - - 300.00 - 300.00 - - 300.00 - - - - - -
- - 572.00 - - - 572.00 - - 572.00 - - - - 572.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 387.00 - - - 387.00 77.40 - 300.00 - 9.60 - 77.40 309.60 -
- - - - - 540.00 540.00 - - 540.00 - - - - - -
- 2,000.00 - - - - - - 2,000.00 - - - - - - -
- - - - 2,150.00 - 2,150.00 - - 1,900.00 - 250.00 - - - -
- - - - 750.00 - 750.00 - - 700.00 - 50.00 - - - -

- 2,000.00 - - - - - - 2,000.00 - - - - - - -
- - - - - 230.00 230.00 30.00 - 200.00 - - - 30.00 - -
- - - - 765.00 800.00 1,565.00 - - 1,565.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- 200.00 630.00 - - - 630.00 - 200.00 630.00 - - - - 630.00 -
- - - - - 400.00 400.00 - - 400.00 - - - - - -

- - - - - 230.00 230.00 - - 200.00 - - - 30.00 - -
- - - - 400.00 - 400.00 - - 400.00 - - - - - -
- - - - 730.00 - 730.00 - - 700.00 - 30.00 - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
425.00 46,054.00 14,884.99 1,703.75 6,445.00 1,030.00 24,063.74 14,023.54 3,300.00 - 28,730.46 24,063.74 14,023.54 - 14,884.99 1,703.75
GENERAL CONS CASH
R R
60.00 660.00 406.00 1,083.25 795.00 250.00 2,534.25 394.25 265.75 534.25 - 2,000.00 394.25 - 406.00 1,083.25
90.00 2,190.00 8,335.50 628.25 5,825.00 230.00 15,018.75 2,580.38 - 3,000.00 - 11,628.37 2,190.00 390.38 7,945.12 628.25
180.00 2,480.00 1,078.85 1,088.25 1,060.00 - 3,227.10 1,207.10 - 1,000.00 1,272.90 2,227.10 1,207.10 - 1,078.85 1,088.25
1,485.00 1,988.00 - 365.25 275.00 - 640.25 378.25 59.75 140.25 1,550.00 500.00 378.25 - - 365.25
60.00 3,860.00 1,004.25 1,327.25 675.00 - 3,006.50 1,666.50 193.50 6.50 2,000.00 3,000.00 1,666.50 - 1,004.25 1,327.25
60.00 3,860.00 806.25 1,191.20 925.00 - 2,922.45 - 1,782.45 - 2,077.55 2,922.45 - - 806.25 1,191.20
1,370.00 1,872.00 - 365.25 - - 365.25 - 234.75 365.25 1,550.00 - 87.25 - - 365.25
1,035.00 13,124.00 9,852.45 5,654.00 3,255.00 - 18,761.45 3,285.45 124.55 4,475.45 9,714.00 14,286.00 3,285.45 - 9,852.45 5,654.00
1,830.00 2,336.00 801.60 409.75 275.00 - 1,486.35 672.35 - 600.00 1,663.65 886.35 672.35 - 801.60 409.75
90.00 5,890.00 5,015.00 2,618.25 1,725.00 - 9,358.25 2,048.25 - 1,000.00 3,841.75 8,358.25 2,048.25 - 5,015.00 2,618.25
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 192.00 - 200.00 - 568.00 - 192.00 768.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 189.00 - - - 189.00 - - 189.00 - - - - 189.00 -
- - 437.50 - - - 437.50 - - 437.50 - - - - 437.50 -
- - 189.00 - - - 189.00 - - 189.00 - - - - 189.00 -
- - 784.00 - - - 784.00 - - 784.00 - - - - 784.00 -
- - 668.85 - - - 668.85 - - 668.85 - - - - 668.85 -

- - 162.50 - - - 162.50 - - 162.50 - - - - 162.50 -
- - 1,078.50 - - - 1,078.50 - - 1,078.50 - - - - 1,078.50 -
- - 201.00 - - - 201.00 - - 200.00 - - - 1.00 200.00 -
- - 501.00 - - - 501.00 - - 501.00 - - - - 501.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 477.50 - - - 477.50 95.50 - 300.00 - 82.00 - 95.50 382.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - - - 675.00 - 675.00 - - 675.00 - - - - - -
- - - - 240.00 - 240.00 - - 200.00 - 40.00 - - - -
- - - - - 800.00 800.00 - - 800.00 - - - - - -
- - - 489.50 50.00 - 539.50 - - 400.00 - 139.50 - - - 489.50
- - - - 1,425.00 - 1,425.00 - - 1,400.00 - 25.00 - - - -
- - - - 1,500.00 - 1,500.00 - - 1,500.00 - - - - - -
- 3,550.00 - - - - - 400.00 1,600.00 - 1,550.00 - 400.00 - - -
- - - - - 600.00 600.00 - - 600.00 - - - - - -
- - - - 2,520.00 - 2,520.00 504.00 - 2,000.00 - 16.00 - 504.00 - -
- - - - 1,500.00 - 1,500.00 - - 1,500.00 - - - - - -
GENERAL CONS CASH
R R
- - - - 620.00 - 620.00 120.00 - 500.00 - - - 120.00 - -
- - - - 1,870.00 - 1,870.00 - 1,000.00 - - 1,870.00 (1,000.00) - - -
- - - - 1,870.00 - 1,870.00 - - 370.00 - 1,500.00 - - - -

90.00 23,880.00 1,659.75 1,309.00 825.00 - 3,793.75 - 600.00 - 23,280.00 3,793.75 - - 1,659.75 1,309.00
225.00 2,825.00 2,090.50 1,396.00 3,230.00 250.00 6,966.50 3,391.50 - 400.00 - 6,000.00 2,825.00 566.50 1,524.00 1,396.00
75.00 775.00 491.75 544.00 3,100.00 250.00 4,385.75 980.58 - 2,500.00 - 1,680.17 775.00 205.58 286.17 544.00
960.00 7,884.00 1,145.10 1,677.25 275.00 250.00 3,347.35 1,223.19 1,000.00 - 5,660.81 3,347.35 1,223.19 - 1,145.10 1,677.25
2,200.00 49,343.00 29,080.65 3,341.50 4,440.00 - 36,862.15 17,241.03 627.57 1,372.43 31,474.40 35,489.72 17,241.03 - 29,080.65 3,341.50
1,035.00 65,910.00 4,835.31 5,701.25 770.00 820.00 12,126.56 - 600.00 - 65,310.00 12,126.56 - - 4,835.31 5,701.25
45.00 2,885.00 3,424.50 538.50 275.00 3,790.00 8,028.00 - 245.00 1,755.00 2,640.00 6,273.00 - - 3,424.50 538.50
975.00 14,290.00 7,868.45 4,796.75 2,175.00 - 14,840.20 - 1,800.00 - 11,840.00 15,490.20 650.00 (650.00) 7,868.45 4,796.75
1,485.00 1,988.00 - - - - - - 438.00 - 1,550.00 - - - - -
180.00 18,420.00 29,077.50 1,948.75 3,655.00 980.00 35,661.25 12,081.25 - 1,000.00 9,600.00 31,400.00 8,820.00 3,261.25 25,816.25 1,948.75
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 1,920.00 - - - 1,920.00 - - 1,920.00 - - - - 1,920.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 3,840.00 - - - 3,840.00 640.00 - 3,200.00 - - - 640.00 3,200.00 -

- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 960.00 - - - 960.00 - - 600.00 - 360.00 - - 960.00 -
- 900.00 - - - - - - 900.00 - - - - - - -
- - 1,092.00 - - - 1,092.00 - - 1,000.00 - 92.00 - - 1,092.00 -

- - 792.00 - - - 792.00 - - 792.00 - - - - 792.00 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 81.25 - - - 81.25 - - 81.25 - - - - 81.25 -
- 200.00 - - - - - - 200.00 - - - - - - -
- - 420.00 - - - 420.00 - - 400.00 - 20.00 - - 420.00 -
- - 470.50 - - - 470.50 - - 470.50 - - - - 470.50 -
GENERAL CONS CASH
R R
- - 1,470.00 - - - 1,470.00 - - 1,470.00 - - - - 1,470.00 -
- - 316.80 - - - 316.80 - - 316.80 - - - - 316.80 -

- 200.00 - - - - - - 200.00 - - - - - - -
- 400.00 - - - - - - 400.00 - - - - - - -
- - 757.50 130.50 - - 888.00 - - 888.00 - - - - 757.50 130.50
- - 195.00 - - - 195.00 - - 195.00 - - - - 195.00 -
- - 1,150.00 - - - 1,150.00 - - 1,150.00 - - - - 1,150.00 -
- - 1,890.00 - - - 1,890.00 - - 1,890.00 - - - - 1,890.00 -
- 400.00 - - - - - - 400.00 - - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
- 400.00 - - - - - - 400.00 - - - - - - -
- - 414.50 - - - 414.50 - - 400.00 - 14.50 - - 414.50 -
- - - - 960.00 - 960.00 160.00 - 800.00 - - - 160.00 - -
- 200.00 - - - - - - 200.00 - - - - - - -
- - - - - 540.00 540.00 - - 540.00 - - - - - -
- - - - - 400.00 400.00 - - 400.00 - - - - - -
- - 346.50 - - - 346.50 69.30 - 277.20 - - - 69.30 277.20 -
- - 889.00 - 485.00 - 1,374.00 - - 1,374.00 - - - - 889.00 -
- 200.00 - - - 230.00 230.00 - 200.00 230.00 - - - - - -
- - - - 50.00 400.00 450.00 - - 450.00 - - - - - -
- 900.00 - - - - - - 900.00 - - - - - - -
- 900.00 - - - - - - 900.00 - - - - - - -
- 100.00 - - 225.00 300.00 525.00 - 100.00 525.00 - - - - - -

45.00 445.00 546.75 924.00 800.00 250.00 2,520.75 496.08 - 1,400.00 - 1,069.67 445.00 51.08 495.67 924.00
1,485.00 1,988.00 555.60 289.00 - - 844.60 832.60 1,155.40 844.60 - - 832.60 - 555.60 289.00
60.00 780.00 1,857.45 709.50 200.00 250.00 3,016.95 696.95 83.05 3,016.95 - - 696.95 - 1,857.45 709.50
1,187.00 54,092.00 6,319.75 9,406.50 275.00 - 16,001.25 - 2,700.00 - 51,392.00 16,001.25 - - 6,319.75 9,406.50
90.00 16,190.00 9,165.50 644.50 7,705.00 1,030.00 18,545.00 - 2,735.00 - 13,455.00 18,545.00 - - 9,165.50 644.50
GENERAL CONS CASH
R R
75.00 5,575.00 2,730.35 1,733.20 475.00 - 4,938.55 3,513.55 61.45 1,938.55 2,000.00 3,000.00 3,513.55 - 2,730.35 1,733.20
75.00 5,575.00 541.35 1,254.25 275.00 - 2,070.60 2,145.60 500.00 - 2,929.40 2,070.60 2,145.60 - 541.35 1,254.25
45.00 4,545.00 346.50 1,200.75 875.00 - 2,422.25 767.25 1,200.00 - 2,577.75 2,422.25 767.25 - 346.50 1,200.75
1,370.00 1,872.00 - - - - - - 322.00 - 1,550.00 - - - - -

990.00 14,880.00 5,561.70 3,696.50 1,525.00 - 10,783.20 5,663.20 1,000.00 - 8,216.80 10,783.20 5,663.20 - 5,561.70 3,696.50
1,715.00 2,220.00 - 345.75 305.00 - 650.75 320.75 349.25 650.75 1,550.00 - 320.75 - - 345.75
75.00 7,775.00 970.10 1,930.45 675.00 - 3,575.55 650.55 500.00 - 6,124.45 3,575.55 1,150.55 - 970.10 1,930.45
1,370.00 1,872.00 - 350.75 80.00 - 430.75 152.75 169.25 430.75 1,550.00 - 152.75 - - 350.75
45.00 3,045.00 1,527.01 1,479.00 1,405.00 - 4,411.01 1,056.01 - 1,400.00 2,000.00 3,000.00 1,045.00 11.01 1,516.00 1,479.00
3,565.00 17,715.00 1,010.44 1,952.00 2,195.00 250.00 5,407.44 8,072.44 800.00 - 8,842.56 5,407.44 8,072.44 - 1,010.44 1,952.00
1,370.00 1,872.00 - 350.75 - - 350.75 272.75 49.25 350.75 1,550.00 - 272.75 - - 350.75
1,080.00 13,915.00 17,973.75 6,926.80 3,785.00 - 28,685.55 6,100.55 - 8,500.00 7,814.45 20,185.55 6,100.55 - 17,973.75 6,926.80
- - 4,800.00 - - - 4,800.00 900.00 - 3,900.00 - - - 900.00 3,900.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -

- - 651.00 - - - 651.00 - - 651.00 - - - - 651.00 -
- - 1,108.80 - - - 1,108.80 - - 1,108.80 - - - - 1,108.80 -
- - 921.60 - - - 921.60 - - 921.60 - - - - 921.60 -
- - 861.00 - - - 861.00 - - 861.00 - - - - 861.00 -
- - 325.00 - - - 325.00 - - 325.00 - - - - 325.00 -
- - 624.00 7.25 - - 631.25 - - 600.00 - - - 31.25 592.75 7.25
- - 1,108.80 - - - 1,108.80 - - 1,100.00 - - - 8.80 1,100.00 -
105.00 1,305.00 2,552.75 1,498.00 200.00 250.00 4,500.75 1,005.75 299.25 3,300.75 - 1,200.00 1,005.75 - 2,552.75 1,498.00
75.00 875.00 1,323.00 1,429.50 450.00 250.00 3,452.50 690.25 184.75 3,452.50 - - 690.25 - 1,323.00 1,429.50
120.00 5,070.00 3,368.25 224.75 1,990.00 230.00 5,813.00 1,813.35 334.75 1,065.25 2,921.90 4,747.75 1,813.35 - 3,368.25 224.75
2,405.00 32,907.00 5,312.00 4,522.00 3,515.00 250.00 13,599.00 - 2,400.00 - 30,475.00 13,631.00 32.00 (32.00) 5,312.00 4,522.00
125.00 9,525.00 465.05 737.75 3,070.00 230.00 4,502.80 - 500.00 - 9,025.00 4,502.80 - - 465.05 737.75
1,600.00 2,104.00 555.60 289.00 - - 844.60 - 554.00 844.60 1,550.00 - - - 555.60 289.00
90.00 6,090.00 1,359.75 1,951.95 875.00 - 4,186.70 1,776.70 2,000.00 - 2,313.30 4,186.70 1,776.70 - 1,359.75 1,951.95
GENERAL CONS CASH
R R
990.00 14,755.00 10,310.75 5,951.75 805.00 - 17,067.50 5,065.00 - 1,000.00 9,690.00 16,067.50 5,065.00 - 10,310.75 5,951.75
- - 1,043.50 18.50 - - 1,062.00 - - 1,062.00 - - - - 1,043.50 18.50

- - 596.75 - - - 596.75 96.75 - 500.00 - - - 96.75 500.00 -
- - 1,830.00 - - - 1,830.00 - - 1,830.00 - - - - 1,830.00 -
- - 168.00 - - - 168.00 - - 168.00 - - - - 168.00 -

- - - 299.00 - - 299.00 - - 299.00 - - - - - 299.00
- - 360.00 - - - 360.00 - - 360.00 - - - - 360.00 -
- - 216.00 3.75 - - 219.75 - - 200.00 - 19.75 - - 216.00 3.75
- - 1,638.00 - - - 1,638.00 - - 1,638.00 - - - - 1,638.00 -
60.00 6,060.00 2,348.25 1,627.00 275.00 - 4,250.25 5,310.25 749.75 1,250.25 - 3,000.00 5,310.25 - 2,348.25 1,627.00
1,370.00 1,872.00 555.60 289.00 - - 844.60 359.76 1,512.24 844.60 - - 359.76 - 555.60 289.00
1,485.00 1,988.00 - 246.25 - - 246.25 618.25 800.00 - 569.75 246.25 618.25 - - 246.25
105.00 1,305.00 5,761.50 2,017.75 250.00 250.00 8,279.25 1,288.93 16.07 3,083.93 - 5,195.32 1,288.93 - 5,761.50 2,017.75
45.00 9,045.00 2,669.25 870.50 2,275.00 1,030.00 6,844.75 3,129.75 - 300.00 6,984.20 5,475.80 2,060.80 1,068.95 1,600.30 870.50
1,600.00 2,104.00 - 350.75 - - 350.75 504.75 49.25 350.75 1,550.00 - 504.75 - - 350.75
990.00 15,755.00 8,305.10 5,670.50 1,580.00 - 15,555.60 2,710.60 2,600.00 - 10,444.40 15,555.60 2,710.60 - 8,305.10 5,670.50
2,520.00 3,032.00 81.60 297.00 - - 378.60 1,060.60 421.40 378.60 1,550.00 - 1,060.60 - 81.60 297.00
1,485.00 1,988.00 - 331.25 275.00 - 606.25 344.25 93.75 106.25 1,550.00 500.00 344.25 - - 331.25
1,485.00 1,988.00 - 264.75 - - 264.75 - 438.00 264.75 1,550.00 - - - - 264.75
975.00 13,765.00 6,075.20 6,442.00 4,605.00 - 17,122.20 - 2,600.00 - 11,165.00 17,122.20 - - 6,075.20 6,442.00
1,110.00 14,610.00 17,833.45 6,466.50 2,325.00 - 26,624.95 5,910.00 - 600.00 8,700.00 26,024.95 5,910.00 - 17,833.45 6,466.50
- - 960.00 - - - 960.00 - - 900.00 - 60.00 - - 960.00 -
- - 960.00 - - - 960.00 - - 960.00 - - - - 960.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 1,920.00 - - - 1,920.00 320.00 - 1,600.00 - - - 320.00 1,600.00 -
- - 2,880.00 - - - 2,880.00 480.00 - 2,400.00 - - - 480.00 2,400.00 -
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -

GENERAL CONS CASH
R R
- - 960.00 - - - 960.00 160.00 - 800.00 - - - 160.00 800.00 -
- - 960.00 - - - 960.00 192.00 - 200.00 - 568.00 - 192.00 768.00 -
- - - - 280.00 - 280.00 - - 280.00 - - - - - -
- - 234.00 - - - 234.00 - - 200.00 - 34.00 - - 234.00 -
- - 200.00 - - - 200.00 - - 200.00 - - - - 200.00 -
- - - - 200.00 - 200.00 - - 200.00 - - - - - -
- 200.00 - - - - - - 200.00 - - - - - - -
- - - 335.00 - - 335.00 - - 335.00 - - - - - 335.00
- - - - 1,935.00 230.00 2,165.00 - - 1,800.00 - 365.00 - - - -
- - 463.20 - 325.00 - 788.20 - - 788.20 - - - - 463.20 -

- - - - - -
NSIGNMENT LESS DISC GENERAL LESS DISCOUNT
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
LAB RAD CONS BILL CONS CHECK MED SUPP LAB RAD ECG PT MISC BILL LESS GEN.CHECK Meds
OR FEES
LESS DISC DISC
2,085.00 830.00 8,181.15 - - - - - - - - - 78.38 78.38 1,656.62 - -
2,430.00 230.00 6,098.16 67.57 - - - - - - - - - - 1,090.00 - -
500.00 250.00 6,593.52 - - - - - - - - - 6.48 6.48 1,348.52 - -
2,935.00 230.00 7,883.25 - - 121.17 - - 3,550.00 400.00 - 400.00 70.00 4,541.17 2,278.83 - -
875.00 - 5,044.20 - - - - - - - - 2,050.80 105.00 2,155.80 4,449.20 - -
- - 371.50 - - - - - - - - 502.00 1,370.00 1,872.00 - - -
- - 371.50 - - - - - - - - 502.00 1,370.00 1,872.00 - - -
1,485.00 230.00 25,200.00 9,636.65 - - - - - - - 8,005.00 1,595.00 9,600.00 6,555.00 - -
- - 780.00 - - - - - - - - - - - - - 780.00
- - 953.70 - - - - - - - - - - - - - 953.70
- - 207.60 - - - - - - - - - - - - - 200.00
- - 1,920.00 - - - - - - - - - - - - - 1,900.00
- - 552.00 - - - - - - - - - - - - - 552.00
- - 986.40 - - - - - - - - - - - - - 986.40
- - 502.00 - - - - - - - - - - - - - 502.00
1,210.00 - 1,210.00 - - - - - - 200.00 - - - 200.00 - - -
250.00 - 250.00 - - - - - - - - - - - - - -
- 230.00 654.00 - - - - - - - - - - - - - 53.00
- 230.00 230.00 - - - - - - - - - - - - - -
- - 2,012.40 - - - - - - - - - - - - - 2,000.00
- - - - - - - - - 200.00 - - - 200.00 - - -
- 300.00 1,205.50 - - - - - - - - 100.00 15.00 115.00 - - -
200.00 300.00 1,459.75 - - 475.52 - - - - - 200.00 30.00 705.52 349.48 - -
2,455.00 600.00 10,965.50 - - - - - - - - 4,279.50 755.00 5,034.50 2,460.50 - -
4,955.00 250.00 10,172.72 - - - - - - - - 3,985.00 225.00 4,210.00 1,625.00 - -
305.00 - 5,562.65 - - 90.00 170.00 - - - - 29,724.00 1,220.00 31,204.00 - - -
- - 780.00 - - - - - - - - - - - - - 780.00
- - 1,530.00 - - - - - - - - - - - - - 1,530.00
- - 200.00 10.00 - - - - - - - - - - - - 200.00
- - 1,782.00 - - - - - - - - - - - - - 1,700.00
250.00 - 250.00 - - - - - - - - - - - - - -
200.00 - 200.00 50.00 - - - - - - - - - - - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
50.00 - 50.00 - - - - - - - - 100.00 15.00 115.00 - - -
1,265.00 - 2,395.00 - - - - - - - - 190.00 15.00 205.00 310.00 - 209.75
- - 335.60 - - - - - - - - - 1,664.40 1,664.40 555.60 - 81.60
675.00 - 2,761.25 - - - - - - - - 648.75 90.00 738.75 3,351.25 - -
2,080.00 - 3,579.27 125.48 - - - - - - - - - - 660.00 - -
3,785.00 250.00 7,161.70 - - - - - - - - 18.33 40.00 58.33 796.67 - -
3,155.00 830.00 9,907.35 - - - - - - - - 807.76 165.00 972.76 2,292.24 - -
2,090.00 1,430.00 7,714.00 - - - - - - - - 1,001.00 285.00 1,286.00 2,549.00 - -

250.00 230.00 8,849.17 - - - - - - - - 880.08 120.00 1,000.08 1,359.92 - 6,249.75
2,575.00 - 17,408.75 - - 90.00 170.00 - - - - 55,000.00 1,335.00 56,595.00 - - -
2,345.00 - 6,510.20 - - - - - - - - 2,899.80 90.00 2,989.80 1,100.20 - -
- - 253.25 - - - - - - - - - 1,696.75 1,696.75 639.25 - -

- - 350.75 - - - - - - - - - 1,599.25 1,599.25 620.75 - -
355.00 250.00 3,421.25 - - 2,058.75 - - - - - 8,310.00 2,060.00 12,428.75 101.25 - -
875.00 - 3,195.70 - - - - - - - - 5,500.00 75.00 5,575.00 - - -

730.00 - 1,257.75 - - - - - - - - 5,787.25 2,405.00 8,192.25 2,432.75 - -
405.00 230.00 6,733.00 - - - - - - - - 7,467.00 740.00 8,207.00 1,033.00 - -
1,840.00 230.00 17,294.85 - - - - - - - - 10,935.15 770.00 11,705.15 3,049.85 - -
1,325.00 - 4,860.45 - - - - - - - - 8,520.00 60.00 8,580.00 - - -

- - 367.25 - - - - - - - - 412.75 1,370.00 1,782.75 89.25 - -
2,885.00 - 14,688.80 - - - - - - - - 6,791.20 1,020.00 7,811.20 7,973.80 - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
3,210.00 - 26,796.57 - - - - - - - - 15,668.43 1,535.00 17,203.43 5,421.57 - -
1,325.00 230.00 19,024.25 - - - - - - - - 12,670.75 1,505.00 14,175.75 1,194.25 - -
7,930.00 3,000.00 35,340.15 - - - - - - - - 9,544.85 615.00 10,159.85 14,527.15 - -
1,900.00 - 1,900.00 2,270.00 - - - - - - - 350.00 - 350.00 - (2,250.00) -
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

800.00 - 800.00 2,410.00 - - - - - - - 350.00 - 350.00 - (2,250.00) -
960.00 - 960.00 2,250.00 - - - - - - - 350.00 - 350.00 - (2,250.00) -
- - 988.50 - - - - - - - - - - - - - 988.50
- - 577.50 - - - - - - - - - - - - - 577.50
- - 397.25 - - - - - - - - - - - - - 397.25
- - 792.00 - - - - - - - - - - - - - 792.00
- - - - - - - - - - 1,400.00 - - 1,400.00 - - -
- - 372.00 - - - - - - - - - - - - - -
- - 707.00 - - - - - - - - - - - - - 707.00
- - 1,861.00 - - - - - - - - - - - - - 1,821.00
- - 1,466.50 - - - - - - - - - - - - - 1,461.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 312.00 - - - - - - - - - - - - - 125.50
- - 797.00 - - - - - - - - - - - - - 797.00
- - 990.00 - - - - - - - - - - - - - 990.00
- - 448.00 - - - - - - - - - - - - - 448.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 757.50 - - - - - - - - - - - - - 757.50
- - 960.00 - - - - - - - - - - - - - 960.00
- - 270.00 - - - - - - - - - - - - - 270.00
- - 437.50 - - - - - - - - - - - - - 400.00
- - 1,998.00 - - - - - - - - - - - - - 1,998.00
- - 954.00 - - - - - - - - - - - - - 954.00
- - 623.50 - - - - - - - - - - - - - 600.00
- - 2,214.00 - - - - - - - - - - - - - 2,214.00
- 650.00 650.00 - - - - - - - - - - - - - -
720.00 230.00 950.00 - - - - - - - - - - - - - -

- 230.00 695.00 - (200.00) - - - - - - - - - 200.00 - 465.00
- 400.00 400.00 - - - - - - - - - - - - - -
725.00 - 725.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- 400.00 400.00 60.00 - - - - - - - - - - - - -
- 250.00 250.00 - - - - - - - - - - - - - -
280.00 - 280.00 - - - - - - - - - - - - - -
50.00 - 50.00 - - - - - - - - - - - - - -
1,120.00 - 1,120.00 - - - - - - 200.00 - - - 200.00 - - -
725.00 - 725.00 - - - - - - - - - - - - - -
240.00 - 240.00 - - - - - - - - - - - - - -
450.00 - 450.00 - - - - - - - - - - - - - -
- 530.00 1,224.00 - - - - - - - - - - - - - 694.00
- - 195.00 - - - - - - - - - - - - - 195.00
330.00 230.00 560.00 - - - - - - 200.00 - - - 200.00 - - -
- 230.00 230.00 - - - - - - - - - - - - - -
660.00 - 3,200.00 3,189.75 - - - - - - - - - - 4,660.00 - -
1,815.00 230.00 22,882.70 - - - - - - - - 787.30 2,330.00 3,117.30 10,717.70 - -

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
11,075.00 1,030.00 18,600.00 39,282.63 - - - - - - - - - - 23,805.00 - -
- - 445.10 - - - - - - - - 503.00 1,485.00 1,988.00 - - 81.60

905.00 - 11,599.85 - - 30.00 170.00 - - - - 12,600.00 960.00 13,760.00 - - -
2,250.00 - 16,370.35 - - - - - - - - 16,139.65 1,490.00 17,629.65 1,065.35 - -
1,575.00 - 16,922.70 - - - - - - - - 8,027.83 1,050.00 9,077.83 4,232.17 - -
1,635.00 - 17,462.45 - - - - - - - - 11,817.55 1,020.00 12,837.55 3,997.45 - -
9,465.00 460.00 30,599.35 6,244.00 - 940.65 - 100.00 - 400.00 - 10,400.00 160.00 12,000.65 3,769.35 - -
5,040.00 630.00 43,300.00 17,676.21 - - - - - - - 3,600.00 600.00 4,200.00 6,000.00 - 4,273.50
- - 768.00 192.00 - - - - - - - - - - - - 768.00

- - 751.75 - - - - - - - - - - - - - 751.75
- - 2,795.00 - - - - - - - - - - - - - 2,795.00
- - 497.00 - - - - - - - - - - - - - 497.00
- - 315.25 - - - - - - - - - - - - - 300.00
- - 500.00 85.00 - - - - - - - - - - - - 500.00
- - 1,000.00 9.75 - - - - - - - - - - - - 485.25

- - 1,512.00 - (9.75) - - - - - - - - - - - 1,512.00
- - 568.00 - - - - - - - - - - - - - 568.00
- - 297.00 - - - - - - - - - - - - - 297.00
- - 330.00 - - - - - - - - - - - - - 330.00
- - 803.50 - - - - - - - - - - - - - -
- - 1,386.00 - - - - - - - - - - - - - 1,386.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 200.00 16.00 - - - - - - - - - - - - 200.00
- - 2,174.00 - (16.00) - - - - - - - - - - - 2,174.00
- - 1,212.75 - - - - - - - - - - - - - 1,212.75
- - - - - - - - - - 200.00 - - 200.00 - - -
- - - 80.00 - - - - - - - - - - - (80.00) -
- - 497.00 - - - - - - - - - - - - - 497.00
- - 2,002.50 - - - - - - - - - - - - - 2,002.50
- - 402.00 - - - - - - - - - - - - - 334.00
- - 500.00 - - - - - - - - - - - - - 300.00
- - 1,000.00 - - - - - - - - - - - - - 864.00
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 353.50 - - - - - - - - - - - - - 353.50
- - 497.00 - - - - - - - - - - - - - 497.00
- - 1,638.00 - - - - - - - - - - - - - 1,638.00
- 800.00 800.00 - - - - - - - - - - - - - -
1,645.00 230.00 1,875.00 - - - - - - 200.00 - - - 200.00 - - -
1,220.00 230.00 1,450.00 - (200.00) - - - - - - - - - 200.00 - -
110.00 - 110.00 - - - - - - - - - - - - - -
650.00 - 650.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
1,700.00 - 1,700.00 - - - - - - - - - - - - - -
1,085.00 - 1,085.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
- 460.00 592.00 - - - - - - - - - - - - - 132.00
1,090.00 - 1,090.00 - - - - - - - - - - - - - -
- - 390.00 - - - - - - - - - - - - - 390.00
2,265.00 - 2,265.00 - - - - - - - - - - - - - -
- 690.00 1,290.00 - - - - - - - - - - - - - 600.00
- 600.00 600.00 - - - - - - - - - - - - - -
- - 722.50 - - - - - - - - - - - - - 565.50
- 280.00 280.00 - - - - - - - - - - - - - -
575.00 - 575.00 - - - - - - - - - - - - - -
1,560.00 230.00 6,341.75 - - 1,303.25 - - - - - 200.00 55.00 1,558.25 1,036.75 - -
4,185.00 760.00 16,758.54 - - - - - - - - 3,674.65 225.00 3,899.65 3,425.35 - -
3,965.00 - 20,689.03 - - - - - - - - 9,915.97 1,095.00 11,010.97 4,444.03 - -
1,325.00 - 2,839.75 150.00 - - - - - - - 2,970.25 90.00 3,060.25 1,029.75 - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
825.00 230.00 12,280.00 - - - - - - - - 6,980.00 960.00 7,940.00 2,138.00 - -
705.00 - 12,555.02 - - - - - - - - 24,390.00 1,614.00 26,004.00 35,365.62 - -
- - 768.00 192.00 - - - - - - - - - - - - 768.00

- - 1,008.00 - - - - - - - - - - - - - 1,008.00
- - 582.50 - - - - - - - - - - - - - 582.50
- - 1,588.50 - - - - - - - - - - - - - 1,588.50
- - 795.60 - - - - - - - - - - - - - 795.60
- - 1,579.50 - - - - - - - - - - - - - 1,579.50
- - 284.00 - - - - - - - - - - - - - 284.00
- - 588.00 - - - - - - - - - - - - - 588.00
- - 193.00 - - - - - - - - - - - - - 193.00
- - 321.90 - - - - - - - - - - - - - 321.90
- - 260.00 - - - - - - - - - - - - - 260.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 768.00 192.00 - - - - - - - - - - - - 768.00
- - 2,324.00 - - - - - - - - - - - - - 2,300.00
- - 436.75 - - - - - - - - - - - - - -
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 1,484.00 - - - - - - - - - - - - - 1,484.00
- - 628.74 - - - - - - - - - - - - - 600.00
- - 995.00 - - - - - - - - - - - - - 894.00
- - 1,998.00 - - - - - - - - - - - - - 1,998.00
- - 576.00 - - - - - - - - - - - - - 576.00
- - 485.10 - - - - - - - - - - - - - 485.10
- 230.00 230.00 - - - - - - - - - - - - - -
950.00 - 950.00 - - - - 100.00 - - - - - 100.00 - - -
- 500.00 500.00 - - - - - - - - - - - - - -
620.00 - 620.00 - - - - - - - - - - - - - -
325.00 - 325.00 - - - - - - - - - - - - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - - - - - - - - - 200.00 - - 200.00 - - -
- 630.00 630.00 - - - - - - - - - - - - - -
1,870.00 400.00 2,270.00 - - - - - - - - - - - - - -
- - - - - - - - - 900.00 - - - 900.00 - - -
- 230.00 230.00 - - - - - - - - - - - - - -
650.00 - 650.00 - - - - - - - - - - - - - -
1,624.00 1,030.00 2,654.00 406.00 - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
725.00 - 725.00 - - - - - - - - - - - - - -
- - 330.00 - - - - - - - - - - - - - 330.00
- 230.00 230.00 - - - - - - - - - - - - - -
810.00 - 810.00 - - - - - - - - - - - - - -
- - - - - - - - - 2,200.00 - - - 2,200.00 - - -
- 500.00 500.00 30.00 - - - - - - - - - - - - -

750.00 - 750.00 - - - - - - - - - - - - - -
1,645.00 - 1,645.00 - - - - - - - - - - - - - -
- - 2,710.00 - - - - 50.00 - - - - - 50.00 - - 210.00
- - 236.00 - - - - - - - - - - - - - 236.00
1,850.00 - 1,850.00 - - - - - - - - - - - - - -
- 620.00 1,255.00 - - - - - - - - - - - - - -
275.00 - 550.00 - - - - - - - - - 1,050.00 1,050.00 938.00 - -
2,755.00 230.00 11,379.50 - - 548.55 - - 900.00 200.00 - 2,400.00 195.00 4,243.55 2,811.45 - -
905.00 230.00 3,073.46 - - - - - - - - 368.15 105.00 473.15 831.85 - -
1,430.00 250.00 4,206.34 - - - - - - - - 1,058.66 135.00 1,193.66 541.34 - -

200.00 - 200.00 454.10 - - - - - - - 4,563.29 1,255.00 5,818.29 206.00 - -
305.00 - 3,581.20 - - - - - - - - 18,601.92 212.00 18,813.92 1,383.20 - -
1,430.00 - 4,187.20 - - - - - - - - 2,252.80 60.00 2,312.80 2,747.20 - -
3,725.00 250.00 11,155.00 - - - - - - - - 10,230.00 4,065.00 14,295.00 2,840.00 - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
4,630.00 - 26,864.25 - - - - - - - - 11,425.75 2,710.00 14,135.75 7,229.25 - -
- - 768.00 192.00 - - - - - - - - - - - - 700.00
- - 768.00 192.00 - - - - - - - - - - - - 768.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 1,536.00 384.00 - - - - - - - - - - - - 1,536.00
- - 1,153.50 - - - - - - - - - - - - - 1,153.50
- - 1,584.00 - - - - - - - - - - - - - 1,300.00
- - 732.20 - - - - - - - - - - - - - 732.20
- - 1,008.00 - - - - - - - - - - - - - 1,000.00
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 200.00 2.00 - - - - - - - - - - - - 200.00
- - 321.00 - - - - - - - - - - - - - 321.00
- - 546.00 - - - - - - - - - - - - - 546.00
- - 180.00 - - - - - - - - - - - - - 180.00
- - 540.75 - - - - - - - - - - - - - 540.75
- - 197.70 - - - - - - - - - - - - - 197.70
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 64.38 - - - - - - - - - - - - - 64.38
- - 391.00 - - - - - - - - - - - - - 391.00
- 230.00 392.00 - - - - - - - - - - - - - 162.00
- - 105.00 - - - - - - - - - - - - - 100.00
- - 690.00 - - - - - - - - - - - - - 690.00
- - 800.00 191.00 - - - - - - - - - - - - 560.00
- - - - - - - - - - 800.00 - - 800.00 - - -
- - 437.50 - - - - - - - - - - - - - 400.00
250.00 - 250.00 - - - - - - - - - - - - - -
- - 990.00 - - - - - - - - - - - - - 990.00
- - 240.00 - - - - - - - - - - - - - 240.00
- - 1,242.00 - - - - - - - - - - - - - 1,200.00
- - 1,890.00 - - - - - - - - - - - - - 1,890.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- 800.00 800.00 - - - - - - - - - - - - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
- 800.00 800.00 - - - - - - - - - - - - - -
200.00 - 200.00 - - - - - - - - - - - - - -
- - - - - - - - 3,100.00 - - - - 3,100.00 690.00 - -
1,315.00 - 1,315.00 1,300.25 - - - - - - - - - - - - -
- 500.00 500.00 - - - - - - - - - - - - - -
- - - - - - - - - 200.00 - - - 200.00 - - -
1,025.00 250.00 1,275.00 - - - - - 100.00 - - - - 100.00 - - -
680.00 - 680.00 - - - - - - - - - - - - - -
1,450.00 - 1,450.00 - - - - - - 200.00 - - - 200.00 - - -
2,150.00 - 2,150.00 - - - - - - - - - - - - - -
- 310.00 310.00 - - - - - - - - - - - - - -
750.00 190.00 940.00 - - - - - 5,950.00 - - - - 5,950.00 - - -
- - 1,500.00 107.30 - - - - - - - - - - - - 383.00
920.00 250.00 3,791.75 - - - - - - - - 71.82 60.00 131.82 778.18 - 261.25
860.00 230.00 11,000.00 10,257.40 - - - - - - - - - - 16,400.00 - -
675.00 - 3,328.45 - - - - - - - - 3,900.00 75.00 3,975.00 - - -
705.00 - 3,164.95 - - - - - - - - 6,700.00 45.00 6,745.00 - - -
- - 527.00 - - - - - - - - 502.00 1,370.00 1,872.00 - - 129.75
- - 297.50 - - - - - - - - 497.50 1,255.00 1,752.50 3.50 - -
2,635.00 - 7,236.45 - - 4,513.55 - - - - - 5,010.00 440.00 9,963.55 436.45 - -
2,515.00 600.00 12,348.25 9,570.00 - - - - - - - - 6,901.75 6,901.75 49,513.25 - -
- - 271.00 - - - - - - - - 502.00 1,370.00 1,872.00 - - -
675.00 - 4,361.25 - - - - - - - - 6,078.75 60.00 6,138.75 1,121.25 - -
- - 379.10 - - - - - - - - 300.90 1,370.00 1,670.90 201.10 - 81.60

2,375.00 230.00 19,135.50 - - - - - - - - 6,040.00 135.00 6,175.00 - - -
1,525.00 - 20,480.85 - - - - - - - - 10,054.15 1,065.00 11,119.15 8,135.85 - -
705.00 - 3,069.75 - - - - - - - - 3,870.25 60.00 3,930.25 1,129.75 - -
2,890.00 - 5,724.25 - - - - - - - - 5,140.75 135.00 5,275.75 4,559.25 - -

875.00 - 5,003.70 - - - - - - - - 3,700.00 45.00 3,745.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
3,905.00 - 20,007.50 - - - - - - - - 11,097.50 1,095.00 12,192.50 8,092.50 - -
4,205.00 1,030.00 10,328.00 - - - - - - - - 5,797.00 75.00 5,872.00 3,243.00 - -

768.00 - 768.00 2,442.00 - - - - - - - 350.00 - 350.00 - (2,250.00) -
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - - - - - - - - - 1,000.00 - - 1,000.00 - - -
- - 566.75 - - - - - - - - - - - - - 566.75
- - 390.00 - - - - - - - - - - - - - 390.00
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 437.50 - - - - - - - - - - - - - 437.50
- - 90.00 - - - - - - - - - - - - - 90.00
- - - - - - - - - - 1,400.00 - - 1,400.00 - - -
- - 1,500.00 - - - - - - - - - - - - - 1,500.00
- - 745.50 - - - - - - - - - - - - - 745.50
- - 745.50 - - - - - - - - - - - - - 745.50
- - 782.00 - - - - - - - - - - - - - 782.00
- - 600.00 147.00 - - - - - - - - - - - - 600.00

- - 660.00 - - - - - - - - - - - - - 660.00
- - 656.00 - - - - - - - - - - - - - 656.00
- - 500.00 41.25 - - - - - - - - - - - - 500.00
- - 397.75 - - - - - - - - - - - - - 397.75
- - 503.00 - - - - - - - - - - - - - 503.00
- - 941.00 - - - - - - - - - - - - - 941.00
- - 541.00 - - - - - - - - - - - - - 541.00
- - 700.00 155.75 - - - - - - - - - - - - 700.00
- - 176.75 - - - - - - - - - - - - - 176.75
- 640.00 640.00 160.00 - - - - - - - - - - - - -
- - - - - - - - 3,550.00 - - - - 3,550.00 - - -
- - - - - - - 900.00 - - - - - 900.00 - - -
250.00 - 250.00 - - - - - - - - - - - - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
325.00 - 325.00 - - - - - - - - - - - - - -
500.00 - 500.00 120.00 - - - - - - - - - - - - -
200.00 - 200.00 - - - - - - - - - - - - - -
- - 266.50 - - - - 50.00 - - - - - 50.00 - - 84.75
- 400.00 400.00 - - - - - - - - - - - - - -
2,425.00 - 2,425.00 - - - - - - - - - - - - - -
- - - - - - - - - - 400.00 - - 400.00 - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- 230.00 230.00 - - - - - - 200.00 - - - 200.00 - - -
- 230.00 1,486.50 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
675.00 - 3,801.75 - - - - - - - - 1,138.25 60.00 1,198.25 2,661.75 - -
1,400.00 - 10,271.50 140.00 - - - - - - - 10,168.50 960.00 11,128.50 326.50 - -
2,455.00 - 7,378.50 - - - - - - - - 6,064.50 695.00 6,759.50 1,000.50 - -
1,385.00 - 5,151.30 - - - - - - - - 6,298.70 150.00 6,448.70 3,901.30 - -
- - 271.00 - - - - - - - - 379.00 1,600.00 1,979.00 125.00 - -
875.00 - 2,999.50 - - - - - - - - 3,910.50 90.00 4,000.50 2,089.50 - -
1,775.00 - 7,607.75 - - - - - - - - 4,497.25 695.00 5,192.25 2,662.75 - -

705.00 - 2,494.50 - - - - - - - - 3,700.00 45.00 3,745.00 - - -
- - 2,873.50 - - - - - - - - 4,500.00 45.00 4,545.00 - - -
- - 3,503.65 - - - - - - - - 4,500.00 45.00 4,545.00 - - -
5,475.00 230.00 20,475.75 - - - - - - - - 6,625.00 1,035.00 7,660.00 8,685.00 - -
815.00 - 1,713.25 - - - - - - - - 6,831.75 2,405.00 9,236.75 1,388.25 - -
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 687.00 - - - - - - - - - - - - - 687.00
- - 276.50 - - - - - - - - - - - - - 276.50
- - 504.00 - - - - - - - - - - - - - 504.00
- 230.00 230.00 - - - - - - - - - - - - - -
280.00 230.00 724.50 - - - - - - - - - - - - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
250.00 250.00 6,545.75 - - - - - - - - 216.42 120.00 336.42 1,183.58 - -
770.00 250.00 4,000.00 592.09 - - - - - - - - - - 1,305.00 - 1,503.50
1,725.00 - 13,799.50 - - - - - - - - 8,195.50 1,005.00 9,200.50 7,964.50 - -
- - 379.10 - - - - - - - - 455.90 1,715.00 2,170.90 49.10 - 81.60
1,555.00 - 12,669.35 - - - - - - - - 12,575.65 755.00 13,330.65 339.35 - -
- - 1,078.50 - - - - - - - - - - - - - 1,078.50
- - 182.40 - - - - - - - - - - - - - 182.40
- - 1,128.00 - - - - - - - - - - - - - 1,128.00
- - 1,401.75 - - - - - - - - - - - - - 1,400.00
- - 1,120.50 - - - - - - - - - - - - - 1,120.50
- - 168.00 - - - - - - - - - - - - - 168.00
- 230.00 1,000.00 5.25 - - - - - - - - - - - - -
905.00 580.00 1,511.50 - - - - - - - - - - - - - -
675.00 - 3,505.45 - - - - - - - - 1,449.55 45.00 1,494.55 2,250.45 - -
- - 1,697.75 - - - - - - - - 487.22 90.00 577.22 512.78 - -
505.00 430.00 3,138.50 - - - - - - - - 1.50 60.00 61.50 598.50 - 129.00
1,350.00 - 3,519.50 - - - - - - - - 2,400.00 60.00 2,460.00 - - -
- - 825.85 - - - - - - - - 439.15 1,485.00 1,924.15 63.85 - 555.60
705.00 - 2,930.50 - - - - - - - - 7,109.50 60.00 7,169.50 90.50 - -
200.00 250.00 4,351.50 - - 240.00 - - - - - 1,300.00 40.00 1,580.00 - - -
- - 227.50 - - - - - - - - 7.50 1,715.00 1,722.50 497.50 - -
1,295.00 230.00 9,965.85 - - 90.00 170.00 - - - - 13,400.00 960.00 14,620.00 - - -
2,115.00 230.00 24,196.78 - - - - - - - - 7,963.22 240.00 8,203.22 7,956.78 - -
2,475.00 - 5,154.25 - - 2,280.00 - - - - - 1,700.00 780.00 4,760.00 - - 1,268.50
1,725.00 - 12,510.76 - - 120.00 75.00 1,800.00 - - - 14,600.00 1,520.00 18,115.00 - - -
275.00 - 9,785.70 - - 90.00 170.00 100.00 - - - 50,520.00 1,062.00 51,942.00 - - -

75.00 - 446.50 - (167.00) - - - - - - 5,935.00 1,370.00 7,305.00 167.00 - -
- - 960.00 - - - - - - - - - - - - - 960.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 1,920.00 - - - - - - - - - - - - - 1,900.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 768.00 192.00 - - - - - - - - - - - - 600.00
- - 1,536.00 384.00 - - - - - - - - - - - - 1,536.00
- - 2,304.00 576.00 - - - - - - - - - - - - 2,200.00
- - 687.50 - - - - - - - - - - - - - 687.50
- - 1,579.50 - - - - - - - - - - - - - 1,579.50
- - 1,360.00 - - - - - - - - - - - - - 1,360.00
- - 576.00 - - - - - - - - - - - - - 576.00
- - 1,900.00 20.00 - - - - - - - - - - - - 1,900.00
- - 591.00 - - - - - - - - - - - - - 591.00
2,020.00 - 2,220.00 - - - - - - - - - - - - - -
- - 176.75 - - - - - - - - - - - - - 176.75
- - 309.75 - - - - - - - - - - - - - 309.75
- - 757.50 - - - - - - - - - - - - - 757.50
- - 192.00 - - - - - - - - - - - - - 192.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 100.00 9.75 - - - - - - - - - - - - 100.00
- - 1,590.75 - - - - - - - - - - - - - 1,590.75
- - 489.00 - - - - - - - - - - - - - 489.00
1,490.00 1,030.00 3,451.00 - - - - - - 200.00 - - - 200.00 - - 931.00
- 230.00 1,237.50 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
755.00 - 755.00 - - - - - - - - - - - - - -
- - - - - - - - 2,200.00 - - - - 2,200.00 - - -
325.00 - 325.00 - - - - - - - - - - - - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
- - 940.50 - - - - - - - - - - - - - 540.00
- - - - - - - - 3,790.00 - - - - 3,790.00 - - -
- - - - - - - - 4,350.00 - - - - 4,350.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
250.00 - 1,203.50 - - - - - 1,030.00 200.00 - - - 1,230.00 - - -
- - - - - - - - 3,790.00 - - - - 3,790.00 - - -
- - 2,365.75 - - - - - - - - - - - - - 865.75
600.00 250.00 2,241.50 - - 600.00 - - - - - 1,000.01 90.00 1,690.01 - - 909.00
325.00 - 2,112.00 - - - - - - - - 149.30 60.00 209.30 450.70 - 1,018.50

1,050.00 250.00 2,000.00 1,214.00 - - - - - - - - - - 3,135.00 - -
2,035.00 300.00 9,510.35 - - - - - - - - 384.65 105.00 489.65 3,215.35 - -
- - 959.85 - - - - - - - - - 1,340.15 1,340.15 735.85 - 255.60
720.00 250.00 4,778.00 15.69 - - - - - - - - - - 875.00 - -
995.00 250.00 5,000.00 552.10 - - - - - - - - - - 890.00 - -
5,385.00 230.00 14,052.10 - - - - - - 182.26 - 3,000.00 240.00 3,422.26 2,817.74 - -
675.00 - 5,005.15 - - - - - - - - 4,000.00 90.00 4,090.00 - - -
675.00 - 4,731.20 - - - - - - - - 4,100.00 105.00 4,205.00 - - -
1,450.00 - 11,536.50 - - 120.00 170.00 - - - - 11,600.00 990.00 12,880.00 - - -
1,000.00 - 4,438.00 - - - - - - - - 3,500.00 90.00 3,590.00 - - -
1,920.00 1,780.00 14,749.40 3,637.35 - - - - - - - 5,284.00 180.00 5,464.00 1,416.00 - -
1,525.00 - 9,718.20 - (108.00) - - - - - - 11,453.80 1,020.00 12,473.80 606.20 - -
5,000.00 - 16,525.75 - - 120.00 75.00 - - - - 19,500.00 1,535.00 21,230.00 - - -
- - 941.60 - - - - - - - - 493.40 1,715.00 2,208.40 11.60 - 214.00
4,435.00 230.00 26,157.42 - - - - 1,547.58 - - - 17,100.00 1,095.00 19,742.58 2,292.42 - -
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

- - 960.00 - - - - - - - - - - - - - 960.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 600.00 360.00 - - - - - - - - - - - - 600.00
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 296.25 - - - - - - - - - - - - - 296.25
- - 631.25 - - - - - - - - - - - - - 592.75
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 252.00 - - - - - - - - - - - - - 200.00
- - 195.00 - - - - - - - - - - - - - 195.00
- - 829.50 - - - - - - - - - - - - - 800.00
- - 625.00 - - - - - - - - - - - - - 600.00
- - 108.00 - - - - - - - - - - - - - 108.00
- - 895.75 - - - - - - - - - - - - - 895.75
- - 371.00 - - - - - - - - - - - - - 371.00
- - 48.80 - - - - - - - - - - - - - 48.80
- - 396.00 - - - - - - - - - - - - - 396.00
- - 574.50 - - - - - - - - - - - - - 574.50
- - 660.00 - - - - - - - - - - - - - 660.00
- - 1,202.75 - - - - - - - - - - - - - 486.00
- - 1,386.00 - - - - - - - - - - - - - 1,386.00
- - 1,386.00 - - - - - - - - - - - - - 1,386.00
- - 398.25 - - - - - - - - - - - - - 398.25
- - 1,299.65 - - - - - - - - - - - - - 1,299.65
- - 671.25 - - - - - - - - - - - - - 671.25
- - 890.50 - - - - - - - - - - - - - 432.00
- - 1,852.50 - - - - - - - - - - - - - 1,852.50
- - 62.50 - - - - - - - - - - - - - 62.50
- - 62.50 - - - - - - - - - - - - - 62.50
- - 62.50 - - - - - - - - - - - - - 62.50
- - 497.00 - - - - - - - - - - - - - 497.00
- - 495.00 - - - - - - - - - - - - - 495.00
910.00 - 910.00 - - - - - - - - - - - - - -
- 900.00 900.00 - - - - - - - - - - - - - -
1,500.00 - 1,500.00 - - - - - - 200.00 - - - 200.00 - - -
- 540.00 540.00 - - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
- 300.00 300.00 - - - - - - - - - - - - - -
- 310.00 310.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- - - - - - - - - 200.00 - - - 200.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 570.00 - - - - - - - - - - - - - -
- 900.00 900.00 - - - - - - - - - - - - - -
440.00 - 1,108.40 - - - - 50.00 - - - - - 50.00 - - 345.90
920.00 900.00 1,820.00 - - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
- - 1,795.50 - - - - - - - - - - - - - 1,795.50
- - 1,536.00 384.00 - - - - - - - - - - - - 1,200.00
- 230.00 230.00 - - - - - - - - - - - - - -
- - - - - - - - 4,510.00 - - - - 4,510.00 - - -
- - 200.00 30.00 - - - - - - - - - - - - 200.00
- 800.00 1,052.00 - - - - - - - - - - - - - 200.00
- - 577.50 - - - - - 900.00 - - - - 900.00 - - 500.00
1,015.00 250.00 1,810.42 22.83 - - - - - - - - - - 435.00 - 318.50

240.00 - 667.00 - - - - - - - - 3.00 1,830.00 1,833.00 503.00 - -
455.00 - 1,230.75 - - - - - - - - 69.25 30.00 99.25 330.75 - 51.75
2,055.00 250.00 4,265.04 85.56 (0.00) - - - - - - - - - 875.00 - -

790.00 540.00 7,307.05 217.45 - - - - - - - - - - 875.00 - 363.00
200.00 250.00 5,854.52 - - 1,034.55 - - - - - 1,300.00 120.00 2,454.55 1,275.45 - -

250.00 460.00 3,796.00 - - - - - 2,102.40 - - 1,600.00 135.00 3,837.40 1,687.60 - -
4,645.00 2,620.00 16,000.00 21,614.70 - - - - - - - - - - 9,225.00 - -
7,570.00 230.00 14,737.82 736.43 - - - - - - - - - - 1,335.00 - -
6,160.00 230.00 24,944.08 - - - - - - - - 23,362.00 237.00 23,599.00 10,000.00 - -
- - 297.50 - - - - - - - - 504.00 1,600.00 2,104.00 - - -
1,525.00 - 12,644.25 - - - - - - - - 6,735.75 1,020.00 7,755.75 5,199.25 - -
675.00 - 3,105.45 - - - - - - - - 5,000.00 60.00 5,060.00 - - -

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
1,905.00 - 15,028.45 - - - - - - - - 11,406.55 1,065.00 12,471.55 2,753.45 - -
675.00 - 4,494.50 - - - - - - - - 3,930.50 75.00 4,005.50 1,569.50 - -
2,500.00 - 17,394.60 - - - - - - - - 8,670.00 1,125.00 9,795.00 5,825.00 - -
3,125.00 - 24,520.00 6,315.38 - - - - - - - 9,760.00 2,420.00 12,180.00 11,890.00 - -
1,900.00 1,380.00 27,846.90 - - - - - - - - 1,553.10 300.00 1,853.10 1,746.90 - -
- - 1,032.50 - - - - - - - - - - - - - 1,032.50
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 1,385.55 - - - - - - - - - - - - - 1,385.55
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 981.00 - - - - - - - - - - - - - 587.00
- - 495.00 - - - - - - - - - - - - - 495.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,300.75 - - - - - - - - - - - - - 1,212.75
- - 205.00 - - - - - - - - - - - - - -
- - 348.00 - - - - - - - - - - - - - 348.00
- - 252.00 - - - - - - - - - - - - - 252.00
- - 607.25 - - - - - - - - - - - - - 600.00
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 1,942.00 - - - - - - - - - - - - - 1,942.00
- - 462.00 - - - - - - - - - - - - - 462.00
- - 1,605.15 - - - - - - - - - - - - - 1,600.00
- - 247.50 - - - - - - - - - - - - - 247.50
- - 495.00 - - - - - - - - - - - - - 495.00
- - 883.00 - - - - - - - - - - - - - 883.00
- - - - - - - - - - 800.00 - - 800.00 - - -
- - - - - - - - - - 800.00 - - 800.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 470.75 - - - - - - - - - - - - - 470.75
- - - - - - - - - - 2,000.00 - - 2,000.00 - - -
- - 300.00 135.00 - - - - - - - - - - - - 300.00
- - 540.00 - - - - - - - - - - - - - 540.00
- - - - - - - - - - 1,000.00 - - 1,000.00 - - -
- - 1,188.25 - - - - - - - - - - - - - 1,188.25
- - 1,606.00 - - - - - - - - - - - - - 1,594.00
- - 481.25 - - - - - - - - - - - - - 481.25
600.00 - 600.00 150.00 - - - - - - - - - - - - -
- 250.00 250.00 - - - - - - - - - - - - - -
650.00 - 650.00 - - - - - - - - - - - - - -
275.00 - 275.00 - - - - - - - - - - - - - -
2,000.00 - 2,000.00 - - - - - - - - - - - - - -
- - - - - 60.00 - - - - - - - 60.00 - - -
430.00 - 430.00 - - - - - - - - - - - - - -
- - - - - - - - 3,790.00 - - - - 3,790.00 - - -
75.00 - 75.00 - - - - - - - - - - - - - -
- 300.00 300.00 - - - - - - - - - - - - - -
- 400.00 1,828.75 - - - - - - - - - - - - - 1,428.75
- 500.00 500.00 - - - - - - - - - - - - - -
- 230.00 230.00 - - - - - - - - - - - - - -
1,570.00 - 1,570.00 - - - - - - - - - - - - - -
- - 400.00 34.00 - - - - - - - - - - - - 400.00
700.00 - 700.00 - - - - 100.00 - - - - - 100.00 - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
- - - - - - - - 3,550.00 - - - - 3,550.00 - - -
- - - - - - - - - - 500.00 - - 500.00 - - -
- 800.00 800.00 - - - - - - - - - - - - - -
680.00 - 680.00 - - - - - - - - - - - - - -
- 540.00 540.00 - - - - - - - - - - - - - -
400.00 510.00 2,161.50 - - - - - - - - - - - - - 787.50
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- 1,720.00 2,513.25 - - - - - - - - - - - - - -
360.00 800.00 1,160.00 - (175.00) - - - - - - - - - 175.00 - -
- 230.00 230.00 - - - - - - 200.00 - - - 200.00 - - -
4,055.00 1,030.00 13,331.00 - - - - 1,809.80 - 200.00 - 3,700.00 120.00 5,829.80 4,790.20 - -
4,535.00 230.00 9,163.95 - - 1,947.10 - - - 400.00 - 400.00 70.00 2,817.10 2,012.90 - -
- - 215.00 - - - - - - - - 183.55 1,600.00 1,783.55 320.45 - -
- - 219.00 - - - - - - - - 183.15 1,600.00 1,783.15 320.85 - -
7,570.00 230.00 8,800.00 1,008.40 - - - - - - - - - - 2,815.00 - -

305.00 - 4,649.93 - - - - - - - - 5,097.51 75.00 5,172.51 1,002.49 - -
11,425.94 230.00 11,655.94 5,841.31 - - - - - - - - - - 615.00 - -
3,795.00 250.00 8,403.75 - - - - - - - - 5,916.25 1,930.00 7,846.25 2,263.75 - -
275.00 - 546.00 - - - - - - - - 4.00 1,600.00 1,604.00 500.00 - -
675.00 - 2,852.25 - - - - - - - - 3,057.75 90.00 3,147.75 2,942.25 - -
610.00 800.00 5,448.75 - - - - - - - - 1,776.25 75.00 1,851.25 453.75 - -

3,795.00 250.00 6,883.50 - - 1,026.50 - - - - - 7,310.00 2,030.00 10,366.50 713.50 - -
1,200.00 230.00 8,439.10 8,005.00 - - - - - - - 2,055.00 195.00 2,250.00 1,995.00 - -
- - 800.00 160.00 - - - - - - - - - - - - 800.00

- - 768.00 192.00 - - - - - - - - - - - - 200.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 577.50 - - - - - - - - - - - - - 577.50
- - 770.00 - - - - - - - - - - - - - 770.00
- - 540.00 - - - - - - - - - - - - - 540.00
- - 270.00 - - - - - - - - - - - - - 200.00
- - 196.50 - - - - - - - - - - - - - 196.50
- - 198.75 - - - - - - - - - - - - - 198.75
- - 571.50 - - - - - - - - - - - - - 571.50
- - 592.10 - - - - - - - - - - - - - 531.60
- - 792.32 - - - - - - - - - - - - - 789.82
- - 96.62 - - - - - - - - - - - - - 96.62
- - - - - - - - - - 200.00 - - 200.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 1,518.75 - - - - - - - - - - - - - 1,297.50
- - 198.00 - - - - - - - - - - - - - 198.00
- - 1,342.50 - - - - - - - - - - - - - 1,188.00
- - 310.25 - - - - - - - - - - - - - 310.25
- - 391.00 - - - - - - - - - - - - - 391.00
- - 126.00 - - - - - - - - - - - - - 126.00
325.00 - 325.00 - - - - - - - - - - - - - -
- - 195.50 - - - - - - - - - - - - - 195.50
- - 398.55 - - - - - - - - - - - - - 353.55
- - 479.50 - - - - - - - - - - - - - 479.50
- - 473.75 - - - - - - - - - - - - - 473.75
- - 1,436.25 - - - - - - - - - - - - - 1,400.00
- - 1,199.25 - - - - - - - - - - - - - 1,199.25
- - 397.00 - - - - - - - - - - - - - 397.00
- - 270.00 - - - - - - - - - - - - - 270.00
- - 540.00 - - - - - - - - - - - - - 540.00
- - 1,789.00 - - - - - - - - - - - - - 1,789.00
- - 1,998.49 - - - - - - - - - - - - - 1,998.49
- - - - - - - - - - 600.00 - - 600.00 - - -
- - 192.00 - - - - - - - - - - - - - 192.00
- - 1,800.00 - - - - - - - - - - - - - 1,800.00
- - 925.50 - - - - - - - - - - - - - 840.00
1,280.00 - 2,100.00 1.75 - - - - - - - - - - - - 820.00
- - - - - - - - - 200.00 - - - 200.00 - - -
- - - - - - - - 3,550.00 - - - - 3,550.00 - - -
- 500.00 500.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
555.00 - 555.00 - - - - - - - - - - - - - -
1,240.00 - 1,240.00 - - - - - - - - - - - - - -
- - - - - - - 1,800.00 - - - - - 1,800.00 - - -
675.00 - 675.00 - - - - - - - - - - - - - -
320.00 230.00 550.00 5.00 - - - 50.00 - - - - - 50.00 - - -
275.00 540.00 5,000.00 53.00 - - - - - - - - - - 660.00 - -
3,875.00 230.00 7,883.97 354.33 - - - - - - - - - - 1,250.00 - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
675.00 - 3,205.00 - - - - - - - - 835.00 60.00 895.00 2,965.00 - -
4,235.00 250.00 20,631.00 - (5,139.75) - - - - - - 57,022.25 320.00 57,342.25 15,139.75 - -
705.00 - 3,452.86 - - - - - - - - 3,442.14 105.00 3,547.14 657.86 - -
80.00 - 363.00 - - - - - - - - 505.00 1,715.00 2,220.00 - - -

1,525.00 - 12,411.75 - - - - - - - - 11,528.25 960.00 12,488.25 2,361.75 - -
2,475.00 - 5,144.25 - - - - - - - - 3,900.00 75.00 3,975.00 - - -
930.00 - 15,954.25 - - - - - - - - 6,500.75 725.00 7,225.75 1,644.25 - 1,032.50
3,050.00 - 19,321.00 - - - - - - - - 11,499.00 1,080.00 12,579.00 9,961.00 - -
- - 848.00 - - - - - - - - - - - - - 800.00
- - 2,430.00 - - - - - - - - - - - - - 2,400.00
- - 400.00 - - - - - - - - - - - - - -
- - 834.50 - - - - - - - - - - - - - 834.50
- - 1,203.00 - - - - - - - - - - - - - 1,134.00
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 577.50 - - - - - - - - - - - - - 577.50
- - 292.50 - - - - - - - - - - - - - 292.50
- - 258.00 - - - - - - - - - - - - - 200.00
- - 639.03 - - - - - - - - - - - - - 600.00
- - 200.00 4.00 - - - - - - - - - - - - 200.00
- - 360.00 - - - - - - - - - - - - - 360.00
- - 832.50 - - - - - - - - - - - - - 832.50
- - 517.00 - - - - - - - - - - - - - 517.00
- - 1,932.50 - - - - - - - - - - - - - 1,500.00
- - 657.60 - - - - - - - - - - - - - 657.60
- - 1,100.00 4.00 - - - - - - - - - - - - 1,100.00
- - 200.00 10.00 - - - - - - - - - - - - 200.00
- - 2,108.40 - - - - - - - - - - - - - 2,108.40
- - 330.00 - - - - - - - - - - - - - 330.00
- - 450.00 - - - - - - - - - - - - - 450.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 800.00 8.00 - - - - - - - - - - - - -
- - 357.25 - - - - - - - - - - - - - -
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 378.00 - - - - - - - - - - - - - 378.00
- - 353.50 - - - - - - - - - - - - - 353.50
- - 782.25 - - - - - - - - - - - - - 782.25
800.00 - 800.00 10.00 - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
- - 192.00 - - - - - - - - - - - - - 192.00
- 250.00 250.00 - - - - - - - - - - - - - -
700.00 - 700.00 - - - - - - - - - - - - - -
- 190.00 190.00 - - - - - - 200.00 - - - 200.00 - - -
- - - - - - - - 2,000.00 - - - - 2,000.00 - - -
- - - - - - - - - 200.00 - - - 200.00 - - -
1,300.00 - 1,300.00 290.00 - - - - - - - - - - - - -
200.00 - 200.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
500.00 - 500.00 - - - - - - - - - - - - - -
1,020.00 - 1,020.00 - - - - - - - - - - - - - -
1,500.00 - 1,500.00 - - - - - - - - - - - - - -
- - - - - - - - 3,550.00 - - - - 3,550.00 - - -
755.00 800.00 3,677.75 - - - - - - - - - 22.25 22.25 1,712.75 - -
1,110.00 - 3,453.00 - - - - - - - - 57.00 90.00 147.00 893.00 - 18.50
80.00 - 80.00 - - - - - - - - 503.00 1,485.00 1,988.00 - - -
675.00 - 3,047.20 - (0.00) - - - - - - 2,892.80 60.00 2,952.80 907.20 - -
675.00 - 3,694.45 - - - - - - - - 2,915.55 90.00 3,005.55 1,084.45 - -

550.00 - 2,755.00 - - 30.00 75.00 - - - - 7,540.00 695.00 8,340.00 - - -
1,525.00 - 12,525.05 - - 120.00 170.00 - - - - 11,600.00 990.00 12,880.00 - - -
2,225.00 530.00 9,655.50 - - - - - - - - 4,000.00 165.00 4,165.00 - - -

4,645.00 - 10,792.20 - - - - - - - - 5,802.80 105.00 5,907.80 2,897.20 - -
3,025.00 - 12,278.40 - - - - - - - - 3,781.60 740.00 4,521.60 4,813.40 - -
- - 960.00 - - - - - - - - - - - - - 960.00
- - 768.00 192.00 - - - - - - - - - - - - 700.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 700.00 260.00 - - - - - - - - - - - - 700.00
- - 1,539.60 - - - - - - - - - - - - - 1,527.60
- - 398.50 - - - - - - - - - - - - - 398.50
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 180.00 - - - - - - - - - - - - - 180.00
- - 608.00 - - - - - - - - - - - - - 600.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,332.00 - - - - - - - - - - - - - 1,332.00
- - 247.50 - - - - - - - - - - - - - 247.50
- - 1,574.51 - - - - - - - - - - - - - 1,000.00
- - 800.00 181.75 - - - - - - - - - - - - 800.00
- - 1,339.50 - - - - - - - - - - - - - 1,339.50
- - 492.00 - - - - - - - - - - - - - 492.00
- - 647.50 - - - - - - - - - - - - - 647.50
- - 1,169.50 - - - - - - - - - - - - - 1,169.50
250.00 - 808.25 - (50.00) - - - - - - - - - 50.00 - 187.00

355.00 - 461.50 - - - - - - - - - - - - - 106.50
- - 730.75 - - - - - - - - - - - - - 438.50
250.00 - 351.00 - - - - - - - - - - - - - 101.00
555.00 230.00 785.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
1,400.00 - 13,579.55 - - - - - - - - 8,225.45 1,195.00 9,420.45 2,233.55 - -
- - 100.00 2.00 - - - - - - - - - - - - 100.00

250.00 - 704.50 - - - - 50.00 - - - - - 50.00 - - 454.50
325.00 - 956.75 - - - - - - - - - - - - - 489.75
- - 822.35 - - - - - - - - - 1,177.65 1,177.65 926.35 - 81.60
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
875.00 - 2,356.70 - - - - - - - - 3,268.30 75.00 3,343.30 2,831.70 - -
250.00 250.00 6,389.80 - - - - - - - - 845.92 92.00 937.92 784.08 - -

2,715.00 1,030.00 10,000.00 8,298.45 - - - - - - - - - - 3,775.00 - -
9,825.00 1,030.00 25,307.62 - - - - 3,850.00 - - - 28,500.00 175.00 32,525.00 - - -
1,125.00 - 13,604.75 - - - - - - - - 6,975.25 1,020.00 7,995.25 7,894.75 - -
- - 355.25 - - - - - - - - - 1,694.75 1,694.75 525.25 - -
675.00 - 2,298.25 - - - - - - - - 3,541.75 60.00 3,601.75 258.25 - -
275.00 - 625.75 - - - - - - - - 339.25 1,485.00 1,824.25 163.75 - -
1,555.00 - 12,871.85 - - - - - - - - 11,138.15 990.00 12,128.15 2,656.85 - -

4,725.00 - 18,933.50 - - - - - - - - 13,891.50 1,505.00 15,396.50 5,523.50 - -
3,025.00 - 20,089.45 - - - - - - - - 11,845.55 1,065.00 12,910.55 8,144.45 - -
1,810.00 - 13,825.50 - - 120.00 170.00 - - - - 16,500.00 2,725.00 19,515.00 - (164.00) -
- - 1,536.00 384.00 - - - - - - - - - - - - 1,500.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - - - - 174.00 - - - - - - - 174.00 - - -
- - 960.00 - (8.00) - - - - - - - - - - - 192.00
- - 829.50 - - - - - - - - - - - - - 829.50
- - 832.50 197.50 - - - - - - - - - - - - 800.00
- - 685.75 - - - - - - - - - - - - - 685.75
- - 678.00 - - - - - - - - - - - - - 678.00
- - 568.00 - - - - - - - - - - - - - 432.00
- - 214.00 - - - - - - - - - - - - - -
200.00 - 200.00 - - - - - - - - - - - - - -
- - 652.50 - - - - - - - - - - - - - 652.50
- - 481.25 - - - - - - - - - - - - - 481.25
- - 756.00 - - - - - - - - - - - - - 756.00
- - 528.00 - - - - - - - - - - - - - 528.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 1,814.40 - - - - - - - - - - - - - 1,814.40
- - 1,537.50 - - - - - - - - - - - - - 1,537.50
- - - - - - - - - - 3,000.00 - - 3,000.00 - - -
- - 768.00 192.00 - - - - - - - - - - - - 768.00
- - 715.00 - - - - - - - - - - - - - 700.00
- - 315.75 - - - - - - - - - - - - - 315.75
- - 996.00 - - - - - - - - - - - - - 996.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 277.50 - - - - - - - - - - - - - 277.50
- 600.00 600.00 - - - - - - - - - - - - - -
300.00 - 300.00 60.00 - - - - - - - - - - - - -
- 230.00 356.00 - - - - - - - - - - - - - 126.00
- - - - - - - - 2,200.00 - - - - 2,200.00 - - -
1,400.00 - 1,400.00 245.00 - - - - - - - - - - - - -
- 300.00 300.00 - - - - - - - - - - - - - -
1,500.00 - 1,500.00 - - - - - - - - - - - - - -
425.00 - 425.00 - - - - 275.00 - - - - - 275.00 - - -
1,085.00 230.00 1,315.00 - - - - - - 200.00 - - - 200.00 - - -
700.00 - 700.00 - - - - - - - - - - - - - -
80.00 - 80.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
730.00 - 730.00 - - - - - - - - - - - - - -
400.00 - 400.00 - - - - - - - - - - - - - -
- 230.00 1,404.50 - - - - - - - - - - - - - 168.00
280.00 280.00 735.50 - - - - - - - - - - - - - 40.00
770.00 800.00 1,570.00 - - - - - - - - - - - - - -
- - 277.25 - - - - - - - - - 722.75 722.75 1,033.25 - -
880.00 250.00 4,529.10 - - - - - - - - - 34.09 34.09 840.91 - -
200.00 250.00 4,070.06 - - - - - - - - - 8.98 8.98 1,726.02 - -
555.00 - 3,913.30 - - - - - - - - 4,000.00 90.00 4,090.00 - - -
1,375.00 400.00 4,201.25 - - - - 928.75 - - - 2,140.00 30.00 3,098.75 871.25 - -
8,515.00 1,030.00 29,464.86 - - - - - - - - 12,960.14 1,155.00 14,115.14 14,764.86 - -
4,645.00 - 13,914.25 - - - - - - - - 13,880.75 1,005.00 14,885.75 2,990.25 - -
3,900.00 - 23,661.85 - - - - - - - - 8,313.15 1,125.00 9,438.15 9,981.85 - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
640.00 250.00 11,527.22 - - - - - - - - 2,362.78 210.00 2,572.78 2,287.22 - -
1,775.00 230.00 8,853.20 - - - - - - - - 3,711.80 135.00 3,846.80 588.20 - -
3,180.00 980.00 22,953.00 - - 300.00 75.00 - - - - 21,600.00 1,535.00 23,510.00 - - -
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,400.00 520.00 - - - - - - - - - - - - 1,400.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 960.00 - - - - - - - - - - - - - 400.00
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
240.00 - 240.00 - - - - - - - - - - - - - -
- - 382.50 - - - - - - - - - - - - - 382.50
- - 1,203.25 - - - - - - - - - - - - - 1,200.00
- - 1,200.00 - - - - - - - - - - - - - 1,116.00
- - 1,183.00 - - - - - - - - - - - - - 1,183.00
- - 1,212.75 - - - - - - - - - - - - - 1,212.75
- - 1,212.75 - - - - - - - - - - - - - 1,212.75
- - 424.20 - - - - - - - - - - - - - 400.00
- - 1,386.00 - - - - - - - - - - - - - 1,386.00
- - 252.00 - - - - - - - - - - - - - 252.00
- - 82.00 - - - - - - - - - - - - - -
- - 678.00 169.50 - - - - - - - - - - - - 600.00
- - 629.50 - - - - - - - - - - - - - 600.00
- - 1,831.50 - - - - - - - - - - - - - 1,831.50
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 89.75 - - - - - - - - - - - - - -
- - 600.00 56.00 - - - - - - - - - - - - 600.00
- - 582.75 - - - - - - - - - - - - - 582.75
- - 398.75 - - - - - - - - - - - - - 380.00
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 248.50 - - - - - - - - - - - - - 248.50
160.00 - 160.00 - - - - - - - - - - - - - -
- - - - - - - - 720.00 - - - - 720.00 180.00 - -
- - 382.50 - - - - - - - - - - - - - 382.50
1,270.00 230.00 1,500.00 375.00 - - - - - 200.00 - - - 200.00 - - -
- 230.00 861.25 - - - - - - - - - - - - - 470.00
2,000.00 - 2,000.00 - - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
- 210.00 210.00 - - - - - - - - - - - - - -
640.00 - 640.00 - - - - - - - - - - - - - -
- 2,000.00 2,000.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
820.00 230.00 1,050.00 - - - - - - - - - - - - - -

- 400.00 400.00 - - - - - - - - - - - - - -
250.00 - 520.00 - - - - - - - - - - - - - 270.00
- - 189.00 - - - - - - 200.00 - - - 200.00 - - 189.00
2,535.00 230.00 7,102.52 919.73 - - - - - - - - - - 230.00 - -
515.00 250.00 2,829.35 - - 1,567.56 - - - - - 100.00 30.00 1,697.56 652.44 - -
2,455.00 780.00 7,869.50 - - - - - - - - - 130.50 130.50 2,679.50 - -
4,650.00 1,430.00 6,900.00 12,824.75 - - - - - - - - - - 3,010.00 - -

725.00 - 4,201.95 - - - - - - - - 5,978.05 120.00 6,098.05 421.95 - -
- - 483.85 - - - - - - - - 505.00 1,715.00 2,220.00 - - 81.60
705.00 - 2,500.25 - - - - - - - - 4,000.00 90.00 4,090.00 - - -
- - 335.60 - - - - - - - - 384.40 1,830.00 2,214.40 121.60 - 81.60

- - 369.75 - - - - - - - - 310.25 1,370.00 1,680.25 191.75 - -
- - 350.75 - - - - - - - - 484.25 1,715.00 2,199.25 20.75 - -
1,925.00 - 12,997.85 - - - - - - - - 10,012.15 990.00 11,002.15 3,847.85 - -

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
675.00 - 3,286.00 - - - - - - - - 4,154.00 60.00 4,214.00 846.00 - -
11,065.00 1,380.00 23,100.00 2,417.75 - - - - - - - 4,075.00 965.00 5,040.00 12,090.00 - -
- - 960.00 - - - - - - - - - - - - - 960.00
- - 1,920.00 - - - - - - - - - - - - - 1,900.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 2,400.00 480.00 - - - - - - - - - - - - 2,400.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

- - 690.00 - - - - - - - - - - - - - 690.00
- - 960.00 - - - - - - - - - - - - - 900.00
- - 937.50 - - - - - - - - - - - - - 937.50
- - 200.00 2.50 - - - - - - - - - - - - 200.00
- - 346.50 - - - - - - - - - - - - - 200.00
- - 449.82 - - - - - - - - - - - - - 449.82
- - 192.78 - - - - - - - - - - - - - 192.78
- - 174.25 - - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 319.50 - - - - - - - - - - - - - 319.50
- - 1,380.00 - - - - - - - - - - - - - 1,380.00
- - - - - - - - - - 800.00 - - 800.00 - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 192.00 - - - - - - - - - - - - - 192.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - - - - - - - - - 1,280.00 - - 1,280.00 - - -
- - 1,473.75 - - - - - - - - - - - - - 1,473.75
- - 402.50 - - - - - - - - - - - - - 400.00
- - 1,382.75 - - - - - - - - - - - - - 1,382.75
- - 864.00 - - - - - - - - - - - - - 864.00
- - 1,432.50 - - - - - - - - - - - - - 1,432.50
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 178.60 - - 19.60 - - - - - - - 19.60 - - 178.60
- - - - - - - - 720.00 - - - - 720.00 180.00 - -
- 230.00 332.60 - - - - - - - - - - - - - 102.60
- - - - - - - - - 200.00 - - - 200.00 - - -
725.00 - 725.00 - - - - - - - - - - - - - -
226.00 230.00 456.00 114.00 - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
80.00 - 80.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
1,630.00 - 1,630.00 - - - - - - 200.00 - - - 200.00 - - -
110.00 - 110.00 - - - - - - - - - - - - - -
- - - - - - - - 3,790.00 - - - - 3,790.00 - - -
1,800.00 - 1,800.00 10.00 - - - 75.00 - - - - - 75.00 - (10.00) -
1,375.00 230.00 11,118.50 - - - - - - - - 1,141.50 740.00 1,881.50 13,218.50 - -
3,735.00 230.00 10,599.02 328.23 - - - - - - - - - - 1,695.00 - -
900.00 - 14,500.15 - - - - - - - - 14,789.85 2,710.00 17,499.85 3,125.15 - -
- - 483.85 - - - - - - - - - 1,666.15 1,666.15 785.85 - 81.60
1,975.00 230.00 17,332.97 - - - - - - - - 3,017.03 150.00 3,167.03 382.97 - 94.50
4,080.00 250.00 15,174.25 - - 4,280.00 - - - - - 6,410.00 405.00 11,095.00 10,000.00 - -

275.00 - 630.25 - - - - - - - - 503.00 1,485.00 1,988.00 - - -
1,755.00 - 8,473.50 - - - - - - - - 3,679.50 120.00 3,799.50 2,320.50 - -
- - 355.25 - - - - - - - - 494.75 1,600.00 2,094.75 9.25 - -
1,755.00 - 15,562.25 - - - - - - - - 8,317.75 1,020.00 9,337.75 6,542.25 - -
3,075.00 - 15,672.25 - - - - - - - - 8,352.75 975.00 9,327.75 3,437.25 - -
2,435.00 - 19,064.90 - - - - - - - - 8,825.10 1,110.00 9,935.10 10,834.90 - -
- - 1,920.00 - - - - - - - - - - - - - 1,900.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 768.00 192.00 - - - - - - - - - - - - 200.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 1,092.00 - - - - - - - - - - - - - 1,000.00
- - 399.00 - - - - - - - - - - - - - 258.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 858.00 - - - - - - - - - - - - - 858.00
- - 615.00 - - - - - - - - - - - - - 600.00
- - 1,158.50 - - - - - - - - - - - - - 1,158.50
- - 1,224.25 - - - - - - - - - - - - - 1,224.25
- - 678.00 - - - - - - - - - - - - - 678.00
- - 390.00 - - - - - - - - - - - - - 390.00
- - 783.75 - - - - - - - - - - - - - 783.75
- - 102.00 - - - - - - - - - - - - - 100.00
- - 700.00 129.50 - - - - - - - - - - - - 700.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 425.25 - - - - - - - - - - - - - 400.00
- - 808.50 - - - - - - - - - - - - - 800.00
- - 1,437.50 - - - - - - - - - - - - - 1,437.50
- - 708.00 - - - - - - - - - - - - - 700.00
- - 1,800.00 390.00 - - - - - - - - - - - - 1,800.00
- - 194.00 - - - - - - - - - - - - - 126.00
- - 300.00 - - - - - - - - - - - - - 300.00
- - 1,536.00 384.00 - - - - - - - - - - - - 1,200.00
- 800.00 800.00 - - - - - - - - - - - - - -
1,760.00 - 1,760.00 440.00 - - - - - - - - - - - - -
- - - - - - - - 800.00 - - - - 800.00 100.00 - -
1,035.00 350.00 1,400.00 165.00 - - - - - - - - - - - - 15.00

200.00 - 611.00 - - - - - - - - - - - - - 400.00
200.00 - 200.00 - - - - - - - - - - - - - -
1,870.00 - 1,870.00 - - - - - - - - - - - - - -
880.00 - 880.00 - - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
- 184.00 184.00 46.00 - - - - - - - - - - - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
620.00 600.00 1,220.00 - - - - - - - - - - - - - -

- 530.00 530.00 - - - - - - - - - - - - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- 250.00 250.00 - - - - - - - - - - - - - -
- 1,200.00 1,200.00 - - - - - - - - - - - - - -
- - - - - - - - 2,000.00 - - - - 2,000.00 - - -
- - 363.25 - - - - - - - - - 1,036.75 1,036.75 1,182.25 - -
770.00 230.00 5,315.75 - - - - - - - - 1,079.25 105.00 1,184.25 2,090.75 - -
200.00 250.00 5,611.05 - - - - - - - - 118.95 120.00 238.95 1,281.05 - 286.25
2,415.00 230.00 9,689.30 - - - - - - 400.00 - 2,900.00 135.00 3,435.00 - - -
12,685.00 830.00 41,800.00 8,679.07 - - - - - - - 10,270.00 1,730.00 12,000.00 21,909.00 - -
2,395.00 650.00 19,380.80 9,039.00 - - - - - - - 2,850.00 180.00 3,030.00 7,230.00 - -
725.00 - 4,087.15 - - - - - - - - 7,200.00 60.00 7,260.00 - - -

3,465.00 230.00 9,313.50 - - 2,321.50 - - - 200.00 - 4,000.00 165.00 6,686.50 858.50 - -
1,730.00 300.00 6,612.50 - - - - - - - - 2,750.00 90.00 2,840.00 - - -
- - 355.25 - - - - - - - - 419.75 2,175.00 2,594.75 89.25 - -
2,155.00 - 13,619.85 - - - - - - - - 8,818.15 1,065.00 9,883.15 3,476.85 - -
2,730.00 - 10,048.35 - - 2,131.65 - - - - - 4,810.00 210.00 7,151.65 1,288.35 - -

3,805.00 230.00 12,660.50 - - 4,244.50 - - 900.00 - - 5,700.00 195.00 11,039.50 1,455.50 - -
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 1,500.00 420.00 - - - - - - - - - - - - 1,500.00

- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 112.00 - - - - - - - - - - - - - 100.00
- - 397.50 - - - - - - - - - - - - - 397.50
- - 1,800.00 - - - - - - - - - - - - - 1,800.00
- - 1,386.00 - - - - - - - - - - - - - 1,386.00
- - 600.00 - - - - - - - - - - - - - 600.00
- - 1,034.16 - - - - - - - - - - - - - 1,034.16
- - 751.02 - - - - - - - - - - - - - 751.02
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 1,395.50 - - - - - - - - - - - - - 1,395.50
- - 1,979.00 - - - - - - - - - - - - - 1,979.00
- - 653.70 - - - - - - - - - - - - - 600.00
- - 195.00 - - - - - - - - - - - - - 195.00
- - 210.00 - - - - - - - - - - - - - -
- - 1,266.75 - - - - - - - - - - - - - 1,266.75
- - 900.00 63.00 - - - - - - - - - - - - 900.00
- - 891.00 - - - - - - - - - - - - - 800.00
- - 600.00 - - - - - - - - - - - - - 600.00
- - 1,562.70 - - - - - - - - - - - - - 1,400.00
- - 462.00 - - - - - - - - - - - - - 462.00
- - 1,590.75 - - - - - - - - - - - - - 1,590.75
- - 602.50 - - - - - - - - - - - - - 600.00
- - 1,317.75 - - - - - - - - - - - - - 1,317.75
- - 513.75 - - - - - - - - - - - - - 513.75
- - 1,639.60 - - - - - - - - - - - - - 1,639.60
- - 180.00 - - - - - - - - - - - - - 180.00
- - 393.30 - - - - - - - - - - - - - 393.30
- - 1,186.50 - - - - - - - - - - - - - 1,186.50
- - 205.00 - - - - - - - - - - - - - 112.00
- - 59.25 - - - - - - - - - - - - - 59.25
- - 1,469.75 - - - - - - - - - - - - - 1,469.75
- - 985.25 - - - - - - - - - - - - - 985.25
- - 1,204.00 - - - - - - - - - - - - - 1,044.00
- - 1,512.00 - - - - - - - - - - - - - 1,500.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

- - - - - - - - - - 200.00 - - 200.00 - - -
- - 1,848.00 - - - - - - - - - - - - - 1,840.00
2,030.00 230.00 2,260.00 - - - - - - 200.00 - - - 200.00 - - -

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
220.00 - 220.00 - - - - - - - - - - - - - -
- - 437.50 - - - - - - - - - - - - - 400.00
- 600.00 600.00 - - - - - - - - - - - - - -
110.00 - 110.00 - - - - - - - - - - - - - -
840.00 - 840.00 - - - - - - - - - - - - - -
- 230.00 230.00 - - - - - - - - - - - - - -
1,645.00 230.00 1,875.00 - - - - - - 200.00 - - - 200.00 - - -
725.00 - 725.00 - - - - - - - - - - - - - -
- 350.00 350.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
1,345.00 230.00 1,575.00 - - - - - - 200.00 - - - 200.00 - - -
- 250.00 250.00 - - - - - - - - - - - - - -
770.00 - 770.00 - - - - - - - - - - - - - -
- - 321.00 - - - - - - - - - - - - - 321.00
- 530.00 530.00 - - - - - - - - - - - - - -
- - - - - - - - 3,550.00 - - - - 3,550.00 - - -
- 800.00 800.00 - - - - - - - - - - - - - -
- 230.00 605.00 - - - - - - - - - - - - - 370.00
990.00 430.00 3,122.25 - - - - - - - - - 77.75 77.75 12,547.25 - -
275.00 - 9,897.50 - - 120.00 170.00 - - - - 51,500.00 1,077.00 52,867.00 - - -

75.00 - 430.25 - - - - - - - - 5,990.00 1,370.00 7,360.00 - - -
725.00 1,000.00 14,123.50 - - 300.00 170.00 - - - - 61,500.00 765.00 62,735.00 - - -
1,050.00 - 13,732.75 - - 117.25 75.00 - - - - 16,800.00 1,475.00 18,467.25 2.75 - -
3,225.00 - 18,172.05 - - - - - - - - 10,057.95 770.00 10,827.95 6,632.05 - -

675.00 - 3,484.80 - - - - - - - - 3,440.20 75.00 3,515.20 2,059.80 - -
3,605.00 300.00 7,306.00 - - - - 1,104.00 - - - 4,740.00 150.00 5,994.00 921.00 - -
2,655.00 250.00 14,090.00 109.01 - - - - - - - 3,300.00 210.00 3,510.00 3,970.00 - -
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 960.00 - - - - - - - - - - - - - 960.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00

- - 770.00 - - - - - - - - - - - - - 770.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,729.35 - - - - - - - - - - - - - 1,729.35
- - 790.00 - - - - - - - - - - - - - 790.00
- - 1,380.00 - - - - - - - - - - - - - 1,380.00
- - 406.00 - - - - - - - - - - - - - 406.00
- - 211.50 - - - - - - - - - - - - - 211.50
- - 631.25 - - - - - - - - - - - - - 631.25
- - 327.25 - - - - - - - - - - - - - 327.25
- - 1,008.00 - - - - - - - - - - - - - 800.00
720.00 - 1,185.00 - - - - - - 200.00 - - - 200.00 - - 360.00
200.00 - 200.00 - - - - - - - - - - - - - -
1,270.00 230.00 1,500.00 375.00 - - - - - 200.00 - - - 200.00 - - -
1,245.00 800.00 3,661.95 - - - - - - - - 48.05 90.00 138.05 951.95 - 799.95
- - 720.00 - - - - - - - - - - - - - 700.00
200.00 - 200.00 50.00 - - - - - - - - - - - - -
- - 369.75 - - - - - - - - - 1,978.25 1,978.25 589.75 - -
- - 260.50 - - - - - - - - 139.50 1,600.00 1,739.50 364.50 - -

- - 842.10 - - - - - - - - - 1,157.90 1,157.90 830.10 - 555.60
3,465.00 230.00 7,959.75 - - - - - 3,380.52 200.00 - 400.00 70.00 4,050.52 2,269.48 - -
530.00 250.00 3,964.75 - - - - - - - - 399.32 105.00 504.32 800.68 - -
755.00 - 2,845.95 - - - - - - - - 1,094.05 60.00 1,154.05 4,905.95 - 226.30
- - 957.85 - - - - - - - - - 1,042.15 1,042.15 945.85 - 555.60

1,045.00 250.00 4,060.55 - - - - - - - - 104.45 135.00 239.45 1,545.55 - -
325.00 - 3,236.75 - - - - - - - - 6,000.00 335.00 6,335.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
1,550.00 230.00 2,443.75 - - - - 3,650.00 - - - 6,100.00 60.00 9,810.00 - - -

305.00 - 7,667.85 - - - - - - - - 46,607.00 1,155.00 47,762.00 2,000.00 - -
275.00 - 749.00 - - 180.00 - - - - - 5,854.00 1,600.00 7,634.00 - - -
1,035.00 230.00 11,430.35 - - - - - - - - 23,170.00 1,644.00 24,814.00 5,000.00 - -
275.00 - 275.00 - - - - - - - - 4,461.00 1,255.00 5,716.00 - - -
- - 369.75 - - - - - - - - 150.25 1,830.00 1,980.25 355.75 - -
- - 366.60 - - - - - - - - 505.00 1,715.00 2,220.00 - - 45.00
1,805.00 - 11,089.00 - - - - - - - - 10,351.00 960.00 11,311.00 2,539.00 - -
- - 842.10 - - - - - - - - 503.00 1,485.00 1,988.00 - - 275.50
505.00 - 2,405.45 - - - - - - - - 3,134.55 60.00 3,194.55 1,865.45 - -
230.00 - 1,400.30 - - - - - - - - 4,139.70 60.00 4,199.70 860.30 - -
275.00 - 323.00 - - - - - - - - 142.00 1,485.00 1,627.00 361.00 - -
905.00 - 11,929.50 - - 60.00 170.00 - - - - 11,700.00 1,005.00 12,935.00 - - -
1,515.00 580.00 16,010.75 - - - - - - - - 9,969.25 1,520.00 11,489.25 2,825.75 - -
14,300.00 230.00 37,179.85 - - - - - - - - 17,250.15 1,170.00 18,420.15 12,932.85 - -
1,450.00 - 12,558.00 - - 90.00 170.00 - - - - 11,400.00 960.00 12,620.00 - - -
1,075.00 - 16,083.70 - - - - - - - - 9,096.30 1,020.00 10,116.30 5,793.70 - -
9,060.00 1,030.00 18,892.35 - - - - 2,435.00 - - - 4,000.00 165.00 6,600.00 1,165.00 - -
- - 3,000.00 840.00 - - - - - - - - - - - - 3,000.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00

- - 768.00 192.00 - - - - - - - - - - - - 200.00
- - 396.00 - - - - - - - - - - - - - 396.00
- - 186.75 - - - - - - - - - - - - - 186.75
- - 366.00 - - - - - - - - - - - - - 366.00
- - 1,247.75 - - - - - - - - - - - - - 1,247.75
- - 1,078.50 - - - - - - - - - - - - - 400.00
- - 623.00 - - - - - - - - - - - - - 623.00
- - 197.80 - - - - - - - - - - - - - 197.80
- - 270.00 - - - - - - - - - - - - - 200.00
- - 291.00 - - - - - - - - - - - - - 200.00
- - 500.00 124.00 - - - - - - - - - - - - 500.00
- 300.00 400.00 80.00 - - - - - - - - - - - - 100.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 2,072.49 - - - - - - - - - - - - - 2,000.00
- - 907.50 - - - - - - - - - - - - - 907.50
- - 1,680.00 - - - - - - - - - - - - - 1,680.00
- - 540.00 - - - - - - - - - - - - - 540.00
1,870.00 - 1,870.00 - - - - - - - - - - - - - -
- - 546.00 - - - - - - - - - - - - - 546.00
- - 631.50 - - - - - - - - - - - - - 600.00
- - 375.00 - - - - - - - - - - - - - 375.00
- - 523.50 - - - - - - - - - - - - - 523.50
- - 200.00 - - - - - - - - - - - - - 200.00
- - 899.25 - - - - - - - - - - - - - 899.25
- - 271.25 - - - - - - - - - - - - - 271.25
- - 196.80 - - - - - - - - - - - - - 196.80
- 432.00 432.00 108.00 - - - - - - - - - - - - -
50.00 - 317.00 - - - - - - - - - - - - - 40.00
- - - - - - - 3,600.00 - - - - - 3,600.00 - - -
- 230.00 230.00 - - - - - - 200.00 - - - 200.00 - - -
- - 1,613.50 - - - - - - - - - - - - - 1,600.00
1,870.00 - 1,870.00 - - - - - - - - - - - - - -
725.00 - 725.00 - - - - - 900.00 200.00 - - - 1,100.00 - - -
3,620.00 - 3,620.00 - - - - - - - - - - - - - -
805.00 - 805.00 - - - - - - - - - - - - - -
75.00 - 75.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
- - - - - - - - 3,790.00 - - - - 3,790.00 - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- - 377.75 - - - - - - - - - 522.25 522.25 1,929.75 - -
4,275.00 230.00 11,999.57 708.18 - - - - - - - - - - 1,520.00 - -

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
7,105.00 230.00 11,507.32 236.93 - - - - - - - - - - 1,935.00 - -
730.00 1,030.00 15,000.00 4,056.25 - - - - - - - - - - 15,090.00 - 2,137.75
200.00 250.00 3,500.00 592.85 - - - - - - - - - - 875.00 - -

1,355.00 - 6,187.75 - - - - - - - - 822.25 990.00 1,812.25 3,747.75 - -
305.00 - 5,254.50 - - - - - - - - 25,000.00 270.00 25,270.00 - - -
325.00 200.00 17,231.75 - - 150.00 170.00 - - - - 28,380.00 2,937.00 31,637.00 - - -
- - 307.75 - - - - - - - - 472.25 1,370.00 1,842.25 29.75 - 129.75
355.00 - 838.85 - - - - - - - - - 2,211.15 2,211.15 704.85 - -
675.00 - 2,893.55 - - - - - - - - 3,061.45 45.00 3,106.45 1,438.55 - -
- - 933.85 - - - - - - - - 504.00 1,600.00 2,104.00 - - 467.75
1,360.00 230.00 16,710.50 - - - - - - - - 9,364.50 725.00 10,089.50 4,595.50 - -
3,530.00 - 17,353.55 - - - - - - - - 8,566.45 1,080.00 9,646.45 5,598.55 - -

1,725.00 - 18,406.55 - - 90.00 170.00 - - - - 11,800.00 1,020.00 13,080.00 - - -
1,575.00 - 22,237.25 - - - - - - - - 6,942.75 1,020.00 7,962.75 7,917.25 - -
875.00 - 19,716.00 - - - - - - - - 6,879.00 1,005.00 7,884.00 5,016.00 - -
675.00 - 2,798.70 - - - - - - - - 4,611.30 90.00 4,701.30 1,388.70 - -

- - 960.00 - - - - - - - - - - - - - 960.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 805.00 - - - - - - - - - - - - - 800.00
- - 1,376.30 - - - - - - - - - - - - - 1,376.30
- - 808.50 - - - - - - - - - - - - - 800.00
- - 697.50 - - - - - - - - - - - - - 697.50
- - 270.00 - - - - - - - - - - - - - 270.00
- - 540.00 - - - - - - - - - - - - - 540.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 489.00 - - - - - - - - - - - - - 489.00
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 142.25 - - - - - - - - - - - - - 67.00
- - 111.75 - - - - - - - - - - - - - 108.00
- - 1,300.00 2.75 - - - - - - - - - - - - 1,300.00
- - - - - - - - - - 600.00 - - 600.00 - - -
- - 1,372.50 - (200.00) - - - - - - - - - 200.00 - 1,372.50
- - 992.50 - - - - - - - - - - - - - 992.50
- - 1,669.50 - - - - - - - - - - - - - 1,669.50
- - 424.20 - - - - - - - - - - - - - 424.20
- - 1,512.00 - - - - - - - - - - - - - 1,512.00
275.00 - 275.00 - - - - - - - - - - - - - -
- - 804.75 - - - - - - - - - - - - - -
- - 1,980.50 - - - - - - - - - - - - - 1,980.50
- - 829.50 - - - - - - - - - - - - - 829.50
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 1,100.00 12.25 - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 927.50 - - - - - - - - - - - - - 927.50
- - 81.25 - - - - - - - - - - - - - -
- - 198.00 - - - - - - - - - - - - - 198.00
- - 282.00 - - - - - - - - - - - - - 282.00
- - 795.00 - - - - - - - - - - - - - 795.00
- - 1,536.75 - - - - - - - - - - - - - 1,536.75
- - 1,186.50 - - - - - - - - - - - - - 1,186.50
- - 910.25 - - - - - - - - - - - - - 709.75
- - 757.50 - - - - - - - - - - - - - 757.50
- - 371.50 - - - - - - - - - - - - - -
- - 552.00 - - - - - - - - - - - - - 552.00
250.00 250.00 614.00 - - - - - - - - - - - - - 100.00
- 770.00 770.00 - - - - - - - - - - - - - -
- - 525.25 - - - - - - - - - - - - - -
- 540.00 540.00 - - - - - - - - - - - - - -
- 640.00 640.00 160.00 - - - - - - - - - - - - -
750.00 - 750.00 - - - - - - - - - - - - - -
280.00 - 280.00 - - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- 230.00 230.00 - - - - - - - - - - - - - -
400.00 - 400.00 - - - - - - - - - - - - - -
250.00 - 250.00 - - - - - - - - - - - - - -
- 300.00 367.50 - - - - - - - - - - - - - 67.50
- 800.00 800.00 - - - - - - - - - - - - - -
1,655.00 230.00 1,885.00 - - - - - - 200.00 - - - 200.00 - - -
- - 450.00 - - - - - - - - - - - - - 450.00
- - 1,000.00 2.50 - - - - - - - - - - - - 1,000.00
3,285.00 230.00 7,503.47 1,088.28 - - - - - - - - - - 575.00 - -
1,905.00 230.00 13,437.00 - - - - - - - - 8,868.00 1,195.00 10,063.00 1,397.00 - -
- - - - - - - - - - - 502.00 1,370.00 1,872.00 - - -
3,325.00 - 8,187.00 - - - - - - - - 6,258.00 2,005.00 8,263.00 4,096.00 - -
1,510.00 250.00 7,557.95 - - - - - - - - 7,247.05 195.00 7,442.05 3,352.95 - -

1,725.00 - 19,263.95 - - - - - - - - 13,126.05 1,610.00 14,736.05 9,680.95 - -
36,210.00 1,820.00 46,203.00 28,540.60 - 2,250.00 - 5,400.00 - - - 7,250.00 475.00 15,375.00 - (7,792.00) -
- - 2,880.00 - - - - - - - - - - - - - 2,600.00
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 1,302.75 - - - - - - - - - - - - - 1,200.00
250.00 800.00 1,050.00 - - - - - - - - - - - - - -
- - 308.70 - - - - - - - - - - - - - 200.00
- - 495.00 - - - - - - - - - - - - - 495.00
- - 303.00 - - - - - - - - - - - - - 303.00
- - 195.00 - - - - - - - - - - - - - 195.00
- - 153.50 - - - - - - - - - - - - - 150.00
- - 600.00 90.00 - - - - - - - - - - - - 600.00
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 210.00 - - - - - - - - - - - - - 200.00
- - 270.00 - - - - - - - - - - - - - 270.00
- - 437.50 - - - - - - - - - - - - - 437.50
- - 678.00 - - - - - - - - - - - - - 678.00
1,080.00 - 1,932.75 - - - - - - - - - - - - - 293.25

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
250.00 - 1,060.25 - - - - - - - - - - - - - 672.00
- - 400.00 20.00 - - - - - - - - - - - - 400.00
675.00 - 675.00 - - - - - - - - - - - - - -
600.00 - 600.00 - - - - - - - - - - - - - -
340.00 400.00 740.00 - - - - 250.00 - - - - - 250.00 - - -
- - 359.50 - - - - - - - - - - - - - 81.75
400.00 - 400.00 - - - - - - - - - - - - - -
1,000.00 - 1,000.00 - - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- - - - - - - - - - 1,200.00 - - 1,200.00 - - -
- - 200.00 30.00 - - - - - - - - - - - - 200.00
- - 825.50 - - - - - - - - - - - - - 800.00
- - 1,300.00 50.00 - - - - - - - - - - - - 1,300.00
400.00 - 400.00 - - - - - - - - - - - - - -
300.00 - 300.00 - - - - - - - - - - - - - -
- - 572.00 - - - - - - - - - - - - - 572.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 309.60 77.40 - - - - - - - - - - - - 300.00
- 540.00 540.00 - - - - - - - - - - - - - -
- - - - - - - - 2,000.00 - - - - 2,000.00 - - -
2,150.00 - 2,150.00 - - - - - - - - - - - - - -
750.00 - 750.00 - - - - - - - - - - - - - -
- - - - - - - - 2,000.00 - - - - 2,000.00 - - -
- 200.00 200.00 30.00 - - - - - - - - - - - - -
765.00 800.00 1,565.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- - 630.00 - - - - - - 200.00 - - - 200.00 - - 630.00
- 400.00 400.00 - - - - - - - - - - - - - -
- 200.00 200.00 30.00 - - - - - - - - - - - - -
400.00 - 400.00 - - - - - - - - - - - - - -
730.00 - 730.00 - - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
6,445.00 1,030.00 24,063.74 - - - - - - - - 31,605.46 425.00 32,030.46 14,023.54 - -

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
795.00 250.00 2,534.25 - - - - - - - - 205.75 60.00 265.75 394.25 - -
5,825.00 230.00 14,628.37 390.38 - - - - - - - - - - 2,190.00 - -
1,060.00 - 3,227.10 - - - - - - - - 1,092.90 180.00 1,272.90 1,207.10 - -

275.00 - 640.25 - - - - - - - - 124.75 1,485.00 1,609.75 378.25 - -
675.00 - 3,006.50 - - - - - - - - 2,133.50 60.00 2,193.50 1,666.50 - -
925.00 - 2,922.45 - - - - - - - - 3,800.00 60.00 3,860.00 - - -
- - 365.25 - - - - - - - - 414.75 1,370.00 1,784.75 87.25 - -
3,255.00 - 18,761.45 - - - - - - - - 8,803.55 1,035.00 9,838.55 3,285.45 - -
275.00 - 1,486.35 - - - - - - - - - 1,663.65 1,663.65 672.35 - -

1,725.00 - 9,358.25 - - - - - - - - 3,751.75 90.00 3,841.75 2,048.25 - -
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 768.00 192.00 - - - - - - - - - - - - 200.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 189.00 - - - - - - - - - - - - - 189.00
- - 437.50 - - - - - - - - - - - - - 437.50
- - 189.00 - - - - - - - - - - - - - 189.00
- - 784.00 - - - - - - - - - - - - - 784.00
- - 668.85 - - - - - - - - - - - - - 668.85
- - 162.50 - - - - - - - - - - - - - 162.50
- - 1,078.50 - - - - - - - - - - - - - 1,078.50
- - 200.00 1.00 - - - - - - - - - - - - 200.00
- - 501.00 - - - - - - - - - - - - - 501.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 382.00 95.50 - - - - - - - - - - - - 300.00
- - - - - - - - - - 200.00 - - 200.00 - - -
675.00 - 675.00 - - - - - - - - - - - - - -
240.00 - 240.00 - - - - - - - - - - - - - -
- 800.00 800.00 - - - - - - - - - - - - - -
50.00 - 539.50 - - - - - - - - - - - - - -
1,425.00 - 1,425.00 - - - - - - - - - - - - - -
1,500.00 - 1,500.00 - - - - - - - - - - - - - -
- - - - - - - - 3,150.00 - - - - 3,150.00 400.00 - -
- 600.00 600.00 - - - - - - - - - - - - - -
2,016.00 - 2,016.00 504.00 - - - - - - - - - - - - -
1,500.00 - 1,500.00 - - - - - - - - - - - - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
500.00 - 500.00 120.00 - - - - - - - - - - - - -
1,870.00 - 1,870.00 - - - - - - - - - - - - (1,000.00) -
1,870.00 - 1,870.00 - - - - - - - - - - - - - -
825.00 - 3,793.75 - - - - - 3,790.00 - - 20,000.00 90.00 23,880.00 - - -
3,230.00 250.00 6,400.00 566.50 - - - - - - - - - - 2,825.00 - -
3,100.00 250.00 4,180.17 205.58 - - - - - - - - - - 775.00 - -
275.00 250.00 3,347.35 - - 5,196.81 - - - - - 504.00 960.00 6,660.81 1,223.19 - -
4,440.00 - 36,862.15 - - - - - - - - 29,901.97 2,200.00 32,101.97 17,241.03 - -
770.00 820.00 12,126.56 - - 510.00 75.00 - 3,790.00 - - 60,500.00 1,035.00 65,910.00 - - -
275.00 3,790.00 8,028.00 - - - - - - - - 2,840.00 45.00 2,885.00 - - -
2,175.00 - 14,840.20 - (650.00) - - - - - - 12,665.00 975.00 13,640.00 650.00 - -
- - - - - - - - - - - 503.00 1,485.00 1,988.00 - - -
3,655.00 980.00 32,400.00 3,261.25 - - - - - - - 9,420.00 180.00 9,600.00 8,820.00 - -
- - 960.00 - - - - - - - - - - - - - 960.00
- - 1,920.00 - - - - - - - - - - - - - 1,920.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 3,200.00 640.00 - - - - - - - - - - - - 3,200.00

- - 960.00 - - - - - - - - - - - - - 960.00
- - 960.00 - - - - - - - - - - - - - 600.00
- - - - - - - - 900.00 - - - - 900.00 - - -
- - 1,092.00 - - - - - - - - - - - - - 1,000.00
- - 792.00 - - - - - - - - - - - - - 792.00
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 81.25 - - - - - - - - - - - - - 81.25
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 420.00 - - - - - - - - - - - - - 400.00
- - 470.50 - - - - - - - - - - - - - 470.50
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 1,470.00 - - - - - - - - - - - - - 1,470.00
- - 316.80 - - - - - - - - - - - - - 316.80
- - - - - - - - - - 200.00 - - 200.00 - - -
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 888.00 - - - - - - - - - - - - - 757.50
- - 195.00 - - - - - - - - - - - - - 195.00
- - 1,150.00 - - - - - - - - - - - - - 1,150.00
- - 1,890.00 - - - - - - - - - - - - - 1,890.00
- - - - - - - - - - 400.00 - - 400.00 - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- - - - - - - - - - 400.00 - - 400.00 - - -
- - 414.50 - - - - - - - - - - - - - 400.00
800.00 - 800.00 160.00 - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- 540.00 540.00 - - - - - - - - - - - - - -
- 400.00 400.00 - - - - - - - - - - - - - -
- - 277.20 69.30 - - - - - - - - - - - - 277.20
485.00 - 1,374.00 - - - - - - - - - - - - - 889.00
- 230.00 230.00 - - - - - - 200.00 - - - 200.00 - - -
50.00 400.00 450.00 - - - - - - - - - - - - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
- - - - - - - - 900.00 - - - - 900.00 - - -
225.00 300.00 525.00 - - - - 100.00 - - - - - 100.00 - - -

800.00 250.00 2,469.67 51.08 - - - - - - - - - - 445.00 - -
- - 844.60 - - - - - - - - - 1,155.40 1,155.40 832.60 - 555.60
200.00 250.00 3,016.95 - - - - - - - - 23.05 60.00 83.05 696.95 - 1,857.45

275.00 - 16,001.25 - - 90.00 75.00 100.00 - - - 52,640.00 1,187.00 54,092.00 - - -
7,705.00 1,030.00 18,545.00 - - - - 3,600.00 - 400.00 - 12,100.00 90.00 16,190.00 - - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
475.00 - 4,938.55 - - - - - - - - 1,986.45 75.00 2,061.45 3,513.55 - -

275.00 - 2,070.60 - - - - - - - - 3,354.40 75.00 3,429.40 2,145.60 - -
875.00 - 2,422.25 - - - - - - - - 3,732.75 45.00 3,777.75 767.25 - -
- - - - - - - - - - - 502.00 1,370.00 1,872.00 - - -

1,525.00 - 10,783.20 - - - - - - - - 8,226.80 990.00 9,216.80 5,663.20 - -
305.00 - 650.75 - - - - - - - - 184.25 1,715.00 1,899.25 320.75 - -
675.00 - 3,575.55 - - - - - - - - 6,549.45 75.00 6,624.45 1,150.55 - -
80.00 - 430.75 - - - - - - - - 349.25 1,370.00 1,719.25 152.75 - -
1,405.00 - 4,400.00 11.01 - - - - - - - 1,955.00 45.00 2,000.00 1,045.00 - -
2,195.00 250.00 5,407.44 - - - - - - - - 6,077.56 3,565.00 9,642.56 8,072.44 - -
- - 350.75 - - - - - - - - 229.25 1,370.00 1,599.25 272.75 - -
3,785.00 - 28,685.55 - - - - - - - - 6,734.45 1,080.00 7,814.45 6,100.55 - -
- - 3,900.00 900.00 - - - - - - - - - - - - 3,900.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 651.00 - - - - - - - - - - - - - 651.00
- - 1,108.80 - - - - - - - - - - - - - 1,108.80
- - 921.60 - - - - - - - - - - - - - 921.60
- - 861.00 - - - - - - - - - - - - - 861.00
- - 325.00 - - - - - - - - - - - - - 325.00
- - 600.00 31.25 - - - - - - - - - - - - 592.75
- - 1,100.00 8.80 - - - - - - - - - - - - 1,100.00
200.00 250.00 4,500.75 - - - - - - - - 194.25 105.00 299.25 1,005.75 - 1,352.75
450.00 250.00 3,452.50 - - - - - - - - 109.75 75.00 184.75 690.25 - 1,323.00

1,990.00 230.00 5,813.00 - - - - - 1,736.65 200.00 - 1,200.00 120.00 3,256.65 1,813.35 - -
3,515.00 250.00 13,599.00 - (32.00) 6,480.00 - - - - - 23,990.00 2,405.00 32,875.00 32.00 - -
3,070.00 230.00 4,502.80 - - - - - - 400.00 - 9,000.00 125.00 9,525.00 - - -
- - 844.60 - - - - - - - - 504.00 1,600.00 2,104.00 - - 555.60
875.00 - 4,186.70 - - - - - - - - 4,223.30 90.00 4,313.30 1,776.70 - -
C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
805.00 - 17,067.50 - - - - - - - - 8,700.00 990.00 9,690.00 5,065.00 - -
- - 1,062.00 - - - - - - - - - - - - - 1,043.50
- - 500.00 96.75 - - - - - - - - - - - - 500.00
- - 1,830.00 - - - - - - - - - - - - - 1,830.00
- - 168.00 - - - - - - - - - - - - - 168.00
- - 299.00 - - - - - - - - - - - - - -
- - 360.00 - - - - - - - - - - - - - 360.00
- - 219.75 - - - - - - - - - - - - - 196.25
- - 1,638.00 - - - - - - - - - - - - - 1,638.00
275.00 - 4,250.25 - - - - - - - - 689.75 60.00 749.75 5,310.25 - -
- - 844.60 - - - - - - - - 142.24 1,370.00 1,512.24 359.76 - 555.60

- - 246.25 - - - - - - - - - 1,369.75 1,369.75 618.25 - -
250.00 250.00 8,279.25 - - - - - - - - - 16.07 16.07 1,288.93 - 566.18
2,275.00 1,030.00 5,775.80 1,068.95 - - - - - - - 6,939.20 45.00 6,984.20 2,060.80 - -
- - 350.75 - - - - - - - - - 1,599.25 1,599.25 504.75 - -
1,580.00 - 15,555.60 - - - - - - - - 12,054.40 990.00 13,044.40 2,710.60 - -
- - 378.60 - - - - - - - - - 1,971.40 1,971.40 1,060.60 - 81.60
275.00 - 606.25 - - - - - - - - 158.75 1,485.00 1,643.75 344.25 - -
- - 264.75 - - - - - - - - 503.00 1,485.00 1,988.00 - - -
4,605.00 - 17,122.20 - - 120.00 170.00 - - - - 12,500.00 975.00 13,765.00 - - -
2,325.00 - 26,624.95 - - - - - - - - 7,590.00 1,110.00 8,700.00 5,910.00 - -
- - 960.00 - - - - - - - - - - - - - 900.00
- - 960.00 - - - - - - - - - - - - - 960.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 1,600.00 320.00 - - - - - - - - - - - - 1,600.00
- - 2,400.00 480.00 - - - - - - - - - - - - 2,400.00
- - 800.00 160.00 - - - - - - - - - - - - 800.00

C O N S I G
TOTAL TOTAL GEN
ROOM, DR,
OR FEES
LESS DISC DISC
- - 800.00 160.00 - - - - - - - - - - - - 800.00
- - 768.00 192.00 - - - - - - - - - - - - 200.00
280.00 - 280.00 - - - - - - - - - - - - - -
- - 234.00 - - - - - - - - - - - - - 200.00
- - 200.00 - - - - - - - - - - - - - 200.00
200.00 - 200.00 - - - - - - - - - - - - - -
- - - - - - - - - - 200.00 - - 200.00 - - -
- - 335.00 - - - - - - - - - - - - - -
1,935.00 230.00 2,165.00 - - - - - - - - - - - - - -
325.00 - 788.20 - - - - - - - - - - - - - 463.20

- - - - - - - - - - - - - - - - -
525,543.37
O N S I G N M E N T G E N E R A L
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Meds Supplies Lab. Rad. ECG
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 1,091.62 830.00 1,921.62 - - - - - - - - 78.38 78.38 - 2,000.00 -
- 570.00 230.00 800.00 - - - - - - - - - - - 800.00 -
- 350.00 250.00 600.00 - - - - - - - - - - - 600.00 -
- 2,828.83 230.00 3,058.83 - - - - 1,671.17 400.00 - 400.00 70.00 2,541.17 - 5,600.00 -
169.20 875.00 - 1,044.20 - - - - - - - 50.80 105.00 155.80 - 1,200.00 -
78.00 - - 78.00 - - - - - - - - 322.00 322.00 - 400.00 -
78.00 - - 78.00 - - - - - - - - 322.00 322.00 - 400.00 -
2,085.00 1,485.00 230.00 3,800.00 - - - - - - - - - - - 3,800.00 -
- - - 780.00 - - - - - - - - - - - 780.00 20.00

- - - 953.70 - - - - - - - - - - - 953.70 46.30
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 1,900.00 - - - - - - - - - - - 1,900.00 -
- - - 552.00 - - - - - - - - - - - 552.00 48.00
- - - 986.40 - - - - - - - - - - - 986.40 13.60
- - - 502.00 - - - - - - - - - - - 502.00 98.00
- 800.00 - 800.00 - - - - - 200.00 - - - 200.00 - 1,000.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
371.00 - 230.00 654.00 - - - - - - - - - - - 654.00 146.00
- - 230.00 230.00 - - - - - - - - - - - 230.00 70.00
- - - 2,000.00 - - - - - - - - - - - 2,000.00 -
- - - - - - - - - 200.00 - - - 200.00 - 200.00 -
- - 25.00 25.00 - - - - - - - 100.00 15.00 115.00 - 140.00 860.00
194.48 200.00 300.00 694.48 - 475.52 - - - - - 200.00 30.00 705.52 - 1,400.00 -
- 855.50 600.00 1,455.50 - - - - - - - - 544.50 544.50 - 2,000.00 -
- 1,050.00 250.00 1,300.00 - - - - - - - 475.00 225.00 700.00 - 2,000.00 -
- - - - - - - - - - - 380.00 1,220.00 1,600.00 - 1,600.00 -
- - - 780.00 - - - - - - - - - - - 780.00 20.00
- - - 1,530.00 - - - - - - - - - - - 1,530.00 70.00
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 1,700.00 - - - - - - - - - - - 1,700.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 50.00 - 50.00 - - - - - - - 100.00 15.00 115.00 - 165.00 35.00
520.25 1,265.00 - 1,995.00 - - - - - - - 190.00 15.00 205.00 - 2,200.00 -
254.00 - - 335.60 - - - - - - - - 1,664.40 1,664.40 - 2,000.00 -
586.25 675.00 - 1,261.25 - - - - - - - 648.75 90.00 738.75 - 2,000.00 -
- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -
- 1,750.00 250.00 2,000.00 - - - - - - - - - - - 2,000.00 -
- 2,170.00 830.00 3,000.00 - - - - - - - - - - - 3,000.00 -
- 70.00 1,430.00 1,500.00 - - - - - - - - - - - 1,500.00 -

1,270.25 250.00 230.00 8,000.00 - - - - - - - - - - - 8,000.00 -
- - - - - - - - - - - 3,165.00 1,335.00 4,500.00 - 4,500.00 200.00
165.20 2,345.00 - 2,510.20 - - - - - - - 899.80 90.00 989.80 - 3,500.00 -
253.25 - - 253.25 - - - - - - - - 146.75 146.75 - 400.00 -

350.75 - - 350.75 - - - - - - - - 49.25 49.25 - 400.00 -
- - - - - - - - - - - - 1,600.00 1,600.00 - 1,600.00 -
- 195.70 - 195.70 - - - - - - - 3,500.00 75.00 3,575.00 - 3,770.70 229.30

- - - - - - - - - - - - 500.00 500.00 - 500.00 -
- - - - - - - - - - - - 400.00 400.00 - 400.00 -
914.85 1,840.00 230.00 2,984.85 - - - - - - - 1,245.15 770.00 2,015.15 - 5,000.00 -
- - - - - - - - - - - 1,260.45 60.00 1,320.45 - 1,320.45 79.55

367.25 - - 367.25 - - - - - - - - 232.75 232.75 - 600.00 -
493.80 2,885.00 - 3,378.80 - - - - - - - - 121.20 121.20 - 3,500.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 2,316.57 - 2,316.57 - - - - - - - 3,148.43 1,535.00 4,683.43 - 7,000.00 -
- 684.25 230.00 914.25 - - - - - - - 980.75 1,505.00 2,485.75 - 3,400.00 -
- 6,023.00 3,000.00 9,023.00 - - - - - - - 1,362.00 615.00 1,977.00 - 11,000.00 -
- 1,900.00 - 1,900.00 - - - - - - - - - - (2,250.00) 1,900.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- 800.00 - 800.00 - - - - - - - - - - (2,250.00) 800.00 -
- 960.00 - 960.00 - - - - - - - - - - (2,250.00) 960.00 40.00
- - - 988.50 - - - - - - - - - - - 988.50 11.50
- - - 577.50 - - - - - - - - - - - 577.50 22.50
- - - 397.25 - - - - - - - - - - - 397.25 2.75
- - - 792.00 - - - - - - - - - - - 792.00 8.00
- - - - - - - - - - 1,400.00 - - 1,400.00 - 1,400.00 -
372.00 - - 372.00 - - - - - - - - - - - 372.00 28.00
- - - 707.00 - - - - - - - - - - - 707.00 93.00
40.00 - - 1,861.00 - - - - - - - - - - - 1,861.00 139.00
5.50 - - 1,466.50 - - - - - - - - - - - 1,466.50 33.50
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
186.50 - - 312.00 - - - - - - - - - - - 312.00 88.00
- - - 797.00 - - - - - - - - - - - 797.00 3.00
- - - 990.00 - - - - - - - - - - - 990.00 10.00
- - - 448.00 - - - - - - - - - - - 448.00 52.00

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 757.50 - - - - - - - - - - - 757.50 42.50
- - - 960.00 - - - - - - - - - - - 960.00 40.00

- - - 270.00 - - - - - - - - - - - 270.00 30.00
- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 1,998.00 - - - - - - - - - - - 1,998.00 2.00
- - - 954.00 - - - - - - - - - - - 954.00 46.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 2,214.00 - - - - - - - - - - - 2,214.00 186.00
- - 650.00 650.00 - - - - - - - - - - - 650.00 50.00
- 720.00 230.00 950.00 - - - - - - - - - - - 950.00 50.00

- - 230.00 695.00 - - - - - - - - - - - 695.00 305.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 700.00 - 700.00 - - - - - - - - - - - 700.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - 250.00 250.00 - - - - - - - - - - - 250.00 50.00
- 280.00 - 280.00 - - - - - - - - - - - 280.00 20.00
- 50.00 - 50.00 - - - - - - - - - - - 50.00 50.00
- 1,120.00 - 1,120.00 - - - - - 200.00 - - - 200.00 - 1,320.00 80.00
- 700.00 - 700.00 - - - - - - - - - - - 700.00 -

- 240.00 - 240.00 - - - - - - - - - - - 240.00 160.00
- 450.00 - 450.00 - - - - - - - - - - - 450.00 150.00
- - 530.00 1,224.00 - - - - - - - - - - - 1,224.00 76.00
- - - 195.00 - - - - - - - - - - - 195.00 5.00
- 330.00 230.00 560.00 - - - - - 200.00 - - - 200.00 - 760.00 40.00
- - 230.00 230.00 - - - - - - - - - - - 230.00 70.00
540.00 660.00 - 1,200.00 - - - - - - - - - - - 1,200.00 -
- 1,652.70 230.00 1,882.70 - - - - - - - - 1,117.30 1,117.30 - 3,000.00 -

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 7,570.00 1,030.00 8,600.00 - - - - - - - - - - - 8,600.00 -
363.50 - - 445.10 - - - - - - - - 438.00 438.00 - 883.10 116.90

- - - - - - - - - - - - 400.00 400.00 - 400.00 -
- - - - - - - - - - - 1,510.00 1,490.00 3,000.00 - 3,000.00 -
2,037.17 1,575.00 - 3,612.17 - - - - - - - 337.83 1,050.00 1,387.83 - 5,000.00 -
- 682.45 - 682.45 - - - - - - - 1,097.55 1,020.00 2,117.55 - 2,800.00 -
- 7,140.00 460.00 7,600.00 - - - - - - - - - - - 7,600.00 -
2,856.50 5,040.00 630.00 12,800.00 - - - - - - - - - - - 12,800.00 -
- - - 768.00 - - - - - - - - - - - 768.00 32.00

- - - 751.75 - - - - - - - - - - - 751.75 48.25
- - - 2,795.00 - - - - - - - - - - - 2,795.00 5.00
- - - 497.00 - - - - - - - - - - - 497.00 3.00
15.25 - - 315.25 - - - - - - - - - - - 315.25 84.75
- - - 500.00 - - - - - - - - - - - 500.00 -
514.75 - - 1,000.00 - - - - - - - - - - - 1,000.00 -

- - - 1,512.00 - - - - - - - - - - - 1,512.00 188.00
- - - 568.00 - - - - - - - - - - - 568.00 32.00
- - - 297.00 - - - - - - - - - - - 297.00 3.00
- - - 330.00 - - - - - - - - - - - 330.00 70.00
803.50 - - 803.50 - - - - - - - - - - - 803.50 96.50
- - - 1,386.00 - - - - - - - - - - - 1,386.00 14.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 2,174.00 - - - - - - - - - - - 2,174.00 26.00
- - - 1,212.75 - - - - - - - - - - - 1,212.75 187.25
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - - - - - - - - - - - - - - 100.00
- - - 497.00 - - - - - - - - - - - 497.00 3.00
- - - 2,002.50 - - - - - - - - - - - 2,002.50 97.50
66.00 - - 400.00 - - - - - - - - - - - 400.00 -
- - - 300.00 - - - - - - - - - - - 300.00 -
136.00 - - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 353.50 - - - - - - - - - - - 353.50 46.50
- - - 497.00 - - - - - - - - - - - 497.00 3.00
- - - 1,638.00 - - - - - - - - - - - 1,638.00 62.00
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 1,370.00 230.00 1,600.00 - - - - - 200.00 - - - 200.00 - 1,800.00 -
- 1,170.00 230.00 1,400.00 - - - - - - - - - - - 1,400.00 200.00
- 100.00 - 100.00 - - - - - - - - - - - 100.00 -
- 650.00 - 650.00 - - - - - - - - - - - 650.00 50.00
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
- 1,600.00 - 1,600.00 - - - - - - - - - - - 1,600.00 -
- 1,085.00 - 1,085.00 - - - - - - - - - - - 1,085.00 15.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - 460.00 592.00 - - - - - - - - - - - 592.00 8.00
- 1,090.00 - 1,090.00 - - - - - - - - - - - 1,090.00 10.00
- - - 390.00 - - - - - - - - - - - 390.00 10.00
- 1,200.00 - 1,200.00 - - - - - - - - - - - 1,200.00 -
- - 690.00 1,290.00 - - - - - - - - - - - 1,290.00 10.00
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
134.50 - - 700.00 - - - - - - - - - - - 700.00 -
- - 280.00 280.00 - - - - - - - - - - - 280.00 120.00
- 575.00 - 575.00 - - - - - - - - - - - 575.00 25.00
1,410.00 1,560.00 230.00 3,200.00 - - - - - - - - - - - 3,200.00 -
- 340.35 760.00 1,100.35 - - - - - - - 674.65 225.00 899.65 - 2,000.00 -
- 2,379.03 - 2,379.03 - - - - - - - 225.97 1,095.00 1,320.97 - 3,700.00 -
- - - - - - - - - - - 310.00 90.00 400.00 - 400.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - - - 500.00 500.00 - 500.00 -
- - - - - - - - - - - 3,986.00 1,614.00 5,600.00 - 5,600.00 -
- - - 768.00 - - - - - - - - - - - 768.00 32.00

- - - 1,008.00 - - - - - - - - - - - 1,008.00 92.00
- - - 582.50 - - - - - - - - - - - 582.50 17.50
- - - 1,588.50 - - - - - - - - - - - 1,588.50 11.50
- - - 795.60 - - - - - - - - - - - 795.60 4.40
- - - 1,579.50 - - - - - - - - - - - 1,579.50 20.50
- - - 284.00 - - - - - - - - - - - 284.00 16.00
- - - 588.00 - - - - - - - - - - - 588.00 12.00
- - - 193.00 - - - - - - - - - - - 193.00 7.00
- - - 321.90 - - - - - - - - - - - 321.90 78.10
- - - 260.00 - - - - - - - - - - - 260.00 40.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 768.00 - - - - - - - - - - - 768.00 32.00
- - - 2,300.00 - - - - - - - - - - - 2,300.00 -
436.75 - - 436.75 - - - - - - - - - - - 436.75 163.25
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 1,484.00 - - - - - - - - - - - 1,484.00 16.00

- - - 600.00 - - - - - - - - - - - 600.00 -
101.00 - - 995.00 - - - - - - - - - - - 995.00 5.00
- - - 1,998.00 - - - - - - - - - - - 1,998.00 2.00
- - - 576.00 - - - - - - - - - - - 576.00 24.00

- - - 485.10 - - - - - - - - - - - 485.10 114.90
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 900.00 - 900.00 - - - 100.00 - - - - - 100.00 - 1,000.00 -
- - 500.00 500.00 - - - - - - - - - - - 500.00 100.00
- 620.00 - 620.00 - - - - - - - - - - - 620.00 80.00
- 325.00 - 325.00 - - - - - - - - - - - 325.00 75.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - 630.00 630.00 - - - - - - - - - - - 630.00 - 30.00
- 600.00 400.00 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - - - - - - - 900.00 - - - 900.00 - 900.00 100.00
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- 1,624.00 1,030.00 2,654.00 - - - - - - - - - - - 2,654.00 146.00
- 250.00 - 250.00 - - - - - - - - - - - 250.00 150.00

- 725.00 - 725.00 - - - - - - - - - - - 725.00 75.00
- - - 330.00 - - - - - - - - - - - 330.00 70.00
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- - - - - - - - - 2,000.00 - - - 2,000.00 - 2,000.00 -
- - 500.00 500.00 - - - - - - - - - - - 500.00 -

- 750.00 - 750.00 - - - - - - - - - - - 750.00 50.00
- 1,600.00 - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 210.00 - - - 50.00 - - - - - 50.00 - 260.00 40.00
- - - 236.00 - - - - - - - - - - - 236.00 64.00
- 1,800.00 - 1,800.00 - - - - - - - - - - - 1,800.00 -
- - 255.00 255.00 - - - - - - - - - - - 255.00 45.00
275.00 275.00 - 550.00 - - - - - - - - 1,050.00 1,050.00 - 1,600.00 -
- 1,926.45 230.00 2,156.45 - 548.55 - - 900.00 200.00 - 2,400.00 195.00 4,243.55 - 6,400.00 -
- 843.46 230.00 1,073.46 - - - - - - - 368.15 105.00 473.15 - 1,546.61 53.39
- 1,150.00 250.00 1,400.00 - - - - - - - - - - - 1,400.00 -

- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - - - - 288.00 212.00 500.00 - 500.00 -
- 687.20 - 687.20 - - - - - - - 252.80 60.00 312.80 - 1,000.00 -
- - - - - - - - - - - - 3,000.00 3,000.00 - 3,000.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 3,444.25 - 3,444.25 - - - - - - - - 1,555.75 1,555.75 - 5,000.00 -
- - - 700.00 - - - - - - - - - - - 700.00 -
- - - 768.00 - - - - - - - - - - - 768.00 32.00
- - - 960.00 - - - - - - - - - - - 960.00 40.00

- - - 1,536.00 - - - - - - - - - - - 1,536.00 64.00
- - - 1,153.50 - - - - - - - - - - - 1,153.50 46.50
- - - 1,300.00 - - - - - - - - - - - 1,300.00 -
- - - 732.20 - - - - - - - - - - - 732.20 67.80
- - - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00

- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 321.00 - - - - - - - - - - - 321.00 79.00
- - - 546.00 - - - - - - - - - - - 546.00 54.00
- - - 180.00 - - - - - - - - - - - 180.00 20.00
- - - 540.75 - - - - - - - - - - - 540.75 59.25
- - - 197.70 - - - - - - - - - - - 197.70 2.30
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 64.38 - - - - - - - - - - - 64.38 35.62
- - - 391.00 - - - - - - - - - - - 391.00 9.00
- - 230.00 392.00 - - - - - - - - - - - 392.00 8.00
- - - 100.00 - - - - - - - - - - - 100.00 -
- - - 690.00 - - - - - - - - - - - 690.00 10.00
240.00 - - 800.00 - - - - - - - - - - - 800.00 -
- - - - - - - - - - 800.00 - - 800.00 - 800.00 -
- - - 400.00 - - - - - - - - - - - 400.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 150.00
- - - 990.00 - - - - - - - - - - - 990.00 10.00
- - - 240.00 - - - - - - - - - - - 240.00 160.00
- - - 1,200.00 - - - - - - - - - - - 1,200.00 -
- - - 1,890.00 - - - - - - - - - - - 1,890.00 110.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - 800.00 800.00 - - - - - - - - - - - 800.00 -

- - - - - - - - 900.00 - - - - 900.00 - 900.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - 3,100.00 - - - - 3,100.00 - 3,100.00 -
- 1,300.00 - 1,300.00 - - - - - - - - - - - 1,300.00 -
- - 500.00 500.00 - - - - - - - - - - - 500.00 100.00
- - - - - - - - - 200.00 - - - 200.00 - 200.00 -
- 650.00 250.00 900.00 - - - - 100.00 - - - - 100.00 - 1,000.00 -
- 680.00 - 680.00 - - - - - - - - - - - 680.00 120.00
- 1,450.00 - 1,450.00 - - - - - 200.00 - - - 200.00 - 1,650.00 50.00
- 2,100.00 - 2,100.00 - - - - - - - - - - - 2,100.00 -
- - 310.00 310.00 - - - - - - - - - - - 310.00 90.00
- - - - - - - - 2,000.00 - - - - 2,000.00 - 2,000.00 -
217.00 - - 600.00 - - - - - - - - - - - 600.00 -
968.75 920.00 250.00 2,400.00 - - - - - - - - - - - 2,400.00 -
- 770.00 230.00 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - - - - - - - - - 325.00 75.00 400.00 - 400.00 -
- - - - - - - - - - - 155.00 45.00 200.00 - 200.00 -
397.25 - - 527.00 - - - - - - - - 322.00 322.00 - 849.00 151.00
297.50 - - 297.50 - - - - - - - - 202.50 202.50 - 500.00 -
- 996.45 - 996.45 - - - - - - - - 3.55 3.55 - 1,000.00 -
- 400.00 600.00 1,000.00 - - - - - - - - - - - 1,000.00 -
271.00 - - 271.00 - - - - - - - - 322.00 322.00 - 593.00 7.00
- - - - - - - - - - - 740.00 60.00 800.00 - 800.00 -
297.50 - - 379.10 - - - - - - - - 120.90 120.90 - 500.00 -

- - - - - - - - - - - 865.00 135.00 1,000.00 - 1,000.00 -
555.85 1,525.00 - 2,080.85 - - - - - - - 454.15 1,065.00 1,519.15 - 3,600.00 -
- 69.75 - 69.75 - - - - - - - 1,870.25 60.00 1,930.25 - 2,000.00 -
- - - - - - - - - - - 1,865.00 135.00 2,000.00 - 2,000.00 -

- - - - - - - - - - - 1,455.00 45.00 1,500.00 - 1,500.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 2,227.50 - 2,227.50 - - - - - - - 3,377.50 1,095.00 4,472.50 - 6,700.00 -
- - - - - - - - - - - 325.00 75.00 400.00 - 400.00 -

- 700.00 - 700.00 - - - - - - - - - - (2,250.00) 700.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - - - - - - - - 1,000.00 - - 1,000.00 - 1,000.00 -

- - - 566.75 - - - - - - - - - - - 566.75 33.25
- - - 390.00 - - - - - - - - - - - 390.00 10.00
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 437.50 - - - - - - - - - - - 437.50 162.50
- - - 90.00 - - - - - - - - - - - 90.00 110.00
- - - - - - - - - - 1,400.00 - - 1,400.00 - 1,400.00 -
- - - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - 745.50 - - - - - - - - - - - 745.50 54.50
- - - 745.50 - - - - - - - - - - - 745.50 54.50
- - - 782.00 - - - - - - - - - - - 782.00 18.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 660.00 - - - - - - - - - - - 660.00 140.00
- - - 656.00 - - - - - - - - - - - 656.00 44.00
- - - 500.00 - - - - - - - - - - - 500.00 -
- - - 397.75 - - - - - - - - - - - 397.75 2.25
- - - 503.00 - - - - - - - - - - - 503.00 97.00
- - - 941.00 - - - - - - - - - - - 941.00 59.00
- - - 541.00 - - - - - - - - - - - 541.00 59.00
- - - 700.00 - - - - - - - - - - - 700.00 -
- - - 176.75 - - - - - - - - - - - 176.75 23.25
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
- - - - - - - - 1,000.00 - - - - 1,000.00 - 1,000.00 -
- - - - - - - 900.00 - - - - - 900.00 - 900.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 325.00 - 325.00 - - - - - - - - - - - 325.00 75.00
- 500.00 - 500.00 - - - - - - - - - - - 500.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
165.25 - - 250.00 - - - 50.00 - - - - - 50.00 - 300.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 2,425.00 - 2,425.00 - - - - - - - - - - - 2,425.00 75.00
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - 230.00 230.00 - - - - - 200.00 - - - 200.00 - 430.00 170.00
1,256.50 - 230.00 1,486.50 - - - - - - - - - - - 1,486.50 113.50

- - 400.00 400.00 - - - - - - - - - - - 400.00 -
126.75 675.00 - 801.75 - - - - - - - 1,138.25 60.00 1,198.25 - 2,000.00 -
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
- - - - - - - - - - - 1,305.00 695.00 2,000.00 - 2,000.00 -
- - - - - - - - - - - 750.00 150.00 900.00 - 900.00 -
271.00 - - 271.00 - - - - - - - - 429.00 429.00 - 700.00 -
- - - - - - - - - - - 1,910.00 90.00 2,000.00 - 2,000.00 -
- 767.75 - 767.75 - - - - - - - - 532.25 532.25 - 1,300.00 -

- - - - - - - - - - - 1,194.50 45.00 1,239.50 - 1,239.50 60.50
- - - - - - - - - - - 1,955.00 45.00 2,000.00 - 2,000.00 -
- - - - - - - - - - - 955.00 45.00 1,000.00 - 1,000.00 -
- 3,670.00 230.00 3,900.00 - - - - - - - - - - - 3,900.00 -
- - - - - - - - - - - - 2,000.00 2,000.00 - 2,000.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 687.00 - - - - - - - - - - - 687.00 13.00

- - - 276.50 - - - - - - - - - - - 276.50 23.50
- - - 504.00 - - - - - - - - - - - 504.00 96.00
- - 230.00 230.00 - - - - - - - - - - - 230.00 70.00
- 170.00 230.00 400.00 - - - - - - - - - - - 400.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
163.58 250.00 250.00 663.58 - - - - - - - 216.42 120.00 336.42 - 1,000.00 -
1,476.50 770.00 250.00 4,000.00 - - - - - - - - - - - 4,000.00 -
- - - - - - - - - - - 495.00 1,005.00 1,500.00 - 1,500.00 -
297.50 - - 379.10 - - - - - - - - 620.90 620.90 - 1,000.00 -
- - - - - - - - - - - 2,245.00 755.00 3,000.00 - 3,000.00 -
- - - 1,078.50 - - - - - - - - - - - 1,078.50 121.50

- - - 182.40 - - - - - - - - - - - 182.40 17.60
- - - 1,128.00 - - - - - - - - - - - 1,128.00 72.00
- - - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - - 1,120.50 - - - - - - - - - - - 1,120.50 79.50
- - - 168.00 - - - - - - - - - - - 168.00 32.00
770.00 - 230.00 1,000.00 - - - - - - - - - - - 1,000.00 -
26.50 905.00 580.00 1,511.50 - - - - - - - - - - - 1,511.50 88.50
- 505.45 - 505.45 - - - - - - - 1,449.55 45.00 1,494.55 - 2,000.00 -
- - - - - - - - - - - 110.00 90.00 200.00 - 200.00 -
536.00 505.00 430.00 1,600.00 - - - - - - - - - - - 1,600.00 -
- 400.00 - 400.00 - - - - - - - - - - - 400.00 400.00
270.25 - - 825.85 - - - - - - - - 374.15 374.15 - 1,200.00 -
- - - - - - - - - - - 340.00 60.00 400.00 - 400.00 -
1,341.50 200.00 250.00 1,791.50 - - - - - - - 100.00 40.00 140.00 - 1,931.50 68.50
227.50 - - 227.50 - - - - - - - - 172.50 172.50 - 400.00 -
- - - - - - - - - - - - 585.85 585.85 - 585.85 14.15
1,851.78 2,115.00 230.00 4,196.78 - - - - - - - 963.22 240.00 1,203.22 - 5,400.00 -
1,390.75 2,475.00 - 5,134.25 - - - - - - - - 780.00 780.00 - 5,914.25 85.75
- 1,280.00 - 1,280.00 - - - - - - - 8,800.00 1,520.00 10,320.00 - 11,600.00 -
- - - - - - - - - - - 238.00 1,062.00 1,300.00 - 1,300.00 -

- 33.00 - 33.00 - - - - - - - - - - - 33.00 167.00
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 800.00 - - - - - - - - - - - 800.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 1,900.00 - - - - - - - - - - - 1,900.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00

- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,536.00 - - - - - - - - - - - 1,536.00 64.00
- - - 2,200.00 - - - - - - - - - - - 2,200.00 -
- - - 687.50 - - - - - - - - - - - 687.50 12.50

- - - 1,579.50 - - - - - - - - - - - 1,579.50 20.50
- - - 1,360.00 - - - - - - - - - - - 1,360.00 40.00
- - - 576.00 - - - - - - - - - - - 576.00 24.00
- - - 1,900.00 - - - - - - - - - - - 1,900.00 -
- - - 591.00 - - - - - - - - - - - 591.00 9.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - 176.75 - - - - - - - - - - - 176.75 23.25
- - - 309.75 - - - - - - - - - - - 309.75 90.25
- - - 757.50 - - - - - - - - - - - 757.50 42.50
- - - 192.00 - - - - - - - - - - - 192.00 8.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 100.00 - - - - - - - - - - - 100.00 -
- - - 1,590.75 - - - - - - - - - - - 1,590.75 9.25
- - - 489.00 - - - - - - - - - - - 489.00 11.00
- 1,490.00 1,030.00 3,451.00 - - - - - 200.00 - - - 200.00 - 3,651.00 49.00
870.00 - 230.00 1,100.00 - - - - - - - - - - - 1,100.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 755.00 - 755.00 - - - - - - - - - - - 755.00 45.00
- - - - - - - - 2,000.00 - - - - 2,000.00 - 2,000.00 -
- 300.00 - 300.00 - - - - - - - - - - - 300.00 -
- - - - - - - - 900.00 - - - - 900.00 - 900.00 100.00
400.50 - - 940.50 - - - - - - - - - - - 940.50 59.50
- - - - - - - - 1,790.00 - - - - 1,790.00 - 1,790.00 10.00
- - - - - - - - 1,350.00 - - - - 1,350.00 - 1,350.00 50.00

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 200.00 - 200.00 - - - - - 200.00 - - - 200.00 - 400.00 -
- - - - - - - - 1,790.00 - - - - 1,790.00 - 1,790.00 10.00
- - - 865.75 - - - - - - - - - - - 865.75 134.25
482.50 600.00 250.00 2,241.50 - 600.00 - - - - - 1,000.01 90.00 1,690.01 - 3,931.51 68.49
768.50 325.00 - 2,112.00 - - - - - - - 149.30 60.00 209.30 - 2,321.30 78.70

200.00 1,050.00 250.00 1,500.00 - - - - - - - - - - - 1,500.00 -
- 1,210.35 300.00 1,510.35 - - - - - - - 384.65 105.00 489.65 - 2,000.00 -
404.25 - - 659.85 - - - - - - - - 340.15 340.15 - 1,000.00 -
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
755.00 995.00 250.00 2,000.00 - - - - - - - - - - - 2,000.00 -
- - - - - - - - - - - 360.00 240.00 600.00 - 600.00 -
- - - - - - - - - - - 910.00 90.00 1,000.00 - 1,000.00 -
- - - - - - - - - - - 1,895.00 105.00 2,000.00 - 2,000.00 -
- - - - - - - - - - - 810.00 990.00 1,800.00 - 1,800.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - - - - 533.40 180.00 713.40 - 713.40 86.60
- - - - (108.00) - - - - - - - 800.00 800.00 - 800.00 -
- - - - - - - - - - - 1,220.75 1,535.00 2,755.75 - 2,755.75 44.25
386.00 - - 600.00 - - - - - - - - - - - 600.00 -
- - 0.00 0.00 - - - - - - - 10,805.00 1,095.00 11,900.00 - 11,900.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 296.25 - - - - - - - - - - - 296.25 3.75
7.25 - - 600.00 - - - - - - - - - - - 600.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00

- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 195.00 - - - - - - - - - - - 195.00 5.00
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 108.00 - - - - - - - - - - - 108.00 92.00
- - - 895.75 - - - - - - - - - - - 895.75 4.25
- - - 371.00 - - - - - - - - - - - 371.00 29.00
- - - 48.80 - - - - - - - - - - - 48.80 51.20
- - - 396.00 - - - - - - - - - - - 396.00 4.00
- - - 574.50 - - - - - - - - - - - 574.50 25.50
- - - 660.00 - - - - - - - - - - - 660.00 40.00
716.75 - - 1,202.75 - - - - - - - - - - - 1,202.75 197.25
- - - 1,386.00 - - - - - - - - - - - 1,386.00 14.00
- - - 1,386.00 - - - - - - - - - - - 1,386.00 14.00
- - - 398.25 - - - - - - - - - - - 398.25 1.75
- - - 1,299.65 - - - - - - - - - - - 1,299.65 100.35
- - - 671.25 - - - - - - - - - - - 671.25 128.75
458.50 - - 890.50 - - - - - - - - - - - 890.50 9.50
- - - 1,852.50 - - - - - - - - - - - 1,852.50 47.50
- - - 62.50 - - - - - - - - - - - 62.50 37.50
- - - 62.50 - - - - - - - - - - - 62.50 37.50
- - - 62.50 - - - - - - - - - - - 62.50 37.50
- - - 497.00 - - - - - - - - - - - 497.00 3.00
- - - 495.00 - - - - - - - - - - - 495.00 5.00
- 910.00 - 910.00 - - - - - - - - - - - 910.00 90.00
- - 900.00 900.00 - - - - - - - - - - - 900.00 100.00
- 1,500.00 - 1,500.00 - - - - - 200.00 - - - 200.00 - 1,700.00 -
- - 540.00 540.00 - - - - - - - - - - - 540.00 60.00
- - 800.00 800.00 - - - - - - - - - - - 800.00 -

- - 300.00 300.00 - - - - - - - - - - - 300.00 -
- - 310.00 310.00 - - - - - - - - - - - 310.00 90.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - - - - - - - - 200.00 - - - 200.00 - 200.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
570.00 - - 570.00 - - - - - - - - - - - 570.00 30.00
- - 900.00 900.00 - - - - - - - - - - - 900.00 -
322.50 440.00 - 1,108.40 - - - 50.00 - - - - - 50.00 - 1,158.40 41.60
- 920.00 900.00 1,820.00 - - - - - - - - - - - 1,820.00 180.00
- - 800.00 800.00 - - - - - - - - - - - 800.00 -

- - - 1,795.50 - - - - - - - - - - - 1,795.50 2,204.50
- - - 1,200.00 - - - - - - - - - - - 1,200.00 -
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - 1,400.00 - - - - 1,400.00 - 1,400.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - 800.00 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 500.00 - - - - 900.00 - - - - 900.00 - 1,400.00 -
216.50 1,015.00 250.00 1,800.00 - - - - - - - - - - - 1,800.00 -

- 167.00 - 167.00 - - - - - - - 3.00 1,830.00 1,833.00 - 2,000.00 -
694.00 455.00 - 1,200.75 - - - - - - - 69.25 30.00 99.25 - 1,300.00 -
- - 200.00 200.00 - - - - - - - - - - - 200.00 -

3,307.00 790.00 540.00 5,000.00 - - - - - - - - - - - 5,000.00 -
1,095.45 200.00 250.00 1,545.45 - 1,034.55 - - - - - 1,300.00 120.00 2,454.55 - 4,000.00 -

86.00 250.00 460.00 796.00 - - - - - - - 1,069.00 135.00 1,204.00 - 2,000.00 -
- - 2,000.00 2,000.00 - - - - - - - - - - - 2,000.00 -
1,100.00 7,570.00 230.00 8,900.00 - - - - - - - - - - - 8,900.00 -
- - - - - - - - - - - 3,263.00 237.00 3,500.00 - 3,500.00 -
146.00 - - 146.00 - - - - - - - - 554.00 554.00 - 700.00 -
- 1,379.25 - 1,379.25 - - - - - - - - 20.75 20.75 - 1,400.00 -
- - - - - - - - - - - 2,340.00 60.00 2,400.00 - 2,400.00 -

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - - 935.00 1,065.00 2,000.00 - 2,000.00 -
- - - - - - - - - - - 925.00 75.00 1,000.00 - 1,000.00 -
325.00 2,500.00 - 2,825.00 - - - - - - - - 575.00 575.00 - 3,400.00 -
- 700.00 - 700.00 - - - - - - - - - - - 700.00 -
920.00 1,900.00 1,380.00 4,200.00 - - - - - - - - - - - 4,200.00 -
- - - 1,032.50 - - - - - - - - - - - 1,032.50 67.50

- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 1,385.55 - - - - - - - - - - - 1,385.55 14.45
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
394.00 - - 981.00 - - - - - - - - - - - 981.00 19.00
- - - 495.00 - - - - - - - - - - - 495.00 5.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
88.00 - - 1,300.75 - - - - - - - - - - - 1,300.75 99.25
200.00 - - 200.00 - - - - - - - - - - - 200.00 -
- - - 348.00 - - - - - - - - - - - 348.00 52.00
- - - 252.00 - - - - - - - - - - - 252.00 48.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 1,942.00 - - - - - - - - - - - 1,942.00 58.00
- - - 462.00 - - - - - - - - - - - 462.00 38.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 247.50 - - - - - - - - - - - 247.50 52.50

- - - 495.00 - - - - - - - - - - - 495.00 105.00
- - - 883.00 - - - - - - - - - - - 883.00 17.00
- - - - - - - - - - 800.00 - - 800.00 - 800.00 -
- - - - - - - - - - 800.00 - - 800.00 - 800.00 -

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 470.75 - - - - - - - - - - - 470.75 29.25
- - - - - - - - - - 2,000.00 - - 2,000.00 - 2,000.00 -
- - - 300.00 - - - - - - - - - - - 300.00 -
- - - 540.00 - - - - - - - - - - - 540.00 60.00
- - - - - - - - - - 1,000.00 - - 1,000.00 - 1,000.00 -
- - - 1,188.25 - - - - - - - - - - - 1,188.25 11.75
12.00 - - 1,606.00 - - - - - - - - - - - 1,606.00 194.00

- - - 481.25 - - - - - - - - - - - 481.25 18.75
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- - 250.00 250.00 - - - - - - - - - - - 250.00 150.00
- 650.00 - 650.00 - - - - - - - - - - - 650.00 50.00
- 275.00 - 275.00 - - - - - - - - - - - 275.00 25.00
- 2,000.00 - 2,000.00 - - - - - - - - - - - 2,000.00 -
- - - - - 60.00 - - - - - - - 60.00 - 60.00 140.00
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
- - - - - - - - 3,790.00 - - - - 3,790.00 - 3,790.00 210.00
- 75.00 - 75.00 - - - - - - - - - - - 75.00 25.00

- - 300.00 300.00 - - - - - - - - - - - 300.00 -
- - 400.00 1,828.75 - - - - - - - - - - - 1,828.75 71.25
- - 500.00 500.00 - - - - - - - - - - - 500.00 -
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 1,570.00 - 1,570.00 - - - - - - - - - - - 1,570.00 30.00
- - - 400.00 - - - - - - - - - - - 400.00 -
- 700.00 - 700.00 - - - 100.00 - - - - - 100.00 - 800.00 -
- - - - - - - - 800.00 - - - - 800.00 - 800.00 -
- - - - - - - - 3,550.00 - - - - 3,550.00 - 3,550.00 50.00
- - - - - - - - - - 300.00 - - 300.00 - 300.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 680.00 - 680.00 - - - - - - - - - - - 680.00 20.00
- - 540.00 540.00 - - - - - - - - - - - 540.00 60.00
464.00 400.00 510.00 2,161.50 - - - - - - - - - - - 2,161.50 38.50
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- - 160.00 160.00 - - - - - - - - - - - 160.00 240.00
- - 230.00 230.00 - - - - - 200.00 - - - 200.00 - 430.00 70.00
- - 770.20 770.20 - - - 1,809.80 - 200.00 - 3,700.00 120.00 5,829.80 - 6,600.00 -
- 852.90 230.00 1,082.90 - 1,947.10 - - - 400.00 - 400.00 70.00 2,817.10 - 3,900.00 100.00
215.00 - - 215.00 - - - - - - - - 783.55 783.55 - 998.55 1.45
219.00 - - 219.00 - - - - - - - - 783.15 783.15 - 1,002.15 97.85
- 2,570.00 230.00 2,800.00 - - - - - - - - - - - 2,800.00 -

- - - - - - - - - - - 2,625.00 75.00 2,700.00 - 2,700.00 -
- 2,770.00 230.00 3,000.00 - - - - - - - - - - - 3,000.00 -
- 133.75 250.00 383.75 - - - - - - - - 1,616.25 1,616.25 - 2,000.00 -
271.00 275.00 - 546.00 - - - - - - - - 54.00 54.00 - 600.00 -
- - - - - - - - - - - 910.00 90.00 1,000.00 - 1,000.00 -
- 378.75 800.00 1,178.75 - - - - - - - - 21.25 21.25 - 1,200.00 -

- - - - - - - - - - - - 400.00 400.00 - 400.00 -
- 959.10 230.00 1,189.10 - - - - - - - - - - - 1,189.10 10.90
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 577.50 - - - - - - - - - - - 577.50 22.50
- - - 770.00 - - - - - - - - - - - 770.00 30.00
- - - 540.00 - - - - - - - - - - - 540.00 60.00
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 196.50 - - - - - - - - - - - 196.50 3.50
- - - 198.75 - - - - - - - - - - - 198.75 1.25
- - - 571.50 - - - - - - - - - - - 571.50 28.50
60.50 - - 592.10 - - - - - - - - - - - 592.10 7.90
2.50 - - 792.32 - - - - - - - - - - - 792.32 7.68

- - - 96.62 - - - - - - - - - - - 96.62 3.38
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
202.50 - - 1,500.00 - - - - - - - - - - - 1,500.00 -

- - - 198.00 - - - - - - - - - - - 198.00 2.00
154.50 - - 1,342.50 - - - - - - - - - - - 1,342.50 257.50
- - - 310.25 - - - - - - - - - - - 310.25 89.75
- - - 391.00 - - - - - - - - - - - 391.00 9.00
- - - 126.00 - - - - - - - - - - - 126.00 74.00
- 325.00 - 325.00 - - - - - - - - - - - 325.00 75.00
- - - 195.50 - - - - - - - - - - - 195.50 4.50
45.00 - - 398.55 - - - - - - - - - - - 398.55 1.45
- - - 479.50 - - - - - - - - - - - 479.50 20.50
- - - 473.75 - - - - - - - - - - - 473.75 126.25
- - - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - - 1,199.25 - - - - - - - - - - - 1,199.25 0.75
- - - 397.00 - - - - - - - - - - - 397.00 3.00
- - - 270.00 - - - - - - - - - - - 270.00 30.00
- - - 540.00 - - - - - - - - - - - 540.00 60.00
- - - 1,789.00 - - - - - - - - - - - 1,789.00 11.00
- - - 1,998.49 - - - - - - - - - - - 1,998.49 1.51
- - - - - - - - - - 600.00 - - 600.00 - 600.00 -
- - - 192.00 - - - - - - - - - - - 192.00 8.00
- - - 1,800.00 - - - - - - - - - - - 1,800.00 100.00
85.50 - - 925.50 - - - - - - - - - - - 925.50 74.50

- 1,280.00 - 2,100.00 - - - - - - - - - - - 2,100.00 -
- - - - - - - - - 200.00 - - - 200.00 - 200.00 -
- - - - - - - - 1,500.00 - - - - 1,500.00 - 1,500.00 -
- - 500.00 500.00 - - - - - - - - - - - 500.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
- 555.00 - 555.00 - - - - - - - - - - - 555.00 45.00
- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - - - - - 1,800.00 - - - - - 1,800.00 - 1,800.00 -
- 675.00 - 675.00 - - - - - - - - - - - 675.00 125.00
- 320.00 230.00 550.00 - - - 50.00 - - - - - 50.00 - 600.00 -
1,185.00 275.00 540.00 2,000.00 - - - - - - - - - - - 2,000.00 -
- 1,770.00 230.00 2,000.00 - - - - - - - - - - - 2,000.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
430.00 675.00 - 1,105.00 - - - - - - - 835.00 60.00 895.00 - 2,000.00 -
- - - - (5,139.75) - - - - - - 5,480.00 320.00 5,800.00 - 5,800.00 -
- 452.86 - 452.86 - - - - - - - 1,442.14 105.00 1,547.14 - 2,000.00 -
283.00 80.00 - 363.00 - - - - - - - - 670.00 670.00 - 1,033.00 67.00

- - - - - - - - - - - - 900.00 900.00 - 900.00 -
- - - - - - - - - - - 1,425.00 75.00 1,500.00 - 1,500.00 -
2,237.50 930.00 - 4,200.00 - - - - - - - - - - - 4,200.00 -
- - - - - - - - - - - 320.00 1,080.00 1,400.00 - 1,400.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 2,400.00 - - - - - - - - - - - 2,400.00 -
400.00 - - 400.00 - - - - - - - - - - - 400.00 -

- - - 834.50 - - - - - - - - - - - 834.50 165.50
69.00 - - 1,203.00 - - - - - - - - - - - 1,203.00 97.00
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 577.50 - - - - - - - - - - - 577.50 22.50
- - - 292.50 - - - - - - - - - - - 292.50 7.50
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 360.00 - - - - - - - - - - - 360.00 40.00
- - - 832.50 - - - - - - - - - - - 832.50 67.50
- - - 517.00 - - - - - - - - - - - 517.00 83.00

- - - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - 657.60 - - - - - - - - - - - 657.60 42.40
- - - 1,100.00 - - - - - - - - - - - 1,100.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 2,108.40 - - - - - - - - - - - 2,108.40 91.60
- - - 330.00 - - - - - - - - - - - 330.00 70.00
- - - 450.00 - - - - - - - - - - - 450.00 50.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
800.00 - - 800.00 - - - - - - - - - - - 800.00 -
357.25 - - 357.25 - - - - - - - - - - - 357.25 142.75
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 378.00 - - - - - - - - - - - 378.00 22.00
- - - 353.50 - - - - - - - - - - - 353.50 46.50
- - - 782.25 - - - - - - - - - - - 782.25 17.75
- 800.00 - 800.00 - - - - - - - - - - - 800.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - - - - - - - 800.00 - - - - 800.00 - 800.00 -
- - - 192.00 - - - - - - - - - - - 192.00 8.00
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- - 190.00 190.00 - - - - - 200.00 - - - 200.00 - 390.00 10.00
- - - - - - - - 2,000.00 - - - - 2,000.00 - 2,000.00 -
- - - - - - - - - 200.00 - - - 200.00 - 200.00 -
- 1,300.00 - 1,300.00 - - - - - - - - - - - 1,300.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 500.00 - 500.00 - - - - - - - - - - - 500.00 -
- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -
- 1,500.00 - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - - - - - - 1,050.00 - - - - 1,050.00 - 1,050.00 50.00
- 77.75 800.00 877.75 - - - - - - - - 22.25 22.25 - 900.00 -
724.50 1,110.00 - 1,853.00 - - - - - - - 57.00 90.00 147.00 - 2,000.00 -
- 80.00 - 80.00 - - - - - - - - 438.00 438.00 - 518.00 82.00
- 47.20 - 47.20 - - - - - - - 892.80 60.00 952.80 - 1,000.00 -
- 194.45 - 194.45 - - - - - - - 915.55 90.00 1,005.55 - 1,200.00 -

- - - - - - - - - - - - 555.00 555.00 - 555.00 45.00
- - - - - - - - - - - 3,710.00 990.00 4,700.00 - 4,700.00 -
- 2,005.00 530.00 2,535.00 - - - - - - - 1,000.00 165.00 1,165.00 - 3,700.00 -

- 292.20 - 292.20 - - - - - - - 1,602.80 105.00 1,707.80 - 2,000.00 -
- 498.40 - 498.40 - - - - - - - - 1.60 1.60 - 500.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 700.00 - - - - - - - - - - - 700.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 700.00 - - - - - - - - - - - 700.00 -
12.00 - - 1,539.60 - - - - - - - - - - - 1,539.60 60.40
- - - 398.50 - - - - - - - - - - - 398.50 1.50
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 180.00 - - - - - - - - - - - 180.00 20.00

- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 1,332.00 - - - - - - - - - - - 1,332.00 68.00

- - - 247.50 - - - - - - - - - - - 247.50 152.50
- - - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 1,339.50 - - - - - - - - - - - 1,339.50 60.50
- - - 492.00 - - - - - - - - - - - 492.00 108.00
- - - 647.50 - - - - - - - - - - - 647.50 52.50
- - - 1,169.50 - - - - - - - - - - - 1,169.50 30.50
313.00 250.00 - 750.00 - - - - - - - - - - - 750.00 50.00

- 355.00 - 461.50 - - - - - - - - - - - 461.50 38.50
292.25 - - 730.75 - - - - - - - - - - - 730.75 69.25
- 250.00 - 351.00 - - - - - - - - - - - 351.00 49.00
- 555.00 230.00 785.00 - - - - - - - - - - - 785.00 15.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- 1,338.55 - 1,338.55 - - - - - - - - 661.45 661.45 - 2,000.00 -
- - - 100.00 - - - - - - - - - - - 100.00 -
- 250.00 - 704.50 - - - 50.00 - - - - - 50.00 - 754.50 45.50
142.00 325.00 - 956.75 - - - - - - - - - - - 956.75 43.25
740.75 - - 822.35 - - - - - - - - 1,177.65 1,177.65 - 2,000.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - - 2,625.00 75.00 2,700.00 - 2,700.00 -
327.72 250.00 250.00 827.72 - - - - - - - - - - - 827.72 72.28

- - 500.00 500.00 - - - - - - - - - - - 500.00 -
- - - - - - - - - - - 825.00 175.00 1,000.00 - 1,000.00 -
- 1,124.75 - 1,124.75 - - - - - - - - 275.25 275.25 - 1,400.00 -
355.25 - - 355.25 - - - - - - - - 144.75 144.75 - 500.00 -
- - - - - - - - - - - 840.00 60.00 900.00 - 900.00 -
350.75 275.00 - 625.75 - - - - - - - - 274.25 274.25 - 900.00 -
- - - - - - - - - - - 510.00 990.00 1,500.00 - 1,500.00 -

- 925.50 - 925.50 - - - - - - - - 74.50 74.50 - 1,000.00 -
- 689.45 - 689.45 - - - - - - - 245.55 1,065.00 1,310.55 - 2,000.00 -
895.00 1,810.00 - 2,705.00 - - - - - - - 3,906.00 2,725.00 6,631.00 - 9,336.00 164.00
- - - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - - - 174.00 - - - - - - - 174.00 - 174.00 26.00
- - - 192.00 - - - - - - - - - - - 192.00 8.00
- - - 829.50 - - - - - - - - - - - 829.50 70.50
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 685.75 - - - - - - - - - - - 685.75 14.25
- - - 678.00 - - - - - - - - - - - 678.00 22.00
136.00 - - 568.00 - - - - - - - - - - - 568.00 32.00
200.00 - - 200.00 - - - - - - - - - - - 200.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - 652.50 - - - - - - - - - - - 652.50 47.50
- - - 481.25 - - - - - - - - - - - 481.25 118.75
- - - 756.00 - - - - - - - - - - - 756.00 44.00
- - - 528.00 - - - - - - - - - - - 528.00 72.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 1,814.40 - - - - - - - - - - - 1,814.40 185.60
- - - 1,537.50 - - - - - - - - - - - 1,537.50 62.50
- - - - - - - - - - 3,000.00 - - 3,000.00 - 3,000.00 -
- - - 768.00 - - - - - - - - - - - 768.00 32.00
- - - 700.00 - - - - - - - - - - - 700.00 -
- - - 315.75 - - - - - - - - - - - 315.75 84.25
- - - 996.00 - - - - - - - - - - - 996.00 4.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 277.50 - - - - - - - - - - - 277.50 22.50
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
- 300.00 - 300.00 - - - - - - - - - - - 300.00 -
- - 230.00 356.00 - - - - - - - - - - - 356.00 44.00
- - - - - - - - 2,200.00 - - - - 2,200.00 - 2,200.00 -
- 1,400.00 - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - 300.00 300.00 - - - - - - - - - - - 300.00 -
- 1,500.00 - 1,500.00 - - - - - - - - - - - 1,500.00 -
- 425.00 - 425.00 - - - 275.00 - - - - - 275.00 - 700.00 100.00
- 1,085.00 230.00 1,315.00 - - - - - 200.00 - - - 200.00 - 1,515.00 85.00
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- 80.00 - 80.00 - - - - - - - - - - - 80.00 20.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
- 700.00 - 700.00 - - - - - - - - - - - 700.00 -
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
1,006.50 - 230.00 1,404.50 - - - - - - - - - - - 1,404.50 195.50
- 280.00 280.00 600.00 - - - - - - - - - - - 600.00 -
- - 570.00 570.00 - - - - - - - - - - - 570.00 30.00
277.25 - - 277.25 - - - - - - - - 722.75 722.75 - 1,000.00 -
- 515.91 250.00 765.91 - - - - - - - - 34.09 34.09 - 800.00 -
129.04 200.00 250.00 579.04 - - - - - - - - - - - 579.04 20.96
- - - - - - - - - - - 1,910.00 90.00 2,000.00 - 2,000.00 -
- - 400.00 400.00 - - - - - - - 70.00 30.00 100.00 - 500.00 -
- - 984.86 984.86 - - - - - - - - 915.14 915.14 - 1,900.00 -
- 885.25 - 885.25 - - - - - - - - 114.75 114.75 - 1,000.00 -
- 1,100.00 - 1,100.00 - - - - - - - - - - - 1,100.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
710.00 640.00 250.00 1,600.00 - - - - - - - - - - - 1,600.00 -
1,348.20 1,775.00 230.00 3,353.20 - - - - - - - 211.80 135.00 346.80 - 3,700.00 -
5,593.00 3,180.00 980.00 9,753.00 - - - - - - - 4,875.00 1,535.00 6,410.00 - 16,163.00 37.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00

- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00

- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - 382.50 - - - - - - - - - - - 382.50 17.50
- - - 1,200.00 - - - - - - - - - - - 1,200.00 -
84.00 - - 1,200.00 - - - - - - - - - - - 1,200.00 -

- - - 1,183.00 - - - - - - - - - - - 1,183.00 17.00
- - - 1,212.75 - - - - - - - - - - - 1,212.75 187.25
- - - 1,212.75 - - - - - - - - - - - 1,212.75 87.25
- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 1,386.00 - - - - - - - - - - - 1,386.00 14.00

- - - 252.00 - - - - - - - - - - - 252.00 148.00
82.00 - - 82.00 - - - - - - - - - - - 82.00 118.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,831.50 - - - - - - - - - - - 1,831.50 168.50
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
89.75 - - 89.75 - - - - - - - - - - - 89.75 110.25
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 582.75 - - - - - - - - - - - 582.75 17.25
18.75 - - 398.75 - - - - - - - - - - - 398.75 1.25
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 248.50 - - - - - - - - - - - 248.50 51.50
- 160.00 - 160.00 - - - - - - - - - - - 160.00 40.00
- - - - - - - - 720.00 - - - - 720.00 - 720.00 80.00
- - - 382.50 - - - - - - - - - - - 382.50 17.50
- 1,270.00 230.00 1,500.00 - - - - - 200.00 - - - 200.00 - 1,700.00 -
- - 230.00 700.00 - - - - - - - - - - - 700.00 -
- 1,400.00 - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- - 200.00 200.00 - - - - - - - - - - - 200.00 200.00
- 640.00 - 640.00 - - - - - - - - - - - 640.00 60.00
- - 2,000.00 2,000.00 - - - - - - - - - - - 2,000.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 820.00 230.00 1,050.00 - - - - - - - - - - - 1,050.00 50.00

- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 250.00 - 520.00 - - - - - - - - - - - 520.00 80.00
- - - 189.00 - - - - - 200.00 - - - 200.00 - 389.00 11.00
235.00 2,535.00 230.00 3,000.00 - - - - - - - - - - - 3,000.00 -
- - - - - 396.91 - - - - - 100.00 30.00 526.91 - 526.91 73.09
- 920.00 780.00 1,700.00 - - - - - - - - - - - 1,700.00 -
- - 1,400.00 1,400.00 - - - - - - - - - - - 1,400.00 -

- - - - - - - - - - - 480.00 120.00 600.00 - 600.00 -
402.25 - - 483.85 - - - - - - - - 670.00 670.00 - 1,153.85 46.15
- - - - - - - - - - - 1,500.25 90.00 1,590.25 - 1,590.25 9.75
254.00 - - 335.60 - - - - - - - - 664.40 664.40 - 1,000.00 -

369.75 - - 369.75 - - - - - - - - 130.25 130.25 - 500.00 -
350.75 - - 350.75 - - - - - - - - 649.25 649.25 - 1,000.00 -
- 1,857.85 - 1,857.85 - - - - - - - 2,152.15 990.00 3,142.15 - 5,000.00 -

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - - 440.00 60.00 500.00 - 500.00 -
- 2,820.00 1,380.00 4,200.00 - - - - - - - - - - - 4,200.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00

- - - 1,900.00 - - - - - - - - - - - 1,900.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 2,400.00 - - - - - - - - - - - 2,400.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 690.00 - - - - - - - - - - - 690.00 10.00
- - - 900.00 - - - - - - - - - - - 900.00 -
- - - 937.50 - - - - - - - - - - - 937.50 62.50
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 449.82 - - - - - - - - - - - 449.82 150.18
- - - 192.78 - - - - - - - - - - - 192.78 7.22
174.25 - - 174.25 - - - - - - - - - - - 174.25 25.75
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 319.50 - - - - - - - - - - - 319.50 80.50
- - - 1,380.00 - - - - - - - - - - - 1,380.00 20.00
- - - - - - - - - - 800.00 - - 800.00 - 800.00 -

- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 192.00 - - - - - - - - - - - 192.00 8.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - - - - - - - - 1,280.00 - - 1,280.00 - 1,280.00 120.00
- - - 1,473.75 - - - - - - - - - - - 1,473.75 26.25

- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 1,382.75 - - - - - - - - - - - 1,382.75 17.25
- - - 864.00 - - - - - - - - - - - 864.00 36.00
- - - 1,432.50 - - - - - - - - - - - 1,432.50 167.50
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 178.60 - 19.60 - - - - - - - 19.60 - 198.20 1.80
- - - - - - - - 720.00 - - - - 720.00 - 720.00 80.00
- - 230.00 332.60 - - - - - - - - - - - 332.60 67.40
- - - - - - - - - 200.00 - - - 200.00 - 200.00 -
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- 170.00 230.00 400.00 - - - - - - - - - - - 400.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 80.00 - 80.00 - - - - - - - - - - - 80.00 120.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- 1,630.00 - 1,630.00 - - - - - 200.00 - - - 200.00 - 1,830.00 170.00
- 110.00 - 110.00 - - - - - - - - - - - 110.00 90.00
- - - - - - - - 790.00 - - - - 790.00 - 790.00 10.00
- 300.00 - 300.00 - - - - - - - - - - (10.00) 300.00 -
- 770.00 230.00 1,000.00 - - - - - - - - - - - 1,000.00 -
- 2,369.02 230.00 2,599.02 - - - - - - - - - - - 2,599.02 0.98
- - - - - - - - - - - - 1,000.00 1,000.00 - 1,000.00 -
402.25 - - 483.85 - - - - - - - - 116.15 116.15 - 600.00 -
700.50 1,975.00 230.00 3,000.00 - - - - - - - - - - - 3,000.00 -
- 571.75 250.00 821.75 - - - - - - - 773.25 405.00 1,178.25 - 2,000.00 -

- - - - - - - - - - - - 400.00 400.00 - 400.00 -
- 1,200.50 - 1,200.50 - - - - - - - 179.50 120.00 299.50 - 1,500.00 -
355.25 - - 355.25 - - - - - - - - 544.75 544.75 - 900.00 -
- 252.25 - 252.25 - - - - - - - 627.75 1,020.00 1,647.75 - 1,900.00 -
- 1,500.00 - 1,500.00 - - - - - - - - - - - 1,500.00 -
- 754.90 - 754.90 - - - - - - - - 745.10 745.10 - 1,500.00 -
- - - 1,900.00 - - - - - - - - - - - 1,900.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 1,000.00 - - - - - - - - - - - 1,000.00 -
141.00 - - 399.00 - - - - - - - - - - - 399.00 1.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 858.00 - - - - - - - - - - - 858.00 42.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,158.50 - - - - - - - - - - - 1,158.50 41.50
- - - 1,224.25 - - - - - - - - - - - 1,224.25 75.75
- - - 678.00 - - - - - - - - - - - 678.00 122.00

- - - 390.00 - - - - - - - - - - - 390.00 10.00
- - - 783.75 - - - - - - - - - - - 783.75 16.25
- - - 100.00 - - - - - - - - - - - 100.00 -
- - - 700.00 - - - - - - - - - - - 700.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 1,437.50 - - - - - - - - - - - 1,437.50 62.50
- - - 700.00 - - - - - - - - - - - 700.00 -
- - - 1,800.00 - - - - - - - - - - - 1,800.00 -
68.00 - - 194.00 - - - - - - - - - - - 194.00 6.00
- - - 300.00 - - - - - - - - - - - 300.00 -
- - - 1,200.00 - - - - - - - - - - - 1,200.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 1,700.00 - 1,700.00 - - - - - - - - - - - 1,700.00 -
- - - - - - - - 800.00 - - - - 800.00 - 800.00 -
- 1,035.00 350.00 1,400.00 - - - - - - - - - - - 1,400.00 -

- 200.00 - 600.00 - - - - - - - - - - - 600.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- 1,870.00 - 1,870.00 - - - - - - - - - - - 1,870.00 30.00
- 880.00 - 880.00 - - - - - - - - - - - 880.00 120.00
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- - 184.00 184.00 - - - - - - - - - - - 184.00 16.00
- - - - - - - - 900.00 - - - - 900.00 - 900.00 -
- 600.00 600.00 1,200.00 - - - - - - - - - - - 1,200.00 -

- - 530.00 530.00 - - - - - - - - - - - 530.00 70.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - 250.00 250.00 - - - - - - - - - - - 250.00 150.00
- - 1,200.00 1,200.00 - - - - - - - - - - - 1,200.00 -
- - - - - - - - 600.00 - - - - 600.00 - 600.00 -
363.25 - - 363.25 - - - - - - - - 1,036.75 1,036.75 - 1,400.00 -
500.00 770.00 230.00 1,500.00 - - - - - - - - - - - 1,500.00 -
1,263.75 200.00 250.00 2,000.00 - - - - - - - - - - - 2,000.00 -
- 982.00 230.00 1,212.00 - - - - - - - 1,300.00 135.00 1,435.00 - 2,647.00 53.00
- 6,970.00 830.00 7,800.00 - - - - - - - - - - - 7,800.00 -
2,455.00 2,395.00 650.00 5,500.00 - - - - - - - - - - - 5,500.00 -
- - - - - - - - - - - 940.00 60.00 1,000.00 - 1,000.00 -

1,798.50 3,465.00 230.00 5,493.50 - - - - - - - 341.50 165.00 506.50 - 6,000.00 -
- 1,062.50 300.00 1,362.50 - - - - - - - 500.00 90.00 590.00 - 1,952.50 47.50
355.25 - - 355.25 - - - - - - - - 1,044.75 1,044.75 - 1,400.00 -
- 336.85 - 336.85 - - - - - - - 1,098.15 1,065.00 2,163.15 - 2,500.00 -
- 1,500.00 - 1,500.00 - - - - - - - - - - - 1,500.00 -

- - - - - - - - - - - 1,505.00 195.00 1,700.00 - 1,700.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 100.00 - - - - - - - - - - - 100.00 -
- - - 397.50 - - - - - - - - - - - 397.50 2.50
- - - 1,800.00 - - - - - - - - - - - 1,800.00 -
- - - 1,386.00 - - - - - - - - - - - 1,386.00 14.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,034.16 - - - - - - - - - - - 1,034.16 65.84
- - - 751.02 - - - - - - - - - - - 751.02 48.98
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 1,395.50 - - - - - - - - - - - 1,395.50 4.50

- - - 1,979.00 - - - - - - - - - - - 1,979.00 21.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 195.00 - - - - - - - - - - - 195.00 5.00
200.00 - - 200.00 - - - - - - - - - - - 200.00 -
- - - 1,266.75 - - - - - - - - - - - 1,266.75 33.25
- - - 900.00 - - - - - - - - - - - 900.00 -
- - - 800.00 - - - - - - - - - - - 800.00 100.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - - 462.00 - - - - - - - - - - - 462.00 138.00

- - - 1,590.75 - - - - - - - - - - - 1,590.75 9.25
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,317.75 - - - - - - - - - - - 1,317.75 82.25
- - - 513.75 - - - - - - - - - - - 513.75 86.25
- - - 1,639.60 - - - - - - - - - - - 1,639.60 160.40
- - - 180.00 - - - - - - - - - - - 180.00 20.00
- - - 393.30 - - - - - - - - - - - 393.30 6.70
- - - 1,186.50 - - - - - - - - - - - 1,186.50 13.50
88.00 - - 200.00 - - - - - - - - - - - 200.00 -
- - - 59.25 - - - - - - - - - - - 59.25 40.75
- - - 1,469.75 - - - - - - - - - - - 1,469.75 30.25
- - - 985.25 - - - - - - - - - - - 985.25 14.75
56.00 - - 1,100.00 - - - - - - - - - - - 1,100.00 -
- - - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 1,840.00 - - - - - - - - - - - 1,840.00 660.00
- 2,030.00 230.00 2,260.00 - - - - - 200.00 - - - 200.00 - 2,460.00 40.00

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - 400.00 - - - - - - - - - - - 400.00 -
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
- 100.00 - 100.00 - - - - - - - - - - - 100.00 -
- 800.00 - 800.00 - - - - - - - - - - - 800.00 100.00
- - 230.00 230.00 - - - - - - - - - - - 230.00 70.00
- 1,570.00 230.00 1,800.00 - - - - - 200.00 - - - 200.00 - 2,000.00 -
- 725.00 - 725.00 - - - - - - - - - - - 725.00 75.00
- - 350.00 350.00 - - - - - - - - - - - 350.00 50.00
- 250.00 - 250.00 - - - - - - - - - - - 250.00 150.00
- 1,345.00 230.00 1,575.00 - - - - - 200.00 - - - 200.00 - 1,775.00 325.00
- - 250.00 250.00 - - - - - - - - - - - 250.00 150.00

- 770.00 - 770.00 - - - - - - - - - - - 770.00 30.00
- - - 321.00 - - - - - - - - - - - 321.00 79.00
- - 500.00 500.00 - - - - - - - - - - - 500.00 -
- - - - - - - - 3,550.00 - - - - 3,550.00 - 3,550.00 50.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -

- - 230.00 600.00 - - - - - - - - - - - 600.00 -
502.25 990.00 430.00 1,922.25 - - - - - - - - 77.75 77.75 - 2,000.00 -
- - - - - - - - - - - 423.00 1,077.00 1,500.00 - 1,500.00 -

- - - - - - - - - - - - 200.00 200.00 - 200.00 -
- - - - - - - - - - - 1,835.00 765.00 2,600.00 - 2,600.00 -
- - - - - - - - - - - - 1,200.00 1,200.00 - 1,200.00 -
- 1,892.05 - 1,892.05 - - - - - - - 2,337.95 770.00 3,107.95 - 5,000.00 -

- 484.80 - 484.80 - - - - - - - 1,440.20 75.00 1,515.20 - 2,000.00 -
- - 300.00 300.00 - - - - - - - 50.00 150.00 200.00 - 500.00 -
- 150.00 250.00 400.00 - - - - - - - - - - - 400.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 770.00 - - - - - - - - - - - 770.00 30.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 1,729.35 - - - - - - - - - - - 1,729.35 70.65
- - - 790.00 - - - - - - - - - - - 790.00 10.00
- - - 1,380.00 - - - - - - - - - - - 1,380.00 20.00
- - - 406.00 - - - - - - - - - - - 406.00 94.00
- - - 211.50 - - - - - - - - - - - 211.50 88.50
- - - 631.25 - - - - - - - - - - - 631.25 168.75
- - - 327.25 - - - - - - - - - - - 327.25 72.75
- - - 800.00 - - - - - - - - - - - 800.00 -
105.00 720.00 - 1,185.00 - - - - - 200.00 - - - 200.00 - 1,385.00 15.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- 1,270.00 230.00 1,500.00 - - - - - 200.00 - - - 200.00 - 1,700.00 -
817.00 1,245.00 800.00 3,661.95 - - - - - - - 48.05 90.00 138.05 - 3,800.00 -
- - - 700.00 - - - - - - - - - - - 700.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
369.75 - - 369.75 - - - - - - - - 1,630.25 1,630.25 - 2,000.00 -
260.50 - - 260.50 - - - - - - - 139.50 1,600.00 1,739.50 - 2,000.00 -

286.50 - - 842.10 - - - - - - - - 1,157.90 1,157.90 - 2,000.00 -
- 2,319.48 230.00 2,549.48 - - - - 3,380.52 200.00 - 400.00 70.00 4,050.52 - 6,600.00 -
189.07 530.00 250.00 969.07 - - - - - - - - - - - 969.07 30.93
1,018.70 755.00 - 2,000.00 - - - - - - - - 0.00 0.00 (0.00) 2,000.00 -
402.25 - - 957.85 - - - - - - - - 42.15 42.15 - 1,000.00 -

105.00 1,045.00 250.00 1,400.00 - - - - - - - - - - - 1,400.00 -
- - - - - - - - - - - 165.00 335.00 500.00 - 500.00 100.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - - - - - - - - - 440.00 60.00 500.00 - 500.00 -

- - - - - - - - - - - 145.00 1,155.00 1,300.00 - 1,300.00 -
- - - - - - - - - - - - 400.00 400.00 - 400.00 -
- - - - - - - - - - - 156.00 1,644.00 1,800.00 - 1,800.00 -
- - - - - - - - - - - - 200.00 200.00 - 200.00 -
369.75 - - 369.75 - - - - - - - - 430.25 430.25 - 800.00 -
285.00 - - 330.00 - - - - - - - - 670.00 670.00 - 1,000.00 -
- - - - - - - - - - - 540.00 960.00 1,500.00 - 1,500.00 -
286.50 - - 562.00 - - - - - - - - 438.00 438.00 - 1,000.00 -
- - - - - - - - - - - 540.00 60.00 600.00 - 600.00 -
- - - - - - - - - - - 540.00 60.00 600.00 - 600.00 -
48.00 275.00 - 323.00 - - - - - - - - 77.00 77.00 - 400.00 -
- - - - - - - - - - - 995.00 1,005.00 2,000.00 - 2,000.00 -
- - 530.75 530.75 - - - - - - - - 1,469.25 1,469.25 - 2,000.00 -
- - - - - - - - - - - - 600.00 600.00 - 600.00 -
- - - - - - - - - - - 2,640.00 960.00 3,600.00 - 3,600.00 -
- - - - - - - - - - - 180.00 1,020.00 1,200.00 - 1,200.00 -
- - 200.00 200.00 - - - - - - - 3,435.00 165.00 3,600.00 - 3,800.00 -
- - - 3,000.00 - - - - - - - - - - - 3,000.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 396.00 - - - - - - - - - - - 396.00 4.00
- - - 186.75 - - - - - - - - - - - 186.75 13.25
- - - 366.00 - - - - - - - - - - - 366.00 34.00
- - - 1,247.75 - - - - - - - - - - - 1,247.75 52.25
- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 623.00 - - - - - - - - - - - 623.00 177.00
- - - 197.80 - - - - - - - - - - - 197.80 2.20
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 500.00 - - - - - - - - - - - 500.00 -
- - 300.00 400.00 - - - - - - - - - - - 400.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 2,000.00 - - - - - - - - - - - 2,000.00 -
- - - 907.50 - - - - - - - - - - - 907.50 92.50
- - - 1,680.00 - - - - - - - - - - - 1,680.00 20.00
- - - 540.00 - - - - - - - - - - - 540.00 60.00

- 1,800.00 - 1,800.00 - - - - - - - - - - - 1,800.00 -
- - - 546.00 - - - - - - - - - - - 546.00 54.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - 375.00 - - - - - - - - - - - 375.00 25.00
- - - 523.50 - - - - - - - - - - - 523.50 76.50
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 899.25 - - - - - - - - - - - 899.25 0.75
- - - 271.25 - - - - - - - - - - - 271.25 28.75
- - - 196.80 - - - - - - - - - - - 196.80 3.20
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
177.00 50.00 - 267.00 - - - - - - - - - - - 267.00 133.00
- - - - - - - 3,600.00 - - - - - 3,600.00 - 3,600.00 -
- - 230.00 230.00 - - - - - 200.00 - - - 200.00 - 430.00 70.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- 1,870.00 - 1,870.00 - - - - - - - - - - - 1,870.00 30.00

- 725.00 - 725.00 - - - - 900.00 200.00 - - - 1,100.00 - 1,825.00 175.00
- 1,900.00 - 1,900.00 - - - - - - - - - - - 1,900.00 -
- 800.00 - 800.00 - - - - - - - - - - - 800.00 -

- 75.00 - 75.00 - - - - - - - - - - - 75.00 25.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - 2,000.00 - - - - 2,000.00 - 2,000.00 -
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - - - - - - - - - - - 400.00 400.00 - 400.00 -
395.00 4,275.00 230.00 4,900.00 - - - - - - - - - - - 4,900.00 -

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 6,277.32 230.00 6,507.32 - - - - - - - - - - - 6,507.32 92.68
8,102.25 730.00 1,030.00 12,000.00 - - - - - - - - - - - 12,000.00 -
1,050.00 200.00 250.00 1,500.00 - - - - - - - - - - - 1,500.00 -

332.75 1,355.00 - 1,687.75 - - - - - - - - 312.25 312.25 - 2,000.00 -
- 305.00 - 305.00 - - - - - - - 25.00 270.00 295.00 - 600.00 -
- - - - - - - - - - - - 2,000.00 2,000.00 - 2,000.00 -
178.00 - - 307.75 - - - - - - - - 292.25 292.25 - 600.00 -
- 338.85 - 338.85 - - - - - - - - 661.15 661.15 - 1,000.00 -
- - - - - - - - - - - 955.00 45.00 1,000.00 - 1,000.00 -
378.25 - - 846.00 - - - - - - - - 554.00 554.00 - 1,400.00 -
10.50 1,360.00 230.00 1,600.50 - - - - - - - - 399.50 399.50 - 2,000.00 -
- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -

- - - - - - - - - - - 280.00 1,020.00 1,300.00 - 1,300.00 -
- 1,200.00 - 1,200.00 - - - - - - - - - - - 1,200.00 -
- 316.00 - 316.00 - - - - - - - - 284.00 284.00 - 600.00 -
- - - - - - - - - - - 910.00 90.00 1,000.00 - 1,000.00 -

- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 1,376.30 - - - - - - - - - - - 1,376.30 23.70
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 697.50 - - - - - - - - - - - 697.50 2.50
- - - 270.00 - - - - - - - - - - - 270.00 130.00
- - - 540.00 - - - - - - - - - - - 540.00 60.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 489.00 - - - - - - - - - - - 489.00 11.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
75.25 - - 142.25 - - - - - - - - - - - 142.25 57.75
3.75 - - 111.75 - - - - - - - - - - - 111.75 88.25
- - - 1,300.00 - - - - - - - - - - - 1,300.00 -
- - - - - - - - - - 600.00 - - 600.00 - 600.00 -
- - - 1,372.50 - - - - - - - - - - - 1,372.50 227.50
- - - 992.50 - - - - - - - - - - - 992.50 7.50
- - - 1,669.50 - - - - - - - - - - - 1,669.50 30.50
- - - 424.20 - - - - - - - - - - - 424.20 75.80

- - - 1,512.00 - - - - - - - - - - - 1,512.00 88.00
- 275.00 - 275.00 - - - - - - - - - - - 275.00 25.00
804.75 - - 804.75 - - - - - - - - - - - 804.75 195.25
- - - 1,980.50 - - - - - - - - - - - 1,980.50 19.50
- - - 829.50 - - - - - - - - - - - 829.50 70.50

- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
1,100.00 - - 1,100.00 - - - - - - - - - - - 1,100.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 927.50 - - - - - - - - - - - 927.50 72.50
81.25 - - 81.25 - - - - - - - - - - - 81.25 118.75
- - - 198.00 - - - - - - - - - - - 198.00 2.00
- - - 282.00 - - - - - - - - - - - 282.00 118.00
- - - 795.00 - - - - - - - - - - - 795.00 105.00
- - - 1,536.75 - - - - - - - - - - - 1,536.75 63.25
- - - 1,186.50 - - - - - - - - - - - 1,186.50 13.50

90.25 - - 800.00 - - - - - - - - - - - 800.00 -
- - - 757.50 - - - - - - - - - - - 757.50 42.50
371.50 - - 371.50 - - - - - - - - - - - 371.50 28.50
- - - 552.00 - - - - - - - - - - - 552.00 48.00
- 250.00 250.00 600.00 - - - - - - - - - - - 600.00 -
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
525.25 - - 525.25 - - - - - - - - - - - 525.25 74.75
- - 540.00 540.00 - - - - - - - - - - - 540.00 660.00
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
- 750.00 - 750.00 - - - - - - - - - - - 750.00 50.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - 230.00 230.00 - - - - - - - - - - - 230.00 170.00
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
- 250.00 - 250.00 - - - - - - - - - - - 250.00 50.00
- - 300.00 367.50 - - - - - - - - - - - 367.50 32.50
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
- 1,655.00 230.00 1,885.00 - - - - - 200.00 - - - 200.00 - 2,085.00 15.00
- - - 450.00 - - - - - - - - - - - 450.00 350.00

- - - 1,000.00 - - - - - - - - - - - 1,000.00 -
- 770.00 230.00 1,000.00 - - - - - - - - - - - 1,000.00 -
- 272.00 230.00 502.00 - - - - - - - 303.00 1,195.00 1,498.00 - 2,000.00 -
- - - - - - - - - - - - 322.00 322.00 - 322.00 78.00
- - - - - - - - - - - - 1,000.00 1,000.00 - 1,000.00 -
- - - - - - - - - - - 4,805.00 195.00 5,000.00 - 5,000.00 -

- 700.00 - 700.00 - - - - - - - - - - - 700.00 -
- 15,180.00 1,820.00 17,000.00 - - - - - - - - - - (7,792.00) 17,000.00 -
- - - 2,600.00 - - - - - - - - - - - 2,600.00 -
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 1,200.00 - - - - - - - - - - - 1,200.00 -
- 250.00 800.00 1,050.00 - - - - - - - - - - - 1,050.00 50.00
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 495.00 - - - - - - - - - - - 495.00 5.00
- - - 303.00 - - - - - - - - - - - 303.00 97.00
- - - 195.00 - - - - - - - - - - - 195.00 5.00
3.50 - - 153.50 - - - - - - - - - - - 153.50 46.50
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 270.00 - - - - - - - - - - - 270.00 130.00
- - - 437.50 - - - - - - - - - - - 437.50 162.50
- - - 678.00 - - - - - - - - - - - 678.00 122.00
559.50 1,080.00 - 1,932.75 - - - - - - - - - - - 1,932.75 67.25

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
138.25 250.00 - 1,060.25 - - - - - - - - - - - 1,060.25 39.75
- - - 400.00 - - - - - - - - - - - 400.00 -
- 675.00 - 675.00 - - - - - - - - - - - 675.00 25.00
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- 340.00 400.00 740.00 - - - 250.00 - - - - - 250.00 - 990.00 10.00
277.75 - - 359.50 - - - - - - - - - - - 359.50 40.50
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - - - - - - - - 1,200.00 - - 1,200.00 - 1,200.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 1,300.00 - - - - - - - - - - - 1,300.00 -
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
- 300.00 - 300.00 - - - - - - - - - - - 300.00 -
- - - 572.00 - - - - - - - - - - - 572.00 28.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 300.00 - - - - - - - - - - - 300.00 -
- - 540.00 540.00 - - - - - - - - - - - 540.00 260.00
- - - - - - - - 2,000.00 - - - - 2,000.00 - 2,000.00 -
- 1,900.00 - 1,900.00 - - - - - - - - - - - 1,900.00 -
- 700.00 - 700.00 - - - - - - - - - - - 700.00 -

- - - - - - - - 2,000.00 - - - - 2,000.00 - 2,000.00 -
- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 765.00 800.00 1,565.00 - - - - - - - - - - - 1,565.00 35.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - - 630.00 - - - - - 200.00 - - - 200.00 - 830.00 970.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -

- - 200.00 200.00 - - - - - - - - - - - 200.00 -
- 400.00 - 400.00 - - - - - - - - - - - 400.00 -
- 700.00 - 700.00 - - - - - - - - - - - 700.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - - - - - - - - - 2,875.00 425.00 3,300.00 - 3,300.00 -

Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 284.25 250.00 534.25 - - - - - - - 205.75 60.00 265.75 - 800.00 -
- 2,770.00 230.00 3,000.00 - - - - - - - - - - - 3,000.00 -
- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -

- 140.25 - 140.25 - - - - - - - - 59.75 59.75 - 200.00 -
- 6.50 - 6.50 - - - - - - - 133.50 60.00 193.50 - 200.00 -
- - - - - - - - - - - 1,722.45 60.00 1,782.45 - 1,782.45 17.55
365.25 - - 365.25 - - - - - - - - 234.75 234.75 - 600.00 -
1,220.45 3,255.00 - 4,475.45 - - - - - - - - 124.55 124.55 - 4,600.00 -
325.00 275.00 - 600.00 - - - - - - - - - - - 600.00 -

- 1,000.00 - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 189.00 - - - - - - - - - - - 189.00 11.00
- - - 437.50 - - - - - - - - - - - 437.50 62.50
- - - 189.00 - - - - - - - - - - - 189.00 11.00
- - - 784.00 - - - - - - - - - - - 784.00 16.00
- - - 668.85 - - - - - - - - - - - 668.85 131.15

- - - 162.50 - - - - - - - - - - - 162.50 37.50
- - - 1,078.50 - - - - - - - - - - - 1,078.50 21.50
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 501.00 - - - - - - - - - - - 501.00 399.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 300.00 - - - - - - - - - - - 300.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- 675.00 - 675.00 - - - - - - - - - - - 675.00 125.00
- 200.00 - 200.00 - - - - - - - - - - - 200.00 -
- - 800.00 800.00 - - - - - - - - - - - 800.00 -
350.00 50.00 - 400.00 - - - - - - - - - - - 400.00 -
- 1,400.00 - 1,400.00 - - - - - - - - - - - 1,400.00 -
- 1,500.00 - 1,500.00 - - - - - - - - - - - 1,500.00 -
- - - - - - - - 1,600.00 - - - - 1,600.00 - 1,600.00 -
- - 600.00 600.00 - - - - - - - - - - - 600.00 -
- 2,000.00 - 2,000.00 - - - - - - - - - - - 2,000.00 -
- 1,500.00 - 1,500.00 - - - - - - - - - - - 1,500.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- 500.00 - 500.00 - - - - - - - - - - - 500.00 -
- - - - - - - - - - - - - - - - 1,000.00
- 370.00 - 370.00 - - - - - - - - - - - 370.00 30.00

- - - - - - - - - - - 510.00 90.00 600.00 - 600.00 -
- 150.00 250.00 400.00 - - - - - - - - - - - 400.00 -
- 2,250.00 250.00 2,500.00 - - - - - - - - - - - 2,500.00 -
- - - - - - - - - - - 40.00 960.00 1,000.00 - 1,000.00 -
- 1,372.43 - 1,372.43 - - - - - - - - 627.57 627.57 - 2,000.00 -
- - - - - - - - - - - - 600.00 600.00 - 600.00 -
- - 1,755.00 1,755.00 - - - - - - - 200.00 45.00 245.00 - 2,000.00 -
- - - - (650.00) - - - - - - 825.00 975.00 1,800.00 - 1,800.00 -
- - - - - - - - - - - - 438.00 438.00 - 438.00 62.00
- 20.00 980.00 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 1,920.00 - - - - - - - - - - - 1,920.00 80.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 3,200.00 - - - - - - - - - - - 3,200.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 600.00 - - - - - - - - - - - 600.00 -
- - - - - - - - 900.00 - - - - 900.00 - 900.00 -
- - - 1,000.00 - - - - - - - - - - - 1,000.00 -
- - - 792.00 - - - - - - - - - - - 792.00 8.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 81.25 - - - - - - - - - - - 81.25 118.75
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - 400.00 - - - - - - - - - - - 400.00 -
- - - 470.50 - - - - - - - - - - - 470.50 29.50
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 1,470.00 - - - - - - - - - - - 1,470.00 130.00
- - - 316.80 - - - - - - - - - - - 316.80 83.20

- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
130.50 - - 888.00 - - - - - - - - - - - 888.00 12.00
- - - 195.00 - - - - - - - - - - - 195.00 205.00
- - - 1,150.00 - - - - - - - - - - - 1,150.00 50.00
- - - 1,890.00 - - - - - - - - - - - 1,890.00 110.00
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -

- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
- - - - - - - - - - 400.00 - - 400.00 - 400.00 -
- - - 400.00 - - - - - - - - - - - 400.00 -
- 800.00 - 800.00 - - - - - - - - - - - 800.00 -
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -

- - 540.00 540.00 - - - - - - - - - - - 540.00 60.00
- - 400.00 400.00 - - - - - - - - - - - 400.00 -
- - - 277.20 - - - - - - - - - - - 277.20 22.80
- 485.00 - 1,374.00 - - - - - - - - - - - 1,374.00 26.00
- - 230.00 230.00 - - - - - 200.00 - - - 200.00 - 430.00 170.00
- 50.00 400.00 450.00 - - - - - - - - - - - 450.00 150.00
- - - - - - - - 900.00 - - - - 900.00 - 900.00 -
- - - - - - - - 900.00 - - - - 900.00 - 900.00 -
- 225.00 300.00 525.00 - - - 100.00 - - - - - 100.00 - 625.00 575.00

350.00 800.00 250.00 1,400.00 - - - - - - - - - - - 1,400.00 -
289.00 - - 844.60 - - - - - - - - 1,155.40 1,155.40 - 2,000.00 -
709.50 200.00 250.00 3,016.95 - - - - - - - 23.05 60.00 83.05 - 3,100.00 -

- - - - - - - - - - - 1,513.00 1,187.00 2,700.00 - 2,700.00 -
- - - - - - - - - - - 2,645.00 90.00 2,735.00 - 2,735.00 65.00
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
1,463.55 475.00 - 1,938.55 - - - - - - - - 61.45 61.45 - 2,000.00 -

- - - - - - - - - - - 425.00 75.00 500.00 - 500.00 -
- - - - - - - - - - - 1,155.00 45.00 1,200.00 - 1,200.00 -
- - - - - - - - - - - - 322.00 322.00 - 322.00 78.00

- - - - - - - - - - - 10.00 990.00 1,000.00 - 1,000.00 -
345.75 305.00 - 650.75 - - - - - - - - 349.25 349.25 - 1,000.00 -
- - - - - - - - - - - 425.00 75.00 500.00 - 500.00 -
350.75 80.00 - 430.75 - - - - - - - - 169.25 169.25 - 600.00 -
- 1,400.00 - 1,400.00 - - - - - - - - - - - 1,400.00 -
- - - - - - - - - - - - 800.00 800.00 - 800.00 -
350.75 - - 350.75 - - - - - - - - 49.25 49.25 - 400.00 -
4,715.00 3,785.00 - 8,500.00 - - - - - - - - - - - 8,500.00 -
- - - 3,900.00 - - - - - - - - - - - 3,900.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00

- - - 651.00 - - - - - - - - - - - 651.00 49.00
- - - 1,108.80 - - - - - - - - - - - 1,108.80 291.20
- - - 921.60 - - - - - - - - - - - 921.60 78.40
- - - 861.00 - - - - - - - - - - - 861.00 39.00
- - - 325.00 - - - - - - - - - - - 325.00 75.00
7.25 - - 600.00 - - - - - - - - - - - 600.00 -
- - - 1,100.00 - - - - - - - - - - - 1,100.00 -
1,498.00 200.00 250.00 3,300.75 - - - - - - - 194.25 105.00 299.25 - 3,600.00 -
1,429.50 450.00 250.00 3,452.50 - - - - - - - 109.75 75.00 184.75 - 3,637.25 162.75

- 835.25 230.00 1,065.25 - - - - - - - 214.75 120.00 334.75 - 1,400.00 -
- - - - (32.00) - - - - - - - 2,400.00 2,400.00 - 2,400.00 -
- - - - - - - - - - - 375.00 125.00 500.00 - 500.00 100.00
289.00 - - 844.60 - - - - - - - - 554.00 554.00 - 1,398.60 1.40
- - - - - - - - - - - 1,910.00 90.00 2,000.00 - 2,000.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
195.00 805.00 - 1,000.00 - - - - - - - - - - - 1,000.00 #VALUE!
18.50 - - 1,062.00 - - - - - - - - - - - 1,062.00 138.00

- - - 500.00 - - - - - - - - - - - 500.00 -
- - - 1,830.00 - - - - - - - - - - - 1,830.00 70.00
- - - 168.00 - - - - - - - - - - - 168.00 32.00

299.00 - - 299.00 - - - - - - - - - - - 299.00 101.00
- - - 360.00 - - - - - - - - - - - 360.00 40.00
3.75 - - 200.00 - - - - - - - - - - - 200.00 -
- - - 1,638.00 - - - - - - - - - - - 1,638.00 62.00
975.25 275.00 - 1,250.25 - - - - - - - 689.75 60.00 749.75 - 2,000.00 -
289.00 - - 844.60 - - - - - - - 142.24 1,370.00 1,512.24 - 2,356.84 43.16

- - - - - - - - - - - - 800.00 800.00 - 800.00 -
2,017.75 250.00 250.00 3,083.93 - - - - - - - - 16.07 16.07 - 3,100.00 -
- - 300.00 300.00 - - - - - - - - - - - 300.00 -
350.75 - - 350.75 - - - - - - - - 49.25 49.25 - 400.00 -
- - - - - - - - - - - 1,610.00 990.00 2,600.00 - 2,600.00 -
297.00 - - 378.60 - - - - - - - - 421.40 421.40 - 800.00 -
- 106.25 - 106.25 - - - - - - - - 93.75 93.75 - 200.00 -
264.75 - - 264.75 - - - - - - - - 438.00 438.00 - 702.75 97.25
- - - - - - - - - - - 1,625.00 975.00 2,600.00 - 2,600.00 -
- 600.00 - 600.00 - - - - - - - - - - - 600.00 -
- - - 900.00 - - - - - - - - - - - 900.00 -
- - - 960.00 - - - - - - - - - - - 960.00 40.00
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 1,600.00 - - - - - - - - - - - 1,600.00 -
- - - 2,400.00 - - - - - - - - - - - 2,400.00 -
- - - 800.00 - - - - - - - - - - - 800.00 -
Total Total Sub-
ROOM Others
Supplies Lab. Rad.
Consign CHECK
Physical
OR/DR Misc.
General CHECK Total
Therapy
PF
- - - 800.00 - - - - - - - - - - - 800.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- 280.00 - 280.00 - - - - - - - - - - - 280.00 1,420.00
- - - 200.00 - - - - - - - - - - - 200.00 -
- - - 200.00 - - - - - - - - - - - 200.00 -
- 200.00 - 200.00 - - - - - - - - - - - 200.00 100.00
- - - - - - - - - - 200.00 - - 200.00 - 200.00 -
335.00 - - 335.00 - - - - - - - - - - - 335.00 65.00
- 1,570.00 230.00 1,800.00 - - - - - - - - - - - 1,800.00 -
- 325.00 - 788.20 - - - - - - - - - - - 788.20 11.80

- - - - - - - - - - - - - - - - -
117,564.09 378,311.68 115,134.81 1,136,553.95 (1,136,553.95) 5,256.23 - 9,184.80 58,151.69 10,500.00 27,380.00 189,703.66 135,708.20 435,884.58 (16,802.00) 1,572,438.53 #VALUE!
Noted by:
ROLANDO A. PADRE, MD, FPCS

QMC-Chief of Hospital
Grand
Total
2,000.00
800.00
600.00
5,600.00
1,200.00
400.00
400.00
3,800.00
800.00
1,000.00
200.00
1,900.00
600.00
1,000.00
600.00
1,000.00
300.00
800.00
300.00
2,000.00
200.00
1,000.00
1,400.00
2,000.00
2,000.00
1,600.00
800.00
1,600.00
200.00
1,700.00
300.00
200.00
Grand
Total
200.00
2,200.00
2,000.00
2,000.00
1,000.00
2,000.00
3,000.00
1,500.00
8,000.00
4,700.00
3,500.00
400.00
400.00
1,600.00
4,000.00
500.00
400.00
5,000.00
1,400.00
600.00
3,500.00
Grand
Total
7,000.00
3,400.00
11,000.00
1,900.00
1,600.00
800.00
1,000.00
1,000.00
600.00
400.00
800.00
1,400.00
400.00
800.00
2,000.00
1,500.00
200.00
400.00
800.00
1,000.00
500.00
Grand
Total
800.00
1,000.00
300.00
400.00
2,000.00
1,000.00
600.00
2,400.00
700.00
1,000.00
1,000.00
400.00
700.00
400.00
400.00
300.00
300.00
100.00
1,400.00
700.00
400.00
600.00
1,300.00
200.00
800.00
300.00
1,200.00
3,000.00
Grand
Total
8,600.00
1,000.00
400.00
3,000.00
5,000.00
2,800.00
7,600.00
12,800.00
800.00
800.00
2,800.00
500.00
400.00
500.00
1,000.00
1,700.00
600.00
300.00
400.00
900.00
1,400.00
Grand
Total
200.00
2,200.00
1,400.00
200.00
100.00
500.00
2,100.00
400.00
300.00
1,000.00
2,000.00
400.00
500.00
1,700.00
800.00
1,800.00
1,600.00
100.00
700.00
300.00
1,600.00
1,100.00
200.00
600.00
1,100.00
400.00
1,200.00
1,300.00
600.00
700.00
400.00
600.00
3,200.00
2,000.00
3,700.00
400.00
Grand
Total
500.00
5,600.00
800.00
1,100.00
600.00
1,600.00
800.00
1,600.00
300.00
600.00
200.00
400.00
300.00
200.00
800.00
2,300.00
600.00
2,000.00
1,500.00
600.00
1,000.00
2,000.00
600.00
600.00
200.00
1,000.00
600.00
700.00
400.00
Grand
Total
200.00
600.00
1,000.00
1,000.00
200.00
600.00
2,800.00
400.00
800.00
400.00
200.00
600.00
2,000.00
500.00
800.00
1,600.00
300.00
300.00
1,800.00
300.00
1,600.00
6,400.00
1,600.00
1,400.00
200.00
500.00
1,000.00
3,000.00
Grand
Total
5,000.00
700.00
800.00
1,000.00
1,600.00
1,200.00
1,300.00
800.00
1,000.00
2,000.00
200.00
400.00
600.00
200.00
600.00
200.00
400.00
100.00
400.00
400.00
100.00
700.00
800.00
800.00
400.00
400.00
1,000.00
400.00
1,200.00
2,000.00
Grand
Total
800.00
900.00
800.00
200.00
3,100.00
1,300.00
600.00
200.00
1,000.00
800.00
1,700.00
2,100.00
400.00
2,000.00
600.00
2,400.00
1,000.00
400.00
200.00
1,000.00
500.00
1,000.00
1,000.00
600.00
800.00
500.00
1,000.00
3,600.00
2,000.00
2,000.00
1,500.00
Grand
Total
6,700.00
400.00
700.00
800.00
800.00
1,000.00
600.00
400.00
400.00
600.00
200.00
1,400.00
1,500.00
800.00
800.00
800.00
600.00
800.00
700.00
500.00
400.00
600.00
1,000.00
600.00
700.00
200.00
600.00
1,000.00
900.00
300.00
Grand
Total
400.00
500.00
200.00
300.00
400.00
2,500.00
400.00
400.00
600.00
1,600.00
400.00
2,000.00
400.00
2,000.00
900.00
700.00
2,000.00
1,300.00
1,300.00
2,000.00
1,000.00
3,900.00
2,000.00
1,600.00
700.00
300.00
600.00
300.00
400.00
Grand
Total
1,000.00
4,000.00
1,500.00
1,000.00
3,000.00
1,200.00
200.00
1,200.00
1,400.00
1,200.00
200.00
1,000.00
1,600.00
2,000.00
200.00
1,600.00
800.00
1,200.00
400.00
2,000.00
400.00
600.00
5,400.00
6,000.00
11,600.00
1,300.00
200.00
1,000.00
800.00
Grand
Total
800.00
1,900.00
1,000.00
600.00
1,600.00
2,200.00
700.00
1,600.00
1,400.00
600.00
1,900.00
600.00
200.00
200.00
400.00
800.00
200.00
200.00
100.00
1,600.00
500.00
3,700.00
1,100.00
400.00
400.00
800.00
2,000.00
300.00
1,000.00
1,000.00
1,800.00
1,400.00
Grand
Total
400.00
1,800.00
1,000.00
4,000.00
2,400.00
1,500.00
2,000.00
1,000.00
200.00
2,000.00
600.00
1,000.00
2,000.00
1,800.00
200.00
800.00
800.00
2,800.00
600.00
11,900.00
1,600.00
1,000.00
1,600.00
600.00
400.00
300.00
600.00
Grand
Total
2,000.00
200.00
200.00
800.00
600.00
200.00
900.00
400.00
100.00
400.00
600.00
700.00
1,400.00
1,400.00
1,400.00
400.00
1,400.00
800.00
900.00
1,900.00
100.00
100.00
100.00
500.00
500.00
1,000.00
1,000.00
1,700.00
600.00
800.00
300.00
400.00
400.00
200.00
Grand
Total
600.00
900.00
1,200.00
2,000.00
800.00
4,000.00
1,200.00
200.00
1,400.00
200.00
1,000.00
1,400.00
1,800.00
2,000.00
1,300.00
200.00
5,000.00
4,000.00
2,000.00
2,000.00
8,900.00
3,500.00
700.00
1,400.00
2,400.00
Grand
Total
2,000.00
1,000.00
3,400.00
700.00
4,200.00
1,100.00
2,000.00
1,400.00
200.00
1,000.00
500.00
1,600.00
1,400.00
200.00
400.00
300.00
600.00
2,000.00
2,000.00
500.00
1,600.00
300.00
600.00
900.00
800.00
800.00
Grand
Total
400.00
500.00
2,000.00
300.00
600.00
1,000.00
1,200.00
1,800.00
500.00
600.00
400.00
700.00
300.00
2,000.00
200.00
400.00
4,000.00
100.00
300.00
1,900.00
500.00
200.00
1,600.00
400.00
800.00
800.00
3,600.00
300.00
800.00
700.00
600.00
2,200.00
Grand
Total
200.00
400.00
500.00
6,600.00
4,000.00
1,000.00
1,100.00
2,800.00
2,700.00
3,000.00
2,000.00
600.00
1,000.00
1,200.00
400.00
1,200.00
800.00
200.00
1,000.00
600.00
800.00
600.00
200.00
200.00
200.00
600.00
600.00
800.00
100.00
200.00
Grand
Total
1,500.00
200.00
1,600.00
400.00
400.00
200.00
400.00
200.00
400.00
500.00
600.00
1,400.00
1,200.00
400.00
300.00
600.00
1,800.00
2,000.00
600.00
200.00
1,900.00
1,000.00
2,100.00
200.00
1,500.00
500.00
300.00
600.00
1,000.00
1,800.00
800.00
600.00
2,000.00
2,000.00
Grand
Total
2,000.00
5,800.00
2,000.00
1,100.00
900.00
1,500.00
4,200.00
1,400.00
800.00
2,400.00
400.00
1,000.00
1,300.00
400.00
600.00
300.00
200.00
600.00
200.00
400.00
900.00
600.00
1,500.00
700.00
1,100.00
200.00
2,200.00
400.00
500.00
Grand
Total
800.00
500.00
2,000.00
400.00
400.00
800.00
800.00
400.00
800.00
200.00
200.00
600.00
400.00
2,000.00
200.00
1,300.00
200.00
400.00
500.00
1,000.00
1,500.00
1,100.00
900.00
2,000.00
600.00
1,000.00
1,200.00
600.00
4,700.00
3,700.00
2,000.00
500.00
1,000.00
700.00
Grand
Total
1,600.00
800.00
700.00
1,600.00
400.00
1,600.00
200.00
600.00
1,600.00
1,400.00
400.00
1,000.00
800.00
1,400.00
600.00
700.00
1,200.00
800.00
500.00
800.00
400.00
800.00
200.00
2,000.00
100.00
800.00
1,000.00
2,000.00
Grand
Total
2,700.00
900.00
500.00
1,000.00
1,400.00
500.00
900.00
900.00
1,500.00
1,000.00
2,000.00
9,500.00
1,500.00
1,600.00
1,600.00
800.00
1,000.00
200.00
200.00
900.00
800.00
700.00
700.00
600.00
200.00
200.00
700.00
600.00
800.00
600.00
Grand
Total
2,000.00
1,600.00
3,000.00
800.00
700.00
400.00
1,000.00
200.00
300.00
600.00
300.00
400.00
2,200.00
1,400.00
300.00
1,500.00
800.00
1,600.00
600.00
100.00
400.00
300.00
700.00
400.00
1,600.00
600.00
600.00
1,000.00
800.00
600.00
2,000.00
500.00
1,900.00
1,000.00
1,100.00
Grand
Total
1,600.00
3,700.00
16,200.00
1,600.00
1,400.00
1,000.00
800.00
400.00
2,000.00
200.00
400.00
1,200.00
1,200.00
1,200.00
1,400.00
1,300.00
400.00
1,400.00
400.00
200.00
600.00
600.00
2,000.00
Grand
Total
200.00
600.00
600.00
400.00
400.00
300.00
200.00
800.00
400.00
1,700.00
700.00
1,400.00
800.00
400.00
700.00
2,000.00
400.00
800.00
1,100.00
400.00
600.00
400.00
3,000.00
600.00
1,700.00
1,400.00
600.00
1,200.00
1,600.00
1,000.00
500.00
1,000.00
5,000.00
Grand
Total
500.00
4,200.00
1,000.00
1,900.00
800.00
2,400.00
1,600.00
1,600.00
700.00
900.00
1,000.00
200.00
200.00
600.00
200.00
200.00
200.00
400.00
1,400.00
800.00
200.00
200.00
200.00
1,400.00
1,500.00
400.00
1,400.00
900.00
1,600.00
Grand
Total
200.00
200.00
800.00
400.00
200.00
600.00
400.00
800.00
200.00
400.00
400.00
2,000.00
200.00
800.00
300.00
1,000.00
2,600.00
1,000.00
600.00
3,000.00
2,000.00
400.00
1,500.00
900.00
1,900.00
1,500.00
1,500.00
1,900.00
1,000.00
800.00
200.00
800.00
1,000.00
400.00
Grand
Total
900.00
600.00
1,200.00
1,300.00
800.00
400.00
800.00
100.00
700.00
200.00
400.00
800.00
1,500.00
700.00
1,800.00
200.00
300.00
1,200.00
800.00
1,700.00
800.00
1,400.00
600.00
200.00
1,900.00
1,000.00
800.00
200.00
900.00
1,200.00
600.00
Grand
Total
400.00
1,200.00
600.00
1,400.00
1,500.00
2,000.00
2,700.00
7,800.00
5,500.00
1,000.00
6,000.00
2,000.00
1,400.00
2,500.00
1,500.00
1,700.00
1,600.00
1,000.00
1,500.00
800.00
100.00
400.00
1,800.00
1,400.00
600.00
1,100.00
800.00
Grand
Total
1,400.00
2,000.00
600.00
200.00
200.00
1,300.00
900.00
900.00
600.00
1,400.00
600.00
1,600.00
600.00
1,400.00
600.00
1,800.00
200.00
400.00
1,200.00
200.00
100.00
1,500.00
1,000.00
1,100.00
1,500.00
1,600.00
200.00
2,500.00
2,500.00
Grand
Total
200.00
400.00
600.00
100.00
900.00
300.00
2,000.00
800.00
400.00
400.00
2,100.00
400.00
800.00
400.00
500.00
3,600.00
400.00
600.00
2,000.00
1,500.00
200.00
2,600.00
1,200.00
5,000.00
2,000.00
500.00
400.00
800.00
800.00
Grand
Total
1,000.00
800.00
800.00
1,600.00
1,800.00
800.00
1,400.00
500.00
300.00
800.00
400.00
800.00
1,400.00
200.00
1,700.00
3,800.00
700.00
200.00
2,000.00
2,000.00
2,000.00
6,600.00
1,000.00
2,000.00
1,000.00
1,400.00
600.00
Grand
Total
500.00
1,300.00
400.00
1,800.00
200.00
800.00
1,000.00
1,500.00
1,000.00
600.00
600.00
400.00
2,000.00
2,000.00
600.00
3,600.00
1,200.00
3,800.00
3,000.00
1,600.00
200.00
400.00
200.00
400.00
1,300.00
400.00
800.00
200.00
200.00
200.00
500.00
400.00
Grand
Total
2,000.00
1,000.00
1,700.00
600.00
1,800.00
600.00
600.00
400.00
600.00
200.00
900.00
300.00
200.00
400.00
400.00
3,600.00
500.00
1,600.00
1,900.00
2,000.00
1,900.00
800.00
100.00
200.00
2,000.00
400.00
400.00
4,900.00
Grand
Total
6,600.00
12,000.00
1,500.00
2,000.00
600.00
2,000.00
600.00
1,000.00
1,000.00
1,400.00
2,000.00
1,000.00
1,300.00
1,200.00
600.00
1,000.00
1,000.00
1,000.00
1,000.00
1,000.00
800.00
1,400.00
800.00
700.00
400.00
600.00
200.00
500.00
Grand
Total
200.00
200.00
1,300.00
600.00
1,600.00
1,000.00
1,700.00
500.00
1,600.00
300.00
1,000.00
2,000.00
900.00
200.00
1,100.00
200.00
1,000.00
200.00
200.00
400.00
900.00
1,600.00
1,200.00
800.00
800.00
400.00
600.00
600.00
600.00
600.00
1,200.00
600.00
800.00
200.00
200.00
Grand
Total
400.00
400.00
300.00
400.00
800.00
2,100.00
800.00
1,000.00
1,000.00
2,000.00
400.00
1,000.00
5,000.00
700.00
17,000.00
2,600.00
2,000.00
1,200.00
1,100.00
200.00
500.00
400.00
200.00
200.00
600.00
400.00
200.00
400.00
600.00
800.00
2,000.00
Grand
Total
1,100.00
400.00
700.00
600.00
1,000.00
400.00
400.00
1,000.00
200.00
1,200.00
200.00
800.00
1,300.00
400.00
300.00
600.00
200.00
300.00
800.00
2,000.00
1,900.00
700.00
2,000.00
200.00
1,600.00
400.00
1,800.00
400.00
200.00
400.00
700.00
200.00
3,300.00
Grand
Total
800.00
3,000.00
1,000.00
200.00
200.00
1,800.00
600.00
4,600.00
600.00
1,000.00
800.00
200.00
200.00
200.00
500.00
200.00
800.00
800.00
200.00
1,100.00
200.00
900.00
200.00
300.00
200.00
800.00
200.00
800.00
400.00
1,400.00
1,500.00
1,600.00
600.00
2,000.00
1,500.00
Grand
Total
500.00
1,000.00
400.00
600.00
400.00
2,500.00
1,000.00
2,000.00
600.00
2,000.00
1,800.00
500.00
1,000.00
1,000.00
2,000.00
1,600.00
3,200.00
1,000.00
600.00
900.00
1,000.00
800.00
200.00
200.00
200.00
400.00
500.00
Grand
Total
1,600.00
400.00
200.00
400.00
900.00
400.00
1,200.00
2,000.00
400.00
200.00
400.00
400.00
800.00
200.00
600.00
400.00
300.00
1,400.00
600.00
600.00
900.00
900.00
1,200.00
1,400.00
2,000.00
3,100.00
2,700.00
2,800.00
Grand
Total
2,000.00
500.00
1,200.00
400.00
1,000.00
1,000.00
500.00
600.00
1,400.00
800.00
400.00
8,500.00
3,900.00
1,000.00
700.00
1,400.00
1,000.00
900.00
400.00
600.00
1,100.00
3,600.00
3,800.00
1,400.00
2,400.00
600.00
1,400.00
2,000.00
Grand
Total
#VALUE!
1,200.00
500.00
1,900.00
200.00
400.00
400.00
200.00
1,700.00
2,000.00
2,400.00
800.00
3,100.00
300.00
400.00
2,600.00
800.00
200.00
800.00
2,600.00
600.00
900.00
1,000.00
1,600.00
1,600.00
2,400.00
800.00
Grand
Total
800.00
200.00
1,700.00
200.00
200.00
300.00
200.00
400.00
1,800.00
800.00
-
#VALUE!

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Chart Title

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Consignment Medicine 2,300.00

General Medicine 136.00

Grand Total 10,778.60

MARIA ANDREA S. PASION

Reviewed by: Noted by:

JOEMAR R. BORROMEO ROLANDO A. PADRE, MD, FPCS

4365 10653 3,624.50 4788

3315 6687.5 31617.75 3,372.50

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

066116, 619, 622- ASTOVEZA, MIYA JEAN - - - - - - -

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

151613, 617, 619-

Name of Hospital: QUEZON MEDICAL CENTER

093514, 590, 592, ESCAMILLAS, MARA - - - - - - -

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

123305, 310, 737- SAN JUAN, RODILLO - - - - - - -

Name of Hospital: QUEZON MEDICAL CENTER

094651, 653-658, RAMOS, ZWIZZEL DE - - - - - - 6,100.00

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

088575, 147260- CATAMIO, DAVID CARL

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER

922008, 011, 012, MAAÑO, ANNE - - 3,650.00 - - - 6,100.00

Name of Hospital: QUEZON MEDICAL CENTER

Name of Hospital: QUEZON MEDICAL CENTER