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-:: .... ....:. � . . ..... ... .:::.. � � '�. tiK � .... ... .. .... .. ...... ..... .. .... .. ...... ... .. .... .. ..... .Act ,b.r..•-VA [ <br /><: YOUR CARA.PROCESSING..STATEMEiifTr; <br />r <br />Merchant Number <br />Customer Service <br />6428140500005145 <br />1-800 327-0093 <br />Page 5 of 6 <br />Statement Pertod _ 11101/2.1 - :11130/21' <br />Date <br />Total <br />4yb fitted <br />MASTERCARD <br />VISA VISA DEBIT <br />Subin[tted <br />111$0f21 <br />$51.01 <br />$479.55 $0.01 <br />$530 57 <br />Sub Totelet <br />$51.01 <br />$479.55 $0.01 <br />$530.57 <br />Total ::; : <br />$530.57 <br />Y.::..:. ..... .-. ':!.c:�%."'i:. •..� .. . •...1... J ..�. •1• <br />.. t..y..ilrrN.tyKaKl:`enl n: �i:tit rEi Jt., d r <br />1 -. <br />Date Description <br />Amount i <br />No Third Part , Transactions for this Statement Period. <br />j <br />Tote[ <br />- <br />s <br />Date Description <br />Amount <br />No AdfustaientslChargebacks for this Statement Period <br />Total <br />Date <br />Type <br />Description <br />Volume <br />Rate <br />Total <br />MASTERCARD <br />11/30121 <br />CF <br />DISC.1 <br />51-01 <br />0.21250 <br />-0.64 <br />111.30121 <br />CF <br />DUES & ASSESSMENTS <br />-0.07 <br />AUTHS & AVS <br />11130121 <br />CF <br />DAT'AWIRE <br />3• <br />0.0500 <br />-0,15 <br />11/30/21 <br />CF <br />AVS DTWR <br />1 <br />0.0500 <br />-0.05 <br />11130(21 <br />CF <br />INTERCHANGE <br />•4.fi4 <br />11130/21 <br />C•.F <br />NABU FEES <br />I <br />0<01950 <br />�00 <br />11/30/21 <br />CF <br />MC ICA AVS CARD NOT PR SNT <br />•1 <br />Q.01000 <br />-6.01 <br />91130121 <br />CF <br />MC DIGITAL ENABLEM.ENT <br />51.0¢ <br />.D;00010 <br />11130121 <br />CF <br />PROCSNG INTGRTY IMAGE FEE <br />1 <br />0.01500 <br />0.02 <br />11/30/21 <br />CF <br />PRCSNG INTGRTY FNATHI FEE <br />1 <br />0.04000 <br />-0.04 <br />VISA <br />'14130121 <br />CF <br />DISC 1 <br />479.55 <br />•0.Q1250. <br />-6.93 <br />AUTHS & AVS <br />11130121 <br />CF <br />DATAWIRE <br />1 <br />0.0500 <br />-035 <br />11130/21 <br />CF <br />AVS DTWR <br />7 <br />0:0500 <br />11/30/21 <br />CF <br />INTERCHANGE <br />-1CW <br />11/30/21 <br />CF <br />ACOR PROCESSOR FEES <br />7 <br />0-01950 <br />-0.14 <br />11/30/21 <br />CF <br />FIXED NETWORK CNP FEE <br />2 <br />-0:77 <br />11130/21 <br />CF <br />CR DUES AND ASSESS <br />479.55 <br />0,06140 <br />447 <br />11130121 <br />CF <br />FILE TRANSMISSION FEE <br />401 <br />VS OFLN DB <br />11130/21 <br />CF <br />DISC 1 <br />0.01 <br />•0.0140 <br />0.00 <br />AUTHS & AVS <br />... .. .........<.:.-i..::._.:,t•�H:�•::::r..: .:..: :.. ...::'.....:.ws.a.-•....-...c..........�.r..tt..-.........-.............}..n..L1..n.nK.............:.H.F`:i..,.w..aw/.vl*[wnwswv.+A��[.1[s3,we.1....A+Hw.[n�w. <br />P. O. BOX 8339, HOUSTON, TX 77387-8339 <br />..w.. ...JM;y <br />MWnsuY.4 ..•;-.•:'l.. .v. <br />nhnnnn 05 06 000610 004285R <br />