New Document#:
016 1449000005 6
ARC#:
12345678
PED:
03AUG03
Exchange Type - ADD COLLECT
New Document(s) Total:
214.00
Old Document Total:
148.00
New/Old Diff:
66.00
Admin/Penalty Total:
100.00
Adjustment:
---------------
Amount Due From Client:
166.00
Old Fare Total:
83.12
Old Tax Total:
54.88
Total New Commission:
0.00
Total Old Commission:
0.00
Commission Penalty:
0.00
--------------
= Commission Due To/From:
0.00
Form of Payment:
Approval Code:
Extended Pay: