j,·.~ .::'.·,·A . i ~-. ~.-~- r .. · · Macquarie Bank Limited ABN 46 008 583 542, AFSL 237502 Australian Credit Licence Z37502 1 Shelley Street Sydney NSW 2000 Macquarie Relationship

NTP.1350.500.1028

' .

:· ·:·

·! • .••• • ~· , , • :,:.. • .. • ·:;. • · ~,_

~ ~ . ' ·. . . -·:;~ . ' -• • ·t

Lock~d ·· ·. ·, .

··•· · .... ~ •. ;{;:~~, ::.~ ... ASE SEE OVER

Account Number Account Date

19/12/2012 - 136881

Total Amount Payable Payment Due By $354.92 09/01{2013

THIS ACCOUNT I NOT COVERED BY MEDICARE

DETAILS OF SERVICE AND COSTS ----~~ .. ~ ! ··- ·-···- - ----,----Trcnsport Date: 10/11/2012 Kil~metres: 8

Attended: To: BANKSTOWN/LIDCOMBE HOSPITAL

Patient Name: Incident No.: 10221

Authorised: n/a

HEALTH FUND MEMBERS- PLEASE FORWARD THIS-INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSI.f\lG PLEASE SEE SECTION 2 OVER

. ... This Invoice Is payable :with in 21 ·~ays ... ' . . •"-

Full Cost:

L•ess Subsidy:

·Amc•unt Payabl~:

$696.88 ($341 .96) $354.92

rer.-R...;.;s;~."P_a_y_c_o_de_: ...... o4_s_s.......,.. -:..:...:. --~-- _.:..,.',... .. .;;;.,j...,·.~_.::'.·,·A_._i ... ~-. Wl .. ~.-~-r .. · ef; ~3~2 0000 1019 3766 35_41_:50 -~ ' rl"r

PostBillpay·: .. ·•.· . . . ... ... " "· · · · :} ·f{reteph~ne&lnterpeiBanklng .:...:·ep,A.y · · .. ':· ..

.· BllletCode: 39461·: Ref: 3465 1019 3766 3541 4 ..

·,. Pay ·in· ~ersp_t(af~ny Po_sl Office, .by phor1e 13 1.8-:16 .o~~go .tp!,:· Contact your bank; cre_dlt uniol'i·or bi.iUdhig ~oclety to make this postblllpay.'col)i:a~ tq j5ay..f1C>w. ~ ' ' . : ' . .. . . t: paymen11ror.n Y?Ut yh~qu~ • .s!tving OJ ~redit card /!Cepunt. ,More

. , .. , .. ; :· ·· · ·· · . ·:· · .. ·. :_: .info:www.bpay.com.au · ·

· lnPeraciri. . . .. .· ' · ·•. • ..: ":~; ·.', ... ... t2: :~v.M~H : . . ·. ·v;·:. ·:->·. ··. ,:·:, ,:.,. ·· .. ·, :,~w· · !r . · · Take this Invoice intact to any PosfOfijce and pay by cashi \.:Qomp_lete the sectionbelow ·an<fpay·tiy chague (ir credit card. cheque or ct~.di!~~~~ ;: , , , . · · .· . .': .CheqLres shquld be ·!\,ada piwable to ·Arnbulance Service of

.... -. . · . • ·;; :::~N$W and·i\'iai!ed to 'th~ addtEiss lit tltil'top tlfthls pa-ge. · L---~------~··~------~~~----~-

.!_: l.

· REMITTAN.CE ADVICE . • · C!m)IT CAiUJ·ACCOU.NT NUMBER

~~----~p_le_as_e_r_et_u_r.n_t_h_is_se_c_ti_on __ ~y~o_u~rp~ment~l -;1~~~ =·~~=· ~~~J-~1~1~;~~1 ~~~~~~ ~~ ~J[]=·~ <;redtt Card (please sefect) Ex~lry date: 0 I ! I Amo'~nt: $ I I (. I I I ! I · 0 Mastercard 0 VISA

e llllllllll~l~llllllllll tlll ll l llllllllll l lllll ltlllllll .455 3382 0000101937663641 50

Name: .L-----------~---~~~~--------~ (as it appears en credit: card In BLOq< LETTERS) · .

· Signatw·e: l..~ ------:-;:::=============~ C>3ytimo Pllon~:.u= . .!..) _______________ _J

Total Amount Payablle

$354.92 Account Number -

Payment Due By

09/01/2013 Customer Ref. No. -10111/2012 136881

\

604

NTP.1350.500.1029_0004

29/05/2013

~ ' t3ean

.: .. ~ Total Amount Payable Payment Due By $612.09 19/06/2013

.... . · THIS ACCOUNT I

.•.

To: BQl'VP..'\L ·HOSPITAL

Incident No.: 10313

EALTH FUND MEMBERS - PLEASE FORWARD THIS INVOICE MEDIATELY TO YOUR HEALTH FUND FOR PROCESSING

ti"' Lt::/\>:ot: SEE SEC nON 2 OVER This invoice is payable within 21 days ...

. .

Full Cost: $1,200.84 Le,ss Subsidy: ($588.75)

Amorunt Payable: $612.09

~!'mbutaif&service :·,·'fii:MI'ttAN<fe· w .oUle\11 $'9llmWa_le;t please reto~m ·tllis see·tion, ·w.ilth · payment! I I I I I I I I I I I

Mail Credit Card (please select) · · 1 ·~ • • ~ • •• ' ' ~

0 -Mastercard OVISA ··"' '!'.,-!':.

~lfllll~l ~111~111111~ II~ II ~llll~lll ~I IIIII~ II .455 3382 0000105935161491 34

~·F .... · ·:,,': ... l

E~p!ry <l.1te:LL[l]" 1\~iunf:$ ·I I £ I, I

Total Amount Payabl'e

$612.09 Account Number -

Payment Due By

19/06/2013

Customer Ref. No.

21/(}5/2013 136877

~.:.:~r. · *r< ...

605

Macquarie Bank Limited ABN 46 008 583 542, AFSL 237502 Australian Credit Licence Z37502

1 Shelley Street Sydney NSW 2000

Macquarie Relationship Banking 1300 550 415

Coverforce Pty Limited

Account Number: 3031-01000

Date Transaction Details

24/06/2013 Balance Brought Forward 24/06/2013 Cheque - 00000346 24/06/2013 Outward Telegraphic Transfer Fee 25/06/2013 Electronic Debit - 250613-250613

COVERFORCE 25/06/2013 Electronic Debit - BPay Biller 39461

34651019376635414 7215302 Payments for June 2013

25!06f2.D13 Electronic Debit - BPay Biller 39461 34651059351614919 7215323 Payments for June 2013

25/0612013 Electronic Debit - 250613-250613 COVERFORCE

25/06/2013 Electronic Debit - BPay Biller 7773 08771781003 7215276 Paym ents for June 2013

25/06/2013 Electronic Debit - BPay Biller 169409 330449893 7215502 Payments for June 2013

25/06/2013 Cheque - 00000342 25/06/2013 Cheque - 00000353 25/06/2013 Cheque - 00000354 26/06/2013 Deposi t - Bank fees Trfr

HANNOVER LIFE RE OF AUST 26/06/2013 Deposit- FOS MISC58 l08 0905

HANNOVER LIFE RE OF AUST 26/06/2013 Deposit - COV-OP Inv to OP

COVERFORCE-OPERA TING lNVEST

26/06/2013 Electronic Debit - BPay Biller 17301 3490002388742 7221701 Payments for June 2013

26/06/2013 Electronic Debit - 2606t 3-260613 COVERFORCE

26/06/2013 Electronic Debit - DPay Biller 17301 2290744948857 722171 I Payments fo r June 2013

NTP.1470.500.0005_0035

0 MACQUARIE

BANK

Statement Date: 28 Jun 2013 Statement Number 15

Page 10 of 14 Statement Period: from 01/06/2013 to 28/06/2013

Debit Credit Balance

186, 191.37 CR 1,540.00 184,651.37 CR

35.00 184,616.37 CR 311 .60 184,304.77 CR

354.92 183,949.85 CR

612.09 183,337.76 CR

975.92 182,361.84 C.R

1,552.67 180,809.17 CR

33,000.00 147,809.17 CR

88.00 14?,721.17 CR 559.85 147,161.32 CR

1,208.75 145,952.57 CR 20.42 145,972.99 CR

1,650.00 14?,622.99 CR

100,000.00 247,622.99 CR

36.00 247,586.99 CR

73,40 247,513.59 CR

230.00 247,283.59 CR

606

NTP 1350·.500 1 Q$0_0001

136810

Total Arnount Payable Paymetrt Due By $360.90 07/07/201'3

To: WESTMEAD HOSPITAL

lncld\lnt No.: i0400

Full Cost~

Lss1> SubsJdy; Amount Payable:

$708.60 ($347.70) $360.90

Account Number Customer Ref. No.

~6BIQ -

607

Macquarie Bank Limited ADN 46 008 583 542, AFSL 237502 Australian Credit Licence 237502


Macqnarie Relationship Banking 1300 550 415

Coverforce Pty Limj tcd



26/06/2013 Balance Broughl Forward 26/06/2013 E lectronic Debit - Active Banking:

Payments for June 2013 7221689 26/06/2013 Electronic Debit - 260613-260613

COVERFORCE 26/06/2013 Electronic Debit - Coverforce

Insurance Broking P ty Tr frCOVOp 7226686

26/06/2013 Electronic Debit -0000000026/06/20 13Coverforce Pty L

27/06/2013 Deposit - COV-OP Inv to OP COVERFORCE-OPERATING INVEST

27/06/20 13 Electronic Debit - Active Banking: Reimburse to JA NAB Op 7230938

27/06/2013 E lectronic Debit - BPay Biller 39461 34651062648416718 7230854 PaymentS for June 2013

27/06/2013 E lectronic Debit - 270613-270613 COYERFORCE

27/06/2013 Electron.ic Debit - Active Banking: Payments for June 2013 7230955

27/06/2013 E lectronic Debit - BPay BiUer 75556 310670792616070 7230845 Payments for June 2013

27/06/2013 Electronic Debit - Acllve Banking: MBL COY Op - STG COY O p 7235909

28/06/2013 Deposit · lnterak Pty Ltd ASICSearchReimburs No account or incorrect Account Number

28/06/2013 Deposit - CIB to COY COYER FORCE INSURANCE BROK - OP

28/06/2013 Electronic Debit - BPay Biller 39461 3465106297~11 6815 7241 459 Payments for June 2013

NTP.1470.500.0005_0036

0 MACQUARIE

BANK

Statement Oat~ 28 Jnn 2013 Statement Number 15


Debit Crewt. Balance

247,283.59 CR 3,000.00 244,283.59 CR

5,082.00 239,201.59 CR

50,000.00 189,201.59 CR

57,811.22 131,390.37 CR

400,000.00 531 ,390.3 7 CR

90.00 531,300.37 CR

360.90 .530,939.47 CR

J.713.86 529,225.61 CR

5,500.00 523,725.61 CR

19,475.00 504,250.61 CR

58, 182.91 446,067.70 CR

90.00 446,157.70 CR

350,000.00 796,157.70 CR

357.91 795,799.79 CR

608

To:

Incident No.:

609 NTP •1350.500 .1031_000~

10031

136808

Payment Due By 30/0612013

Full Cost;

less Subsidy: Amou"1 Payoble;

$837,!52 ($410.83)

$426.69

' ' !< C~IID1t·~O·'A¢.~WNT"t-l~M~Eft.,.<'>; ·~~~ I' ;:::::.~:---!::::::::::..::.:;:~:::;;::~.~~t~"otJ J:ia1fment l I I I I I I l I I I l I I I~

~~lrY..utcd I ·o AJntJtJnr. t l? L ~ ~:. I [;-.1 Credlt:C<!I'd (ple.ase select)· U Mqste~rd LJ VISA '• !·1 " 1 ;t • ·;I •''·'

~lllllllll llllllllllllllllll ltllllllllllllllll llllll ll ~I •455 3382 0000106127091601 56

N~m~;- ~._l -----,,.-,-----.,..-~,..-;:";"-:::=::::::77==-----'l

I (atlt~llP~""'cmh~dii);B):OCI(~ ] ' .. .,..,,

Sl~'»li.IIO,

~D.-yt-!M~~~-~-~-Ib;~u=======)~==~~~~==~~ ~

Total Amouht Payable Payment Due By -$426 69 3010612013

29/8612813 1~--NTP.1350.500 1314_0001

PAGE 82/82

& Ambulance service ~-BN: 6' 2" ' 930 rs6 W Of New SOUth WaleS NoGST~!abl&

For Customer St!rv~ Centre Enquiries phone I 300 655 200 (Please have your details ready)

Rozelle Administration Office, I ocked

Customer Ref. No. INVOICE for Services

Bag 14, Rozelle NSW 2039

Page 1 of 1

YOU MAY BE ELIGIBLE FOR FREE AMBULANCE SERVICE • PLE SE SEE OVER

DETAILS Of SERVICE AND COSTS ariipO?rtl3m!2/IOST2o13 -- - -

Attended:

Patient Name:

Authorised:

Account Number - Account Date 04/06/2013 136807

Total Amount PEiyable Payment Due Sy $342.96 25/06/2013

• NOT COVERED BY MEDICARE

- l<iTO'ilietresT·- ·~·- ·---- -· .._ ...__. __ ··- ·

To: BLACKTOWN HOSPITAL

Incident No.: 11294

HEALTH FUND MEMBERS- PLEASE FO~WA~O THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER

Full C~: 5673.44

Less Subsidy: ($330.48)

••• Thi~ invoice is payable within 21 days ...

W'ft>-PA u.mD .--Bi-11-poy-C-od-a:-a.s-s-· ------.....

~ Ref: 3382 0000 1060 42211551 76

Po.t Blllpay Pay in Porson 31 any Post Office, by phone 13 18 16 or go to postbillpay.com.au to pay now.

In Person Take ~is Invoice Intact to any F'oat Office and pay by cash, oh&qua or credit card.

Am"unt Payahl.a: $342.96

Biller Code~ 39461 Ref : 3465 1tD60 42.211551 4

Tolophorte & Internet Bankirtg- BPAY ContaCt your bank. cre<frt union or building society to make thl$ l)ayment from your ch~:~quc, Mvlng or ¢!'edit card account. Mote info: www.bpay.com.au

J;~yM~II Complete the section below and poy by cheque or credit oard. Clleques should be mode payable 10 Ambulanco Service of NSW and.mailed to the oddren atthe top of this page.

CaEDIT CAAO N:;COU"if NUMBER ~~miJul!-.,co Servfte 1'\EMITTANCE ADVICE W of~ SOUUI WiiiGS plu$e retlWn this section wlth payment~! -,...-.--.-1-IT. I I I I 1 I I I I I

Mail Cred1L Card (please select) 0 ~ntrurd 0 VISA

e ~~~ll~l~l~ll~lll~ll!l llUii~llllllliiiW .455 3302 0000106042211551 76

Expiry d;te.l I I I Amounll s I : I ! I I ~e: ~~--~------~--~~~-~~=-----~

I I

(as it appt»l en atdlt ard Ill BLOCK I.ETTEIIS)

~w~l ~--~:==~========~ Ol)'tlmc PhOI~t:L.ITI..---!.-----------.J

OtalAmount Pavable

$342.96 liliiiii'ber aymenl Due By

2510612013 Custom er Ref. No. -27/05/2013 136807

610

NTP.1350.500.1316_0001

Ambulance Service For Customer Service c~ntre l :nquiries phone 1300 655 200 ABN: 69291 no 156 (Please have your details ready)

Of New South Wales NoGST:~ppkable Rozelle Adminrstratfon Office, locked · Bag 14, Rozelle NSW 2039

INVOICE for Services Page 1 of I

, YOU MAY BE,ELIG.IBLE FOR FREE AMBULANCE SERVICE - PL ASE SEE OVER -Account Numb-er Account Date

1610812013 - 130810

Total Amount Payable Payment Due By

$375.86 07/0712013

THIS ACCOUNT IS NOT COVERED BY MEDICARE

DETAILS OF SERVICE AND COSTS s~~~~06.~1~~~~-------------------;·~~u~e~r.·:~---~~~~--------------------l

Attended: To: AUBURN HOSPITAL

Patient Name: Incident No.: 11178

Author ised: n/a

HEALTH FUND MEMBERS - PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER

Full Cost: $737.90

lEtSS Subsidy: ($362.04) ••• This invoice is payable within 21 days .. ,

GWTOPAY ~ r-B-III-p-ay--C-od_e_:_0_4_S5 ______________ ~

~ Ref: 3382 00001062 69551671 01

Post Bill pay Pay In Person at any Post Office , by phone 13 16 16 or go to poslbillpay.com.au to pay now.

Amount Payable: $375.86

Biller Code: :l9461 Ref: 3Mi5 10132 6955 1671 7

Telephone & Internet Bankin!~ - BPAY Contac1 your bank, credit union or building society to make this payment from yoor cheque, sa11ing or credit card account. More info: www.bpay.com.au

In Person By Mail Take this in•JO!ce Intact to any Post Office end pay by cash, . Complete the section below and pay by .:heque or credit card. cheque or credlt card. Cheques should be made payable to Ambulance Service of

NSW and mailed to the address at the top ofthls page.

~Ambulance Service REMIITANCE ADVICE CREDIT CARD ACCOUNT NUMBB\

W of New South Wales please return this se ction wlth your payment ! L -;:I ::;::::;:1 :::::::1 =:-I ......!.I_....~I--..JI.-1";:::1;=:1;=:~1 :::;:1 :=:;I ::::;1 ~ M.ail CreditCard(please select) Expiry~ ... a~:l===' ::::::l:::::_l_ J:_:\mO=un.::..:r: $:::..___::1 :::::::1 ~lc::::l=:l ==:!:::I=:

0 Mastercard ! r-

0 VISA Nam~:: L--:--:'--------,:--::--=-=~=:::::--------' {as it appears on acdlt c...-d in BLOCK LETTERS)

Ee ~111111\lllllllllllllllll~~lll lllllllll l ll lllllllllllll .. 455 3382 0000106269551671 01

Signature: '---------;;==:=:===============~ D~ytlme Phone:u::==._.)'----------------'

total Amount t'ayao1e

$375.86

Account Number -t'ayment u uc cy

07/07/2013

Customer Ref. No. -0610612013 136610

611

Macquarie Ban.k Limited A.BN 46 008 583 542, AFSL 237502 Australian Credit Licence 237502

I Shelley Street Sydney NSW 2000

Macquarie Relationshlp Banking 1300 550 415


Accoru1t Number: 3031-01000


03/07/2013 Balance Brought Forward 03/07/2013 Electronic Debit - Active Banking:

Payments for June 2013 7275744 03/07/2013 Electronic Debit - 000000003/07/2013

Coverforce Pty L 04/07/2013 Deposit-

coverforce25061302BUILD UP2012 04/07n013 Deposit - COV-OP Iov to OP

COVBRFORCE-OPBRATlNG TNVEST

04/07/2013 Electronic Debit - UPlus Pty Ltd ROB004 UPius Bounceback fee 2.50 7283544

04/07n013 Electronic Debit - BPay Biller 39461 34651060422115514 7282186 Payments for July 2013

04/07/2013 Electronic Debit- BPay Biller 39461 34651061270916011 7282202 Payments for July 2013

04/07/2013 Electronic Debit - 40713-40713 COVERFORCE

04/07/2013 Real Time Payment - Ref: 14283899 SYMANTEC ASTA PAC£FIC PTE LTD

04/07/2013 Electronic Debit - BPay Biller 75556 310670792616070 7282166 Payments for July 2013

04/07/2013 Cheque - 00000344 04/07/2013 Cheque - 00000355 04/07/2013 Cbeque - 00000363 04/07/2013 Bank Cheque Fee 05/07/2013 Deposit 05/07/2013 Electronic Debit - BPay Biller 39461

34651062695516717 7288069 Payments for July 2013

05/07/2013 Electronic Debit - Aclive Bankin g: Payments for July 2013 7288052

Statement Date: Statement Number

NTP.14 70.500.0005_0041

0 MACQUARIE

BANK

31 JuJ 2013 16



135,586.16 CR 2,735.00 132,851.16 CR

59,630.16 73,221.00 CR

375.00 73,596.00 CR

100,000.00 173,596.00 CR

2.50 173.593.50 CR

342.96 173,250.54 CR

426.69 172,823.85 CR

874.74 171,949.11 CR

9,504.00 162,445.11 CR

20,641.00 141,804-.11 CR

88.00 141,716.1 1 CR 1,678.34 140,037.77 CR

231.00 139,806.77 CR 10.00 139,796.77 CR

20.00 139,816.77 CR 375.86 139,440.91 CR

1,102.80 B8,338.11 CR

612

To:

Patient Nam~: Incident No.:

Authorised:

. HEALnl FUND MEMBERS -PLEASE FOR\NAAO THIS 11\l'v'OIGe IMMEDIATELY roYOUfi HEALTH FUND FOR PROCESSING Pl,.E;ASE !iEE SECTION 2 OVER -· This invoice Ia payable wlth.ln 21 day'l.l -·

NTP.1S5U.500 1 032_0001

IS6610

Payment Ott& By t8/07/201 3

WESTMEAD HOSPITAL

'11226

Full Cost:

L &$S Subsidy: Amount Payable:

$691.02

($339.09)

$36i .93

613

Macquarie Bank Limited ABN 46 008 583 542, AFSL 237502 Australian Credit Licence 237502

I Shelley Street Sydney NSW 2000



Account Number : 3031-01000


I 1/07/20 13 Balance Brought Forward 11/07/2013 Electronic Debit - BPay Biller 7799

4682577129 7313743 TELSTRA inv 1'311

11107/2013 E lectronic Debit- 110713-1 10713 COVERFORCE

11/07/2013 Electronic Debit - BPay Biller 39461 34651065790917813 7313733 amubulance services of NSW

11/07/201 3 Electronic Debit - 110713-110713 COVERFORCE

11107/201 3 Electronic Debit - Active Banking: Payments for July 2013 7313680

11107/20 13 Electronic Debit - BPay Biller 75556 310670792616070 7313726 PAYG wages

11107/2013 Electronic Debi t - 110713-110713 COVERFO RCE

12107/20 13 Deposit 12107/2013 Ueposit - COV-OP lnv to OP

COVERFORCE-OPERATING INVEST

12/07/20 13 Deposit- COVOplnv-Op COVERFORCE-OPERATING INVEST

12107/201 3 J:.lectronk Debit - Active Banking: Reimburse to JA NAB Op 7323997


12/07/2013 E lectronic Debit- 120713-120713 COVERFORCE

12/07/20 13 Electronic Debit - COVERFORCE INSURANCE BROK - OP COV Op to em Op 7322405

15/07/20 13 Deposi t - UPiusGSTJunB COVERFORCE-U·PLUS TRUST


NTP.1470.500.0005_0043

0 M ACQUARIE

BA N K

31 Jul 2013 16

Page 4 of I J Statement Period: from 29/06/2013 to 31/07/2013


148,282. 5 1 CR 105.00 148,177.51 CR

123.00 148,054.51 CR

351.93 147,702.58 CR

1,518.33 146,184.25 CR

1,895.63 144,288.62 CR

19,554.00 124,734.62 CR

35,556.90 89,177.72 CR

972.00 90,149.72 CR 80,000.00 170,149.72 CR

220,000.00 390,149.72 CR

70.00 390,079.72 CR

188.00 389,891.72 CR

36,523.86 353,367.86 CR

220,000.00 133,367.86 CR

29,661.52 163,029.3R CR

614

To:

fnciditrtt No.: 11379

Full Cost! $702.74 Len Subsfdy: ($344.83)

Amount Payable: $357.91

~fNo.

24.10512013 ''6810

To:

Incident No.:

NTP.1350.500.1 033

136673

Payment Due By 11/07/2013

CAMPBELLTOWN HOSPITAL

11054

Full Cost: $819.94 l ess Subsidy: ($402.22)

Ame~unt Payable: $417.72

! • I .: II • er Customer Ref. No. -12106/2013 130873

616

Macquarie Bank Limited ABN 46 008 583 542, AFSL 237502 Australian Credit Licence 237502


Macqnarie Relationship Bankiug 1300 550 415




25!07/2013 Balance Brought Forward 25/07/2013 Cheque - 00000379 25/07/2013 Cheque - 00000382 25/0712013 Cheque - 00000386 2510712013 Stop Payment Fee -Active Banking 25/07/2013 Bank Cheque Fee 26/07/2013 Deposit - COV OP Jnv to OP

COVERFORCE-OPERA TING fNVEST



26/07/2013 Cheque - 00000341 26/07/2013 Cheque - 00000372 26/07/2013 Cheque - 00000393 2910712013 Deposit - COVOpJnv-Op

COVERFORCE-OPERATING I.NVEST

29/07/2013 Electronic Debit - BPay BiUer 39461 34651060048715317 7416298 Payments for July 2013



29/07/2013 Electronic Debit - 001-0301365-003 LEASE PAY

29/07/2013 Electronic Debit - BPay Biller 75556 310670792616260 7414506 COV BAS Junl3 QTR Payment

29/07/2013 Cheque - 00000380 30/07/2013 Deposit - CJB to COV

COVERFORCEINSURANCE BROK - OP


NTP.1470.500.0005_0048

0 MACQUARIE

BANK

31 Jul l0J3 J6

Page 9 of II Statement Pedod: from 29/06/2013 to 31/07/2013


90,894.45 CR 140.00 90,754.45 CR

85.00 90,669.45 CR 110.00 90,559.45 CR

3 .00 90,556.45 CR 10.00 90,546.45 CR

100,000.00 190,546.45 CR

31. 18 190,51 5.27 CR

38,160.30 152,354.97 CR

663.30 151,691.67 CR 30.50 151,661.17 CR

5,000.00 146.661.17 CR 270,000.00 416,661.17 CR

357.91 416,303.26 CR

417.72 415,885.54 CR

560.97 415,324.57 CR

1,246.95 414,077.62 CR

284,451.00 129,626.62 CR

65.00 129,561.62 CR 180,000.00 309,561.62 CR

617

. '

(·

.. · '

: . .... . -... 1 .:.

:•. .

" '

NTP.1350.500.1036

13~328

Toi~J AmC?unl Pa)lable Paymon_t Due By $34V2 29107/2019

. .... .. ....... ~ ......................... :. Kilometres:

To:

Patient Name: Incident No.;

Authorised: nla

HEALTH FUND MEMBERS-PLEASE FORWARD THIS lNVOIC~ IMMEDIATElY TO YOUR HEALTH FUND.F.OR PROCE~Sihl~ Pl:EASE SEE,S,ECTION 2 0\lER .... Thlslnvolcifls payilble· Ylithln 21 ctays ...

"v •

2

MACLEAN HOSPITAL

40463

Full Coat: Les:& Subsidy:

Amount Payablo:

$661.72 ($319.00) $342.72

- Ref. No.

1510112013 136328

•. .

618

Macquarie Bank Limited ABN 46 008 583 542, AFSL 237502 Australiall Credit Licence 237502

l Shelley Street Sydney NSW 2000





30/07/20 13 Balance Brought Forward 30/0712013 Electronic Debit · UCover Pty

Ltd-Operating Account Bank Fees for HN Claims UPlus 7425310

30/07/2013 Electronic Debit - Active Banking: Reimburse to JA NAB Op 7425131

30/07/2013 E lectronic Debit · BPay Biller 39461 34651031886602214 7420789 Payments for July 2013

30/07/20 13 Electronic Debit- 300713-300713 COVERFORCE

30/07/2013 Electronic Debit - 0000302.1866 7 MBLAUD


30/07/2013 Cheque - 00000383 31/07/2013 Deposit - PartCommTrfrJuly13

COVERFORCE-U-PLUS TRUST 31/07/2013 Deposit- PartCommTrfrJuly13

COVEl{FORCE-TRUST ACCOUNT NO 2


31/07/2013 Periodical Payment Debit - Grant's Share Buy Back 6809475 Grant and Wendy Lewtbwaite

31/07/2013 Electronic Debit-0000000031/07/2013Covcrforce Pty L

31/07/2013 Iotel'est Paid Redirection - 182-222 30310102.6

31/0712013 Interest Paid 31/07/2013 Interest Paid Redirection - 182-222

303101042 31/07/2013 Interest Paid Rediyection - 182-222

303225387 31/07/2013 Interest Paid Redirection - 182-222

303101018


NTP.14 70,500.0005_0049

0 MACQUARIE

BANK

31 JuJ 2()13 16

Page JO of 11 Statement Period: from 29/06/2013 to 31/07/2013


309,561.62 CR 15.00 309,546.62 CR

70.00 309,476.62 CR

342.72 309,133.90 CR

1,175.89 307,958.01 CR

42,135.18 265,822.83 CR

63,357.57 202,465.26 CR

100.00 202,365.26 CR 200,000.00 402,365.26 CR

300,000.00 702,365.26 CR

1,523.69 700,841.57 CR

48,030.37 652,811.20 CR

56,410.25 596,400.95 CR

269.05 596,670.00 CR

288.54 596,958.54 CR 381.6'1 597,340.1 5 CR

879.66 598,219.81 CR

1,159.29 599,379.10 CR

619

FUND MEMBERS- PLEASE FORWARD THIS INVOICE TO YOUR HEALTH FUND FOR PROCESSING

SEE SECTION 2 OVER

NTP.1 350.500.1035_0003

THIS ACCOUNT I

To:

Incident No.:

EASE SEE OVER

nla

40269

Account Date 12/06/2013 136328

Payment Due By 03/07/2013

Full Cost: $878.54

less Subsidy: ($430.92) Amount Payable: $447.62

Account Number Customer Ref. No. -04/06!2013 136328

l '

620

Macquarie Bank Limited ABN 46 008 583 542, A.FSL 237502 Australian Credit Licence 237502

I SheUey Street Sydney NSW 2000

Macquaric Relationship Banking 1300 550 415




05/08/2013 Balance Brought Forward 05/08/2013 Electronic Debit- BPay Biller 7799

4069494617 7461405 Payments for Aug 2013

05/08/2013 Electronic Debit - BPay Biller 929992 132138216785 7461276 Payments for Aug 2013

05/08/2013 Electronic Debit - BPay Biller 3111 488413 1970 7461396 Payments for Aug 2013

05/08/2013 Electronic Debit -Active Banking: Payments for Aug 2013 746 1324

05/08/2013 Cheque- 00000390 06/08/2013 Electronic Debit - Coverforce

lnsurance Broking-Tru Payments for Aug 2013 7470011

06/08/2013 Electronic Debit - AClive Banking: Payments for Aug 2013 7470054

06/08/2013 Electronlc Debit - BPay BiUer 39461 34651062262416317 7470025 Payments for Aug 201 3

06/08/2013 Electronlc Debit - BPay Biller 5082 376039675751006 7460700 Amex platinum Ju ly 13

06/08/2013 Inward Return Item Fee redirected from - 182-222 303153852

06/08/2013 Inward Return Item Fee redirected from- 182-222 303225387

07/08/2013 Electronic Debit - BPay Biller 47886 100009327329 74762.52 Payments for Aug 2013

07/08/2013 Electronic Debit - BPay Biller 17293 81920453 7476245 Payments for Aug 201 3

07/08/201 3 Electronic Debit - BPay Biller 27029 1058446075507131 7476229 Payments for Aug 201 3


NTP.1470.500.0005_0052

0 MACQUARIE

SANK

30 Aug 2013 17



194,413.50 CR 440.91 193,972.59 CR

2,773.00 191,199.59 CR

7,278.89 183,920. '70 CR

7,319.16 176,601.54 CR

150.00 176.451.54 CR 319.67 176,131.87 CR

425.00 175,706.8? CR

44?.62 L 75,259.25 CR

31,244.77 144,014.48 CR

15.00 143,999.48 CR

15.00 143,984.48 CR

2,051.87 141,932.61 CR

6,096.77 I 35,835.84 CR

36,783.8 1 99,052.03 CR

621

Documents

j,·.~ .::'.·,·A . i ~-. ~.-~- r .. · · Macquarie Bank Limited ABN 46 008 583 542, AFSL 237502 Australian Credit Licence Z37502 1 Shelley Street Sydney NSW 2000 Macquarie Relationship