To - tradeunionroyalcommission.gov.au · I PJ!o• YOU MAY Bf ELIGIBLE FOR FREE AMBULANCE SERVICE . Pl ASE SE( OVER ' Account Number Account Date 21/11/2012 13681!1 Total Amount F•ayable

To:

Patient Name: Incident No.:

. . HEALTH FUND MEMBERS - PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER ••• This invoice is payable within 21 daY$ •••

NTP.1350.500.0949_0001

136846

Payment Due By 05112/2012

ROYAL PRINCE ALFRED HOSPITAL

115W

Full Cost:

Less Subsidy:

Amorunt Payable:

$708.60

($347.70)

$360.90

Customer Ref. No. -01/0912012 13G846

451

·.

.::~~m~~~n~~ivlc;: n~~:li~i'r.i'AII.Il"i:' .. ;JQ)'C!Nt!WSOUftiWil~ - ,,..,,..,.u,n~<um

CreCfit Card (i)lease=selec.tJ; rJ M~d __ • .: .•. 0 :V'ISA ·: · • -

E Jl,ll~ll l~ll~ll~ ll lll~~ll~llllllll~l~~ ~~lll .455 3382 0000100292823171 11

NTP.1350.500.0942_0001

To: MATER (NEVI/CASTLE) HOSPITAL

Incident No.: 40706

Full Cost:

Loss Subsidy: $913.70

($448.13) $465.57 Amount Payable:

Total Amount Payable

$465 57 Account Numbor -

Payment Due By 03/12/2012 Customer Ref. No. -20/0812012 136251

452

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

I Shelley Street Sydney NSW 2000

Macquarie Relatjonsbip Banking 1300 550 415

Coverforce Pty Limited

Account Nnmber: 3031-01000

Date Transaction Details

07/12/2012 Balance Brought Forward 07/12/2012 Electronic Debit - BPay Biller 17293

78488222 6140625 Payments for December 2012

07/12/2012 Electronic Debit - BPay Biller 2'7029 1058446075511125 614062 L Payments for December 2012

10/12/2012 Electronic Debit - BPay Biller 3087 158534201 8 6153858 Payments for December 2012

10/12/2012 Electronic Debit - Active Banking: Payments for December 2012 6153937

10/12/2012 Electronlc Debit- 101212- 101212 COVERPORCE

10/12/2012 Electronic Debit - IFS - NOV 12 COYERFORCE

10/12/2012 Electronic Debit - 101212-101212 COYERFORCE

10/12/2012 Electronic Debi t - 101212-101212 COYERFORCE

10/12/2012 CheqLLe - 00000194 10/1212012 Cheque- 00000197 11/12/2012 Electronic Debit - 111212-111212

COVERFORCE 11/12/2012 Electronic Debit - BPay Biller 39461


11/12/2012 Electronic Debit - BPay Biller 39461 34651002928231718 6159439 Payments for December 2012

11/12/2012 Electronic Debit - 1] 1212-111212 COVERFORCE

ll /12/2012 Electronic D ebit - 111212-111212 COVERFORCE

11/1212012 Cheque - 00000195

NTP.1470.500.0006_0081

0 M ACQUA R IE

BA N K

Statement Date: 31 Dec 2012 Statement Number 9

Page 4 of l3 Statement Period: from 01112/2012 to 31/12/201 2

Debit Cl'Cdit Balance

223,653.93 CR 919.19 222,734.74 CR

25,556.07 197,178.67 CR

107. L5 19'7 ,071.52 CR

814.00 196,257.52 CR

1,461.50 194,796.02 CR

2,343.09 192,452.93 CR

3,101.65 189,351.28 CR

3,144.21 186,207.07 CR

89.00 186,118.07 CR 165.00 185,953.07 CR

13.93 185,939.14 CR

360.90 185,578.24 CR

465.57 185,112.67 CR

7,221.30 177,891.37 CR

19,257.34 158,634.03 CR

1,848.00 156,786.03 CR

45 3

NTP.1350.500.0951_0001

··.~· '

- -YOU MAY BE EUGIBLE FOR FREE AMBULANCE SERVICE - P EASE SEE OVER

DETAil-S OF:.:$J;RVJQ;A~I? C9.US. :----" · Transport Date: 20109/2012

Attended:

Patient Name:

Authorised: nla

...

:· ·! . . . . .....

Kilometres:

To:

Incident No.:

Account Number - Account Date 20/11/201 2 136414

Total Amount Payable Payment Due By

$336.98 11/12/2012

THIS ACCOU NT S NOT COVERED BY MED ICARE

...

2·

PER IS HER VALLEY MEDICAL CENTRE PERISHEF! VALLEY NSW 2624

50300

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

Full Cost:

Less Subsidy:

$661.72

($324.74)

$346.98 ... This Invoice Is payable vllthin 21 days ... Amount Payable:

ffifM~y ' ·. · ·. · · 1:~ 1 · ·emp~y Cod!!: 045~ · · C.. Ref: 3~82 0000 1006 7398 3261 41 . PAY

• • • .. • t

Biller Cod1e: 39461 Ref: 3465 '1006 7398 3251 5

p(;; tenipay · . ' · - ·: '· :·· · : ... ' . .. ·· ·· Tel~~tiono&lnternetBan~:IJlg-:BPAY : · . ~ay In Pe.f~~~ -~~ ~ny:~o~.\ O(~ce, b.Y phone 1~ 1_8 .16 ~r 9~ til . so.~tac~'yq~f bar)k·, 'Cr~dit :urii~n ~rbulldl(lg s~clety·to make th postblllpayicorrt.au to pay now. paymel)f frQm your cheque_,> saving or credlt'ci!rd account. Mor ·

· Info: wwyi.bpay.com·.au · ·. . · · ·

h'I Pers~n · -';: ·. · · :.: . . . . · .. · "· . · : . ·,.,.By .Mall · .. · •. . ·. · ., . , • , Take thJs; ]f!VoJc~ , lntact to. MY ~cist Office .<!nd P,SY py .cas~; ·. qo!Jlp!~te ,the secUof'l .below· a'ld Pl!Y by cheque or cr.eQit cat . cheque or er.e}tlt.iimd .. ___ . _' ' ~ • ... . .: ) , . . • __ C~eg\1~ :sholijd)u(made)?~bl!! !QA~bt.Mflco S~nii ce f_

· ·: · · Nsw·and·mai!O<l tot~ addres'hlat the top of this page:-· ·- . .. . ; . -... . . . ,; . .

& Ambulanc:ti ~~lc~· ·REMITTANCE APVICE 'W Of New.South W~leS please re tt.t.rn this section with

Mail . c~rd (please select) 0 Masterdard 0 -VISA .

~~~~ llil~ll~l lll l l l l ~~~~~~~llllll l lllmll~l *455 3382 0000100673983251 41

CREDIT 0\RO ACCOUNT NUMBER·

payme11tl : I I 1 I i I I I I I ~~~~~~~~~~

e~~~ry darre~: l==l=i==~~"'-=mou::::."t::.:: $::.._:1 :::::! :=Z:l :::1 =±1. :::1 ::::::::; Namo; '--- (;-as-;:ft-ap- p-ea_rs_o_n c:-red~;:-i~~=~d;-;-ln-;B;-;-LO:;:-C:;:;K:-:LETTE-:·=::-:RS)~---'

Total Amount Paya ble

$336.98 Account Number -

Payment Due By

11/12/2012 Customer Ref. No. -20/09/2012 136414

454

NTP.1350.500.0950_0001

~ AitliJ~Iance ser~lce ABN: 69 29; 93o 156 W Of New. south Wales NoGSl"ap~ For Customer S.ervlce Centre ·Enquiries phone 1,30,0 6S5 200

(Please have yo.ur .d etails ready) . ·

·. . .. ·.... •. •, . ' . INVO.ICE

· Southerr'l Admlnisttation Office, Locked Bag 13, Goulb.urn NSW 2680

. for Ser,ri~es Page · 1 of . 1 ·· . ; "~· .....

YOU MAY BE ELIGIBLE FOR FREE AMBULANCE SERVICE - PL ASE SEE OVf:R

DETAILS OF SERVICE AND COSTS

ransport Date: 21/09/2012

ttended:

atlent Name:

uthorised: n/a

EALTH FUND MEMBERS- PLEASE FORWARD THIS INVOICE MMEDIATELY TO YOUR HEALTH FUNO FOR PROCESSING LEASE SEE SECTION 2 OVER •• This invoice is payable within 21 days ...

HOWTO PAY mmmJ ,.,.B_I_II_pa_y_C_o_d:...e-: 0-4-55------ ---.

[J~.ill@YJ Ref: 3382 oooo 1006 9440 3231 22

Account Numb•~r - Account Cate

18/11/2012 136495

Total Amount Payable Payment Due By $348.94 09/12/2012

THIS ACCOUNT I NOT COVERED B Y MEDICARE

Kilometres:

To:

Incident No.:

6

n/a

50330

Full Cost: Lo3ss Subsidy:

Amo•unt Payable:

Biller Code: 39461 Ref : 3465 1005 9440 3231 7

$685.16 ($336.22)

$348.94

Post Blllpay telephone & Internet Banklnrg-BPAY Contact your bank, orepit union or bulldiJi(f!loclety \O make this payment from you.r oheq~, se1vilg or crei:Jit card account. More info: www.bpay.oom.au

Pay In ·po($on at any Post Office, by phone 13 18 16 or go tq postblllpay.com.au lo pay now.

In Person . By Mall . . · , . . :. . , , Tl!ke this Invoice intact to any Post Otrlce end pay by cash, Complete the seclion below arnd pay> by ene.que .or credit card. cheque or credit card.· ! , . Cheques should be made payable·tt1' 'Ambl)lance Service of ·

'---~--· ... , · , .. . ,: .. '". , , , , _ .. , .... ___ .. _,_:.,.ft§Wjl!J.Q..f(ljilt.e~ to.!ll~ ~gdr~'~S.Jl:l.!h~}OI?. Q.(t!:!Js PS!]!l· _. _

~Ambulance Service REMITTANCE ADVI(:J: CREDIT CARD ACCOUNT NUMBER

WOfNewsouthWal!lS pleasereturnthlssectlon wlthyour~ymcnt l I I I J 1 I I I I I j I I I

BBy Mail Credit Card (please select} El<plty cb'-c:e-:: 1==:::=!=1 =~~~- Amount$ I I 1 ; I I j ·l

0 Mastercard ~ . 0 VISA N~me: I L..---:(;::a,:-;:lt::-aPt::-::,-:-:ea-rs-:-o:-n c:-re~oj;;:-!t -:ca-;rd;-;-ln-:B::-:LO:::C""K"l.,ETT=ER::::S;:-) _ _ -.J

s~~, l :J_ ~~~ 11~1 ~1~111~ II I I ~ lllllllllllllll ~llll~ll lllil

.455 3382 0000100594403231 22

~--r===~~==~~ Daytl,nePhone:(L--.!... _ _ _______ ...J

Total Amount Payalole


Payment Due By

0911 212012 Customer Ref . No.

llllllls495

455

11/12 2012 12 10 FAY. AUST POST RVDE

NTP .13500500.1216

fill 00 1/002

' I

For C'bttomer SerW:e Centre Enqulrle. phone 1300 655 200. · (Pie11111 have YO'IA"detafb ;~}'

-

• Il l : • • •

_ Rozelle ~dmlnlstratfon Office, LoBked Bag 14,

0

Ro:zalle NSW 2039

I PJ!o•

' YOU MAY Bf ELIGIBLE FOR FREE AMBULANCE SERVICE . Pl ASE SE( OVER

Account Number Account Date 21/11/2012 13681!1

Total Amount F•ayable Payme11t Oua By $351.93 12112/2012

THIS ACCOUNT IS O T COVFRED BY MEDICARE .. -~ ....

Patient Name:

Authorised:

-- - - 0 - KJloJ:D.atms•

To:

Incident No.:

7

RYOE HOSPITAL

11730

HEALTH FUND MEMBERS- PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER ... This Invoice It payable within 21 days ...

Full Coat: Less Subsidy:

AmotUnt Payable:

$691.02 ($339.09} S351 .93

HOWTC

DIBB··o ~0

I ol . .. .

Emp~ cbcl..-~455 ... ReCl33S2 OGOO 1607 0493 3261 12

•

·. BlllerCode: ~18461 Ref: 3465 10CI7 0493 3261 8

Po&tBlllpay o

Pay In Person at any P,o1t Offlcts. .b~ o phoh• 13 'I'B 't6 or~ to postblllpay."?Omoeu tO pay nov-f; ' ·

lei~ hone & Internet Banklnsl- BPAY Conteet your bank, credit union or bulldlng aoolety to make thl payment from your cheque, saving of c:.redit OIJrd acr.ount. Mo l11b: ~.bpay.oom.au

'In Peraon . 0

•

0

1' . . 0 BV Ma.ll Teke this lnvolas Intact to 81))' Post Offloo 81'1d pay by ~h. Complete the section below and pay by cheque or credit ca I clieque or c~dit cord. ~ · 0

• o, • • Cheques ehould be made p3y13ble to Ambulanctt Service o

--1~------------~~~~-~~~!~-~~~o--------~-------~ffi--~-~--~-~-"-9--~-~-~--~-~~~~·g_~_. _~-~~~--o_'~-~-J~· ----~

REMITTANCE ADVICE 0\!DIT CAAC> ACCOUNT NUMB;R r-etum this seed on wid! ,-~ pa-,.ncntO I I I I I I I I I I I I I

CredttCard(plel!seselect) e..prry~O I I I Arnoun~ s _I I 1 I I I ·O ~Qrd · 0

_

0 VISA

lli~llll~l~lllll~ll l~llllll ll~llll~~~ .455 3382 0000100704&33281 12

aymen(Oue By 1211212012

I I I I .

456

NTP.1350.500.0940

./' )·"'*' . ; •.. . . . . .·

•4 ~:Ambul~n~e · Ser.vice ABN: 69 291 930 1s6

w ·Of;New. SOuth Wales. No qs,~~pplk~ble .

For C~stomiw S~rvi~e Centre ~nqulrles p!'l~~e 1300 655 200 - . (Please have yo•iJr. details ready) .

. ·. · Custome; R~f. 'No .. : ..

10049450


INVOICE for Services

· Rozf:l.lle Administ1rat1on Office, Locked Bag 14, R1z.elle NSW 20~9

136873

Total Amount Payable Payment Due By

$603.1 2 05112/2012

THIS ACCOUNT I NOT COVERED BY MEDICARE

Transport Date: 01/09/2012 Kilometres: 91

Attended: To: CAMPBELLTOWN HOSPITAL

Patient Name: Incident No,: 10334

Authorised: nfa

HEALTH FUND MEMBERS - PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER ~·· This Invoice is payable within 21 days •••

HOWTOPAY

. r--------,

Blllpay Code: 0455 Ref; 3382 0000 1004 9460 3191 24

Full Cost:

Ll:tSS Subsidy :

Amount Payable:

Biller Code: 39461 Ref: 3465 1CI04 9450 3191 6

$1 '183.26 ($580.14)

$603.12

Post Blllpay Telephono & Internet Banking- SPAY Contact your bank, credit union or building society to make this payment from your cheque, snvlng or credit card account. Mor info: www.bpay.com.au · ·

Pay In Pe.rso!) at any Post Office, by phone 13 18 16 o( ~o {O poslbillpay.com.au to pay now. ·

In Person Take thl~ !nvoice fntayt to any Post Office and pay by cash, cheque or credit card . . .

By Mall CQmplete the section below ~nd pay by cheque or credit card Cheques should be made payable to Ambulance Service o NSW and mailed to the address at the top of this page.

~Ambulanc~Servtce . REMITTANCE ADVICE CREDITCARDACCOUNTNUMBER

'WotNewsouthWales please roturnthls sectlon withyour paymentl I : I I :I I: I I I I ! I B Mail Credit Card (please select} Expiry dam: I ] I 1\moum: $ I I : I I i I I

0 Mastercard ~ 0 VISA

~lllll~llllll llllll l~ f~llll l~ll lllll~llll~ lllltl *455 3382 0000100494503191 24

Nomo: '---,--,-----:::--:-:-::::-::-:=-:-=,.,..,,...---_1 (as It appears on credilt card in BLOCK LmERS)

SigNnro:l ~~-~-.mo--~-o-ne-:lr<======================~


$603.12

Account Number -Payment Due By

05/12/2012

Customer Ref . No. -01/09/201? 136673

457


l Shelley Street Sydney NSW 2000

Macquarie Relationship Banking 1300 550 415


Account Number: 3031-01000

Oate Transaction Details

11 /12/2012 Balance 'Brought Forward 11/12/2012 Cheque - 00000199 12/12/2012 Deposit · COV-OP lnv to OP

COVERFORCE-OPERATING INVEST

12/12/2012 Electronic Debit - 121212-121212 COVERFORCE


12/12/2012 Electronic Debit • BPay Biller 39461 34651005944032317 6165801 Payments for December 2012

1211212012 Electronic Debit · BPay Biller: 39461 34651007049332618 6166026 Payments for December 2012

12/1212012 Electronic Debit · BPay Biller: 39461 34651004945031915 6166041 Payments fo r December 2012

12/]2/2012 Electronic Debit · 121212-121212 COVERFORCE

12/12/2012 Electronic Debit - Coverforce Pty Ltd COY OP to CIB 6169004

12/12/20]2 Electronic Debit -0000000012/1212012Coverforce Pty L

13/1212012 Deposit - 'Bonds Courier Glen COVERFORCE INSURANCE BROK • OP

13/12/2012 Deposit - U-Cover Dividend UCOVER

13/1212012 Deposit - COV-OP iuv to OP COVERFORCE-OPERATING INVEST


Statement Date: Statement Number

NTP .14 70.500 .0006_ 0082

0 MACQUARIE

BANK

31 Dec 2012 9

Page 5 of 13 Statement Period: fr-om 01/12/2012 to 31/12/2012

Debit Credit Balance

156,786.03 CR 550.00 156,236.03 CR

120,000.00 276,236.03 CR

64.00 276,172.03 CR

336.98 275,835.05 CR

348.94 275,486.1 1 CR

351.93 275, 134.18 CR

603. 12 274,531.06 CR

5,064.79 269,466.27 CR

15,000.00 254,466.27 CR

63,880.04 190,586.23 CR

133.13 190,719.36 CR

38,154.00 228.8'73.36 CR

100,000.00 328,873.36 CR

LOS.OO 328,768.36 CR

458

NTP.1350.500.1222_0001

Ambulance service ABN: 69 2<) I 930 156 For Customer Servfce Centre Enquiries phone 1300 655 200 of New SOuth Wales No GST applicable (Please have your details ready)

Rozelle Administration Office, Locked

- Page 1 ol 1

Customer Ref. No. Bag 14, Razelle NSW 2039 INVOICE for Services

YOU MAY BE ELIGIBLE FOR FREE AMBULANCE SERVICE • PL ASE SEE OVER

DETAILS OF SERVICE AND COSTS Transport Date: 15/'10/20·12 Kliometr~:~s:

Attended: To:


Authorised: nla

Account Numbt~r Account Da1e 09/1212012 136881

Total Amount P.ayable Payment Due By $363.89 30/12/2012

THIS ACCOUNT IS OT COVERED BY MEDICARE

11

BANKSTOWNIL.IOCOMBE HOSPITAL

101 17


Full Cost:

Less Subsidy:

$714.46

($360.57)

$363.89 -·This Invoice Is payable within 21 days ...

0

= BUlpay Code: 0455 Ref: 3382 0000 1014 7490 3441 28

PostBIIIpay Pay in Personal any Post Office, by phone 13 18 16 or go to postbitlpay.com.au to pay now.

In Person Take this Invoice intact to any Post Office end pay by cash, cheque or credit card.

Amount Payable:

Biller Code: ~19461 Ref: 3465 101!4 7490 34411

Tolephonl! & Internet Banklnu - BPAY Contact your bank, credl1 union or building soclety to make this payment from your cheque, sav•ing or credit card account. More Info; www.bpay.com.au

ByMall . Complete the section below al1ld pay by cheque or credit card. Cheques should lJe made payable to Ambulance Service o NSW and ma!led to th~ address at the top of !hi3·peg5.

~Ambulance Service REMITTANCE ADVICE CREDIT CARD ACCOUNT NUMSER

W orNewsouttt \vmes please return trus sectton with your payment I I I I 1 I I ; I I I I Mail Credit Card (plea~e select) Expiry date: Cc=J Amount;$ I l ! l I I I

0 Mastercard 0 VISA

~~~IIIII ~ ~~1111 111 *455 3382 0000101474903441 28

Na111e: '----:----~-,_..,,..,.,.,.,..,=.......,.,-----.J (as it appears on credit c:ard In BLOCK lETTERS)

Signature: '-----~==~==~~~ Daytr~ Phon~:~!-) _____ ___ _,


$363.89

Account Number -Payment Due By 30/12/2012

Cuslomer Ref. No. -15110/2012 136881

459

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

I Shelley Street Sydney NSW 2000





13/12/2012 Balance Brought Forward 13/12/2012 Electron ic Debit - BPay Biller 39461


13/12/2012 Electronic Debit - Active Banking: Payments for December 2012 61?1159

13112/2012 Electronic D ebit- 131212-131212 COVERFORCE

13/1212012 Electronic Debit - Coverforce Pty Ltd cov OP to em 61?4?91

1311212012 Electronic Debit - BPay Biller 75556 3106707926160?0 6171213 Payments for December 2012

13/12/20'12 Cheque - 00000198 14/12/2012 Electronk Debit- 141212- 141212

COVERFORCE 14/12/20 12 Electronic Debit - BPay BiUer 126698

10001'772228 6173318 SuperRecn1itmeot

14/12/2012 Electronic Debit- 141212-141212 COVERFORCE

14/12/2012 Electronic Debit - BPay Bi ller 879072 9368810256 6173288 SuperAMP

14/12/2012 Electronic Debit - BPay Biller 736579 151798196 6172774

14/12/2012 Electronic Debit - ll'AC 6172975 14/12/2012 Electronic Debit - Arghand Fawad

6172960 14/12/2012 ElecLronic Debit - BPay Riller 858837

121713360996 6173283 SuperBTPersonal

14/1212012 Electronic Debit - 141212-141212 COVERFORCE

14/1212012 Electronic Debit - BPay BiJler 879072 9344167052 6173234 Super AMP

NTP .14 70.500. 0006_ 0083

0 MACQUARIE

BANK

Statement Date: 31 Dec 2012 Statement Number 9

Page 6 of 13 Statement Period: from 01/12/2012 to 31/12/2012

Debit Credit. Balance

328,768.36 CR 363.89 328,404.47 CR

1,057.95 327,346.52 CR

14,969.80 312,376.72 CR

20,000.00 292,376.72 CR

21,906.00 270,470.72 CR

440.00 270,030.72 CR 198.11 269,832.6 1 CR

450.00 269,382.61 CR

458.68 268,923.93 CR

481.00 268,442.93 CR

484.62 267,958.31 CR

492.20 267,466.11 CR 493.25 266,972.86 CR

568.75 266,404.1 1 CR

590.14 265,813.97 CR

594.69 265,219.28 CR

460

NTP.1350.500.0952_0001

. - ····- · ·-:

-.: ·:. ...... . ~ · .... YOU MAY BE ELIGIBLE FOR FREE AMBULANCE SERVICE - PL ASE SEE OVER

- . · · Account Number . ". . . ~ . Account Date ···: - 16/1 0/2012 136872

Total Amount p·ayable Paym ent Due By $363.89 06/1 1/20 12

THIS ACCOUNT I NOT COVER EO BY MEDICARE . ·' ·. ~ ~ . '·. . . . . . ··... . .. "'• l• •• • • •••

o.eTAtLs 6F s~~v,ce ·ANi> coSTs Transport Date: 06/0812012 Klloin etres: 11 · ·

Attended: To: LIVERPOOL HOSPITAL


Authorised: nta

HEALTH FUND MEMBERS- PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER ... This Invoice Is payable within 21 days ...

11321

Full Cost:

L•~ss Subsidy: Amount Payable:

D.Jil!liii,; ~,;, p~,;c..;:, .,;;i; . · · · · 1~1 Bill., c.<>••: ~.¥\ : ~.:: '·Ref'::33s2 .. oooo ooo9 7186 ;z9o1 01 · . PAY Ret: ~48s ooo9 '7186 2901 10

• ',• I • ' • ' " ' • • ' ' . . . . . . . . ~ •··.. , .. . . . . .

$ 71 4.46 ($350.57)

$363.89

i ...

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. · lnto: yr,\.IW;bp~.com.au · .. '· .. -. ·

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. - ... , •.. · . .,. •• • • 7

,. . .N~Y' ~(I rnai~d to !~.e·a~dr~r.s &1 !he top~ of;.(bls Pl!ll,e.

' ~ . -~Amblllan~serv~e ~~M;'TTANCE AOVICE · CREDITCAADACCOUNTNUMBER , w ouew.soutn VfaleS . ph!as~ return thrs~edlon .with your payment ! I I ·1 I I f I I ! I I

Mail . Credit Card (please select) E~i\!ry da'-te~: ,~~~~,~,~'-A·-IllL...Oll-llt:L...$-. ";:1 :::;:1 :::;t=::;:):::-;:1 :::;[:::;:=: 0 M_astel'card • ·. ~

0 Cheq!:'~ · : d VIsA'-~- . .. ••. .. · N=a:q_,rai '----,-....,--.:-.- - -:-:-- ::-:--:= ===-:===--- ---' (as ruppoars on croci It card In BLOCK LETTERS)

e 111111 1~111~11 1111111~11~~11111 111 1 11 111 1111~ II~ Sl~wre: I Da;uns Phone: [L )

.455 3382 0000000971862901 07 Total Amount Payable Payment Due By

$363.89 06/11/2012

Account Number Customer Ref. No. -. ; ... .

4 61

NTP.1350.500.0953_0001

•.

For Customer Service ~ntre Enquiries phone 1300 ~5 100 • . (Please have yotir details ready)

• • • . : ·.: . . :1

. o' • , I ~ ,.,, ~·~ o

• \ ,.> •

'·

Patient Name:

Authorised: n/a

HEALTH FUND MEMBERS - PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEAlTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER •••n is Invoice Is payablo within 21 days ·-

HOWTOPAY t

nDnJ. ,.-8-IJI-P,a.:..y.:.:..C_!J_d_e:_;. 0-,4~5...::.5-..:..:..i.-. -'---..,..._-'---~..;

· ~' Ref; 33azoooo '1.oqa 3698 330,1 7-5.;, . .. .. •'... .. . .• . .

.. Rozelle Admlnls~rat.fon 9fflce, l~K.ed·: ·_. · _ ·,' . B.ag 14, Rozelle NSW 2039 ;· .. •. ,

.. .,.

w.

: ASE SEE OVER

Account NumbElr Account Date

25/11/2012 136800 ·-Total Amount Payable Payment Due By

$357.91 16/1212012

NOT COVERED BY MEDICARE

1'\TUJ:: MUo:>I" IIAL

Incident No.: 11604

Full Cost: $702.74

l.ess Subsidy: ($344.83) Amount Payable; $357.91

_[~J Biller CodE1: 39461· Ref: 3465 1JOOB 3698 3301 1

·.Post eiilpaV ·~ . 1.· ···:·: .. .' .. > ,. · ... . .. ~-. · -~:<, .. 'J~Iepho.n~&ln~ernet' aank.lng- BPP..~ . : .. , . :'' ·. 1 •.

•. Pay In P11r~~n ,alan~. P,o!>tptnce, .bY, p~om(131,8 16 dr gq to ·contact your b,ank, credit un1lon or building &eclety to .rna~~ tnl!> j?Ostbillpay.CQm.ou to poy no.w.· · •· ·. · payment frorn Y9ur c~equa. ~a\llng or cte(jlt card aocounl..Mor:e

· · · ' · · · Info: Www.bpciy.com.au · ·. '. . . .· \ ' ... · .. ~.·· . .._ .. -,_· . :........ . . . . . . ' . .

I' ln' Pe~son . . · · ·_. · ~~ M~U · · ' · • · · •. · ' · . ~aka· thi~ fryvolco !n~act to any. Post· okioe ~(ld p~y .~y .C\}sf\, · ~ompfete the eectfon below and Pf!.Y by Cheq4e or credit·card.. ' ·

ch~uo o'r crodlf·C.ard. · "· ' -~· .. ~~- .. · ...... ·· .. :\ -.·~ .·-.r . :7,Ch~~lfd~ ;.houfd be rpado payabto to A'mbulanoo _S9!Vlae of • ·' . , . . : . NSW -and nial~ to !lie addlress at tha_!op of this~ . ·

&Bmbula~ce·S~IC_! . ~MITTAN~ ADVicE . · •. OIEOI f CAADACCOUNl NUMilER • \

wof~ ~- please rotiwn ·thts section wrtn your paymentLI -;:1 ::;:::::;1~1~1.--li--LI....._~.I_.!; ~I =*I =*I ~I ~I ~I ~r fr Min J c..;..< cOni(,..., .. ~"'' _ ....... .,~·1 ::::::::::1:::::1 ==._1 ....::.Amou=nl::.:.$=-.=1 ='~I='· ::1:=:! ~~ 0

0 Mastcrc~ .-Cheque .0 VISA · • N2"'.e: Ll -.,..-----,..----,...,~=.,...,..,=~----~

(as it appears on crodlt a.rd In BLOCK LETTERS)

S~ou:l.___ --;::::=:.=::--=====::::::::~' Daytime Ph01"K>' u: _ __.!. __ l!l~ ll~lll~lll~~lfl~l~ll~l!l~lll~~~~ll~

'455 3382 0000100836983301 75

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$357.91

Account Nutnbor -Paymont Due By

16/1212012 Customer Ref. No. -17109/2012 136808

462

:1' •

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I

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. . . :. . { . . ':' ; -~. :.' ·;

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S~RVICE AND COSTS - - -· . ......___._ ......; . ...._:...,_~~......:...~ ......... -Transport Date: 06/0912012

Attended:

Patient Name:

Authorised: n/a

HEALTH FUND MEMBERS- PLEASE FORWARD THIS INVOICE IMMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER ... This invoice Is payable within 21 days •••

., .

To:

Incident No.:

NTP.1350.500.0956_0001

COFFS HAR~OUR HOSPITAL

40089

Full Cost : Less Subsidy:

Amount Payable:

$702.74 ($344.83)

$357.91

·.·· .... · j

:

463

Macquarie Bank Lim.ited ABN 46 008 583 542, AFSL 237502 Australian Credit Licence 237502

1 Shelley Street Sydney NSW 2000





17112/201 2 Balance Brought Forward 17/12/2012 Deposit - UCOVServiceFeeNov

U-COVER PTY LTD -OPERATING

17/12/2012 Deposit - UCOVAdminFeeNov12 U-COVER PTY LTD -OPERATING

17/1212012 Deposit - UPlusComm.Nov12 COVERFORCE-U-PLUS TRUST

17/12/2012 Deposit - PC Comm Nov 12 COVERFORCE-TRUST ACCOUNT N02

17/1 2/2012 Electronic Debit · BPay BUler 39461 3465 1008369833011 6190583 Payments for December 2012

17/1212012 Electronic Debit - BPay Biller 39461 34651006102132410 6190590 Payments for December 2012

17/12/201 2 Electronic D ebit - BPay Biller 39461 34651013918434014 6193691 Payments for December 2012

17/1212012 Electronic Debit - 171212-171212 COVERFORCE

17(12/2012 Electronic Debit - 171212- 171212 COVERFORCE


17112/2012 Periodical Payment Debit - A WU SA 5735321 AWU SA Branch

17/12/2012 Electronic Debit ·Active Banking: Payments for December 2012 6194077

17/12/2012 Electronic Debit - BPay Biller 5082 376010577941003 6194757 Amcx SB Nov 12

17/1 212012 Electronic Debit - BPay Biller 303040 639980172811129 6190603 !'ayments for December 2012


NTP 14 70.500.0006_ 0085

0 MACQUARIE

BANK

31 Dec 201 2 9

Page 8 of 13 Statement Period: from Ol/12/20U to 31!12/2012


516,865.36 CR 168,649.41 685,514.77 CR

179,445.86 864,960.6:l CR

282,012.21 1,146,972.84 CR

624,418.19 1,771,391.03 CR

357.91 1,771,033.12 CR

357.91 1,770,675.21 CR

363.89 1,770,311.32 CR

552.13 1,769,759.19 CR

840.00 1,768,919. 19 CR

1,586.00 1,767,333.19 CR

2 ,500.00 1,764,833.19 CR

4,154.00 1,760,679.19 CR

5,494.26 1.755,184.93 CR

17,893. 19 1,737,291.'74 CR

464

NTP.1350.500.1222_0001

$ Ambulance Service ABN;69 291930156

For Customer Service Centre Enquiries phone 1300 65S 200 of New SOuth Wales No GST opplk<lble (Please have your details ready)

· Rozelle Administration Office, Locked Customer Ref. No. Bag 14, Rozelle NSW 2039

INVOICE for Services Page 1 of 1

YOU MAY BE ELIGIBLE FOR FREE AMBULANCE SERVfCE • PL ASE SEE OVER


Account Date

09/1212012 136881

Total Amount P:ayable Payment Due By $363.89 30/12/2012

THIS ACCOUNT IS OT COVERED BY MEDICARE

Transport Date: 15110i2012 Kiiometras: 11

Attended: To: BANKSTOWN1L.IDCOMBE HOSPITAL

Patient Name: Incident No.: 10117

Authorised:


Full Cost:

Less Subsidy:

$714.46 ($360.57)

$363.89 -·This Invoice Is payable within 21 days . ..

0

f!t~t1 Blllpay Code: 0455 Ref: 3382 0000 1014 7490 3441 28

Post Blllpay Pay in Person at any Post Office, by phone 13 18 16 or go to postbillpay.com.eu to pay now.

In Person Take this Invoice intact to any Post OffiCe and pay by cash, cheque or credit card.

Amount Payable:

Biller Code: ;:19461 Ref: 3465 10114 7490 34411

Telephone & Internet Bankln{J- BPAY Contact your bank, credit union1 or building soclety to make this payment from your cheque, sa~·ing or credit card account. More Info: www.bpay.com.au

By Mall Complete the section below and pay by cheque or Cfeclll card. Cheques should IJe made payable to Ambulance Service o !'!SW 2m! ma!!!!d to the addres~; at the top of !his· pags.

~Ambulance Service REMITTANCI: ADVICE CREDIT CARD ACCOUNT NUMBER

W' of New SOUUt WaleS please return this sectlon with your payment! I I I I I 1 I I ; I I I Mail Credit Card (please select) ExplrydL•te~: i;::=~,::==;-_.~._AJ..!.no_um:..J.·_$~1;:::::;1~1~1 ~~ =*=1 *1 ~~

0 Mastercard '

O VISA

llllll~ l~ll~ll~lll!~ll~llllllllll~ll l~I:IJIII *455 3382 0000101474903441 28

Nome; L----,--,------,--,..-,,.,...,-,...., __ .,.._. __ _J

(as It appeors on credit 01rd in DLOCK LETTERS)

S!IJf"'ture:~..-1 ----;:::::==================~ Daytime Phone:w_ _ _!. ________ __.J



Payment Due By

30/12/2012 Customer Ref. No. -1611 (){201 2 136881

i ' I l ~

465


1 Shelley Street Sydney NSW 2000

Macquade Relationship Banking 1300 550 415




17/12/2012 Balance Brought Forward 17!12/2012 Deposit - UCOVServiceFeeNov

U-COVER PTY LTD-OPERATING

17/12/2012 Deposit - UCOVAdminFeeNov12 U-COVER PTY LTD -OPERATING

17/12/2012 Deposit - UPiusCommNov12 COVERFORCE-U-PLUS TRUST

17112/2012 Deposit- PC Comm Nov 12 COVERFORCE-TRUST ACCOUNT N02





17112/2012 Electronic Debit- 1?1212-171212 COVERFORCE

1'7/12/201 2 Electronic Debit - 171212-171212 COVERFORCE

1?/12/2012 Periodical Payment Debit - A WU SA 5735321 A WU SA Branch

17/ 12/2012 Electronic Debit- Active Banking: Payments for December 2012 619407?

17/12/2012 Electronic Debit - BPay Biller 5082 376010577941003 6194757 Amex SB Nov 12

17/1 2/2012 Electronic Debit - BPay Biller 303040 639980172811129 6190603 Payments for December 2012


NTP. 1470 .500 .00~~085

0 MACQUARIE

BANK

31 Dec 2012 9

Page 8 of 13 Statement Period: from 01/12/2012 to 31/12/2012


516,865.36 CR 168,649.41 685,514.77 CR

179,445.86 864,960.63 CR

282,012.21 1,146,972.84 CR

624,418.19 1,771,391.03 CR

35'7.91 1,771,033.12 CR

357.91 1,770,675.21 CR

363.89 1 ,7?0,311.32 CR

552.13 1,'769,759.19 CR

840.00 1,768,919.19 CR

1,586.00 1,76'7,333.19 CR

2,500.00 1,764,833.19 CR

4,154.00 1,760,679.19 CR

5.494.26 1,755,184.93 CR

17,893.19 1,737,291.74 CR

NTP.1350.500.0970_ 0002

.... ' •, •• ' , : :·:: 0 • • • • .: . ' • . ~. · ... · .. YOU MAY BE ELIGIBLE FOR FREE AMBULANCE SERVICE - P EASE SEE OVER

DETAIL.S OF SERVICe AND COSTS_ 25/09/2012

n/a

EALTH FUND MEMBERS-- PLEASE FORWARD THIS INVOICE MMEDIATELY TO YOUR HEALTH FUND FOR PROCESSING PLEASE SEE SECTION 2 OVER ... This lnvofce Is payable witl'lln 21 days .....

HO

E Blllpay_ Code: 0455 Ref: 3382 0000 1010 3672 3331 18

~ [;!]

-· Account Numiber Account Date 28/11/2012 -1 136497

Total Amount Payable Payment Due By $393.80 19/12/2012

THIS ACCOUNT S NOT COVERED BY MEDICARE

Kilometres: ·--2-1 _ __ .:___ _____ _

To: nla

Incident No.: 50036

Full Cost: $773.06 L.ess Subsidy: ($379.26)

Amount Payable: $393.80

Biller Code: 3~461 . Ref; 346510110 3672 3331 9

Pos~ Blllpay · Telep,h'O'ne:& Internet Bimkln1g.,.... BP~Y , Pay.h1 Person at any Post Offic~. by r;>hone 13. :Hl 16 or go to Con!.act.your bank; cni!~lt union or building society tq· make this -' po$tbillpay.com.au to pay now. · payment from your cna·que, sa1vlng or credit card accoul')t. Monr

· Info: WWV<(.bpay.dom:'au ·· · :·: .. .. ·' · -' · ·

tr:~.,P.erson .. ;.,: ;·. . ', ·' . 'c/ .. . ..;. :::, . . :-· . · - . :sy ~M"'H-: . · ·:,_._ . : . · · .. , . , . . . · ,, · . T?ke t~ls ln,v!)!ce intact to ·any Post· Office flhCl pay by cash, complete the .s~ctlon below and pay by c.f\eque or credit c.ar9. cheque br credit c~rd:·. . . - . : : ·· .. ' : . . . . . Cheques''shoLild. be made pay~ble to 'Ambularic'~ Service Of • -~ ·_- . · · :. - • -• __ ,_ ... - · · · - .. ··· ·•• _ .... "·'· · . . -, · .. ' -~.. -- -:.~"'· N~).!Y.and.~r:rJai!.ecU<>; th.a addr,eu_ll Atlhe top pf,t.~j~ P.'!_ge, , . . , .: .. " :

~Amb~tance ser~lc:e W of New south \l(a.les

REMITtANCE ADVICE CREDIT 011{1) ACCOUNT NUMBER pt.~ase i·eturn this section with your pRymentl I I I I I I I I I I I I I

Mail

0Chequ~

Credit' Card (pl'ea·se select) 0 Mastercard 0 VISA

E llllll~lllllllllll~llll lll llll~lllllllll lllllllllll~l *455 3382 0000101036723331 18

~~~~-~~~~~~ Expiryda;=te::..'::l :=:::;:::1 =I=.__:·Arn~=o=unt:_:' $~LL=:::::l[C:::l ::::1:::±[ ='~] Name: '--;--::----~"'"-:-:-:::-=::-:;-;-=:=,..----.J

(as it appem <>II credUt card In BLOCK LEITERS)

Signature: I ~--~===============~ Oaytirne PhCNle:L _,l:_ ___ _ ____ _J


$393.60 Account Nlrmber

Payment Due By 19/12/2012 Customer Ref. No. -2510912012 136497

467

Documents

To - tradeunionroyalcommission.gov.au · I PJ!o• YOU MAY Bf ELIGIBLE FOR FREE AMBULANCE SERVICE . Pl ASE SE( OVER ' Account Number Account Date 21/11/2012 13681!1 Total Amount F•ayable