                              Your Practice Name                          (546)
                          VSS Medical Office System         Run: Jan 11, 2006
                            +--------------------+         Page: 1
                            | CHECK TRACK REPORT |
                            +--------------------+
                   Insurance Carrier: Retired People Insurance

    Account    Patient Name (Last,First)     Invoice   Line      Amount
    ---------  --------------------------    --------  -----   ---------
           1   Adells Helena                     264      4        90.24
          44   Kosta Betty                        51      3        40.60
          19   Palmquist Thomas                  192      6       180.00
          19   Palmquist Thomas                  216      2        14.00
-----------------------------------------                      ---------
 Retired People Insurance                    Total Applied:   $   324.84
          Check #: 929292
       Check Date: 05/12/05
      Check Total: $   500.00               Unapplied Amount: $   175.16
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