1. Electcheck
6472 S. Quebec St
Englewood, CO 80111
(800) 863-5995
COMFORT DENTAL
2780 S BROADWAY
ENGLEWOOD CO 801131523
Transactions For November - 180002155021
Date Time Check # Amount Auth #
11/2/2010 10:53:17 372 220.00 585198
11/2/2010 18:06:35 5652 374.00 779455
11/3/2010 13:21:07 1022 55.00 703669
11/3/2010 16:05:19 3749 20.00 785456
11/4/2010 17:28:13 6139 190.00 564497
11/5/2010 15:37:51 2515 19.00 599534
11/6/2010 11:43:48 1121 105.00 527984
11/8/2010 16:21:01 10864 57.00 571057
11/8/2010 12:37:20 4737 169.00 768565
11/9/2010 13:59:11 1097 12.00 513318
11/9/2010 14:02:50 1142 768.00 514916
11/9/2010 14:23:37 4116 50.00 524136
11/10/2010 15:54:27 5241 85.00 591462
11/11/2010 07:46:10 5025 660.00 708618
11/12/2010 15:29:44 1415 60.00 685216
11/12/2010 15:53:25 2095 120.00 696928
11/12/2010 16:28:39 9003 81.00 717297
11/15/2010 15:05:24 2896 62.00 653348
11/17/2010 14:22:50 1576 30.00 662964
11/17/2010 09:55:15 374 85.00 544155

2. 11/17/2010 09:25:26 6691 61.00 532568
11/22/2010 14:03:14 10947 15.00 728372
11/23/2010 14:41:39 1020 122.00 511288
11/23/2010 11:39:57 5660 88.00 713181
11/24/2010 15:10:46 2433 10.00 664982
11/24/2010 09:48:44 9038 120.00 778638
11/29/2010 14:59:37 379 635.00 745353
DEPOSITS FOR November
Date Check # Amount Fees Auth # Deposited $
11/2/2010 1015 30.00 0.82 641977 29.18
11/3/2010 4152 36.00 0.93 705823 35.07
11/4/2010 372 220.00 4.41 585198 215.59
11/4/2010 5652 374.00 7.32 779455 366.68
11/5/2010 1022 55.00 1.29 703669 53.71
11/5/2010 3749 20.00 0.63 785456 19.37
11/9/2010 1121 105.00 2.23 527984 102.77
11/9/2010 2515 19.00 0.61 599534 18.39
11/10/2010 10864 57.00 1.33 571057 55.67
11/10/2010 4737 169.00 12.93 768565 156.08
11/15/2010 1097 12.00 0.48 513318 11.52
11/15/2010 1142 768.00 14.77 514916 753.23
11/15/2010 4116 50.00 1.20 524136 48.81
11/15/2010 5025 660.00 12.72 708618 647.28
11/16/2010 1415 60.00 1.38 685216 58.62
11/16/2010 2095 120.00 2.52 696928 117.48
11/16/2010 9003 81.00 1.78 717297 79.22
11/17/2010 2896 62.00 1.42 653348 60.58
11/17/2010 5241 85.00 1.86 591462 83.14
11/22/2010 1712 410.00 8.00 458341 402.00

3. 11/23/2010 1576 30.00 0.82 662964 29.18
11/23/2010 374 85.00 1.86 544155 83.14
11/23/2010 6691 61.00 1.40 532568 59.60
11/24/2010 10947 15.00 0.53 728372 14.47
11/29/2010 1020 122.00 2.56 511288 119.44
11/29/2010 5660 88.00 1.91 713181 86.09
11/29/2010 70002 122.00 9.40 458341 112.60
11/30/2010 2433 10.00 0.44 664982 9.56
11/30/2010 9038 120.00 2.52 778638 117.48
Totals
Description Amount Count
Processed Checks 4,273.00 27
Deposited Checks 3,945.96 29
Fees 100.04
Monthly Minimum 0.00
Statement Fee 10.00
VISA and MasterCard have mandated compliance with certain standards known as PCI-DSS.
These standards are established to protect merchants and cardholders alike. EPS shall share in the
fees associated with the program with you. We will assess you $79.95 in June of each year and
annually thereafter for your portion of the PCI-DSS fees.