QCQC*87654321*12345678*003*VOID*EP772TMPAY25        *0529100000026621*05103100084*M *00                            *                              *20051024*20051004*AE54321N   *DOE              *JANE      *Z*0000*20051001*20051002*           *2225*-      1.000*-      17.61*-     211.33*0000*     *                                                                                          *     *                                                                                          *PCG VOID TPR                            *          *          *                                                  ~QCQC*87654321*12345678*003*ADJ *E00001TMPATIIENT    *0529400000013521*05103100084*M *00                            *                              *20051021*20051001*AH12345E   *DOESS            *JANE      *Z*0000*20050801*20050802*           *2232*-      1.000*-   10500.00*-     270.15*0000*     *                                                                                          *     *                                                                                          *NYS ADJST NYCCHSPRO                     *          *          *                                                  ~QCQC*87654321*12345678*003*ADJ *E00001TMPATIIENT    *0529400000013522*05103100084*M *00                            *                              *20051021*20051001*AH12345E   *DOESS            *JANE      *Z*0000*20050801*20050802*           *2232*       0.000*    10500.00*      270.15*0000*     *                                                                                          *     *                                                                                          *NYS ADJST NYCCHSPRO                     *          *          *                                                  ~