💗Records💗 **ALWAYS VERIFY THE ACCOUNT** --MAT/Toll Notice/Collections-- FMAT: Verified: Name: Concern: Email: Phone: Resolution: Amount Paid: Payment Code: Amount Reduced: FTF Code: Signature Name: 💗Records💗 **ALWAYS VERIFY THE ACCOUNT** ♥FMAT: yes ♥Verified: Yes ♥Name: Johnny Frank Lawrence Jr ♥Email: JOHNNYTT4@GMAIL.COM ♥Phone: NA ♥Concern: Cx want to pay TN1 • LPN: TNM5560 ♥FMAT: NO ♥Verified: Yes ♥Name: N/A ♥Email: N/A ♥Phone: N/A ♥Concern: WANTS TO KNOW IF CX CAN BE GRANTED FTF BCUS OF CONGESTION ON 24 OCTOBER • LPN: VA / THK7113 • Resolution: FTF GRANTED AND REVERSED THE CHARGE • Amount Paid: 0 ♥Payment Code: N/A ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Dalls Player ♥Email: N/A ♥Phone: N/A ♥Concern: WNT TO KNOW WHEN THE TICKET WAS ISSUED AND WHEN THE TRIP HAPPENS • LPN: HKW5019 • Resolution: TOLD THE CX WHEN THE ISSUED DATE FOR THE TICKET AND WHEN THE TRIP HAPPENED // CX PAYED THE TRIP THAT IS IN TOLL NOTICE • Amount Paid: $ 37.00 ♥Payment Code: DVXSEJ ♥Amount Reduced (if any): $1.50 ♥FTF Code (above $200): ♥Signature Name: Galasi LATE TOLL ____________________________ ♥FMAT: N/A ♥Verified: Yes ♥Name: IBRAHIM ISMAIL ♥Email: ISMACIL@GMAIL.COM ♥Phone: N/A ♥Concern: CX RECEIVED AN INVOICE // CX CALLING ABOUT INVOCE // HE ALREADY SETTLE IT WITH CREDIT CARD BUT WANTS TO KNOW WHY HE WAS CHARGE • LPN: VSY8380 • Resolution: UNABLE TO FIND ACCOUNT/TRIP // ASK FOR CX FOR CALLBACK • Amount Paid: 0 ♥Payment Code: N/A ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: John Greco ♥Email: N/A ♥Phone: N/A ♥Concern: WANTS TO PAY INVOICE • LPN: m61sxy • Resolution: PAYMENT TAKEN • Amount Paid: $2.50 ♥Payment Code: 61RUZF ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: MIA ♥Email: N/A ♥Phone: N/A ♥Concern: Court summons GT240333387 • LPN: TZY3297 • Resolution: CALL COURT FOR CONFIRMATION OF WHERE CX TRAVEL • Amount Paid: 0 ♥Payment Code: N/A ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: JASON ♥Email: bracketj21@gmail.com ♥Phone: 3045448283 ♥Concern: wants to know if cx have violation • LPN: WL49139 • Resolution: offer fmat // refer to i66 • Amount Paid: N/A ♥Payment Code: N/A ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: ANGELA ♥Email: ANGELAJ@INCLINATOR.COM ♥Phone: ♥Concern: WANT TO PAY INVOICE • LPN: KYE8433 • Resolution: FOUND 4 TRIPS // PAYMENT TAKEN // ADVICE CX THAT IT'S UNABLE PAY ONLINE BCUS IT'S ALREADY PASS DUE • Amount Paid: 86.35 ♥Payment Code: TNGKOM ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: GEORGE ♥Email: geogib6969@gmail.com ♥Phone: N/A ♥Concern: WANT TO PAY INVOICE • LPN: RUG9S • Resolution: PAYMENT TAKEN • Amount Paid: $31.30 ♥Payment Code: 5NUDAM ♥Amount Reduced (if any): $1.50 ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Stephen Howard Brown ♥Email: N/A ♥Phone: N/A ♥Concern: wants to make a payment for TN1 • LPN: ZTZ9221 • Resolution: PAYMNET TAKEN • Amount Paid: $0.85 ♥Payment Code: MQER5N ♥Amount Reduced (if any): N/A ♥FTF Code (above $200): N/A ♥Signature Name: Galasi ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: 1DS1790 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ANERICAVUS26@GMAIL.COM ♥Phone: ♥Concern: 188 DOLLARS BUS DAW • LPN: 11056T • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 4a2c2262-29c5-4dc0-a5ec-d15089ae36a8 ____________________________ ♥FMAT: yes ♥Verified: Yes ♥Name: Johnny Frank Lawrence Jr ♥Email: JOHNNYTT4@GMAIL.COM ♥Phone: NA ♥Concern: Cx want to pay TN1 • LPN: TNM5560 • Resolution: PAYMENT TAKEN • Amount Paid: $36.45 ♥Payment Code: FKFMCB ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Dredg ♥Email: SNYDE2BD@GMAIL.COM ♥Phone: NA ♥Concern: WANTS TO PAY FOR TOLL • LPN: JM5152 • Resolution: PEYMENT TAKEN • Amount Paid: $15.75 ♥Payment Code: IQWHX ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: CAROL A. MURACORE ♥Email: CMURATORE@COMCAST.NET ♥Phone: ♥Concern: SHE TRAVELLED TO i95 AND WANTS TO PAY FOR THE TOLL • LPN: TLUMSUM • Resolution: ENROLLED TO FMAT • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi i95/ ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: JOSEPH ♥Email: NA ♥Phone: NA ♥Concern: WANTS TO KNOW WHY HE STILL RECEIVE AN INVOICE FOR A TOLL VIOLATION • LPN: PA KVZ8486 • Resolution: EDUC CX ABOUT THE TRANSPONDER WAS NOT READ DURING THE TRIP IN QUESTION // REFERED TO E-ZPASS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ 💗Records💗 10/31/24 ♥FMAT: Yes ♥Verified: Yes ♥Name: Maritta Washington ♥Email: MARITTAWASHINGTON@YAHOO.COM ♥Phone: NA ♥Concern: EMAIL INVOICE // WANTS TO PAY FOR INVOICES • LPN: 8EN8057 • Resolution: payment taken • Amount Paid: $14.10 ♥Payment Code: BZ5DP2 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: no ♥Verified: Yes ♥Name: teri garcia ♥Email: na ♥Phone: na ♥Concern: wants to know why cx received invoice // drop the call • LPN: 87EBEC • Resolution: told cx that the tp was not read during the trip but drop the call • Amount Paid: na ♥Payment Code: na ♥Amount Reduced (if any): na ♥FTF Code (above $200): na ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Tracy Rachelle Thompson ♥Email: MECCA2PEACE@YAHOO.COM ♥Phone: NA ♥Concern: WANTS TO PAY INVOICE • LPN: GG8258 • Resolution: PAYMENT TAKEN • Amount Paid: ($10.20 ♥Payment Code: NHABID ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: DIANE KUMMINGS ♥Email: NA ♥Phone: NA ♥Concern: CX PAID BUT THERE STILL REMAINING BALANCE // CX ADVICE THAT THE LPN THAT WE DETECTED IS WRONG ACC: 6488175 • LPN: 738543G/ MD 7GD9558 • Resolution: REVERSESAL THE BALANCE // BCUS OF IMAGE ERROR • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: AUSTIN ♥Email: AUSTINOKORN15@GMAIL.COM ♥Phone: ♥Concern: WANTS TO PAY TN1 • LPN: XC3S2S • Resolution: PAYMENT TAKEN • Amount Paid: $1.25 ♥Payment Code: PGZ2HY ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Dottie Shelton ♥Email: NA ♥Phone: 8595168365 ♥Concern: WANTS TO BE SEND THE FIRST BILL BCUS SHE WON'T PAY FOR THE ONE THAT IS IN COLLECTION // WANTS A CALL BACK • LPN: 353ZMY • Resolution: EDUC CX TO CALL NCC // • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: EDY GUILLARD ♥Email: NA ♥Phone: NA ♥Concern: CUSTOMER WANTS TO KNOW WHY THEY RECEIVED AN INVOICE • LPN: T1798741/ELSHDAI • Resolution: EDUC CUSTOMER ABT THE TRPR NOT BEING READ DURING THE TRIP// EDUC ABT THE SYSTEM UPDT // EDUC ABT THE ADMNSTRATIVE FEE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: JHONSON ♥Email: JEHANTON747@GMAIL.COM ♥Phone: NA ♥Concern: WANTS TO KNOW IF THE TOLL INVOICE IS LEGIT // WANT TO PAY INVOICE ONLINE • LPN: VYE2329 • Resolution: EDUC CX THAT THE INVOICE IS LEGIT // HELPED CX TO PAY ONLINE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: RICKY ♥Email: NA ♥Phone: NA ♥Concern: WANTS TO PAY INVOICE • LPN: SF8129 • Resolution: PAYMENT TAKEN • Amount Paid: $9.70 ♥Payment Code: ZAUUQP ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Casey ♥Email: NA ♥Phone: NA ♥Concern: LATE INVOICES // CX PAY TO COLLECTION // ASK FOR EXTENSION FOR DUE DATE JUNE 6 - 9 2024 • LPN: HALBLU • Resolution: REFERRED TO E-ZPASS// ASK FOR BANK STATEMENT // • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: SAM ♥Email: NA ♥Phone: NO ♥Concern: LATE INVOICE // TRPR WAS NOT READ DURING THE TRIP IN QUESTION • LPN: 59228N • Resolution: EDUC CX ABOUT SYSTEM UPDATE // REFERRED TO E-ZPASS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: JACOB Jenkins // MARITA ♥Email: NA ♥Phone: NA ♥Concern: LATE TOLL INVOICE// ASKING WHY IT ISN'T PAID YET WHEN CX ALREADY PAID FOR IT// • LPN: TJX7599 • Resolution: REFERRED TO E-ZPASS// EDUC CX ABOUT GPS// ASKED FOR BANK STATEMENT • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: CALVIN ♥Email: NA ♥Phone: NA ♥Concern: LATE INVOICE// PAYING THROUGH MAIL • LPN: GODHND • Resolution: EDUC CX WHY THE TRPR WAS NOT READ DURING THE TRIP IN QUESTION • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: JENNIFER ♥Email: cjhayes2007@gmail.com ♥Phone: NA ♥Concern: AUTO RENEWAL// HOV// CLAIMING 3 PEOPLE • LPN: CY4797 • Resolution: WRITE OFF 2 TRIPS AS CLAIMING FOR 3 PEOPLE// REFFERED TO E-ZPASS ABOUT CX E-ZPASS FUNDS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ 💗Records💗 11/01-02/24 **ALWAYS VERIFY THE ACCOUNT** ♥FMAT: NO ♥Verified: Yes ♥Name: MARIA ♥Email: CEPEDA27@YAHOO.COM ♥Phone: NA ♥Concern: wants to make a payment for a toll invoice • LPN: MD 10274369849 • Resolution: PAYMENT TAKEN • Amount Paid: $10.20 ♥Payment Code: CLGCJP ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Tarek ♥Email: NA ♥Phone: NA ♥Concern: rcvd an inv// wants to know the reason of receiving inv// wants to know when the trip hppnd • LPN: PC0881 • Resolution: found 4 outstanding trips// explained tO CX when the trip hppnd • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: chelsie ♥Email: NA ♥Phone: NA ♥Concern: invoice • LPN: rhk2876 • Resolution: ADVC CX THAT THE INVC ARE MULTIPLE TRIPS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: LEMARD ♥Email: LMAYSJR@AOL.COM ♥Phone: NA ♥Concern: WNT TO KNOW IF ELIGABLE FOR FTF // PAID INVOICE • LPN: KPK6656 • Resolution: EDUC CX ADMIN FEE IS ALREADY BEEN WAIVED // PAYMENT TAKEN • Amount Paid: $24.10 ♥Payment Code: 82G3PR ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: ANNIE ♥Email: brianmackey27@gmail.com ♥Phone: 2404989905 ♥Concern: WNT TO KNW WHY THE RCVD A LATE INVOICE// CX IS NOT DRVNG THE CAR// • LPN: MD 79180HT/ 58650CJ • Resolution: CALL BACK// SENDING AFFIDAVIT TO US// EDUC CX ABT SYSTM UPDT// SEND US AFFIDAVIT FORM THT IS NOTARIZED// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: STUART ♥Email: THEINSTALLER54@GMAIL.COM ♥Phone: NA ♥Concern: CX WANTS TO PAY TN1 • LPN: 3GA5996 • Resolution: PAYMENT TAKEN • Amount Paid: $14.65 ♥Payment Code: DFEMJV ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: jan ♥Email: NA ♥Phone: NA ♥Concern: wnt to know why the invoice is sent late • LPN: 7AE1418 • Resolution: educ CX about the system update • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: Jeffrey ♥Email: NA ♥Phone: NA ♥Concern: WNTS TO KNOW WHY CX RCVD AN INV • LPN: WXW529 • Resolution: EDUC CX THE TRPR WAS IMPRPRLY MNTD // EDUC CX ABT SYSTM UPDT • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi PS. Kindly disregard the last note 1:25am time stamp of drop call- MP090424032 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: 81320S • Resolution: • Amount Paid: 5146334 ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: DEBORAH ♥Email: NA ♥Phone: NA ♥Concern: WANTS TO KNOW WHEN THE TRIP HPPNS • LPN: JBC8610 • Resolution: EDUC CX THAT THE TRIP DETAIL CAN BE LOCATED IN THE BACK OF THE INVOICE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: IVAN ♥Email: NA ♥Phone: NA ♥Concern: WNTS TO TRNSFR THE INV IN EZPASS • LPN: FBN2679 • Resolution: EDUC CX WE'RE UNABLE TRNSFR THE AMNT TO E-ZPASS// REFERE TO E-ZPASS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: JOHNSON ♥Email: ROGERSJ@GOEASTON.NET ♥Phone: NA ♥Concern: WNTS TO PAY TN1 • LPN: 7897SP • Resolution: PAYMENT TAKEN • Amount Paid: $3.75 ♥Payment Code: DKSKHS ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: ♥Email: TICKIERW@GMAIL.COM ♥Phone: NA ♥Concern: WNT TO PAY TN1 • LPN: JC2607 • Resolution: PAYMENT TAKEN • Amount Paid: $9.80 ♥Payment Code: MG7CRZ ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ 💗Records💗 11/4-5/24 ♥FMAT: NO ♥Verified: Yes ♥Name: BRENDA ♥Email: NA ♥Phone: NA ♥Concern: IMAGE ERROR// NOT THE LPN HOLDER// • LPN: L66SZW • Resolution: EXPLAIN IT'S AN IMAGE ERROR// EDUC CX DMV SEND THE INFO OF THE CAR HOLDER// REMOVE THE BALANCE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: BRIANA ♥Email: briana.leach@yahoo.com ♥Phone: NA ♥Concern: WNT TO KNW IF CX HAVE ANY VIOLATIONS • LPN: 2EV0904 • Resolution: EXPLND TO CX THEY DON'T HAVE ANY VIOLATION • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: HUYNH PHAN ♥Email: pkimhuong@hotmail.com phanhuynh1975@outlook.com ♥Phone: 571-215-6292 ♥Concern: • LPN: THS5084 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: BRENDA ♥Email: BRENDAGREEN315@GMAIL.COM ♥Phone: NA ♥Concern: WNT TO KNW ABT THE INVOICE// WNT TO PAY INVOICE// • LPN: UHM4403 • Resolution: PAYMENT TAKEN// EDUC CX ABT SYSTEM UPDATE// • Amount Paid: $1.15 ♥Payment Code: PNQXKM ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Montgomery Hamlor ♥Email: NA ♥Phone: NA ♥Concern:WNTSTO KNOW WHY CX RCVD A LATE INVOICE// CX SAID THEY FUND THEIR EZPASS • LPN: WPN4217 • Resolution: EXPLN TO CX ABT SYSTM UPDATE// REMOVE ADMIN FEE BCUS OF LATE INVOICE// REFFER TO EZPASS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: MEGAN ♥Email: NA ♥Phone: NA ♥Concern: DIFF LPN// NOT CX VEHICLE • LPN: 12650R// JM3497// 45504CL • Resolution: WIRTE OFF THE AMOUNT// EXPLND ITS AN IMAGE ERROR • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Michael Demar ♥Email: MEKHAI326@GMAIL.COM ♥Phone: NA ♥Concern: WNT TO PAY TN1 • LPN: 8DMO315 • Resolution: PAYMENT TAKEN • Amount Paid: $40.45, $29.20 ♥Payment Code: DK919A, IRBTX5 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: ARNOLD ♥Email: ARNOLD.SOLAMILLOS@GMAIL.COM ♥Phone: NA ♥Concern: WNTS TO PAY TN1 • LPN: MD 32983CL • Resolution: PAYMENT TAKEN • Amount Paid: $76.55 ♥Payment Code: Y2ZT16 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: GONZALES ♥Email: FGONZALES10369@YAHOO.COM ♥Phone: NA ♥Concern: WNT TO PAY TN1 • LPN: TGL1572 • Resolution: PAYMENT TAKEN • Amount Paid: $3.05 ♥Payment Code: XU96RF ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: GERALDINE ♥Email: geribarneS@GMAIL.COM ♥Phone: NA ♥Concern: WNT TO PAY TN1 • LPN: NY LDJ7263 • Resolution: PAYMENT TAKEN • Amount Paid: $6.20 ♥Payment Code: EG3MD6 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: CARNEL ♥Email: NA ♥Phone: NA ♥Concern: WRONG LPN // IMAGE ERROR • LPN: 3EG6235 (3FG6235 CX LPN) • Resolution: REMOVED THE VIOLATION • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: KATHLEEN ♥Email: NA ♥Phone: NA ♥Concern: NO DISCOUNT IN THE WEBSITE// • LPN: LWM2420 • Resolution: REDUCED .50 FROM BALANCE// • Amount Paid: NA 7140916 ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: invoice • LPN: 7GB8211 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Uzoma Idika Kalu ♥Email: uzomakalu@concast.net ♥Phone: 571-501-8898 ♥Concern: CX WNTS TO ADD EXTENDED TIME TO PAY THE INVOICE// WNTS TO KNOW WHY THE INVOIVE WAS LATE// CX WNT THE EXTENDED DAYS TO BE SENT TO CX EMAIL • LPN: XVJ3856 • Resolution: EDUC ABT THE SYSTEM UPDATE// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi b156e088-4133-4e4c-8bcb-9c19c57a61d4 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: BY8743 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: 5473f9c5-33da-4037-b4ac-4894331a3335 ____________________________ 💗Records💗 11/05-06/24 **ALWAYS VERIFY THE ACCOUNT** ♥FMAT: NO ♥Verified: Yes ♥Name: EVERRET ♥Email: NA ♥Phone: NA ♥Concern: WNT TO KNOW THE REASON FOR THE LATE INVC// CLAIMING THAT THE E-ZPASS WAS WELL FUNDED// • LPN: YDA4833 • Resolution: EDUC ABT SYSTM UPDATE// RCMMND TO E-ZPASS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: JEFFREY ♥Email: manning1jl@gmail.com ♥Phone: 540-429-3124 ♥Concern: WNT TO KNW WHEN WLL THE EMAIL FROM EMAIL TEAM RQSTNG THE EZPASS TO BE SENT • LPN: 2033HU • Resolution: ASKD EMAIL TEAM ABT THE EMAIL CX IS ABT TO RCV// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 561a19ba-133b-4f94-95bc-3727c5fec928 ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: RODNEY ROBERT ♥Email: RODNEYROBERTS2488@GMAIL.COM ♥Phone: NA ♥Concern: WNT TO KNOW WHY HE WAS CHARGE IF CX CONNECTED HIS CAR TO HIS TRP IN HIS TRUCK// WNT TO PAY FOR TN1 • LPN: JG5088 • Resolution: EDUC CX ABT HIS TRP NOT BEING IN HIS CAR // REFFER TO EZPASS// PAYMENT TAKEN • Amount Paid: $9.20 ♥Payment Code: UUUHUA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 5dc59a54-1689-4557-a88c-1ac3c3c47ca6 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Amy ♥Email: AMYDOWD94@GMAIL.COM ♥Phone: NA ♥Concern: CX WNT TO KNW WHEN THE TRIP HPPND// ASKING FOR THE TRIP DETAILS TO BE SENT TO HER// • LPN: UTD2675 • Resolution: TOLD CX WHEN THE TRIP HPPND// WILL BE EMAILING THE TRIP DETAIL TO HER EMAIL// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 5f53b376-f4ab-4d0d-b288-a94a86f2511c ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Jamie Lee ♥Email: NA ♥Phone: NA ♥Concern: WANTS TO PAY TN1 ONLINE BUT THE SITE DOESN'T TAKE THE LPN • LPN: KVE2419 • Resolution: EDUC CX TO TRY THE TRIP NO. AND THE ACC. NO. • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi d812b201-3fab-40c6-baac-e79caf68a84a ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: JAMES ♥Email: jkmiller2006@att.net ♥Phone: NA ♥Concern: WANT TO PAY TN1 TO ONLINE BUT CAN'T BCUS IT KEEPS REJECTING// PAY THE TN1 • LPN: 009SNT • Resolution: EXPLN THAT CX CAN PAY ONLINE// PAYMENT TAKEN// EDUC CX ABT DYNAMIC PRICING • Amount Paid: $28.95 ♥Payment Code: GABEMX ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: SHAMIKA ♥Email: NA ♥Phone: NA ♥Concern: WANTS TO PAY ONLINE • LPN: LDV9789 • Resolution: ASKED TO ENTER THE TRIP NO. AND THE ACC. NO. • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 10d3ace3-878d-4f9b-96c4-051d2ae1c4fa ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: Emrick ♥Email: NA ♥Phone: NA ♥Concern: CX WNT TO KNOW WHERE AND WHEN CX TRVLD// WILL PAY THROUGH MAIL • LPN: JKL9012 • Resolution: TOLD CX WHERE AND WHERE SHE TRVLD • Amount Paid: NA 7094045 ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi d1310d11-5f22-421e-9c51-78a46a19edf9 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: KEITA ♥Email: KEITA.VONN.G@GMAIL.COM ♥Phone: NA ♥Concern: REMOVING OR WANT TO MAKE A PAYMENT PLAN BCUS IT WAS NOT HER HUSBAND WHOSE DRIVING THE CAR// • LPN: UYR2715 • Resolution: TOLD CX TO SEND AFFIDAVIT FORM TO US THAT IS NOTARIZE// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi e91b76f7-5f8d-496b-a852-d759b11ec9a0 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: PETER ♥Email: ♥Phone: ♥Concern: • LPN: 7FP7863 • Resolution: • Amount Paid: 6483052 ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: 4a2c24ba-2296-4f4c-83f2-bf7e961e4ded ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: DONALD ♥Email: NICHELSOND@YAHOO.COM ♥Phone: 703-606-8360 ♥Concern: WNT TO MAKE A PYMNT FOR TN1 • LPN: TTM6329 • Resolution: PAYMENT TAKEN • Amount Paid: $13.00 ♥Payment Code: NSYTVF ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi bc7391bb-6223-455d-9267-40b57b8b9ccd ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: Beverly Gale Ryles ♥Email: NA ♥Phone: NA ♥Concern: CONFIRMATION ABT THE PAYMENT// PAY THROUGH ONLINE • LPN: ezm641 • Resolution: REASSURE CX IT'S ALREADY PAID AND THE PAYMENT WAS SUCCESSFUL • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi f49da657-6075-45ea-9126-081222789350 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: KERRY ♥Email: NA ♥Phone: NA ♥Concern: CX SWAPPED THE VCHCL AND NOT THE DRIVER OF THE VCHCL ANYMORE// • LPN: 8GA5697 • Resolution: EXPLND TO CX NEED TO CONTACT DMV// WILL BE SENDING AFFIDAVIT FORM TO CX ADDRESS (MAIL NOT EMAIL) • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 31388413-8fdd-4945-b259-d53e5149c18e ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: DANIELA ♥Email: DANIELAMERINO@HOTMAILL.COM ♥Phone: NA ♥Concern: WANT TO PAY MISSED TOLL • LPN: UYT5865 • Resolution: PAYMENT TAKEN • Amount Paid: $2.55 ♥Payment Code: 1HJYWV ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi b16effbf-357f-4452-a793-6c789b5af18b ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: ♥Email: NA ♥Phone: NA ♥Concern: CX IS CLAIMING THAT THEY ALREADY PAY FOR THE INVC// CX WANT TO KNOW WHY THE INVC IS LATE// CX FATHER OR ACCOUNT HOLDER ALREADY PASS AWAY • LPN: 213RQU • Resolution: ASK FOR THE PYMNT RECEIPT TO BE SENT TO EMAIL// EDUC CX ABT THE SYSTEM UPDATE// ASKD FOR THE DEATH CERT TO BE SENT TO EMAIL// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi f70ffd80-977d-4954-9cac-44a0e62ff01b ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: JOSEPH ♥Email: STEPHAYCOVINGTON@GMAIL.COM ♥Phone: NA ♥Concern: PAYMENT FOR TN1 • LPN: TMK6388 • Resolution: PAYMENT TAKEN • Amount Paid: $2.50 ♥Payment Code: ZJTPCM ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 5c75849b-3af7-4fd6-8235-a0509c2bcb75 ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: CARLOS ♥Email: CHEBA2133@GMAIL.COM ♥Phone: NA ♥Concern: WANT TO PAY TN1 • LPN: TYX3005 • Resolution: PAYMENT TAKEN • Amount Paid: $21.50 ♥Payment Code: JPELPW ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 6cb1486f-efc6-4455-88d7-fae53ddac29a ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: HERNANDEZ ♥Email: salomon.jolom91@gmail.com ♥Phone: NA ♥Concern: WNT TO MAKE A PYMNT FOR TN1 • LPN: 8CT6211 • Resolution: PAYMNET TAKEN • Amount Paid: $12.90 ♥Payment Code: QI2MNU ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 91bdf297-f059-46ee-b121-64fef5fc2ad1 ____________________________ 💗Records💗 11/07-08/24 **ALWAYS VERIFY THE ACCOUNT** ♥FMAT: NA ♥Verified: Yes ♥Name: Kenton ♥Email: NA ♥Phone: NA ♥Concern: WNT TO KNOW WHEN THE TRIP HPPND • LPN: BLR8767 • Resolution: TOLD CX ABT TRIP DETAILS AT THE BACK OF THE INVC • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ea59acc1-d626-4d24-a96b-5b06cf5af388 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: TEKLIT ♥Email: YIKUNO1@GMAIL.COM ♥Phone: NA ♥Concern: WANTS TO KNOW WHY HE HAS VIOLATION IF HIS EZPASS HAVE ENOUGH AMOUNT • LPN: TSA4857 • Resolution: EDUC CX TO CALL HIS EZPASS AGENCY// TOLD CX HIS EZPASS DON'T HAVE ENOUGH BALANCE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi d6186ac5-f5e4-41cd-b8fb-cfe50f10649b ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Christine ♥Email: NA ♥Phone: NA ♥Concern: WNT TO KNW IF TOLL AMNT CAN STILL BE RDCD • LPN: TVL6299 • Resolution: TOLD CX THT THE TOLL AMNT CAN'T BE CHANGE OR REDUCE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 5275dc02-f8d7-4649-bb99-69277433635e ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: leona ♥Email: akikolee1@gmail.com ♥Phone: NA ♥Concern: WANT TO PAY MISSED TOLL • LPN: UTF5306 • Resolution: PAYMENT TAKEN • Amount Paid: $4.90 ♥Payment Code: 4GX5WV ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 7c4cbc9a-d339-44d1-b87a-a29d57e9b472 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Richard ♥Email: NA ♥Phone: NA ♥Concern: WANT TO PAY TN1// CX WNT TO ADD ANTHR CAR TO THEY'RE TRP • LPN: TKV7404 • Resolution: PAYMENT TAKEN// REFFER TO EZPASS • Amount Paid: $338.05 ♥Payment Code: 1WMDC8 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi d8c770e7-3bf7-4b23-9dd2-10422f38105a ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: linda wokosky ♥Email: wokoskyl@yahoo.com ♥Phone: NA ♥Concern: WNT TO KNW WHERE AND WHEN THE TRIP HAPPEND // WNT TO PAY TN1 • LPN: 3434SN • Resolution: TOLD CX THE TRIP DETAIL IS IN THE BACK OF THE INVOICE// PAYMENT TAKEN • Amount Paid: $3.55 ♥Payment Code: PUEWZS ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 88a65ece-bcc5-44b7-8950-b4ca385df8f3 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: LAURA ♥Email: lakline09@gmail.com ♥Phone: NA ♥Concern: WNT TO PAY TN1 • LPN: NY GRC7404 • Resolution: PAYMENT TAKEN • Amount Paid: $6.25 ♥Payment Code: 3R5T35 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi e2d1cca1-f9ba-41e6-a567-86569eaf00bc ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: EID Al Kaabi ♥Email: NA ♥Phone: NA ♥Concern: WNT TO KNW WHT'S THE RSN FOR THE INV// WNT TO MAKE A PYMNT • LPN: 96474N • Resolution: TOLD CX THE TRP WAS NOT DETECTED DURING THE TRIP IN QSTN// PAYMENT TAKEN • Amount Paid: $19.50 ♥Payment Code: NJNJFS ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 518434ef-d6e5-47c7-8e56-d9acc8a2d91b ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: Saurabh Chamaria ♥Email: NA ♥Phone: NA ♥Concern: WNT TO KNW IF CX PAYED DOUBLE// WNT TO KNW WHY CX RCVD INVC LATE// ASK PYMNT METHODS • LPN: 5GB9409 • Resolution: RFRD TO EZPASS// EDUC ABT SYSTM UPDT// EDUC CX ABT PAYING THROUGH AGENT OR ONLINE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 893b262c-92d1-4799-8dee-caa971f18ed7 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Donald Casey ♥Email: NA ♥Phone: NA ♥Concern: WNT TO KNW WHY CX RCVD AN INVC// WNT TO KNW WHY CX HAVE A TOLL IF CX EZPASS// CX WON'T PAY THE TOLL// • LPN: BPB5140 • Resolution: EDUC CX ABT SYSTM UPDT// TOLD CX HIS EZPASS IS IN LOW BLNC// EDUC CX THT THE AMNT WILL DOUBLE BEFORE HE RCV THE INVC • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi cb520a98-f5ec-4511-ab43-38f5a52c5a83 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: PAUL MARSHALL ♥Email: ♥Phone: ♥Concern: • LPN: UAR2352 • Resolution: • Amount Paid: 6501006145164 ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 4f6f9903-876f-4e5a-8d10-cf33f822f246 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: • Resolution: • Amount Paid: 6501002764458 ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 2cb7cf96-262d-4215-ac02-1606737c3b9f ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: JOHN MAGGED ♥Email: john.magged@gmail.com ♥Phone: +15719926501 ♥Concern: WNT TO PAY TN1 • LPN: UGJ5508 • Resolution: PYMNT TAKEN • Amount Paid: $18.80 ♥Payment Code: ZWO4IF ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 26fbcf12-6026-497f-b45d-fdeaad2467cd ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: AI SHIMODA ♥Email: aimia0306@yahoo.com ♥Phone: NA ♥Concern: WNT TO KNW WHEN THE EMAIL WILL BE RCV • LPN: 53859P2 • Resolution: EDUC CX SHE BE RCVNG WTHN 3 BUSINESS DAYS • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi b5781d83-f6ae-4177-9242-865c6d0ae5fd ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: George Shaheen ♥Email: rewnashaheen@yahoo.com ♥Phone: NA ♥Concern: WANT TO PAY TN1 • LPN: JIH3722 • Resolution: PAYMENT TAKEN • Amount Paid: $3.75 ♥Payment Code: QCMUXX ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi a46153ce-89d1-49f5-be3b-31480d42c5e1 ____________________________ 💗Records💗 11/08-09/24 **ALWAYS VERIFY THE ACCOUNT** ♥FMAT: YES ♥Verified: Yes ♥Name: EDWARD ♥Email: ESJOHNSTON60@GMAIL.COM ♥Phone: NA ♥Concern: ASKING FOR TRIP DETAILS • LPN: FFZ6768 • Resolution: FMAT PROVIDED// REQUEST FOR TRIP DETAILS// PAYMENT ONLINE • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi c93b3d1e-fb18-462a-89e8-269c10fec4bd ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: SUSAN ♥Email: ♥Phone: ♥Concern: • LPN: 2FG4847 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi ba6fb38b-814b-4893-989f-422c07bfb1a4 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: Yong Ray Crosby ♥Email: NA ♥Phone: NA ♥Concern: CX WNT TO KNW WHY THEY RCVD AN INVC// CLAIMING THEY HAVE EZPASS// WRONG LETTER IN LPN • LPN: 4VRYONG • Resolution: TOLD CX THAT THE TRPR WAS NOT READ DRNG THE TRIP IN QUESTION// EDUC CX ABT PROPER MOUNTING// REFFERED TO DMV FOR THE LPN • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 7922897f-6432-45e7-b483-58b60d0c2e46 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Dargie Mengesha Gubay ♥Email: dargiemgubay@gmail.com ♥Phone: NA ♥Concern: WNT TO HAVE FTF// WNT TO PAY TN1 • LPN: TXN9095 • Resolution: WAIVED INVOICE FEE// PAYMENT TAKEN • Amount Paid: $53.35 ♥Payment Code: V9BVAX ♥Amount Reduced (if any): $3.50 ♥FTF Code (above $200): NA ♥Signature Name: Galasi e5e248de-d372-4ee1-af4a-fa28cf7a174e ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: Alberto W Rodriguez ♥Email: NA ♥Phone: NA ♥Concern: CLMNG CX ALRDY PAID THE TOLLS// ASKED FOR FTF • LPN: 5FP2822 • Resolution: FTF GIVEN// ASKED FOR BANK STATEMNT SENT TO EMAIL • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): $123 ♥FTF Code (above $200): NA ♥Signature Name: Galasi ef929de8-d42c-4c08-b13f-07a59ad3330d ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: TPU2407 • Resolution: • Amount Paid: 7057982 ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 4643305c-76e9-405c-98bf-c6a8c8c30c54 ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Nicole ♥Email: NICOLEHARRISON97@YAHOO.COM ♥Phone: NA ♥Concern: WNT TO KNW WHY CX RCVD TN1// WNT TO PAY TN1 • LPN: T1876439 • Resolution: TOLD CX THE TRPR WAS NOT READ DURING THE TRIP IN QUESTION// PAYMENT TAKEN • Amount Paid: $17.30 ♥Payment Code: R5YTVA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 3bcbb49f-40c3-46ce-b606-2a9da3cb02cf ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Shauneille Mitchell Peoples ♥Email: SHAUNPEOPLES@YAHOO.COM ♥Phone: NA ♥Concern: WNT TO MAKE A PYMNT FOR TN1// WNT TO KNW WHY CX RCVD TN1// • LPN: UMB9265 • Resolution: PAYMENT TAKEN// EDUC CX ABT THE TRPR NOT DETECTED DURING THE TRIP IN QUESTION • Amount Paid: $159.55, $17.70 ♥Payment Code: YJ24YN, AY58FC ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 33f15f56-df26-4003-8040-fcef0f1f02c3 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Almaz Shiferaw ♥Email: ALMAZS11@YAHOO.COM ♥Phone: NA ♥Concern: WANT TO KNW WHICH LANE CX USE DURING THE TRIP IN QUESTION// WNT TO PAY TN1 • LPN: 4BN1541 • Resolution: TOLD CX THEY TRAVELED TO 395 LANE// PAYMENT TAKEN • Amount Paid: $1.50 ♥Payment Code: UACWBB ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 21ad687a-82b1-4ac1-bb07-73bc11695aa2 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: PIA ♥Email: ♥Phone: ♥Concern: CM110824003 • LPN: • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi eb8b367b-1576-4a86-bb9c-fd9ee67e4811 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: LARRY ♥Email: lj9541@gmail.com ♥Phone: NA ♥Concern: WNT TO HAVE TRIP DETAILS WITH IMAGES// WNT TO PAY TN1 • LPN: 8EH8270 • Resolution: RQST FOR TRIP DETAILS WITH IMAGES// PAYMENT TAKEN • Amount Paid: $7.05 ♥Payment Code: MWZCMH ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 04efd24f-7b23-400f-a1d9-6e55a9d47cbe ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: 7FP6236 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 1f1461d7-45dc-4e03-83ac-5387685da9c7 ____________________________ 💗Records💗 11/12-13/24 **ALWAYS VERIFY THE ACCOUNT** ♥FMAT: YES ♥Verified: Yes ♥Name: Christopher White ♥Email: MR.ARLANARTHUR@GMAIL.COM ♥Phone: NA ♥Concern: WANT TO PAY TN1 • LPN: CA A5900 • Resolution: • Amount Paid: $80.80 ♥Payment Code: T5FH58 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi b945801a-496d-4f8c-918e-35b0f93133cd ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: CARLA ♥Email: carlamallea_2012@hotmail.com ♥Phone: 703-919-6340 ♥Concern: WANT TO PAY TN1 • LPN: ZAU4117 • Resolution: PAYMENT TAKEN • Amount Paid: $5.20 ♥Payment Code: AUC8ZP ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: BRIANA ♥Email: BRADDY.BRIANA@YAHOO.COM ♥Phone: ♥Concern: WANT TO PAY THE EMAIL SAYING THAT CX HAVE REMAINING BALANCE • LPN: BRII93 • Resolution: PAYMENT TAKEN • Amount Paid: $35.15 ♥Payment Code: ME8NRB ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi a96662bf-ba99-44f3-a123-6348c2487b2d ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: Brook ♥Email: KATHY@VERIFEYEINC.COM ♥Phone: 484-678-6751 ♥Concern: WANT TO PAY TN1 • LPN: ZHG9800 • Resolution: PAYMENT TAKEN • Amount Paid: $2.90 ♥Payment Code: DWEQ81 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 618510a9-38e5-43ec-a0f3-8462557e153d ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: ALEJANDRA ♥Email: amondragonvilla@gmail.com ♥Phone: 571-216-3918 ♥Concern: -AN AGENT TOLD HER THAT THERE WOULD BE AN EMAIL ABOUT CX COLL TO BE SENT TO HER AFTER 3 BUSINESS DAYS BUT STILL WAITINNG FOR A MONTH NOW - ASK WHAT IS THE STATUS NOW • LPN: UKS4768// UHA8993 • Resolution: CAN'T PULL OUT ANY OF THE ACC// ADV CX THAT TO CONTACT NCC FOR THE CONFIRMATION TO NCC THAT CX ACCOUNT WAS BACK TO US// ADV CX TO EMAIL THE CONFIRMATION TO US • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi e397e1cb-66ab-426e-958f-f757ef0f687c ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: JACOB ♥Email: mrb1062007@gmail.com ♥Phone: NA ♥Concern: WANT TO HAVE EXTEND TO CX INV// ASKING FOR SUPEVISOR// CALL BACK • LPN: TJX7599 • Resolution: EDUC CX SHE HAVE 30 DAYS AFTER THE 2ND INV TO BE RCVD// CALL BACK FOR SUPERVISOR// • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 4c2d2599-ceaf-4bda-85b4-580793a9c522 ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: MARLENA ♥Email: MARLENAHENRY@YMAIL.COM ♥Phone: 443-539-6302 ♥Concern: WANT TO PAY FOR TN1 • LPN: 3DF3107 • Resolution: PAYMENT TAKEN • Amount Paid: $21.20 ♥Payment Code: 9C2VS2 ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi ba56ef35-e731-48cc-9315-23d5baa999ea ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: pattersondeborah0818@gmail.com ♥Phone: ♥Concern: • LPN: 2EV9835 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi b7ba311d-1790-4bd8-ba19-5efb96eb29ee ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: Joylyn Skeete ♥Email: jgmskeete@aol.com ♥Phone: 877-762-7824 ♥Concern: WNT TO PAY TN1 • LPN: ULG7039 • Resolution: PAYMENT TAKEN • Amount Paid: $7.05 6573019 ♥Payment Code: 3WHI1C ♥Amount Reduced (if any): $5.00 ♥FTF Code (above $200): NA ♥Signature Name: Galasi 4c4732d2-8c51-4b76-8349-c8be5adf07e5 ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: MICHAEL EDWARDS ♥Email: ♥Phone: 5713839741 ♥Concern: • LPN: • Resolution: claims that there are 3 people in the vehicle// submit a trip dispute • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): 01JC1Q0BG2ZKQJ1EHK55DR18GP ♥Signature Name: Galasi 8117051e-d344-4269-9fb3-03b4f3d6e672 ____________________________ ♥FMAT: YES ♥Verified: Yes ♥Name: MELISSA ♥Email: M.PEARCE10865@YAHOO.COM ♥Phone: 434-774-0694 ♥Concern: WNT TO PAY TN1 • LPN: UWF8483 • Resolution: PAYMENT TAKEN • Amount Paid: $6.15 ♥Payment Code: V6ZZPV ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 70c2b7e9-7c60-4c72-881d-c9de838d95c0 ____________________________ ♥FMAT: NA ♥Verified: Yes ♥Name: Lawrence ♥Email: NA ♥Phone: NA ♥Concern: WNT FTF • LPN: JCX4346 • Resolution: EDUC CX WE ALRDY DID FTF • Amount Paid: NA ♥Payment Code: NA ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 2fbda318-6d31-4edd-a978-d2cf92f92b6f ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: ♥Email: ♥Phone: ♥Concern: • LPN: DV9178VK • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): 1296886 ♥Signature Name: Galasi 728bfb7c-d879-496c-a9de-daecd275f192 ____________________________ FMAT: NO Verified: Yes Name: Thomas Email: THOMASJJTOLSON83@GMAIL.COM Phone: 2408889447 Concern: WNT TO PAY TN1 • LPN: 8GB4363 • Resolution: PAYMNT TAKEN • Amount Paid: $3.30 Payment Code: IZPHJV Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3c4b60d5-9f4d-4c6c-b0ce-e7ae04603eca ____________________________ ♥FMAT: ♥Verified: Yes ♥Name: JENNIFER ♥Email: ♥Phone: ♥Concern: • LPN: JJ2961 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 8aa3d2b3-3b1e-4f11-bd10-25c56fdec2cf ____________________________ FMAT: NO Verified: Yes Name: Bayarlakh Enkhtaivan Email: cole1august@gmail.com Phone: 202-999-5142 Concern: WNT TO PAY TN1 • LPN: TR9917 • Resolution: PAYMENT TAKEN • Amount Paid: $46.20 Payment Code: FH8LJW Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 397a70cd-61ee-4db2-9d9b-16153ea78aab ____________________________ FMAT: YES Verified: Yes Name: Moneer Email: moneer.ahmad1@hotmail.com Phone: 571-288-4146 Concern: WNT TO PAY TN1 • LPN: HAMZAR • Resolution: PAYMENT TAKEN • Amount Paid: $5.90 Payment Code: IGSV3L Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5d1553b4-ed37-423c-b014-b223890ff451 ____________________________ FMAT: YES Verified: Yes Name: JAMES RASH Email: JAMES.RASH@DELAWARE.GOV Phone: 302-293-2308 Concern: WANT TO PAY TN1 • LPN: C83352 • Resolution: PAYMENT TAKEN • Amount Paid: $26.75 Payment Code: KRW8CQ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2e285eb6-2b9e-4fea-a996-6194f565a6a0 ____________________________ FMAT: NO Verified: Yes Name: Renee Marie Mongo Jenkins Email: NA Phone: NA Concern: WNT TO KNOW WHY CX ADMIN FEE WAS REMOVE FOR THE FIRST ONE AND • LPN: • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $10.00 FTF Code (above $200): NA Signature Name: Galasi 5091a5dc-ca41-4c45-8a93-90ba7e945bc4 ____________________________ FMAT: YES Verified: Yes Name: TONI Email: TONI@THEPISCIOTTAGROUP.COM Phone: 443-226-6111 Concern: WANT TO PAY TN1 • LPN: 64918K • Resolution: PAYMENT TAKEN • Amount Paid: $19.50 Payment Code: OGSQNG Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e0deb2b5-2d39-4b0f-809a-9b869f65ea85 ____________________________ FMAT: NO Verified: Yes Name: TAYLOR Email: aimmfrazier@comcast.net Phone: 804-920-1771 Concern: WNT TO PAY TN1// FRUSTRATED BCUS THE EZPASS IS NOT PROCESSING THE TOLL • LPN: T1843007 • Resolution: PAYMENT TAKEN// ADV TO CALL EZPASS FOR THE TRPR// • Amount Paid: $69.85 Payment Code: 9R2H8U Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi aae410bc-4a54-4369-90af-587cd719af1c ____________________________ FMAT: YES Verified: Yes Name: DENISE Email: DENNISDESIATNIKOV202@GMAIL.COM Phone: 540-560-5628 Concern: WANT TO PAY TN1 ONLINE BUT SEEM HAVING AN ISSUE • LPN: ADM9244 • Resolution: PAYMENT TAKEN • Amount Paid: $3.00 Payment Code: DCLBHV Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8cc6442f-8955-419b-9a12-56d90f0883ef ____________________________ FMAT: YES Verified: Yes Name: JEREMY Email: AMBROSEJER@GMAIL.COM Phone: 252-945-0343 Concern: WANT TO PAY TN1 • LPN: RJB3160 • Resolution: PAYMENT TAKEN • Amount Paid: $20.80 Payment Code: 9PALEM Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 732a4aed-2249-4c63-ba94-0618592f670f ____________________________ FMAT: NO Verified: Yes Name: Karelyn Rivera Rodriguez Email: KARELYN.RIVERA1995@GMAIL.COM Phone: 203-540-3346 Concern: WANT TO PAY TN1 • LPN: BF96329 • Resolution: PAYMENT TAKEN • Amount Paid: $6.35 Payment Code: 4PMBMO Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0671f1f4-efda-468c-a24e-76f3eb826c4b ____________________________ FMAT: Verified: Yes Name: JULLIET Email: Phone: Concern: • LPN: UCY4693 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi f3b3b1af-d00c-47eb-b2a6-25bbdb4365e2 ____________________________ FMAT: YES Verified: Yes Name: William Email: stephens4731@roadrunner.com Phone: 252-319-1064 Concern: WANT TO PAY TN1 • LPN: FMD7641 • Resolution: PAYMENT TAKEN • Amount Paid: $1.50 Payment Code: 3PLPVO Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 66a2be79-c2c5-4baa-8127-aaef74821ae9 ____________________________ FMAT: NO Verified: Yes Name: DENISE JENKINS Email: NA Phone: NA Concern: WNT TO PAY TN1 • LPN: KNE5987 • Resolution: EDUC CX THAT THE TN1 IS ALREADY BEEN PAID// GAVE VERIFICATION CODE TO CX • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7dda6352-28c6-4602-a981-a08cd624cbbf ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: VRU8079 • Resolution: • Amount Paid: 6501002774833 Payment Code: Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0e41db15-b450-42e2-a4ae-ec0c324732a4 ____________________________ FMAT: NO Verified: Yes Name: BRIA Email: bpender1997@gmail.com Phone: 202-615-6515 Concern: WANT TO PAY TN1 • LPN: 2FE6929 • Resolution: PAYMENT TAKEN • Amount Paid: $50.75 Payment Code: NGIV5M Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 99445915-91da-4ed5-875e-b52affdbec95 ____________________________ FMAT: YES Verified: Yes Name: Luis Email: luislucar12345@gmail.com Phone: 301-272-4158 Concern: WANT TO PAY TN1 • LPN: 5DZ5534 • Resolution: PAYMENT TAKEN • Amount Paid: $32.30 Payment Code: G2PFTA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 21ea6ae7-1434-4ab2-8243-939c03aba7e8 ____________________________ FMAT: NO Verified: Yes Name: Ya Partner Inc Email: NA Phone: 571-230-8585 Concern: WANT TO PAY TN1 • LPN: TLE1800 • Resolution: PAYMENT TAKEN • Amount Paid: $3.45 Payment Code: GXJ3EN Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ee4f68d8-b7f2-4b76-8cb0-09784dd3d4bd ____________________________ FMAT: NO Verified: Yes Name: ROWENNA(FILIPINAAA) Email: nettek67@hotmail.com Phone: 540-273-6734 Concern: WNT TO PAY TN1 • LPN: UYT3775 • Resolution: PAYMENT TAKEN • Amount Paid: $30.90 Payment Code: YTYP1V Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 16bb9ac6-c950-4005-985d-bc2b676c5f19 ____________________________ FMAT: NO Verified: Yes Name: DECARLA WASHINTON Email: NA Phone: NA Concern: NOMINATION OF CAR • LPN: 6GD9183 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 7289e865-1b1a-47f3-b442-16a345518efa ____________________________ FMAT: NA Verified: Yes Name: FENG Email: NA Phone: 703-813-8100 Concern: WANT TO PAY TN1 • LPN: TWZ2616 • Resolution: PAYMENT TALEN • Amount Paid: $8.80 Payment Code: XA1ASA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 85460b6a-fc82-4e75-9860-56f24fb4b117 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: 977ACR // 6501004489607 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): OCTOBER 29 Signature Name: Galasi e7e66181-03c1-489d-8bf5-ee50d4bfe7d1 ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: THOMAS BRADDY ♥Email: NA ♥Phone: NA ♥Concern: • LPN: 5FP1106 • Resolution: • Amount Paid: ♥Payment Code: ♥Amount Reduced (if any): ♥FTF Code (above $200): ♥Signature Name: Galasi 243d9483-fdfb-444f-89a3-4dfc0b2273b1 ____________________________ FMAT: NO Verified: Yes Name: DOROTHY Email: dmwilkerson@hotmail.com Phone: 770-601-6129 Concern: WANT TO PAY TN1 • LPN: 9CW8782 • Resolution: PAYMENT TAKEN • Amount Paid: $10.05 Payment Code: JHB1GG Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi da3b04c9-076f-48ef-9c60-6e267b97f173 ____________________________ FMAT: NO Verified: Yes Name: ANDREW Email: mandrewp0@gmail.com Phone: 570-236-2760 Concern: WANT TO PAY TN1 • LPN: ZRE1591 • Resolution: PAYMENT TAKEN • Amount Paid: $13.40 Payment Code: MVELB3 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3243de52-6520-46a8-a1fc-5b60bd81948f ____________________________ ♥FMAT: NO ♥Verified: Yes ♥Name: LUIS ♥Email: joes58947@gmail.com ♥Phone: 410-627-8056 ♥Concern: WANT TO PAY TN1 • LPN: GJ1406 • Resolution: PAYMENT TAKEN • Amount Paid: $22.90 ♥Payment Code: 3887ZI ♥Amount Reduced (if any): NA ♥FTF Code (above $200): NA ♥Signature Name: Galasi 8e21045b-b13b-48f8-8391-3143d9e25882 ____________________________ FMAT: NA Verified: Yes Name: SARA Email: NA Phone: NA Concern: WNT TO KNOW WHEN THE TRIP HAPPEND • LPN: 5CP4668 • Resolution: TOLD CX WHEN THE TRIP HAPPENED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5623c7a3-ce22-43c8-bb46-7f961cefd07e ____________________________ FMAT: NO Verified: Yes Name: ADAM Email: CROLLADAM@GMAIL.COM Phone: 240-731-6393 Concern: WANT TO PAY TN1// ASK FOR FTF • LPN: 3EZ0949 • Resolution: PAYMENT TAKEN// WAIVED THE ADMIN AND THE INVOICE FEE • Amount Paid: $33.50 Payment Code: 5U6IVJ Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 4e91bae2-d00f-44db-ba21-88879d0122f3 ____________________________ FMAT: NO Verified: Yes Name: ROHINA AKHTARI Email: haidiryjamshad@yahoo.com Phone: 202-339-2468 Concern: WANT TO PAY TN1 • LPN: TRM9166 • Resolution: PAYMENT TAKEN • Amount Paid: $15.25 Payment Code: BKHOSH Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 4e57c938-5b4f-424a-9455-7dee1a043cc4 ____________________________ FMAT: NO Verified: Yes Name: MAASS Email: AWMAASS@GMAIL.COM Phone: 434-473-5046 Concern: WANT TO PAY TN1 • LPN: MKZ464 • Resolution: PAYMENT TAKEN • Amount Paid: $9.50 Payment Code: KACHWY Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3e842006-a263-40e7-97a1-48063fd1e605 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ____________________________ 💗Records💗 11/13-14/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NO Verified: Yes Name: BARBARA Email: barbaraafia@yahoo.com Phone: 240-527-3311 Concern: WANT • LPN: FB1145 • Resolution: PAYMENT TAKEN • Amount Paid: $6.75 Payment Code:UD6GZN Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f389d0f7-0a58-42cc-8d51-b196f0ea6098 ____________________________ FMAT: NA Verified: Yes Name: James Email: NA Phone: NA Concern: WNT TO KNOW HOW MUCH IS THE TOLL// HOW THE TOLL WAS HIGH// LATE INVOICE • LPN: TWK9053 • Resolution: EXPLND TO CX THT CX TRAVELED TO THREE DIFFERENT LANES// FTF FOR $5.00 • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 72301778-c10f-430e-86e3-2e59b8f86fb3 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: CNG9900 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi cbc47537-b3d5-44ef-973a-030fc9c919f4 ____________________________ FMAT: NO Verified: Yes Name: Michael Email: michaelleith12@gmail.com Phone: 703-677-1973 Concern: WANT TO PAY TN1// • LPN: FD29221 • Resolution: PAYMENT TAKEN FTF FO • Amount Paid: $24.00 Payment Code: U5V5JH Amount Reduced (if any): $9.50 FTF Code (above $200): NA Signature Name: Galasi b78daa99-d2dc-4afb-ad21-f7f63c9a921a ____________________________ FMAT: YES Verified: Yes Name: JULIE ATICELLA-ANHANNAN Email: BHANNAN0505@GMAIL.COM Phone: 603-244-6824 Concern: WNT TO KNOW IF CX HAVE ANY VIOLATION • LPN: NH BRANDY1 • Resolution: CREATED STAKEHOLDER// ENROLL TO FMAT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3300338e-27c1-4b42-9e22-89443e3dbf07 ____________________________ FMAT: NA Verified: Yes Name: Kofi Email: NA Phone: NA Concern: WNT TO KNW WHY THE TOLL WAS NOT PAID TO HIS EZPASS// • LPN: UBJ1258 • Resolution: ADV CX THAT HIS EZPASS HAVE NO BALANCE DURING THE TRIP// ADV TO CONTACT EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 579f92fc-1ccc-4ee3-83c4-7503e02a7031 ____________________________ FMAT: YES Verified: Yes Name: BROWN Email: m.brown59.2@gmail.com Phone: 412-496-2920 Concern: WANT TO PAY TN1// LATE INVOICE • LPN: 9FP8065 • Resolution: PAYMENT TAKEN// FTF $5.00 • Amount Paid: $1.50 Payment Code: S5B8NV Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 4e1742df-e7e6-4e20-8b6b-7950c7aa5450 ____________________________ FMAT: NO Verified: Yes Name: BEALLA Email: hbeall@nc.rr.com Phone: NA Concern: ASK IF THERE'S ANY VIOLATION OR ANY INVOICES • LPN: KFB4432 • Resolution: TOLD CX THT THERE ARE NO VIOLATIONS OR INVOICES FROM US • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2a95b014-01c9-4f2c-8d69-a867fedd1d68 ____________________________ FMAT: NA Verified: Yes Name: JONATHAN Email: NA Phone: NA Concern: WNT TO KNOW WHY THE TOLL WAS NOT CHARGE TO HIS EXPASS// CLAIMING HE HAVE DIFFERENT TRPR// CLAIMING THAT HE HAVE ENOUGH BALANCE IN HIS ACC • LPN: 6GC4240 • Resolution: ADV CX TO CONTACT EZPASS// ADV CX TO SEND US THE RECEIPT OR PROOF THAT CX HAVE DIFFERENT TRPR// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 21d4a25b-ee59-4dce-a326-aa6f912c71c5 218.25+241.15 ____________________________ FMAT: NO Verified: Yes Name: FLETCHER Email: carmonf@comcast.net Phone: 870-623-0165 Concern: WNT TO PAY TN1 • LPN: TYB2275 • Resolution: PAYMENT TAKEN • Amount Paid: $5.30 Payment Code: PN66XM Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 99d1db82-f64c-4258-9b06-e0f97d5ff327 ____________________________ FMAT: NO Verified: Yes Name: MACADOLF Email: NIIADOLF@HOTMAIL.COM Phone: 703-565-6631 Concern: WANT TO KNOW WHERE IS THE LANE// WNT TO PAY TN1 • LPN: VTY9484 • Resolution: EDUC CX ABOUT THE 3 ZONES CX ENTERED// PAYMENT TAKEN • Amount Paid: $29.70 Payment Code: 34P8SW Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f7fda224-7b79-46c3-a73f-f4f8d5af4fae ____________________________ FMAT: NA Verified: Yes Name: Maeion Bryant Email: maeionbryant@ymail.com Phone: 443-851-0843 Concern: WNT TO KNW WHY SHE RCVD AN INV IF SHE ALRDY PAID IT • LPN: 3FR7124 • Resolution: EDUC CX THT ALL THE INV IS ALRDY PAID AND THERE'S NO MORE PENDING INVCS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c15248e1-02bd-42d2-9010-3cbc7fd5a9d1 ____________________________ FMAT: NA Verified: Yes Name: ERICA KATE Email: NA Phone: NA Concern: WNT TO KNW WHY RCVD THE INV// WNT TO DISPUTE// CLAIMING THAT THE TRPR IS PROPERLY MOUNTED FOR 2 YEARS IN CX DASHBOARD • LPN: PD700S • Resolution: EDUC CX THAT DURING THE TRIP THE TRPR IS NOT DETECTED DURING THE TRIP DUE TO IMPROPER MOUNTING// ADV CX TO SEND EZPASS STATEMENT THAT IS STATING THE EZPASS IS FAULTY DURING THE TRIP IN QUESTION// WILL BE INVESTIGATING IF PROVEN THE TRPR IS FAULTY BEFORE DISPUTING • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi fe9345c3-2bf5-452f-9061-64c48ac8d8c6 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ____________________________ FMAT: NA Verified: Yes Name: NICOLE Email: NA Phone: NA Concern: WNT TO KNW WHY THE TOLL WAS NOT DEDUCTED TO HER EZPASS// WNT TO PAY ONLINE// WNT TO KNW WHEN WILL THE SCND INV WILL BE SENT • LPN: KJH4382 • Resolution: EDUC CX SHE HAVE 6 OUSTANDING BLNC// PAYMENT TAKEN FOR TN1// ADV CX TO PAY ONLINE IF NOT COMFORTABLE PAYING THROUGH AN AGENT// ADV CX THT THE INVC WILL BE SENT A WEEK BEFORE THE MONTH ENDS OR THE FIRST WEEK OF NEXT MONTH • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7fd853dd-692a-4959-a3d5-966d861ef4f9 ____________________________ FMAT: YES Verified: Yes Name: ANA MOLINA Email:ana431689@gmail.com Phone: 818-284-3024 Concern: WANT TO PAY TN1 • LPN: XB8Z8V • Resolution: PAYMENT TAKEN • Amount Paid: $36.60 Payment Code: VFVSMS Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6feb9ef8-e4bb-44ec-821e-69315c74b619 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: 501738C • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi f628d5ba-a9d2-45b3-83e1-243d9e9483ae ____________________________ FMAT: NA Verified: Yes Name: BRUCE Email: NA Phone: NA Concern: WILL CALL BACK// WNT TO KNW RCVNG INV IF CX TRPR HAVE SUFFICIENT BALANCE// WILL CALL EZPASS • LPN: 5SE0044 • Resolution: EDUC CX THAT THE TRPR DURING THE TRIP WAS IN ZERO BLNC OR LOW BLNC// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi dde320f2-783d-4073-964d-b93dc13f957e ____________________________ FMAT: NA Verified: Yes Name: Liudmila Saftner Email: NA Phone: NA Concern: WNT TO KNW WHY CX RCVD INVC// WNT TO PAY THROUGH ONLINE// WNT TO KNW WHERE IS THE EXPRESS LANES LANE • LPN: 5BG6154 • Resolution: EDUC CX ABT LATE INV// EDUC CX TO TRY AND USE THE TRIP NUMBER AND ACC NUMBER// TOLD CX THT THE EXPRESS LANES CAN BE SEEN WITH PURPLE AND WHITE SIGNS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 71a45bf2-247d-4a59-80ac-819363a0de9a ____________________________ FMAT: NA Verified: Yes Name: VICTORIA Email: NA Phone: NA Concern: WANT TO PAY TN1 THROUGH MAIL// • LPN: QDIA84 • Resolution: ADV TO PAY THROUGH ONLINE// PAYMENT TAKEN THROUGH MAIL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b88bf490-e260-4ce0-9012-8957be36d2bd ____________________________ FMAT: YES Verified: Yes Name: Dairon Email: duartedairon@gmail.com Phone: 609-428-9677 Concern: WANT TO PAY TN1// WNT TO KNW THE REASON WHY HE RCVD THE INV • LPN: E97SUV • Resolution: PAYMENT TAKEN// EDUC CX ABT THE TRPR BEING IN LOW BLANCE • Amount Paid: $50.15 Payment Code: 2ZYHTO Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 4bc74bb2-d5bc-4bad-ab98-c7e71f617be1 ____________________________ FMAT: YES Verified: Yes Name: MICHAEL Email: michaelhill1817@gmail.com Phone: 630-631-6143 Concern: AN AGENT TOLD CX THAT THEY WILL BE RECEIVING AN EMAIL WITHIN THE DAY CONTAINING TRIP DETAILS AND AMOUNT// CX IS ASKING FTF FOR THE ADMIN FEE// WNT TO HAVE THE TRIP BUSINESS// WNT TO PAY TN1 • LPN: 6GD6498 • Resolution: WILL BE CREATING A TICKET FOR THE TRIP// PAYMENT TAKEN// FTF $62.00// • Amount Paid: $98.35 Payment Code: RCMDGZ Amount Reduced (if any): $62.00 FTF Code (above $200): NA Signature Name: Galasi 09b7b149-c2a5-47ea-aae3-2edd0b2caff4 ____________________________ FMAT: YES Verified: Yes Name: Erin Email: erinvanasse@gmail.com Phone: 919-623-8871 Concern: WANT TO HAVE THE FTF BCUS ITS A LATE INVC// WANT TO PAY TN1 • LPN: CDR11 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $30.50 Payment Code: MYMR7U Amount Reduced (if any): $10.00 FTF Code (above $200): NA Signature Name: Galasi 29714e06-8dc6-4a7f-8951-3a35f72aea41 ____________________________ FMAT: YES Verified: Yes Name: DOMINIC Email: YOUNGDOMINIC30@YAHOO.COM Phone: 202-327-0512 Concern: UPDATE ABOUT MISSED TOLL • LPN: 5FF4160 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 8a2ec0ee-9eb3-49dc-9d5d-c42f6582d5a0 ____________________________ FMAT: NA Verified: Yes Name: kia Email: NA Phone: NA Concern: WNT TO KNOW HOW MUCH IS THE COLLECTION FEE// WNT TO KNW IF WE HAVE PAYMENT PLAN FOR THE COLL// • LPN: 3FG6468 • Resolution: TOLD CX THAT ITS $500 FOR THE 3 COLL// TOLD CX WE DON'T HAVE ANY PAYMENT PLAN • Amount Paid: NA E241216972, E241216973, E241216974 Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7469f395-fb5f-4ad1-9c70-2a7bf830dda3 ____________________________ FMAT: NO Verified: Yes Name: Alia Email: alianaser13@yahoo.com Phone: 571-290-9375 Concern: WANT TO KNW WHAT'S THE REASON FOR THE INV// WNT TO PAY TN1 • LPN: VA UWZ8239 • Resolution: PAYMENT TAKEN// EDUC CX ABT THE TRPR BEING IMPROPERLY MOUNTED • Amount Paid: $2.65 Payment Code: CX9UNM Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi bbb2fdc9-efc4-43d8-979c-39e281ef7a3f ____________________________ FMAT: NA Verified: Yes Name: NATHANIEL Email: NA Phone: NA Concern: WNT TO KNW HE RCVD AN INVC EVEN THOUGH CX HAVE EZPASS// ASKING FOR DISPUTE • LPN: 163API • Resolution: ADV CX THE TRPR MIGHT BE FAULTY// ADV CX TO CONTACT EZPASS// SEND US EZPASS STATEMENT THAT THE TRPR IS FAULTY DURING THE TRIP TO DISPUTE THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 09d07ec4-2cef-4194-a520-4ba3c752533a ____________________________ FMAT: NA Verified: Yes Name: RICARDO Email: NA Phone: NA Concern: WNT TO KNW IF THE PAYMENT WENT THROUGH • LPN: TLV3888 • Resolution: EXPLAIN TO CX THAT THE PAYMENT WENT THROUGH AND THERE'S NO VIOLATION WITH US ANYMORE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f8b9e446-a230-4eb8-9714-0c9fc05ebdb0 ____________________________ FMAT: NA Verified: Yes Name: Yniv Palti Email: ypalti@yahoo.com Phone: 240-446-5539 Concern: CLAIMING THAT IT'S NOT HIS VEHICLE// WILL SEND THE INFORMATION AFTER TALKING WITH A SUPERVISOR • LPN: T1864568 • Resolution: EDUC CX THAT KINDLY SEND US THE POLICE REPORT// REFFER TO DMV ABOUT THE ACCOUNT INFORMATION OF THE VEHICLE// WILL REMOVE, WAIVED, DISPUTE THE TRIPS IF IT'S PROVEN THAT IT'S NOT HIS VEHICLE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b1140220-4420-47f9-9f29-57e69aa0e53d ____________________________ 💗Records💗 11/14-15/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NA Verified: Yes Name: Aleshia Silva Email: NA Phone: 520-255-7087 Concern: WNT TO KNW WHY CX RCVD THE INVC// CX CLAIMING THAT THE OTHER TOLL WENT THROUGH THE EZPASS • LPN: UGM7789 • Resolution: EDUC CX THAT THE TRPR DIDN'T READ DURING THE TRIP// ADV CX TO CALL EZPASS AGENCY// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c07589f0-d410-4a22-b13f-459a2af6a96b ____________________________ FMAT: Verified: Yes Name: Email: Phone: 703-819-7470 Concern: • LPN: TUD8914 • Resolution: • Amount Paid: E241217727, EE241217728, E241217729, E241217730, E241217731 Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ca4fc902-6b96-4eda-859c-8a68cf7178db ____________________________ FMAT: NA Verified: Yes Name: Charles Email: KSHAMBAUGH1969@YAHOO.COM Phone: 301-268-7240 Concern: WANT TO HAVE CONFIRMATION EMAIL ABOUT THE IMAGE ERROR BEING WRITE-OFF// THE VEHICLE IS NOT THEIRS • LPN: 6FE4852 • Resolution: ADV CX THAT WILL BE SENDING THE EMAIL WITHIN 3-5 BUSINESS DAYS// IMAGE ERORR • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3575ff32-c6c9-448c-8e97-b604f14f3d4a ____________________________ FMAT: YES Verified: Yes Name: ROSEMARY Email: halro1221@yahoo.com Phone: 440-567-5953 Concern: WANT TO PAY TN1 • LPN: JWP6029 • Resolution: PAYMENT TAKEN • Amount Paid: $10.25 Payment Code: CZKMFA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c53fc17a-ddef-4d6b-98b4-9d4bb551558f ____________________________ FMAT: YES Verified: Yes Name: MONTRIL CHARLES RABION Email: MONTRIL1019@GMAIL.COM Phone: 9014517715 Concern: WANT TO KNW IF THERES ANY VIOLATION OR INVOICES • LPN: ARKANSAS USAMTJX • Resolution: FMAT PROVIDED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c958d915-93e5-45c0-801a-5f0b5ee01bbd ____________________________ FMAT: NO Verified: Yes Name: MICHAEL Email: MIKEKPWEST@GMAIL.COM Phone: 202-251-1279 Concern: WANT TO PAY TN1 • LPN: 7GC8373 • Resolution: PAYMENT TAKEN • Amount Paid: $0.85 Payment Code: RJPQQE Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cb5326cb-f547-4441-82f4-8d78cac34980 ____________________________ FMAT: Verified: Yes Name: RICHARD Email: Phone: Concern: • LPN: ENK4333 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi e20aadcd-2a91-4880-b973-cb3ae54889c7 ____________________________ FMAT: NO Verified: Yes Name: Janice Email: NA Phone: NA Concern: RCVD AN INV// HAVE AN EZPASS// CLAIMING THAT CX ALRDY PAID FOR THE TRIP// • LPN: VPS1390 • Resolution: found 5 outstanding trips// discussed the details and trip date of the invs// ADV CX TO SEND THE PAYMENT CONFIRMATION// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 33bfbde9-efe4-4bf5-a9c9-c5cbc817291f ____________________________ FMAT: NA Verified: Yes Name: Levi Email: NA Phone: NA Concern: CLAIMING 3 PEOPLE FOR TN1// CLAIMING CX HAVE EZPASS// • LPN: JJ4262 • Resolution: DISPUTED THE TRIP// ADV IT WAS NOT PROPERLY MOUNTED// EDUC CX THER'S 9 OUTSTANDING BALANCE// EDUC CX ABOUT THE READY FOR COLL TRIPS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 435cab94-a6fd-45b5-a415-ded1183dc161 ____________________________ FMAT: NO Verified: Yes Name: JENNIFER Email: careyt400@gmail.com Phone: 347-580-2947 Concern: WANT TO APY TN1 • LPN: NC KHB6306 • Resolution: PAYMENT TAKEN • Amount Paid: $38.55 Payment Code: 85VTVP Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 875f18ba-d821-4ac3-9d4f-3cd46970bb80 ____________________________ FMAT: NA Verified: Yes Name: EMILY Schultz Email: NA Phone: NA Concern: WNT TO KNW ABT THE COLL DETAILS • LPN: 3ET3317 • Resolution: REFFERED TO NCC// ADV C WE DON'T HAVE THE TRIPO DETAILS// GAVE THE NCC PHONE NO. • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d0eb7461-110d-444e-90f8-679134b89907 ____________________________ FMAT: NA Verified: Yes Name: JOSHUA Email: NA Phone: NA Concern:RCVD A TXT FRM COLL// ASK FOR FTF// CX SAID THEY ALRDY MOVE OUT FROM THE ADRRESS THAT THE INV WAS SENT// • LPN: TEC9308 • Resolution: ADV CX TO CALL NCC FOR THE FTF// ADV CX THT THE NCC ALRDY HAVE THE TRIP// ADV CX TO SEND THE PROFF FROM THE DMV THAT DURING THE TRIP CX IS NOT RESIDING WITH CX PREVIOUS ADRRESS BEFORE THE TRIP HPPND • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7be79e0e-8e12-4676-aa25-6409d1817de0 ____________________________ FMAT: NA Verified: Yes Name: RICHARD Email: NA Phone: NA Concern: NOT HIS VEHICLE// TFL9715, WSD4161 THIS IS HIS LPN// WILL CONTACT DMV// • LPN: 58389N, 38532R • Resolution: ADV TO CONTACT DMV// ADV TO SEND THE PROOF TO OUR EMAIL THAT IT'S NOT HIS VEHICLE FROM THE DMV • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b20b0411-a153-431e-9344-23aa38a619bb ____________________________ FMAT: NA Verified: Yes Name: Michael Email: NA Phone: NA Concern: ASK FOR FTF • LPN: VA UWN2577 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $40.00 FTF Code (above $200): NA Signature Name: Galasi 216cd3f1-e321-438d-aaf0-23a5f3cb82d0 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: 1866ZU • Resolution: • Amount Paid: CM111424003 Payment Code: Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 57e3f595-d4e1-4014-b47a-1b13156f1fda ____________________________ FMAT: NA Verified: Yes Name: ERIC Email: NA Phone: NA Concern: WNT TO MAKE SURE THE PYMNT IS SUCCESSFUL • LPN: 7FG2836 • Resolution: ADV CX THE PAYMENT IS SUCCESSFUL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cb478941-f520-42b3-8f0a-3be5a1695552 ____________________________ FMAT: YES Verified: Yes Name: CHRISTOPHER Email: bluselden@gmail.com Phone: 703-509-7289 Concern: WNT TO PAY TN1 • LPN: MD 7GB5222 • Resolution: PAYMENT TAKEN • Amount Paid: $62.30 Payment Code: WXEF1D Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 76d71f1e-9535-4e91-a0fa-34e87b4faeef ____________________________ FMAT: NA Verified: Yes Name: Sai Email: guthisaianusha@gmail.com Phone: NA Concern: WANT TO KNOW IF THERE'S ANY VIOLATIONS • LPN: 7123ZY • Resolution: ADV CX THERE'S 5 VIOLATIONS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 38bd593b-6ec0-49e0-86d9-1cbd92ee5da5 ____________________________ FMAT: Verified: Yes Name: ROSE Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi e74beee5-0962-4a4a-9c0b-f8be34899757 ____________________________ FMAT: NA Verified: Yes Name: Alan Email: NA Phone: 202-246-5168 Concern: WNT FTF// CLAIMING TO BE CALLING US TO KNOW IF CX HAVE ANY VIOLATIONS WITH US// WANT TO TALK WITH SUPERVISOR • LPN: JJ6332 • Resolution: GIVEN FTF $348.50// EDUC CX ALRDY REMOVE THE ADMIN FEE, INV FEE// EDUC CX ABT THE SYSTM UPDT// • Amount Paid: Payment Code: NA Amount Reduced (if any): $348.50 FTF Code (above $200): MP090424066 Signature Name: Galasi ce394ef7-d847-48d8-9381-1dcfd58cfe52 ____________________________ FMAT: NA Verified: Yes Name: DANIEL Email: NA Phone: NA Concern: WNT TO REMOVE THE ADMIN AND THE INV FEE// WNT TO SET UP EZPASS SO CX WOULDN'T GET ANY ADMIN FEE AND INV FEE// • LPN: MD 7EG2669 • Resolution: FTF GRANTED// REFFERED TO EZPASS// EDUC ABOUT EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $76.00 FTF Code (above $200): NA Signature Name: Galasi 4936917c-1d7a-4535-a127-1077974f000a ____________________________ FMAT: YES Verified: Yes Name: Babalola Email: BENWEALTHROPE@GMAIL.COM Phone: 240-305-3488 Concern: ASK FOR FTF// RCVD LATE INV// ASK FOR EZPASS NOMINATION// PAY TN1 • LPN: MD 2CG9195 • Resolution: OFFER FMAT// REFFER TO EZPASS// FTF GRANTED// EDUC ABT EZPASS// EDUC ABT SYSTEM UPDT// PAYMENT TAKEN • Amount Paid: $81.80 Payment Code: MCQZ6C Amount Reduced (if any): $416.95 FTF Code (above $200): CM111424004 Signature Name: Galasi 85cc9a6b-7bc3-41d7-8db3-b11d8e1d385f ____________________________ FMAT: NA Verified: Yes Name: Mahamat Souleyman Email: NA Phone: NA Concern: CX CLAIM THT THEY ALRDY PAID FOR THE INVOICE • LPN: JLE2960 • Resolution: SEND US THE BANK STATMENT OR PAYMENT RECEIPT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b855f9d5-f812-412c-95f4-0f25ff59d987 ____________________________ 💗Records💗 11/15-16/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: YES Verified: Yes Name: Sehrish Email: Sehrishalam1507@gmail.com Phone: 504-722-1507 Concern: RQST FOR TRIP DETAILS// RCVD AN INV// HAVE AN EZPASS// WNT TO KNW THE REASON OF RCVNG INV// WNT TO PAY TN1 THAT IS $6.10// • LPN: 3GD6321 • Resolution: ADV CX THAT THE TRIP WILL BE SENT TO THEIR EMAIL// FOUND 6 OUTSTANDING TRIPS// DISCUSSED THE DEATILS AND TRIP DATE OF THE INV// PAYMENT TAKEN// OFFER FMAT// • Amount Paid: $6.10 Payment Code: TWXDSE Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a1bc7264-5493-4c9b-b51f-2c68b2e4448a ____________________________ FMAT: NA Verified: Yes Name: Gail Thomas Email: NA Phone: NA Concern: RCV AN INV// NOT CX CAR// RETURN/SOLD THE VEHICLE TO DMV// DROPPED CALL • LPN: NY AJF695 • Resolution: CONTACT DMV// SEND THE Affidavit of Non-Liability TO OUR EMAIL// DROPPED CALL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi bfd96ecc-6314-4651-8029-e4f4d8804100 ____________________________ FMAT: NA Verified: Yes Name: Deborah Stiles Email: NA Phone: 304-478-3519 Concern: MAILED THE CHECK FOR PAYMENT// RCVD AN INV// JUNE 10 2024// 1267 CHECK NUMBER// ASKING // $28.85// ASK FOR CALL BACK// REQUESTING FOR REFUND// • LPN: 79A134 • Resolution: FUTHER INVESTIGATION// ADV TO CALL i66// CALL BACK AFTER 5 BUSINESS DAYS AFTER FUTHER INVESTIGATION • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6d74bc06-c840-49cd-8821-e41138b12dd2 ____________________________ FMAT: NA Verified: Yes Name: GREGORY Email: NA Phone: NA Concern: WNT TO PAY TN1// ALRDY PAID THE TN1// RCVD INV • LPN: SFP5518 • Resolution: ADV CX THT THE INV IS ALRDY BEEN PAID// ADV CX THAT THE INC CX RCVD IS THE INV THAT CX RCVD IS THE INV THT NOTIFYING HIM THAT CX HAVE A VIOLATON WITH US// ADV TO DIREGARD THE INV • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 49be4289-a663-4442-8325-c27ba8adff57 ____________________________ FMAT: NA Verified: Yes Name: MARK Email: NA Phone: NA Concern: ASK WHY RCVD INV// WNT TO PAY THROUGH ONLINE// HAVE EZPASS// RCVD LATE INV • LPN: 81CGHA • Resolution: REFFERED TO EZPASS// REFFERED TO WEBSITE// adv tp was insuff during travel// adv tp is improperly mounted on the vehicle// ADV SYSTME UPDT// FTF $10 ADMIN, INV FEE// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $10.00 FTF Code (above $200): NA Signature Name: Galasi 2e379a78-32ac-40df-8d46-bb62ea54746e ____________________________ FMAT: NA Verified: Yes Name: Joal A Crosby Email: NA Phone: NA Concern: HAVE AN EZPASS// RCVD TN1// ASK FOR FTF// • LPN: • Resolution: REFFER TO WEBSITE// EXPALIN THAT THE TRPR IS IN ZERO BALANCE// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: NA Verified: Yes Name: Brooke Ellen Noren Email: NA Phone: NA Concern: ASK WHEN THE TRIP HAPPEND// WNT TO MAKE A PAYMENT ONLINE • LPN: MNP925 • Resolution: ADV CX IT'S IN THE BACK OF THE INV// WILL PAY ONLINE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi aef394a6-482c-45ab-8758-6fc52927d20e ____________________________ FMAT: NA Verified: Yes Name: Trang Thanh Nguyen Vu Email: NA Phone: NA Concern: WNT TO DISPUTE// ALRDY PAID// ASK WHEN THE TRIP HAPPEND • LPN: TLA3836 • Resolution: ADV TO SEND BANK STATEMENT// ADV IT'S IN THE BACK OF THE INV • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 4bfd20c3-cc2e-43d2-93f1-35aeb4b9597a ____________________________ FMAT: YES Verified: Yes Name: PETER Email: PETER.NAROG@GMAIL.COM Phone: 347-821-2020 Concern: WNT TO KNW THE REASON FOR THE TN1// WANT TO PAY TN1 • LPN: PA KZW3376 • Resolution: ADV CX THAT THE TRPR WAS DETECTED BUT IT DOESN'T HAVE SUFFICIENT FUNDS// PAYMENT TAKEN • Amount Paid: $34.95 Payment Code: HPHWMT Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 90ca3f0d-89a7-4235-bb7d-f46a6274cd1d ____________________________ FMAT: NA Verified: Yes Name: John Kennedy Clark Email: NA Phone: NA Concern: WNT TO KNW HE REASON FOR THE TN1// HAVE EZPASS// • LPN: 6968DA • Resolution: ADV CX THT THE TRPR IS ZERO BLNC BUT IT WAS DETECTED// ADV CX TO CALL EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 328ec92a-6bca-46c4-a816-2a73a57ff2e7 ____________________________ FMAT: NO Verified: Yes Name: Jose Jorge Romero Email: romero.aick@yahoo.com Phone: 202-702-3227 Concern: WNT TO PAY TN1 • LPN: 3DD5294 • Resolution: PAYMENT TAKEN • Amount Paid: $16.05 Payment Code: HHUCJG Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi eeac361e-784e-4531-97c2-8546641767f9 ____________________________ FMAT: NA Verified: Yes Name: Jenita Elizabeth Goe Email: NA Phone: NA Concern: WNT TO KNW WHY THERE'S AN OUSTANDING BLANCE IN CX ACCOUNT// ASK ABT THE EZPASS STATUS • LPN: 9DW7632 • Resolution: EDUC CX ABT THE SYSTEM UPDT// EDUC CX ABT THE ADMIN FEE// EDUC CX THT THE TRPR HAVE ZERO BLNC// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $15.00 FTF Code (above $200): NA Signature Name: Galasi cef8e583-5910-4fe7-85e4-a0afc54871f0 ____________________________ FMAT: NO Verified: Yes Name: Rigoberto Rodriguez-valdez Email: RIGOBERTO7168@GMAIL.COM Phone: 571-603-9195 Concern: WNT TO KNW WHAT'S THE REASON FOR TN1// WNT TO PAY TN1 • LPN: 1EE5851 • Resolution: ADV CX DURING THE TRIP THE EZPASS HAVE ZERO BLNC// PAYMENT TAKEN • Amount Paid: $10.35 Payment Code: QP7AQB Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d2b12f5b-65ad-428a-a647-93a2b1dfbd7e ____________________________ FMAT: NA Verified: Yes Name: JOANNA DAVIS Email: NA Phone: NA Concern: HAVE EZPASS// CLAIMING TO HAVE FAULTY EZPASS// CLAIMING TO PAY THE VIOLATIONS// • LPN: C89415 • Resolution: ADV CX TO SEND THE EZPASS STATEMENT FOR THE FAULTY TRPR// ADV CX TO SEND US THE EZPASS STATEMNT THAT IS STATING CX ALRDY PAID FOR THE TRRPS// REFFERED TO EZPASA • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6a3d86b4-7684-46b5-b110-f29bad2cb1fb ____________________________ FMAT: NO Verified: Yes Name: AUBIN NGONGBA Email: aubinn1@gmail.com Phone: 240-713-0763 Concern: WNT TO KNW THE REASON FOR TN1// WNT TO PAY TN1 • LPN: MD 6ED5084 • Resolution: EDUC CX ABT THE TRPR BEING ZERO BALANCE DURING THE TRIP// PAYMENT TAKEN • Amount Paid: $1.10 Payment Code: WPEPRZ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d3e61fb3-39d8-4f33-9942-c4a9846bd21f ____________________________ FMAT: NA Verified: Yes Name: Abdulaziz Sahad Email: NA Phone: NA Concern: WNT TO KNW WHY CX RCVD INV// HAVE EZPASS • LPN: TNX6552 • Resolution: EDUC CX DURING THE TRIP CX EZPASS HAVE ZERO BALANCE//EDUC ABT THE SYSTM UPGRD// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi de423b7a-4a1d-4d5b-a751-42384d5380a7 ____________________________ FMAT: NA Verified: Yes Name: Joan Marea Price Email: NA Phone: NA Concern: WNT TO KNW WHEN THE TRIP HAPPEND// WILL BE SENDING THE PAYMENT THROUGH CHECK// • LPN: CDS5710 • Resolution: FTF PROVIDED FOR $5.00// EXPLN TO CX THE TRIP DETAIL// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 55b6ad0b-17da-47a3-81d4-5090c0381c64 ____________________________ FMAT: NO Verified: Yes Name: PHILIA Email: philiaasanga@yahoo.com Phone: 240-603-0809 Concern: WNT TO PAY TN1// WNT TO KNW WHY CX RCVD INV// • LPN: 6537473 • Resolution: PAYMENT TAKEN// REFFER TO EZPASS// FOUND 5 TRIPS// EXPLN THE SYSTM ISSUE// EXPLN THE ADMN FEE// • Amount Paid: $78.00 Payment Code: FR8OPU Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 835c6523-f587-40ff-91dd-6077dc16fe06 ____________________________ FMAT: NA Verified: Yes Name: ANTHONY Email: TONYPIC734@GMAIL.COM Phone: 877-762-7824 Concern: WANT TO FILE A DISPUTE FOR THE TRIP THAT HAPPEND ON 10/28/2024 7:17:44 AM TP: 6501004312755 • LPN: UMM7897 • Resolution: REQUEST COPY OF ZONE INTERVAL// EDUC ABOUT THE DYNAMIC PRICING// ADV CX TO CHECK THE WEBSITE FOR THE DYNAMIC PRICING// EDUC CX ABOUT THE TOLLING ZONES AND EXIT ZONES// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cb9808d8-28d2-4a3d-8de1-d94a4d464d8b ____________________________ 💗Records💗 11/18-19/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NO Verified: Yes Name: Ricardo Gomez Abellano Email: eqa856@gmail.com Phone: 301-538-4644 Concern: WNT TO PAY ONLINE BUT IT WON'T LET THE CX PAY// WNT TO PAY TN1 • LPN: MD 4ER5385 • Resolution: PAYMENT TAKEN • Amount Paid: $12.80 Payment Code: RXE7GV Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 79c2ca33-7787-4c69-9640-364d76c40a90 ____________________________ FMAT: SPANISH Verified: Yes Name: WILLIAM Email: NA Phone: NA Concern: WANT TO KNOW IF CX HAVE ANY VIOLATION • LPN: 8EV7228 • Resolution: CALL BACK • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 917b38ea-16c4-4259-8050-910239ddc045 ____________________________ FMAT: NA Verified: Yes Name: Kimberlee Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE INV// WNT TO KNW THE REASON FOR THE VIOLATION// CLAIMING TO HAVE SUFFICIENT FUND ON EPASS// • LPN: 8DS8678 • Resolution: EDUC ABT SYSTM UPDT// EDUC ABT TRPR BEING INSUFFICIENT BLNC// SEND EZPASS STATEMENT FOR THE BALANCE DURING THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 606aa73b-55fc-4ae3-ab4c-831c997b13ea ____________________________ FMAT: NA Verified: Yes Name: CLADE Email: NA Phone: NA Concern: rcvd an email notif about HOV claims that there are 3 people in the vehicle while in HOV ON mode hes daughter is at the backseat with her cousin • LPN: UFW3397 • Resolution: DISPUTE THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 50f47078-8ae4-419a-b01f-9b184509ecc6 ____________________________ FMAT: NA Verified: Yes Name: GAIL Email: gbalexander66@gmail.com Phone: 434-584-0138 Concern: RCVD INV// WNT TO PAY TN1// WILL PAY TO WEBSITE// • LPN: UFX1073 • Resolution: REFFER TO WEBSITE// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5dbf309b-694b-4d15-a07f-10456284f6e7 ____________________________ FMAT: NA Verified: Yes Name: Ntiense Email: NA Phone: NA Concern: PAYED THE TRIPS ALRDY// ASK FOR THE LATE INV// WILL CONTACT EZPASS FOR TRPR STATUS • LPN: 1CP6261 • Resolution: ASK FOR EZPASS STATEMENT// EDUC ABT SYSTM UPGDR// EDUC ABT ADMN FEE// ADV CX TO SEND EZPASS STATMENT// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi 7afde3c3-9576-438c-9c4a-ef7aa5bf7a5f ____________________________ FMAT: NO Verified: Yes Name: BYRON CASTRO (FERNANDO) Email: byroncastro37@gmail.com 717-615-6565 Phone: 717-615-6565 Concern: WNT TO PAY TN1 • LPN: KRP4874 • Resolution: PAYMENT TAKEN • Amount Paid: $8.75 Payment Code: UFBMU7 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 9c0ccca4-70a8-4cc1-8cb8-53fdd2309c5b ____________________________ FMAT: NA Verified: Yes Name: CALVIN Email: jonesmoore2008@gmail.com Phone: 202-699-2651 Concern: ONLY FOLLOWING THE PROSITION// DROP THE CALL • LPN: MD 6FG1772 • Resolution: ADV CX THAT THE CHARGE IS VALID// EDUC CX THAT ONLY EMERGENCY VEHICLE CAN BE AN EXEPMTION// ADV • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi CM111824002 52f99b74-c5cf-4edc-9930-5235637fb74d ____________________________ FMAT: NA Verified: Yes Name: Jacquetta Michele Reid Email: NA Phone: 2023082838 Concern: WNT TO KNW THE REASON FOR THE TN1// HAVE EZPASS// PAID ONLINE • LPN: 6AH6393 • Resolution: ADV CX TO CALL EZPASS// ADV CX THE TRPR IS FAULTY// ADV TO SEND EZPASS STATMENT FOR THE FAULTY TRPR// ADV CX THE TRPR IS IN INSUFFICIENT BALANCE DURING THE TRIPS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $70.00 FTF Code (above $200): NA Signature Name: Galasi a330587f-a44a-4a63-8fbd-b0a92c410fb1 ____________________________ FMAT: NA Verified: Yes Name: MATTHEW SHUKER Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE TN1 • LPN: 4EY2001 • Resolution: EDUC CX DURING THE TRIP THE EZPASS HAVE NO SUFFICIENT BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 49680774-0394-4b9d-99ca-9dcfa70acbb4 ____________________________ FMAT: NA Verified: Yes Name: CARTER Email: NA Phone: NA Concern: HAVE EZPASS// ASK FOR THE REASON FOR TN1// WILL PAY ONLINE • LPN: LBH8937 • Resolution: EDUC PROPER MOUNTING// ADV CX THE TRPR IS NOT DETECTED DURING THE TRIP// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 16729f78-3483-4d74-bc38-ac4b808b83ae ____________________________ FMAT: NA Verified: Yes Name: JOHN Email: NA Phone: NA Concern: WANT TO PAY THE THE TN1 // WILL BE CLOSING THE ACCOUNT// WILL PAY ONLINE// WILL CALL BACK • LPN: IQCD70 • Resolution: REFFERED ONLINE// ASK FOR VERIFICATION CODE OF THE PAYMENT BEFORE CLOSING THE ACCOUNT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a03047dc-2f47-47a9-88bd-f818a6b98165 ____________________________ FMAT: YES Verified: Yes Name: MOHHAMED Email: ZAIBIKTK@GMAIL.COM Phone: 571-274-1605 Concern: CLAIMING TO HAVE 3 PEOPLE INSIDE THE VEHICLE// ASK FOR FTF// PAY TN1 • LPN: TNK7179 • Resolution: ADV CX IT'S ALRDY BEEN PASS THE 120 DAYS SO WE CANNOT DISPUTE IT// FTF ALRDY GRANTED// PAYMENT TAKEN • Amount Paid: $98.70 Payment Code: 3BMXNQ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1429ba93-211d-4a46-bd09-c37df852d8ec ____________________________ FMAT: NA Verified: Yes Name: Esther Catalina Frontanilla Email: NA Phone: NA Concern: WNT TO PAY TN1 • LPN: URW8423 • Resolution: PAYMENT TAKEN • Amount Paid: $13.80 Payment Code: H9N9KH Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e3c7cdfe-61c2-4012-9c46-03ed8fbcadb4 ____________________________ *IMAGE ERROR* FMAT: NO Verified: Yes Name: CAIT Email: NA Phone: 540-631-5927 Concern: NOT LPN • LPN: 65DV81 • Resolution: WRITE OFF THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c9d44b06-60c8-42a5-8406-50ebc0896441 ____________________________ FMAT: NO Verified: Yes Name: Christine Annezra Asadourian Email: breathejoy@yahoo.com Phone: 703-861-8454 Concern: WANT TO PAY TN1// WNT TO KNW IF THERE'S OTHER PENDING VIOLATION// • LPN: THZ6202 • Resolution: PAYMENT TAKEN// EXPLN TO CX THAT THERE'S ONLY 1 VIOLATION • Amount Paid: $4.00 Payment Code: ON4IQ5 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0bb6b6fc-0e21-476c-a077-767be887513e ____________________________ FMAT: YES Verified: Yes Name: Sunil Kumar Daftuar Email: SUNILDAFTUAR@GMAIL.COM Phone: 980-333-1058 Concern: ASK FOR FTF// WNT TO PAY TN1 • LPN: 9819MX • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $2.40 Payment Code: 33HIYW Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi d7e2faa5-5f51-4bd5-986f-5ed93a9240f5 ____________________________ FMAT: NA Verified: Yes Name: Alonzo Nimmons Email: NA Phone: 917-771-5146 Concern: CHANGE EZPASS BCS IT'S OUT DATED// EZPASS ALRDY PAID FOR THE PENDING FEES// • LPN: 1274LX • Resolution: ASKED FOR EZPASS STATEMENT THAT IS STATING THAT CX EZPASS IS CHANGE TO A NEW TRPR BCUS TO BE SENT TO THE EMAIL AND FOR EZPASS STATEMENT THT EZPASS PAID THE PENDING TRIPS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7a00e7e3-2f0d-45cb-a2cb-0abb80154b9b ____________________________ FMAT: NA Verified: Yes Name: NELSON ZACK TURNER Email: NA Phone: NA Concern: WANT TO ISSUE A NEW EZPASS BCUS THE OTHER ONE IS OUTDATED// ASK FOR FTF// • LPN: 6GD5562 • Resolution: FTF PROVIDED// REFERED TO EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $10.00 FTF Code (above $200): NA Signature Name: Galasi 53be1d57-7508-46dd-9717-e7e410292f15 ____________________________ FMAT: NA Verified: Yes Name: Marion Charles Cohen Email: NA Phone: NA Concern: NEW TRPR WAS SENT TO HIM// HAVE EZPASS AUTO REPLENISH// CLAIMING 3 PEOPLE IN SOME TRIPS// WILL LOOK UP FOR THE DATE OF THE HOV FOR DISPUTE// • LPN: DV62267 • Resolution: ASK FOR EZPASS STATEMENT// WILL BE DISPUTING BUT CX CAN'T REMEMBER THE TRIP SO CX WILL CALL BACK// CX WILL BE SENDING EMAIL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 33ece945-0c3e-4e61-b38d-33bacc8e4afa ____________________________ FMAT: YES Verified: Yes Name: Scarlette Lohan Avendano Cano Email: AUXELEIDORA2419@GMAIL.COM Phone: 571-320-6948 Concern: WANT TO PAY TN1// • LPN: 4EX9206 • Resolution: PAYMENT TAKEN// • Amount Paid: $1.90 Payment Code: VDE1MY Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ac0d072a-bf50-4321-ab30-6315144ceb3e ____________________________ FMAT: YES Verified: Yes Name: Abla G Thevenin Email: ablarideout@icloud.com Phone: 508-981-4994 Concern: WANT TO PAY ALL THE VIOLATION • LPN: TH3VNN • Resolution: PAYMENT TAKEN • Amount Paid: $902.70 Payment Code: YWDV1N Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e3c7f996-ff70-489f-8673-08e7788515bc ____________________________ 💗Records💗 11/19-20/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NO Verified: Yes Name: anthonyo Email: Phone: Concern: WANT TO PAY TEMP ACC VIOLATION// • LPN: 45029V • Resolution: PAYMENT TAKEN • Amount Paid: $53.95 Payment Code: UGP5MC Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a1f381c2-0924-4cae-bfd9-03fcdbe5d4dd ____________________________ FMAT: NA Verified: Yes Name: PATRICIA Email: NA Phone: NA Concern: WNT TO KN THE TRIP DATE • LPN: 2BR5708 • Resolution: TRIP DATE DISCUSED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 513ea79d-fd95-405c-9999-f13ccbf1f68a ____________________________ FMAT: NA Verified: Yes Name: Jonghwan Kim Email: JANIKIM5763@GMAIL.COM Phone: 224-723-2883 Concern: WNT TO KNW THE UPDATE ABT THE TRIPS BCUS CX SOLD THE CAR// • LPN: 150CYS • Resolution: ADV CX THE REPLY WOULD BE SENT TO HIM TODAY OR TOMORROW FOR THE NEXT STEP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7a03f5ee-140f-40d1-93c7-3f2004ad9776 ____________________________ FMAT: NA Verified: Yes Name: Angela Helane Kaseyhenry Email: NA Phone: 571-265-9988 Concern: CLAIMING 3 PEOPLE// DON'T HAVE ANY EZPASS// DISPUTING THE TRIP// WNT CALL SUP • LPN: LUCHIE • Resolution: EDUC ABT THE CAMERA IN EXPRSSLNS// EDUC ABT TOLLING ZONES// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi fb852a09-3b09-40bd-8e49-65673bbd302e ____________________________ FMAT: NO Verified: Yes Name: Kallol Chaudhuri Email: calgas@hotmail.com Phone: 806-778-5486 Concern: WANT TO DISPUTE THE TRIP// PAY TN1 • LPN: LMV7991 • Resolution: PAYMENT TAKEN// ADV CX THAT WE CANNOT DISPUTE THE VALID TOLL FEE • Amount Paid: $37.05 Payment Code: 3CUD97 Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi da99f2e9-3db2-48a4-afc7-2da1d2d37cb4 ____________________________ FMAT: YES Verified: Yes Name: VHALLERIE REY Email: tommyrey@yahoo.com Phone: 240-462-8727 Concern: HAVE EZPASS// ASK FOR FTF// CAN'T PAY IN WEBSITE// WANT TO PAY TN1 • LPN: 9FC0414 • Resolution: FTF GRANTED// PAYMENT TAKEN// • Amount Paid: $9.85 Payment Code: NVFRWJ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a03c937a-db98-4255-8d53-43e62276c53a ____________________________ FMAT: NA Verified: Yes Name: SOHAIL Email: NA Phone: 301-686-4947 Concern: HAVE EZPASS// WILL BE SENDING EZPASS STATEMENT ABT THE TRPR STATUS • LPN: CR18859 • Resolution: REFFER TO EZPASS// ADV CX TO SEND EZPASS STATEMENT// WILL BE PASSING THE TRIP TO THE EZPASS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8a16e6a2-1471-4650-988c-217ef0b4f097 ____________________________ FMAT: NO Verified: Yes Name: Ossie L Moorehead Email: THOMASENE1@AOL.COM Phone: 585-576-5904 Concern: WNT TO PAY TN1 • LPN: KAC1523 • Resolution: PAYMENT TAKEN • Amount Paid: $13.95 Payment Code: HVOPRZ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi eb97234b-3fa9-406d-a46e-a65b7cceff67 ____________________________ FMAT: NA Verified: Yes Name: Edward Michael Steere Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR TN1// HAVE EZPASS// WILL PAY ONLINE • LPN: MD 9EY2947 • Resolution: EXPLN TO CX THT THE EZPASS IS IN LOW BLNC// REFFER TO WEBSITE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 48946d53-e22c-4c1c-b4bd-748550ccbce6 ____________________________ FMAT: Verified: Yes Name: JOHN Email: Phone: Concern: • LPN: JLB1 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 4397c461-30de-4f10-8717-69c54a6491f2 ____________________________ FMAT: NA Verified: Yes Name: JERIOE Email: jerinecoley@gmail.com Phone: NA Concern: WANT TO PAY TN1// TALKED TO ANOTHER AGENT AND WAIVED THE ADMIN FEE • LPN: VA UWM5119 • Resolution: PAYMENT TAKEN • Amount Paid: $2.60 Payment Code: P4BVNG Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2be03c22-a235-4079-928c-55e4e272e9a6 ____________________________ FMAT: NA Verified: Yes Name: Rosalind Yvonne James Email: NA Phone: NA Concern: WNT TO DISPUTE BCUS CX HAVE TRPR OF NC QUICKPASS • LPN: XL58DV • Resolution: EDUC CX THAT EXPRRSLNS ONLY ACCEPT EZPASS TRPR • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 77287745-ff27-4f61-9a2d-9e62ac06c7b5 ____________________________ FMAT: NA Verified: Yes Name: Irina Bastonova Email: NA Phone: NA Concern: SUNPASS TRPR// WILL PAY ONLINE// ASK WHERE THE TRIP HAPPENED • LPN: FL 99BUMQ • Resolution: EDUC CX WE ONLY ACCEPT EZPASS TRPR// ADV CX THE TRIP DETAILS IS IN THE BACK OF THE INVC// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): A Signature Name: Galasi 67e1b3d5-50f5-4c63-9789-7058465f43e4 ____________________________ FMAT: YES Verified: Yes Name: WILLIAM Email: STIMULATOR6@YAHOO.COM Phone: 717-919-5223 Concern:ASK FOR FTF// WNT TO PAY TN1 • LPN: PA GR8WYT • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $0.95 Payment Code: DZJJDS Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi fd2ba5c0-50f4-46f0-9389-b9c7e53fedb8 ____________________________ FMAT: NA Verified: Yes Name: CHRISTINA Email: NA Phone: NA Concern: UPDT ABT THE AFFI • LPN: PBY9797 • Resolution: UPDT THT IT WILL TAKE 3-5 BUSINESS DAYS FOR THE UPDT// WILL KEEP IN TOUCH • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 42155004-a5fd-423c-b412-45951dce4818 ____________________________ FMAT: NA Verified: Yes Name: Barbara J Shirlaw Email: NA Phone: 484-935-7019 Concern: PAID THE TN1 THROUGH CHECK// WNT TO HAVE AN UPDATE ABOUT THE PAYMEN • LPN: FL 7101US • Resolution: ADV CX IT WOULD TAKE 3-5 BUSINESS DAYS ABOUT THE PAYMENT THROUGH CHECK AND WOULD GIVE UPDATE IF CX CALL BACK • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 59b64a87-d819-4603-bdd0-4a4c1a8793c4 ____________________________ FMAT: YES Verified: Yes Name: GERALD ZIKOW Email: GJZIKO@YAHOO.COM Phone: 727-347-3638 Concern: DON'T WANT TO PAY TN1// CAN'T GO BACK TO THE PUBLIC ROAD// PAYED THE TN1 AND READY FOR INVC// • LPN: FL RDZR04 • Resolution: FTF THE ADMIN FEE// EXPLND THT THE TOLL FEE IS VALID EVEN THO THEY DON'T HAVE THE CHOICE GO TO THE PUBLIC LANE// PAYMENT TAKEN • Amount Paid: $34.40 Payment Code: CTQDVS Amount Reduced (if any): $6.50 FTF Code (above $200): NA Signature Name: Galasi efecf356-cc7f-430e-a649-dd4e1ba2449b ____________________________ FMAT: YES Verified: Yes Name: Mirazim Safaie Email: AZIMSAFAIE@GMAIL.COM Phone: 301-704-8222 Concern: HAVE EZPASS// ASK FOR FTF FOR EACH ACC// WNT TO PAY TN1 • LPN: MD 3DK9625, 2CD3995, 1BT4398 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $1.60, $1.10, $1.10 Payment Code: X33BWX, PF6JUR, 6KEOUS Amount Reduced (if any): $5.00 EACH LPN FTF Code (above $200): NA Signature Name: Galasi 028c20f3-dfc5-42c7-95ba-60cabb7be147 ____________________________ FMAT: YES Verified: Yes Name: KEITH BARNES Email: KBREI50@YAHOO.COM Phone: 240-877-5240 Concern: WANT TO PAY TN1// • LPN: MD 7DY6561, 3DG9098 • Resolution: PAYMENT TAKEN// • Amount Paid: $27.80 Payment Code: X1YKGS Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7db3c5d3-0f81-4554-8196-9c80b60d9195 ____________________________ FMAT: NO Verified: Yes Name: ALEXANDER Email: dakbrokehisanckle@icloud.com Phone: 484-761-4622 Concern: ASK FOR FTF// WNT TO PAY TN1// • LPN: JGE4693 • Resolution: PAYMENT TAKETN// FTF GRANTED • Amount Paid: $28.75 Payment Code: CKSZDP Amount Reduced (if any): $30.00 FTF Code (above $200): NA Signature Name: Galasi bb72b787-158c-4460-8b0e-7dabc3fbe567 ____________________________ FMAT: YES Verified: Yes Name: Ian Colledge Email: COLLEGE.IAN@GMAIL.COM Phone: 330-607-9042 Concern: ASK FOR FTF// WNT TO PAY TN1 • LPN: HVN2628 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $29.10 Payment Code: 1TUCZE Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 9de55bab-d355-4f94-92fa-a1ff472b72f6 ____________________________ FMAT: NA Verified: Yes Name: Rashida Asha West Email: NA Phone: NA Concern: WNT A PAYMENT PLAN • LPN: TMN8576 • Resolution: ADV CX WE DON'T HAVE PAYMENT PLAN// ADV CX TO PAY WHAT IS WITHIN THEIR BUDGET • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7c06bee0-e8ba-4f71-977e-e78bf15f1ff4 ____________________________ FMAT: YES Verified: Yes Name: TERRI WADE Email: twade123@horizon.net Phone: 240-838-0449 Concern: WNT TO PAY ONLINE// WNT TO PAY TN1 • LPN: MD 1FG1009 • Resolution: ADV CX THE WEBSITE IS ONGOING UPDATE// PAYMENT TAKEN • Amount Paid: $174.95 Payment Code: QSVCQM Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1695948d-e5b1-40c4-b902-ba5a31da1f8c ____________________________ FMAT: NO Verified: Yes Name: BOB Email: CDALE_1000@HOTMAIL.COM Phone: 301-250-8923 Concern: WNT TO KNW THE REASON FOR THE INV// WNT TO PAY TN1// ASK FOR OTHER VIOLATIONS// • LPN: MD 9BE3052 • Resolution: EDUC CX THE TRPR IS INVALID// PAYMENT TAKEN// ADV CX THERE'S NO OTHER VIOLATION AS OF THE MOMENT// • Amount Paid: $11.25 Payment Code: GCYWUZ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7257db35-cee9-4cd2-9bc7-8a8d24260a9f ____________________________ FMAT: YES Verified: Yes Name: Michael Harrison Email: MHONDACRX7@MSN.COM Phone: 301-508-9558 Concern: HAVE EZPASS// ASK FOR FTF// WANT TO PAY TN1 • LPN: MD 4AD8008 • Resolution: ADV ABT EZPASS MOUNTING// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $1.05 Payment Code: GE5NNV Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi b7b26329-59c2-409e-8fd7-c505aa2ace57 ____________________________ FMAT: YES Verified: Yes Name: Vicki Jane Boyd-jones Email: VBJONES@HORIZON.NET Phone: 301-350-4883 Concern: WNT TO PAY TN1 • LPN: MD 5ES5869 • Resolution: PAYMENT TAKEN • Amount Paid: $28.05 Payment Code: PBAPD8 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 83b7f5b1-4fb8-4203-af73-c212f7c25c2c ____________________________ FMAT: NO Verified: Yes Name: Lawrence Smith Email: sireatalot50@aol.com Phone: 240-460-6933 Concern: ASK FOR FTF// PAY TN1 • LPN: 3FSH64 • Resolution: PAYMENT TAKEN// FTF GRANTED • Amount Paid: $9.80 Payment Code: VU2C9K Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c7279f89-5fe5-46ab-809b-1eb1a5eeed04 ____________________________ FMAT: NO Verified: Yes Name: Kara Brennan Miller Email: kbmiller@kbmgconsulting.com Phone: 443-562-3557 Concern: ASK FOR FTF// ASK THE TRIP DETAILS// HAVE EZPASS// PAY TN1 • LPN: 78348CJ • Resolution: FTF GRANTED// DISCUSSED TRIP DETAIL// PAYMENT TAKEN • Amount Paid: $42.35 Payment Code: TTJPJY Amount Reduced (if any): $15.00 FTF Code (above $200): NA Signature Name: Galasi c09e3166-f958-46e3-adfa-1e3b6243e1ff ____________________________ FMAT: YES Verified: Yes Name: Seshagiri Rao Kotichintala Email: seshagirik545@gmail.com Phone: 919-337-6444 Concern: ASK FOR FTF// PAY TN1 • LPN: NC LBZ3041 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $32.35 Payment Code: NBKHKH Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi c0f0aba7-b642-4d34-8b98-2f7be8b23c49 ____________________________ 💗Records💗 11/20-21/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NA Verified: Yes Name: TOM Email: NA Phone: NA Concern: ASK FOR FTF// WILL PAY TN1 ONLINE// • LPN: MD 2FC6706 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f54968cd-d07f-44fa-80b9-5b5cf3c24ea7 ____________________________ FMAT: Verified: Yes Name: ANDREA Email: Phone: Concern: WNT TO LOWER THE TOLL FEE// • LPN: JXM3831 • Resolution: EDUC CX ABT TOLLING ZONES// • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 5b6bcaf6-96f4-4e62-893e-b983ea6aa4cd ____________________________ FMAT: NA Verified: Yes Name: DAVID Email: NA Phone: NA Concern: WNT TO KNW IF THERE'S A VIOLATION// TRAVELLED 11/18/24 • LPN: TSJ6304 • Resolution: EDUC CX THT THERE'S NO VIOLATION// ASK FOR CALL BACK IF CX RCV AND INV • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ae1d2cbe-e5b5-4f4d-bb8a-524c6f8e4a3a ____________________________ FMAT: YES Verified: Yes Name: CHRISTOPHER BECKER Email: cwbecker27@gmail.com Phone: 484-459-9765 Concern: ASK FOR FTF// ASK FOR THE REASON WHY THE TOLL DIDN'T WENT THTOUGH THE EZPASS// PAY TN1 • LPN: NY HFK5801 • Resolution: FTF GRANTED// EDUC CX THT THE TRPR IS IN ZERO BALANCE DURING THE TRIP// PAYMENT TAKEN • Amount Paid: $18.95 Payment Code: GAMGNQ Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 6fde85b4-128b-482f-9cc5-ae4944e58670 ____________________________ FMAT: NO Verified: Yes Name: MOHAMMAD ATIQ Email: atiqhelai311@gmail.com Phone: 571-406-8396 Concern: WNT TO PAY TN1 AND TN2 • LPN: UYE-3964 • Resolution: PAYMENT TAKEN • Amount Paid: $286.55, $181.70 Payment Code: FGTCHC, 3W8NXX Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 49d51a06-34c5-456e-bd31-b5fdf6bb87f5 ____________________________ FMAT: NA Verified: Yes Name: Leticia Opoku Email: NA Phone: NA Concern: ASK FOR THE REASON OF TN1// ASK FOR THE REASON OF THE LATE INVOICE// WILL CALL BACK • LPN: TJR8455 • Resolution: EDUC CX ABT THE TRPR BEING IMPRPR MOUNTED// EDUC ABT SYSTM UPDT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f544ab47-73f9-43a5-9d1c-c68ecdd13cba ____________________________ FMAT: NA Verified: Yes Name: Manuel Peguero Email: manpeguero4@gmail.com Phone: 401-837-2076 Concern: WNT TO KNW IF THE TN1 IS ALRDY PAID// PAID ONLINE • LPN: CXW6715 • Resolution: EDUC CX THT THE TN1 IS ALRDY BEEN PAID • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 641f6f29-e501-4980-9f27-742435130729 ____________________________ FMAT: NA Verified: Yes Name: CHRISTOPHER Email: NA Phone: NA Concern: ALRDY PAID FOR THE TRIPS// DEFECTIVE TRPR// CX DROP THE CALL • LPN: SNU863 • Resolution: ASK FOR EZPASS STATMENT// ASK FOR BANK STATEMNT// EDUC CX ABT THE TRIP DETAILS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 791c508e-1e99-404e-b771-c7c7f640ca52 ____________________________ FMAT: YES Verified: Yes Name: Cynthia Lucille Smith Rush Email: ALRDY IN THE ACC Phone: 240-899-4629 Concern: WNT TO PAY ONLINE BUT THE WEBSITE IS DOWN// PAY TN1 • LPN: MD 8FD0464 • Resolution: PAYMENT TAKEN • Amount Paid: $20.30 Payment Code: G7Z6WC Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 27f08539-d3cc-40ee-b2dd-fd912ef1a4b3 ____________________________ FMAT: NA Verified: Yes Name: Abdolreza Ossareh Email: NA Phone: NA Concern: WNT TO KNW IF THERE'S ANY VIOLATIONS • LPN: MD 8GH6705 • Resolution: EDUC CX IT'S ALRDY BEEN PAID// AND THERE'S NO PENDING BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cbbb3706-4191-4841-bc87-964bada271ea ____________________________ FMAT: NO Verified: Yes Name: Ines Villar Arteaga Email: LNA_USA@HOTMAIL.COM Phone: 571-236-5959 Concern: ASK FOR FTF// PAY TN1 • LPN: UAM1442 • Resolution: FTF GRANTED// PAYMENT TAKEN// • Amount Paid: $68.00 Payment Code: 2W6UYB Amount Reduced (if any): $57.00 FTF Code (above $200): NA Signature Name: Galasi 18f1d1f1-4d23-4446-b45e-0735b041be19 ____________________________ FMAT: NA Verified: Yes Name: GEORGE Email: GRUSS12106@AOL.COM Phone: NA Concern: WILL BE SENDING EMAIL ABT THE NC QUICKPASS STATEMENT THAT CX QUICKPASS IS CHARGE FOR THE TOLL FEE • LPN: NC FLZ7026 • Resolution: SEND NC QUICKPASS STATEMENT FOR THE TOLL FEE THAT CX PAID • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ebdc82cd-9407-4e5e-b191-f5a30804a32e ____________________________ FMAT: NA Verified: Yes Name: Scott Darren Barbosa Email: barbosascott@icloud.com Phone: 804-629-1180 Concern: WILL BE SENDING AFFIDAVIT// WILL BE PAYING THE TN1 AFTER SENDING THE AFFIDAVIT// WILL BUY EZPASS // CX SON USE EXPRESS LANES WITHOUT HIM KNOWING// HID THE INVOICES • LPN: VA TLF1634 • Resolution: ADV CX TO SEND AFFIDAVIT TO EMAIL customercare@expresslanes.com// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 047bb03e-d7a2-4cdf-bf3d-98f3318330e8 ____________________________ FMAT: NA Verified: Yes Name: JOHN FOUNTAINE Email: ALRDY IN THE ACC Phone: NA Concern: WNT TO KNW IF CX HAVE VIOLATION// WILL PAY IF CX RCV THE INVC • LPN: 4MRJ • Resolution: FOUND 2 TRIPS// DISSCUSED THE TRIP DETAILS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi af117b8a-2e67-4080-9e12-197dd34d0ab0 ____________________________ FMAT: YES Verified: Yes Name: CONNIE Email: REEDCONNIE@YAHOO.COM Phone: 757-660-1785 Concern: WNT TO KNW THE REASON THE TN1// PAY TN1 • LPN: MD DV32436 • Resolution: EDUC CX ABT PROPER MOUNTING// PAYMENT TAKEN • Amount Paid: $7.25 Payment Code: J84P7U Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 4593685d-63fc-47f6-bf09-b3a7c4523007 ____________________________ FMAT: YES Verified: Yes Name: Daniel Piyasa Hirpha Email: DANIELPIYASA7@GMAIL.COM Phone: 301-664-0099 Concern: WNT TO PAY TN1 • LPN: MD 08007CM • Resolution: PAYMENT TAKEN • Amount Paid: $14.20 Payment Code: YBXTA4 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 24efb06e-0420-4b37-9a4b-827d151011b9 ____________________________ FMAT: NA Verified: Yes Name: KELLY Email: ALRDY IN THE ACC Phone: 703-388-6245 Concern: ASK FOR FTF// ASK FOR TRIP DETAIL// WILL PAY THROUGH CHECK// • LPN: WUP3411 • Resolution: FTF GRANTED// ADV CX THT IT WOULD TAKE 3-5 BUSINESS DAYS OR LESS FOR THE TRIP DETAILS TO BE SENT TO THEIR EMAIL// GUIDED CX TO THE WEBSITE FOR THE MAIL ADDRESS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $1.50 FTF Code (above $200): NA Signature Name: Galasi 9fb8c015-67a2-4f93-a362-e95f68a9e92a ____________________________ FMAT: NO Verified: Yes Name: WILLIAM Email: GARLANDGAY@GMAIL.COM Phone: 540-798-9275 Concern: WNT TO PAY TN1 • LPN: OBX7330C • Resolution: PAYMENT TAKEN • Amount Paid: $24.05 Payment Code: HMPR83 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 53c9c13b-aeff-4c6c-8a9d-970621db2715 ____________________________ FMAT: YES Verified: Yes Name: Samuel Abebe Bruke Email: bruke92@gmail.com Phone: 703-203-9981 Concern: WNT TO PAY TN1// WNT TO HAVE EZPASS • LPN: VA TRF7027 • Resolution: PAYMENT TAKEN// REFER TO EZPASS • Amount Paid: $44.55 Payment Code: AZL8PC Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7a68e27c-38e4-4a19-bf8e-fce3b61e2ff4 ____________________________ FMAT: NO Verified: Yes Name: Jacob Judah Burstyn Email: RABBIBURSTYN@CHEDERMIAMI.COM Phone: 312-402-3659 Concern: ASK FOR FTF// PAY TN1 • LPN: FL RHTE08 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $1.25 Payment Code: ZDVDKA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 665ce091-d935-4137-876f-ca92f74b5cc2 ____________________________ FMAT: NO Verified: Yes Name: EIMAN BASSAM Email: EIMAN.BASSAM@GMAIL.COM Phone: 571-238-7582 Concern: ASK FOR FTF// PAY FOR TN1// HAVE EZPASS • LPN: VA TNM7265 • Resolution: EDUC CX ABT THE REMAINING VIOLATION OTHER THAN THE INV THAT CX RCVD// EDUC CX ABT THE TRPR DIDN'T READ DURING THE TRIP// PAYMENT TAKEN • Amount Paid: $13.50 Payment Code: SINH1A Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 043c3fca-7be3-4e69-a0a5-295d19732996 ____________________________ FMAT: NO Verified: Yes Name: Abrham Mamo Yitaferu Email: ABRHAMYITAFERU@GMAIL.COM Phone: 301-222-7472 Concern: WNT TO PAY TN1// ASK FOR FTF// • LPN: 4DC7914 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $1.25 Payment Code: 452ZO6 Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 3c527d9e-92d5-4eb2-bb9a-a934a2875966 ____________________________ FMAT: YES Verified: Yes Name: Jacqueline Denise Welch Email: ALRDY IN THE ACC// jdwelch15@yahoo.com Phone: 703-731-0439 Concern: WNT TO PAY TN1// DON'T KNW CX LPN FOR THE MISSED CALL// ASK FOR FTF// SEND TRIP DETAILS IN EMAIL// NEW TRPR EZPASS • LPN: VST7478 • Resolution: PULLED UP ACC THAT HAVE CX PHONE NUMBER// PAYMENT TAKEN// FTF GRANTED// ADV CX THAT THEY HAVE 4 OUSTANDING TRIPS • Amount Paid: $24.70 Payment Code: R88WY2 Amount Reduced (if any): $80.00 FTF Code (above $200): NA Signature Name: Galasi 4f58bc86-13d4-44e8-bea4-3c9e793f541c ____________________________ FMAT: NA Verified: Yes Name: Lorraine Debona Marshall Email: NA Phone: NA Concern: ASK IF HAVE ANY VIOLATION// WILL PAY THROUGH CHECK • LPN: LCE6846 • Resolution: FOUND 1 TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 89b1fe83-7742-4d9e-835a-a947149fc19a ____________________________ FMAT: NA Verified: Yes Name: Katie Booze Besche Email: NA Phone: NA Concern: ASK FTF// WILL PAY ONLINE// HAVE EZPASS// ASK FOR THE REASON OF THE TN1 • LPN: 5BM6662 • Resolution: FTF GRANTED// EXPLAINED TO CX ABOUT THE TRPR BEING IN ZERO BALANCE DURING THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $15.00 FTF Code (above $200): NA Signature Name: Galasi 3c778bd7-e1bb-4803-9343-9af8c0c0e164 ____________________________ FMAT: NA Verified: Yes Name: Lajuan Wright Moore Email: NA Phone: NA Concern: NEW EZPASS// • LPN: A343872 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): NA Signature Name: Galasi ef8d9b24-c504-4f37-bf6d-3537f149f371 ____________________________ FMAT: YES Verified: Yes Name: LISA PITCHER Email: PITCHERTHAT@YAHOO.COM Phone: 240-535-0192 Concern: WANT TO PAY TN1// ASK ABT THE REASON FOR THE INV// ASK WHY FOR THE LATE INV// ASK FOR FTF IN THIS ACC 2BPB32// • LPN: MD 7AH8480, 2BPB32 • Resolution: PAYMENT TAKEN// ADV CX THAT THE TRPR IS IN LOW BALANCE DURING THE TRIP// EDUC ABT THE SYSTM UPDAT// EDUC ABT ADMIN FEE// 2BPB32 FTF IN THIS ACC// • Amount Paid: $24.50, $70.00 Payment Code: QH9J1V, NPVCU9 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 67451274-5cb0-4cf9-869d-75784120755f ____________________________ FMAT: NA Verified: Yes Name: CHRIS Email: NA Phone: NA Concern: OLD LPN// NOT THE OWNER OF THE VEHICLE// • LPN: CLU053 • Resolution: ADV TO CONTACT DMV// ADV TO SEND AFFIDAVIT FORM • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 15df24de-d2a7-43b8-8a3e-b088fa488a1b ____________________________ FMAT: NA Verified: Yes Name: ALAN CARPENTER Email: NA Phone: NA Concern: ASK FOR FTF • LPN: BPV2340 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d54a80e3-2a86-4abf-88af-c021340fa29f ____________________________ 💗Records💗 11/21-22/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: YES Verified: Yes Name: Sergio Amadeo Gandin Email: micaelagandin91@gmail.com Phone: 202-905-3014 Concern: HAVE EZPASS// EZZPASS IS BEING CHARGED// HAVE ENOUGH MONEY IN EZPASS ACC// WNT THE REASON FOR THE TN1// ASK FOR FTF// PAY TN1// WILL CALL BACK FOR THE OTHER TN1 • LPN: VA UPW1886 • Resolution: GRANTED FTF// EXPLN TO CX ABT THE REASON FOR THE TN1// ADV CX TO SEND EZPASS STATEMENT// ADV CX TO CALL EZPASS// OFFER FMAT// PAYMENT TAKEN • Amount Paid: $203.75 Payment Code: N5QH7V Amount Reduced (if any): $330.00 FTF Code (above $200): DD112124001 Signature Name: Galasi 51fc4068-42f9-41a0-8a54-85e286afc26a ____________________________ FMAT: YES Verified: Yes Name: Zephenia Jencina Casimiro-noel Email: misszee32@gmail.com Phone: 202-436-2495 Concern: WNT TO KNW THE REASON FOR THE TN1// ASK FOR FTF// HAVE EZPASS// • LPN: MD 5FM7489 • Resolution: FTF GRANTED// EDUC CX ABT THE SYSTEM UPDT// EDUC CX ABT THE EZPASS BEING ZERO BALANCE// • Amount Paid: $70.60 Payment Code: 2DHLQ9 Amount Reduced (if any): $67.50 FTF Code (above $200): NA Signature Name: Galasi 620caefa-cb3a-4a1c-b2ba-f8a57f369356 ____________________________ FMAT: YES Verified: Yes Name: Rayford Vernon Pryor Miller Iv Email: ray.vern107@gmail.com Phone: 214-681-3505 Concern: WNT TO KNW THE TRIP DETAILS// WNT TO PAY TN1 • LPN: VA UGU9944 • Resolution: EXPLN THE TRIP DETAILS// EDUC SYSTM UPDT// EDUC ADMIN FEE// PAYMENT TAKEN// • Amount Paid: $218.60 Payment Code: FICP5R Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f8afc4a5-26e2-4dd0-b224-c23032a0a310 ____________________________ FMAT: NA Verified: Yes Name: LESLIE Email: NA Phone: NA Concern: NJ EZPASS// WANT TO DISPUTE THE TRIP// CAN'T FIND ANY ACC// • LPN: NJ 1ET3288MD • Resolution: REFER TO EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 9c71a8ed-a31f-45ad-8f8a-f8279ac80485 ____________________________ FMAT: NO Verified: Yes Name: Marjorie Lou Creighton Email: margie.creighton@gmail.com Phone: 571-490-6343 Concern: PAYMENT WAS NOT TAKEN WHEN MAKING THE PAYMENT// WANT TO PAY TN1// WNT • LPN: PC271321 • Resolution: PAYMENT TAKEN// REFER TO EZPASS • Amount Paid: $2.00 Payment Code: VKMLYJ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6300a7a5-556a-4a28-a408-e2ebaab8fe77 ____________________________ FMAT: YES Verified: Yes Name: Donna Marie Parker Email: donnamparker1@yahoo.com Phone: 352-275-6435 Concern: WNT TO KNW IF THE TN1 IS ALRDY BEEN PAIN// WNT TO PAY TN1// WNT THE TRIP DETAILS TO BE SENT TO CX EMAIL • LPN: FL NNME16 • Resolution: ADV CX THT THE TN1 IS STILL NOT OPAID// PAYMENT TAKEN// ADV IT WOULD TAKE 3 TO 5 BUSINESS DAYS BEFORE THE TRIP DETAILS TO BE SENT • Amount Paid: $488.45 Payment Code: 8KNEP4 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1e3473ba-4ccb-4573-8eb5-38151269e52e ____________________________ FMAT: NA Verified: Yes Name: KEVIN MORDI Email: adimabua.kevin@outlook.com Phone: 310-462-2341 Concern: HAVE MD EZPASS// PAY TN1// WILL CALL BACK FOR THE NEXT PAYMENT • LPN: MD 1EX1997 , 7EH1538 • Resolution: PAYMENT TAKEN • Amount Paid: $200.45, Payment Code: TZDSAY, Amount Reduced (if any): $35.80 FTF Code (above $200): NA Signature Name: Galasi e49ffb64-387c-478b-8935-216d7ef7a202 ____________________________ FMAT: Verified: Yes Name: SANGA ARYOUBI Email: Phone: Concern: RCVD AN INV// CLAIMING 3 PEOPLE// HAVE 3 MONTH OLD BABY IN THE BACKSEAT • LPN: VMS8479 • Resolution: DISPUTE THE TRIP • Amount Paid: NA TRPR 6501005938590 Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 882d5a3d-d1cc-48f4-acf0-024eff6dda93 ____________________________ FMAT: NA Verified: Yes Name: WENDY Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO KNW THE TN1 • LPN: FM1342 • Resolution: ADV CX THAT THE TN1 IS ALRDY PAID • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a25a7014-8946-4a62-8831-7c8f9c51be06 ____________________________ FMAT: NO Verified: Yes Name: TARA FLYNN Email: 6TARAF@GMAIL.COM Phone: 573-355-4917 Concern: WNT TO KNW THE TRIP DETAILS// WLL PAY TN1// LATE INV • LPN: MO TC4C6K • Resolution: FTF ADMIN FEE// PAYMENT TAKEN// EDUC CX SYSTM UPDT// EDUC CX ABT ADMIN FEE • Amount Paid: $3.50 Payment Code: FKRX2T Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: KEVIN MORDI Email: adimabua.kevin@outlook.com Phone: 310-462-2341 Concern: MAKE A PAYMENT • LPN: 1EX1997 • Resolution: PAYMENT TAKEN • Amount Paid: $57.45 Payment Code: SXUZLB Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0ec13650-e31c-4aaa-9865-a72a31679bd6 ____________________________ FMAT: NA Verified: Yes Name: MARIO Email: NA Phone: NA Concern: HAVE EZPASS// WNT TO TRANSFER THE TOLL TO EZPASS • LPN: VA TMY5859 • Resolution: REFER TO EZPASS// EDUC CX WE CANNOT SEND THE TOLL TO THE EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f7b88699-ac4e-40f4-8960-deb66f3bdc63 ____________________________ FMAT: NO Verified: Yes Name: LISA Email: ANNLISA54@AOL.COM Phone: 423-974-4496 Concern: WNT TO PAY TN1 • LPN: MD 6FR1795 • Resolution: PAYMENT TAKEN • Amount Paid: $14.65 Payment Code: M971BF Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c8c0938a-34f6-4520-b85e-6552d08405db ____________________________ FMAT: NO Verified: Yes Name: LISA WILLIAMS Email: QUEEN52LISA@GMAIL.COM Phone: 954-263-1911 Concern: WNT TO PAY TN1 • LPN: MD 6EV0243 • Resolution: PAYMENT TAKEN • Amount Paid: $21.45 Payment Code: WTEOUE Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 18b351e7-3332-4901-92c8-289ca04db441 ____________________________ FMAT: NA Verified: Yes Name: JOHNNIE WILLIAMS Email: laurynslamifch@gmail.com Phone: 610-417-1697 Concern: WNT TO KNW ABT THE TOLL AMOUNT • LPN: LRJ1891 • Resolution: EDUC CX THEY ENTER 3 TOLLING ZONES • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 31a6b516-62a7-429b-bf59-3eef109b2044 ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: MICHAEL Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO KNW IF THERE'S ANY VIOLATION • LPN: FL 20DRTY • Resolution: ADV CX THERE'S NO VIOLATION UNDER THE LPN CX PROVIDED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2fb9aab6-c50f-4845-b41b-6e68e20f70c6 ____________________________ FMAT: YES Verified: Yes Name: Leiser Orlando Gomez Lima Email: leisergomez84@outlook.com Phone: 571-327-9351 Concern: WNT TO KNW THE REASON FOR THE TN1// PAY TN1 • LPN: 2EL9193 • Resolution: EDUC CX ABT THR TRPR BEING IN ZERO BALANCE// PAYMENT TAKEN • Amount Paid: $28.95 Payment Code: JSUKXW Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b0bd9cc0-5886-402b-8635-e64e006cae9b ____________________________ FMAT: NA Verified: Yes Name: DAMIAN MALCOLM Email: NA Phone: NA Concern: WOULD LIKE TO KNOW THE REASON FOR THE TN1 • LPN: 2DK0865 • Resolution: EXPLN TO CX THT DURING THE TRIP CX TRPR HAVE ZERO BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $150.00 FTF Code (above $200): NA Signature Name: Galasi 53a84713-6d36-422b-9741-2f46d8f7d1d6 ____________________________ FMAT: NA Verified: YES Name: ERICK CASTRO Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE LATE INV// • LPN: NJ C61SJD • Resolution: EDUC CX ABT SYSTEM UPDATE// EDUC CX ABT THE TRPR BEING ZERO BLANC DURING THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f06a02de-2d29-41d8-81b2-206b1d1ad09c ____________________________ FMAT: NO Verified: Yes Name: JALINA Email: vick8707@gmail.com Phone: 864-497-0963 Concern: WNT TO KNW THE REASON FOR THE INV// WNT TO PAY TN1 • LPN: SC 7038RF • Resolution: EDUC CX ABT THE TRPR BEING NOT READ DURING THE TRIP// PAYMENT TAKEN// EXPLN TO CX TRIP DETAIL • Amount Paid: $24.50 Payment Code: FBB4FS Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c04872ee-3a59-4720-b387-52859205ff25 ____________________________ FMAT: NO Verified: Yes Name: Salamatu Turay Email: sallyturay11@gmail.com Phone: 571-603-9494 Concern: WNT TO PAY TN1// WNT TO KNW THE REASON FOR THE TN1 • LPN: TKU3676 • Resolution: PAYMENT TAKEN// EDUC CX DURING THE TRIP THE TRPR IS NOR READ DURING THE TRIP • Amount Paid: $105.10 Payment Code: JTLUFW Amount Reduced (if any): $42.50 FTF Code (above $200): NA Signature Name: Galasi 176cd39f-970d-469a-9a02-47a3aa826a42 ____________________________ FMAT: NO Verified: Yes Name: Hamlet Jose Garcia Email: massyzamu@gmail.com Phone: 702-742-0298 Concern: WNT TO KNW THE REASON FOR THE TN1// WNT TO PAY TN1 • LPN: 2DB2636 • Resolution: EXPLAIN TO CX THAT THE TRPR HAVE ZERO BALANCE DURING THE TRIPS// PAYMENT TAKEN • Amount Paid: $82.45 ACCOUNT: 6656917 Payment Code: XWKBP Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 66d6d9c3-4bf9-4baa-a00e-ead7c06a0995 ____________________________ 💗Records💗 11/22-23/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NA Verified: Yes Name: Email: NA Phone: NA Concern: WNT TO KNW IF CX HAVE VIOLATION • LPN: TX TWC5730 • Resolution: DON'T HAVE ANY VIOLATION • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 543823c3-5ac4-4fe3-83f1-ea49b5b2b05b ____________________________ FMAT: NA Verified: Yes Name: JIM Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR TN1// WNT TO KNW THE REASON FOR THE LATE INV// WILL CALL BACK • LPN: DM14R • Resolution: EDUC CX ABT THE TRPR WAS UNABLE TO READ DURING THE TRIP// EDUC CX ABT SYSTM UPDT// • Amount Paid: NA ACCOUNT: 6615924 Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3b075bfc-33f6-40e9-ae32-231c0252060d ____________________________ FMAT: NO Verified: Yes Name: LISA Email: lisaj76@live.com Phone: 724-825-6853 Concern: WNT TO PAY TN1 • LPN: PA ZTY3627 • Resolution: PAYMENT TAKEN • Amount Paid: $16.95 Payment Code: CZNEAD Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 4ba3a584-dad8-4800-a33f-00b6273bf1cd ____________________________ FMAT: NA Verified: Yes Name: ELEN Email: ELODELL58@GMAIL.COM Phone: ALREADY IN THE ACC Concern: WNT TO KNW THE EMAIL TO BE SENT OF THE TRIP DETAILS// SEND THE TRIP DETAILS TO CX PERSONAL EMAIL • LPN: 7EH2462, 4GH6928 • Resolution: REQUEST TRIP DETAILS AGAIN// ASK FOR DIFFERENT EMAIL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 54771bf5-58e2-428a-8798-059f1c1b5ba7 ____________________________ FMAT: NA Verified: Yes Name: Tianhui Wang Email: TANGWANG4587@GMAIL.COM Phone: 540-931-2195 Concern: WNT TO REMOVE THE TOLL FEE// WILL PAY THROUGH MAIL// ASK FOR FTF • LPN: TSW4135 • Resolution: EDUC CX ABT THE TRPR NOT BEING READ DURING THE TRPR// FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $10.00 FTF Code (above $200): NA Signature Name: Galasi ba6ea018-4938-424f-a970-106ee0ed2eef ____________________________ FMAT: NA Verified: Yes Name: WILLIAM Email: RENNERMO10@GMAIL.COM Phone: 443-416-3238 Concern: WNT TO PAY TN1 ONLINE BUT THE ONLINE WEBSITE IS NOT TAKING THEIR PAYMENT// • LPN: 33332CG • Resolution: ADV CX IT'S ALREADY BEEN PAID • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ed973df8-37b2-46f7-87bc-d053004ceb07 ____________________________ FMAT: NO Verified: Yes Name: EVAN Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1 • LPN: VRT1631 • Resolution: PAYMENT TAKEN • Amount Paid: $192.25 Payment Code: 2UVWZE Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 51ff3e0e-841b-451c-a4a2-13c00240ebb1 ____________________________ FMAT: YES Verified: Yes Name: JOSE (CITA DIAZ GONZALES) Email: elmercaravaca04@gmail.com Phone: 571-603-0892 Concern: WANT TO PAY TN1 • LPN: VA THR4311 • Resolution: PAYMENT TAKEN// FOUND 7 TRIPS// • Amount Paid: $23.10 Payment Code: VAFCBG Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0b687ec2-8c20-4f1b-ae9d-28d39049b803 ____________________________ FMAT: YES Verified: Yes Name: Latrece Nevonia Elsey Email: latrece.elsey@yahoo.com Phone: 443-415-0804 Concern: ASK FOR FTF// ASK WHY CX RCVD TN1// HAVE EZPASS// WNT TO PAY FOR THE 2 INV • LPN: 7DF4414 • Resolution: FTF GRANTED// EDUC CX ABT DURING THOSE TRIPS THE TRPR IS IN ZERO BALANCE// PAYMENT TAKEN • Amount Paid: $47.85 Payment Code: RV7Q7V Amount Reduced (if any): $147.50 FTF Code (above $200): NA Signature Name: Galasi 902e00b3-a52e-43ee-8397-2140769395a0 ____________________________ FMAT: YES Verified: Yes Name: JIAO CHEN Email: joefchen@gmail.com Phone: 252-469-2830 Concern: HAVE EZPASS// ASK FTF// WNT TO PAY TN1 • LPN: NC LAN4999 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $87.10 Payment Code: 3VTTG8 Amount Reduced (if any): $87.10 FTF Code (above $200): NA Signature Name: Galasi 2ca788cd-3a37-48cb-a10d-8b57722dd4ea ____________________________ FMAT: YES Verified: Yes Name: MOHAMMAD MODARRES Email: DMLIN10@GMAIL.COM Phone: 301-787-5899 Concern: HAVE EZPASS// ASK FOR FTF BCS THE PREVIOUS AGENT TOLD CX THT THEY WILL REMOVE THE ADMIN FEE FOR ALL THE TRIP// WILL PAY TO THE WEBSITE// PREVIOUS AGENT HOLD THE ACCOUNT// • LPN: MD 1FN3592 • Resolution: REMOVE THE ACCOUNT FROM HOLD// REMOVE THE ADMIN FEE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $335.00 FTF Code (above $200): MP090424096 Signature Name: Galasi 3845d624-c84a-4310-9ab1-17aea014fe98 ____________________________ FMAT: Verified: Yes Name: DIGNA Email: Phone: Concern: HAVE 3 PEOPLE INSIDE THE VECHILE • LPN: • Resolution: • Amount Paid: 6501005279728 Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 3f7969c0-7369-456f-a985-c0b24f7458aa ____________________________ FMAT: YES Verified: Yes Name: Nelson Enrique Urrutia Email: nelson.urrutia@ymail.com Phone: 202-549-4052 Concern: WENT TO PAY ONLINE BUT THE SYSTEM WON'T LET CX// WNT TO PAY TN1 • LPN: MD 6FD6896 • Resolution: PAYMENT TAKEN • Amount Paid: $7.90 Payment Code: BWPKBD Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b0979844-bb5e-4243-80c6-19b8223f45ae ____________________________ FMAT: YES Verified: Yes Name: Rene A Velasquez Hernandez Email: miguelito.6713@gmail.com Phone: 301-875-8196 Concern: WANT TO PAY TN1 • LPN: 3FF1329 • Resolution: PAYMENT TAKEN • Amount Paid: $7.40 Payment Code: EOC6UU Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6137d7b3-4220-47d9-9abb-6cf21251b85d ____________________________ FMAT: NA Verified: Yes Name: KAREN (John Aloysius Hogan) Email: karen@karentiede.com Phone: 919-395-5148 Concern: WNT FTF// HAVE EZPASS • LPN: KAP8995 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 0229ff7d-a898-408a-8a8e-ab9e52650835 ____________________________ FMAT: NO Verified: Yes Name: Santiago Alfredo Vaca Email: ALREADY IN THE ACC Phone: 571-230-0434 Concern: WNT TO PAY THE REMAINING BALANCE// • LPN: 6FA4086 • Resolution: PAYMENT TAKEN • Amount Paid: $528.70 Payment Code: P364DF Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 45b3481f-1b93-4fcc-aa2e-800c2606796d ____________________________ FMAT: NA Verified: Yes Name: KAMEL Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: PREVIOUS AGENT DIDN'T WRITE OFF THE VIOLATION// DIDN'T RECEIVE ANY CONFIRMATION ABOUT THE WRITE OFF// EMAIL THE WRITE OFF CONFIRMATION • LPN: TKF8048//6646717 • Resolution: APOLOGIZE FOR THE BEHALF OF THE AGENT// WRITE OFF THE VIOLATION// WILL EMAIL THE CONFIRMATION THAT THE VIOLATION IS ALREADY WRITE OFF • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 872707cb-2971-468f-9cb8-ff18cb88cf6e ____________________________ FMAT: NO Verified: Yes Name: SHANE Email: almidasahe@yahoo.com Phone: 202-294-5930 Concern: WNT TO PAY TN1 • LPN: MD 7FR7092, • Resolution: PAYMENT TAKEN// EDUC CX ABT THE TRIP// OFFER FMAT// ADV NON EZ PASS// • Amount Paid: $17.25 Payment Code: 7HVVYY Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f2ceaa28-8c0e-4eb0-b7c6-2e9aca8bc85a ____________________________ FMAT: YES Verified: Yes Name: KARLOS Email: saavedracarlos8@hotmail.com Phone: 703-981-4962 Concern: WNT TO PAY TN1 • LPN: VA TLG8996 • Resolution: PAYMENT TAKEN • Amount Paid: $17.25 Payment Code: T2GV8Q Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8a8e7867-0feb-4931-9e6f-61ee2676dc32 ____________________________ FMAT: NA Verified: Yes Name: Darlene Marcella Mcentire Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1// WNT TO KNW OTHER VIOLATION// WANT TO KNW HOW MUCH IS THE OVERALL TOLL AMOUNT// WILL CALL BACK • LPN: UBW9179 • Resolution: FOUND 104 TRIPS// 4 TRIPS IN COLLECTION// $790.80 OVERALL TOLL AMOUNT// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 24296ff3-34fe-418b-ae20-1743edab8145 ____________________________ 💗Records💗 11/25-26/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NO Verified: Yes Name: Jun Li Email: LIJUNZY@HOTMAIL.COM Phone: 410-949-4929 Concern: WANT TO PAY TN1 • LPN: MD KXJ933//6520668//700593659 • Resolution: PAYMENT TAKEN • Amount Paid: $6.30 Payment Code: 1T7GZX Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 28be50f6-cb99-4f31-ba3d-cb4fa1e750bb ____________________________ FMAT: NO Verified: Yes Name: JACKIE TATAKIS Email: JLTAT2012@GMAIL.COM Phone: 914-450-9078 Concern: WNT TO MAKE A PAYMENT • LPN: KSB8465 • Resolution: CARD DIDN'T WENT THROUGH • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5d84c609-62b1-45fb-a902-1c4835f47bb0 ____________________________ FMAT: YES Verified: Yes Name: Josette Elizebeth Ray Email: JOSETTE715@GMAIL.COM Phone: 301-642-5656 Concern: WNT TO PAY TN1// WNT TO KNW THE REASON FOR TN1 • LPN: MD 3CF9961 • Resolution: PAYMENT TAKEN// EXP TO CX THT DURING THE TRIP THE TRPR HAVE INSUFFICIENT FUND// EDUC CX FUTURE TRAVEL • Amount Paid: $111.15 Payment Code: 8UENEQ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 02be815c-76b1-42f7-80ae-f89e0d429786 ____________________________ FMAT: YES Verified: Yes Name: RICKY COX Email: rickdcox1@gmail.com Phone: 703-967-6910 Concern: SENDING THE PAYMENT THROUGH CHECK// TRIED PAYING ONLINE AND THE PAYMENT DIDN'T WENT THROUGH • LPN: JDT1976 • Resolution: ADV CX THE CARD DIDN'T WENT THROUGH • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi add06beb-b3e7-4430-89c9-e25d416c99de ____________________________ FMAT: NA Verified: Yes Name: ANABELA GRAY Email: NA Phone: NA Concern: ASK FOR FTF// WILL PAY ONLINE • LPN: MD 2EW1964 • Resolution: FTF GRANTED// ADV TO CALL BACK IF THE PAYMENT ONLINE DIDN'T WENT THROUGH • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 1a7a67fd-34f8-4a3b-ab8d-cd85cf81f676 ____________________________ FMAT: NA Verified: Yes Name: KASANDRA WHITEFIELD Email: NA Phone: NA Concern: HAVE EZPASS// ASK FOR FTF// ASK FOR THE REASON FOR THE INV// CX DIDN'T KNOW THT THE EZPASS SHOULD BE MOUNTED IN THE CAR • LPN: TLX4133 • Resolution: FTF GRANTED// EDUC CX THT THE TRPR WAS NOT DETECTED DURING THE TRIPS BCUS OF IMPROPER MOUNTING// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $60.00 FTF Code (above $200): NA Signature Name: Galasi 2f1eba83-05ae-47c0-8c28-42466ddf46ef ____________________________ FMAT: YES Verified: Yes Name: CHRIS COLLEY Email: CCOLLCL@GMAIL.COM Phone: 757-754-2643 Concern: WNT TO KNW THE REASON FOR THE TOLL AMOUNT • LPN: VZM9675 • Resolution: EDUC CX ABT DYNAMIC PRICING • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6f76a0cd-a584-4d50-a34d-baa65709e192 ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: JOANNE (1A PRECAST INC) Email: ALREADY IN THE ACC Phone: 8043087047 Concern: WNT TO PAY TN1 ONLINE BUT COULDN'T WENT THROUGH// • LPN: UAT8442//7166343 • Resolution: CALL BACK • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d8f53816-e0de-4ccb-adde-e009cbd08541 ____________________________ FMAT: NA Verified: Yes Name: DANNI HUANG Email: luckyh823@gmail.com Phone: 301-765-4152 Concern: 2 TOLL INV// HAVE EZPASS// ASK FOR FTF// PAYMENT ONLINE • LPN: MD 1GG0018//6538554 • Resolution: EDUC ABT PROPER MOUNTING • Educ Transponder was not detected • Educ FTF// FTF GRANTED • ADV CX TO USE OTHER CREDIT/DEBIT CARD • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a74e5aa7-7b12-4858-b4c9-d29169ccda3d ____________________________ FMAT: YES Verified: Yes Name: PHILIP SIMONSEN Email: psimonsen06@gmail.com Phone: 310-753-8877 Concern: ASK FOR FTF// WNT TO KNW THE TRIP DETAILS// WNT TO KNW THE REASON FOR THE TOLL AMOUNT// WILL BE PAYING ON WEBSITE • LPN: VSJ8574 • Resolution: FTF GRANTED// EXPLN TRIP DETAILS// EXPLAIN TOLL AMOUNT// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $120.00 FTF Code (above $200): NA Signature Name: Galasi 4d4c14eb-9296-4dfb-b3c4-8f71b2124379 ____________________________ FMAT: NA Verified: Yes Name: VESTER BLUNT Email: NA Phone: NA Concern: JUST WNT TO KNW IF THERE'S ANY VIOLATION// WILL CALL BACK IF CX RECEIVES ANY INVOICES • LPN: VA 30188 • Resolution: EDUC CX THERE'S NO VIOLATION WITH US (MANUAL_REVIEW) • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e10d8be7-e75b-42c9-ab10-2131f75e784c ____________________________ FMAT: YES Verified: Yes Name: LINA Email: mead2@hotmail.com Phone: 540-636-2362 Concern: WNT TO MAKE A PAYMENT FOR TN1 • LPN: MD 67629HV • Resolution: PAYMENT TAKEN • Amount Paid: $126.00 Payment Code: 5H9YZJ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6cd26045-53b1-47ca-988d-2f0734a71fe9 ____________________________ FMAT: NO Verified: Yes Name: CHARLES MEACHAM Email: NONALEEM@ICLOUD.COM Phone: 716-397-4179 Concern: WNT TO PAY TN1 • LPN: NY JDD6174 • Resolution: PAYMENT TAKEN • Amount Paid: $15.40 Payment Code: TU3ZID Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 72961a97-07a0-48ea-bd06-70c1eb713996 ____________________________ FMAT: NA Verified: Yes Name: CHARLES Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WENT ONLINE TO PAY USING VISA CARD • LPN: NC THB2012 • Resolution: EXPLAN TO CX WE CANNOT PROCESS PAYMENT USING VISA CARD • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8a700890-b35a-48f5-ac60-02fa195b7663 ____________________________ FMAT: NA Verified: Yes Name: CHRISTIANE HENRY Email: CHRISHENRY6912@HOTMAIL.COM Phone: 301-503-5302 Concern: WNT TO PAY TN1 • LPN: MD 9GG5153 • Resolution: CAN'T MAKE A PAYMENT USINF VISA CARD • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi eedbb8b9-ad78-473d-a58d-72597824f354 ____________________________ FMAT: YES Verified: Yes Name: ELMER JUAREZ Email: ELMERPEREZ5067@GMAIL.COM Phone: 240-645-6656 Concern: WNT TO PAY TN1 • LPN: VA DABABY • Resolution: PAYMENT TAKEN • Amount Paid: $6.15 Payment Code: 38QTCS Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 9fdbb5b3-19f5-4b9b-9ca2-578e1bbf9663 ____________________________ FMAT: NA Verified: Yes Name: JOSHINA Email: thejamisons1026@yahoo.com Phone:540-840-4856 Concern: WNT TO PAY TN1 • LPN: //6615580 • Resolution: CANNOT TAKE VISA CARD • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ce932932-3cb5-4db4-a35a-4d6b07772c27 ____________________________ FMAT: YES Verified: Yes Name: Virginie Regent Email: VIRGINIE.REGENT@GMAIL.COM Phone: 703-338-1599 Concern: ASK FOR FTF • LPN: VA THN9683 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $755.00 FTF Code (above $200): TL DEN Signature Name: Galasi 2559f305-7e54-4e04-9e1d-d31c94c0de4c ____________________________ FMAT: YES Verified: Yes Name: Rosemarie Lim De Leon (FILIPINA) Email: RAINLIM18@GMAIL.COM Phone: 202-422-1815 Concern: WNT TO KNW THE TRIP DEATILS// WNT TO PAY TN1 • LPN: MD 9EJ8040//4EA6483 • Resolution: PAYMENT TAKEN// TRIP DETAIL EXPLAINED • Amount Paid: $10.85 Payment Code: 6RMEZW Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 4d2032a3-00c4-470e-9f6a-97243cb16626 ____________________________ FMAT: NA Verified: Yes Name: RASHI GRAG Email: raag26@hotmail.com Phone: 301-653-0714 Concern: ASK FOR FTF// HAVE EZPASS// CALLED EZPASS// WILL CALL BACK • LPN: 7DE9618 • Resolution: THE TRPR IS INVALID DURING THE TRIP//FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $10.00 FTF Code (above $200): NA Signature Name: Galasi b0ce10b0-f0e3-4312-a53a-db567b0b00f3 ____________________________ FMAT: YES Verified: Yes Name: ANGELICA (MARCELINO CAMPOS) Email: angelicavuniga063@gmail.com Phone: 402-352-6158 Concern: WNT TO MAKE A PAYMENT • LPN: NE 10AN9//6563947 • Resolution: PAYMENT TAKEN • Amount Paid: $37.75 Payment Code: 2MHOK1 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cef9b6f9-83f4-48fe-9b41-174f6388d537 ____________________________ FMAT: YES Verified: Yes Name: SARA GAUVIN Email: SARAGAUVIN00@GMAIL.COM Phone: 8048927056 Concern: ASK FTF// WILL PAY ONLINE • LPN: VA UGG9919 • Resolution: REFER TO EZPASS// FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $52.50 FTF Code (above $200): NA Signature Name: Galasi 1c7679df-f003-441b-b4af-75c728245cce ____________________________ FMAT: NA Verified: Yes Name: RONALD PATTERSON Email: NA Phone: 202-641-4994 Concern: WNT TO PAY TN1 BUT HAVE VISA CARD// • LPN: VA 4277R//6505742 • Resolution: ADV CX WE CANNOT TAKE VISA CARD AS OF THE MOMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 105b574a-fd32-403f-99f3-ac5cdd326345 ____________________________ FMAT: NA Verified: Yes Name: Rosalyn Mcdaniel Email: NA Phone: NA Concern: WNT TO PAY TN1 ONLINE • LPN: TX RFM7523 • Resolution: REFFER ONLINE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi fd81becc-0854-481c-8570-410a9b005197 ____________________________ FMAT: NO Verified: Yes Name: GEORGE PADILLA Email: SHOP.GEORGE@LIVE.COM Phone: 520-249-0491 Concern: WNT TO KNW TRIP DETAIL// WILL PAY ONLINE • LPN: RBHU86 • Resolution: EXPLN TRIP DETAIL// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi df66ac76-0b19-497c-b013-75139161e84b ____________________________ FMAT: NA Verified: Yes Name: ZACK Email: ROOKSTOOL49@GMAIL.COM Phone: NA Concern: MISSED TOLL • LPN: UT 5W1BS • Resolution: ENROLLED TO MISSED TOLL// WILL SEND EMAIL THE MISSED TOLL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d39bf7e8-4646-424c-bac8-e9fc206f5535 ____________________________ FMAT: YES Verified: Yes Name: Jing Chun Xue Email: ALREADY IN THE ACC Phone: 785-447-3755 Concern: WNT TO MAKE A PAYMENT FOR THE TN1 • LPN: VA TXW2545//6710395 • Resolution: CANNOT TAKE CARD BCUS IT'S VISA • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 234337f9-a95a-4315-99f1-ceaadb40a1c2 ____________________________ FMAT: YES Verified: Yes Name: Lance Demetrius Gardner Email: MSLADY3335@GMAIL.COM Phone: 912-980-3448 Concern: WNT TO PAY TN1 • LPN: VA TJR1483//6503717 • Resolution: PAYMENT TAKEN • Amount Paid: $2.55 Payment Code: F2MAWN Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 59adbdb3-c299-46fd-b201-a743f181b740 ____________________________ FMAT: YES Verified: Yes Name: JOHN CITLINSKY Email: citlinsky87@gmail.com Phone: NA Concern: WNT TO KNW IF THERE'S ANY INVOICE • LPN: QCRN22 • Resolution: EDUC CX THERE'S NO PENDING VIOLATION WITH US • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b935d2ec-6dbf-4ab1-80b3-e55e3f7ce011 ____________________________ FMAT: YES Verified: Yes Name: SELAMAWIT YOHANNES Email: SEYOHABTOM06@YAHOO.COM Phone: 703-962-0622 Concern: WANT TO PAY TN1 • LPN: MD 4CT5062 • Resolution: PAYMENT TAKEN • Amount Paid: $69.80 Payment Code: WSS1QG Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5ed267bb-3cb6-40f7-b6be-0b36246d5683 ____________________________ FMAT: NA Verified: Yes Name: MARIA Email: NA Phone: NA Concern: WNT TO KNW THE VIOLATIONS// WNT TO MAKE A PAYMENT PLAN// • LPN: JC7232 • Resolution: ADV CX TO PAY THE INVOICE THAT IS WITHIN THE BUDGET// FOUND 37 VIOLATIONS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1457eec5-c42e-4916-88e0-5d8ff72be39e ____________________________ FMAT: NA Verified: Yes Name: BARBARA Email: MELVINALPHONSO@AOL.COM Phone: 202-575-6127 Concern: WILL BE SENDING THE CHECK INFO THROUGH EMAIL// ALREADY PAID FOR THE INV BARBARA TAYLOR 209, 204, $33.95, $32.45 NOV 06, 2024, OCT 14, 2024 • LPN: GG5168 • Resolution: ASK CX FOR THE CHECK DETAILS// HOLD THE ACC WHILE THE CHECK IS INVESTIGATING// CX ASK TO SEND A CONFIRMATION THAT CX IS NOT PAYING DOUBLE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8386002e-248b-4ab0-ae73-08b7c7dc0ff5 ____________________________ FMAT: NA Verified: Yes Name: ANNA MECAGNI Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE INV// WILL BE SENDING CHECK// ASK FTF// • LPN: JA8578 • Resolution: EZPASS WAS NOT DETECTED DURING THE TRIP IN QUESTION// FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 12a365cb-cbe6-4f31-b638-f176b67198b8 ____________________________ FMAT: NA Verified: Yes Name: JEREMY GROVES Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: ASK FOR HOW MANY VIOLATION IS STILL IN COLLECTION// ASK FOR COLLECTION NUMBER • LPN: VSL6987 • Resolution: TOLD CX THERE'S 113 TRIPS THAT IS IN COLLECTIONS// GAVE COLLECTIONS PHONE NUMBER • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3bfcc8b4-e02c-4081-a3fd-28ca028f942c ____________________________ FMAT: NA Verified: Yes Name: COURTNEY Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE INV// HAVE EZPASS AND SUNPASS PRO • LPN: FL KEKM98 • Resolution: TOLD CX THAT SOMETIMES THE EZPAS CAN BE DETECTED BUT IT HAS ZERO BALANCE, CAN'T BE DETECTED AND MIGHT BE FAULTY • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2f08a555-0669-432f-9a4a-48d525a58411 ____________________________ FMAT: NA Verified: Yes Name: PAOLA (SABINO RODRIGUEZ) Email: PAOLA.RODRIGUEZ065@GMAIL.COM Phone: 240 305 2583 Concern: NOT LPN// WILL CONTACT DMV • LPN: MD M294111 • Resolution: IMAGE ERROR, WRITE OFF THE TRIP $24.25// ASK TO CONTACT DMV • Cx's car is MD 383L74, 33727M- MODEL || on the Invoice, it is M294111- TOYOTA • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: DWAYNE BARNES Email: Phone: Concern: • LPN: MD 3DR0213 • Resolution: • Amount Paid: Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200):NA Signature Name: Galasi 8ad81629-7dbe-4181-81b9-7914dfe2af6b ____________________________ FMAT: Verified: Yes Name: JOSELINE Email: Phone: Concern: • LPN: 6FD6178 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 8eb7de00-7c0c-483e-a388-ed0f0337110d ____________________________ FMAT: ALREADY ENROLLED Verified: Yes Name: Yordanose Tilahun Atanaw Email: ALREADY IN THE ACC Phone: 314-456-7420 Concern: ASK FOR FTF// PAY TN1 • LPN: TKR7476 , TNP9487- 87.50 ADD/18.45 TOLL • Resolution: PAYMENT TAKEN// FTF GRANTED// • Amount Paid: $22.50 Payment Code: OUATSV Amount Reduced (if any): $100.00 FTF Code (above $200): NA Signature Name: Galasi 8113363c-3f11-49ac-a4b7-66abddf06483 ____________________________ 💗Records💗 11/26-27/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NA Verified: Yes Name: RICHARD Email: NA Phone: NA Concern: WNT TO KNW WHEN THE LANE 95 WILL BE OPEN FOR SOUTHBOUND • LPN: NA • Resolution: TOLD CX THT THE LANE WILL BE OPEN AT 1PM TO 1AM • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8ea985a5-215e-4da1-a034-4b7279cd0e25 ____________________________ FMAT: NA Verified: Yes Name: NA Email: NA Phone: NA Concern: TRY TO MAKE A PAYMENT USING VISA CARD • LPN: • Resolution: NEED ANOTHER 12 TO CALL BACK • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 21d00a95-1416-46b1-8c26-d9fe27ff5365 ____________________________ FMAT: NA Verified: Yes Name: JAMES Email: NA Phone: NA Concern: WNT TO PAY TN1 • LPN: 5EL5088 • Resolution: ADV CX IT'S ALREDY BEEN PAID • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7d254587-40c5-4e2a-9267-80579109d8ed ____________________________ FMAT: NA Verified: Yes Name: MICHAEL YORK Email: NO Phone: NO Concern: HAVE EZPASS DURING THE TRIP// WANT TO TRANSFER TRIP TO THE EZPASS// • LPN: MD 5GB4479//6501603869659 • Resolution: ADV TO CX WE CANNOT TRANSFER OOS EZPASS AND WE CAN ONLY TANSFER VA EZPASS TRIPS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cfd9b140-47af-4c19-aa82-ca9f4a8f8be4 ____________________________ FMAT: YES Verified: Yes Name: Malathi Dasari Email: DASARISATISH@GMAIL.COM Phone: 630-670-7694 Concern: HAVE EZPASS//ASK FOR FTF// PAY TN1 • LPN: NH 4521740//6655374//7198563 • Resolution: TRPR IS INVALID// PAYMENT TAKEN//FTF GRANTED • Amount Paid: $2.15 Payment Code: J5OZKX Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a9f6c8be-78dd-4ad1-bd47-8f38a5f151d0 ____________________________ FMAT: ENROLLED Verified: Yes Name: HOWELL Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1// • LPN: DC JJ1428//6669172 • Resolution: PAYMENT TAKEN • Amount Paid: $6.75 Payment Code: CQJFUF Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2488836f-622f-4a2b-803e-268e55dd083d ____________________________ FMAT: NA Verified: Yes Name: ANTHONIO Email: NA Phone: NA Concern: WNT TO KNW WHEN THE 95 WILL OPEN AGAIN • LPN: NA • Resolution: TOLD CX IT WOULD BE OPEN AT 1PM TO 1AM • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 01e2060f-d897-4479-9f56-a17cf4ed1480 ____________________________ FMAT: NA Verified: Yes Name: SHARON Email: NA Phone: NA Concern: WNT TO PAY USING VISA CARD// WILL WRITE A CHECK AND SEND TO THE MAILING ADRESS • LPN: NA • Resolution: ADV CX THERE'S AN ISSUE ON TAKING VISA CARD • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 29d39071-a32b-4c20-8a4d-209d3f0d9abe ____________________________ FMAT: YES Verified: Yes Name: JONATHAN Email: JONATHANMORRIS71@GMAIL.COM Phone: 240-593-0391 Concern: HAVE EZPASS// ASK THE REASON FOR THE TN1// WILL PAY ONLNE • LPN: MD 75DV28 • Resolution: DISCUSS THE REASON FOR THE TN1// ADV CX THT WE CANNOT TAKE VISA CARD AS OF THE MOMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ccf9e76e-d6b3-47a7-b2d8-405c39fba9b4 ____________________________ FMAT: NA Verified: Yes Name: JASON Email: jlemon@comsonics.com Phone: 540-435-4060 Concern: WNT TO MAKE A PAYMENT USING VISA CARD// • LPN: VA 6531024 • Resolution: ADV THT WE CANNOT TAKE ANY VISA CARD PAYMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3bff4d24-2117-4034-9417-c4df9df5c8b2 ____________________________ FMAT: NO Verified: Yes Name: MOSES TREBITSH Email: aronsfruit@gmail.com Phone: 646-404-3006 Concern: ASK FOR FTF// WNT TO PAY TN1 • LPN: 6670229 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $2.75 Payment Code: REDFVP Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 90565a7d-9b1b-46d7-9893-6bcf693011ff ____________________________ FMAT: NO Verified: Yes Name: SARAH (HUGO JUSTO REYES) Email: penaleal04@hotmail.com Phone: 410-212-9285 Concern: WNT TO PAY TN1 USING VISA CARD// WNT TO PAY TN1 • LPN: MD 8EA9536 • Resolution: PAYMENT TAKEN// EXPLN THT WE CANNOT TAKE VISA CARD PAYMENT • Amount Paid: $82.45 Payment Code: 8UNHUX Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 96a983b8-03d7-455c-9df4-3bb86c0a673a ____________________________ FMAT: YES Verified: Yes Name: STEPPHON Justine Storrs Gayle Email: STEPPHON@GMAIL.COM Phone: 703-798-9751 Concern: HAVE EZPASS// WNT TO KNW THE REASON FOR THE TN1// ASK FOR FTF// SOME TRIPS WAS DEDUCTED TO THE EZPASS ACC// WNT TO PAY TN1 • LPN: MD 7GH8205 • Resolution: ADV CX THAT THE TRPR IS NOT DETECTED DURING THE TRIP// FTF GRANTED// ADV TO CONTACT EZPASS// PAYMENT TAKEN • Amount Paid: $257.15 Payment Code: JXLJZB Amount Reduced (if any): $162.50 FTF Code (above $200): NA Signature Name: Galasi cc251dde-2f57-41ee-83ab-a6dec217d9a7 ____________________________ FMAT: YES Verified: Yes Name: SARAH Email: SARADOLL@GMAIL.COM Phone: 203-500-7396 Concern: ASK FOR FTF// MD EZPASS// WNT TO TRANSFER THE TRIPS TO THE EZPASS// WNT TO PAY TN1 • LPN: 06947CL • Resolution: FTF GRANTED// EXPLAIN TO CX THT WE CANNOT TRANSFER MD TRIPS TO THE EZPASS AND ONLY VA EZPASS ACC HOLDER ONLY// PAYMENT TAKEN • Amount Paid: $13.05 Payment Code: JDZDOG Amount Reduced (if any): $22.50 FTF Code (above $200): NA Signature Name: Galasi 209be95a-6952-4194-ab38-520b1e4e0bb3 ____________________________ FMAT: YES Verified: Yes Name: MOHAMED TAGHI Email: yahyasaleck49@gmail.com Phone: 929-250-8167 Concern: WNT TO PAY TN1 • LPN: VA THC2854 • Resolution: PAYMENT TAKEN • Amount Paid: $16.10 Payment Code: DRPHRN Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1f6191e4-dc8e-4df8-8659-076fe5d9c018 ____________________________ FMAT: NA Verified: Yes Name: VERONICA Email: SOLC(vero425@comcast.net) Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1 • LPN: 2EE2114 • Resolution: 9 COLL// 5 READY INV 2// 4 READY INV 1// 21 INV 1 • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 569ab065-5f9d-4bc4-a797-9c60f19637e5 ____________________________ FMAT: YES Verified: Yes Name: REYNALDO Email: REYMONDANVSANTOS@GMAIL.COM Phone: 856-628-1799 Concern: WNT TO PAY TN1 ONLINE// WNT TO PAY TN1 • LPN: DC JH9144 • Resolution: ADV CX ABT THE VISA SYSTEM UPDATE// PAYMENT TAKEN • Amount Paid: $21.45 Payment Code: SZEEWO Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a7d18045-00aa-4698-b509-910017d9170f ____________________________ FMAT: NO Verified: Yes Name: CHARLES BROWN Email: CHARLESBROWN3330@ICLOUD.COM Phone: 301-442-8239 Concern: WNT TO PAY TN1 USING VISA CARD// WILL MAIL THE CHECK// • LPN: MD 78900CF • Resolution: ADV CX ABT THE SYSTEM USE WITH VISA CARD// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 59808812-1974-45f2-bee1-2293fc5d4533 ____________________________ FMAT: YES Verified: Yes Name: ALEXANDER Email: ALEXANDERHOTR@YAHOO.COM Phone: 240-424-1985 Concern: ASK FOR FTF// WNT TO KMW THE REASON FOR TN1// • LPN: MD 1FL2089 • Resolution: FTF GRANTED// ADV TO CX THAT THE TRPR IS INSUFFIECIENT DURING THE TRIP • Amount Paid: $16.35 Payment Code: 3BMOI8 Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 784cb89d-8969-406c-8ec7-2cbc5c70ca82 ____________________________ FMAT: NA Verified: Yes Name: DENISE FELDER Email: NA Phone: NA Concern: WNT TO KNW THE TRIP DETAIL// CX DOESN'T HAVE EZPASS • LPN: NY KJR1898 • Resolution: EDUC CX ABT TRPR// CX DOESN'T HAVE EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 990217cf-0fb9-46c1-adf4-a46eb74d3f57 ____________________________ FMAT: YES Verified: Yes Name: PHILIP Email: SANTIAGO.PHILIP@GMAIL.COM Phone: 609-317-6445 Concern: HAVE EZPASS// ASK FOR FTF// WNT TO PAY TN1 • LPN: MD 4FM2297 • Resolution: FTF GRANTED// EDUC CX THT THE TRPR IS INSUFFICIENT BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $20.00 FTF Code (above $200): NA Signature Name: Galasi 0f8bd359-8c79-48d2-810d-4a3de0db57a5 ____________________________ FMAT: NA Verified: Yes Name: LUCY MURILLO Email: NA Phone: NA Concern: ASK IF THERE'S ANY PAYMENT PLAN// WILL CALL WHENEVER CX WILL MAKE A PAYMENT • LPN: UAL5856 • Resolution: TOLD CX THERE'S 176 TRIPS IN CX ACC// ADV CX THAT THEY CAN PAY WHICH INVOICE THEY CAN PAY AS OF THE MOMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 56a61276-9688-400c-bd09-e7e4fb81bf46 ____________________________ FMAT: NA Verified: Yes Name: WARREN Email: NA Phone: NA Concern: WNT TO PAY TN1 • LPN: XAS1815 • Resolution: PAYMENT TAKEN • Amount Paid: $7.70 Payment Code: DMSLZB Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3ec7a01f-f777-4569-b885-fa50cc819a32 ____________________________ FMAT: NA Verified: Yes Name: CARRIE FELTON Email: NA Phone: NA Concern: WNT TO PAY TN1// WILL PAY USING VISA CARD • LPN: JB9334 • Resolution: ADV CX WE CANNOT USE THE VISA CARD FOR THE PAMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f1f06499-a275-427a-9680-2b5ef2fe06ca ____________________________ FMAT: NA Verified: Yes Name: AMANDA VENDETTI Email: NA Phone: NA Concern: WNT TO PAY TN1 USING VISA CARD • LPN: 6DK0470 • Resolution: ADV CX TO CALL BACK BCUS WE CANNOT ACCEPT VISA CARD AS A WAY OF PAYMENT AS OF THE MOMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 20918ac7-fc62-4c80-932b-f1329266ab96 ____________________________ FMAT: NA Verified: Yes Name: KAREN HEGARTY Email: NA Phone: NA Concern: CONFUSED ABT THE INV// ASK FOR THE TRIP DATE// WAS PAYING USING VISA CARD// WILL CALL BACK • LPN: RLA356 • Resolution: DISCUSS TO CX ABT THE TRIP DATE// ADV CX ABT THE VISA ISSUE// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c9585660-c25f-48c9-b39f-4e40c8cb7ab3 ____________________________ FMAT: Verified: Yes Name: ERICK Email: Phone: Concern: • LPN: 8RPP775 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 82141763-0a9c-4a91-8fe5-2f53b3647f3d ____________________________ FMAT: NA Verified: Yes Name: EMILY Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE INV// • LPN: MD LABCAB1//6542720 • Resolution: EDUC CX ABT TRPR BEING IN LOW BALANCE DURING THE TRIP// REFER TO EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 4927476f-d088-4caf-9e01-682df626e71e ____________________________ FMAT: NA Verified: Yes Name: KAITLYN Email: NA Phone: NA Concern: HAVE 3 PEOPLE INSIDE THE VEHICLE • LPN: VXT3538//1308116 • Resolution: CAN'T PULL OUT ANY ACC// ADV TO CALL i66 • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0b8134ea-ae65-4ad9-90db-28a88cf867e7 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi afe224f9-e56e-4fb2-88df-883ccfd7af1e ____________________________ FMAT: NA Verified: Yes Name: Haji Husein Hasani Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO KNW HOW MUCH IS THE TOLL FEE// ASK FOR FTF// WILL CAL BACK • LPN: MD 1FM9832 • Resolution: TOLD CX THE TOLL AMOUNT//\ ADV CX FTF IS ALREADY BEEN USED// WILL CALL BACK FOR TOMORROW FOR THE PAYMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0907507f-6437-4e9f-b98a-6040bb350a96 ____________________________ 💗Records💗 11/27-28/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NA Verified: Yes Name: PHILIP Email: NA Phone: NA Concern: CX LOST HIS JOB// ASK FOR FTF// WILLING TO PAY// PAID ONLINE// HAVE EZPASS// • LPN: VA TXG2405 • Resolution: FTF GRANTED// ADV CX TO PAY ONLINE// ADV CX TO CALL BACK AFTER NE HOUR FOR THE PAYMENT OR PAY ONINE AFTER 24 HOURS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $360.00 FTF Code (above $200): DD112724005 Signature Name: Galasi c3ff2441-f523-465f-ba8c-0a4011f6958b ____________________________ FMAT: NO Verified: Yes Name: RYAN JAMES Email: rmj1493@gmail.com Phone: 410-665-1898 Concern: WNT TO KNW THE BALANCE OF THE ACC// WILL PAY ONLINE// HAVE EZPASS// ASK FOR PAYMENT PLAN • LPN: 3CK1036 • Resolution: TOLD CX THE AMOUNT ON THE ACC// REFERED TO ONLINE FOR THE PAYMENT// ADV CX TO CALL EZPASS FOR HIS TRPR// ADV CX TO PAY THE FINAL INVOICE FIRST SO IT WON'T PROCEED TO THE COLLECTION AND PAY THE REST OF THE INV LATER ON • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d6f2ef55-52ee-4a6f-b3a6-9e8998d4811c ____________________________ FMAT: NA Verified: Yes Name: SHIRELL KING Email: shirellwarren@yahoo.com Phone: 240-492-8060 Concern: HAVING ISSUE ON PAYING USING VISA CARD// WILL CALL BACK// ASK FOR THE TOTAL AMOUNT ON THE ACC • LPN: MD RELL • Resolution: ADV CX WE CANNOT TAKE VISA CARD AS A PAYMENT// ADV CX TO CALL BACK AFTER 2 HOURS OR 24 HOURS// TOLD CX THE ACCOUNT BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi bbc55b71-1ccb-47ad-b638-d2e940f54b5d ____________________________ FMAT: NA Verified: Yes Name: KIMBERLY COLEMAN Email: KIMISTRYC71@GMAIL.COM Phone: 703-559-4708 Concern: ASK FOR TRIP DETAILS// ASK FOR FTF// WILL CALL EZPASS// ALWAYS PUTTING MONEY ON THE ACC// WILL CALL BACK • LPN: VA PUREST (pretty car) • Resolution: WILL BE SENDING THE TRIP DEAIL// FTF GRANTED// REFER TO EZPASS ABT THE TRPR// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $610.00 FTF Code (above $200): MP090424114 Signature Name: Galasi c6a6fd0a-efba-438e-b4e7-ccd7c5554b8a ____________________________ FMAT: YES Verified: Yes Name: JACOB ALEY Email: ALEYJH@AOL.COM Phone: 240-925-6326 Concern: WNT TO KNW HOW MUCH IS THE ACC BALANCE// ASK FOR FTF// WNT TO PAY TN1 • LPN: MD A377116 • Resolution: TOLD CX THE ACC BALANCE// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $266.90 Payment Code: HWCFMS Amount Reduced (if any): $830.00 FTF Code (above $200): CHARLIE Signature Name: Galasi 95054bfd-e9d2-4a72-8b1c-20b6396a87c6 ____________________________ FMAT: NA Verified: Yes Name: KELSON NISBETT Email: NA Phone: NA Concern: WNT TO KNW THE REASON FOR THE INV// WILL CALL EZPASS// TRPR IS NOT THE SAME WITH THE ACC// ASK FOR FTF IF EVER IT IS CX TRPR • LPN: FL TT1GG • Resolution: EDUC CX ABT THE TRPR BEING INSUFFICIENT// REFER TO EZPASS// ADV TO CALL BACK// ADV TO SEND EZPASS STATEMENT// • Amount Paid: NA TRPR: 65 01606214500 Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c5f406ca-9081-41c4-ad85-71fb999ec529 ____________________________ FMAT: NA Verified: Yes Name: JAMES Email: NA Phone: NA Concern: WNT TO KNW THE CONFIRMATION NUMBER • LPN: GA GER627// 6674682// 7275334 • Resolution: VERIFICATION CODE PROVIDED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d809845f-47e4-46c1-a3da-54d2a7947211 ____________________________ FMAT: NA Verified: Yes Name: HIRAM Email: HIRAMMURRAYIII@GMAIL.COM Phone: NA Concern: WNT TO KNW ABT MISSED TOLL// TRIP HAPPENED ON NOV.9-11// • LPN: CALIFORNIA 9KTU240 • Resolution: ENROLLED TO MISSED TOLL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 71d73b09-66ac-47dd-aef6-650ef55e8c64 ____________________________ FMAT: NA Verified: Yes Name: REGINAL (GOOD CX) Email: NA Phone: ALRDY IN THE ACC Concern: ASK FOR FTF// WILL PAY ONLINE// • LPN: VA UFB3270//6684700 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $65.00 FTF Code (above $200): NA Signature Name: Galasi 4a3ef1f2-2d69-4b8c-804e-ea5ee93ffd69 ____________________________ FMAT: YES Verified: Yes Name: MOISES Email: aguilarmoises44@gmail.com Phone: 804-503-5546 Concern: WNT TO PAY TN2 • LPN: UKU9287 • Resolution: PAYMENT TAKEN • Amount Paid: $2.20 Payment Code: ZNHSZI Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8f8abbfc-c57a-4665-a64a-a2f90622962e ____________________________ FMAT: NA Verified: Yes Name: JENNIFER Email: NA Phone: NA Concern: WNT TO PAY TN1 • LPN: NC KHY9045// 6680773 • Resolution: PAYMENT TAKEN • Amount Paid: $51.15 Payment Code: UJHPDR Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b4aa0f16-5a14-41bb-8523-c71c3f872cd4 ____________________________ FMAT: NA Verified: Yes Name: JAMES RAUM (GREAT CX) Email: NA Phone: NA Concern: ASK FOR FTF// WILL CALL EZPASS • LPN: MD 734Z74 • Resolution: FTF GRANTED// REFER TO EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $217.50 FTF Code (above $200): MP090424119 Signature Name: Galasi 20bb971d-2c83-4e27-b899-5ef653cce44a ____________________________ FMAT: NO Verified: Yes Name: Junnisha Shaguawna Carter Email: jscarter_8@yahoo.com Phone: 347-241-1326 Concern: ASK FOR FTF// PAY TN1 • LPN: HKH8145 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $18.60 Payment Code: RBDYJ5 Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 6e12c2af-4149-4c59-8bf6-b65d553cce2a ____________________________ FMAT: YES Verified: Yes Name: NORMA COLLADO Email: NORMACOLLADO54@GMAILCOM Phone: 848-203-0157 Concern: ASK FTF// WNT TO PAY TN1 • LPN: NJ E67GDN • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $15.95 Payment Code: 21JWYH Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 40cd8bb2-1348-4454-8db9-44ea6cb3f0a9 ____________________________ 💗Records💗 12/02-03/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: NO Verified: Yes Name: Neha Pranjivan Meisuria Email: MEISURIAPNEHA@GMAIL.COM Phone: 803-528-2855 Concern: DISPUTING THE TRIP BCUS THERE'S 3 PEOPLE INSIDE THE VEHICLE// HAVE EZPASS// WILL CALL EZPASS FOR NEW TRPR • LPN: SC 198038W // 6801934 • Resolution: DISPUTED THE TRIP// ADV TO CALL EZPASS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c21069fe-7a85-41b1-a96e-7181235bfc46 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: DEAD AIR • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 6fedcd88-3171-4f7c-a3ac-6cf9f64d81c0 ____________________________ FMAT: NA Verified: Yes Name: ANTHONY LAMBERT Email: NA Phone: NA Concern: ASK FOR FTF// WILL PAY ONLINE • LPN: 92EDTL • Resolution: FTF GRANTED// REFFER TO EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $25.00 FTF Code (above $200): Signature Name: Galasi 92974d4e-14b9-4a79-b3a7-b68a1ba7c069 ____________________________ FMAT: YES Verified: Yes Name: Hezekiah Baxter Jr Email: HBAXTER50@GMAIL.COM Phone: 202-422-5531 Concern: ASK FOR FTF// LOST CARD// • LPN: MD 2CP0680 • Resolution: FTF GRANTED// PAYMENT TAKEN// REFER TO EZPASS • Amount Paid: $171.10 Payment Code: 8EKCHN Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 17f5f492-4b05-439c-a894-b9693d70350a ____________________________ FMAT: YES Verified: Yes Name: Jeffrey Gene Mclane Email: JEFF@MPWFILTER.COM Phone: 561-693-8104 Concern: WANT TO PAY TN1 • LPN: FL RTDB99 • Resolution: PAYMENT TAKEN • Amount Paid: $33.05 Payment Code: IBVPH2 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 86a8b31a-74ac-4ce7-bb78-97524c75bbbd ____________________________ FMAT: NA Verified: Yes Name: CHRISTY Email: NA Phone: NA Concern: NOT THEIR VEHICLE//WAS CHARGE TO THEIR EZPASS// DISPUTING THE TRIP • LPN: 6501004785548// FRF8PH// WV2163 • Resolution: MODIFY THE TRIP • Amount Paid: NA Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ad34371d-83db-4868-9d7f-e3df78cf376f ____________________________ FMAT: Verified: Yes Name: KELLY Email: Phone: Concern: EZPASS CHARGE// • LPN: VA UDH7174 // 787483 // • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 0fb4f324-b33d-442d-9e5d-397af367ef61 ____________________________ FMAT: YES Verified: Yes Name: Yuezhong Huang Email: ALREADY IN THE ACC Phone: 571-239-3415 Concern: HAVE EZPASS// ASK FOR FTF// WILL PAY ONLINE • LPN: UTK4042// 6820606 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi 05c2ec85-942f-45d6-bbe8-ff1fc51dc1b1 ____________________________ FMAT: NA Verified: Yes Name: STEVEN ALLAFI Email: SMA1794@GMAIL.COM Phone: 443-764-7695 Concern: ASK FOR FTF// HAVE EZPASS// WILL PAY ONLINE • LPN: 1FA1794 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $30.00 FTF Code (above $200): NA Signature Name: Galasi dbb9e78e-5b8d-4fd1-8372-acaf7f4db59d ____________________________ *NEW* FMAT: YES Verified: Yes Name: EMANUEL SANCHEZ Email: MANNYSANCHEZ2000@GMAIL.COM Phone: 808-445-2210 Concern: HAVE EZPASS// HAVE AUTO REPLENISH// ASK FOR FTF// • LPN: VA TJT6002 • Resolution: FTF GRANTED// REFER TO EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $225.00 FTF Code (above $200): CM120224003 Signature Name: Galasi 8b294295-1814-40b2-8349-cc4aa13a0502 ____________________________ FMAT: YES Verified: Yes Name: Renda Gharzeddine Hassan Email: rendagh@yahoo.com Phone: 586-770-9804 Concern: ASK FOR FTF// HAVE EZPASS// WNT TO PAY TN1 • LPN: 59454HM • Resolution: REFER TO EZPASS// FTF GRANTED// PAYMENT TAKEN Payment Code: XP9MG4 Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 4714df42-4a78-4d20-be7a-b1ee411c1163 ____________________________ FMAT: YES Verified: Yes Name: KEITH MCKINNEY Email: 1redskinsforlife@gmail.com Phone: 443-597-6092 Concern: WNT TO PAY TN1 • LPN: MD A380291 • Resolution: PAYMENT TAKEN • Amount Paid: $28.10 Payment Code: RUPKOT Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: NA Verified: Yes Name: LOFIN Email: lofflindownin66@gmail.com Phone: 681-242-9171 Concern: WNT TO KNW IF THERE'S ANY VIOLATION// WNT TO PAY THE VIOLATION • LPN: TKA2712 • Resolution: PAYMENT TAKEN • Amount Paid: $10.85 Payment Code: W23DNT Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c17f1871-bbd3-4905-97e1-e27d5ac8e5ad ____________________________ FMAT: NA Verified: Yes Name: DANIEL JAKAB Email: ALRDY IN THE ACC Phone: 7604298199 Concern: ASK FOR FTF// • LPN: VA UDB8821 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 753b31fa-2b8a-4341-aaa1-def9fecc73cd ____________________________ FMAT: NA Verified: Yes Name: SCOTT SMITH Email: NA Phone: NA Concern: CX WIFE WAS NOT THE OWNER OF THE VEHICLE// WANTS TO KNW WHAT WILL HAPPENS ONCE THEY WON'T PAY FOR THE INV// • LPN: PBY9797 • Resolution: ADV CX THE FIRST PESON THAT HAVE THE INV NOMINATE HIS WIFE TO BE THE DRIVER DURING THAT DAY// ADV TO WAIT UNTIL THE INV TO BE SENT TO COURT TO FURTHER DISCUSS WITH THE LETIGATION TEAM • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 551864cd-a64c-488d-a1bb-c3db787647a3 ____________________________ FMAT: NA Verified: Yes Name: MELANIE (MICHAEL WILLIAMS) Email: NA Phone: NA Concern: WNT TO KNW WHY THEIR BALANCE IS SO HIGH// • LPN: DE CL16591 • Resolution: EDUC CX ABT THE KAYAK TRIGGERING THE MIDIUM VEHICLE THAT'S WHY THE PRICE WAS TRIPLED THE AMOUNT// REVERET BACK TO THE ORIGINAL PRICE// REVERT BACK TO ORIGINAL TOLL AMOUNT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 51fbf959-f6f7-41eb-a2ac-a682e5cae193 ____________________________ *NEW* FMAT: Verified: Yes Name: DONNA Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO KNW IF THERE'S ANY MISSED TOLL • LPN: EHIC58 • Resolution: ADV CX THERE'S NO PENDING MISSED TOLL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 12c1c2ab-1923-4b4e-a593-28f83d98371c ____________________________ FMAT: NA Verified: Yes Name: CAROLYN Email: NA Phone: NA Concern: NOT VEHICLE// WNT TO REVERSE THE PAYMENT • LPN: TX LGL1468// 6789333 • Resolution: REVERSED THE PAYMENT// WRITE OFF THE VIOLATION// IMAGE ERROR • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0bd7cf55-aac2-4e93-b374-11d4e1409449 ____________________________ FMAT: YES Verified: Yes Name: JAMES Email: FIFEJIII02@GMAIL.COM Phone: 804-852-8608 Concern: ASK FOR FTF// ASK FOR PAYMENT PLAN// PAY TN2 • LPN: VA FIFEIII • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $10.80 Payment Code: LFHGHY Amount Reduced (if any): $267.50 FTF Code (above $200): charlie Signature Name: Galasi 3bb67e1e-2b8b-45f0-af0b-fd1806337416 ____________________________ FMAT: MA Verified: Yes Name: Debora Lynn Mccallum Email: DEBMCCALLM65@GMAIL.COM Phone: NO Concern: ASK FOR FTF// PAY TN1 • LPN: MD 3BG7418 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $2.05 Payment Code: XCL3OF Amount Reduced (if any): FTF Code (above $200): NA Signature Name: Galasi ea6adc64-6c08-4043-91c3-4656831496a3 ____________________________ FMAT: YES Verified: Yes Name: BRIANA Email: briana_j45@yahoo.com Phone: 804-464-5994 Concern: ASK FOR TRIP DETAILS// ASK FOR FTF// PAY TN1 • LPN: VA MRSPY2N • Resolution: • Amount Paid: $81.85 Payment Code: CRFOI6 Amount Reduced (if any): $105.00 FTF Code (above $200): NA Signature Name: Galasi 9b714064-c6df-43e7-826a-a97472316491 ____________________________ FMAT: Verified: Yes Name: MALANIE WILSON Email: Phone: Concern: • LPN: NC JHP6879 • Resolution: • Amount Paid: DROP CALL Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 28d1afb9-3694-45cd-bafa-5d2d5f363cd5 ____________________________ *NOT FINISH* FMAT: NA Verified: Yes Name: DAVID Email: DEHALL85@GMAIL.COM Phone: 571-221-1988 Concern: HAVE EZPASS// ASK FOR FTF// • LPN: MMVX3 • Resolution: ADV CX THE TRPR IS IN ZERO BALANCE DURING THE TRIP// FTF GRANTED// ADV TO CALL EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $110.00 FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: JASON ROCKELL Email: Phone: Concern: HAVE RCVD EMAIL// • LPN: URM8477// • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 5348a626-859c-4bd0-af20-90413b2b3aac ____________________________ FMAT: NO Verified: Yes Name: MICHAEL SHOWELL Email: mshowell68@gmail.com Phone: 302-745-1116 Concern: WNT TO PAY TN1 • LPN: DE 311206 • Resolution: PAYMENT TAKEN • Amount Paid: $8.35 Payment Code: PMF1DZ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: YES Verified: Yes Name: ANDRE JARMEL Email: JARMELWILSON31@GMAIL.COM Phone: 228-343-7183 Concern: ASK FOR FTF// PAY TN1 • LPN: MS HAV860 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $61.25 Payment Code: WAPYMG Amount Reduced (if any): $62.50 FTF Code (above $200): NA Signature Name: Galasi 0f924541-a649-4682-bb90-062d75a6ef60 ____________________________ FMAT: Verified: Yes Name: JOHN FUCCI Email: SATURN30@YAHOO.COM Phone: 703-966-5216 Concern: RECEIVED AN EMAIL FOR 11/24// 3 PEOPLE INSIDE THE VEHICLE • LPN: VA WDWKDS// 6501003874441 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi dfa36779-a9d2-4366-9811-19ad0f9ef6a3 ____________________________ FMAT: NA Verified: Yes Name: Helal Mohammadi Email: NA Phone: NA Concern: HAVE EZPASS FLEX// ASK FOR FTF// • LPN: TXV9808 • Resolution: HAVE ZERO BALANCE IN THE ACC// FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 1130447f-7e0a-4051-9d21-f4ce237c9ea0 ____________________________ FMAT: NA Verified: Yes Name: DIANE BROOKS-FORD Email: DIANEFORD43@HORIZONE.NET Phone: NA Concern: EZPASS IS WORKING PROPERLY// HAVE 5 PEOPLE INSIDE THE VEHICLE • LPN: UKX9310 • Resolution: EZPASS STATEMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0c35383d-9682-491c-bc44-50f7373b53ed ____________________________ FMAT: NA Verified: Yes Name: PAULA Email: REDMANPAULA@GMAIL.COM Phone: NA Concern: ASK FOR FTF// • LPN: CDL7806 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi aea2148e-af0c-481c-99dc-7246c4b280f5 ____________________________ FMAT: NA Verified: Yes Name: OLIVIA OLIVER Email: NA Phone: NA Concern: ASK IF THE TRIP CAN BE CHARGE USING THE TRPR OF CX// • LPN: CV50318 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 97d82af1-0486-4798-aefa-c246a69e4b57 ____________________________ FMAT: NA Verified: Yes Name: ALEXA WALLOSS Email: awalloff@comcast.net Phone: 215-630-1560 Concern: WNT TO KNOW THE TRIP DETAIL// PAY TN1 • LPN: PA MFB4491 • Resolution: TRIP DETAIL DISSCUSED// PAYMENT TAKEN • Amount Paid: $45.80 Payment Code: MTSRYJ Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f9ae3806-967c-4163-8e91-723e04ac898b ____________________________ FMAT: Verified: Yes Name: Ricardo Jimenez Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO KNW IF THERE'S ANY VIOLATION// • LPN: MAID3N7 • Resolution: ADV CX THERE'S NO OUTSTANDING BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6c36f696-6e6d-445e-b2ad-e9d67e0186af ____________________________ FMAT: Verified: Yes Name: KYLA HILL Email: Phone: Concern: HAVE EZPASS • LPN: TWZ5187 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 639ab0ab-68cf-40c9-a40a-4ccb388b19c1 ____________________________ FMAT: Verified: Yes Name: Terry Stanley Butler Jr Email: Phone: Concern: • LPN: LVMYHRV// 6923516 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 01a61024-e046-427d-ac80-c770a0b04f5f ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: TZW3706 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 5fabcf9f-0e64-4f3d-ba70-fdc6deef71f7 ____________________________ FMAT: NA Verified: Yes Name: ALESHA WATSON Email: NA Phone: NA Concern: CAHNGE CAR REGISTRATION// • LPN: • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 70f6613f-a46c-484c-831f-f200884136b9 ____________________________ 💗Records💗 12/04/2024 **ALWAYS VERIFY THE ACCOUNT** FMAT: YES Verified: Yes Name: Dennis Joseph Dumsha Email: dennisdumsha@gmail.com Phone: 704-236-0697 Concern: RCVD AN INV// HAVE NC QUICKPASS// WNT TO PAY TN1// • LPN: SC DPR946 • Resolution: PAYMENT TAKEN// ADV CX THT WE ONLY • Amount Paid: $40.25 Payment Code: E82MFE Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d0794f7d-b25c-4c0b-8d39-6dd57b98f6f6 ____________________________ FMAT: YES Verified: Yes Name: TIM Email: KD.TINYTIM@GMAIL.COM Phone: NA Concern: MISSED TOLL • LPN: GA CYU9484 • Resolution: ENROLL FOR MAT// ADV CX THE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e95e72e5-54d6-41d2-b2eb-eec652248122 ____________________________ FMAT: NO Verified: Yes Name: BELMAN Email: belman7740@gmail.com Phone: 202-489-6237 Concern: PAY TN1 • LPN: MD 5GH1869, 8GJ1848 (6854423) • Resolution: PAYMENT TAKEN • Amount Paid: $26.30, $20.30 Payment Code: VEOMUZ, QT56GS Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5b9b2d79-662b-41bd-9d5d-a4a43a18156b ____________________________ FMAT: YES Verified: Yes Name: Teniola Mobolaji Akingbade Email: AKINGBADE1@GMAIL.COM Phone: 202-651-0151 Concern: HAVE EZPASS// WNT TO PAY TN1// LATE INV// • LPN: MD 6EC1095 • Resolution: REMOVE ADMIN FEE// REFERED ONLINE FOR THE PAYMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi 36634825-f38d-46cd-ba60-02ffdc500a55 ____________________________ FMAT: NA Verified: Yes Name: JEFF MCANANEY Email: CX DOES NOT KNOW THE Phone: NA Concern: VEHICLE HAVE EZPASS TRPR// WNT TO KNW THE TRIP DETAILS OF THE INV// ASK IF WE CAN REMOVE THE ADMIN FEE// • LPN: MD 9EV6783 • Resolution: ADV CX THAT THE PAYMENT IS ONLY PER INVOICE AND NOT PER TRIP// ADV CX TO CONTACT EZPASS// EDUC CX ABT THE TRIP DETAILS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 00d45a89-f2b3-4f3f-a19b-0f9d8e575994 ____________________________ FMAT: NO Verified: Yes Name: KESHA ROBINSON Email: kcrbiz1@gmail.com Phone: 202-631-2924 Concern: WNT TO PAY TN1 • LPN: VSV2117 • Resolution: PAYMENT TAKEN • Amount Paid: $11.85 Payment Code: 5M5ALT Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7a541559-3837-43d6-a18c-77eb7d44504e ____________________________ FMAT: NA Verified: Yes Name: PAOLA Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: PAY TN1// WILL CALL BACK TO PAY THE INV FOR 1,434.95 • LPN: TUW6664 • Resolution: ADV CX WE CANNOT USE VISA DEBIT CARD AS OF THE MOMENT// ADV TO PUT THE ACC ON HOLD// CX WILL CALL BACK • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 46e92515-5c79-4a50-9148-44d5b08a713f ____________________________ FMAT: Verified: Yes Name: CHRISTOPHER Email: Phone: Concern: • LPN: VA URV9793 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ____________________________ FMAT: NA Verified: Yes Name: Meron Mekonnen Shiferaw Email: NA Phone: NA Concern: WNT TO PAY TN1 FOR $5.95// WILL WAIT FOR THE NEXT INV// WILL CALL BACK FOR THE NEXT INV • LPN: 1DR6509 • Resolution: ADVB CX IT'S ALREADY BEEN PAID// FOUND ANOTHER INV FOR $26.20// EDUC ABT THE ADMIN FEE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 512bf358-a986-4efa-8104-b6be9528e80a ____________________________ FMAT: NO Verified: Yes Name: LOURDES CERRATO Email: lourdescerrato14@gmail.com Phone: 703-203-7483 Concern: WANT TO PAY TN1 • LPN: VA AEW7350 • Resolution: PAYMENT TAKEN • Amount Paid: $7.45 Payment Code: T3ZDB9 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 888b3817-9e20-4cef-97c1-5fb31d4a73fc ____________________________ FMAT: YES Verified: Yes Name: JANNET EDWARDS Email: JANNET.EDWARDS22@GMAIL.COM Phone: Concern: ASK FOR FTF • LPN: 25510V • Resolution: FTF GRANTED • Amount Paid: Payment Code: Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi d0dd29dd-25f3-49e4-802f-787b963a0522 ____________________________ FMAT: NA Verified: Yes Name: FELIX ALMONTE Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: PAID YESTERDAY ABT COURT SUMMON// HAVEN'T RCVD ANY EMAIL FOR CONFIRMATION ABT THE PAYMENT// • LPN: VXG6357 • Resolution: ADV CX IT WOULD TAKE 3 TO 5 BUSINESS TO SEND THE EMAIL • Amount Paid:NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 9defb7b1-f619-413d-b0a8-3a4c14557987 ____________________________ FMAT: NO Verified: Yes Name: HANEEN JUBRAN Email: upkeeplocksmith@gmail.com Phone: 703-459-4196 Concern: HAVE EZPASS// LATE INV// WILL CALL BACK TOMORROW • LPN: TJW4858 • Resolution: REMOVE THE ADMIN FEE// ADV CX ABT THE TRPR BEING INVALID DURING THE 24 TRIPS IN THE ACC// AVD TO CALL EZPASS// • Amount Paid: A Payment Code: NA Amount Reduced (if any): $70.00 FTF Code (above $200): NA Signature Name: Galasi b19245e2-7088-4832-bfeb-320b4313cf7c ____________________________ FMAT: YES Verified: Yes Name: ENRIKI (Elsido Sabino Morel Machado) Email: enrikito1050@gmail.com Phone: 757-419-0014 Concern: PAY TN1// WILL PAY ONLINE// • LPN: THY6224 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1df937e6-7f0a-4250-808a-321d73df7cd6 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: RCVD INV// HAVE AUTO REP// • LPN: MD 02554CL • Resolution: REFER TO EZPASS// • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 708526bc-3d45-445d-b083-3342aad2c088 ____________________________ FMAT: NA Verified: Yes Name: DANETTE Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: ASK FOR FTF// BEEN PAYING EZPASS INSTEAD OF EXPRESSLANES FOR THE MISSED TOLL// • LPN: VA WRR9714 • Resolution: 10 TRIPS FOR TN2// PUT THE ACC ON HOLD FOR 14 DAYS// • Amount Paid: NAA Payment Code: NA Amount Reduced (if any): $150.00 FTF Code (above $200): NA Signature Name: Galasi 5fdbd2e6-e4aa-4a19-9c97-5e0bbc6af514 ____________________________ FMAT: YES Verified: Yes Name: ZENAIDA Email: ALRDY IN THE ACC (mamic04@yahoo.com) Phone: 402-992-1727 Concern: WNT TO KNW THE REASON FOR THE INV// ASK FOR FTF// • LPN: 6575ZZ • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi 80fa9a53-ad01-4156-9043-fc6e472af69d ____________________________ FMAT: ENROLLED ALRDY Verified: Yes Name: JUDY PASCO Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: $148 IN THE MORNING WHEN CX CALLED// WILL NOT BE PAYING ANY ADDITIONAL FEE// • LPN: 8CT3691 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 80080408-a683-4bd0-a118-86ed144ea7e8 ____________________________ FMAT: Verified: Yes Name: KIRK Email: Phone: Concern: • LPN: NC HE38DV • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 47f8eed4-d9a8-47df-ba90-1ec33e54f6fd ____________________________ FMAT: Verified: Yes Name: SHERLY WITHERS Email: 2324SAM@GMAIL.COM Phone: 301-437-0174 Concern: ALRDY PAID THE TN1// WILL PAY IN THE WEBSITE TOMORROW • LPN: MD 9CV8347// • Resolution: EDUC CX THT THERE'S • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi cf14f38c-f957-4bd2-9e73-3741d0e670fa ____________________________ FMAT: NA Verified: Yes Name: JOZY BELAND Email: NA Phone: NA Concern: EZPASS CHARGE THEIR CARD// • LPN: WV 9KP845 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b5d7cafe-7f24-4a94-8e97-1472293c49fe ____________________________ FMAT: NA Verified: Yes Name: CHAQUIA DYSON Email: NA Phone: NA Concern: WNT TO PAY TN1// WILL CALL BACK// • LPN: MD 7FL0995 • Resolution: NA • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 9586b8eb-b7de-4bf4-a941-deb87eed6dc4 ____________________________ FMAT: Verified: Yes Name: ANDY RAMOS Email: Phone: Concern: PUTTING THE ACC ON HOLD// WNT TO PAY TN1// • LPN: TNJ4925 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d5da1d4e-ffc6-4380-84b4-4455d4d9dcdb ____________________________ FMAT: Verified: Yes Name: JOSHUA Email: Phone: Concern: • LPN: WV 57A579 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 888e8779-afb7-4889-a172-8d6cf4836418 ____________________________ FMAT: YES Verified: Yes Name: ALI ZARBALIAN Email: ALRDY IN THE ACC (azarbalian@gmail.com) Phone: ALRDY IN THE ACC (225-329-7659) Concern: • LPN: LA ZYF063 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi a02b1bf2-165c-46c5-b78e-3e2b365c2897 ____________________________ FMAT: NA Verified: Yes Name: John David Conner Email: NA Phone: NA Concern: ASK FTF// WILL PUT THE ACCOUNT ON HOLD BCUS OF PAYMENT ISSUE// ASK FOR PAYMENT PLAN • LPN: VA TSJ2760 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $187.50 FTF Code (above $200): NA Signature Name: Galasi 4d1ce66d-d9c3-4413-b699-a94bc4080c7a ____________________________ FMAT: NA Verified: Yes Name: NIECE (Marlon Manzanares Corea) Email: NA Phone: NA Concern: WILL CALL TOMORROW FOR THE PAYMENT// WNT TO PAY TN1 • LPN: TLX3127 • Resolution: • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi c31e8984-4a44-4f0e-af12-f9eb2fcf3ef5 ____________________________ FMAT: Verified: Yes Name: TAKELYA BENSON Email: Phone: Concern: HAVE EZPASS// ASK FOR FTF// • LPN: AK KKL386 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): $155.00 FTF Code (above $200): Signature Name: Galasi c01ca49c-36be-4201-971a-cc237b6f0047 ____________________________ FMAT: Verified: Yes Name: BELINDA PERRI Email: Phone: Concern: WNT TO MAKE A PAYMENT// CALLED EARLIER AND THE PREVIOUS AGENT TOLD CX TO CALL BACK IN THE EVENING// • LPN: NJ V15RJS • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi c0622abf-6506-4152-bd1f-784e345c88cb ____________________________ FMAT: NA Verified: Yes Name: Wilson Lai Dba 168 Haul Away Email: NA Phone: NA Concern: ASK FOR FTF// PAY TN1 • LPN: VA 25693TB// 6888738 • Resolution: FTF GRANTED// ADV CX TO CALL BACK TOMORROW FOR THE PAYMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi 38cc443b-b329-42a5-afdb-60c8af7286fb ____________________________ 💗Records💗 12/05-06/2024 **ALWAYS VERIFY THE ACCOUNT** FMAT: NA Verified: Yes Name: TERRESA Email: NA Phone: NA Concern: PAY TN1 ON WEBSITE// WILL PAY TOMORROW IN THE WEBSITE • LPN: 5062LD • Resolution: ADV CX TO CALL BACK IF THE PAYMENT DIDN'T PUSH THROUGH// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7dc730a2-4179-479e-86fb-12545f27f637 ____________________________ FMAT: NA Verified: NO Name: MICHAEL SMITH Email: NA Phone: NA Concern: RCV AN INVOICE// TRIED ONLINE • LPN: PA LTC3815 • Resolution: ADV CX ABT THE PAYMENT ISSUE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 72d8dafd-e7da-4645-995a-0736c00bbde9 ____________________________ FMAT: NA Verified: Yes Name: MICHAEL WADE Email: MICHAELJWADE90@GMAIL.COM Phone: 585-503-5438 Concern: CX WNT TO PAY FOR TN1// PAYMENT ONLINE THE CARD DIDN'T PUSH THROUGH • LPN: NY LLX6876 • Resolution: ADV CX TO CALL BACK FOR THE PAYMENT// ADV CX TO TRY THE WEBSITE AGAIN TOMORROW • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 52f42aee-3502-4666-9622-b46bf0a49171 ____________________________ FMAT: NA Verified: Yes Name: YUSUF REJA Email: NA Phone: NA Concern: WENT ONLINE TO PAY THE TN1// CANNOT FIND THE ACC// WILL CALL TOMORROW FOR THE PAYMENT • LPN: VA UKF7828// 6525959 • Resolution: ADV CX ABT THE PROPER WAY PUTTING THE ACC DETAIL IN THE WEBSITE// ADV CX ABT THE PAYMENT SYSTEM ISSUE// ADV CX TO CALL BACK TOMORROW FOR THE PAYMENT// ADV CX TO MONITOR THE WEBSITE FOR THE PAYMENT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2b69822f-dd57-4965-a058-81dbd7a1f77d ____________________________ FMAT: NA Verified: Yes Name: PAULO Email: NA Phone: NA Concern: PAY TN1// WILL CALL BACK TOMORROW// • LPN: MD 7FB9458// 700131708// • Resolution: CANNOT PULL ANY ACC// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3591780c-76d5-4a37-b334-1672dbf07346 ____________________________ FMAT: NA Verified: Yes Name: Hassan Mahgoub Abdelgader Email: NA Phone: NA Concern: WNT TO KNW THE TRIP DETAILS// WILL PAY ONLINE • LPN: VA WNL7383 • Resolution: EXPLN TRIP DETAILS// ADV TO MAKE THE PAYMENT ONLINE// ADAC ABT THE PAYMENT SYSTEM ISSUE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8432d2f2-47da-4dd3-8346-5746f5f042ad ____________________________ FMAT: NA Verified: Yes Name: KATHY Email: NA Phone: NA Concern: RCV TN1// WENT ONLINE BUT DIDN'T SEE ANY TRIPS// WNT TO PAY TN1 • LPN: 179AGS • Resolution: ADV CX THE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: NA Verified: Yes Name: EDWARD Email: NA Phone: NA Concern: CAN'T SEE BALANCE ONLINE// WILL CALL BACK • LPN: UTW2154 • Resolution: ADV TO TRY USING THE ACC AND TRIP NUMBER// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6fa5b947-9834-4435-a19a-85ac3a169df4 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: UPJ9912 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 1cc399f1-029d-427f-bf39-062a06589bf6 ____________________________ FMAT: NA Verified: Yes Name: TODD Email: TRIDEOUT@MYACTV.NET Phone: NA Concern: ASK FOR FTF// HANDICAP PERSON// ASK FOR CONFIRMATION// THE PICTURE IS THE SIDE OF THE VEHICLE// CX WAS NOT THE DRIVER DURING THE TIME// • LPN: MD 92322HT • Resolution: SEND EMAIL FOR TRIP DETAIL// ADV CX THE TRIP DTAILS IS AT THE BACK OF THE INV// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0f20ec40-3539-42e1-91ef-c677a72ea192 ____________________________ FMAT: NA Verified: Yes Name: KERCIA CALLOWAY Email: NA Phone: NA Concern: HAVE EZPASS// RCVD AN INVOICE// ASK IF THE TRIP CAN BE PAYED USING THE EZPASS// WNT TO PAY TN1 • LPN: TAI280// 5553285 • Resolution: ADV CX THT WE DIDN'T DETECT THE EZPASS DURING THE TRIP// ADV CX WE CANNOT CHARGE IT TO THEIR EZPASS// ADV CX TO TRY AND PAY ONLINE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8a93d297-f524-4c61-93bd-a78c346e9da7 ____________________________ FMAT: NA Verified: Yes Name: MOHAMMAD SALHI Email: ALRDY IN THE ACC Phone: NA Concern: ASK FOR FTF// WILL PAY ONLINE • LPN: VA 62560V • Resolution: FTF GRANTED// ADV CX THT THEY CAN PAY ONLINE SINCE WE'RE CURRENTLY HAVING AN ISSUE WITH THE PAYMENT SYSTEM • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 806664a4-51b2-4002-bb23-8086e35d3c7b ____________________________ FMAT: NA Verified: Yes Name: MATTHEW SCARAMUZZO Email: MATTHEW92379@GMAIL.COM Phone: 239-877-0324 Concern: ASK FOR FTF// HAVE NC QUICKPASS// • LPN: KTJT27 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 19cadba0-5ee8-41eb-8296-82b7ea084e31 ____________________________ FMAT: NA Verified: Yes Name: MICHAEL Email: NA Phone: NA Concern: RCVD AN TN1// ASK FOR FTF • LPN: JJW9544 • Resolution:ADV ABT THE TOLL ZONES// FTF WAS GRANTED BUT THE ACC DIDN'T UPDATE// LATE TO NOTICE THT THE FTF WAS NOT APPLIED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi b736cac8-994d-44be-ad33-7d0d8c64b889 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi b95447a1-72f8-4319-bb8a-a23b48cc3d67 ____________________________ FMAT: NA Verified: Yes Name: BRIAN HURST Email: NA Phone: NA Concern: RCV TN1// HAVE EZPASS// ASK FTF// • LPN: ZLR1936 // • Resolution: ADV CX THE TRPR IS INVALID// ADV CX TO CALL EZPASS// FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 539edf01-cfb8-4be1-a99a-e679a266c5a1 ____________________________ FMAT: NA Verified: NO Name: JAE CHOI Email: NA Phone: NA Concern: WNT TO PAY TN1// ASK IF CX CAN PAY USING A DIFFERENT NAME IN THE CARD • LPN: MD 5BT6793 • Resolution: ADV CX WE CANNOT PROCESS PAYMENT AS OF THE MOMENT// ADV TO MAKE THE PAYMENT IN THE WEBSITE// ADV CX THT THEY CAN PAY AS LONG AS THEY'RE THE ONE WHOSE PUTTING THE CARD DETAIL IN THE WEBSITE// ADV CX THT THEY CAN CALL BACK ONCE THE PAYMENT DIDN'T PASS THROUGH • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1ed577ff-5901-4426-8d1e-39cd50600406 ____________________________ FMAT: NA Verified: DON'T HAVE ANY ACC Name: RUBEN MENDOZA Email: 240.IRM@GMAIL.COM Phone: NA Concern: RCV AN EMAIL// DOESN'T HAVE ANY TRPR • LPN: 90038CJ// • Resolution: NA • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ad88aebc-c70c-4c32-a5f3-9d3dd1574146 ____________________________ FMAT: YES Verified: Yes Name: DAVID DELEVA // DEE M DE LEVA Email: DAVID_DELEVA@YAHOO.COM Phone: NA Concern: ASK FOR BALANCE FOR BOTH LPN// ASK FOR FTF FOR THE BOTH ACC// WILL PAY ONLINE • LPN: MD 8CG6651// 10730M1 • Resolution: FTF GRANTED// ADV CX TO PAY ONLINE CUS OF THE PAYMENT ISSUE// INFORM CX ABT THE TOLL BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $175.00, $252.50 FTF Code (above $200): TL DEN Signature Name: Galasi 8c45046d-f273-4925-8593-8866a9d6c36e ____________________________ *NEW* FMAT: YES Verified: Yes Name: JAMES Email: james.hayden@bsci.com Phone: 443-280-4640 Concern: ASK FOR FTF// HAVE EZPASS// WNT TO PAY TN1 • LPN: MD 6CE2226 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $17.25 Payment Code: TNDH4Q Amount Reduced (if any): $37.50 FTF Code (above $200): NA Signature Name: Galasi 2eb69256-f9a8-4604-b63a-3e297c0d4c68 ____________________________ FMAT: YES Verified: Yes Name: LINDA JAMES Email: LJAMES1039@AOL.COM Phone: 703-350-5563 Concern: HAVE VA TRPR// RCV AN INV// PAY TN1 • LPN: WXK3589 • Resolution: • Amount Paid: $52.90 Payment Code: RFP56Z Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi eba2dd67-6580-4a57-a5a0-702b7bb0137e ____________________________ FMAT: YES Verified: Yes Name: TAMARA Email: TEWARD826@AOL.COM Phone: 240-393-1251 Concern: RCVD TN1// ASK FOR FTF// PAY TN1 • LPN: 7CC7789 • Resolution: HAVE ZERO BALANCE IN THE ACC// PAYMENT TAKEN • Amount Paid: $11.80 Payment Code: U4R3Q1 Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi ecaa3261-b0ae-4545-8c54-0690b256339b ____________________________ FMAT: yes Verified: Yes Name: Wilfredo Gonzalez Email: willdon.salvo@gmail.com Phone: 540-426-9672 Concern: HAVE EZPASS// RCVD TN1 • LPN: VA TVD98670// 6477901 • Resolution: HAVE ZERO BALANCE TRPR// • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi bbe4e6e7-1340-44b2-ae02-f0176270e375 ____________________________ FMAT: YES Verified: Yes Name: CESAR BENAVIDES Email: CHEWY0427@HOTMAIL.COM Phone: 240-678-9054 Concern: WNT TO KNW THE ACC BALANCE// PAY TN1 • LPN: MD 8FD7247 • Resolution: • Amount Paid: $88.70 Payment Code: WQSN2M Amount Reduced (if any): $225.00 FTF Code (above $200): MP090424180 Signature Name: Galasi 2ec19d88-641b-4d79-bc0a-47172fca4f5f ____________________________ FMAT: YES Verified: Yes Name: FRANSISCO CASTRO Email: alrdy in the acc (frajavcasalv@gmail.com) Phone: 5407602818 Concern: RCVD TN1// HAVE EZPASS// ASK FOR FTF// PAY TN1 • LPN: VA TLF5842 • Resolution: • Amount Paid: $559.40 Payment Code: KX64XA Amount Reduced (if any): $387.50 FTF Code (above $200): MP090424184 Signature Name: Galasi b3ca9a78-e80d-404c-8fd3-b27bb1f69e09 ____________________________ FMAT: NO Verified: Yes Name: Mohamad Jihad Alanbari Email: MOESTEAMS@GMAIL.COM Phone: 2145925000 Concern: WNT TO PAY TN1 • LPN: PYC7119 • Resolution: • Amount Paid: $14.50 Payment Code: LW6KPX Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a6fa80e9-c9da-4d87-92f1-e86479dd0b09 ____________________________ FMAT: NA Verified: Yes Name: Margaret Mensah Tennyson Email: ALREADY IN THE ACC Phone: NA Concern: HOV ON MODE// CLAIMING 4 PEOPLE INSIDE THE VEHICLE • LPN: MAAMEY // 1474156 • Resolution: WRITE OFF THE TRIPS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $50.00 FTF Code (above $200): NA Signature Name: Galasi e12372d5-bab6-4621-ad45-7d32420dee19 ____________________________ FMAT: NA Verified: Yes Name: FREDRICK Email: goschaser@aol.com Phone: NO Concern: HAVE EZPASS MD// IMPROPER MOUNTING// PAY TN1 • LPN: MD 8CT4649 • Resolution: • Amount Paid: $7.85 Payment Code: FRYGWL Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 26f2b621-740e-495c-8293-91832d220608 ____________________________ FMAT: NA Verified: Yes Name: NICOLE FUOCO Email: NA Phone: NA Concern: RCVD TN1// NO TRPR// HAVE EZPASS BUT WHENEVER CX ENTER TOLL LANE// ASK FOR FTF • LPN: 6DK6569 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): $25.00 FTF Code (above $200): Signature Name: Galasi fed6a9a3-2c4d-4041-9e8c-50b23db5d972 ____________________________ FMAT: Yes Verified: Yes Name: Bryant Maurice Harbison Email: harbo65@yahoo.com Phone: 703-915-1933 Concern: ASK FTF// PAY TN1 • LPN: UHM9486 • Resolution: • Amount Paid: $203.20 Payment Code: 6MJACI Amount Reduced (if any): $212.50 FTF Code (above $200): MP090424188 Signature Name: Galasi 0818a013-7ee0-4a11-911b-5ac015322677 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: RCVD TN1// • LPN: JJ8916 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 23c1462f-4be5-4797-bd95-052832e4ad02 ____________________________ FMAT: YES Verified: Yes Name: JOHANA (Carlos Portillo Perez) Email: JOHANARUIC88@GMAIL.COM Phone: 9178646580 Concern: RCVD TN1// ASK FTF // PAY TN1// • LPN: MD 90189CL • Resolution: • Amount Paid: $1.10 Payment Code: DWXJHF Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi ed25c939-4ca3-4c48-bbfb-3cfa8a128d21 ____________________________ FMAT: YES Verified: Yes Name: CINDY WOMBLE Email: ctwomble@gmail.com Phone: 919-801-2512 Concern: RCVD TN1// DIDN'T KNOW CX IS THEY'RE IN THE TOLL LANE// ASK FOR REDUCTION • LPN: NC VBC6877 • Resolution: • Amount Paid: $13.65 Payment Code: VCXFIZ Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi ce6c503f-5505-415f-9875-d3e6582aba0b ____________________________ FMAT: Verified: Yes Name: Chaquia Dyson Email: ALRDY IN THE ACC Phone: Concern: RCVD 2 TN1// • LPN: 7FL0995 • Resolution: • Amount Paid: $46.90 Payment Code: Amount Reduced (if any): na FTF Code (above $200): NA Signature Name: Galasi a51e1a47-0990-41d8-b876-a880ff12fdb8 ____________________________ 💗Records💗 12/06-07/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: YES Verified: Yes Name: JOANA Email: ALRDY IN THE ACC (yubislores@hotmail.com) Phone: ALRDY IN THE ACC Concern: HAVE EZPASS// HOV ON MODE// CLAIMING 3 PEOPLE// AUTO REPLENISH • LPN: VA RAID0// 6475713 • Resolution: TRPR ZERO BALANCE// CONTACT EZPASS// WRITE OFF THE TRIP $11.10 APPROVED BY CHARLIE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi fda965e0-0e79-4f7e-97d4-4d5248f94263 ____________________________ FMAT: YES Verified: Yes Name: Manoucheka Cayemittes Email: MCAYEMITTES@GMAIL.COM Phone: 804-655-9559 Concern: HAVE EZPASS// ASK FOR FTF// PAY TN1 • LPN: VA UDL4394 // 6782621 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $87.45 Payment Code: IWRMUI Amount Reduced (if any): $37.50 FTF Code (above $200): NA Signature Name: Galasi b334b393-7389-4cb8-a798-0d2d19313a66 ____________________________ FMAT: YES Verified: Yes Name: MICHAEL CYR Email: KPB326@GMAIL.COM Phone: 808-829-0279 Concern: RCVD TN1// ASK FOR FTF// PAY TN1 • LPN: MD DV23133 V// 6812741 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $17.90 Payment Code: 7UVUJX Amount Reduced (if any): $37.50 FTF Code (above $200): NA Signature Name: Galasi 68c0e11c-4f09-4984-8af9-11a47231f929 ____________________________ FMAT: Verified: Yes Name: MARTHA Email: Phone: Concern: generasl inquiry • LPN: TJG1566 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: RCVD TN1// WNT TO KNW IF THE TRIP IS PAID • LPN: 2GB7494// • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): NA Signature Name: Galasi 1a61bfbe-d1b5-45fc-a2f6-c27fee0023ee ____________________________ FMAT: YES Verified: Yes Name: MARIA RUBENS Email: GARCIACAROLA@YAHOO.COM Phone: 301-996-0354 Concern: RCVD TN1// HAVE EZPASS// WILL PAY ONLINE// • LPN: MD 33807CM • Resolution: TRPR ZERO_BALANCE// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d06d78a7-95da-449d-882e-d9d09f9424f5 ____________________________ FMAT: NO Verified: Yes Name: ANGEL SANTIAGO Email: NORA1966.NE@GMAIL.COM Phone: 347-228-5891 Concern: WNT TO PAY TN1 • LPN: NY LPW1006 • Resolution: PAYMENT TAKEN • Amount Paid: $14.80 Payment Code: PYNPYH Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 297daefe-ceab-48b1-ba3b-1fa18aff3413 ____________________________ FMAT: YES Verified: Yes Name: TARA JAMES Email: JAMES.TARA6@GMAIL.COM Phone: NO Concern: HAVE EZPASS// ASK FTF// WILL PAY ONLINE • LPN: VA UJD3645 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 4c4c4b64-68ca-4f2d-8002-569f1345b0d7 ____________________________ FMAT: NO Verified: Yes Name: JOHN MURPHY Email: JWMURPHY@GMAIL.COM Phone: 410-746-6091 Concern: RCVD TN1// NOT CX VEHICLE// IMAGE ERROR// • LPN: MD 1FL1134// • Resolution: WRITE OFF THE TRIP $22.45// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e69abc19-5934-45df-9f08-2068aa484af5 ____________________________ FMAT: NA Verified: Yes Name: JORGE (WIFE OF JORGE IS THE CALLER) Email: NA Phone: NA Concern: HOV ON MODE// NOV 12// HAVE HISTORY IN EZPASS THAT SOME TRIPS WAS NOT CHARGE SINCE CX IS IN HOV ON MODE// WNT SUP// WILL CALL BACK • LPN: ATBN06 • Resolution: WRITE OFF 2 TRIPS 18.75 + 15.10 $33.85// 18.75 2 TRIPS FTF $12.50// EDUC CX ABT TERMS AND CONDITION OF EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5c5ea9c2-e064-4b1c-9c0c-d457ca1b070c ____________________________ FMAT: NO Verified: Yes Name: JANESA THAXTON Email: THAXTONSURVING32@GMAIL.COM Phone: 202-210-3194 Concern: RCVD AN TN1// PAY TN1// • LPN: MD T1924489 • Resolution: PAYMENT TAKEN • Amount Paid: $7.70 Payment Code: TC8JHS Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 7db076d6-0645-4280-9f6a-a0057741ee10 ____________________________ FMAT: NO Verified: Yes Name: Lucio Sierra Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1 • LPN: FL 6077YA// 6883659 • Resolution: PAYMENT TAKEN • Amount Paid: $14.55 Payment Code: FXGPZ6 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 1dc115a8-67de-470e-9a33-765506cd6cb5 ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: SANDRA PHILLIP Email: sandra.phillips50@gmail.com Phone: 215-805-5333 Concern: HAVE EZPASS// HAVE AUTO REPLENISH// ASK FOR FTF// CX MENTION CX TRPR HAVE ZERO BALANCE// PAY TN1 • LPN: FT9178 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $19.25 Payment Code: YHCZY7 Amount Reduced (if any): $137.50 FTF Code (above $200): NA Signature Name: Galasi 0dc7cb89-7d80-4464-a204-6bdc681d9789 ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: Kenndo Arvon Batson Jr Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: LAST AGENT TRIED TO MAKE THE PAYMENT// VISA START WITH 4000// LAST AGENT FTF THE ACC// • LPN: MD 0RE0// 6456079 • Resolution: PAYMENT TAKEN • Amount Paid: $198.75 Payment Code: 6TPKCW Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 5ffaef59-368e-4551-b2b3-757914560f56 ____________________________ FMAT: NO Verified: Yes Name: John Paul Samuels Email: JPS4455@YAHOO.COM Phone: 240-882-0353 Concern: RCVD TN1// WNT TO KNW WHT THE REASON FOR THE TRIP// ASK FTF// HAVE EZPASS MD// • LPN: 5FH5485 • Resolution: ADV ABT THE TRIP INFO// ADV ABT TRPR STATUS DURING THE TRIP// • Amount Paid: $1.50 Payment Code: NBYTKG Amount Reduced (if any): $5.00 FTF Code (above $200): NA Signature Name: Galasi afc98cc6-027f-4929-8ca0-c9593133a792 ____________________________ FMAT: NO Verified: Yes Name: MIRIEALA Email: TABITHAXYCCLLC.COM Phone: 919-435-9922 Concern: WNT TO PAY TN1// • LPN: NC KM6827 • Resolution: PAYMENT TAKEN • Amount Paid: $113.25 Payment Code: Q58VNL Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3bc8a9e5-22f3-4f66-8fe9-a72b9fe24db3 ____________________________ FMAT: YES Verified: Yes Name: RONALD HAMILTON Email: VWTHINGMAN@GMAIL.COM Phone: 618-407-2485 Concern: RCVD TN1// WNT TO PAY TN1// ASK FOR FTF • LPN: IL ZY17464 • Resolution: PAYMENT TAKEN// FTF GRANTED// RVRS THE FIRST PAYMENT • Amount Paid: $8.45 Payment Code: UKFDDB Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 5bc94035-7efd-41d6-ab09-dfb3eb0a568c ____________________________ FMAT: NO Verified: Yes Name: Arnolda Modupeh Coker Email: ARNOLDAFAULKNER@YAHOO.CO.UK Phone: 646-541-2352 Concern: WNT TO PAY TN1// TRIED TO PAY IN THE WEBSITE// • LPN: PLW4422// 6593885 • Resolution: PAYMENT TAKEN • Amount Paid: $5.45 Payment Code: ZPFGW7 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 542ae119-f948-4d43-a04c-dcb10c166d03 ____________________________ FMAT: NA Verified: Yes Name: Edsel Delano Swails Email: NA Phone: NA Concern: RCVD TN1// CX NOT VEHICLE// IMAGE ERROR// C1802I CX LPN// CI80QI NOT CX LPN • LPN: FL C1802I// 6769872// • Resolution: WRITE OFF THE TRIP BECAUSE OF IMAGE ERROR $16.05// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 8b33cf32-a346-4940-9b61-68cc10c66e71 ____________________________ FMAT: YES Verified: Yes Name: COLE Email: FITTER.COLE@GMAIL.COM Phone: 203-993-5985 Concern: WNT TO PAY TN1 • LPN: NY KFP1857 • Resolution: PAYMENT TAKEN// • Amount Paid: $29.60 Payment Code: YUMVUV Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 089a7512-d44b-4ea9-b952-f03eec1ff871 ____________________________ FMAT: NO Verified: Yes Name: Angela Timberlake Email: RLTIMBER@AOL.COM Phone: 304-582-2282 Concern: PAID TOLL IN TOLL BOTH// ASK FOR FTF • LPN: WV 207436A • Resolution: ADV CX IN EXPRESSLANES IT DOESN'T HAVE TOLL BOTH AND WE ONLY TAKE TAKE TOLL FEE IN EZPASS// FTF GRANTED// • Amount Paid: $22.35 Payment Code: XHTQK7 Amount Reduced (if any): $12.50 FTF Code (above $200): NA Signature Name: Galasi 3be427e3-020b-440a-a696-73b4c820bebe ____________________________ FMAT: NO Verified: Yes Name: MELISSA MAKOTA Email: MELLIEBMAKOTA@GMAIL.COM Phone: 240-534-8702 Concern: WNT TO PAY BALANCE • LPN: 5GC9187 • Resolution: PAYMENT TAKEN • Amount Paid: $25.65 Payment Code: KQMXKK Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 530656c8-8d0a-4250-a2dd-4e2fd9f34913 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: dead air • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi 0d232222-5f1e-4235-9f65-c36af5348229 ____________________________ FMAT: NA Verified: Yes Name: Linda Barbara Smith Email: NA Phone: NA Concern: HAVE EZPASS// RCVD TN1// WNT TO PAY ONLINE// • LPN: NC PBL7601 • Resolution: TRPR HAVE ZERO BALANCE// ADV TO CALL EZPASS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 4095c7aa-861d-499c-9d30-36a07a2dc2d1 ____________________________ FMAT: NA Verified: Yes Name: DEE FOREMAN Email: DFOREMAN1021@COMCAST.NET Phone: 815-274-0062 Concern: RCVD TN1// HAVE EZPASS// PUTTING BALANCE IN THE EZPASS ACC// ASK FTF// ASK FOR EXTENSION ON THE ACC// WILL PAY ONLINE • LPN: 5133JD • Resolution: ADV TO CALL EZPASS// FTF GRANTED// ACCOUNT HOLD FOR 14 DAYS APPROVED BY SME CHARLIE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $317.50 FTF Code (above $200): SME CHARLIE Signature Name: Galasi eb058a16-0ce9-4917-888b-0d745c2bf9ef ____________________________ FMAT: YES Verified: Yes Name: Oscar Rolando Vasquez-diaz Email: OSCAR.VASQUEZ5511@GMAIL.COM Phone: 703-216-2706 Concern: WNT TO PAY TN1 • LPN: VA TXF8182 // 6731974 • Resolution: PAYMENT TAKEN • Amount Paid: $14.15 Payment Code: TS5UJN Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi e76db21b-3b13-446e-8702-4e5383712146 ____________________________ FMAT: YES Verified: Yes Name: MULIKAT ADEALA Email: ALRDY IN THE ACC (kennyadeala@yahoo.com) Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1 • LPN: MD 9EV6116 • Resolution: PAYMENT TAKEN • Amount Paid: $39.20 Payment Code: V7SSF8 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi eee12ea4-cde3-411e-8b16-28ccd4322f8d ____________________________ FMAT: YES Verified: Yes Name: Jyothi Latha Katabathuni Email: PRACACHE@GMAIL.COM Phone: 689-867-4200 Concern: HAVE EZPASS// RCVD TN1// ASK FOR FTF// WILL PAY ONLINE • LPN: VA TPU6210 • Resolution: TRPR ZER_BALANCE// FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $25.00 FTF Code (above $200): NA Signature Name: Galasi 5c8189bb-ba23-4c0e-a1e3-dbeb33c5eee8 ____________________________ FMAT: YES Verified: Yes Name: MICHAEL OLAREWAJU Email: mivipeen2@yahoo.com Phone: 240-330-2800 Concern: RCVD TN1// WNT TO PAY TN1// • LPN: MD 7EN3604 • Resolution: PAYMENT TAKEN • Amount Paid: $21.85 Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi f528c5cb-0ef0-44ad-aa49-a829b097cec6 ____________________________ FMAT: YES Verified: Yes Name: Michael Olushola Olarewaju Email: mivipeen2@yahoo.com Phone: 240-330-2800 Concern: HAVE EZPASS// RCVD TN1// WNT TO PAY TN1// • LPN: MD 8DE0358 // 6466921 • Resolution: PAYMENT TAKEN • Amount Paid: $42.10 Payment Code: 86FMWF Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: YES Verified: Yes Name: Richard Rodriguez Email: rrichardrodriguez1954@gmail.com Phone: 571-283-5222 Concern: WNT TO CONFIRM TN1// WNT TO PAY TN1 • LPN: VA TPJ8328 • Resolution: PAYMENT TAKEN • Amount Paid: $33.75 Payment Code: VMRYJ4 Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi d4adcba4-830a-4106-b53d-5c9eb8c86779 ____________________________ FMAT: YES Verified: Yes Name: LINDA Email: ALRDY IN THE ACC (lcostas@1800packrat.com) Phone: ALRDY IN THE ACC Concern: RCVD TN1// ALRDY PAID THE TN1// WNT TO KNW THE BALANCE// • LPN: NC NL7255 • Resolution: ADV CX IT'S ALRDY BEEN PAID • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi a7b010d6-213e-4c6f-b23d-92a047b6fd93 ____________________________ FMAT: Verified: Yes Name: Email: MRRASCHMITT4@GMAIL.COM Phone: NA Concern: RCVD TN1// CALL MD EZPASS// SEND AN EMAIL FOR EZPASS STATEMENT • LPN: MD 6CD7392 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): Signature Name: Galasi ____________________________ FMAT: NO Verified: Yes Name: Jenai Marissa Griffin Email: JGRFFIN0328@GMAIL.COM Phone: 571-326-3148 Concern: LATE INV// ASK FTF// PAY TN1 • LPN: VA UBW4464 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $219.65 Payment Code: EAAIXF Amount Reduced (if any): $92.50 FTF Code (above $200): NA Signature Name: Galasi ed9a74d1-9b01-4ab9-af1d-07898246ead0 ____________________________ FMAT: NA Verified: Yes Name: LORAINE Email: LGBERRY11@GMAIL.COM (jimbriody@aol.com) Phone: 562-221-5625 (5713257456) Concern: RCVD TN1// COMPANY CAR// HAVE EZPASS// ASK FTF// WNT TO PAY TN1 • LPN: VA HQ11665// 7373599 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $16.25 Payment Code: ZTN7RW Amount Reduced (if any): $37.50 FTF Code (above $200): NA Signature Name: Galasi 84b340c9-0717-4d68-a310-ec44070ed2ea ____________________________ FMAT: yes Verified: Yes Name: EDWIN RICE Email: eandlrice@gmail.com Phone: 757-771-2819 Concern: ASK FOR FTF// WILL PAY ONLINE • LPN: VA KBKING • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $50.00 FTF Code (above $200): NA Signature Name: Galasi 1d68623e-52d9-418d-9060-60f8e63fb2e5 ____________________________ FMAT: YES Verified: Yes Name: Robert Jhonatan Cruz Ortega Email: ROBERTJONCRUZ@GMAIL.COM Phone: 571-730-7140 Concern: HAVE EZPASS// ASK FTF// PAY TN1 • LPN: VA 34699V • Resolution: TRPR ZERO_BALANCE// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $243.80 Payment Code: 4HKHQE Amount Reduced (if any): $162.50 FTF Code (above $200): NA Signature Name: Galasi ef09938b-d695-4bf3-9377-d24c76d8e5e0 ____________________________ FMAT: YES Verified: Yes Name: Maria De Los Angeles Ortega Garcia Email: ROBERTJONCRUZ@GMAIL.COM Phone: 571-730-7140 Concern: ASK FTF// WILL PAY ONLINE • LPN: VA TNV4486 // 6880734 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $75.00 FTF Code (above $200): NA Signature Name: Galasi ____________________________ FMAT: YES Verified: Yes Name: Wondra Faye Miller Email: DRAMILL34@YAHOO.COM Phone: 301-219-8147 Concern: PAY TN1// ASK FOR EZPASS TRPR • LPN: MD 4DK2854 • Resolution: PAYMENT TAKEN// REFER TO EZPASS • Amount Paid: $ 6.25 Payment Code: QOOY3X Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 3b370e85-71f8-428e-b0a2-a6531fae00c5 ____________________________ FMAT: YES Verified: Yes Name: JAMES LOWE Email: james.lowe@aoc.gov Phone: NO Concern: WNT TO PAY TN1// TRY PAYING ONLINE// • LPN: VA TTS3093 • Resolution: PAYMENT TAKEN • Amount Paid: $15.05 Payment Code: J7CGPT Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 2ab76ff4-d846-4d70-9c49-0e6a6a4c1c5f ____________________________ FMAT: NA Verified: Yes Name: NANCY (Jonas Antonio Bonilla Moreno) Email: NA Phone: 240-533-1291 Concern: RCVD TN1// WNT TO KNW THE RERASON FOR THE TN1// • LPN: MD 7EW8232 • Resolution: TRPR ZERO-BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 6d08df01-b1ad-40ea-b10b-51816cee8597 ____________________________ FMAT: NA Verified: Yes Name: Carol Lynne Colman Email: NA Phone: NA Concern: RCVD TN1// WENT TO PAY ONLINE// ASK ON HOW TO PAY ONLINE • LPN: MD 6FM1345 • Resolution: ADV TO PUT THE ACC INSTEAD OF LPN • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA Signature Name: Galasi 0f7a7ee0-84ca-442f-8e2c-ef4d64534117 ____________________________ 💗Records💗 12/09-10/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: YES Verified: Yes Name: MOHAMMAD Email: ZAHERIZAID@GMAIL.COM Phone: 716-181-9714 Concern: WNT TO KNW THE TRIP DETAIL// HAVE EZPASS// WNT TO PAY TN1// ASK FTF • LPN: VA ANWARI // 6888677 • Resolution: TRIP DETAIL DISCUSSED// • Amount Paid: $64.20 Payment Code: WZGJFD Amount Reduced (if any): $37.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi d1e3bed2-55cc-4d9e-a8a2-7797539315b4 ___________________________ FMAT: YES Verified: Yes Name: GRACE Email: ALRDY IN THE ACC (VA) Phone: 571-509-8002 Concern: RCVD TN1// ASK FTF// PAY TN1 • LPN: VA TGN9267 // 6899750 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $15.55 Payment Code: JHBWET Amount Reduced (if any): $25.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 76d68a13-97b8-470f-91eb-19983d5fad29 ____________________________ FMAT: NO Verified: Yes Name: NICOLE Email: JAINELLE2003@GMAIL.COM Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1// VISA 4000 22// • LPN: MD 7EM0487 • Resolution: PAYMENT TAKEN • Amount Paid: $14.60 Payment Code: 6PAR9W Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 603a83c1-fdf2-4f66-88be-22ef016664fb ____________________________ FMAT: YES Verified: Yes Name: TERESA Email: ALRDY IN THE ACC (V) Phone: ALRDY IN THE ACC Concern: RCVD TN1// TRIED TO PAY ONLINE// PREVIOUS AGENT TOLD CX THEY HAVE 4 INVOICES// WNT TO KNW IF THE ADMIN FEE IS STILL WAIVED// WNT TO PAY TN1// CX THOUGHT SHE'S GOING TO PAY 600+ DOLLARS • LPN: VA TWH7914 // 6475153 • Resolution: ADMIN FEE IS STILL WAIVED// PAYMENT TAKEN// ADV CX TO TOTAL ALL OF THE INVOICE WITH THE CENTS • Amount Paid: $974.35 Payment Code: O1SD3Y Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 9789e985-2501-455a-b769-c63d1a640d55 ____________________________ FMAT: NO Verified: Yes Name: Antonia Guzman Email: AGUZMAN_585@HOTMAIL.COM Phone: 718-619-2901 Concern: RCVD TN1// LOST THE INVOICE// ASK FTF// WNT TO PAY TN1// HAVE EZPASS • LPN: EEV3355 • Resolution: INVALID EZPASS// PAYMENT TAKEN// FTF GRANTED • Amount Paid: $3.25 Payment Code: XCQE87 Amount Reduced (if any): $5.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 4a7d5661-a746-4407-9b92-e3a74d6d2f03 ___________________________ FMAT: YES Verified: Yes Name: Carol Ann Hutchins Email: ALRDY IN THE ACC (cahutchins@comcast.net) Phone: ALRDY IN THE ACC Concern: WNT TO PAY TN1 • LPN: MD 3GA6768 // 7229570 • Resolution: ADV ABT THE TOLL NOTICE// PAYMENT TAKEN// • Amount Paid: $97.40 Payment Code: OTET9Y Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi e3897a4e-9c52-4b59-aa6e-d78e5bf2fa67 ____________________________ FMAT: YES Verified: Yes Name: Carol (Thomas Wayne Hutchins 3rd) Email: cahutchins@comcast.net Phone: 443-624-0567 Concern: WNT TO PAY TN1 • LPN: MD 181L08 • Resolution: PAYMENT TAKEN • Amount Paid: $106.30 Payment Code: SMVLXN Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi ____________________________ FMAT: YES Verified: Yes Name: GREG (MEMORABLE) Email: greg@maineventcaterers.com Phone: 703-820-2028 Concern: HAVE TRPR// ASK FOR FTF// WNT TO PAY ALL INVOICES// • LPN: UUR1142 • Resolution: TRPR ARE ALL INVALID// ADV TO CALL EZPASS AGENCY// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $3,238.75 Payment Code: JZAZPB Amount Reduced (if any): $4,428.00 FTF Code (above $200): TL DEN ୨୧ Signature Name: Galasi 0ddd2eb9-581f-4a2c-b253-a3c2f3d1754f ____________________________ FMAT: NO Verified: Yes Name: Gloria E Carranza Portillo Email: glorycarranza@icloud.com Phone: 571-375-9623 Concern: WNT TO PAY TN1 • LPN: 49761CJ • Resolution: PAYMENT TAKEN • Amount Paid: $26.85 Payment Code: VZWARK Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi d8e38aee-8721-4e69-9351-1b6b0ca18a6e ___________________________ FMAT: YES Verified: Yes Name: Zaneta Monique Joseph Email: ZANETA2001@HOTMAIL.COM Phone: ALRDY IN THE ACC Concern: HAVE EZPASS// ASK FTF// WNT TO MAKE A PAYMENT • LPN: VA THS8023 • Resolution: FTF GRANTED// PAYMENT TAKEN// TRPR HAVE ZERO_BALANCE • Amount Paid: $125.30 Payment Code: DESDW2 Amount Reduced (if any): $117.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 0e39a242-f5b1-410b-874a-4ca519f7d14e ____________________________ FMAT: YES Verified: Yes Name: Paula Monica Arroyo Email: ARROYOPAULA@YAHOO.COM Phone: 703-499-6621 Concern: WNT TO KNW THE VIOLATIO// WNT TO PAY TN1// HAVE EZPASS// ASK FTF • LPN: VA THV8263 • Resolution: FTF GRANTED// PAYMENT TAKEN// TRPR IS NOT BEING READ IN OUR SYSTEM// ADV TO CALL EZPASS • Amount Paid: $87.15 Payment Code: JJTP33 Amount Reduced (if any): $55.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi b0053e58-e669-46ec-956c-d2891bfd181e ____________________________ FMAT: NA Verified: Yes Name: GEORGE Email: NA Phone: NA Concern: WNT TO KNW THEN REASON FOR THE TN1 • LPN: VA MBT2074 • Resolution: INVALID TRPR// ADV TO CALL EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 931d317f-682b-41da-b69e-ca50757ff980 ____________________________ FMAT: NO Verified: Yes Name: MICHAEL TRACEY Email: TRACEYS5@COX.NET Phone: 571-595-8617 Concern: WNT TO PAY TN1 • LPN: VA GRJKT23 • Resolution: PAYMENT TAKEN • Amount Paid: $23.30 Payment Code: XT57RB Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 0e9583ff-bf66-4398-b6d1-2ff4bd557a4d ___________________________ FMAT: YES Verified: Yes Name: ROBERT Email: DATAMEDIC@GMAIL.COM Phone: 443-742-1842 Concern: HAVE EZPASS// CARD EXPIRED// ASK FTF// • LPN: MD VT0487 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $9.80 Payment Code: 4VHNP4 Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi cc481f1e-c5f5-4cdd-9a50-d0a3df5b006c ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: MARK Email: MARKSTORCH117@GMAIL.COM Phone: 410-245-7417 Concern: RCVD TN1// HAVE A NEW EZPASS// ASK FTF// WNT TO PAY TN1 • LPN: 2EH5103 • Resolution: TRPR HAVE ZERO_BALANCE DURING THE TRIP// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $1.20 Payment Code: 8ADHYV Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 398da277-979b-4763-b36d-8a9b7ec5b14a ____________________________ FMAT: NO Verified: Yes Name: Jonte Jerrod Mitchell Email: ALRDY IN THE ACC (mitchelljonte2@gmail.com) Phone: 804-948-4445 Concern: WNT TO PAY TN1// VISA 4000 22// • LPN: VA TLY7460 • Resolution: PAYMENT TAKEN// WILL PUT THE ACC OH HOLD APPROVED BY TL DEN// ADV TO CX THEY CAN ALSO PAY USING PAYPAL ON THE WEBSITE// CALL BACK TOMORROW FOR THE PAYMENT// PAYMENT TAKEN • Amount Paid: $49.50 Payment Code: FNRSMG Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi cb205d96-0d62-4612-b4b2-f7b8a26ca1b4 ____________________________ FMAT: NA Verified: Yes Name: AMANDA WHITE Email: AMW01188@OUTLET.COM Phone: NA Concern: MISSED TOLL • LPN: WV 4LU497 • Resolution: ENROLL TO MAT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi f39d60a8-6604-4cee-8c92-205e216902d6 ___________________________ FMAT: YES Verified: Yes Name: VICTOR Email: MEJIAGEOVANNY@GMAIL.COM Phone: 202-971-2722 Concern: WNT TO PAY TN1 • LPN: DC FY9255 // 6836056 • Resolution: PAYMENT TAKEN • Amount Paid: $29.60 Payment Code: HYBNYS Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 5f38d5ea-e4c6-425b-9a54-36c636b7e760 ____________________________ FMAT: NA Verified: Yes Name: EDNA Email: ALRDY IN THE ACC (relind@aol.com) Phone: 703-930-7577 Concern: WNT TO PAY TN1// • LPN: UEM4735 • Resolution: PAYMENT TAKEN • Amount Paid: $17.40 Payment Code: XXRJSB Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a951e292-8bcb-4fdc-a692-6177ee5d158c ____________________________ FMAT: YES Verified: Yes Name: MARY PETERS Email: MARYBPETER4@GMAIL.COM Phone: 734-239-0734 Concern: WEBSITE ISSUE// WNT TO KNW THE TRIP// WNT TO PAY TN1 • LPN: DC JF3149 • Resolution: PAYMENT TAKEN// FOUND 7 TRIPS// • Amount Paid: $105.35 Payment Code: AX5KMW Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi d358722f-a179-4216-ba2d-7a9a47b1c4d8 ____________________________ FMAT: YES Verified: Yes Name: Scott Dosh Jackson Email: SDJACKSON360@GMAIL.COM Phone: 240-731-3081 Concern: RCVD TN1// HAVE EZPASS// ASK FOR FTF// • LPN: MD 8EZ9983 • Resolution: CALL EZPASS// ZERO_BALANCE TRPR// FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $37.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 7d422026-fd6e-4ba1-9672-90252a049ee6 ___________________________ FMAT: NO Verified: Yes Name: DEBRA (Sherrie Melissa Poole) Email: DEBRAKORTRIGHT@GMAIL.COM Phone: 240-382-8553 Concern: WNT PAY TN1// WENT TO PAY ONLINE • LPN: MD 4ET2436 // 6745854 • Resolution: PAYMENT TAKEN • Amount Paid: $14.80 Payment Code: CVEXQS Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi bdda8f55-0c12-4304-a6ae-3dbd2f1b2514 ____________________________ FMAT: NA Verified: Yes Name: JUAN Email: ALRDY IN THE ACC Phone: ALRDY IN THE ACC Concern: CALLED BACK FROM 5 TO 6 DAYS AGO// CALLING FOR HOV TRAVEL DISPUTE EMAIL CONFIRMATION// • LPN: VUY8836 • Resolution: TOLD CX THT THE EMAIL IS ALRDY SENT TO HIS EMAIL// WILL RE-RESEND THE EMAIL • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 04f92461-4491-4e0f-95f9-d8a40d5a3cd5 ____________________________ FMAT: YES Verified: Yes Name: Justin Robert Dhyani Email: BOBDHYANI@GMAIL.COM Phone: 240-832-9824 Concern: RCVD TN1// HAVE MD EZPASS// ASK FTF// WNT TO PAY TN1 • LPN: MD 9FL5409 • Resolution: FTF GRANTED// PAYMENT TAKEN// • Amount Paid: $16.05 Payment Code: BVXAVQ Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 5b2dbe0d-6a06-4b01-8620-710e214250ac ____________________________ FMAT: NA Verified: Yes Name: CARLOS Email: MCARLOS101@HOTMAIL.COM Phone: 571-286-6614 Concern: RCVD TN1// HAVE EZPASS// ALWAYS ON HOV ON MODE// ALWAYS IN GROUP OF PEOPLE WHEN TRAVELLING TH4E LANES// ASK FOR FTF// • LPN: VA TMV7852 // 6501001894705 • Resolution: WILL WRITE OFF 2 RECENT TRIPS 702115929-$14.00, 702114387-$17.40 // WILL REMOVE ALL ADMIN FEE FOR THE TRIPS THAT STILL IN THE ACC// ADV TO CALL EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $862.50 FTF Code (above $200): TL Den ୨୧ Signature Name: Galasi 48d7fe37-2d68-42dc-a54a-b64c6c983c6e ___________________________ FMAT: NA Verified: Yes Name: NA Email: NA Phone: NA Concern: DIFF LPN// MD 6EH3906- CX'S PARENTS LPN HONDA CRV// THE LPN IN THE IMAGE IS 6FM3906 • LPN: 6771809 • Resolution: WILL WRITE OFF THE TRIP BCUS IT'S CLEAR IT'S NOT CX PARENTS VEHICLE// ADV TO CAONTACT DMV// $20.00 REMOVE TRIP • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi b3a0ccfa-dec0-49fe-b16c-197316362460 ____________________________ FMAT: NO Verified: Yes Name: JERRY Email: NO Phone: 516-551-9529 Concern: RCVD TN1// HAVE EZPASS// ASK FTF// WILL PAY ONLINE • LPN: 2FL1175 • Resolution: ADV TO CONTACT EZPASS// FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $11.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 482514b1-7619-4c44-8e8c-8416b9c2f80c ____________________________ FMAT: NA Verified: Yes Name: MITCHELL Email: NA Phone: NA Concern: RCVD TN1// HAVE EZPASS// WILL CALL EZPASS • LPN: MD 6BR3813 • Resolution: TRPR ZERO_BALANCE// ADV TO CALL EZPASS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi cbb8cff7-f173-4236-8ce0-38ac550644ff ____________________________ FMAT: NO Verified: Yes Name: Alfred P Volta Jr Email: ALFREDVOLTA27@GMAIL.COM Phone: 516-818-8608 Concern: WNT TO PAY TN1 • LPN: FL 27EMJY • Resolution: PAYMENT TAKEN • Amount Paid: $16.10 Payment Code: MBJXMT Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 5ec7db90-058f-44dc-846a-c8efc4172c6e ___________________________ FMAT: NA Verified: Yes Name: DAVID Email: NA Phone: NA Concern: RCVD TN1// HAVE EZPASS// ASK FTF • LPN: 6FF1136 • Resolution: FTF GRANTED// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 693afa89-cfe7-490f-90b9-73cc97729670 ____________________________ FMAT: NA Verified: Yes Name: Tony Cheng Jr Email: MMRITAS@YAHOO.COM Phone: NA Concern: HAVE EZPASS// ALRDY CALLED EZPASS// EZPASS SEND THEM A EZPASS STATEMENT ABT THE TRPR. THAT THE TRPR HAVE SUFFICIENT BALANCE// ASK TO REMOVE THE ADMIN// WILL CONTACT THE GOVERNMENT// • LPN: MD 1FE0436 // 701361844 // 6742063 • Resolution: ADV TO SEND THE EZPASS STATEMENT TO OUR EMAIL// ADV THT IT WOULD TAKE 3 TO 5 BUSINESS DAYS OR LESS TO REVIEW THE STATEMENT BEFORE REMOVING THE ADMIN FEE// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 1731c3f0-3d3c-4244-a484-973e937910ed ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: RCVD TN1// diff lane • LPN: 30501L3 // SB494233 • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 6c7c7d62-f83a-46f9-a3be-809544e45934 ____________________________ FMAT: NA Verified: Yes Name: ROSA (Alejandro Villanueva) Email: ALRDY IN THE ACC Phone: 703-439-7452 Concern: WNT TO CHECK TOLL NOTICE// • LPN: VA VXT7489 // 6531312 • Resolution: NO MORE BALANCE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 90bc5242-8fee-422d-be7f-84808a24431b ___________________________ FMAT: YES Verified: Yes Name: Kinfegubreal G Bedane Email: ALRDY IN THE ACC (getkinfe@gmail.com) Phone: 571-277-0938 Concern: RCVD TN1// TRIED TO GO PAY IN WEBSITE// ASK FTF • LPN: VA UZF9682 • Resolution: TRPR IS INVALID// ADV TO CONTACT EZPASS// FTF GRANTED • Amount Paid: $3.55 Payment Code: 1SD1YB Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 6f512f15-a1e1-4b25-973c-4fb28a6166fb ____________________________ FMAT: NO Verified: Yes Name: Martita C Hernandez Martinez Email: YAIR.VIVAR@ICLOUD.COM Phone: 301-302-2374 Concern: RCVD TN1// WNT TO PAY TN1 • LPN: MD 9CX3280 // 6905585 • Resolution: PAYMENT TAKEN// • Amount Paid: $22.10 Payment Code: KDDUCU Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 166a632b-a0d3-4241-a987-c5c60a02bf01 ____________________________ FMAT: NA Verified: Yes Name: Dwayne Smith Email: mrdts100@horizen.net Phone: 571-246-2660 Concern: HAVE EZPASS// HAVE MONEY IN EZPASS// WILL SEND EZPASS STATEMENT ABOUT THE ACCOUNT STATUS AND BALANCE • LPN: MD 8CZ4703, 99431CJ • Resolution: FTF GRANTED FOR THE LPN 8CZ4703// FTF GRANTED FOR THE LPN 99431CJ// REFER TO EZPASS// ADV TO SEND THE STATEMENT FROM THE EZPASS// EDUC ABT THE INVOICES • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $82.50, $177.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi f79d11f6-cda1-494c-b356-b712a0c73706 ____________________________ 💗Records💗 12/10-11/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: YES Verified: Yes Name: ALEXANDRA RUCKER Email: PANDACHEEKS121199@GMAIL.COM Phone: 227-220-6398 Concern: PAY TN1// • LPN: FL 93EMYN • Resolution: PAYMENT TAKEN • Amount Paid: $30.50 Payment Code: T5NYQK Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 8d48bb3e-f11a-42e6-afd7-292b061e1ef6 ___________________________ FMAT: YES Verified: Yes Name: CONNOR Email: JOHN@CONNORSHOMEREPAIR.COM Phone: 703-297-2667 Concern: WNT TO PAY TN1// ASK FTF// HAVE BALANCE IN THE EZPASS// • LPN: VA 8596VX • Resolution: FTF GRANTED// PAYMENT TAKEN// REFER TO EZPASS// • Amount Paid: $64.80 Payment Code: VEOCCY Amount Reduced (if any): $80.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi e2e6d941-d8c6-489a-8ce2-6b53a172e828 ____________________________ FMAT: YES Verified: Yes Name: Delroy Demoy Dayes Email: DELROYDAYES2828@GMAIL.COM Phone: 860-796-3726 Concern: WNT TO PAY TN1// • LPN: MD 8GB5017 • Resolution: PAYMENT TAKEN • Amount Paid: $7.05 Payment Code: W7TDBS Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 5723c058-ec6a-481c-8b56-19189562ad86 ____________________________ FMAT: NO Verified: Yes Name: JONATHAN Email: TAOIST72@YAHOO.COM Phone: 904-315-3332 Concern: WNT TO PAY TN1 • LPN: FL 31KKY • Resolution: TRPR INSUFFICIENT BALANCE// PAYMENT TAKEN • Amount Paid: $12.65 Payment Code: TEIBF1 Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 829d6fcf-8c92-4a97-9d94-f8a1042fcc17 ____________________________ FMAT: YES Verified: Yes Name: NIGATU WAKEE Email: NIGATUNEGASHW@GMAIL.COM Phone: 240-899-0505 Concern: WNT TO PAY TN1// TRIED TO PAY TN1 ONLINE// • LPN: MD 3CV1058 // 6516283 • Resolution: TRPR IS NOT_LISTED// PAYMENT TAKEN// REFER TO EZPASS • Amount Paid: $52.30 95-495 Payment Code: XQVOMA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a6c37602-f26d-4044-9e7f-ce1a954e6b83 ___________________________ FMAT: NO Verified: Yes Name: SARAH Email: HSMITH@FCMLCC.ORG Phone: 703-534-4907 Concern: WENT TO PAY TN1 IN WEBSITE// WNT TO PAY TN1 • LPN: VA 70730TA • Resolution: PAYMENT TAKEN • Amount Paid: $15.80 Payment Code: NK3COE Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 3ed830b9-cf4f-43bd-8615-437aeebeb189 ____________________________ FMAT: YES Verified: Yes Name: EPHREM DEBELA Email: EPHREM.DEBELA@YAHOO.COM Phone: 301-787-5041 Concern: WNT TO PAY TN1// TRIED TO PAY ONLINE • LPN: MD 1GJ5454 // 6544933 • Resolution: PAYMENT TAKEN • Amount Paid: $31.45 Payment Code: HAGBAR Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a3d19f19-fd12-4be3-b2e3-064d4fbecadc ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: DWIGHT Email: DLTRADER06@GMAIL.COM Phone: 571-337-1974 Concern: JUST WNT TO KNW IF CX HAVE ANY MISSED TOLL// WNT TO PAY VIOLATION • LPN: DC GH7722 • Resolution: 1 VIOLATION// PAYMENT TAKEN// • Amount Paid: $29.45 Payment Code: P7NKCY Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi e4203395-bbb4-44da-a842-22832c507452 ____________________________ FMAT: NO Verified: Yes Name: JOSE HERNANDEZ ORDONEZ Email: ELMECANICO505@GMAIL.COM (icesmoiis@gmail.com) Phone: 571-723-5618 Concern: WNT TO PAY TN1 • LPN: VA 6337XS // 6891980 • Resolution: PAYMENT TAKEN// • Amount Paid: $48.20 Payment Code: BUJTBJ Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 904b2bbc-1626-48c9-9c77-f53549a4eac9 ___________________________ FMAT: YES Verified: Yes Name: BIANCA Email: ALRDY IN THE ACC (biancancoleman@gmail.com) Phone: 571-343-0355 Concern: RCVD 2 TN1// HAVE EZPASS// ALRDY CONTACT EZPASS// EZPASS TOLD CX THT TRPR IS ALL GOOD// AUTO REPLENISH// ASK FOR FTF// WNT TO PAY INV// • LPN: VA UGE1237 • Resolution: TRPR HAVE INSUFFICIENT BALANCE// ADV TO CALL EZPASS// ADV CX THT THEY HAVE 3 INVCS// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $178.15 Payment Code: V1SAX4 Amount Reduced (if any): $200.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi ba010de0-3be5-434a-9fa4-187b33657196 ____________________________ FMAT: NA Verified: Yes Name: DORA RENEHAN Email: NA Phone: NA Concern: RCVD AN EMAIL ABT MISSED TOLL// WILL CONTACT EZPASS • LPN: MD 9EH0693 • Resolution: BREAK DOWN 2 VIOLATION// TRPR INSUFFICIENT FUNDS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi b023a847-20c7-40c6-a34c-cc3fd0733498 ____________________________ FMAT: NA Verified: Yes Name: RONALD PETERSEN Email: NA Phone: NA Concern: RCVD TN1 WITH DIFFERENT LPN// • LPN: KWB002 • Resolution: INV ALRDY WRITE OFF • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 4facbaa0-2daa-4d14-a19e-bf0711311c35 ____________________________ FMAT: YES Verified: Yes Name: ANGEL (RICHARD HUAMANI) Email: ANGELDONAYRE19@GMAIL.COM Phone: 703-307-6673 Concern: WNT TO PAY TN1// TRIED TO PAY ONLINE • LPN: VA AH9426 • Resolution: PAYMENT TAKEN • Amount Paid: $25.00 Payment Code: KJCHUZ Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi bffc0c4d-95ec-466e-a0e2-a29bae332c56 ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: RCVD TN1// ASK WHO MANAGED THE TRPR// • LPN: • Resolution: REFER TO EZPASS • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi 5d14eec7-9b2b-47b5-8bcb-e6906b858558 ____________________________ FMAT: NO Verified: Yes Name: MARY JEAN (MICHAEL SPERRY) Email: PASTORANSELM@GMAIL.COM Phone: 8146647180 Concern: RCVD TN1// WNT TO PAY TN1 • LPN: PA MJS5947 • Resolution: PAYMENT TAKEN// • Amount Paid: $10.10 Payment Code: QUNSTS Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a80425f2-bffb-4dd6-9a7e-666ba54f67f2 ____________________________ FMAT: NA Verified: Yes Name: ANTONIO WOOD Email: NA Phone: NA Concern: RCVD INV// ALRDY PAID ONLINE// 23.70/1.50// CANCEL THE PAYMENT// WILL PAY AGAIN IN THE ONLINE// • LPN: RCH2001 • Resolution: ADV TO SEND THE EMAIL// ADV TO DO THE PAYMENT AGIAN AND WILL BE RECEIVING THE UPDATE REAL TIME IF CX ALRDY PAID FOR IT// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi fe9fde41-842f-4511-b81b-5d2e0e18bf7e ____________________________ FMAT: YES Verified: Yes Name: DAYNA JONES Email: DAYNAJ4@COMCAST.NET Phone: 443-508-1610 Concern: ASK FOR FTF • LPN: NC RER7113 • Resolution: FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $62.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 6752adcb-9b9c-493e-a688-059074922f56 ___________________________ FMAT: NA Verified: Yes Name: MICHAEL SMOTHERMAN Email: SMOMAN9@GMAIL.COM Phone: 717-639-8843 Concern: RCVD TN1// HAVE EZPASS// ASK FTF// WILL PAY THROUGH CHECK • LPN: PA MFT2511 • Resolution: FTF GRANTED// ADV TO PUT ACC NUMBER ON THE CHECK • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 0449fa26-321b-4872-998e-b8de6182cb3e ____________________________ FMAT: NA Verified: Yes Name: Farideh Karamlou Email: NA Phone: 301-613-2211 Concern: RCVD TN1// HAVE 4 PEOPLE INSIDE THE VECHICLE// DON'T HAVE EZPASS// CX ALRDY SEND A CHECK// • LPN: MD 4EG0587 // 6511915 • Resolution: FTF GRANTED// ADV TO CONTACT EZPASS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $15.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 63cf71fc-0e22-47fa-a5cf-d85f9799cf0d ____________________________ FMAT: YES Verified: Yes Name: JOSE HERNANDEZ Email: JHERNANDEZ9260@GMAIL.COM Phone: 240-918-9703 Concern: WENT TO PAY ONLINE// WNT TO PAY TN1// ASK FTF// ASK ABT TRPR// WNT TO PAY TN1 • LPN: 7EK2779 • Resolution: FTF GRANTED// ADV TO CONTACT EZPASS// PAYMENT TAKEN • Amount Paid: $1.40 Payment Code: N9RG73 Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi c7abcf31-9f0a-4888-8fe8-f521cf72a353 ____________________________ FMAT: NA Verified: Yes Name: Boris Email: NA Phone: NA Concern: WNT TO MAKE SURE THE INV IS ALRDY PAID// • LPN: VA UMG4712 // 6552311 // 7110911 • Resolution: ADV CX THERE'S NO MORE VIOLATION • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 7241d0ac-e0c1-4e25-994d-f791405b2ef1 ___________________________ FMAT: NA Verified: Yes Name: Kheshwar Shievdayal Email: MLFFDLTRN9099@GMAIL.COM Phone: 609-328-0832 Concern: HAVE SUFFICIENT BALANCE IN THE EZPASS ACC// CONTACT EZPASS ACC ABT CX TRPR// • LPN: NJ B61RCX // 701918326 // 6918363 • Resolution: ADV TO SEND EZPASS STATEMENT AND WILL GET BACK IN TOUCH ABT 3 TO 5 BUSINESS DAYS • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 2fb22ab6-de6d-42ae-928b-246dc0996f3c ____________________________ FMAT: NO Verified: Yes Name: Alan John Devries Email: ALAN.DEVRIES@HOTMAIL.COM Phone: 973-495-5699 Concern: RCVD TN1// HAVE 2 EZPASS// ASK FTF • LPN: GA TCS0305 • Resolution: ADV TO CALL EZPASS// HAVE INVALID TRPR// FTF GRANTED// • Amount Paid: $17.80 Payment Code: UFSSYK Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi bb3d27e3-062b-47f4-b6ac-61def87ee002 ____________________________ FMAT: NA Verified: Yes Name: ROSEMARY Email: ALRDY IN THE ACC (rosemarycook0470@gmail.com) Phone: ALRDY IN THE ACC Concern: RCVD TN1// WNT TO PAY TN1// HAVE 2 INV// WILL CALL BACK AFTER CALLING i66 • LPN: MD 44810CJ • Resolution: ASK FOR TRIP NUMBER// ADV TO CALL i66 LANE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a27b71fa-4c6e-449f-81fa-a0a36406e5e3 ____________________________ FMAT: YES Verified: Yes Name: Sirenia Patrice Tripp Email: PATTRIPP@HOTMAIL.COM Phone: 240-481-4770 Concern: WNT TO PAY TN1// • LPN: MD 9CD4473 • Resolution: PAYMENT TAKEN • Amount Paid: $24.40 Payment Code: MJPSYN Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 7350f68d-9bb8-4e58-92a5-fcf9e02a8b23 ___________________________ FMAT: NA Verified: Yes Name: NATASHA Email: JK.GIBSON@GMAIL.COM Phone: 512-906-6036 Concern: NOT CX VEHICLE// CX IS JUST THE OWNER FOR THE NAME BUT NOT THE VEHICLE ITSELF// CX IS NOT THE ONE WHOSE DRIVING THE VEHICLE DURING THE TRIP IN QUESTION// ASK IF THERE'S A POSSIBILITY FOR THE TRPR BEING FAULTY// ASK FTF// • LPN: MD GG2082 • Resolution: ADV CX TO CALL EZPASS// ADV CX TO FILE A AFFIDAVIT FORM// FTF GRANTED • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $75.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 417d4448-9cfb-43fb-8c66-c6f88e8ccda7 ____________________________ FMAT: NA Verified: Yes Name: Christopher Louis Linthicum Email: NA Phone: NA Concern: RCVD TN1// ASK FTF • LPN: MD 8ES1518 • Resolution: ADV THE PREV AGENT ALRDY REMOVE THE ADMIN FEE • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 70352e0e-dfce-441b-8972-09c7c590c3ad ____________________________ FMAT: YES Verified: Yes Name: TULSI TIWARI Email: TULSIRAMTIWARI1989@GMAIL.COM Phone: 443-985-5253 Concern: RCVD TN1// ASK FTF// WNT TO PAY TN1 • LPN: MD 9GH6353 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $7.60 Payment Code: MMJNBS Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 9d2c0e50-70fd-4dbe-be24-dbaceb2022a2 ____________________________ FMAT: NO Verified: Yes Name: FRANKLIN GUZMAN Email: FGUZMAN@GMAIL.COM Phone: 202-609-2342 Concern: WNT TO KNW THE IF THERE'S ANY VIOLATION// WNT TO PAY TN1// • LPN: 1ED9324 • Resolution: INVALID TRPR// ADV TO CALL EZPASS// PAYMENT TAKEN// • Amount Paid: $21.95 Payment Code: GGTZYP Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi e4ff4d02-572d-4fa9-88e1-359706ab60ad ___________________________ FMAT: YES Verified: Yes Name: Brendan James Gudenburr Email: BRENDANGUDENBURR@GMAIL.COM Phone: 734-837-5264 Concern: RCVD TN1// TRIED PAYING ONLINE WNT TO PAY TN1 • LPN: DC JF0643 • Resolution: PAYMENT TAKEN • Amount Paid: $75.10 Payment Code: RDKTVS Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi f27e2c87-645a-4648-a17c-19e441bdb245 ____________________________ FMAT: YES Verified: Yes Name: JOSHUA BARNETT Email: ALRDY IN THE ACC (V) Phone: ALRDY IN THE ACC Concern: WNT TO PAY REMAINING BALANCE// PREV AGENT REMOVE THE ADMIN// ASK TO BE THE ADMIN FEE TO BE REMOVED AGAIN// • LPN: VA 12878HM • Resolution: REMOVE THE ADMIN FEE AGAIN// PAYMENT TAKEN • Amount Paid: $230.80 Payment Code: RQVF9G Amount Reduced (if any): $120.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi df951b74-11fd-4091-9d72-3c4cbc817f7b ____________________________ FMAT: YES Verified: Yes Name: Kathryn Email: ALRDY IN THE ACC (katie.helbling@clearancejobs.com) Phone: ALRDY IN THE ACC Concern: PAY TN1// • LPN: VA VW3725 • Resolution: PAYMENT TAKEN • Amount Paid: $95.30 Payment Code: HFCPD1 Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a8e7d95d-874d-40fc-9680-b345b24fcbbf ____________________________ FMAT: YES Verified: Yes Name: Kathryn (Pamela Sue Keller-arledge) Email: katie.helbling@clearancejobs.com (countryprimarycare@gmail.com) Phone: 434-989-6493 Concern: WNT TO PAY TN1 • LPN: VA LKYH00 • Resolution: PAYMENT TAKEN • Amount Paid: $57.00 Payment Code: MGE1WK Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi ___________________________ FMAT: YES Verified: Yes Name: VIRGINIA BROOKS Email: VIRGINIAMORALESNAVERRETE@GMAIL.COM Phone: 703-217-1789 Concern: TRIED TO PAY ONLINE • LPN: DC FZ1330 • Resolution: PAYMENT TAKEN • Amount Paid: $18.60 Payment Code: 24AMTT Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 77d296b3-3834-4a8b-a5b1-e4c0e6721fc4 ____________________________ FMAT: YES Verified: Yes Name: MYLA SANTOS Email: mylamsantos@verizon.net Phone: 301-273-5601 Concern: RCVD TN1// ASK FOR FTF// • LPN: MD 1GH3047 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $4.60 Payment Code: 3K7ZCZ Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi f31df039-1d6c-4e7b-9f6e-557b384fbe40 ____________________________ FMAT: NA Verified: Yes Name: JASON LEBLANC Email: JASONLEBLANC@HOTMAIL.COM Phone: NA Concern: IMAGE ERROR// 6ED7217 CX LPN// 6FD7217 NOT THE LPN OF CX// • LPN: 6ED7217 • Resolution: WRITE OFF THE 3 TRIPS FOR $44.15 • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 2e9fb260-5ab6-4276-95ad-c9e1e345a8b2 ____________________________ FMAT: NO Verified: Yes Name: CYNTHIA Email: CEHALL516@gmail.com Phone: NA Concern: RCVD TN1// WNT TO HAVE A PROOF THT THEY ENTERED THE EXPRESS LANES// WNT TO KNW WHAT IS THE SIGNAGES FOR THE EXPRESSLANES// ASK FOR FTF// WNT TO PAY TN1 • LPN: MD 5BE1961 • Resolution: WILL BE SENDING TRIP DETAIL WITH IMAGE OF THE VEHICLE THAT THEY ARE IN THE EXPRESS LANES ON THE 8/14 AND 8/19// FTF GRANTED// ADV CX ABT THE PURPLE AND WHITE SIGNAGES LEADING UP TO EXPRESSLANES// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $4.35 Payment Code: W7YFB7 Amount Reduced (if any): $10.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 79ea4b33-cd72-4b9b-8843-129ea0085eba ___________________________ FMAT: NO Verified: Yes Name: DONNA HOPFAUF Email: HDMHOPFAUF@ICLOUD.COM Phone: 701-400-6798 Concern: WNT TO PAY TN1// • LPN: ND 4KEEGAN // 6753303 • Resolution: PAYMENT TAKEN • Amount Paid: $49.40 Payment Code: PP4XDJ Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi c35cb40f-4d83-48c4-be4b-b02197ddf949 ____________________________ FMAT: NA Verified: Yes Name: JAMES Email: NA Phone: NA Concern: RCVD TN1// HAVE EZPASS// WNT TO KNW THE REASON FOR THE TN1// WNT TO PAY TN1 • LPN: DJJ6095 • Resolution: TRPR INSUFFICIENT// PAYMENT TAKEN • Amount Paid: $27.75 Payment Code: EQOS9L Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi d48ec7a8-7901-4610-8c8a-29a1d298ca1f ____________________________ FMAT: NO Verified: Yes Name: Jose Ernesto Aguirre Sermeno Email: JEAGUIRRE0317@GMAIL.COM Phone: 443-812-9701 Concern: WNT TO PAY TN1 • LPN: MD 3CR7646 • Resolution: PAYMENT TAKEN • Amount Paid: $16.75 Payment Code: SNWZ1W Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 65815b1c-676e-4dc9-8cb5-842527db602f ____________________________ 💗Records💗 12/11-12/24 **ALWAYS VERIFY THE ACCOUNT** FMAT: ALRDY ENROLLED Verified: Yes Name: RACHEL RAMIREZ Email: ALRDY IN THE ACC (rachelvrnez@gmail.com) Phone: 703-967-0882 Concern: RCVD 2 TN1// CANNOT FIND TN1 ONLINE// CANNOT PAY ONLINE// ASK FTF// HAVE VA EZPASS EMAIL TRIP DETAILS// WNT TO PAY TN1// CALL DROP • LPN: VA VXX3582 • Resolution: EDU ABT WEBSITE UPDATE// FTF GRANTED// WIL BE SENDING ALL THE TRIP DETAILS// PAYMENT TAKEN • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $215.00 FTF Code (above $200): SME CHARLIE ୨୧ Signature Name: Galasi 4ef313b4-747a-4a49-9ade-dbdbbd1211e0 ___________________________ FMAT: YES Verified: Yes Name: MICHELE CASEY Email: MS09@OPTONLINE.NET Phone: 203-671-8090 Concern: HAVE EZPASS// PAY ONLINE// WNT TO PAY TN1 • LPN: CT BH23845 • Resolution: PAYMENT TAKEN • Amount Paid: $27.15 Payment Code: SKKGHT Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 6c47368f-ac70-4951-8b43-37bfe9ae736e ____________________________ FMAT: YES Verified: Yes Name: ANNA Email: amwalk0427@gmail.com Phone: 202-369-3555 Concern: WNT TO PAY TN1// CANNOT PAY ON THE WEBSITE// • LPN: MD 9FB2666 • Resolution: PAYMENT TAKEN • Amount Paid: $5.45 Payment Code: ZFKYXP Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 34abcf47-8cf5-4962-ae1e-e20b0938456a ____________________________ FMAT: NO Verified: Yes Name: WILLIAM Email: PWHEELERSR@YAHOO.COM Phone: 443-854-5752 Concern: WNT TO PAY TN1// • LPN: MD 6DX2207 • Resolution: PAYMENT TAKEN • Amount Paid: $14.10 Payment Code: SU4POM Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 84f78ebf-40d0-448c-b3de-cca3f263cfa4 ____________________________ FMAT: ALRDY ENROLLED Verified: Yes Name: JULIA FLORES Email: ALRDY IN THE ACC (juliaflores413@icloud.com) Phone: 571-398-8198 Concern: WNT TO PAY TN1 • LPN: VA UCC6483 • Resolution: PAYMENT TAKEN • Amount Paid: $37.05 Payment Code: A8DTF7 Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi a1396b72-2a29-46c4-988f-d5e1a24f5df3 ___________________________ FMAT: YES Verified: Yes Name: MATTHEW ASADU Email: ALRDY IN THE ACC (mattkesdu@yahoo.com) Phone: ALRDY IN THE ACC Concern: RCVD TN1// NEW ISSUE FOR TRPR// ASK FTF// WNT TO PAY TN1 • LPN: VA WRE8727 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $9.40 Payment Code: A5R3BO Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 5a5db7be-1b42-4d5c-a78b-a6732b0bbbe0 ____________________________ FMAT: NO Verified: Yes Name: AYAD Email: YTMEVIM@GMAIL.COM Phone: 910-257-4343 Concern: WNT TO PAY TN1// • LPN: NC KMY1749 // 6846027 • Resolution: PAYMENT TAKEN • Amount Paid: $80.20 Payment Code: TXHDPN Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 3f8e08fa-ae5f-4f69-bb5e-0a3371df3c60 ____________________________ FMAT: NO Verified: Yes Name: CORINE Email: CORINNELILO89@GMAIL.COM Phone: 443-535-3445 Concern: TRIED TO PAY TN1// PAY TN1 • LPN: MD 1ET7658 • Resolution: PAYMENT TAKEN • Amount Paid: $22.50 Payment Code: WE9C6Q Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 04ac68d9-a234-4155-8f81-51192d4fab5a ____________________________ FMAT: NO Verified: Yes Name: JOSE ORTIZ Email: JO964158@GMAIL.COM Phone: 609-992-9870 Concern: PAY TN1 • LPN: SC TEG453 // 6908284 • Resolution: PAYMENT TAKEN • Amount Paid: $21.70 Payment Code: LUYUFR Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 3dfbe75d-8d24-442b-9f37-90370c9793e2 ___________________________ FMAT: NA Verified: Yes Name: DEBORAH Email: DEDBIE7182005@YAHOO.COM Phone: NA Concern: MISSED TOLL • LPN: NY LSH5562 // • Resolution: ENROLLED TO MAT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 6d1cd950-d9c3-4161-b9af-7797a6e093e9 ____________________________ FMAT: NO Verified: Yes Name: AMBER BANKS BOND Email: AMBER.R.BANKS@GMAIL.COM Phone: 919-282-4976 Concern: PAY TN1// TRIED IN THE WEBSITE// • LPN: KLH2612 // 5544118 • Resolution: PAYMENT TAKEN • Amount Paid: $27.80 Payment Code: FZRNVT Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 99dc9a25-57e1-49f6-8d9d-4c53ca42467b ____________________________ FMAT: YES Verified: Yes Name: MARCUS COLICELLI Email: MARCUSCOLICELLI@GMAIL.COM Phone: 908-489-7843 Concern: RCVD TN1// HAVE EZPASS// ASK FTF// AUTO REPLENISH// WNT TO PAY TN1 • LPN: MD RBLSCM • Resolution: ADV TO CALL EZPASS// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $68.60 Payment Code: DPY8MJ Amount Reduced (if any): $112.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 155c4ca4-1a7a-485d-8eff-00ba03ffa348 ____________________________ FMAT: NO Verified: Yes Name: HINDA Email: ALRDY IN THE ACC (hindabrooks@yahoo.com) Phone: ALRDY IN THE ACC (410-218-0004) Concern: WNT TO PAY TN1 • LPN: MFM7894 • Resolution: PAYMENT TAKEN • Amount Paid: $22.80 Payment Code: ZFHXWZ Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 5ef2e0b0-9efe-44c9-9d99-f0711771e96b ___________________________ FMAT: NA Verified: Yes Name: Jasmin Contreras De Valerio Email: ALRDY IN THE ACC (contrerasvalerio@gmail.com) Phone: ALRDY IN THE ACC (571-605-8080) Concern: WNT TO PAY TN1// ASK FOR PLAN • LPN: UET6612 • Resolution: ADV THEY CAN PAY PER INVOICE// PAYMENT TAKEN • Amount Paid: $458.30 Payment Code: VQPEB3 Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi b50ac465-27a9-469d-9fed-e733c56cb7c1 ___________________________ FMAT: YES Verified: Yes Name: MAY Email: MAEVECOL@DT.EDU (lscoll63@gmail.com) Phone: 804-450-2518 Concern: RCVD TN1// DALLAS AIRPORT ROAD// EMAIL TRIP DETAIL// PAY TN1 • LPN: VA USJ4596 • Resolution: EMAIL TRIP DETAILS// PAYMENT TAKEN • Amount Paid: $103.70 Payment Code: S8QMTV Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi bb1910dd-ca69-4017-aa07-f2ab41002142 ____________________________ FMAT: YES Verified: Yes Name: STEFHANIE Email: STEF555@VERIZON.NET Phone: 7036064271 Concern: RCVD TN1// TRIED TO PAY ONLINE// HAVE EZPASS • LPN: VA 71064V // TYM3259 • Resolution: PAYMENT TAKEN// EZPASS NOT DETECTED// • Amount Paid: $17.50 // $13.35 Payment Code: D7K3I2 // TLJWGU Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi cbfcc8ea-fb23-44dd-bf3c-b866197a8536 ____________________________ FMAT: YES Verified: Yes Name: EMANUEL Email: EMANUEL003731@GMAIL.COM Phone: 240-743-0999 Concern: HAVE EZPASS// PUT MONEY IN THE EZPASS// ASK FTF// PAY TN1 • LPN: MD 6EC5366 • Resolution: ADV TO CALL EZPASS// FTF GRANTED// PAYMENT TAKEN • Amount Paid: $36.25 Payment Code: ZTCZQC Amount Reduced (if any): $50.00 FTF Code (above $200): NA ୨୧ Signature Name: Galasi e7797510-4a0a-453b-b68f-20a12e26cb66 ____________________________ FMAT: YES Verified: Yes Name: ALEX POMA Email: ALRDY IN THE ACC (gardel.poma@gmail.com) Phone: ALRDY IN THE ACC Concern: RCVD TN1// WNT TO KNW THE BALANCE// WNT TO KNW THE TRIPS// PREVIOUS AGENT GAVE FTF// PAY BALANCE • LPN: VA VJ7481 // 4488273 • Resolution: 21 TN1// 14 TN2// 9 READY FOR COLL// 4 IN COLL// PAYMENT TAKEN// FTF GRANTED • Amount Paid: $1,586.10 Payment Code: 9S8I2A Amount Reduced (if any): $337.50 FTF Code (above $200): TL DEN ୨୧ Signature Name: Galasi d701c3ab-d5d4-44a4-a9a8-46ec885a99ce ___________________________ FMAT: NA Verified: Yes Name: MITCHELLE Email: NA Phone: NA Concern: RCVD TN1// HAVE SUNPASS PRO// HAVE PAY-BY-PLATE INSTEAD OF TRPR// EXPRESS LANES ALRDY CHARGE HER ACC USING PAY-BY-PLATE// ASK FOR THE ADMIN FEE TO BE WAIVED • LPN: FL NCTL84 • Resolution: ADV TO SEND EMAIL STATING THAT EXPRESSLANES CHARGE// ADV CX THT WE CAN ONLY CHARGE SUNPASS USING THEIR TRPR// FTF GRANTED • Amount Paid: $133.85 Payment Code: NA Amount Reduced (if any): $62.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi e869b925-2042-4d53-8b83-671d0efe7c8f ____________________________ FMAT: NO Verified: Yes Name: WILLIAM (Sonia Christine Garrett) Email: ALRDY IN THE ACC (bszdcm@aol.com) Phone: 805-297-5822 Concern: RCVD TN1// EZPASS WILL REPLACE THE TRPR// ASK FTF • LPN: VA TJB7663 • Resolution: FTF GRANTED • Amount Paid: $7.25 Payment Code: ZYAEMR Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi cc00cdfa-137b-42f5-89e9-42d7ac0e3802 ____________________________ FMAT: YES Verified: Yes Name: Aliman Barry Email: BARRYDJENABOU@GMAIL.COM Phone: 240-646-6488 Concern: WNT TO PAY TN1// ASK FOR OTHER VIOLATION • LPN: 7DM9416 • Resolution: PAYMENT TAKEN// REFERED TO COLLECTION • Amount Paid: $7.00 Payment Code: GEFZGV Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi bb8a92f0-d05f-4dbb-9283-61449ab38de6 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: RCVD TN1// JUST WANT TO THE TRIP DETAIL • LPN: TSR7426 • Resolution: ADV ABT THE BACK OF THE INV • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi f0b9d624-916f-4a6c-8cde-fee8e968991b ___________________________ FMAT: NO Verified: Yes Name: Sue Alberici Email: ANNIE4525@HOTMAIL.COM Phone: 631-707-4990 Concern: TRIED TO PAY ONLINE// RCVD TN1// WNT TO PAY TN1 • LPN: KZB6673 • Resolution: PAYMENT TAKEN • Amount Paid: $7.75 Payment Code: E1ASXX Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 7b2da80c-4b30-4e2b-883b-7ef4a40bc0c5 ____________________________ FMAT: NA Verified: Yes Name: ADAM QUINONEZ Email: ADAMQ5994@GMAIL.COM Phone: 408-931-4803 Concern: RCVD TN1// WNT TO PAY TN1 • LPN: CA 9FCL155 // 6726471 // 7446528 // 7368877 • Resolution: PAYMENT TAKEN • Amount Paid: $236.15 Payment Code: V1ATA5 Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 25a66d1d-15fc-43a1-89a1-04aeb526ca45 ____________________________ FMAT: YES Verified: Yes Name: KENNETH FELLENSTIEN Email: KFELLENSTEIN01@YAHOO.COM Phone: 540-226-8846 Concern: RCVD TN1// HAVE EZPASS// ASK FOR FTF// PAY TN1 • LPN: DC JA0008 // 6816345 • Resolution: FTF GRANTED// PAYMENT TAKEN • Amount Paid: $22.05 Payment Code: 78PLCP Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 7fe9d16c-55c4-48be-af63-f7d19a3fa6f9 ____________________________ FMAT: YES Verified: Yes Name: APRIL FITZGERALD Email: AKFITZ03@VERIZON.NET Phone: 5712475333 Concern: RCVD TN1// HAVE SUFFICIENT BALANCE// WILL PAY ON FRIDAY • LPN: VA UKK8772 // VZG4331 • Resolution: FTF GRANTED// REFER TO EZPASS// • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $385.00 // $87.50 FTF Code (above $200): SME CHARLIE ୨୧ Signature Name: Galasi 8eb4aaed-147e-4d66-89fc-40decb194006 ___________________________ FMAT: YES Verified: Yes Name: THOMAS YUN Email: MADEINNY@GMAIL.COM Phone: NA Concern: RCVD TN1// HAVE NEW CAR// FORGOT TO TRANSFER TRPR// MISSED TOLL • LPN: VA 37970U // • Resolution: ENROLLED TO MAT • Amount Paid: NA Payment Code: NA Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 3ab9b93c-12f2-4205-996f-bcdb37dfc659 ___________________________ FMAT: NO Verified: Yes Name: JONG HAN Email: HANSOLO1577@YAHOO.COM Phone: 703-231-3091 Concern: RCVD TN1// WNT TO PAY TN1 • LPN: MD 5GB7460// 6491538 • Resolution: PAYMENT TAKEN • Amount Paid: $21.90 Payment Code: PO9TDH Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 25252385-a515-4b7b-b942-3dc2055dd813 ____________________________ FMAT: YES Verified: Yes Name: Wollage Desalegn Negeri Email: wollagedn@gmail.com Phone: 301-404-9990 Concern: RCVD TN1// HAVE EZPASS// WNT TO PAY TN1 • LPN: MD 7EV8229 • Resolution: TRPR INSUFFICIENT// PAYMENT TAKEN • Amount Paid: $24.00 Payment Code: QVAPEM Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 9fa957ec-ec32-42c8-ac65-f668883c56d0 ____________________________ FMAT: YES Verified: Yes Name: SARAH FLORES Email: CFLORES@FTC.NET Phone: 803-473-6752 Concern: WNT TO PAY TN1// • LPN: TX SAPITO • Resolution: PAYMENT TAKEN • Amount Paid: $31.70 Payment Code: 8HWTLE Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi c2cc5c44-45f3-4abf-aec4-1f15b38a6d7b ____________________________ FMAT: NA Verified: Yes Name: PREET MANDAVIA Email: NO Phone: 3015205936 Concern: RCVD TN1// HAVE EZPASS// HAVE AUTO REPLENISH// ASK TO REMOVE ADMIN FEE// WNT TO PAY TN1 • LPN: MD 8DP5613 • Resolution: TRPR INSUFFICIENT BALANCE// FTF GRANTED// PAYMENT TAKEN • Amount Paid: NA Payment Code: NA Amount Reduced (if any): $12.50 FTF Code (above $200): NA ୨୧ Signature Name: Galasi 713a5e4b-ba10-4b81-b57d-17cc50fa44f7 ___________________________ FMAT: YES Verified: Yes Name: CURT ROBINSON Email: APACHI75@GMAIL.COM Phone: 239-265-4186 Concern: WNT TO PAY TN1 • LPN: MD 7ES8530 • Resolution: PAYMENT TAKEN • Amount Paid: $15.65 Payment Code: VNI2QN Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 2c607370-d431-489e-bd74-0806762d9df3 ____________________________ FMAT: YES Verified: Yes Name: Antonella Valentina Tenreiro Email: JAVYIS@YAHOO.COM Phone: 301-256-5796 Concern: WNT TO PAY TN1 • LPN: MD 8EP0268 • Resolution: PAYMENT TAKEN • Amount Paid: $18.35 Payment Code: RRJKNH Amount Reduced (if any): NA FTF Code (above $200): NA ୨୧ Signature Name: Galasi 0f1ebd24-d6fe-4b01-a434-5987192a7d72 ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ____________________________ FMAT: Verified: Yes Name: Email: Phone: Concern: • LPN: • Resolution: • Amount Paid: Payment Code: Amount Reduced (if any): FTF Code (above $200): ୨୧ Signature Name: Galasi ___________________________