{"aaData": [["4-1028", "
FIELD SERVICE RECEIPT - PATIENT FUNDS (ACCOUNTABLE)
\n", "
\n
\n\n
\n", "
DEPOSIT
\n"], ["3230-1", "
REFERENCE SLIP
\n", "", "
BOTH
\n"], ["BALCARFWD", "", "", "
DEPOSIT
\n"], ["OF 1017-G", "
JOURNAL VOUCHER
\n", "
\n
\n\n
\n", "
BOTH
\n"], ["SF 5515", "
DEBIT VOUCHER
\n", "
\n
\n\n
\n", "
WITHDRAWAL
\n"], ["10-1098", "
DEBIT VOUCHER
\n", "
\n
\n\n
\n", "
WITHDRAWAL
\n"], ["10-2920", "
AUTHORIZATION FOR RELEASE OF PATIENT FUNDS
\n", "
\n
\n\n
\n", "
WITHDRAWAL
\n"], ["10-2675", "
CONSOLIDATED REQUISITION FOR CASH WITHDRAWAL
\n", "
\n
\n\n
\n", "
WITHDRAWAL
\n"], ["4-4564", "
TRANSFER OF DISBURSING AUTHORITY
\n", "
\n
\n\n
\n", "
BOTH
\n"], ["SF 1081", "
VOUCHER AND SCHEDULE OF WITHDRAWALS AND CREDITS
\n", "
\n
\n\n
\n", "
BOTH
\n"], ["07-2064", "
AUTHORITY TO RELEASE AND SHIP EFFECTS AND FUNDS
\n", "
\n
\n\n
\n", "
WITHDRAWAL
\n"], ["10-2696", "
EXPENDITURE SCHEDULE & PURCHASE ORDER 36X6020 PFOP
\n", "
\n
\n\n
\n", "
BOTH
\n"], ["10-1083", "
PATIENT'S OR MEMBER'S ACCOUNTS
\n", "
\n
\n\n
\n", "
BOTH
\n"], ["10-1126", "
WITHDRAWAL OF PERSONAL FUNDS
\n", "
\n
\n\n
\n", "
WITHDRAWAL
\n"]]}