12/28/2021|IBC|161604101474|STATEMENT|BOLING PATRIC C| |1434|691

Customer Number: 1604101474

Statement Date: 12/28/2021
Statement Period: 11/29/2021 - 12/28/2021
Enclosure Items: 12
Page Number: 1 of 4
P.O. Box 659507
San Antonio, Texas 78265-9507
Contact Information
Address:
101010101010101010101010
111000111100000001000011
101010110110100100001100
00000691 TI307S12292103532200 05 000000000 0000000 004
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001101111
100011101110001011111010
IBC Oklahoma
111111000100101101011101
111110111000001010110100
111000010010101111100101
111001000000101110010100
110011001010001001011111
101000000110110001110000
100100100001000001000111
110000001100110100000010
110010111100101000011001
3817 N.W. EXPRESSWAY
100010100011101000010010
101000110001101011011001
111011000001001010001110
101111011100110010110101
101101111101101110001010
111111111111111111111111 PATRICIA C BOLING OKLAHOMA CITY OK 73112
OR RAY D BOLING Bank Phone: 1- (405) 841-2100
610 E BLUE STARR DR IBC Voice: 1- (405) 841-2332
00000691 0009437 0001-0004

CLAREMORE OK 74017 Visit us Online: www.IBC.com

Mobile Banking: Download app or visit
at: www.myIBC.com

Please examine and report any discrepancies within 14 days from your statement date.

IBC Free Checking Account Recap Account Number: 1604101474

Beginning Number of Deposits & Number of Withdrawals & Closing
Balance Credits Credits Debits Debits Balance
-27.96 9 9,191.72 115 8,686.93 476.83
Overdraft and Return Item Fee Summary
Total for Total Cycle
This Period Year to Date
Total Overdraft Fees 35.06 1,052.81
Total Return Item Fees 0.00 0.00
Balance Summary
Average Collected Balance 1,153.91
Deposits (Credits)
Date Deposit # Amount Date Deposit # Amount Date Deposit # Amount
11/29 800.00 12/09 1,990.00 12/21 1,000.00
12/01 120.00 12/13 1,641.88
Checks (Debits)
Date Check # Amount Date Check # Amount Date Check # Amount
12/14 1111 350.00 12/02 1739* 112.50 12/21 1742 208.00
12/02 1736* 27.50 12/16 1741* 112.50 12/23 1743 369.57
12/02 1737 161.26
* Indicates a skip in check number sequence
101010101010101010101010
111000111100000001000011
101010110110100100001100
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001101111
Electronic Activity
100011101110001011111010
111111000100101101011101
111110111000001010110100
111000010010101111100101
111001000000101110010100
110011001010001001011111
101000000110110001110000
100100100001000001000111
110000001100110100000010
110010111100101000011001
100010100011101000010010
101000110001101011011001
111011000001001010001110
101111011100110010110101
101101111101101110001010
111111111111111111111111
Credits
Date Description Amount
12/03 ACH Deposit STATE PAYROLL CHECKING 135585 1,092.56
12/13 ACH Deposit UNUM LTD BEN UNUM LTD/STD BENEFIT 0106560650 569.12
12/17 ACH Deposit STATE PAYROLL CHECKING 135585 1,094.24
12/17 Check Card Credit Provisional Credit Issued 2191288746 883.92

00000691 0009437 0001-0004 TI307S12292103532200 05 L 00000000

 Customer Number: 1604101474
Statement Date: 12/28/21
Statement Period: 11/29/21 - 12/28/21
Page Number: 2 of 4

101010101010101010101010
111000111100000001000011
101010110110100100001100
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001101111
100011101110001011101110
Electronic Activity
111111000100101101011101
111110111000001011010000
111000010010100001101111
111001000010010001010000
110101001010000011001111
101100000101110010011000
100100100110111011101111
110000110100101001011110
110010011010010101110101
100010011011000101110110
101001001101111111100011
111100001010010100111110
101111011010110110011101
101101111111001110101010
111111111111111111111111
Debits
Date Description Amount
00000691 0009438 0002-0004

11/29 Check Card Debit Prime Video B88M37JU3 888 802 3080 WA 6.99
11/29 Check Card Debit SWIFT MART CLAREMORE OK 29.80
11/29 Check Card Debit WAL-MART #0012 CLAREMORE OK 31.32
11/29 Overdraft Fee For an Item in the Amount of 184.52 35.00
11/30 Check Card Debit USPS PO 39174902 400 W CLAREMORE OK 13.55
11/30 ACH Payment FARMERS N W LIFE INS. PREM *****0474 17.20
12/01 Check Card Debit AT T IVR 800 331 0500 TX 373.83
12/02 Check Card Debit Roku for Showtime Digit 816 2728107 DE 10.99
12/02 Check Card Debit Audible JD7860033 Amzn com bill NJ 14.95
12/02 ACH Payment PAYPAL CREDIT PPC TELPAY *****3699 N 100.00
12/03 ACH Payment TruStage CMFG AD&D INSUR XXXXXXXXX 0480084R0069875 26.50
12/03 ACH Payment SNAP FINANCE PAYMENT P2081583133 44.03
12/06 Check Card Debit Prime Video EQ6YR1LR3 888 802 3080 WA 0.99
12/06 Check Card Debit Amazon Music PQ1A98CC3 888 802 3080 WA 7.99
12/06 Check Card Debit Prime Video X28SA7WK3 888 802 3080 WA 9.99
12/06 Check Card Debit Prime Video 5Y9CU7XM3 888 802 3080 WA 19.99
12/06 Transfer Withdrawal Transfer to 1604139455 20.00
12/06 Check Card Debit FETCH PETPLAN HTTPSWWW GOPE IL 28.94
12/06 Check Card Debit Etsy com AllThingsChi 844 6593879 NY 29.41
12/06 Check Card Debit ST JOHN MEDICAL CENTE 918 744 2900 OK 100.00
12/06 Check Card Debit CVS/PHARMACY #10 10272- CLAREMORE OK 110.31
12/06 Check Card Debit TULSA ALTA PEST CONTROL 918 2360056 OK 149.00
12/06 ACH Payment ROYAL NEIGHBORS PREM DEBIT PREAUTHORIZED COL 0100000077390C 10.70
12/06 ACH Payment CHASE CREDIT CRD EPAY 5649803994 59.97
12/06 ACH Payment SAFECO INSURANCE INS PREM 72078922046 199.81
12/07 Check Card Debit AMZN Mktp US N75DH7D43 Amzn com bill WA 31.16
12/07 ACH Payment ROYAL NEIGHBORS PREM DEBIT PREAUTHORIZED COL 0100000077390C 20.00
12/08 Check Card Debit CLAREMORE CHIROPRACTIC CLAREMORE OK 22.53
12/08 Check Card Debit The Roku Channel 816 2728107 DE 34.95
12/09 Check Card Debit Prime Video 8Q7ZI1PR3 888 802 3080 WA 3.99
12/09 Check Card Debit Prime Video FV2UJ69V3 888 802 3080 WA 8.99
12/09 Check Card Debit Prime Video NK13S7113 888 802 3080 WA 8.99
12/09 Check Card Debit Amazon Prime 1D6QV3XA3 Amzn com bill WA 12.99
12/10 Check Card Debit CLIPS AND BOWS PET GROO CLAREMORE OK 13.99
12/10 Check Card Debit CATO #714 CLAREMORE OK 54.03
12/10 Check Card Debit SYNCB PAYMENT 800 613 9545 GA 75.00
12/10 ACH Payment SNAP FINANCE PAYMENT P2092668783 44.03
12/13 ATM Withdrawal Fee 1500 S LYNN RIGGS BLVD CLAREMORE OK 2.00
12/13 Check Card Debit Prime Video XV1NP5TJ3 888 802 3080 WA 10.99
12/13 Check Card Debit 10 BOX COST-PLUS CLAREMORE OK 39.12
12/13 Check Card Debit AMZN Mktp US DV8025Y63 Amzn com bill WA 54.66
12/13 Check Card Debit WM SUPERCENTER # CLAREMORE OK 57.06
12/13 Check Card Debit AMAZON COM M49W71NW3 AM AMZN COM BILL WA 62.10
12/13 Check Card Debit BLUE STARR ANIMAL HOSPI CLAREMORE OK 73.00
12/13 Check Card Debit AMERICAN HOME PROTECT 877 4073820 TX 95.30
12/13 Check Card Debit PAYMENT PLAN AUTO HOME 800 6857096 IL 190.60
12/13 Check Card Debit CVS/PHARMACY #10 10272- CLAREMORE OK 200.00
12/13 ATM Withdrawal 1500 S LYNN RIGGS BLVD CLAREMORE OK 502.50
12/13 ACH Payment COX COMM TUL BANK DRAFT 186029119003001 79.11
12/13 ACH Payment Credit One Bank Payment Credit One Bank 44404702 100.00
12/14 Check Card Debit Prime Video KB17X15E3 888 802 3080 WA 6.99
101010101010101010101010
111000111100000001000011
101010110110100100001100
12/14 Check Card Debit AMZN Mktp US CE2K86P83 Amzn com bill WA 22.94
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001101111
100011101110001011101110
111111000100101101011101
111110111000001011010000
111000010010100001101111
12/14 Check Card Debit Amazon com K24351RT3 Amzn com bill WA 197.99
111001000010010001010000
110101001010000011001111
101100000101110010011000
100100100110111011101111
110000110100101001011110
110010011010010101110101
100010011011000101110110
101001001101111111100011
12/15 Check Card Debit Prime Video 561Z96BV3 888 802 3080 WA 5.99
111100001010010100111110
101111011010110110011101
101101111111001110101010
111111111111111111111111
12/15 Check Card Debit APPLE COM US 800 676 2775 CA 883.92
12/15 ACH Payment MUTUAL OF OMAHA DEC INSPRM VZQ261 8.55
12/16 Check Card Debit AMZN DIGITAL NV59J8SF3 888 802 3080 WA 3.99
12/16 Check Card Debit Prime Video FE9WL1XY3 888 802 3080 WA 5.99
12/16 Check Card Debit AMZN Mktp US XU2Q50J13 Amzn com bill WA 15.30
12/16 Check Card Debit ADVANCE AUTO PARTS #801 CLAREMORE OK 52.47
12/16 Check Card Debit 10 BOX COST-PLUS CLAREMORE OK 78.26
12/16 Check Card Debit CVS/PHARMACY #10 10272- CLAREMORE OK 100.00
12/17 Check Card Debit MCDONALD S F25007 CLAREMORE OK 24.79

00000691 0009438 0002-0004 TI307S12292103532200 05 L 00000000

 Customer Number: 1604101474
Statement Date: 12/28/21
Statement Period: 11/29/21 - 12/28/21
Page Number: 3 of 4

101010101010101010101010
111000111100000001000011
101010110110100100001100
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001110111
100011101110001011100010
Electronic Activity
111111000100101100000101
111110111000011011111000
111000010010000000100111
111001000000101110001000
111001001010110100011111
100000001101110000010000
100100101011110001001111
110000010000001001011010
110010101101000010000001
100001000101110001001010
101001111111100100100101
111111011001011000111110
101111010110010110110101
100001111100101110001010
Debits
111111111111111111111111
Date Description Amount
12/17 ATM Withdrawal 1050 N LYNN RIGGS BLVD CLAREMORE OK 200.00
00000691 0009439 0003-0004

12/17 ACH Payment PLANET FIT CLUB FEES 888-237-9005 2135011875244 21.92
12/17 ACH Payment UNITED OF OMAHA INS PREM 77L889DEC-21 38.92
12/17 ACH Payment SNAP FINANCE PAYMENT P2104761655 44.03
12/17 ACH Payment UNITED OF OMAHA INS PREM XARL89DEC-21 46.42
12/20 Check Card Debit 10 BOX COST-PLUS CLAREMORE OK 12.42
12/20 Check Card Debit 10 BOX COST-PLUS CLAREMORE OK 15.47
12/20 Transfer Withdrawal Transfer to 1604139455 20.00
12/20 Check Card Debit ADVANCE AUTO PARTS #801 CLAREMORE OK 20.19
12/20 Check Card Debit 10 BOX COST-PLUS CLAREMORE OK 32.47
12/20 Check Card Debit AMZN MKTP US LP6UB3MP3 AMZN COM BILL WA 32.76
12/20 Check Card Debit CLAREMORE SINCLAIR #102 CLAREMORE OK 48.01
12/20 Check Card Debit KOHL S CHARGE PAYMENT 800 564 5740 WI 50.00
12/20 Check Card Debit SYNCB PAYMENT 800 613 9545 GA 59.00
12/20 Check Card Debit WALGREENS STORE 601 W W CLAREMORE OK 107.10
12/20 Check Card Debit CALORIE COUNTER INC OWASSO OK 110.00
12/20 Check Card Debit WAL Wal-Mart Super 0007 CLAREMORE OK 123.74
12/20 ACH Payment GERBER LIFE INS INSURANCE 800-704-2180 3696858 21.98
12/20 ACH Payment OK NATURAL GAS UTIL PAYMT 101348651127661 59.90
12/21 Check Card Debit Walmart.com Bentonville AR 38.79
12/21 Check Card Debit SHIPMAN VETERINARY SERV CLAREMORE OK 86.00
12/21 Check Card Debit SHEFFIELD FINANCIAL LLC 336 7761388 NC 109.18
12/21 ACH Payment Aqua FBO Connexu CXS ACH CXS PC *****0800 213.55
12/22 Check Card Debit KUM&GO 1840 CLAREMOR CLAREMORE OK 6.66
12/22 Check Card Debit KUM GO 1840 CLAREMOR CLAREMORE OK 38.01
12/22 Check Card Debit MCDONALD S F25007 CLAREMORE OK 43.68
12/22 Check Card Debit BATH AND BODY WORKS 457 CLAREMORE OK 114.80
12/22 Check Card Debit WM SUPERCENTER # CLAREMORE OK 231.04
12/23 Check Card Debit AMZN Mktp US 7R8RV7YV3 Amzn com bill WA 9.68
12/23 Check Card Debit BATH AND BODY WORKS 457 CLAREMORE OK 68.88
12/23 Check Card Debit WAL Wal-Mart Super 0015 CLAREMORE OK 137.96
12/24 Check Card Debit APPLE COM BILL 866 712 7753 CA 0.99
12/24 Check Card Debit 10 BOX COST-PLUS CLAREMORE OK 20.75
12/24 Check Card Debit CLAREMORE CHIROPRACTIC CLAREMORE OK 22.53
12/24 ACH Payment SNAP FINANCE PAYMENT P2114531660 44.03
12/24 ACH Payment GreenSky WEB PAY 8669360602 Greensky 184.52
12/27 Check Card Debit NETFLIX COM NETFLIX COM CA 17.99
12/27 Check Card Debit IN *PATRIOT WINE AND SP CLAREMORE OK 26.87
12/27 Check Card Debit WM SUPERCENTER # CLAREMORE OK 34.65
12/27 Check Card Debit CLAREMORE SINCLAIR #102 CLAREMORE OK 35.70
12/27 ACH Payment GERBER LIFE INS INSURANCE 800-704-2180 9073048 27.86
12/28 Check Card Debit Prime Video 6L8NW8DW3 888 802 3080 WA 6.99
12/28 Check Card Debit SWIFT MART CLAREMORE OK 46.54
12/28 Check Card Debit AMZN Mktp US UQ5553RP3 Amzn com bill WA 58.03
12/28 OD Interest Charge 0.06

Important Notice Regarding Your Account

Important Notice Regarding Your Account: You have been paying multiple overdraft fees and there may be
less expensive alternative products that may be better suited for your needs. Please call Rafael Gonzalez @
1-888-422-3511 to discuss other options.
101010101010101010101010
111000111100000001000011
101010110110100100001100
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001110111
100011101110001011100010
111111000100101100000101
111110111000011011111000
111000010010000000100111
Daily Ending Balance
111001000000101110001000
111001001010110100011111
100000001101110000010000
100100101011110001001111
110000010000001001011010
110010101101000010000001
100001000101110001001010
101001111111100100100101
111111011001011000111110
101111010110010110110101
100001111100101110001010
111111111111111111111111 Date Amount Date Amount Date Amount
11/29 668.93 12/08 123.44 12/17 2,393.18
11/30 638.18 12/09 2,078.48 12/20 1,680.14
12/01 384.35 12/10 1,891.43 12/21 2,024.62
12/02 -42.85 12/13 2,635.99 12/22 1,590.43
12/03 979.18 12/14 2,058.07 12/23 1,004.34
12/06 232.08 12/15 1,159.61 12/24 731.52
12/07 180.92 12/16 791.10 12/27 588.45
x

00000691 0009439 0003-0004 TI307S12292103532200 05 L 00000000

 Customer Number: 1604101474
Statement Date: 12/28/21
Statement Period: 11/29/21 - 12/28/21
Page Number: 4 of 4

101010101010101010101010
111000111100000001001101
101010110110100100001100
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001111111
100011101110001011111110
Daily Ending Balance
111111000100101100000101
111110111000011010101100
111000010010100111110111
111001000001110011001100
111011001000110111111111
100100000010001100001000
100100101110101001110111
110000111110010010011010
110010000111000001011001
100011000011000011010110
101011001001101011110001
111000101111101101111110
100001001000110001000101
Date Amount
101011111101001110001010
111111111111111111111111
12/28 476.83
00000691 0009440 0004-0004

101010101010101010101010
111000111100000001001101
101010110110100100001100
100100110111000100011101
101100100010010000100000
101001010100010010001111
111100101001000000000100
101101111011001001111111
100011101110001011111110
111111000100101100000101
111110111000011010101100
111000010010100111110111
111001000001110011001100
111011001000110111111111
100100000010001100001000
100100101110101001110111
110000111110010010011010
110010000111000001011001
100011000011000011010110
101011001001101011110001
111000101111101101111110
100001001000110001000101
101011111101001110001010
111111111111111111111111

00000691 0009440 0004-0004 TI307S12292103532200 05 L 00000000