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System Sales Summary

America's Pharmacy #3
4352 W Vine St Kissimmee, FL 34746-6313
(407) 479-0033 (f) (407) 479-0037
5/1/2022 - 5/31/2022

Sales Discounts Returns Subtotal Tax Calculated Total

Amount Amount Amount

Retail Sales
OTC 3316.39 -213.05 -13.38 3089.96 235.2601 3325.2200
OTC No Tax 3749.49 -53.68 -15.99 3679.82 0.0000 3679.8200
OTC No Tax_1 113.94 -11.39 0.00 102.55 0.0000 102.5500
Retail Sales Totals: 7179.82 -278.12 -29.37 6872.33 235.2601 7107.5900

Rx Sales
Non-Adjudicated Rx Sales
Rx Manual Item 48.80 0.00 0.00 48.80 0.0000 48.8000
Non-Adjudicated Rx Sales Subtotals: 48.80 0.00 0.00 48.80 0.0000 48.8000
Rx Plan Customer Payments
Cash 1794.46 0.00 0.00 1794.46 0.0000 1794.4600
Florida Medicaid 0.00 0.00 0.00 0.00 0.0000 0.0000
Medicare Part D 120.21 0.00 -3.95 116.26 0.0000 116.2600
Simply Healthcare 0.00 0.00 0.00 0.00 0.0000 0.0000
Standard Third Party 26286.57 -10.51 -1357.94 24918.12 0.0000 24918.1200
SUNSHINE MEDICAID 45.00 0.00 0.00 45.00 0.0000 45.0000
Rx Plan Customer Payments Subtotals: 28246.24 -10.51 -1361.89 26873.84 0.0000 26873.8400
Rx Plan Third Party Remit
Florida Medicaid 36.56 0.00 0.00 36.56 0.0000 36.5600
Medicare Part D 7709.18 0.00 -4750.35 2958.83 0.0000 2958.8300
Simply Healthcare 1669.24 0.00 -367.69 1301.55 0.0000 1301.5500
Standard Third Party 15583.21 0.00 -10947.51 4635.70 0.0000 4635.7000
SUNSHINE MEDICAID 1817.63 0.00 0.00 1817.63 0.0000 1817.6300
Rx Plan Third Party Remit Subtotals: 26815.82 0.00 -16065.55 10750.27 0.0000 10750.2700
Rx Sales Totals: 55110.86 -10.51 -17427.44 37672.91 0.0000 37672.9100

Sales Adjustments
A/R Service & Finance Charges 0.00 0.00 0.00 0.00 0.0000 0.0000
AutoPosted Adjustments 0.00 0.00 0.00 0.00 0.0000 0.0000
Manual A/R Charges & 0.00 0.00 0.00 0.00 0.0000 0.0000
Adjustments
Voided Outside of POS From Prior 0.00 0.00 0.00 0.00 0.0000 0.0000
Closed Statement Period
Voided Outside of POS From 0.00 0.00 0.00 0.00 0.0000 0.0000
Within Statement Period
Sales Adjustments Totals: 0.00 0.00 0.00 0.00 0.0000 0.0000
Totals: 62290.68 -288.63 -17456.81 44545.24 235.2601 44780.5000

Other
Customer A/R Payments -654.24 0.00 0.00 -654.24 0.0000 -654.2400
Other Totals: -654.24 0.00 0.00 -654.24 0.0000 -654.2400

Printed On: 6/27/2023 Page 1 of 1

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