CITI TRANSACTION SERVICES

Citibank® Commercial Cards

Appendix C: Report Formats

Report Name: Statement of Account for Individually Billed Travel Account (CB.15.1.7)
Report Number: N/A
Frequencies Available: Cycle
Level of Detail Selected: Detail
Dollars Reflected on Report: Real
Sort Order: Transaction date
Agency Benefits: Individual's bill

Report Description
This document is the official invoice for the individually billed account Cardholder. It will be used by the Cardholder to reconcile activity.

Click here to go to Appendix D to view the Account Statement.

Feature 1.1.13 Statement of Account (CB.15.1.7)

Pictorial Depiction
Statement of Account Site Name
Account Number: XXXXXXXXXXXXXXXXXX
Billing Cycle: mm/dd/ccyy - mm/dd/ccyy
Cardholder xxxxxxxxxx Due Date MM/DD/YYYY
Address 1 xxxxxxxxxx xxxxxxxxxx New Balance 99,999,999.99
Address 2 xxxxxxxxxx xxxxxxxxxx Minimum 99,999,999.99
City/ State / Zip xxxxxxxxxx xxxxxxxxxx    
Spending Controls Daily Monthly Cycle Per Purchase
Dollar limits
Volume limits		 99,999,999.99
999,999.99		 99,999,999.99
999,999.99		 99,999,999.99
999,999.99		 99,999,999.99
N/A
MCC Group1
Action		 99,999,999.99
999,999.99		 99,999,999.99
999,999.99		 99,999,999.99
999,999.99		 99,999,999.99
N/A
MCC Group2
Action		 99,999,999.99
999,999.99		 99,999,999.99
999,999.99		 99,999,999.99
999,999.99		 99,999,999.99
N/A
Account Activity
Post Dates Tran Dates Allocation:
Alloc1/ Alloc2/ Alloc3/...		 Transactions: Amount:
MM/DD MM/DD xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx 99,999,999.99
MM/DD MM/DD xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx 99,999,999.99
MM/DD MM/DD
xxxxx xxxxx xxxxx
xxxxx xxxxx xxxxx
xxxxx xxxxx xxxxx
          xxxxx xxxxx
          xxxxx xxxxx 		99,999,999.99
MM/DD MM/DD xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx 99,999,999.99
MM/DD MM/DD xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx 99,999,999.99
MM/DD MM/DD
xxxxx xxxxx xxxxx
xxxxx xxxxx xxxxx
xxxxx xxxxx xxxxx
          xxxxx xxxxx
          xxxxx xxxxx 		99,999,999.99
MM/DD MM/DD xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx 99,999,999.99
MM/DD MM/DD xxxxx xxxxx xxxxx xxxxx xxxxx xxxxx 99,999,999.99
Prev. Balance Payments/
Credits (-)		 Cash Advances (+) Purchases (+) PPIA (+) New Balance (=)
99,999,999.99 99,999,999.99 99,999,999.99 99,999,999.99 99,999,999.99 99,999,999.99
 
Important News:
 
Send in this portion with payment:
Bank XXXXXXXXXXXX Due Date MM/DD/YYYY
Address 1 XXXXXXXXXXXXXXXX New Balance 99,999,999.99
Address 2 XXXXXXXXXXXXXXXX Minimum 99,999,999.99
City/ State/ Zip XXXXXXXXXXXXXXXX Amount Enclosed  
Account Number XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Cardholder XXXXXXXXXXXX
Address 1 XXXXXXXXXXXXXXXX
Address 2 XXXXXXXXXXXXXXXX
City/ State/ Zip XXXXXXXXXXXXXXXX
 
Run Date/Time 12/5/1997 4:50pm  Page 1 of 1