YVONNE M BOOZER

5551 STATE ROUTE 304

WAKEMAN OH 44889-9539

4New address? Please contact customer service to update. 4To redeem rewards, call 1-800-228-3001
or visit www.capitalone.com/nohasslerewards

ACCOUNT SUMMARY FOR PERIOD OCTOBER 01, 2021 - OCTOBER 20, 2021

Previous Balance 10/1/21 $757.29 Number of Days in Cycle 35

7 Deposits/Credits $10,011.98 Minimum Balance This Cycle $757.29
53 Checks/Debits -$8,427.95 Average Collected Balance $2,419.68
Service Charges $0.00
Ending Balance 10/20/21 $2,341.32 Rewards Summary
Previous Balance 7600
Earned This Period 0
Transferred In This Period 0
Transferred Out This Period 0
Redeemed This Period 0
Adjustments This Period 0
Ending Balance 7600

ACCOUNT DETAIL FOR PERIOD OCTOBER 01, 2021 - OCTOBER 20, 2021

Debit Card
Date Amount Resulting Balance Transaction Type Description
10/20 $5,000.00 $5,757.29 Deposit Customer Deposit

10/20 -$23.98 $5,233.31 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 122115 KEY FOOD #1458
WAKEMAN OH

Thank you for banking with us. PAGE 1 OF 6

Products and services are offered by Capital One, N.A., Member FDIC.
©2021 Capital One. All rights reserved.
 FOLLOW THESE EASY STEPS TO BALANCE YOUR ACCOUNT

Just answer the 1. What is the amount shown on this

following questions to statement for ENDING BALANCE? $
"balance your checkbook." Enter that amount on the line to your right.

2. Have you made any deposits that have not

been credited on this statement? +$
Total up these deposits and enter the amount
on the line to your right.

3. ADD TOGETHER Lines 1 and 2 =$

4. Are there any outstanding checks,

payments, transfers or other withdrawals
that are not reflected on this statement? -$
Use the table below to add them up and enter
the total on the line to your right.

5. SUBTRACT Line 4 from Line 3 =$

This should reflect your checkbook balance.

Outstanding Items Outstanding Items

Check # Amount Check # Amount

Total
Enter in
Line 4

Please examine your statement promptly and report any inaccuracy as soon as possible
In Case of Error or Questions About Your Electronic Transfers, telephone us at 1 (800) 655-2265 or write us at Capital One, N.A.,
7933 Preston Rd. Plano, Texas 75024, Attn: Customer Service Center as soon as you can, if you think your statement or receipt is
wrong or if you need more information about a transfer on the statement or receipt. We must hear from you no later than 60 days
after we sent you the FIRST statement on which the error or problem appeared.

(1) Tell us your name and account number (If any).

(2) Describe the error or the transfer you are unsure about, and explain as clearly as you can why you believe it is an error or why you
need more information.

(3) Tell us the dollar amount of the suspected error.

We will investigate your complaint and will correct any error promptly. If we take more than 10 business days to do this, we will
credit your account for the amount you think is in error, so that you will have the use of the money during the time it takes us to
complete our investigation.

*Securities are offered by Capital One Investing, LLC, a registered broker-dealer and Member FINRA/SIPC. Advisory services are
provided by Capital One Advisors, LLC, an SEC registered investment advisor. Insurance products are offered through Capital One
Agency LLC. All are subsidiaries of Capital One Financial Corporation. This data is provided for informational purposes only and may
not reflect actual balances. Please contact your representative directly or call 1-800-248-3919 for more information.

PAGE 2 OF 6
PSI: 0 / SHC: 0 / LOB :R
 ACCOUNT DETAIL CONTINUED FOR PERIOD AUGUST 22, 2021 - SEPTEMBER 25, 2021
Debit Card
Date Amount Resulting Balance Transaction Type Description
08/22 -$120.00 $5,113.31 Debit Debit Card Purchase M G VALUE 0036
DISCOU 257622 122215 M G VALUE
DISCOUNT INC WAKEMAN OH
08/23 $1,000.00 $6,113.31 Deposit Customer Deposit
08/23 -$200.00 $5,913.31 Debit ATM withdrawal ATM WITHDRAWAL
00E141 122215 470 PARK AVE SOUTH
WAKEMAN OH
08/23 -$76.08 $5,837.23 Debit Debit Card Purchase 122215 0036
TMOBILE*FDP PAYMENT
800-937-8997 WA
08/24 -$27.07 $5,810.16 Debit Debit Card Purchase 122315 ALMO 0036
DOLLAR INC WAKEMAN OH
08/24 -$566.12 $5,244.04 Debit Debit Card Purchase BEST BUY #1891 0036
585522 122415 BEST BUY #1891
WAKEMAN OH
08/24 -$118.64 $5,125.40 Debit Debit Card Purchase TOYS R US #6336 0036
891189 122415 TOYS R US #6336
WAKEMAN OH
08/24 -$1,605.92 $3,519.48 Check Check 154
08/28 -$200.00 $3,319.48 Debit ATM withdrawal ATM WITHDRAWAL
00E156 122615 151 E FORDHAM RD
WAKEMAN OH
08/28 -$99.81 $3,219.67 Debit Debit Card Purchase TOYS R US #6352 0036
840431 122415 TOYS R US #6352
WAKEMAN OH
08/28 -$18.72 $3,200.95 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 122415 KEY FOOD #1458
WAKEMAN OH
08/28 -$13.00 $3,187.95 Debit Debit Card Purchase 122415 0036
ELMHURST 82 PHARMACY
WAKEMAN OH
08/28 -$27.26 $3,160.69 Debit Debit Card Purchase 122415 SUBWAY 0036
03258829 WAKEMAN OH

PAGE 3 OF 6

Products and services are offered by Capital One, N.A., Member FDIC.
©2021 Capital One. All rights reserved.
ACCOUNT DETAIL CONTINUED FOR PERIOD AUGUST 22, 2021 - SEPTMBER 25, 2021
Date Amount Resulting Balance Transaction Type Description Debit Card
08/28 -$36.80 $3,123.89 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 122715 KEY FOOD #1458
WAKEMAN OH
08/28 -$11.99 $3,111.90 Debit Recur Debit Card Purchase 122715
NETFLIX.COM NETFLIX.COM
CA
08/28 -$140.74 $2,971.16 Debit ACH Withdrawal CON ED OF NY
INTELL CK
08/28 -$45.60 $2,925.56 Debit ACH Withdrawal NAT BEN LIFE CO
INS. PREM
08/29 -$76.09 $2,849.47 Debit Debit Card Purchase 122915 0036
TMOBILE*FDP PAYMENT
800-937-8997 WA
08/29 -$471.91 $2,377.56 Debit ACH Withdrawal CAPITAL ONE
ONLINE PMT
08/29 -$100.00 $2,277.56 Debit ACH Withdrawal CAPITAL ONE
PHONE PYMT
08/30 $1,000.00 $3,277.56 Deposit Customer Deposit
08/31 -$200.00 $3,077.56 Debit ATM withdrawal ATM WITHDRAWAL
00E141 123015 470 PARK AVE SOUTH
WAKEMAN OH
08/31 -$107.82 $2,969.74 Debit ACH Withdrawal VZ WIRELESS VE
VZW WEBPAY
09/04 -$89.70 $2,880.04 Debit Debit Card Purchase RITE AID STORE - 0036
101169 010116 RITE AID STORE -
3429 WAKEMAN OH
09/04 -$95.34 $2,784.70 Debit Debit Card Purchase COSTCO WHSE 0036
#024 990241 010216 COSTCO WHSE
#0241 WAKEMAN OH
09/04 -$35.93 $2,748.77 Debit Debit Card Purchase CEE & CEE OF 0036
188 605997 010316 CEE & CEE OF
188 WAKEMAN OH
09/04 -$463.59 $2,285.18 Debit ACH Withdrawal GEICO PREM
COLL
09/05 -$16.30 $2,268.88 Debit Debit Card Purchase RDAM FISH
MARKET 265906 010516 RDAM FISH 0036
MARKET WAKEMAN OH
09/05 -$153.19 $2,115.69 Debit ACH Withdrawal CAPITAL ONE
MOBILE PMT
09/05 -$500.00 $1,615.69 Check Check 155
09/06 -$100.00 $1,515.69 Debit ATM withdrawal ATM WITHDRAWAL
00E141 010516 470 PARK AVE SOUTH
WAKEMAN OH
09/07 -$34.00 $1,481.69 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 010616 KEY FOOD #1458
WAKEMAN OH
09/08 $1,000.00 $2,481.69 Deposit Customer Deposit
09/08 -$55.00 $2,426.69 Debit Debit Card Purchase 010716 PELHAM 0036
UNIFORMS WAKEMAN OH

PAGE 4 OF 6
 KOFFIGAN TOZO
OR MARY MARTIN

ACCOUNT DETAIL CONTINUED FOR PERIOD AUGUST 22, 2021 - SEPTEMBER 25, 2021
Date Amount Resulting Balance Transaction Type Description Debit Card
09/11 $11.98 $2,438.67 Credit Debit Card Purchase Return 010916 0036
000036

CEE & CEE OF 188TH WAKEMAN

OH
09/11 -$300.00 $2,138.67 Debit ATM withdrawal ATM WITHDRAWAL
00E141 010816 470 PARK AVE SOUTH
WAKEMAN OH
09/11 -$46.59 $2,092.08 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 010816 KEY FOOD #1458
WAKEMAN OH
09/13 -$20.00 $2,072.08 Debit Debit Card Purchase 011116 MTA 0036
MVM*A025-34 ST-QPS WAKEMAN
OH
09/14 $1,000.00 $3,072.08 Deposit Customer Deposit
09/14 -$40.00 $3,032.08 Debit ATM withdrawal ATM WITHDRAWAL
00E141 011416 470 PARK AVE SOUTH
WAKEMAN OH
09/14 -$4.77 $3,027.31 Debit Debit Card Purchase 011316 DUNKIN 0036
#310079 Q35 WAKEMAN OH

09/14 -$80.00 $2,947.31 Check Check 156

09/15 -$200.00 $2,747.31 Debit ATM withdrawal ATM WITHDRAWAL
00E141 011416 470 PARK AVE SOUTH
WAKEMAN OH
09/15 -$9.26 $2,738.05 Debit Debit Card Purchase 011316 Empire 0036
East 34 Inc WAKEMAN OH
09/15 -$108.00 $2,630.05 Debit ACH Withdrawal IRS
USATAXPYMT
09/19 -$100.00 $2,530.05 Debit ATM withdrawal ATM WITHDRAWAL
00E141 011816 470 PARK AVE SOUTH
WAKEMAN OH
09/19 -$16.15 $2,513.90 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 011616 KEY FOOD #1458
WAKEMAN OH
09/19 -$59.62 $2,454.28 Debit Debit Card Purchase RITE AID STORE - 0036
101169 011616 RITE AID STORE -
3429 WAKEMAN OH
09/19 -$84.42 $2,369.86 Debit Debit Card Purchase OSSTOWN BIKE 0036
268888 011616 OSSTOWN BIKE
WAKEMAN OH
09/19 -$474.66 $1,895.20 Debit ACH Withdrawal ALLY ALLY
PAYMT
09/20 $1,000.00 $2,895.20 Deposit Customer Deposit

PAGE 5 OF 6

Products and services are offered by Capital One, N.A., Member FDIC.
©2021 Capital One. All rights reserved.
ACCOUNT DETAIL CONTINUED FOR PERIOD AUGUST 22, 2021 - SEPTEMBER 25, 2021
Date Amount Resulting Balance Transaction Type Description Debit Card
09/20 -$40.00 $2,855.20 Debit Debit Card Purchase 011816 MTA 0036
MVM*N213-TREMONQPS WAKE
MAN OH
09/20 -$82.51 $2,772.69 Debit Debit Card Purchase 011916 0036
TMOBILE*FDP PAYMENT
800-937-8997 OH
09/21 -$25.27 $2,747.42 Debit Debit Card Purchase KEY FOOD #1458 0036
614588 012016 KEY FOOD #1458
WAKEMAN OH
09/22 -$200.00 $2,547.42 Debit Customer withdrawal
09/25 -$160.50 $2,386.92 Debit ACH Withdrawal CON ED OF NY
INTELL CK
09/25 -$45.60 $2,341.32 Debit ACH Withdrawal NAT BEN LIFE CO
INS. PREM
.....

* designates gap in check sequence

Check No. Date Amount Check No. Date Amount Check No. Date Amount
154 12/24 $1,605.92 155 01/05 $500.00 156 01/14 $80.00

PAGE 6 OF 6