Flex Spending - Health
Per Pay Deposit |
Available | Deposited | Spent | Balance | Pending |
---|---|---|---|---|---|
$150.00 | $600.00 | $900.00 | $300.00 | $600.00 | $0.00 |
Claim Details
for January 1, 1995 - December 31, 1995
Claim Date | Claim Amount | Paid Amount | Reference Number |
---|---|---|---|
01/15/1995 | 50.00 | 50.00 | GLAS950115 |
04/21/1995 | 250.00 | 250.00 | CHIR950421 |