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Flex Spending Account Claim History


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

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