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Home My WebLink AboutInv# 2025-00000362 - AMERIFLEX - 05/02/2025Benefit Register Report Pay Date Range 04/12/25 - 04/25/25 Sort by Employee - Benefit Pay Batch 220259 Benefit Separate Check Amount Employee 3094 - Cuervo, Alejandra HSA EE ONLY HSA Employee Only 33.33 Employee 3094 - Cuervo, Alejandra Totals $33.33 Employee 3087 - Daniel, Laurenda HSA EE ONLY HSA Employee Only 33.33 Employee 3087 - Daniel, Laurenda Totals $33.33 Employee 3048 - Dixon, Deandraloe D HSA EE ONLY HSA Employee Only 33.33 Employee 3048 - Dixon, Deandraloe D Totals $33.33 Employee 1916 - KNUDSON, THEODORE HSA EE ONLY HSA Employee Only 33.33 Employee 1916 - KNUDSON, THEODORE Totals $33.33 Employee 2012 - MCDOWELL, KEITH HSA EE ONLY HSA Employee Only 33.33 Employee 2012 - MCDOWELL, KEITH Totals $33.33 Employee 3109 - Nibbs, Luciano E HSA EE ONLY HSA Employee Only 33.33 Employee 3109 - Nibbs, Luciano E Totals $33.33 Employee 3065 - Notice, Jadeen HSA FAM HSA Family Plan 66.67 Employee 3065 - Notice, Jadeen Totals $66.67 Employee 3004 - Riera, Elora Rebecca HSA EE ONLY HSA Employee Only 33.33 Employee 3004 - Riera, Elora Rebecca Totals $33.33 Employee 3032 - Schutten, Sean HSA EE ONLY HSA Employee Only 33.33 Employee 3032 - Schutten, Sean Totals $33.33 Employee 2031 - SPEAR, MITZIE P HSA EE ONLY HSA Employee Only 33.33 Employee 2031 - SPEAR, MITZIE P Totals $33.33 Employee 3110 - Torres Dulzaide, Randel HSA EE ONLY HSA Employee Only 33.33 Employee 3110 - Torres Dulzaide, Randel Totals $33.33 Employee 3102 - Wall, Christina HSA EE ONLY HSA Employee Only 33.33 Run by Christina Wall on 05/02/2025 19:39:28 PM Page 1 of 2 Benefit Register Report Pay Date Range 04/12/25 - 04/25/25 Sort by Employee - Benefit Pay Batch 220259 Benefit Separate Check Amount Employee 3102 - Wall, Christina Totals $33.33 Employee 2024 - WILLIAMS, BRYSHAWN HSA EE ONLY HSA Employee Only 33.33 Employee 2024 - WILLIAMS, BRYSHAWN Totals $33.33 Grand Totals $466.63 Void column will display voided checks at the time this report is run. The totals will reflect the actual totals at the time the pay batch was posted. Run by Christina Wall on 05/02/2025 19:39:28 PM Page 2 of 2