HomeMy WebLinkAboutInv# 4710824 - AMERIFLEX - 05/30/2025Ameriflex
P.O. Box 870217
Kansas City, MO 641870217
AMERIFLEX CLAIM INVOICE
Toll Free: 844.423.4636
Group Date Invoice #
City of Dania Beach 05/30/2025 4710824
Description Amount
Claims activity from 05/23/2025 to 05/29/2025 $298.25
Plan Year Type Location Name Social Security
Number Claim Date Transaction
Date
Transaction
Type Amount
Current FSA BARBARA
UROW XXXXX8608 05/22/2025 05/23/2025 CARD $30.00
Current FSA BARBARA
UROW XXXXX8608 05/27/2025 05/28/2025 CARD $262.95
Current FSA Subtotal $292.95
Total $292.95
Processing $5.30
Grand Total $298.25
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