| Name: |
Joe Smith |
| Customer Care number: |
000000001 |
Payment date
February 17, 2022
Paid to
ABC TRUCKING LTD.
| Claim number |
Description |
From |
To |
Amount |
| 12345678 |
Wage loss |
Feb 10, 2022 |
Feb 17, 2022 |
$700.00 |
| 12345678 |
Wage loss |
Feb 3, 2022 |
Feb 9, 2022 |
$800.00 |
| Claim number |
1234567 |
| Description |
Planning allowance |
| From |
Feb 16, 2021 |
| To |
Feb 18, 2021 |
| Amount |
$500.00 |
| Claim number |
1234567 |
| Description |
Wage loss |
| From |
Feb 15, 2021 |
| To |
Feb 28, 2021 |
| Amount |
$500.00 |
| Claim number |
5495163 |
| Description |
Planning allowance |
| From |
Feb 18, 2021 |
| To |
Feb 20, 2021 |
| Amount |
$448.43 |
| Claim number |
5495163 |
| Description |
Planning allowance |
| From |
Feb 21, 2021 |
| To |
Feb 24, 2021 |
| Amount |
$0.00 |
