Payment details
| Name: | Joe Smith |
| Customer Care number: | 000000001 |
| Claim number | Description | From | To | Amount |
|---|---|---|---|---|
| 87654321 | Mandatory Retirement Benefit Contribution |
Apr 1, 2022 | Apr 28, 2022 | $195.40 |
| 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 |
| Total | $1,500.00 |
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