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Statement Preview · Maya Thompson

Oct 1, 2026 – Oct 31, 2026

Health1st Official Format
Maya Thompson
ID: H1-1048 · MRN: MRN-48291
Reporting Period
Oct 1, 2026 – Oct 31, 2026
Benefits $1,120.00
Other Income $1,370.00
Expenses $42.00

Statement Transactions

Date Type Description Amount
Oct 20 Income (gift) Family Gift - Family monetary gift $250.00
Oct 17 Expense Metro Transit Access - Medical specialist appointment transport voucher −$42.00
Oct 1 Benefit Monthly government benefit $1,120.00
Oct 1 Income (government_benefit) October Government Benefit - October SSI/SSDI Deposit $1,120.00
Health1st Home Health Services · Confidential Benefit Funds Record · Retention Requirement: 7 Years Minimum