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Claim CLM-40023

Paid
Program
Employment
Payer
DHS — Housing Voucher
Service Date Range
Feb 4, 2025 – Feb 4, 2025
Total Units
4
Billed
$104
Paid
$104
Created
Feb 7, 2025
Submitted
Feb 8, 2025
Note IDClientService DateCodeUnitsAmountStaffApproval Date
CN-20260Olivia IversonFeb 4, 2025H20254$104Dana ReyesFeb 4, 2025
Totals4$104