Schedule C: Bank interest, Refunded Expenditures and Rebates
| Payer | Reason/Type of Payment | Date Received | Payment |
|---|---|---|---|
| Anthem Blue Cross Blue Shield 3905 Carolina Ave Richmond, VA 23222-2204 |
Healthcare Premium Rebate | 11/05/2020 | $ 127.51 |
| 1 Records | Page 1 of 1 | |||
Report period: 10/01/2020 - 12/31/2020
