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REQUEST FOR REIMBURSEMENT FROM EMPLOYEE FLEXIBLE SPENDING ACCOUNT Please complete this form and attach appropriate receipts before submitting for reimbursement. EMPLOYER: Archdiocese of Louisville
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Document Date: 2012-01-25 16:21:15
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File Size: 95,68 KB
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Company
ADMINISTRATIVE INFORMATION MANAGEMENT INC. /
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Organization
FSA /
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Position
Physician /
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SocialTag
Reimbursement
Income tax in the United States
Business
Debit cards
Healthcare in the United States
FSA debit card
Employment compensation
Taxation in the United States
Flexible spending account