Darwin J. Albers & Peggy L. Albers - Page 9




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                Date               Health Provider              Amount                
          1/15/01                    Dr. Dillon            $173.00                    
              02/08/01               Dr. Bliss             144.00                     
              04/11/01               Dr. Dillon            525.00                     
              05/15/01              Dr. Valentine          22.00                      
                              (Harrisburg Booster Club)                               
              06/08/01                 CLM1                22.58                      
              08/03/01               Dr. Dillon            507.00                     
              08/08/01             The Eye Doctor’s        229.50                     
              08/09/01               Dr. Bliss             188.00                     
              08/29/01               Dr. Bliss             242.00                     
              08/30/01             Dr. Kevin Horner        1,550.00                   
              09/18/01               Dr. Dillon            765.00                     
              12/06/01             The Eye Doctor’s          238.50                   
                                                  Total       $4,606.58               
               1The record does not disclose what “CLM” means.                        
               The total of $4,606.58 that petitioners paid directly to               
          medical and dental providers during 2001 was paid by the                    
          following methods:  $3,708 was paid by checks signed by Mr.                 
          Albers and drawn on a joint checking account that petitioners               
          maintained, $854 was paid by charging a credit card issued in the           
          name of Peggy Albers,8 and the balance was paid by a method not             
          disclosed by the record.                                                    
               Around December 27, 2001, Ms. Albers submitted to AgriPlan a           
          request for reimbursement of medical expenses totaling $8,216.              
          That submission consisted of a preprinted form entitled “Employee           


               8The record does not disclose who paid Ms. Albers’s credit             
          card charges of $854.                                                       





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Last modified: November 10, 2007