| SSN/Claim Number | Payment | Date Paid | Period | Benefits Start |
Disabled |
|---|---|---|---|---|---|
| SARAH BAKER xxx-00-1111 / 00010001 |
$213.11 | mm/dd/yyyy | mm/dd/yyyy mm/dd/yyyy |
mm/dd/yyyy | mm/dd/yyyy |
| SARAH BAKER xxx-00-1111 / 00010001 |
$213.11 | mm/dd/yyyy | mm/dd/yyyy mm/dd/yyyy |
mm/dd/yyyy | mm/dd/yyyy |
| SARAH BAKER xxx-00-1111 / 00010001 |
$213.11 | mm/dd/yyyy | mm/dd/yyyy mm/dd/yyyy |
mm/dd/yyyy | mm/dd/yyyy |
| TOM JONES xxx-00-2222 / 00020002 |
$237.86 | mm/dd/yyyy | mm/dd/yyyy mm/dd/yyyy |
mm/dd/yyyy | mm/dd/yyyy |