Reimbursment for Medicare
To: UDY Corporation 201 Rome Court
Laird Griffing $144.60
Home address: 914 Lepus dr. Loveland Co. 80537
This invoice is for the reimbursement of monthly medicare payment as per the employment agreement for health coverage.
These funds have been withheld from my social security dividens payment for January 2020.
Note: Deduction increase starting February 2020. Was $135.40 in 2019
Note: This amount is now being added to my monthly paycheck. (starting in January 2020.)