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Date:       5/15/2021
CORNELL, KENNETH M
22508 NE 69th Ave
Melrose, FL  32666
Employer:   Alachua County Board of County Commissioners
RE:         Your Recent BPS/PrimeFlex Card Purchases

Document Tracking Number:   2194-0132-7381-21

Date: 5/13/2021
Posted Amount: 235.00
Account: BOARD - FSA

Dear Participant,

Thank you for your continued use of your PrimePay Flex Debit Card!

 For the above purchases, we request copies of your itemized receipts or statement of services provided to confirm that the expenses are eligible. Credit card receipts alone are not acceptable. We are required to do so to comply with IRS Expense Substantiation Requirements**.

 Within the next 30 days, please submit copies of your receipts showing the items purchased or a vendor/professional statement showing the services provided. Please also include a copy of this letter with your receipts/statements.

 If this is a recurring expense, please write a note stating so on the receipt/statement you return to us. The total amount of the transaction must be an exact match every time. If, we are able to set up a recurring expense, you will not have to provide additional documentation for that expense during the remainder of the plan year.

 If you are unable to submit your receipts, you will need to reimburse your benefit account for these purchases. Please make your check payable to your employer and hand it to them along with a copy of this letter.

 If you do not comply with the above request for copies of receipts or reimbursement of your account, you could jeopardize the tax-exempt status of your account.

Please email or fax your receipts along with a copy of this letter to:

Fax: 877-632-9372

Email: [log in to unmask]

Thank you and we look forward to providing our services to you throughout the year!

Sincerely,

PrimePay Benefit Services

Phone: 877-769-3539

Fax: 877-632-9372

Email: [log in to unmask]


PrimeFlex
1487 Dunwoody Drive
West Chester, PA  19380
 877-769-3539

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