BLUEFIELD HEALTH SAVINGS ACCOUNT
Account Number: (...4402)
Statement Period: 06/01/2025 - 06/30/2025
Beginning Balance: $1,860.00

TRANSACTION DETAIL
Date    Description                          Amount
06/03   EMPLOYER CONTRIBUTION NORTHWIND LLC     150.00
06/03   EMPLOYEE PAYROLL CONTRIBUTION           250.00
06/12   DEBIT CARD DENTAL ASSOCIATES COPAY      -45.00
06/19   DEBIT CARD URGENT CARE VISIT COPAY      -75.00
06/25   PHARMACY #8812 PRESCRIPTION             -22.40
06/30   INTEREST PAID                             0.91

Ending Balance: $2,118.51
