Transaction Grid

Description

The transaction grid lists all transactions that are being disputed in the claim as well as the amount being disputed for each transaction.

 

Content

Date

Description

Amount

Disputed Amount

<Date>

<Descriptor>

<Amount>

<Dispute Amount>

 

Sample 1

Date

Description

Amount

Disputed Amount

06/22/2024

WWW.CAREMARK.COM 888-892-7227 IL

$200.00

$200.00

06/23/2024

AMAZON.COM AMZN.COM/BILL107

$197.00

$197.00

 

Date

Description

Amount

Disputed Amount

06/25/2024

WWW.CAREMARK.COM 888-892-7227 IL

$397.00

$397.00

 

Date

Individual Name

Individual ID

Trace ID

Company Name

Company ID

SEC

Amount

06/22/2024

Steve Rogers

9976544

12345678

Stark Enterprises

123456

PPD

$397.00

 

Date

Description

Amount

Disputed Amount

06/25/2024

Zelle Transfer to Natalia Romanoff

$397.00

$397.00

 

Date

Description

Amount

Disputed Amount

06/25/2024

Wire Transfer STARK INDUSTRIES

$397.00

$397.00

 

 

 

 

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