Eleanor Pendelton
ProtectedAccount: #LTC-90421 • Oakwood Senior Living, Suite 304B
Guarantor: Arthur Pendelton (Son / DPOA)
Includes prescription copayments & packaging for September billing cycle.
Auto-Pay debits copayments on the 5th of each month. $0 transaction fees via ACH bank transfer.
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Itemized Prescription Statement
STMT #2026-0941Dispensing Period: Sep 1 – Sep 30, 2026 • FrameworkLTC Synced
| Rx / Service ID | Medication & Strength | Dispensed | Prescriber | Insurance / Plan | Resident Copay |
|---|---|---|---|---|---|
| Total Outstanding Copayment Due: | $0.00 | ||||