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Lb 3 Regents Park Dc NSW 2143

CLK1LETTERJ225977966

Reference: 320 336 660H

Mr Ben D Batchelor
6 Centre Ave
WARRAGUL VIC 3820

30 January 2015
This Income Statement shows information we hold about you on your Centrelink record. If you
decide to show this information to anyone else for any reason, you can choose to show all the
information or to block some information out.

Income Statement
DOB
Customer Partnered
Maximum Rate Newstart Allowance
Number of Children Assessed

26 Aug 1983
N
Y
0

Previous regular entitlements and payments


Payment Type
Newstart Allowance
Energy Supplement
GST Component

Amount
$505.70
$8.80
$9.90

Date Paid
19 Jan 2015
19 Jan 2015
19 Jan 2015

Date of Grant
2 Jun 2008
2 Jun 2008
2 Jun 2008

Previous irregular payments


There are no previous irregular payments to report.
Deductions from your payment
Payment Type
Newstart Allowance

Deduction
Lump Sum Advance
Repayment

Amount
$38.00

Date Paid
19 Jan 2015

Continued on the back

If you have any questions about this letter please ring:

132 850 OR
13 1202 for Multilingual Services

Your local Centrelink Office:


42 Queen Street
Warragul VIC 3820
PO Box 7800
Office Hours:
Monday to Friday 8.30am 4.30pm

Monday Friday 8.00 am 5.00 pm


(Please quote reference number 320 336 660H )
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www.centrelink.gov.au

Continued from previous page


Future regular entitlements and payments
Payment Type
Newstart Allowance
Energy Supplement
GST Component

Amount
$505.70
$8.80
$9.90

Date to be paid
2 Feb 2015
2 Feb 2015
2 Feb 2015

Date of Grant
2 Jun 2008
2 Jun 2008
2 Jun 2008

Future irregular payments


There are no future irregular payments to report.
Details of your Income (Not including Centrelink payments)
There are no income details to report.
Details of your Assets
Asset Type
Household and Personal Effects

Value
$100.00

Date of Effect
30 Jan 2007

If any of the above details are incorrect, please contact us as soon as possible.

Your reference number is 320 336 660H.

150130 BCH - 0

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