PURCHASE ORDER
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | SUPPLEMENTAL LIFE INS PREMIUMS |
DEPARTMENT | HUMAN RESOURCES |
FUND | HEALTH INSURANCE FUND |
PROGRAM | OPTIONAL COVERAGE PAID BY EMPLOYEE |
ACTIVITY | OPTIONAL COVERAGE PAID BY EMPLOYEE |
PAYEE | UNIMERICA INSURANCE COMPANY |
PAYMENT REQUEST | PRM 5800 11101901934 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS | AMOUNT |
---|---|---|---|---|---|---|
DO 5800 11101200905 | n/a | Life Insurance | 113 | 10/20/2011 | Paid | $250,126.58 |