PURCHASE ORDER
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | SHORT-TERM DISABILITY PREMIUMS |
DEPARTMENT | HUMAN RESOURCES |
FUND | HEALTH INSURANCE FUND |
PROGRAM | FULLY FUNDED BY CITY - EMPLOYEE/RETIREE |
ACTIVITY | FULLY FUNDED BY CITY - EMPLOYEE/RETIREE |
PAYEE | HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY |
PAYMENT REQUEST | PRM 5800 12041718706 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS | AMOUNT |
---|---|---|---|---|---|---|
DO 5800 12041212052 | n/a | INSURANCE AND RISK MANAGEMENT | 111 | 04/18/2012 | Paid | $44,737.35 |