DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
07/19/2013 |
Paid |
$26,340.80 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
07/19/2013 |
Paid |
$32,143.60 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
07/19/2013 |
Paid |
$19,853.40 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
07/19/2013 |
Paid |
$52,029.60 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
07/19/2013 |
Paid |
$260,832.60 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
07/19/2013 |
Paid |
$107,286.60 |