DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
09/23/2013 |
Paid |
$26,764.60 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
09/23/2013 |
Paid |
$19,723.00 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
09/23/2013 |
Paid |
$33,186.80 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
09/23/2013 |
Paid |
$262,462.60 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
09/23/2013 |
Paid |
$52,225.20 |
DO 5800 13091321356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
09/23/2013 |
Paid |
$107,319.20 |