DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
11/20/2013 |
Paid |
$18,940.60 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
11/20/2013 |
Paid |
$27,677.40 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
11/20/2013 |
Paid |
$107,221.40 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
11/20/2013 |
Paid |
$51,703.60 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
11/20/2013 |
Paid |
$34,751.60 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
11/20/2013 |
Paid |
$263,962.20 |