DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
04/21/2015 |
Paid |
$31,187.16 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
04/21/2015 |
Paid |
$110,493.72 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
04/21/2015 |
Paid |
$397.98 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
04/21/2015 |
Paid |
$46,925.46 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
04/21/2015 |
Paid |
$144.72 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
04/21/2015 |
Paid |
$62,374.32 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
04/21/2015 |
Paid |
$11,034.90 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
04/21/2015 |
Paid |
$20,079.90 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
04/21/2015 |
Paid |
$307,927.98 |