DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
07/20/2015 |
Paid |
$434.16 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
07/20/2015 |
Paid |
$47,757.60 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
07/20/2015 |
Paid |
$31,223.34 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
07/20/2015 |
Paid |
$63,423.54 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
07/20/2015 |
Paid |
$307,276.74 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
07/20/2015 |
Paid |
$144.72 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
07/20/2015 |
Paid |
$20,622.60 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
07/20/2015 |
Paid |
$11,830.86 |
DO 5800 15071316894 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
07/20/2015 |
Paid |
$109,553.04 |