DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
09/17/2015 |
Paid |
$31,295.70 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
09/17/2015 |
Paid |
$180.90 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
09/17/2015 |
Paid |
$108,829.44 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
09/17/2015 |
Paid |
$48,481.20 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
09/17/2015 |
Paid |
$63,423.54 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
09/17/2015 |
Paid |
$308,253.60 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
09/17/2015 |
Paid |
$13,133.34 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
09/17/2015 |
Paid |
$20,586.42 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
09/17/2015 |
Paid |
$397.98 |