DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
04/05/2016 |
Paid |
$21,041.90 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
04/05/2016 |
Paid |
$10,161.58 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
04/05/2016 |
Paid |
$4,176.92 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
04/05/2016 |
Paid |
$61,509.14 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
04/05/2016 |
Paid |
$193.32 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
04/05/2016 |
Paid |
$80.55 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
04/05/2016 |
Paid |
$6,128.02 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
04/05/2016 |
Paid |
$6,299.26 |
DO 5800 16033010463 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
04/05/2016 |
Paid |
$12,784.86 |