DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
12/19/2016 |
Paid |
$513.12 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
12/19/2016 |
Paid |
$34,754.13 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
12/19/2016 |
Paid |
$213.80 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
12/19/2016 |
Paid |
$35,384.76 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
12/19/2016 |
Paid |
$69,627.69 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
12/19/2016 |
Paid |
$113,697.36 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
12/19/2016 |
Paid |
$23,249.04 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
12/19/2016 |
Paid |
$60,869.49 |
DO 5800 16121204253 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
12/19/2016 |
Paid |
$343,440.87 |