|
n/a
|
Services-medical/surgical |
104 |
10/17/2011 |
Paid |
$177.88 |
|
n/a
|
Services-medical/surgical |
102 |
10/17/2011 |
Paid |
$85.03 |
|
n/a
|
Services-medical/surgical |
105 |
10/17/2011 |
Paid |
$124.34 |
|
n/a
|
Services-medical/surgical |
107 |
10/17/2011 |
Paid |
$288.85 |
|
n/a
|
Services-medical/surgical |
106 |
10/17/2011 |
Paid |
$123.80 |
|
n/a
|
Services-medical/surgical |
1010 |
10/17/2011 |
Paid |
$179.30 |
|
n/a
|
Services-medical/surgical |
101 |
10/17/2011 |
Paid |
$95.80 |
|
n/a
|
Services-medical/surgical |
109 |
10/17/2011 |
Paid |
$162.70 |
|
n/a
|
Services-medical/surgical |
103 |
10/17/2011 |
Paid |
$252.30 |
|
n/a
|
Services-medical/surgical |
108 |
10/17/2011 |
Paid |
$125.90 |