|
n/a
|
Services-medical/surgical |
104 |
01/10/2012 |
Paid |
$172.10 |
|
n/a
|
Services-medical/surgical |
106 |
01/10/2012 |
Paid |
$85.50 |
|
n/a
|
Services-medical/surgical |
102 |
01/10/2012 |
Paid |
$108.90 |
|
n/a
|
Services-medical/surgical |
101 |
01/10/2012 |
Paid |
$180.25 |
|
n/a
|
Services-medical/surgical |
107 |
01/10/2012 |
Paid |
$147.00 |
|
n/a
|
Services-medical/surgical |
108 |
01/10/2012 |
Paid |
$90.73 |
|
n/a
|
Services-medical/surgical |
103 |
01/10/2012 |
Paid |
$372.00 |
|
n/a
|
Services-medical/surgical |
109 |
01/10/2012 |
Paid |
$49.25 |
|
n/a
|
Services-medical/surgical |
1010 |
01/10/2012 |
Paid |
$115.25 |
|
n/a
|
Services-medical/surgical |
105 |
01/10/2012 |
Paid |
$147.00 |