|
n/a
|
Services-medical/surgical |
103 |
01/10/2012 |
Paid |
$165.04 |
|
n/a
|
Services-medical/surgical |
105 |
01/10/2012 |
Paid |
$158.05 |
|
n/a
|
Services-medical/surgical |
109 |
01/10/2012 |
Paid |
$142.80 |
|
n/a
|
Services-medical/surgical |
104 |
01/10/2012 |
Paid |
$62.38 |
|
n/a
|
Services-medical/surgical |
1010 |
01/10/2012 |
Paid |
$122.99 |
|
n/a
|
Services-medical/surgical |
101 |
01/10/2012 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
107 |
01/10/2012 |
Paid |
$207.53 |
|
n/a
|
Services-medical/surgical |
106 |
01/10/2012 |
Paid |
$145.70 |
|
n/a
|
Services-medical/surgical |
102 |
01/10/2012 |
Paid |
$155.65 |
|
n/a
|
Services-medical/surgical |
108 |
01/10/2012 |
Paid |
$45.00 |