|
n/a
|
Services-medical/surgical |
104 |
09/05/2012 |
Paid |
$99.75 |
|
n/a
|
Services-medical/surgical |
105 |
09/05/2012 |
Paid |
$114.20 |
|
n/a
|
Services-medical/surgical |
102 |
09/05/2012 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
103 |
09/05/2012 |
Paid |
$160.41 |
|
n/a
|
Services-medical/surgical |
106 |
09/05/2012 |
Paid |
$91.17 |
|
n/a
|
Services-medical/surgical |
107 |
09/05/2012 |
Paid |
$26.65 |
|
n/a
|
Services-medical/surgical |
108 |
09/05/2012 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
109 |
09/05/2012 |
Paid |
$26.65 |
|
n/a
|
Services-medical/surgical |
1010 |
09/05/2012 |
Paid |
$193.70 |
|
n/a
|
Services-medical/surgical |
101 |
09/05/2012 |
Paid |
$81.65 |