|
n/a
|
Services-medical/surgical |
104 |
11/29/2012 |
Paid |
$399.38 |
|
n/a
|
Services-medical/surgical |
105 |
11/29/2012 |
Paid |
$125.50 |
|
n/a
|
Services-medical/surgical |
103 |
11/29/2012 |
Paid |
$63.13 |
|
n/a
|
Services-medical/surgical |
106 |
11/29/2012 |
Paid |
$56.80 |
|
n/a
|
Services-medical/surgical |
108 |
11/29/2012 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
109 |
11/29/2012 |
Paid |
$60.50 |
|
n/a
|
Services-medical/surgical |
101 |
11/29/2012 |
Paid |
$63.39 |
|
n/a
|
Services-medical/surgical |
102 |
11/29/2012 |
Paid |
$66.51 |
|
n/a
|
Services-medical/surgical |
107 |
11/29/2012 |
Paid |
$60.50 |