PURCHASE ORDER
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | AMIL PREMIUMS |
PAYEE | BLUE CROSS BLUE SHIELD OF TEXAS |
PAYMENT REQUEST | PRM 5800 09033123658 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
---|---|---|---|---|---|---|
DO 5800 08121507063 | n/a | Health/Hospitalization (Including Dental and Visua | 111 | 04/01/2009 | Paid | $2,284.69 |