DO 5800 11071220658 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
121 |
07/22/2011 |
Paid |
$49,245.75 |
DO 5800 11071220658 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
122 |
07/22/2011 |
Paid |
$9,533.10 |
DO 5800 11071220658 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
123 |
07/22/2011 |
Paid |
$4,843.95 |
DO 5800 11071220661 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
132 |
07/22/2011 |
Paid |
$4,275.47 |
DO 5800 11071220661 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
131 |
07/22/2011 |
Paid |
$22,324.49 |
DO 5800 11071220661 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
133 |
07/22/2011 |
Paid |
$4,935.80 |