DO 5800 11101200876 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
142 |
10/19/2011 |
Paid |
$9,494.40 |
DO 5800 11101200876 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
141 |
10/19/2011 |
Paid |
$49,439.25 |
DO 5800 11101200876 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
143 |
10/19/2011 |
Paid |
$4,992.30 |
DO 5800 11101200880 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
10/19/2011 |
Paid |
$4,989.16 |
DO 5800 11101200880 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
10/19/2011 |
Paid |
$4,228.78 |
DO 5800 11101200880 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
10/19/2011 |
Paid |
$22,411.20 |