DO 5800 13011006644 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
01/17/2013 |
Paid |
$34,210.05 |
DO 5800 13011006644 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
01/17/2013 |
Paid |
$82,818.80 |
DO 5800 13011006644 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
01/17/2013 |
Paid |
$9,879.40 |
DO 5800 13011006644 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
01/17/2013 |
Paid |
$8,460.55 |
DO 5800 13011006644 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
01/17/2013 |
Paid |
$16,353.56 |
DO 5800 13011006644 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
01/17/2013 |
Paid |
$6,348.04 |