DO 5800 13031110231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/14/2013 |
Paid |
$6,337.53 |
DO 5800 13031110231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/14/2013 |
Paid |
$8,492.08 |
DO 5800 13031110231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
03/14/2013 |
Paid |
$34,493.82 |
DO 5800 13031110231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/14/2013 |
Paid |
$10,079.09 |
DO 5800 13031110231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
03/14/2013 |
Paid |
$16,605.80 |
DO 5800 13031110231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/14/2013 |
Paid |
$83,670.11 |