DO 5800 13041112045 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
04/24/2013 |
Paid |
$10,100.11 |
DO 5800 13041112045 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
04/24/2013 |
Paid |
$34,472.80 |
DO 5800 13041112045 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
04/24/2013 |
Paid |
$16,679.37 |
DO 5800 13041112045 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
04/24/2013 |
Paid |
$6,379.57 |
DO 5800 13041112045 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
04/24/2013 |
Paid |
$8,513.10 |
DO 5800 13041112045 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
04/24/2013 |
Paid |
$83,659.60 |