DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
05/16/2013 |
Paid |
$16,731.92 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
05/16/2013 |
Paid |
$6,358.55 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
05/16/2013 |
Paid |
$8,523.61 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
05/16/2013 |
Paid |
$34,388.72 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
05/16/2013 |
Paid |
$10,205.21 |
DO 5800 13050913483 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
05/16/2013 |
Paid |
$83,743.68 |