DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
07/19/2013 |
Paid |
$6,400.59 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
07/19/2013 |
Paid |
$16,773.96 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
07/19/2013 |
Paid |
$34,588.41 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
07/19/2013 |
Paid |
$8,492.08 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
07/19/2013 |
Paid |
$10,362.86 |
DO 5800 13071117261 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
07/19/2013 |
Paid |
$84,090.51 |