DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
11/20/2013 |
Paid |
$8,922.99 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
11/20/2013 |
Paid |
$16,668.86 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
11/20/2013 |
Paid |
$85,099.47 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
11/20/2013 |
Paid |
$11,203.66 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
11/20/2013 |
Paid |
$6,106.31 |
DO 5800 13111303231 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
11/20/2013 |
Paid |
$34,567.39 |