DO 5800 14013007214 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
02/12/2014 |
Paid |
$7,813.52 |
DO 5800 14013007214 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
02/12/2014 |
Paid |
$21,978.94 |
DO 5800 14013007214 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
02/12/2014 |
Paid |
$15,053.32 |
DO 5800 14013007214 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
02/12/2014 |
Paid |
$11,570.02 |
DO 5800 14013007214 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
02/12/2014 |
Paid |
$44,367.68 |
DO 5800 14013007214 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
02/12/2014 |
Paid |
$111,629.52 |