DO 5800 14031009435 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
03/21/2014 |
Paid |
$22,320.44 |
DO 5800 14031009435 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/21/2014 |
Paid |
$11,679.30 |
DO 5800 14031009435 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/21/2014 |
Paid |
$112,899.90 |
DO 5800 14031009435 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
03/21/2014 |
Paid |
$44,504.28 |
DO 5800 14031009435 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/21/2014 |
Paid |
$15,258.22 |
DO 5800 14031009435 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/21/2014 |
Paid |
$7,786.20 |