DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
07/17/2014 |
Paid |
$11,733.94 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
07/17/2014 |
Paid |
$7,813.52 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
07/17/2014 |
Paid |
$115,454.32 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
07/17/2014 |
Paid |
$15,995.86 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
07/17/2014 |
Paid |
$22,962.46 |
DO 5800 14071016633 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
07/17/2014 |
Paid |
$44,531.60 |