DO 5800 14121705201 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
12/29/2014 |
Paid |
$11,843.22 |
DO 5800 14121705201 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
12/29/2014 |
Paid |
$44,476.96 |
DO 5800 14121705201 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
12/29/2014 |
Paid |
$117,462.34 |
DO 5800 14121705201 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
12/29/2014 |
Paid |
$22,566.32 |
DO 5800 14121705201 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
12/29/2014 |
Paid |
$17,006.70 |
DO 5800 14121705201 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
12/29/2014 |
Paid |
$7,540.32 |