DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
03/11/2015 |
Paid |
$29,836.80 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
03/11/2015 |
Paid |
$22,430.88 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
03/11/2015 |
Paid |
$177.60 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/11/2015 |
Paid |
$54,523.20 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/11/2015 |
Paid |
$15,220.32 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
03/11/2015 |
Paid |
$4,777.44 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/11/2015 |
Paid |
$151,528.32 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
03/11/2015 |
Paid |
$53.28 |
DO 5800 15030209440 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/11/2015 |
Paid |
$9,768.00 |