DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/11/2015 |
Paid |
$151,439.52 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
03/11/2015 |
Paid |
$4,955.04 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/11/2015 |
Paid |
$9,874.56 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
03/11/2015 |
Paid |
$177.60 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
03/11/2015 |
Paid |
$30,387.36 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/11/2015 |
Paid |
$54,292.32 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
03/11/2015 |
Paid |
$22,377.60 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/11/2015 |
Paid |
$15,184.80 |
DO 5800 15030209458 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
03/11/2015 |
Paid |
$53.28 |