DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
03/23/2015 |
Paid |
$5,150.40 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
03/23/2015 |
Paid |
$177.60 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/23/2015 |
Paid |
$9,892.32 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/23/2015 |
Paid |
$15,255.84 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
03/23/2015 |
Paid |
$22,874.88 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/23/2015 |
Paid |
$150,782.40 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
03/23/2015 |
Paid |
$71.04 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/23/2015 |
Paid |
$54,150.24 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
03/23/2015 |
Paid |
$30,440.64 |