DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
04/21/2015 |
Paid |
$9,856.80 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
04/21/2015 |
Paid |
$30,618.24 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
04/21/2015 |
Paid |
$15,309.12 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
04/21/2015 |
Paid |
$54,239.04 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
04/21/2015 |
Paid |
$151,155.36 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
04/21/2015 |
Paid |
$5,416.80 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
04/21/2015 |
Paid |
$71.04 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
04/21/2015 |
Paid |
$195.36 |
DO 5800 15041011695 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
04/21/2015 |
Paid |
$23,034.72 |