DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
05/18/2015 |
Paid |
$71.04 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
05/18/2015 |
Paid |
$213.12 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
05/18/2015 |
Paid |
$150,693.60 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
05/18/2015 |
Paid |
$31,008.96 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
05/18/2015 |
Paid |
$23,088.00 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
05/18/2015 |
Paid |
$54,096.96 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
05/18/2015 |
Paid |
$15,380.16 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
05/18/2015 |
Paid |
$9,910.08 |
DO 5800 15051113356 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
05/18/2015 |
Paid |
$5,576.64 |