DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
10/22/2015 |
Paid |
$150,906.72 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
10/22/2015 |
Paid |
$53,191.20 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
10/22/2015 |
Paid |
$23,976.00 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
10/22/2015 |
Paid |
$213.12 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
10/22/2015 |
Paid |
$15,397.92 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
10/22/2015 |
Paid |
$88.80 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
10/22/2015 |
Paid |
$6,429.12 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
10/22/2015 |
Paid |
$10,087.68 |
DO 5800 15101401174 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
10/22/2015 |
Paid |
$31,044.48 |