DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
11/24/2015 |
Paid |
$15,468.96 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
11/24/2015 |
Paid |
$53,031.36 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
11/24/2015 |
Paid |
$30,955.68 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
11/24/2015 |
Paid |
$213.12 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
11/24/2015 |
Paid |
$88.80 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
11/24/2015 |
Paid |
$9,998.88 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
11/24/2015 |
Paid |
$24,206.88 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
11/24/2015 |
Paid |
$150,338.40 |
DO 5800 15111603184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
11/24/2015 |
Paid |
$6,695.52 |