DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
09/19/2016 |
Paid |
$115.45 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
09/19/2016 |
Paid |
$17,663.85 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
09/19/2016 |
Paid |
$41,007.84 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
09/19/2016 |
Paid |
$34,404.10 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
09/19/2016 |
Paid |
$196,265.00 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
09/19/2016 |
Paid |
$20,157.57 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
09/19/2016 |
Paid |
$277.08 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
09/19/2016 |
Paid |
$13,669.28 |
DO 5800 16091219699 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
09/19/2016 |
Paid |
$65,945.04 |