PURCHASE ORDER
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | PRINTING/BINDING/PHOTO/REPR |
PAYEE | AMERICAN MINORITY BUSINESS FORMS INC |
PAYMENT REQUEST | PRM 9100 10101501955 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
---|---|---|---|---|---|---|
DO 9100 10092131792 | n/a | FORM TB 400A Report of Case and Patient Services | 121 | 10/18/2010 | Paid | $153.00 |
DO 9100 10092131792 | n/a | TB Clearance Form | 111 | 10/18/2010 | Paid | $472.20 |