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PAYMENT REQUEST
CATEGORY CONTRACTUALS
EXPENSE CATEGORY HEALTH CARE REFORM FEES & TAXES
DEPARTMENT HUMAN RESOURCES
FUND HEALTH INSURANCE FUND
PROGRAM EMPLOYEE MEDICAL
ACTIVITY EMPLOYEE PPO
PAYEE UNITED STATES TREASURY
PAYMENT REQUEST Select a payment request.

Total:$19,863.00

Payment Requests | Select from Below
PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS  AMOUNT
GAX 5800 13070916569 07/16/2013 Paid $19,863.00
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