Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | PRINTING/BINDING/PHOTO/REPR |
| DEPARTMENT | AUSTIN PUBLIC HEALTH |
| FUND | GENERAL FUND |
| PROGRAM | COMMUNICABLE DISEASES |
| ACTIVITY | TUBERCULOSIS ELIMINATION |
| PAYEE | AMERICAN MINORITY BUSINESS FORMS INC |
| PAYMENT REQUEST | Select a payment request. |
Payment Requests | Select from Below
| PAYMENT REQUEST | DESCRIPTION | CHECK DATE | CHECK STATUS | AMOUNT |
|---|---|---|---|---|
| PRM 9100 11062826842 | FORM TB 400A Report of Case and Patient Services | 06/29/2011 | Paid | $127.50 |
| PRM 9100 11032817896 | FORM TB 400A Report of Case and Patient Services | 03/29/2011 | Paid | $89.25 |
| PRM 9100 10100100102 | FORM TB 400A Report of Case and Patient Services | 10/04/2010 | Paid | $153.00 |