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PAYMENT REQUEST
CATEGORY CONTRACTUALS
EXPENSE CATEGORY SERVICES-MEDICAL/SURGICAL
DEPARTMENT COMMUNITY CARE
FUND CCS OPS - TRAVIS CO HOSP DIST
PROGRAM CLINIC BASED CARE
ACTIVITY MED SERVICES
PAYEE QUALITY VISION EYEWEAR
PAYMENT REQUEST Select a payment request.

Total:$646.00

Payment Requests | Select from Below
PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS  AMOUNT
PRM 9500 09040224309 Eye Glasses Including Sunglasses 04/03/2009 Paid $646.00
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