PAYMENT REQUEST
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | SERVICES-MEDICAL/SURGICAL |
PAYEE | QUALITY VISION EYEWEAR |
PAYMENT REQUEST | Select a payment request. |
PAYMENT REQUEST | DESCRIPTION | CHECK DATE | CHECK STATUS Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
---|---|---|---|---|
PRM 9500 09040224309 | Eye Glasses Including Sunglasses | 04/03/2009 | Paid | $646.00 |
PRM 9500 09021718297 | Eye Glasses Including Sunglasses | 02/18/2009 | Paid | $607.00 |
PRM 9500 09012014449 | Eye Glasses Including Sunglasses | 01/21/2009 | Paid | $313.00 |
PRM 9500 08121610856 | Eye Glasses Including Sunglasses | 12/17/2008 | Paid | $225.00 |
PRM 9500 08112007430 | Optician/Optometrical Services (Non-Physician) | 11/21/2008 | Paid | $479.00 |
PRM 9500 08102002937 | Eye Glasses Including Sunglasses | 10/21/2008 | Paid | $401.00 |
PRM 9500 08101602667 | Optician/Optometrical Services (Non-Physician) | 10/17/2008 | Paid | $666.00 |