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CATEGORY CONTRACTUALS
EXPENSE CATEGORY DENTAL HMO PREMIUMS
PAYEE SUN LIFE FINANCIAL
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PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS 
Checks cleared as of 01/31/2015 have been reflected as paid on the reports
AMOUNT
PRM 5800 22121907732 Health/Hospitalization (Including Dental and Vision) 12/20/2022 Paid $11,607.08
PRM 5800 22111805003 Health/Hospitalization (Including Dental and Vision) 11/21/2022 Paid $11,591.45
PRM 5800 22101701973 Health/Hospitalization (Including Dental and Vision) 10/18/2022 Paid $11,631.23
PRM 5800 22091932127 Health/Hospitalization (Including Dental and Vision) 09/20/2022 Paid $11,621.09
PRM 5800 22082229381 Health/Hospitalization (Including Dental and Vision) 08/23/2022 Paid $11,637.73
PRM 5800 22071926413 Health/Hospitalization (Including Dental and Vision) 07/21/2022 Paid $11,650.96
PRM 5800 22062324047 Health/Hospitalization (Including Dental and Vision) 06/24/2022 Paid $11,634.32
PRM 5800 22052621758 Health/Hospitalization (Including Dental and Vision) 05/31/2022 Paid $11,627.82
PRM 5800 22050219475 Health/Hospitalization (Including Dental and Vision) 05/03/2022 Paid $11,682.22
PRM 5800 22031815549 Health/Hospitalization (Including Dental and Vision) 03/21/2022 Paid $11,742.28
PRM 5800 22022112866 Health/Hospitalization (Including Dental and Vision) 02/22/2022 Paid $11,795.61
PRM 5800 22011309454 Health/Hospitalization (Including Dental and Vision) 01/14/2022 Paid $11,784.46
PRM 5800 21121507168 Health/Hospitalization (Including Dental and Vision) 12/16/2021 Paid $12,539.45
PRM 5800 21111604390 Health/Hospitalization (Including Dental and Vision) 11/18/2021 Paid $12,618.78
PRM 5800 21101801600 Health/Hospitalization (Including Dental and Vision) 10/19/2021 Paid $12,676.82
PRM 5800 21091632271 Health/Hospitalization (Including Dental and Vision) 09/20/2021 Paid $12,675.81
PRM 5800 21081729388 Health/Hospitalization (Including Dental and Vision) 08/19/2021 Paid $12,711.72
PRM 5800 21071526196 Health/Hospitalization (Including Dental and Vision) 07/19/2021 Paid $12,692.45
PRM 5800 21062123518 Health/Hospitalization (Including Dental and Vision) 06/24/2021 Paid $12,702.59
PRM 5800 21051420251 Health/Hospitalization (Including Dental and Vision) 05/17/2021 Paid $12,772.79
PRM 5800 21041617500 Health/Hospitalization (Including Dental and Vision) 04/19/2021 Paid $12,842.99
PRM 5800 21031814811 Health/Hospitalization (Including Dental and Vision) 03/22/2021 Paid $12,905.91
PRM 5800 21022212195 Health/Hospitalization (Including Dental and Vision) 02/24/2021 Paid $12,906.92
PRM 5800 21012009585 Health/Hospitalization (Including Dental and Vision) 01/22/2021 Paid $12,888.43
PRM 5800 20121506692 Health/Hospitalization (Including Dental and Vision) 12/17/2020 Paid $13,556.06
PRM 5800 20111704228 Health/Hospitalization (Including Dental and Vision) 11/19/2020 Paid $13,609.62
PRM 5800 20101401365 Health/Hospitalization (Including Dental and Vision) 10/15/2020 Paid $13,646.54
PRM 5800 20091533911 Health/Hospitalization (Including Dental and Vision) 09/17/2020 Paid $13,715.73
PRM 5800 20081431096 Health/Hospitalization (Including Dental and Vision) 08/17/2020 Paid $13,739.48
PRM 5800 20071427745 Health/Hospitalization (Including Dental and Vision) 07/16/2020 Paid $13,803.79
PRM 5800 20061525390 Health/Hospitalization (Including Dental and Vision) 06/16/2020 Paid $13,741.10
PRM 5800 20052223627 Health/Hospitalization (Including Dental and Vision) 05/26/2020 Paid $13,714.32
PRM 5800 20042821291 Health/Hospitalization (Including Dental and Vision) 04/30/2020 Paid $13,649.00
PRM 5800 20031616973 Health/Hospitalization (Including Dental and Vision) 03/17/2020 Paid $13,548.55
PRM 5800 20021814012 Health/Hospitalization (Including Dental and Vision) 02/20/2020 Paid $13,415.05
PRM 5800 20011510231 Health/Hospitalization (Including Dental and Vision) 01/16/2020 Paid $13,466.59
PRM 5800 19121907673 Health/Hospitalization (Including Dental and Vision) 12/23/2019 Paid $13,598.85
PRM 5800 19111404612 Health/Hospitalization (Including Dental and Vision) 11/18/2019 Paid $13,611.85
PRM 5800 19102202222 Health/Hospitalization (Including Dental and Vision) 10/23/2019 Paid $13,559.30
PRM 5800 19091732926 Health/Hospitalization (Including Dental and Vision) 09/18/2019 Paid $13,505.74
PRM 5800 19081529939 Health/Hospitalization (Including Dental and Vision) 08/16/2019 Paid $13,571.29
PRM 5800 19072427530 Health/Hospitalization (Including Dental and Vision) 07/25/2019 Paid $13,430.89
PRM 5800 19061824156 Health/Hospitalization (Including Dental and Vision) 06/19/2019 Paid $13,336.54
PRM 5800 19051421061 Health/Hospitalization (Including Dental and Vision) 05/16/2019 Paid $13,241.58
PRM 5800 19041918460 Health/Hospitalization (Including Dental and Vision) 04/22/2019 Paid $13,195.53
PRM 5800 19031814997 Health/Hospitalization (Including Dental and Vision) 03/19/2019 Paid $13,147.63
PRM 5800 19022212727 Health/Hospitalization (Including Dental and Vision) 02/25/2019 Paid $13,157.77
PRM 5800 19013009853 Health/Hospitalization (Including Dental and Vision) 01/31/2019 Paid $12,984.49
PRM 5800 18121906959 Health/Hospitalization (Including Dental and Vision) 12/20/2018 Paid $13,533.45
PRM 5800 18112004596 Health/Hospitalization (Including Dental and Vision) 11/21/2018 Paid $13,532.44
PRM 5800 18101902204 Health/Hospitalization (Including Dental and Vision) 10/22/2018 Paid $13,515.80
PRM 5800 18092031763 Health/Hospitalization (Including Dental and Vision) 09/21/2018 Paid $13,442.97
PRM 5800 18082429167 Health/Hospitalization (Including Dental and Vision) 08/27/2018 Paid $13,428.35
PRM 5800 18072426462 Health/Hospitalization (Including Dental and Vision) 07/25/2018 Paid $13,352.89
PRM 5800 18062123625 Health/Hospitalization (Including Dental and Vision) 06/22/2018 Paid $13,386.78
PRM 5800 18051620600 Health/Hospitalization (Including Dental and Vision) 05/17/2018 Paid $13,337.09
PRM 5800 18042018286 Health/Hospitalization (Including Dental and Vision) 04/23/2018 Paid $13,327.96
PRM 5800 18032115548 Health/Hospitalization (Including Dental and Vision) 03/22/2018 Paid $13,261.63
PRM 5800 18022112742 Health/Hospitalization (Including Dental and Vision) 02/22/2018 Paid $13,272.55
PRM 5800 18013010817 Health/Hospitalization (Including Dental and Vision) 01/31/2018 Paid $13,210.87