Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | CLAIMS-AUTO LIABILITY |
| PAYEE | STATE FARM A/S/O - STEVEN VAN (CLAIM NO: 5336P092B) |
| PAYMENT REQUEST | Select a payment request. |
Payment Requests | Select from Below
| PAYMENT REQUEST | DESCRIPTION | CHECK DATE | CHECK STATUS  Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
|---|---|---|---|---|
| GAX 5700 22090110091 | 09/08/2022 | Paid | $3,527.36 |