EXPENSE CATEGORY |
MEDICAL CLAIMS |
FISCAL YEAR |
FISCAL PERIOD |
DEPARTMENT |
DEPARTMENT DESCRIPTION |
FUND |
FUND DESCRIPTION |
PROGRAM |
PROGRAM DESCRIPTION |
ACTIVITY |
ACTIVITY DESCRIPTION |
CATEGORY |
CATEGORY DESCRIPTION |
EXPENSE CATEGORY |
EXPENSE CATEGORY DESCRIPTION |
VENDOR |
VENDOR TYPE INDICATOR |
PAYMENT REQUEST |
COMMODITY CODE |
COMMODITY DESCRIPTION |
CHECK ISSUED DATE |
CHECK STATUS |
PURCHASE REQUEST LINE NUMBER |
PURCHASE ORDER NUMBER |
ACCOUNTING LINE DESCRIPTION |
CALENDAR YEAR |
CALENDAR MONTH |
AMOUNT |
2010 |
5 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
SCHATTENTBERG, CARL |
Vendor
| GAX 5800 10020108795 |
|
|
02/03/2010 |
Paid |
101 |
|
MEDICAL CLAIMS |
2010 |
February |
$75.00 |
2010 |
5 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
WOJTASCZYK, DAVID |
Vendor
| GAX 5800 10012708422 |
|
|
02/02/2010 |
Paid |
101 |
|
MEDICAL CLAIMS |
2010 |
February |
$28.00 |
2010 |
5 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
VINEYARD, TIMOTHY J. |
Vendor
| GAX 5800 10012808497 |
|
|
02/02/2010 |
Paid |
101 |
|
MEDICAL CLAIMS |
2010 |
February |
$49.98 |
2010 |
2 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
RODRIGUEZ, PAUL |
Vendor
| GAX 5800 09111803675 |
|
|
11/24/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
November |
$30.00 |
2010 |
2 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EHM |
Employee HMO |
152 |
Contractuals |
6342 |
Medical Claims |
SCOTT, LORI H |
Vendor
| GAX 5800 09110402599 |
|
|
11/10/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
November |
$25.00 |
2010 |
2 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
JOSEPH, RAVINDER |
Vendor
| GAX 5800 09110402603 |
|
|
11/10/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
November |
$50.00 |
2010 |
2 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
DECUIR, RAYMOND S. |
Vendor
| GAX 5800 09110402608 |
|
|
11/10/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
November |
$25.00 |
2010 |
2 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EHM |
Employee HMO |
152 |
Contractuals |
6342 |
Medical Claims |
GONZALES, LUIS |
Vendor
| GAX 5800 09110402597 |
|
|
11/10/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
November |
$24.00 |
2010 |
2 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
MARSH, PETER |
Vendor
| GAX 5800 09110402656 |
|
|
11/10/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
November |
$50.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
JONES, JOHN |
Vendor
| GAX 5800 09102301889 |
|
|
10/27/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$26.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EHM |
Employee HMO |
152 |
Contractuals |
6342 |
Medical Claims |
BONEE, LUCY |
Vendor
| GAX 5800 09102201855 |
|
|
10/27/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$48.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
MORENO, ANNETTE |
Vendor
| GAX 5800 09102301890 |
|
|
10/27/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$30.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EHM |
Employee HMO |
152 |
Contractuals |
6342 |
Medical Claims |
RAMIREZ, PATRICIA |
Vendor
| GAX 5800 09102101614 |
|
|
10/23/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$24.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
WASHINGTON, MARK |
Vendor
| GAX 5800 09102101610 |
|
|
10/23/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$24.99 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
GUERIN, NOEL |
Vendor
| GAX 5800 09102101605 |
|
|
10/23/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$24.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
ZARATE, JUAN |
Vendor
| GAX 5800 09102101611 |
|
|
10/23/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$24.00 |
2010 |
1 |
58 |
Human Resources |
7140 |
Health Insurance Fund |
7EMD |
Employee Medical |
7EPO |
Employee PPO |
152 |
Contractuals |
6342 |
Medical Claims |
ROBLEDO, JESSICA |
Vendor
| GAX 5800 09101200786 |
|
|
10/23/2009 |
Paid |
101 |
|
MEDICAL CLAIMS |
2009 |
October |
$27.00 |