Payment Request
PAYEE | PREMISE HEALTH SYSTEMS, INC. |
---|---|
EXPENSE CATEGORY | SERVICES-MEDICAL PMTS TO BRACK |
DEPARTMENT | HUMAN RESOURCES |
FUND | EMPLOYEE BENEFITS FUND |
PROGRAM | FULLY FUNDED BY CITY - EMPLOYEE/RETIREE |
ACTIVITY | FULLY FUNDED BY CITY - EMPLOYEE/RETIREE | PAYMENT REQUEST | PRM 5800 21101401333 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS | AMOUNT |
---|---|---|---|---|---|---|
DO 5800 21101401052 | n/a | Professional Medical Services (Including Physician | 111 | 10/18/2021 | Paid | $36,750.00 |