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Data Drill Down for October & 2021

Payment Request
PAYEE SUN LIFE FINANCIAL
EXPENSE CATEGORY DENTAL HMO PREMIUMS
DEPARTMENT HUMAN RESOURCES
FUND EMPLOYEE BENEFITS FUND
PROGRAM OPTIONAL COVERAGE PAID BY RETIREE
ACTIVITY OPTIONAL COVERAGE PAID BY RETIREE
PAYMENT REQUEST PRM 5800 21101801600
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PURCHASE ORDER CONTRACT DESCRIPTION REF. LINE CHECK DATE CHECK STATUS  AMOUNT
DO 5800 21101301023 n/a Health/Hospitalization (Including Dental and Vision) 111 10/19/2021 Paid $12,676.82