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 |
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 |