Payment Request
PAYEE | DAVIS VISION, INC. |
---|---|
EXPENSE CATEGORY | VISION PROGRAM SERVICES |
DEPARTMENT | HUMAN RESOURCES |
FUND | EMPLOYEE BENEFITS FUND |
PROGRAM | OPTIONAL COVERAGE PAID BY RETIREE |
ACTIVITY | OPTIONAL COVERAGE PAID BY RETIREE | PAYMENT REQUEST | PRM 5800 21101801608 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS | AMOUNT |
---|---|---|---|---|---|---|
DO 5800 21101401116 | n/a | Insurance and Risk Management Services | 112 | 10/19/2021 | Paid | $27,781.66 |