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PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS 
Checks cleared as of 01/31/2015 have been reflected as paid on the reports
AMOUNT
PRM 2200 16012712609 Professional Medical Services (Including Physician 01/28/2016 Paid $675.00
PRM 2200 15101501579 Professional Medical Services (Including Physician 10/16/2015 Paid $3,535.00
PRM 2200 15101501581 Professional Medical Services (Including Physician 10/16/2015 Paid $1,940.00
PRM 6000 15101301033 Professional Medical Services (Including Physician 10/14/2015 Paid $218.80
PRM 6300 15091438426 Medical Services (Non-Physician) 09/15/2015 Paid $400.00
PRM 6300 15082636491 Medical Services (Non-Physician) 08/27/2015 Paid $7,292.00
PRM 2200 15081134453 Professional Medical Services (Including Physician 08/12/2015 Paid $2,895.00
PRM 6300 15080333580 Medical Services (Non-Physician) 08/04/2015 Paid $140.00
PRM 2200 15072031936 Professional Medical Services (Including Physician 07/21/2015 Paid $2,465.00
PRM 2200 15072031937 Professional Medical Services (Including Physician 07/21/2015 Paid $2,479.00
PRM 2200 15072031938 Professional Medical Services (Including Physician 07/21/2015 Paid $1,225.00
PRM 6300 15071631639 Medical Services (Non-Physician) 07/17/2015 Paid $335.00
PRM 6300 15071030873 Medical Services (Non-Physician) 07/13/2015 Paid $260.00
PRM 6300 15042722708 Medical Services (Non-Physician) 04/28/2015 Paid $224.00
PRM 6300 15042021881 Medical Services (Non-Physician) 04/21/2015 Paid $65.00
PRM 2200 15041521288 Professional Medical Services (Including Physician 04/16/2015 Paid $1,595.00
PRM 2200 15041521289 Professional Medical Services (Including Physician 04/16/2015 Paid $2,405.00
PRM 6300 15041521406 Medical Services (Non-Physician) 04/16/2015 Paid $170.00
PRM 2200 15031317461 Professional Medical Services (Including Physician 03/16/2015 Paid $1,765.00
PRM 2200 15031317462 Professional Medical Services (Including Physician 03/16/2015 Paid $2,765.00
PRM 6300 15022315080 Medical Services (Non-Physician) 02/24/2015 Paid $159.00
PRM 6300 15020913585 Medical Services (Non-Physician) 02/10/2015 Paid $205.00
PRM 6000 15012211801 Professional Medical Services (Including Physician 01/23/2015 Paid $85.80
PRM 2200 14121507540 Professional Medical Services (Including Physician 12/16/2014 Paid $3,578.40
PRM 2200 14121507542 Professional Medical Services (Including Physician 12/16/2014 Paid $5,213.50
PRM 6300 14101301373 Medical Services (Non-Physician) 10/14/2014 Paid $260.00
PRM 6300 14092938500 Medical Services (Non-Physician) 09/30/2014 Paid $3,281.00
PRM 2200 14092638226 Professional Medical Services (Including Physician 09/29/2014 Paid $50.00
PRM 2200 14092638227 Professional Medical Services (Including Physician 09/29/2014 Paid $2,578.40
PRM 2200 14092638228 Professional Medical Services (Including Physician 09/29/2014 Paid $2,390.00
PRM 8300 14092337798 Professional Medical Services (Including Physician 09/24/2014 Paid $50.00
PRM 6300 14091837269 Medical Services (Non-Physician) 09/19/2014 Paid $3,771.00
PRM 2200 14072431141 Professional Medical Services (Including Physician 07/25/2014 Paid $3,910.00
PRM 2200 14072431142 Professional Medical Services (Including Physician 07/25/2014 Paid $1,663.40
PRM 6300 14072130565 Medical Services (Non-Physician) 07/22/2014 Paid $50.00
PRM 2200 14071129101 Professional Medical Services (Including Physician 07/14/2014 Paid $2,980.00
PRM 2200 14063027886 Professional Medical Services (Including Physician 07/01/2014 Paid $2,499.00
PRM 6300 14062627686 Medical Services (Non-Physician) 06/27/2014 Paid $205.00
PRM 6000 14052824475 Professional Medical Services (Including Physician 05/29/2014 Paid $167.80
PRM 6300 14051623542 Medical Services (Non-Physician) 05/19/2014 Paid $625.00
PRM 2200 14042521134 Professional Medical Services (Including Physician 04/28/2014 Paid $2,505.00
PRM 6300 14041620325 Medical Services (Non-Physician) 04/17/2014 Paid $280.00
PRM 8300 14041520162 Professional Medical Services (Including Physician 04/16/2014 Paid $50.00
PRM 6300 14032918133 Medical Services (Non-Physician) 03/31/2014 Paid $280.00
PRM 2200 14031416484 Professional Medical Services (Including Physician 03/17/2014 Paid $3,415.00
PRM 8300 14022414503 Professional Medical Services (Including Physician 02/25/2014 Paid $100.00
PRM 8300 14022114335 Professional Medical Services (Including Physician 02/24/2014 Paid $50.00
PRM 6300 14012211474 Medical Services (Non-Physician) 01/23/2014 Paid $270.00
PRM 2200 14012111314 Professional Medical Services (Including Physician 01/22/2014 Paid $10,397.90
PRM 8300 14011410984 Professional Medical Services (Including Physician 01/15/2014 Paid $100.00
PRM 6300 13122008638 Medical Services (Non-Physician) 12/23/2013 Paid $808.00
PRM 2200 13103003700 Professional Medical Services (Including Physician 10/31/2013 Paid $2,965.00
PRM 6300 13101801879 Medical Services (Non-Physician) 10/21/2013 Paid $280.00
PRM 6300 13092035881 Medical Services (Non-Physician) 09/23/2013 Paid $150.00
PRM 6300 13091635302 Medical Services (Non-Physician) 09/17/2013 Paid $6,181.00
PRM 2200 13090333734 Professional Medical Services (Including Physician 09/04/2013 Paid $2,240.00
PRM 2200 13090333735 Professional Medical Services (Including Physician 09/04/2013 Paid $2,404.00
PRM 2200 13090333741 Professional Medical Services (Including Physician 09/04/2013 Paid $2,815.00
PRM 2200 13061425769 Professional Medical Services (Including Physician 06/17/2013 Paid $1,595.00
PRM 2200 13061425770 Professional Medical Services (Including Physician 06/17/2013 Paid $3,075.00
PRM 2200 13061425771 Professional Medical Services (Including Physician 06/17/2013 Paid $1,345.00
PRM 6000 13052223547 Professional Medical Services (Including Physician 05/23/2013 Paid $153.00
PRM 6300 13051723156 Medical Services (Non-Physician) 05/20/2013 Paid $195.00
PRM 6000 13042520982 Professional Medical Services (Including Physician 04/26/2013 Paid $130.00
PRM 2200 13042220382 Professional Medical Services (Including Physician 04/23/2013 Paid $210.00
PRM 6300 13041720029 Medical Services (Non-Physician) 04/18/2013 Paid $280.00
PRM 2200 13041519735 Professional Medical Services (Including Physician 04/16/2013 Paid $3,355.00
PRM 2200 13032117558 Professional Medical Services (Including Physician 03/22/2013 Paid $519.00
PRM 6300 13031517036 Medical Services (Non-Physician) 03/18/2013 Paid $280.00
PRM 6000 13022815427 Professional Medical Services (Including Physician 03/01/2013 Paid $78.00
PRM 6300 13020613341 Medical Services (Non-Physician) 02/07/2013 Paid $200.00
PRM 6300 13020413071 Medical Services (Non-Physician) 02/05/2013 Paid $50.00
PRM 2200 13012812264 Professional Medical Services (Including Physician 01/29/2013 Paid $1,421.00
PRM 2200 13012812269 Professional Medical Services (Including Physician 01/29/2013 Paid $195.00
PRM 2200 13012812271 Professional Medical Services (Including Physician 01/29/2013 Paid $345.00
PRM 2200 13012812273 Professional Medical Services (Including Physician 01/29/2013 Paid $224.00
PRM 8300 13012812426 Professional Medical Services (Including Physician 01/29/2013 Paid $550.00
PRM 2200 13012311736 Professional Medical Services (Including Physician 01/24/2013 Paid $1,100.00
PRM 2200 13012311737 Professional Medical Services (Including Physician 01/24/2013 Paid $2,840.00
PRM 6300 12111405053 Medical Services (Non-Physician) 11/15/2012 Paid $140.00
PRM 2200 12102202555 Professional Medical Services (Including Physician 10/23/2012 Paid $475.00
PRM 2200 12102202556 Professional Medical Services (Including Physician 10/23/2012 Paid $1,033.00
PRM 8300 12101702046 Professional Medical Services (Including Physician 10/18/2012 Paid $3,650.00
PRM 2200 12100200223 Professional Medical Services (Including Physician 10/03/2012 Paid $1,205.00
PRM 2200 12100200224 Professional Medical Services (Including Physician 10/03/2012 Paid $345.00
PRM 2200 12100200225 Professional Medical Services (Including Physician 10/03/2012 Paid $1,870.00
PRM 2200 12100200226 Professional Medical Services (Including Physician 10/03/2012 Paid $205.00
PRM 2200 12100200227 Professional Medical Services (Including Physician 10/03/2012 Paid $745.00
PRM 2200 12100200228 Professional Medical Services (Including Physician 10/03/2012 Paid $2,490.00
PRM 2200 12100200229 Professional Medical Services (Including Physician 10/03/2012 Paid $1,330.00
PRM 6300 12092735407 Medical Services (Non-Physician) 09/28/2012 Paid $140.00
PRM 2200 12072328143 Professional Medical Services (Including Physician 07/24/2012 Paid $710.00
PRM 2200 12072328144 Professional Medical Services (Including Physician 07/24/2012 Paid $1,350.00
PRM 6300 12062625547 Medical Services (Non-Physician) 06/27/2012 Paid $88.00
PRM 2200 12061824609 Professional Medical Services (Including Physician 06/19/2012 Paid $3,920.00
PRM 2200 12053123023 Professional Medical Services (Including Physician 06/01/2012 Paid $1,180.00
PRM 2200 12053123025 Professional Medical Services (Including Physician 06/01/2012 Paid $675.00
PRM 2200 12053123027 Professional Medical Services (Including Physician 06/01/2012 Paid $2,245.00
PRM 6300 12052522543 Medical Services (Non-Physician) 05/29/2012 Paid $140.00
PRM 2200 12032016080 Professional Medical Services (Including Physician 03/21/2012 Paid $400.00
PRM 2200 12032016081 Professional Medical Services (Including Physician 03/21/2012 Paid $360.00
PRM 2200 12032016082 Professional Medical Services (Including Physician 03/21/2012 Paid $2,940.00
PRM 6000 12022313411 Professional Medical Services (Including Physician 02/24/2012 Paid $65.00
PRM 2200 12020111236 Professional Medical Services (Including Physician 02/02/2012 Paid $1,745.00
PRM 2200 12020111237 Professional Medical Services (Including Physician 02/02/2012 Paid $578.00
PRM 2200 12020111238 Professional Medical Services (Including Physician 02/02/2012 Paid $614.00
PRM 2200 12020111239 Professional Medical Services (Including Physician 02/02/2012 Paid $1,070.00
PRM 2200 12020111240 Professional Medical Services (Including Physician 02/02/2012 Paid $360.00
PRM 6300 12020111287 Medical Services (Non-Physician) 02/02/2012 Paid $325.00
PRM 8300 12010308643 Professional Medical Services (Including Physician 01/04/2012 Paid $100.00
PRM 2200 11111804981 Professional Medical Services (Including Physician 11/21/2011 Paid $2,065.00
PRM 2200 11111804982 Professional Medical Services (Including Physician 11/21/2011 Paid $918.00
PRM 2200 11111804983 Professional Medical Services (Including Physician 11/21/2011 Paid $140.00
PRM 2200 11091334259 Professional Medical Services (Including Physician 09/14/2011 Paid $210.00
PRM 2200 11091334260 Professional Medical Services (Including Physician 09/14/2011 Paid $435.00
PRM 8300 11082532693 Professional Medical Services (Including Physician 08/26/2011 Paid $100.00
PRM 6300 11080430283 Medical Services (Non-Physician) 08/05/2011 Paid $140.00
PRM 2200 11080229913 Professional Medical Services (Including Physician 08/03/2011 Paid $135.00
PRM 2200 11071227926 Professional Medical Services (Including Physician 07/13/2011 Paid $220.00
PRM 2200 11071227927 Professional Medical Services (Including Physician 07/13/2011 Paid $485.00
PRM 2200 11071227928 Professional Medical Services (Including Physician 07/13/2011 Paid $1,588.00
PRM 2200 11071227929 Professional Medical Services (Including Physician 07/13/2011 Paid $158.00
PRM 2200 11071227930 Professional Medical Services (Including Physician 07/13/2011 Paid $4,100.00
PRM 6000 11062026051 Professional Medical Services (Including Physician 06/21/2011 Paid $130.00
PRM 2200 11050521819 Professional Medical Services (Including Physician 05/06/2011 Paid $1,160.00
PRM 6300 11040619069 Medical Services (Non-Physician) 04/07/2011 Paid $140.00
PRM 2200 11032817736 Professional Medical Services (Including Physician 03/29/2011 Paid $470.00
PRM 2200 11032817737 Professional Medical Services (Including Physician 03/29/2011 Paid $195.00
PRM 6300 11031817011 Medical Services (Non-Physician) 03/21/2011 Paid $415.00
PRM 2200 11030815837 Professional Medical Services (Including Physician 03/09/2011 Paid $550.00
PRM 2200 11022814848 Professional Medical Services (Including Physician 03/01/2011 Paid $298.00
PRM 2200 11022814849 Professional Medical Services (Including Physician 03/01/2011 Paid $550.00
PRM 6000 11022414489 Professional Medical Services (Including Physician 02/25/2011 Paid $153.00
PRM 2200 11020312757 Professional Medical Services (Including Physician 02/04/2011 Paid $379.00
PRM 2200 11020312758 Professional Medical Services (Including Physician 02/04/2011 Paid $1,120.00
PRM 6000 11012611905 Professional Medical Services (Including Physician 01/27/2011 Paid $384.00
PRM 2200 11012411369 Professional Medical Services (Including Physician 01/25/2011 Paid $895.00
PRM 6300 10123009022 Medical Services (Non-Physician) 01/03/2011 Paid $280.00
PRM 2200 10113006261 Professional Medical Services (Including Physician 12/01/2010 Paid $607.00
PRM 2200 10113006262 Professional Medical Services (Including Physician 12/01/2010 Paid $850.00
PRM 6300 10111605198 Medical Services (Non-Physician) 11/17/2010 Paid $140.00
PRM 2200 10111004674 Professional Medical Services (Including Physician 11/12/2010 Paid $1,020.00
PRM 2200 10110103693 Professional Medical Services (Including Physician 11/02/2010 Paid $560.00
PRM 2200 10101401745 Professional Medical Services (Including Physician 10/15/2010 Paid $505.00
PRM 2200 10101401746 Professional Medical Services (Including Physician 10/15/2010 Paid $1,168.00
PRM 2200 10101401747 Professional Medical Services (Including Physician 10/15/2010 Paid $50.00
PRM 2200 10101401748 Professional Medical Services (Including Physician 10/15/2010 Paid $100.00
PRM 6300 10090836459 Medical Services (Non-Physician) 09/09/2010 Paid $575.00
PRM 6000 10090736253 Professional Medical Services (Including Physician 09/08/2010 Paid $238.00
PRM 2200 10083035461 Professional Medical Services (Including Physician 08/31/2010 Paid $280.00
PRM 2200 10082635070 Professional Medical Services (Including Physician 08/27/2010 Paid $1,229.00
PRM 2200 10082635071 Professional Medical Services (Including Physician 08/27/2010 Paid $280.00
PRM 2200 10082635072 Professional Medical Services (Including Physician 08/27/2010 Paid $840.00
PRM 2200 10080232464 Professional Medical Services (Including Physician 08/03/2010 Paid $50.00
PRM 2200 10080232465 Professional Medical Services (Including Physician 08/03/2010 Paid $100.00
PRM 2200 10080232466 Professional Medical Services (Including Physician 08/03/2010 Paid $140.00
PRM 6300 10071630743 Medical Services (Non-Physician) 07/19/2010 Paid $65.00
PRM 2200 10070229282 Professional Medical Services (Including Physician 07/06/2010 Paid $1,708.00
PRM 6300 10070129160 Medical Services (Non-Physician) 07/02/2010 Paid $470.00
PRM 2200 10062428275 Professional Medical Services (Including Physician 06/25/2010 Paid $315.00
PRM 2200 10062428276 Professional Medical Services (Including Physician 06/25/2010 Paid $350.00
PRM 2200 10062428277 Professional Medical Services (Including Physician 06/25/2010 Paid $350.00
PRM 2200 10062428278 Professional Medical Services (Including Physician 06/25/2010 Paid $1,055.00
PRM 2200 10062428279 Professional Medical Services (Including Physician 06/25/2010 Paid $100.00
PRM 2200 10062428280 Professional Medical Services (Including Physician 06/25/2010 Paid $50.00
PRM 2200 10062428281 Professional Medical Services (Including Physician 06/25/2010 Paid $65.00
PRM 2200 10060225834 Professional Medical Services (Including Physician 06/03/2010 Paid $335.00
PRM 2200 10060225835 Professional Medical Services (Including Physician 06/03/2010 Paid $2,035.00
PRM 6300 10052424876 Medical Services (Non-Physician) 05/25/2010 Paid $140.00
PRM 6300 10050523138 Medical Services (Non-Physician) 05/06/2010 Paid $140.00
PRM 2200 10040720320 Professional Medical Services (Including Physician 04/08/2010 Paid $885.00
PRM 2200 10040720321 Professional Medical Services (Including Physician 04/08/2010 Paid $1,465.00
PRM 2200 10031217491 Professional Medical Services (Including Physician 03/15/2010 Paid $913.00
PRM 2200 10031217492 Professional Medical Services (Including Physician 03/15/2010 Paid $1,815.00
PRM 6000 10031017179 Professional Medical Services (Including Physician 03/11/2010 Paid $375.00
PRM 2200 10030215986 Professional Medical Services (Including Physician 03/03/2010 Paid $931.00
PRM 2200 10030215987 Professional Medical Services (Including Physician 03/03/2010 Paid $1,464.00
PRM 6300 10030216061 Medical Services (Non-Physician) 03/03/2010 Paid $640.00
PRM 6300 10020813529 Medical Services (Non-Physician) 02/09/2010 Paid $1,208.00
PRM 2200 10012611969 Professional Medical Services (Including Physician 01/27/2010 Paid $150.00
PRM 2200 10012611970 Professional Medical Services (Including Physician 01/27/2010 Paid $1,400.00
PRM 2200 10012611971 Professional Medical Services (Including Physician 01/27/2010 Paid $100.00
PRM 2200 10012611972 Professional Medical Services (Including Physician 01/27/2010 Paid $165.00
PRM 6000 10012211681 Professional Medical Services (Including Physician 01/25/2010 Paid $387.00
PRM 2200 09121107600 Professional Medical Services (Including Physician 12/14/2009 Paid $130.00
PRM 2200 09121107601 Professional Medical Services (Including Physician 12/14/2009 Paid $1,355.00
PRM 6300 09112305933 Medical Services (Non-Physician) 11/24/2009 Paid $65.00
PRM 2200 09110203493 Professional Medical Services (Including Physician 11/03/2009 Paid $1,114.00
PRM 2200 09102803058 Professional Medical Services (Including Physician 10/29/2009 Paid $1,355.00
PRM 6300 09101401659 Medical Services (Non-Physician) 10/15/2009 Paid $205.00
PRM 2200 09101201281 Professional Medical Services (Including Physician 10/13/2009 Paid $100.00
PRM 2200 09101201282 Professional Medical Services (Including Physician 10/13/2009 Paid $500.00
PRM 2200 09101201283 Professional Medical Services (Including Physician 10/13/2009 Paid $916.00
PRM 6300 09092945546 Medical Services (Non-Physician) 09/30/2009 Paid $140.00
PRM 2200 09092144393 Professional Medical Services (Including Physician 09/22/2009 Paid $883.00
PRM 2200 09092144394 Professional Medical Services (Including Physician 09/22/2009 Paid $50.00
PRM 2200 09091043353 Professional Medical Services (Including Physician 09/11/2009 Paid $185.00
PRM 2200 09091043354 Professional Medical Services (Including Physician 09/11/2009 Paid $490.00
PRM 2200 09091043355 Professional Medical Services (Including Physician 09/11/2009 Paid $270.00
PRM 2200 09090442843 Professional Medical Services (Including Physician 09/08/2009 Paid $50.00
PRM 2200 09071536370 Professional Medical Services (Including Physician 07/16/2009 Paid $270.00
PRM 2200 09071536371 Professional Medical Services (Including Physician 07/16/2009 Paid $843.00
PRM 2200 09071436175 Professional Medical Services (Including Physician 07/15/2009 Paid $615.00
PRM 2200 09071436176 Professional Medical Services (Including Physician 07/15/2009 Paid $510.00
PRM 2200 09071436177 Professional Medical Services (Including Physician 07/15/2009 Paid $150.00
PRM 2200 09071436178 Professional Medical Services (Including Physician 07/15/2009 Paid $85.00
PRM 6000 09070235157 Professional Medical Services (Including Physician 07/06/2009 Paid $213.00
PRM 6300 09060932519 Medical Services (Non-Physician) 06/10/2009 Paid $560.00
PRM 6000 09052130268 Professional Medical Services (Including Physician 05/22/2009 Paid $78.00
PRM 6000 09052130269 Professional Medical Services (Including Physician 05/22/2009 Paid $156.00
PRM 2200 09050528423 Professional Medical Services (Including Physician 05/06/2009 Paid $140.00
PRM 2200 09050528424 Professional Medical Services (Including Physician 05/06/2009 Paid $94.00
PRM 2200 09050528425 Professional Medical Services (Including Physician 05/06/2009 Paid $50.00
PRM 2200 09050528426 Professional Medical Services (Including Physician 05/06/2009 Paid $135.00
PRM 2200 09050528427 Professional Medical Services (Including Physician 05/06/2009 Paid $1,340.00
PRM 2200 09050528428 Professional Medical Services (Including Physician 05/06/2009 Paid $1,114.00
PRM 6000 09041626134 Professional Medical Services (Including Physician 04/17/2009 Paid $1,109.00
PRM 2200 09040224085 Professional Medical Services (Including Physician 04/03/2009 Paid $880.00
PRM 2200 09040224086 Professional Medical Services (Including Physician 04/03/2009 Paid $175.00
PRM 2200 09040224087 Professional Medical Services (Including Physician 04/03/2009 Paid $1,258.00
PRM 6000 09032022386 Professional Medical Services (Including Physician 03/23/2009 Paid $299.00
PRM 6000 09030620548 Professional Medical Services (Including Physician 03/09/2009 Paid $1,144.00
PRM 2200 09030319877 Professional Medical Services (Including Physician 03/04/2009 Paid $983.00
PRM 2200 09030319878 Professional Medical Services (Including Physician 03/04/2009 Paid $700.00
PRM 2200 09030319879 Professional Medical Services (Including Physician 03/04/2009 Paid $94.00
PRM 2200 09030319880 Professional Medical Services (Including Physician 03/04/2009 Paid $94.00
PRM 2200 09030319881 Professional Medical Services (Including Physician 03/04/2009 Paid $50.00
PRM 2200 09030319882 Professional Medical Services (Including Physician 03/04/2009 Paid $50.00
PRM 2200 09030319883 Professional Medical Services (Including Physician 03/04/2009 Paid $1,288.00
PRM 2200 09030319884 Professional Medical Services (Including Physician 03/04/2009 Paid $1,415.00
PRM 2200 09022519292 Professional Medical Services (Including Physician 02/26/2009 Paid $1,605.00
PRM 2200 09022519293 Professional Medical Services (Including Physician 02/26/2009 Paid $1,250.00
PRM 6000 09012314881 Professional Medical Services (Including Physician 01/26/2009 Paid $309.00
PRM 2200 08121110186 Professional Medical Services (Including Physician 12/12/2008 Paid $915.00
PRM 2200 08121110187 Professional Medical Services (Including Physician 12/12/2008 Paid $345.00
PRM 2200 08121110188 Professional Medical Services (Including Physician 12/12/2008 Paid $250.00
PRM 2200 08120409022 Professional Medical Services (Including Physician 12/05/2008 Paid $520.00
PRM 2200 08120409023 Professional Medical Services (Including Physician 12/05/2008 Paid $50.00
PRM 2200 08120409024 Professional Medical Services (Including Physician 12/05/2008 Paid $100.00
PRM 2200 08120409025 Professional Medical Services (Including Physician 12/05/2008 Paid $420.00
PRM 2200 08120409026 Professional Medical Services (Including Physician 12/05/2008 Paid $288.00
PRM 2200 08120409027 Professional Medical Services (Including Physician 12/05/2008 Paid $65.00
GAX 6300 08111803709 12/02/2008 Paid $75.00
PRM 6000 08102403650 Professional Medical Services (Including Physician 10/27/2008 Paid $153.00
PRM 6000 08102403651 Professional Medical Services (Including Physician 10/27/2008 Paid $78.00
PRM 2200 08101602442 Professional Medical Services (Including Physician 10/17/2008 Paid $1,045.00
PRM 2200 08100600729 Professional Medical Services (Including Physician 10/07/2008 Paid $150.00
PRM 2200 08100600730 Professional Medical Services (Including Physician 10/07/2008 Paid $1,230.00
PRM 2200 08100600731 Professional Medical Services (Including Physician 10/07/2008 Paid $1,005.00
PRM 2200 08100600732 Professional Medical Services (Including Physician 10/07/2008 Paid $50.00
PRM 2200 08100600733 Professional Medical Services (Including Physician 10/07/2008 Paid $1,509.00
PRM 2200 08100600734 Professional Medical Services (Including Physician 10/07/2008 Paid $75.00
PRM 2200 08100600735 Professional Medical Services (Including Physician 10/07/2008 Paid $475.00