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PAGE '_' AP-C10-0:2 VENDOR . VEI\lDOn t'JAt1E Cl-.IECI< NUi"lBEH G6970 GROUP HEALTH PLAN, IN* ACCOUNT NUI"IBER-' ACCOUNT NU1"lBER'- ACCOUNT NUMBER- ACCOUNT NUMBER- ACCOUNT NUl"iBER- ACCOUNT NUMBER'- ACCOUNT NUMBER- ACCOUNT NUI"IBEr.;:.- ACCOUI'H NUMBER- ACCOUNT NUI'1BER'- ACCOUNT NUMBER- ACCOUNT NUI'mER'- ACCOUNT NUI1BER- ACCOUNT NUMBER.- ACCOUNT NUi'1BER ... 1'12020 t'1ED I Cf-i ACCOUNT NUMBEI={- ACCOUNT NUI'lBER-- ACCOUNT NUMBEH- AACCOUNT NUMBER- "ACCOUNT NUMBEF{- :~::=:51 5 270-,4120,,-040000 1. 00,,- 4120 ... 040000 100- 4150- 04.0000 1. 00 _. .(l.1 eo -- 040000 100,- 4190-040000 1. 00-421.::.(1--040000 100'-4.200-040000 100 - 4270,-040000 1. 00"-42:'::0-040000 1 00 .-4:;:~50-040000 100 - 4:;::60 - 04.0000 700,-4120,-,040000 700'-4121-040000 7:30,,-41. 20-04.0000 'r,::a)-.l{.121'-040000 :3f:~~511:.. 100-4120"-040000 290.... .It 121 ..- 040000 100'-41::::1)-040000 100 - 4:;;::00 - 04(;000 1()O'-.!~:360-040000 1'12000 MEDCENTERS HEALTH PLA* 38517 ACCOUNT NUMBER- 100-4120-040000 ACCOUNT NUMBER- 100-4200-040000 ACCOUNT NUMBER- 700-4120-040000 ACCOUNT NUMBER- 730-4120-040000 G6970 GROUP HEALTH PLAN, IN* 38518 ACCOUNT NUMBER- 100-4120-042000 ACCOUNT N~1BER- 290-4121-042000 ACCOUNT NUMBER- 100-4180-042000 ACCOUNT NUMBER- 100-4190-042000 ACCOUNT NUMBER- 100-4200-0420~) ACCOUNT MJMBER- 100-4350-042000 ACCOUNT NUMBER- 700-4120-042000 ACCOUNT NUMBER- 730-4120-042000 C5700 COMMERICAL LIFE ACCOUNT NUMBER- ACCOUI'H NUt-1BER- ~CCOUNT NUMBER- I NSUR-J::- :3:3~51 9 270- 4120,-041 000 100'-4120-041000 2':;-1)'-'-"1.121--041000 CHECK DATE 07/09/9:::: AMT -- At1T .- {.IMT - AMT'- AMT- AMT'- i!.1MT- AMT- Al"IT'- tCll'1 T - AMT -- AMT- (:)11T- j;l"rr-- AMT'- ()7/e)';'/';}:;:: ?,IViT .- {'~MT- At1T.... AMT- At'lT - 07/09/9:3 Ai1T- AMT- At1T - AMT-- 07/09/'';):3 AI'1T- AMT- AMT'- AMT- AMT-' AMT.... AI'H- ;:')I"1T -. 07/09/9::': At'iT .- AMT... AMT- ACCOUNTS PAYABLE PRE-PAID MOUNDS VIEW INVOICE INVOICE NMBR DATE VENDon TOT (.:IL 07/09/9::': 145.68 DESC-HEALTH INS 470.::32 DESC-HEALTH INS 745.74 DESe-HEALTH INS 443~98 pESC--HEALTH INS 218.52 DESe-HEALTH INS 29:~: . :::;:0 DEse -. HEF~L TH INS :3542.:33 DESe-HEALTH INS 698.02 DESe-HEALTH INS 74.58 DESe-HEALTH INS 742.28 DESC-HEALTH INS 298.30 DESe-HEALTH INS ::.:9~5. 0 1 DEBC--HEALTH I N:3 596.60 DESC-HEALTH INS 395.01 DESC-HEALTH INS 443.98 DESC-HEALTH INS VENDOF: TOTAL. 07/09/93 187.16 DESe-HEALTH INS 140.:~~;7 DESC-I-1El==lLTH INS :23:3.95 DESe-HEAL TH INS ::::74. ::::2 DESC-.HE{.)LTH INS 298.30 DESe-HEALTH INS VENDOR TOTAL 07 /09/'~'3 146.90 DESe-HEALTH INS 293.80 DESC-HEALfHINS 149.15 DESC-HEALTH INS 149.15 DESe-HEALTH INS VENDOR TOTAL 07/09/9:::: 60.95 DESe-DENTAL INS 14.55 DESe-DENTAL INS 43.65 DESe-DENTAL INS 9.70 DESC-DENTAL INS 148.25 DEse-DENTAL INS 19.40 DESe-DENTAL INS 9.70 DESC-DENTAL INS ';;. 70 DESC-DENT(~L INS VENDOr;~ TOTP,L CHECK REGISTF. INVDICE D: AMOUNT 84:::::31 .01 ':./5() :::: " (.-'1::; PREM - .JUL Y PREI'1 .- ~JUL. Y PREM - ...JUL Y PREM .- ,JUL Y PREM - ,JUL Y PREM .- .JUL Y F'nEM - JULY PREI"I .- ..JUL Y PRE!"! - JUL Y PREM .- ..JUL Y PREM - JULY PREl'1 -- JUL Y PRE!"! - JUL Y PF\EI"l .- ,JUL Y F'REM - ,JUL. Y c"i/5()::;: .. 1.....,~5 :1.234.10 PREI"! - ,JUL Y PEE!"l - JULY F'REM - ,JUL Y FBEM - ,JUL Y PHEM - JULY 1 2:::::4. :I. (1 T:.:';~ . 00 PREM ... .JUL Y PI=i:EM ... JUL Y PREM - JULY PREM .- ,JUL Y 7:3':" . 00 :315 ., ';I() F'F:EM - JUL Y FREI'-i - ,JUL Y PRE!"1 -. JUL Y PREI'l - JUL. Y F'REM - JULY PREM - ..JULY PREM _. JUL Y F'REl'i .- ~jUL y 31.5.90 1.70 07/09/93 388,,65 DESC-LIFE INS PREM - JULY DESC-LIFE INS PREM - JULY DESe-LIFE INS PREl"l - ,JULY '45le';'5 1.27