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() :::: :l {) () () G6970 GRUUP HEALTH PLAN. IN* 38640 ACCOUNT NUMBER- 270-4120-040000 ACC(]LJN-r. N\_1!1BEp._. lC)O....4120-..040000 ?:" c: C~ CJ!J t\t .r !\! tJ I~J1 I::; E: F: .- (:iCCCJL.l!\IT !,',jU!"'\PE:P .... {2\CC::UU\\IT I\!UI~lBEh ... r::i C: c::: C U \".j.r 1\.1 L.l 1'1 B E: i::;~ .... nCCDU!\!T t'..!I..J!'lBEF.... {.:) C~ C~ (] LJ t\1 T r~..t LJ i"~1 E: E~ F~ .... PICCCiU!\I.r !'.--.\Up'IBEF: ... l!::j C~ C~ C) lJ ['4 -r 1\.1 LJ iVJ FJ F~ r:;~ .- f.:\CCiJUi\!T !\IU 1.'lBF.: I:;.: .. {'~CC:UL.lhT !\!UI';ibEF:: ... 1::\ C::: CD I,..! i\! T !\!UI'''i 8 E F -- (lC:C:CJU\\\T \"..\L.!i"'lBE::P .... f.:1C COUI'..J'r !\! U 1"1 B E F: ... ["1 :~~ () ~~:~ (:1 t'i E::D I C; (..":': (~ C; c; IJ tJ I\~ .r . r,CCCJUh!T I~~CCDUI\!'I" (:iCCDUN.T (~CCUUI\i.r NU,.'.! E: E: F:.... 1..,ji..Jt~1PE::h: -. 1\llJ Iv{ [3 E~ F~ .-. NUI"I:UEp.. l'olLi!'~!BEH'''' 1 () () .- j~. 1 :::; (i .- () .-;"~. () () (:: (:: 1 () () .... l:~. 1 ;::; () --. () .~!. () () () () 1 () () .... ll11? () .~. 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(:1 1"1 T .... ;'ir-:.!.r _u i~!."i'r.- fi;"!"f' ... r-:~r!J'r .... i) :~i .f () ~-2 ../ I~i ::::: {.:j!;l.f ..- {i!'l>'j'r .... {'~lr-:-i'r .-.. p;!r...~.r .... Pll~'~ T ..~ Pii.l>.i.,-.... j:i 1"1 T -- Pit--:.!.r.... r+rr.... r~j...1T ... PJ~rr _. {Xl,.. .-. r:.il"rr... (it"!T... {'il'''1'r.-. () l~:} /' (: :~:~ il '~:.I ::::; (.~f~'!.r .... ?-:,tVj-r ~.. (.~ 1"i'f u_ {::ii-"'.i~r ~.. (~i"'"IT ... ACCOUNTS PAYABLE PRE-PAID CHECK REGIS 1'"10Ut\iDE ') I E!;J INVUICE NMBR DATE 11\):'../[1 I C:E:: ~:;" ::::;0 ~:i ::~) n ::~ :f. ~i =::' II '~i :~:~ ... ~". .... . ~Il-~. '..' ,'.. ....'._' 01 ....:'_1 '''.1'; ....:! I:::' J. ., ~:::I i.::a ~::i I' () 1 1 L '7..1:::, J.1_' " ._.:1._' ::::;1:) ~ '.::11.::: .'1.::::,,24 (::1:3 I' :~:l~:) ....: ...... ..::' II 1::1'-':1 '.::; II ,.::.l'::1 .'::1 l. l.. ....' s: ....:,...' '''r :: ..:.. ... 12" ::::7 ';i" 9/:, :t () ;: I::~:i~.= 1/" ::<~: ..:~.'7 u '~-;1-4 17. =1 :::~:? .'I !:::- '.-1 J:~. ..-1.....1 JJ r:::: ~~:; C~ .... '~~I / () :3 / 'i' :~~: DEE;C - ') /0:::; /'::?::::: DE:EC:;--') /U3./';i3 DE~3C"-9 /0:::::./';:'::;:: IJ [~ ~:) C~ .-.. ';:.' / ():3 ./ ';1 :~: DEE:iC::-- '::;' ./():::: /':;'3 [i f.~ !:) C: -. I~i f/ ():3 ./ I~~I ::~: 11\1")0 I C::E PI I'.! CJ U \\J T - FIef:', ... F I Ct~ 'M' F' I [~(M'~: F' I C(::j 'M. F' I C:{...~I -' F'IC{:'j _0 FICPI DESC-9/03/93 - FICA DESC-9/03/93 - FICA DESC-9/03/93 - FICA DESC-9/03/93 FICA DESC-9/U3/93 FICA DEBC-9/03/93 FICA DESC-9/03/93 FICA DESC-9/03/93 - FICA DEBC-9/03/93 FICA DESC-9/03/93 - FICA DESC-9/03/93 - FICA [)E~3C"-9/03/~)~: FICA DE:SC-9/03!93 - FICA DESC-'~~/03/93 -. FICA VENDOP TOTAL 3314,,22 :l ..~.::i IS i:.:: :::~ .4 .7(} " :?:2 09/02/9::;:: DE:t::C--HEP:L.TH 1!\!S JJ F: ~:) [: _.' f-t E~~ (':'j !~.. 'rl'~l I !"'~ ::::) 745,,74 DESC-HEALTH 443.98 DESC-HEALTH ~~18"52 [iE~3C--~jEAl_..T'~~ 298,,30 DESC-HEALTH 3542.33 DESC-HEALTH 698,,02 DESC-HEALTH 74,,58 DESC-HEALTH "742<128 DESC-....IEALTH 298.30 DESC-HEALTH 395.01 DESC-HEALTH 596.60 DESC-HEALTH 395.01 DESe-HEALTH 443,,98 DESC-HEALTH 'v'E:r...lDCiP TDT{';lL. (j I~) ./ (i :2: / I~) :~:: 1871116 DE~3C-~~I~Al_T~i 1419"72 DE:SC-.'I-~EAL.l.~1 :2:24~6() DE!;[:'-'I~I~~ALTH 374.32 DESC-HEAL1'H 2981.20 DESC-'I.~!~Al-r'~~ ')E!'..iDDFi: -rU'"!," i~:iL. r"'l:? ()() () i./IF~ LIC~ E~ r....;.r E:~ F;~~~3 f-..l E. (':}l_. .r I...j i ..1 L..i:':i'::i' :3 :~:~ (::' .(~. '2 () 1.::.1 ../ () ~~: / :~) :~:: () I~J ./ ():2 / I~~' ::::: (~:.l ~:~ () ;::; .. /":::::; . .M .. U .. .~ ... j=\ i:~~ E: f~1 -. ~:3 E: FI"r f:;; i::;~ E:: I'll ~~ E1 E: F' .r I !W:3 F' F~ EJ'! I !\j~) F' \:;: EJ"I f3E:r::'T E)EF'-r I !'oF:> F'FEr~'l ... SEPT I I\i~:) F'PEJ'I ~:)EPT I !\t3 F'F~E::i'1 .... SEPT 11\1::3 F'HE!"j _.. ~)EF'T I ~,.1'3 PFEYi -. 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