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<br />PAGE . :~: <br />f-iP-C10-02 <br /> <br />VENDDF <br /> <br />NO \iEr~DOF\ <br /> <br />.'I~'I.'T <br />JUL.:'I; <br />I,L.COUNT <br />i:;CCOUNT <br />ACCOUNT <br />ACCOUNT <br />;~CCOUi)T <br />P'tCCOUt...rr <br />i4CCOUNT <br />i~CCOUNT <br />ACCOUNT <br />ACCOUNT <br /> <br />N{iriE <br /> <br />r'.iUMBEi~: - <br />NUt'1BER-- <br />j\jUi"1BEf~'-' <br />NUt'!:tJER- <br />NLit'iBEi=i:- <br />NUt1BER- <br /> <br />NU!vIBEG~- <br /> <br />NUMBEf-;;- <br /> <br />NUf~1BEF - <br /> <br />f-1CCOUNT NlWiBE!;:- <br />fiCCOUNT NU~1BEF~-' <br /> <br />NUr1:8E}~ - <br />NUMBEJ:;:- <br /> <br />('iCCOUNT i'~Ut1BER- <br />ACCOUNT NUI"1BEP-- <br /> <br />tr!2020 1't'!ED I C(~ <br /> <br />ACCOUNT <br />ACCOU!\iT <br />(~CCOUNT <br />ACCOUf,IT <br />ACCCll-lNT <br />ACCOUNT <br />. .' r:~?-~~~~ <br />"UU!\-ll <br /> <br />NUMBEi=\:..- <br />t\iUt'18EF~ - <br />NUi"iBEF\- <br />NUMBEP'- <br />f'-H-lNBER-- <br />NUt1BER- <br />NlWiBEF-: -. <br />NUi'IBEF-:-- <br /> <br />CHECK <br /> <br />~\~Ut~lBEP <br /> <br />1 OO~~lt i :~:~O-040C;OO <br /> <br />770-M4121'-'OltOOOO <br />100--4.1. :50"M(:;4.0(;00 <br /> <br />1 00--.41 SO.M.040000 <br /> <br />100"-41':;=O'-040()OO <br /> <br />100-4260-040({j() <br /> <br />100-"4.:200'-0.40(,:00 <br />:l. 00-42"70'-040000 <br /> <br />100-4:2::?O-04()OOO <br /> <br />1 00- 43~;O-Ol~.OOOO <br /> <br />100 -. 4360 - 0-40000 <br />700'--4120--040000 <br />7~)O-4:t 21 '-040~:)OO <br />7:::::0- 4), :20- 04()OOO <br /> <br />730-41:2:t _..().~~()()OO <br /> <br />i.~ '::::'::j:=i::-~ <br /> <br />100-4120-.040000 <br /> <br />100....41 ::::0 - 04()!)OO <br /> <br />100 - 4200 - ()40000 <br /> <br />1 00-4:;;~50-C'40()OO <br />100-4::::60-(j:!!-OOOO <br /> <br />tOO - 4~.::7:5 - 040000 <br /> <br />700 - .{l i. 20 R~ 040000 <br /> <br />730--4 i 20.-(i40000 <br /> <br />M2~)0 MEDCENTERS HEALTH F~A* 4~~~6 <br />ACCOUNT NUMBER- 100-4180-040000 <br />ACCOUNT NUMBER- 100-4190-040000 <br />ACCOUNT NUMBER- 100-4240-040000 <br />ACCOUNT NUMBER- 100-4~~O-040000 <br />ACCOUNT NUMBER- 420-4121-04(~00 <br />ACCOUNT NUMBER- 700-4121-040000 <br />ACCOUNT NUMBER- 730-4121-040000 <br /> <br />06970 GROUP HEALTH PLAN, IN* 42957 <br />ACCOUNT NUMBER- 100-4120-04~~00 <br />ACCOUNT NUMBER- 770-4121-0-42000 <br />AC:COUr-.IT NUMBEF:- 100--41::;::0-(!42000 <br />ACCOUNT NUMBER- 100-4190-042000 <br />ACCOUNT NUMBER- 100-~200-042~)O <br />ACCOUNT NUMBER- 100-4270-042000 <br />ACCOUNT NUMBER- 100-4350-042000 <br />ACCOUNT NUMBER- 420-4121-042000 <br />ACCOUNT NUMBER- 700-4120-042000 <br />ACCOUNT NUMBER- 700-4121-042000 <br />ACCOUNT NUMBER- 730-4120-042000 <br /> <br />. <br /> <br />CHECK <br />[if-iTE <br /> <br />At~.iT ~.- <br />(i!1T - <br /> <br />Al'1T-" <br />r-\11T- <br /> <br />A!'1T.'- <br /> <br />PJ1 T -. <br />AI'1T'-' <br />{.~r1T- <br /> <br />AI'''1TM~ <br />(il-"1T.- <br /> <br />AI"rT- <br />(It.n - <br /> <br />1~1"1T -~ <br /> <br />L'ii'll- <br /> <br />At~1T ..~ <br /> <br />11/10/':;A <br /> <br />Ai"IT- <br /> <br />At~iTRh <br /> <br />1~i"IT- <br />AI'H-- <br />jC\!"i I .- <br />AI-.n- <br />AI'H- <br />f11'iT _.. <br /> <br />11/10/,?ii. <br /> <br />(:-'~1Tw- <br /> <br />At,n.-.. <br />{:\M-r- <br />Ai"IT-' <br />l~t'rr - <br />AI"IT'- <br />AI'H- <br /> <br />11/1.0/94 <br /> <br />AiT1T-- <br /> <br />f4MT - <br />Ai'iT- <br />I~NT- <br />(~i"iT- <br />f-\r'1T- <br />At'iT _. <br />At'H- <br />Am-.. <br />f-li'H- <br />Ai"IT- <br /> <br />ACCOUNTS PAYABLE PRE-PAID CHECK REGISTER <br />1''1DUNDS V I EW <br /> <br />IN1v'DICE <br />INV(JICE NMBR DATE <br /> <br />814.85 DESC-HEALTH <br />. .,~ DESC-HEALTH <br />620.58 DESC-HEALTH <br />466.43 DESC-HEALTH <br />233=24 I)ESC-HEALTH <br />308.30 DESC-HEALTH <br />3342~39 DESC-HEALTH <br />571.27 DESC-HEALTH <br />!!.~U DESS-HEALTH <br />616.60 DESC-HEALTH <br />308a30 DESS-HEALTH <br />412.02 DESC-HEALTH <br />616.60 DESC-HEALTH <br />412.02 DESC-HEALTH <br />466.43 DESC-HEALTH <br />VENDOR TDTPiL <br /> <br />11/10/94 <br />187.16 DESC-HEALTH INS <br />168.44 DESC-HEAlTH INS <br />374.32 DESC-HEALTH INS <br />187.16 DESe-HEALTH INS <br />308.30 DESC-HEALTH INS <br />308.30 DESe-HEALTH INS <br />9.36 DESC-HEALTH INS <br />9.36 DESC-HEAL.TH INS <br />VENDOR TOTAL <br /> <br />I N!.)Q I CE <br /> <br />CHEel< <br />At-1OUNT <br /> <br />Ai'iOUNT <br /> <br />DISCOUNT <br />i~t'1iJUNT <br /> <br />INS PREMIUM - NOVEMBER <br />INS PRENIUM NOVEMBER <br />INS PREMIUM - NOVEMBER <br />INS PREMIUM - NOVEMBER <br />INS PREMIUM NOYEMBER <br />INS PREMIUM - NOVEMBER <br />INS PREMIUM NOVEMBER <br />INS PREMIUM NOVEMBER <br />INS PPEMIUM NOVEMBER <br />INS PREMIUM - NOVEMBER <br />INS PREMIUM NOVEMBER <br />INS PREMIUM - NO\iEMBER <br />INS PREMIUM - NOVEMBER <br />INS PREMIUM - NOVEMBER <br />INS PREMIUM - NOVEMBER <br />942}'.74 <br /> <br />9427 II 74 <br /> <br />155::~~ R ~+O <br /> <br />1552.40 <br /> <br />PREJ'1 --. NOV <br />PRE}1 - NOV <br />PFEI"1 - 1\10V <br />PREI'! - NO\'! <br />PF~Ei-'1 NOV <br />Pf.Et'l NO,) <br />PREI'1 - NO',I <br />PF:H1 - NOV <br /> <br />1 :;~;2 !I 40 <br /> <br />1552.40 <br /> <br />1:395.33 <br /> <br />11/10/94 1395.33 <br />160.71 DESC-HEALTH INS PREM - NOV <br />153.30 DESC-HEALTH INS PREM - NOV <br />153.30 DESC-HEALTH INS PREM - NOV <br />459.01 DESC-HEALTH INS PREM - NOV <br />54.65 DESe-HEALTH INS PREM - NOV <br />207.18 DESC-HEALTH INS PREM NOV <br />207.18 DESC-HEALTH INS PREM - NOV <br />VENDOR TOTAL 1395.33 <br /> <br />11/10/94 :397.28 <br />DESC-DENTAL INS PREM - NOV <br />LiESC-DENTAL INS PiiEM - NOV <br />DESC-DENTAL INS PREM - NOV <br />DESC-DENTAL INS PREM - NOV <br />DESe-DENTAL INS PREM - NOV <br />DESC-DENTALINS PREN NOV <br />DESC-DENTAL INS PREM - NOV <br />DESC-DEI\iT{~L INS PRH1 -- NOV <br />DESC-DENTAL INS PREM - NOV <br />DESC-DENTAL INS PREM - NOV <br />DESC-DENTAL INS PREM - NOV <br /> <br />56,::::2 <br /> <br />1r911l <br /> <br />8::':u45 <br /> <br />'-I .-" <br />':. a c=! <br /> <br />170 a {~..2 <br /> <br />1:::.6:::: <br />18. &..:=,:: <br />6.36 <br />1('.27 <br />6.16 <br /> <br />10a27 <br /> <br />1 :3'7~5 :: 33 <br /> <br />:;:'~)7 :: 28 <br />