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<br />"'AGE A <br /> <br />(~P-Cl0"M02 <br /> <br />y'ENDCF: <br /> <br />NO VENDOR <br /> <br />Ni'':;j''iE <br /> <br />.OUt-,.iT NUMBEF;:._. <br />l"il~COUr'-)T r\~Ut1t3l:F- <br />i~CCOUNT NUf~':BEF:~ M" <br />i2iCCOU!,..jT !".H.Ji'lE~r:::p.- <br />I~CCOUi\!T NUfT1BE}-:;-:- <br /> <br />ACCCiUi\~'T i'--~U!'ieEi;:- <br /> <br />ACCDUNT NUr1DEp.-. <br /> <br />CHi:::.U<_ <br /> <br />t..~ U r.=~ r3 E H <br /> <br />2~)O-'43:54-w03:t 000 <br /> <br />270"M4 :l20....():~; 1 000 <br /> <br />420'-"412J -031000 <br />700---4120--031000 <br /> <br />"700-4121-031000 <br /> <br />730-..t+12()'-()3:1. (:,00 <br /> <br />ACCOUNT NlJMBER- '770--4121'-031000 <br /> <br />7:30.... ::ll ::? 1....0:3 ::. OO() <br /> <br />86970 GROUP HEALTH PLAN, IN* <br /> <br />4:::?:::r, <br /> <br />AC:COUN1- NUMBER-. 2"70-41"20-040000 <br /> <br />ACCOUNT !~ljMBER- 1(IO--4120-040C)OO <br />ACCOU~~l. NlJMBER- 770"-4121-0400i)0 <br /> <br />ACCOlJNT NUMBER- 100-4150-040000 <br /> <br />ACCOUN"r" NUMBER.- 100--4180--040000 <br />ACCOUN"T NUMBER- 100--4190'-040000 <br />ACCOU~j'T NUMBER-" 100-4260-04001)0 <br />ACCOlJNT NlJMBER.- 1,00-4200-04(:000 <br /> <br />ACCOUNT NU~!BER- 100'-4270-040000 <br /> <br />ACCOUNT NUMBER- 100-4230-040000 <br />i~~CCOUi\IT NUr1BE_F'.-. 1 ()O...._(;:~:'~.:O....C'4C)Oj) <br />ACCOlJNT NUMBER- 100-'4360-040000 <br /> <br />ACCOU~jl" ~!UMBER- '700--4120-0400~)O <br /> <br />."'TCUhlT NUi'LSEb:-- 700-'4:[~:1--04()OOO <br />~OUN'T' NLIMBEP'- 730'-.~120-04000t) <br />.~OlJNT NUMBER- 730-4121-04(1000 <br /> <br />~\o12020 i'1ED I [:{~ <br /> <br />~~CCDlJNT NLjto{IF::~EF~~ .-. <br /> <br />?)CCDUNT NUt'lf:FR-- <br />ACCDUNT NUt-EEF:- <br /> <br />!~~CCOUNT NUi"1BEP~~ <br /> <br />(:;CCDUi\iT NU~iBFF-" <br /> <br />f~CCCUi\~T NU!'riB:::f;~- <br /> <br />ACCOU1\jT f~..!Uj~'IBEF~ -.. <br /> <br />;1.~',.'-..-.'7 <br />...i'....'.::~....: ! <br /> <br />1.00.-.41. ?C=-(.q.O()OO <br /> <br />1. 00.- f.;. 1 ::~o ..- ~:)40C()O <br /> <br />100- 42C:O-04():::)OO <br /> <br />t 00 ....l~::::50.- ()40()OO <br /> <br />1 O().... 4,:=;/:.,()"~C!.::~O:)OO <br /> <br />1. oe! -.. 4::::7::; -- 040()OO <br /> <br />ACCOUNT NlJMBER- 7:30-4120-0400(~O <br /> <br />70(.,.-.4.}. 2C"-04.0UOO <br /> <br />ACCOUNT NtJi'''1BEP- <br />(~\CC(JU!'JT NtmBEF:-' <br /> <br />M2000 MEDCENTERS ~-1EALTH PL_A* <br /> <br />1 O()-~ 4-190-040()OO <br /> <br />!~CCDijNT r'.IU~1PEF~;-' <br /> <br />ACCOUNT NUi'iBEP- <br /> <br />.r,..-;...,..M'....I <br />"'j' .~:= .:~. ..::::' <br /> <br />. .. ~ w..~ _ _ w ~ M _ ~ <br />1 ,:)U "M "'i. I ~3()'- ().q.U()UU <br /> <br />100... ..:l24-()....Ol~()COO <br /> <br />iOO-i1-20:)--O:::lOCOO <br /> <br />CHECi< <br /> <br />Di~TE <br /> <br />f:~i""I'r ._~ <br /> <br />(~;"rr - <br /> <br />Ai'''l'r ~. <br /> <br />i:iMT- <br /> <br />AIT!T - <br /> <br />{i!'H.- <br /> <br />AI"iT- <br /> <br />Ai~lT- <br /> <br />J.2/0~5/9i4 <br /> <br />AiT1T -. <br /> <br />/\~..~I' - <br />;';[ i I <br /> <br />;~:d-;iT -'- <br />~1:1T-- <br /> <br />A!vj'r..- <br />:"\Mi'u <br />"-1111 <br /> <br />i;!';l'"f"-- <br /> <br />(ii'!T-- <br />f;!"lT- <br />;Cii'1T- <br /> <br />A1'iiT -. <br /> <br />Ai'iT-. <br />Ai-1T- <br />i:\!'n .'- <br /> <br />{:.li'i!T..- <br /> <br />!\i...., <br />1M'!!"!! - <br /> <br />12/0~/94 <br />Af"n-- <br /> <br />{:'ir1T'- <br /> <br />A!'''rT-- <br /> <br />{:~J'iIT - <br /> <br />1~\!'lT'-" <br /> <br />Hf1! - <br /> <br />Ar"'!T -. <br /> <br />f~~t1T .-. <br /> <br />l:? ,/C:=;/9.:~i. <br /> <br />Pd'iT-' <br /> <br />{:il'''1T- <br /> <br />LMT..- <br /> <br />(:'~I'iT -. <br /> <br />ACCOUN'T' NUMBER- 420-412:~.-040:)OO AM'f- <br />PiCCOUI\IT 1...~tJi~'IEE!i .... '7' 00 .~. 4 i 2:l -~ ~)4CjOGO P;;~1T ... <br /> <br />AC[:DUNT Nljr"lt:~EF:- 730"-.:"+:l?:L~~()..~1'OC~OO A!"'=1T- <br /> <br />.. <br /> <br />ACCOUNTS PAYABLE PRE-PAID ~H~LK PEGISTER <br />1'1CUNDS V I E:v,) <br /> <br />I N!')D I CE <br /> <br />INVUICE <br /> <br />D I f:;[~QU:-':T <br /> <br />I N\iO r CE <br /> <br />j\lf-'i'P~' <br />:':'1.'-'" <br /> <br />i:::l~lDUNT <br /> <br />AiTl0UNT <br /> <br />Di='iTE <br /> <br />";0".. -:','-. <br /> <br />DESC-MEDICARE 12/08 <br /> <br />101:01 <br /> <br />DESC-MMEDICARE 12/08 <br /> <br />::,.1::.; <br />20.2~i <br />Sf') ~':i-. <br /> <br />DESC-MEDICARE 12/08 <br /> <br />OESC-MEDICARE 12/08 <br /> <br />19:096 <br /> <br />DESC-MEDli:ARE 12/08 <br />DESC-MEDICARE 12/08 <br />DEse-MEDICARE i?/0Q <br /> <br />:::i..:l,,22 <br /> <br />1=10 DE:SC-MEDICARE 12/08 <br /> <br />VE!\iDDf': TUT(L <br /> <br />. -: '-1 ~-:"i 7 ~::; <br />'_' "_' '_' .~. II .. '~.' <br /> <br />.~ .- .~ -. -. - - <br />. 1;1' " ,. ::"1 <br />.:::.::' ...::.'~:'.:::.:::;" <br /> <br />:[ ~::/05/'i!.q- <br /> <br />'-'4'-'-; -, r. <br />~. .. .. . <br />..' .':'.l:'l;': <br /> <br />153~30 DE5C"~HEAl_l'H INS PREM DEC:EMBER <br /> <br />814~85 DESC'-HEALT~1 INS PR[~M - DECEMBE!~ <br />7=91 DESC-HEAl_TH I~IS PRE:M - DEl:EMBER <br />620=58 DESC-HEALTH INS PREM DECEMBER <br /> <br />466,,43 DE!3C-HEAL.l'H INS PREM - DECE~IBER <br /> <br />233.24 DESC-HEALTH INS ~H~M - DECEMBER <br /> <br />308~30 [)ESCw.HEALTH INS PREM DECEMBER <br />3342~39 DESC-"HEAL1'~1 INS PRE!1 DECEMBER <br /> <br />571n27 DESC-'HEALTH INS PR~'~! - DECEMBER <br />77:50 DE:SC--HEALTH INS Dq~M DECE:MBER <br /> <br />616~60 DESC-'~~EALTH INS PREM - DECEMBER <br /> <br />308.30 DEBC-HEALTH INS PREM DECEMBER <br /> <br />412~02 DESC-HEAl_TH INS PREM - DECEMBER <br /> <br />!S:L 6., 60 DE~3C~" HEi~:iL TH I NS F'HEi'~ DECE!'~'!FJE!:~~ <br /> <br />412"02 DESC-HEAL.'TH INS ~Ht.M - DECEMBER <br />466~43 DESC-HEALTH INS PREM - DECEMBER <br /> <br />'v!E!\JDDP TDTAL <br /> <br />- .. ... .-.. -~- <br />'7'Li.j,:./ lO /4 <br /> <br />194335106761 12/05/94 1552~40 <br />18'7~16 DESC-HEAl_l'~i I~!S PREM - DECEMBER <br />168~44 DESC-HEAl_T~~ INS PREM - DECEMBER <br /> <br />374.32 DESC-HEALTH INS PREM - DECEMBER <br />187.16 DESC-HEALTH INS PREM - DErEMBER <br /> <br />:::~Of~: " ':;0 <br /> <br />DESC--HEALTH I~!S PRE~' DECEMBER <br /> <br />:~;08 r. :~~o <br /> <br />DESC-HEAL1'H INS PREM - DECEMBER <br /> <br />[)ESC-HEALTH INS ~)H~M - DECEMBER <br /> <br />9.36 DESC-HEALTH INS PRFM - DECEMBER <br />VENDOR TOTAl_ 1552.:40 <br /> <br />1 ,'-:n _ 7'f <br />~. -. ~ - . .- <br /> <br />l.2/05j94 1395p33 <br />DESC-HEAL.l'H Ih!S PREM DECE~!BER <br /> <br />.j :::"'-1 '-'''-'. <br />i._i.':,.ll. .:''..1 <br /> <br />DESC-HEALTH INS PREM - DECEMBER <br />D[S(:-j~EAL.l'H INS PRE~1 DECEMBER <br />DESC-HEALTH INS r~[M - DECEMBER <br /> <br />. .-...- ... ~ <br />]. ::;:;; " :3':) <br /> <br />[~~:;9 r: 0 i <br /> <br />~~.O~ DESC-HEALTH INS PPEM DECEMBER <br />207a18 DESC-HEAl_T~i INS PREM ~- DECEMBER <br />207.18 DESC-HEALTH INS PREM - DECEMBEF <br />VENDOR TOTAL 1395z33 <br /> <br />CHf::C< <br />AMDUNT <br /> <br />3~~:::O == 7::~ <br /> <br />9Pt27 = 7..; <br /> <br /> <br />1;'4:27 == 74 <br /> <br />1.552::40 <br /> <br />15::;2.40 <br /> <br />131:~)~; II :3:~: <br /> <br />1.::::95,,::::3 <br />