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'AGE ~. .:.' ;\P-C 1 0--0:2 )ENDOR t,_NDDR .DU~..rr ACCOUNT ~)CCfJUNT ACCOUNT ~ICCDUNT {;CCOUNT ACCOUNT ACCOUNT ACCOUNT ACCOUNT ~Iccoum ACCOUNT ACCOUNT ACCOUNT ACCOUNT f:\CCOUNT ACCOUNT ACCOUNT PiCCOUNT ACCOUNT ACCOUNT I~CCOUNT ACCOUNT _~COUNT ~OUNT !~OUNT ACCOUNT ACCOUNT ACCOUNT ~ICCOUNT ?'iCCOUNT ACCOUNT ACCOUNT '12020 MEDICA ACCOUNT ACCOUNT ACCDUNT ACCOUNT {~CeOUNT ACCOUNT ACCOUNT ACCOUNT {~CCOlJNT . {~CCOUNT ACCOUNT ACCOUNT {~CCOUNT _COUNT t'.J~t-iE CHECf::: NUr1BEF~ CHECK D?HE ACCOUNTS PAYABLE PRE-PAID r10UNDS V I EW. INVOICE INVOICE NMBR DATE Nur-18EF: - 100-41.55-040000 At-iT - I. c, :~: 1 DESC -.. HE?iL TH INS '_"_'11 NUMBEF: - 100,-4 i57 '-040000 AMT- 107. 6::: LiESC-HEALTH INS NUr1BEF-:- 100....41 ::::[)'-'040000 Ai'iT -. !:J{:'.c 97 DESC-HEALTH INS NUMBEP- 100-4185-040000 Am... 66. '.'11 DESe-'HEAL TH INS .' NUi"IDEF- 100,-41:::7 '-040000 Al'll- 315. 19 DEE;C'-HEAL.TH T I\!C' .J.!".!d NUMBEP _w 100- 41 :=::~! -. 0.(+0000 AMT- 4q 91 DESC--HEALTH INS ......" .a. NUt4BEF~ .- J. 00'--4200-040000 At'iT- :::2011 '.:'.:::' DESC-HEALTH INS NW'1BER - 100-4205-040000 r-lrH- 2161 a .s::.':' DESC-HF':ALTH INS NUi'IEEF: ... 100--4207 -040000 AI"iT- ~i''i:=6:si~IO DE~lC-'HEALTH INS NUMBER -- 100..'423i)-040000 AMT- :::2110::: DESC-HEr-IL TH INS NLJMBEF~- 100'-43':;0-040000 AI'lT - 10:::: . 3:3 DEE;C-HEALTH INS NUr'1BEF:- 100-~'4355-040000 AMT- !:;51lt.,6 DES[--HEAL. Tt-! INS NU!"IBa(-- 100--4::::56-04(:=000 AMT -. ' :', DESe-'HEAL TI-I 1I\IS .':_";"111:=,:'1 NUt-1BER .- 270,-l+:22/.:-..~O40000 At1T'- - . (:15 DESC'-HEALTH INS I.~I J. NUt-IBER-- 270-4227-040000 At1T'- Fli '-1'-1 DESe-.HEALTH. INS 11-.)-:'1 NUl'iBER- 250 - 4::::5:~:.- 0'1-0000 A~1T .- 39.42 DESC'-HEf':\L TH INS i\!Ul"iBER - 2':iO-4:3~:;2-' 040000 Ai'H- 4!:.'; ="::il~ DESC-HEAL.TH INS , -'" ~.jUt-1BER- 250~-lJ.:~:~51 -040000 AMT- - . 44 DESC":HEf~LTH INS NUt-iBEH -. 2~iO'- 4354 '-040000 AI'IT'-- 29 .54 Df:::SC-HEPIL TH INS NUt'IBER- 100..-4360-040000 l~MT- 751;50 DESC....HEALTH INS NUI'1BER-' 100 .-" '4:3/:..2 - 040000 Ai'H -. 6~; a /:..6 DESC-HEALTH INf.; NUi'IBEP - 100,-4:31:.)5,-040000 r-it1T - -'::'.'::- c,") DESe::.- HE{~L TH INS a =_"_' NUI'IBER-' 100-- 4::'::::::0 -- OI~,C;OOO Ai'll - '::I .84 DESC-'HE!~LTH INS NUf1BEP - 100--43:::2-040000 f4r1T - .' .:::N DESC'-HEALTH INS NUMBER -. 700-4120,-,040000 AMl... 193.70 DESC-HEALTH It-.!S NUI'1BER- 700'-4125-040000 At1T - 149 .71 DESC-'HEAL TH INS NUMBEF~- 700-4123-040000 At1T- :34 .~; u :~::3 DESC-'HEALTH INS NUi'iBER- 7:30-4.120....040000 Ai'1T - 19::;: a '70 DESe-HEALTH F"C dw NUi'iBER- 730'-4126-040000 AMT- 34':;'. '-,'-. DESC--HEAL TH INS -M).'::' NUMBEP- 730- 4.123..- 040000 PlMT..- 14';1 a 72 DESC'-HEALTH INS NUl"iBER - 100-4470-040000 Al'rT-' 41:3.70 DESC-HEAL.TH INS NUl'iBER- 100'--4472-040000 (,MT-' 131 n -_1":M DESC'-HEAL TH INS NUMBER- 100-4475-'040000 AMT-' 65 J' DESC;-HEAL TH INS ai::',I..-., \,JENDOR TOTAL NUMBER- NUMBEP- NUMBER- NUMBEF: -- NUMBER- NUr-1BEP- NUMBER- NUMBER- NUMBER-' NUi'1BER - NUMBER.- NUl"fBER - NUMBER- NUI'18Ef;:- 46612 100-4130-040000 100-4190-040000 100-4135--040000 100-413';1-'040000 100-4100-040000 1 OO'-'~1:5::::0-'040000 100-4550--040000 100--4140-'040000 100 .-. 4150,,- 040000 1 (H)--4155-'040000 100-4180-040000 100-41 :::'5-'040000 100-41:::7-040000 100-4202-040000 01/05/95 i~MT- AMT- AI1T- AI'!T-' i~t1T- At'IT - At1T - Mil .- AI'IT- AMT- AI"!T- Ai"iT- AMT- AI'iT- 01/05/95 2905.60 DESC~HEALTH INS PREM - JANUARY DESe-HEALTH INS PREM - JANUARY DESC-HEALTH INS PREM - JANUAPY DESe-HEALTH INS PRE!'l .- JANUAFn DESC-HEALTH INS PREM - JANUARY DESC-HEALTH INS PREM - JANUARY DESC-HEAL.TH INS PREM JANUARY DESe-HEALTH INS PREM - JANUARy DESC-HEALTH INS PREM - JANUARY DESe-HEALTH INS PREM - JANUAPY DESC-HEALTH INS PPEM - JANUAPY DESe-HEALTH INS PPEM - JANUARY DESC-HEALTH INS PREM - JANUARY DESC-HEALTH INS PREM - JAMJARY 74 a :::f: 9.::::5 1:'/11:35 9a:35 28,,01;) 28:~: ~ CJ5 82a08 1::::.71 65./::..1:., '~/::: II :~O 74. :::.:7 74.:::7 L::.72 74.86 CHECf::: REG I STEF: INVOICE Ai'10UNT D I t3CDur,rr At10UNT PREM - JANUARY PREM - ,JANUARY PREI'l - JAN!jAF~ Y PEEt1 - ,_H'iNUAEY PPEM -. ,JPiNUi.:'-;R Y PPEt1 - JA~JU{'\RY PRE!'! ,JANUAF:Y PFEM - JANUARY Pi;:E~l - JANUARY PRE,,! - .Jt\NUt:IRY F'FH"l -JANUAFU FREM - JA!\\UAFrf PREi"i JAI'JU~iF~Y FREt-i - JANUAF:Y PPEi'1 - JANUPiRY PF~Ei'1 - tJANU~IRY PF\El'l .-. JANU~)RY PREM - IJANU{.\RY PRHl - JANUARY PF\El"i - JANUAF:Y PREt1 - JANUARY PHEM - Jr-1NU~lEY PREI'1 - Ji~NUAF: Y PF:EM - JANUARY PPEM -- .JA!\jUAF: Y PHEi'1 - JANUARY PREM -. JANUAR Y PREt1 - JANUi~R Y FREN .- JANUAF: Y PF:EM - JI~NUt:IR y PPEt1 - JANUAPY PF:EI'1 - JANUARY PPEf1 - JANUAF:Y ~:~2B 1 p 76 CHECK At1!JUNT 8:::;:: 1 . 71::.. 2905.60