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<br />-'AGE 4 <br />P-ClO-.()2 <br /> <br />jENDO!=~ <br /> <br />.r._NDOP <br /> <br />.OUNT <br />ACCOUNT <br />ACCOUNT <br />ACCOUi\iT <br />nCCOUNT <br />ACCOUi\H <br />?'iCCOUNT <br />ACCOUNT <br />?\CCOUNT <br />ACCOUNT <br />ACCOUNT <br />F,CCDUNT <br />{~CCOUNT <br />ACCOUNT <br />;~CCOUNT <br />ACCOUt\!T <br />jC\CCOUNT <br /> <br />NA!'1E <br /> <br />CHECK <br />NUI"!BEi=( <br /> <br />ACCOUNTS PAYABLE PRE-PAID CHECK REpISTER <br />t-IOUi'mS I.JI EW <br />I N'.JO I l:E <br /> <br />CHECK <br />DATE <br /> <br />I NVO I CE N!'1BR <br /> <br />DATE <br /> <br />2000 MEDCENTERS HEALTH PLA* 46613 <br />ACCOUNT NUM8ER- 100-4130-040000 <br />ACCOUNT NUMBER- 100-4190-040000 <br /> <br />NUl'lBER- 1 (l()'-4:::-:0::i-040000 At-fr-- ')'':Iq .46 DESC-'HEAL TH INS <br />NUI'1BER - 100....4::-::55N~040000 At'!'T - U::. 71 [lESC-HEALTH INS <br />NUI'1BE;:;~- 100--4::::5/:..-040000 Al'lT- 1:3 .71 DESC-HEALTH INS <br />NUMBEF: - 250'-4:=:;:i3-040000 At'l'T- .,' . ::::5 DESC'-HEALTH INS <br />NUt-lEER - 250NM4:;;:i2'-040000 14MT- 46 . 79 DESe-HEAL TH INS <br />NUMBEF(-. 250....4::::~51 -,040000 AI'H'.' 46 .7';; DESC-HEP,L TH Ii'.!S <br />NUl'lBEF\- 25() -. il-:;;5.l+.- 040000 AMT- .::"1_1= 10 LiEse-'HEALTH INS <br />NUt'iBER - 7r:50- 4600- 040000 1~!"iT- 32:::1::~:O LiESC-HEALTH INS <br />NLil"!BER- 100-4360'-040000 Al'fr- 1:3.71 DESC'-HEAL TH INS <br />NUt-1BER... 100-"4:~if:.12-040000 AMT- '-I.'WI (,"7 DESC-HEPiL TH INS <br />1:1.'::' a <br />NUt1BER-' i 00'-4:;;65-040000 At"iT- 229 " ::~ 1 DESC-HE;:\L 1"H ING <br />NUi'1BEF~ - 100-1.1.367-'04('000 AI'H-' i/:l L!'~' DE~;C-HE{L TH IN~~ <br /> ,..:.. <br />NUt-mER .- 700- 41 :20-0400()O i~l"iT- 2~55 " 57 DESC'-'HEr:;L TH INS <br />NUl"iSEP'- 7:~:O-'4120-04()::)OO AMT-' .M',C.i::' =~.i7 DESe-HEALTH INS <br />..::,..)._! <br />1'.1Ut'1BEF:- 100.-.4.:+60 - 0'+0000 A!'1T'- .:'\.t::. <: ().:'t DESC--HEi4LTH 11'..IS <br />t'JU!'lBEi=(-' i 00....44/:..2-.040000 t~fvtT .-. 19/:'1 It 9~=~ DESC....HEAL TH Ii\!S <br />NUt.1BER- 100.-4465'-040000 AMT- I~'::: a 4';1 [lESC - HE?'lL TH INS <br /> 'v'ENDOF-: TOTAL.. <br /> <br />ACCOUNT NUt"iBEF:- <br />..,COUNT NUt1DEF.:- <br />)]UNT NUl"iBEP- <br />. ,_:OUNT NUI'1BEF~- <br />{iCCOUNT NUMBEI':;:-. <br />ACCOUNT NUMBEF:- <br />ACCOUNT NUMBER- <br />ACCOUNT Nut1BER- <br />AeCOUNT NUM8ER- <br />ACCOUNT NlJt1BER- <br />ACCOUNT t\IUMBER- <br />ACCOUNT NUl'iBER- <br />ACCOUNT NIJ1'1BEP- <br />jC\CClJUNT t".lUI'1BER'- <br />ACCDUNT NIJMBEF:- <br />ACCOUNT NUl'lBER- <br />ACCOUNT NUl'iBE!=;:- <br />ACCOUNT NUI'1BEF:- <br />{:lCCOUNT NUl'iBER- <br />i'2lCCOUNT NUMBEFi- <br />{.:)CCOUNT NUI'1EEF.:-' <br />{iCCOUNT NUt1BEH.- <br /> <br />100.- 41 :=<> 040000 <br />100 - 41 :3';" .-. 040000 <br />100.-410C....040000 <br />100.- 4::i::=':0 - 040000 <br />100-4550-04.0000 <br />100,- 41 ;:::0.-t)40000 <br />100- 41 :::5 -,040000 <br />100-41::::9....040000 <br />100....4:240.-040000 <br />100-4205'-040000 <br /> <br />100-.431;'2..-040000 <br />100 - 4:::;(:,5 - 040000 <br />1 00-4::::,~,7 _'OLj.OCOO <br /> <br />700....41.20.-040000 <br /> <br />700-4123-040000 <br />730-4120'-040000 <br /> <br />7:30-,4 i2:3-'040000 <br /> <br />420-J~ 124-040000 <br /> <br />420--' 4122'.-04.0000 <br /> <br />i OO'-4l+ -70-0.40000 <br />100-447)-040000 <br /> <br />1 OO._.4475.~040000 <br /> <br />S970 GROUP HEALTH PLAN. IN* 46614 <br />ACCOUNT NUMBER- 100-4130-042000 <br />ACCOUNT NUMBER- 100-4190-042000 <br />_aUNT t,UM.8ER- 100-4132-042000 <br /> <br />01/10;S5 01/05/I:j::i <br />f~i'lT -. - . 14 DEse-'HE:~L TH INS <br />__"L" <br />AMT- :24.10 [lESC -..HEAL TH INS <br />Al'iT- ''''')CI 12 DESC-HEPL TH I1\.IS <br />..:...,1_111 <br />At1T- .,::.4 . 10 DEse-'HEAL TH INS <br />AMT'- :::. (H:, DESC-'HEALTH INS <br />AMT- 16.07 DEse'-'HEAL TH INS <br />AMT- '-'1-: 12 DESC-HE~\L TH INS <br />L.:I" <br />At-iT - :32... 14 DESC-HEf~L TH INS <br />Al'1T - 16.07 DEse-HEALTH INS <br />At1T- 112.50 DESC-HEALTH INS <br />Ai'iT - 1(;:,0. ~. DESC -.HEP:L TI--I INS <br />i 1 <br />Ar1T- 4~i9 .01 DESC-HE~\L TH INS <br />Ai'1T'-' 820;07 DESe _.. HEAL TH INS <br />A!1T-' 2:29 . ::: 1 DESC'-HEAL TH INS <br />At1T- 1/:.." 42 DESC-'HEAL TH INS <br />f~t1T - 164;1 15 DESC--HEALTH INS <br />A~1T - 4:::.21 DESC--HEALTH INS <br />AMT- 164a 15 DESC -- HE~)L TH INS <br />Ai'H _. 4::: II 22 DESC-HEP:L TH INS <br />Ar-rr - ":1.1::'11 14 DESC-HEi4L TH INS <br />At-IT _. -:'I.~... 'd DEl.3C-HEAL Tf-! INS <br />1 , <br />f:)MT- 64:12::; DESC....HE,ciLTH INS <br />AMT... 64,,:2::: DESC;""HEAL Ti-! INS <br />Af'1T-- ':".':::.11 15 DESC-HEALTH INS <br /> VENDOR TOT;!.)L <br /> <br />D I SCf]UNT <br />At-mUNT <br /> <br />CHECK <br />AMOUNT <br /> <br />INVOICE <br />AMOUNT <br /> <br />PREM -- JANUi)F~Y <br />PREt1 _.. JANU;::\;:;~Y <br />PRE!"I - ,JANU;:\RY <br />PREt'j -. c..!A!\!UAHY <br />PRO'! - JAI',!UAR Y <br />PF~r::r~1 - JAi\iUPIF:Y <br />F'F~Et-1 - JANUARY <br />PRHl JANUAHY <br />PREM - JANUARY <br />F'RE!"! JANUPIR Y <br />PREM - cj(4NUf-lRY. <br />PREJ1 - ,JA!\iUAPY <br />PREt1 - JANU?:\RY <br />F'F-.:Eh - JANUi-1F:Y <br />PPEM .j{it"~UAR Y <br />PHEI'1 - ,JANUARY <br />PREM - JANUARY <br />2905a60 2905=60 <br />1 ';1 1 r:.i as 1. (~, In'~l. 11-, <br />PRE!'! - ,JANUAR Y <br />PFEI'1 .-. J{.'1NUAF~Y <br />FRE!"! - JANUARY <br />PREM - ,Ji~NUARY <br />PREM .JAI"~UAR Y <br />PFiEt1 - JANUARY <br />PREM -. JANUAF~ Y <br />PEEl1 - Ji::'jNUARY <br />PRE!'i - JANU,ciRY <br />PREM - JANUARY <br />FREt-1 .- JANUARY <br />FF(Et1 - J;!')NU~1RY <br />PF~EM -- JANUAF< Y <br />PREM - JANUARY <br />PRE!"! - JANUARY <br />PRL:::r'i -- Jf4NUAHY <br />PREM - JANUARY <br />PRE!'1 -- J{-iNUi4RY <br />PREi1 -- JANUAHY <br />PHEt-1 - Ji~NUAF:Y <br /> <br /> <br />PRa1 - JA!\iUAF~Y <br />PF:Et-i - cJANUi4RY <br />PF~EI"! - JANUAF~Y <br />PF;Et1 - Ji~NUAFU <br />1919.16 <br /> <br />1919.1t. <br /> <br />415111;l1S <br /> <br />4-:3.43 <br /> <br />01/05/95 415.96 <br />DESC-DENTAL INS PREM - JANUARY <br />DESC-DENTAL INS PREM - JANUARY <br />DESC-DENTAL INS PREM - JANUARY <br /> <br />01/05/95 <br /> <br />AI"iT'-' <br />AMT-- <br />AI'iT - <br /> <br />3a75 <br /> <br />:3" 75 <br />