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GE 3 <br />-C10-02 <br />NDOR CHECK CHECK <br />NcENDOR NAME - NUMBER DATE <br />970 GROUP HEALTH PLAN, IN* 38515 <br />ACCOUNT NUMBER- 270-4120-040000 <br />ACCOUNT NUMBER- 100-4120-040000 <br />ACCOUNT NUMBER- 100-4150-040000 <br />ACCOUNT NUMBER- 100-41 80-040000 <br />ACCOUNT NUMBER- 100-415,0-040000 <br />ACCOUNT NUMBER- 100-4260-040000 <br />ACCOUNT NUMBER- 100-4200-040000 <br />ACCOUNT NUMBER- 100-4270-040000 <br />ACCOUNT NUMBER- 100-4230-040000 <br />ACCOUNT NUMBER- 100-4350-040000 <br />ACCOUNT NUMBER- 100-4360-040000 <br />ACCOUNT NUMBER- 700-4120-040000 <br />ACCOUNT NUMBER- 700-4121-040000 <br />ACCOUNT NUMBER- 730-4120-040000 <br />ACCOUNT NUMBER- 7 30-41'2 1-040000 <br />020 MED I CA <br />ACCOUNT <br />ACCOUNT <br />CCOUNT <br />CCOUNT <br />ACCOUNT <br />NUMBER- <br />NUMBER- <br />NUMBER- <br />NUMBER- <br />NUMBER- <br />3 516 <br />100-4120-040000 <br />90-4121-040000 <br />100-41 80-040000 <br />1 00-4200-040000 <br />100-4360-040000 <br />ACCOUNTS PAYABLE PRE -PAID CHECK REGISTE <br />MOUNDS VIEW <br />INVOICE INVOICE DI <br />INVOICE NMBR DATE AMOUNT <br />VENDOR TOTAL 84831 .01 <br />07/ty/93 <br />AMT- 145.68 <br />AMT- 470.32 <br />AMT- 745.74 <br />AMT- 443.98 <br />AMT- 218.5: <br />AMT- 298.30 <br />AMT- 3542.33 <br />AMT- 698.02 <br />AMT- 74.58 <br />AMT- 742.28 <br />AMT- 298.30 <br />AMT- 95.01 <br />AMT- 596. 60 <br />AMT- 395.01 <br />AMT- 443.98 <br />07/09/93 <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />000 MEDCENTERS HEALTH PLA* 38517 07/09/93 <br />ACCOUNT NUMBER- .100-4120-040000 AMT- <br />ACCOUNT NUMBER- 100-4200-040000 AMT- <br />ACCOUNT NUMBER- 700-4120-040000 AMT- <br />ACCOUNT NUMBER- 730-4120-040000 AMT- <br />970 GROUP HEALTH PLAN, IN* 38518 <br />ACCOUNT NUMBER- 100-4120-042000 <br />ACCOUNT NUMBER- 290-4121-042000 <br />ACCOUNT NUMBER- 100-4180-042000 <br />ACCOUNT NUMBER- 100-4190-042000 <br />ACCOUNT NUMBER- 100-4200-042000 <br />ACCOUNT NUMBER- 100-4350-042000 <br />ACCOUNT NUMBER- 700-4120-042000 <br />ACCOUNT NUMBER- 730-4120-042000 <br />07/09/93 <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />AMT- <br />700 COMMERICAL LIFE INSUR* 38519 07/09/93 <br />ACCOUNT NUMBER- 270-4120-041000 AMT- <br />ACCOUNT NUMBER- 100-4120-041000 AMT- <br />•CCOUNT NUMBER- 290-4121-041000 AMT- <br />07/09/93 <br />DESC-HEALTH INS <br />DESC-HEALTH INS <br />DESC-HEALTH INS <br />DESC-HEALTH INS <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />DESC-HEALTH <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />9508.65 <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />PREM <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />JULY <br />VENDOR TOTAL 9508=; .65 <br />07/09/9:3 <br />187.16 DESC-HEALTH INS <br />140.37 DESC-HEALTH INS <br />233.95 DESC-HEALTH INS <br />374.32 DESC-HEALTH INS <br />298.30 DESC-HEALTH INS <br />VENDOR TOTAL <br />1234.10 <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />1234.10 <br />07/09/93 739.00 <br />146.90 DESC-HEALTH INS PREM - JULY <br />293.80 DESC-HEALTH INS PREM - JULY <br />149.15 DESC-HEALTH INS PREM - JULY <br />149.15 DESC-HEALTH INS PREM - JULY <br />VENDOR TOTAL 739.00 <br />07/09/93 <br />A0.95 DESC-DENTAL <br />14.55 DESC-DENTAL <br />43.65 DESC-DENTAL <br />9.70 DESC-DENTAL <br />148.25 DESC-DENTAL <br />19.40 DESC-DENTAL <br />9.70 DESC-DENTAL <br />9.70 DESC-DENTAL <br />VENDOR TOTAL <br />1.70 <br />45.95 <br />1.27 <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />INS <br />315.90 <br />0 <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />PREM - JULY <br />315.90 <br />07/09/93 388.65 <br />DESC-LIFE INS PREM - JULY <br />DESC-LIFE INS PREM - JULY <br />DESC-LIFE INS PREM - JULY <br />