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HomeMy WebLinkAboutExhibit 2MIQ32R01 LIST CLAIM PAYMENTS CLIENT: 000757 CITY OF MIAMI NAME: ST-TY * PAY DELIAZARD ARNOLD NET PTD: $ 37,458.50 PAY CTRL # CHECK # DATE CODE * CHECK MESSAGE CR-CP * MED CR-CP * MED CR-CP * MED CR-CP * MED CR-CP * MED CR-CP * MED CR-CP * MED CR-CP * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * EXP CR-CV * EXP 000757 001903 WC LOCATION SOLID WASTE -WASTE 13-Sep-2005 PAGE: 2 LP CP 01 01 049 1420 COLLECTION AMOUNT PAYEE NAME * DATES OF SERVICE 0000952553 0037053620 24May04 001 * BILL ID L04EE0OW9 0000952517 0037053651 24May04 001 * BILL ID L04EO0SR 0000950062 0036677673 03May04 001 * DOS 02-05-04 BILL#L04B00ST 0000950060 0036677675 03May04 001 * DOS 03-22-04 BILL#L04C016T 0000949595 0036623126 29Apr04 001 * DOS 02-18-04 BILL#L04D012Q 0000948823 0036551210 26Apr04 013 * DOS 03-15-04 BILL#L04D0006 0000947526 0036356444 14Apr04 001 * DOS 03-15-04 SILL#L04DOOD1 0000946971 0036287555 09Apr04 011 * INVOICE 408678 0 0008127899 9999999999 079 * 9999999999 004 * 9999999999 011 * 9999999999 011 * 9999999999 011 * 9999999999 011 * 9999999999 059 * 9999999999 059 * CR-CV 9999999999 * EXP 059 * CR-CV 9999999999 * IND 021 * 0008100999 0008054399 0008052699 0008052699 0008052699 0008040999 0008040899 20Nov03 06Nov03 270ct03 270ct03 270ct03 270ct03 270ct03 270ct03 0007977199 15Sep03 0009985699 06Sep03 202.40 BRETT A OSBORN MD * 23Mar04 TO 23Mar04 119.00 PATRICIA ROMERO * 04May04 TO 04May04 119.00 PATRICIA ROMERO * 05Feb04 TO 05Feb04 119.00 PATRICIA ROMERO * 22Mar04 TO 22Mar04 83.70 KENNETH HODOR, M.D., P.A. * 18Feb04 TO 18Feb04 24.00 QUEST DIAGNOSTICS * 15Mar04 TO 15Mar04 20.00 HOWARD POPP * 15Mar04 TO 15Mar04 63.00 MEDI-TRANS, INC. * 24Feb04 TO 24Feb04 181.80 HEALTHSOUTH H * 18.42 MEDICAL SERVI * 25.00 UNION EXPRESS * 185ep03 TO 55.00 MEDI TRANS IN * 30Sep03 TO 126.00 MEDI TRANS IN * 24Sep03 TO 126.00 MEDI TRANS IN * 17Sep03 TO 28.00 CAPLAN MARKOW * 020ct03 TO 28.00 CAPLAN MARKOW * 23Sep03 TO 18Sep03 30Sep03 25Sep03 19Sep03 020ct03 23Sep03 239.52 BLACK'S PHOTO * 08Sep03 TO 08Sep03 652.19 ARNOLD DELIAZ * STATUS: IS -ISSUED PE -PENDING VO-VOIDED CR-CLEARED HO-HOLD BK-BANKING TYPE: CP-COMPUTER RP -REPETITIVE FP -FIELD PAY ST-STATISTICAL NOTE: Recoveries are not included. SP-STOPPAY AV-ADJVOID SA-STOPAGED MV-MOVEVOID SM-STATISTICAL MOVED MC -MANAGED CARE FEE CV -CONVERTED MIQ32R01 LIST CLAIM PAYMENTS CLIENT: 000757 CITY OF MIAMI NAME: DELIAZARD ARNOLD NET PTD: $ 37,458.5❑ ST-TY PAY CTRL # CHECK # * PAY CODE * CHECK MESSAGE CR-CV * MED CR-CV * EXP CR-CV * MED CR-CV * EXP CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV * MED CR-CV IND 002 00 9999999999 001 * 9999999999 059 * 9999999999 001 * 9999999999 059 * 9999999999 001 * 9999999999 079 9999999999 001 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 079 * 9999999999 004 * 9999999999 0005482999 0005446799 0005395999 0005174299 0004997499 0004984099 0004963099 0004955399 0004955399 0004955399 0004955399 0004936599 0004936499 0004936499 0004936499 0004936499 0004810199 0004799899 DATE 000757 001903 WC LOCATION SOLID WASTE -WASTE 13-Sep-2005 PAGE: 5 LP CP 01 01 049 1420 COLLECTION AMOUNT PAYEE NAME * DATES OF SERVICE 09Mar01 23Feb01 19Jan01 250ct00 01Aucg00 31,71.1100 13Jul00 13Ju100 13,311100 13Ju100 13Ju100 05Ju100 05Ju100 05Ju100 05Ju100 05311100 28Apr00 28Apr00 280.51 19.00 ORTHOPEDIC SP * 13.10 FEDERAL EXPRE * 23Jan01 TO 23Jan01 650.00 DR DENNIS ZAS * 05Jan01 TO 05Jan01 61.32 BLACK'S PHOTO * 050ct00 TO 050ct00 29.00 ORTHOPEDIC SP * 1887.48 CEDARS HEALTH * 85.00 ANGELIDES HIN * 318.85 CEDARS * 299.26 CEDARS * 241.90 CEDARS * 241.90 CEDARS 241.90 CEDARS * 241.90 CEDARS * 241.90 CEDARS 241.90 CEDARS * 469.20 CEDARS * HEALTH HEALTH HEALTH HEALTH HEALTH HEALTH HEALTH HEALTH HEALTH 90.69 PAYEE PHARMAC * 04Apr00 TO 04Apr00 46.00 ANGELIDES HI STATUS: IS -ISSUED PE -PENDING VO-VOIDED CR-CLEARED HO-HOLD BK-BANKING SP-STOPPAY AV-ADJVOID SA-STOPAGED MV-MOVEVOID TYPE: CP-COMPUTER RP -REPETITIVE SM-STATISTICAL MOVED MC -MANAGED CARE FEE FP -FIELD PAY ST-STATISTICAL CV -CONVERTED NOTE: Recoveries are not included.