360288 11/10/20DEPARTMENT
1120
AMOUNT: $
********g2.00*
INDIANA VENDOR: 355031 CHECK NUMBER: �60 ��* *
U COMMUNITY OCCUPATIONAL HEALTH���OK DATE:
ONE CIVIC CITY OF CAR ARE SOLUTION CENTERCHECK NA 46032 7169S CHICAGO IL 60677 7001 DESCRIPTION
AMOUNT OTHER MEDICAL FEES
PO NUMBER INVOICE NUMBER 82 .00
ACCOUNT 59483�
4340'799