Document Mo7YMXNeV1xpekMy2NK4qRRMM
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11/04/1993 07:23:13 ================
ADMN1021
CLAIMS ADMINISTRATION SYSTEM
3M - LIST PAYMENT DETAIL
ACCOUNT 01527 GENCORP POLYMER PRODUCTS
11/04/93 BATCH 0000
KEY CLAIM NO. SFX LOC. ACC.DATE COVER CAUSE EMPL NAME, LAST-FIRST
OPEN
/OH24383 / 3665 08/09/83 11 99
PRICE,WILLIAM
ADJUSTER POLICY NUMBER
INJURY / BODY PART CAUSE DESCRIPTION
ANGIOSARCOMA
MEDICAL COMPENSAT EXPENSE LEGAL
VOC REHAB DEDUCTIBL CLM.RECO
TOTAL
76500
306461
3500
0
0
0
AMOUNT
46320. 54 144687. 94 3225.06
0.00
O.OCi
0.100
0
OUTSTD
30179. 46 161773. 06
274.94
0.00
0.00
O.i00
PAY DATE CHECK NO PTYPE 11/02/93 00544995 38
10/25/93 00544944 38 10/19/93 00544890 38 10/12/93 00544832 38 10/05/93 00544783 38 09/27/93 00544727 38 09/21/93 00544665 38 09/14/93 00544611 38
AMOUNT
VEND
214.00
214.00
214.00
214.00
214.00
214.00
214.00
214.00
ENTR. 10/24/83
S
PAYEE NAME
FROM DAT THRU DAT T
WILLIAM PRICE 10/24/93 10/30/93 O
WILLIAM PRICE 10/17/93 10/23/93 O
WILLIAM PRICE 10/10/93 10/16/93 O
WILLIAM PRICE 10/03/93 10/09/93 O
WILLIAM PRICE 09/26/93 10/02/93 O
WILLIAM PRICE 09/19/93 09/25/93 O
WILLIAM PRICE 09/12/93 09/18/93 O
WILLIAM PRICE 09/05/93 09/11/93 0
CONTINUE (C) OR END (E) DISPLAY C NEXT? ___ C ,, /
/ ___
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GENC 002052
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07/23/1993 13:55:33 ===============
ADMN1021
CLAIMS ADMINISTRATION SYSTEM
3M - LIST PAYMENT DETAIL
ACCOUNT 01527 GENCORP POLYMER PRODUCTS
07/23/93 BATCH 0000
KEY CLAIM NO. SFX LOC. ACC.DATE COVER CAUSE EMPL NAME, LAST-FIRST
OPEN
/OH24383 / 3665 08/09/83 11 99 PRICE,WILLIAM
ADJUSTER POLICY NUMBER
INJURY / BODY PART CAUSE DESCRIPTION
ANGIOSARCOMA
MEDICAL COMPENSAT EXPENSE LEGAL
VOC REHAB DEDUCTIBL CLM.RECO
TOTAL
76500
306461
3500
0
0
0
AMOUNT OUTSTD
46320 .54 141691.94 30179 .46 164769.06
3225.06 274.94
0.00 0.00
0.00 0.00
0.100 0.100
0
PAY DATE CHECK NO PTYPE 07/23/93 00544238 38 07/20/93 00544174 38 07/13/93 00544123 38 07/01/93 00544070 38 06/28/93 00544023 38 06/22/93 00543971 38 06/15/93 00543901 38 06/08/93 00543851 38
AMOUNT
VEND
214.00
214.00
214.00
214.00
214.00
214.00
214.00
214.00
ENTR. 10/24/83
S
PAYEE NAME
FROM DAT THRU DAT T
WILLIAM PRICE 07/18/93 07/24/93 O
WILLIAM PRICE 07/11/93 07/17/93 O
WILLIAM PRICE 07/04/93 07/10/93 O
WILLIAM PRICE 06/27/93 07/03/93 O
WILLIAM PRICE 06/20/93 06/26/93 O
WILLIAM PRICE 06/13/93 06/19/93 O
WILLIAM PRICE 06/06/93 06/12/93 O
WILLIAM PRICE 05/30/93 06/05/93 O
CONTINUE (C) OR END (E) DISPLAY C NEXT?
C
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6ENC 002053