N MN Total Charge 0.00 191 02/11 10.1004 x PALM Ft. 4742 N RN 0.00 214 02111 10:2141I PALL AL 1042 4 11N 0.00 31$ 02/11 10:23PM FTLPAID FL 41.43 4 Rx 0.00 296 02/11 10.34W PALM FL 4742 M Rx 0.00 227 02/11 10.2P441 TA<T410 IL 4712 N RM 0.00 390 02/11 10.30P4 PALM FL