1 MX =MR eL SAP] 1 0.00 550 12/31 02:15FX MI non= et. I 0.00 590 12/31 02:21174 MI =CMS CL ICU.2 X 0.00 SOL 12/31 02:22,54 IC w Num IL WS 0.00 512 .12/31 02125744 MI V FAIN FL 0:22 0.00 553 1 2 / 31 02:25PM MI 77%0mi el. 5,22 0.00 EFTA01694769 MUIR Page: Billing