TERRITORY REGION SECTOR

VisMin SC Mindanao SC Mindanao 1

VisMin SC Mindanao SC Mindanao 1
VisMin SC Mindanao SC Mindanao 1
VisMin SC Mindanao SC Mindanao 1
VisMin SC Mindanao SC Mindanao 1
AGENCY_NAME SUP_CODE
DAVAO-AMORA AGENCY 007277526
DAVAO-AMORA AGENCY 007277526
DAVAO-AMORA AGENCY 007277526
DAVAO-AMORA AGENCY 007277526
DAVAO-AMORA AGENCY 007277526
SUP_NAME AGENT_NAME
ELVIZA G AMORA EULA ROSE L CHUA
ELVIZA G AMORA IVY B AGUSTIN
ELVIZA G AMORA MARIANNE NIZZA B RIRAO
ELVIZA G AMORA SAMUEL L ELISEO
ELVIZA G AMORA SAMUEL L ELISEO
POLNUM SUBMIT_DATE UWREMARK
1019821313 5/22/2017 3. With U/W Requirement - Awaiting Submission o
1019879350 6/28/2017 1. No Payment, No UW
1019884977 7/2/2017 3. With U/W Requirement - Awaiting Submission o
1019869827 6/24/2017 3. With U/W Requirement - Awaiting Submission o
1019895818 7/12/2017 1. Approvable for Issue Awaiting Payment - No Dep
ALL_UWREMARK COMMENT
MEDEX: FREEFORM / MICROURINALYSIS A/C PF / WCOPY OF VALID/UNEXPIRED ID / MEDEX W/ ATTN

REQUEST FOR PAYMENT / WITH SPECIFIC REQTS INDICATE CORRECT TIN ID#
COMPLETE BLOOD PICTURE OR COUNT / CREATININE, UREA / FASTING BLOOD GLUCOSE/SUGAR / HIV A
REQUEST FOR PAYMENT
PROJECTED_ANP
174,561.34
31,494.56
515,345.87
491,617.00
208,586.07