HomeMy WebLinkAboutInv# 1156159827 - CONCENTRA MEDICAL CENTERS - 03/14/2023Concentire
Tax !d: i5-2ot412sAccount N33-1242003529
lnvoice: 1156159827 Balance: $4800.00
Bill To: city of Dania Beach
Linda Gonzalez
100 W Dania Beach Blvd
Dania, EL 33004-3643
INVOICE
Remit To:
lnvoice Date:
Date Printed:
Occupational Health Centers
of the Southwest, P.A.
PO Box 82549
Hapeville, GA 30354-0549
(800) 686-0468
02/24 /2023 - 02/24/ 2023
03/06/2023
Charge
Amount
Location: City of Dania Beach
Linda Gonzalez
100 W Dania Beach Blvd
Dania, EL 33004-3643
PORTION WITH YOUR REMITTANCE.
Name /
PO Number
PLEASE RETURN THIS
ssN /
Birth date
Charge
Description
Pmts /
Adjmnts
Date
02/24 /2023 !'Ieekdav 02,23&02.24-ADApt-Functional Job AnaIYsis
12 G $400.00
4800.00
Balance Due: S4800.00
W
occuPational Health Centers
Remit To: of t'he southwest, P.A.
Account N33-1242003529
lnv Date: 02/24/2023 - 02/24/2023
We appreciate your business ' You can now pay online at
https^: //paymenls. concentra -com/ ' online payments must be
mad-e via- credit card. PIease contact our Central Business
Offi"" at 800-686-0468 for additional information'
AA/EEO EmPloYer PAYMENT DUE UPON RECEIPT
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