Madison, WI Header
File #: 22572    Version: 1 Name: CLAIM: HealthProviders USA for M. Seim, 203 W. Kansas St., Boscobel, 53805 - personal injury - $634.95.
Type: Claim Status: Disallowed
File created: 5/19/2011 In control: Risk Manager
On agenda: 6/21/2011 Final action: 6/21/2011
Enactment date: Enactment #:
Title: HealthProviders USA for M. Seim, 203 W. Kansas St., Boscobel, 53805 - personal injury - $634.95.

Title

HealthProviders USA for M. Seim, 203 W. Kansas St., Boscobel, 53805 - personal injury - $634.95.

Body

See attached claim received 05/18/2011.