HomeMy WebLinkAboutFinal Agenda Packet CITY OF RENTON
FIREMEN'S PENSION BOARD
Regular Meeting
7th Floor-Mayor's Conference Room
Thursday, September 16, 2004
3:30 P.M.
1. CALL TO ORDER
2. APPROVAL OF MINUTES OF AUGUST 19, 2004
3. CORRESPONDENCE
4. MONTHLY STATEMENT TO 8/31/2004
5. MONTHLY BILLS AND PENSION PAYMENTS
6. UNFINISHED BUSINESS
7. NEW BUSINESS
8. ADJOURNMENT
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MINUTES
FIREMEN'S PENSION BOARD
CITY OF RENTON
August 19, 2004
Kathy Keolker-Wheeler, Mayor
Randy Corman, Council Finance Committee Chair
Bonnie Walton, City Clerk
Ray Barilleaux, Fire Department Representative
William Henry, Fire Department Representative
William Larson, Fire Department Alternate
The regular meeting of the Firemen's Pension Board was called to order by Chairman Kathy
Keolker-Wheeler at 3:37 p.m. in the Mayor's conference room, 7th floor of Renton City Hall. In
attendance were Board members Kathy Keolker-Wheeler, Bill Henry, Ray Barilleaux and Bonnie
Walton; and Jill Masunaga, Finance Department Representative.
MINUTES APPROVAL
MOVED BY BARILLEAUX, SECONDED BY HENRY, THE PENSION BOARD APPROVE
THE MINUTES OF THE JULY 22, 2004, MEETING. CARRIED.
MONTHLY STATEMENT
The financial report as of July 31, 2004, was reviewed. Total cash/investment balance was
$4,988,936.62.
MONTHLY BILLS AND PENSION PAYMENTS
MOVED BY WALTON, SECONDED BY HENRY, THE BOARD APPROVE THE
PENSION/MEDICAL PAYMENTS FOR AUGUST 2004, IN THE TOTAL AMOUNT OF
$35,004.53. CARRIED.
ADJOURNMENT
MOVED BY BARILLEAUX, SECONDED BY HENRY, THE MEETING OF THE
FIREMEN'S PENSION BOARD BE ADJOURNED. CARRIED. Time: 3:40 p.m.
G&aL
Bonnie I. Walton, City Clerk
Member and Secretary, Firemen's Pension Board
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CITY OF RENTON - FIREMEN'S PENSION FUND
CASH & INVESTMENT ACTIVITY REPORT
AS OF AUGUST 31, 2004
Fireman's Pension Fund Comparison of Cash and Investment Activity
6 -
❑2004 •2003
H
A
0 4
0
0
c
3
2
1
Jan Mar Apr May Jun Jul Aug Sep Oct Nov Dec
CURRENT 2004 2004 LAST YEAR 2003 2003
ACTIVITY: MONTH YTD BUDGET CURR MO YTD ADJ BUDGET
BEGINNING CASH/INV BALANCE $4,988,936.62 $5,133,315.47 $5,133,315 $5,169,430.58 $5,312,164.41 $5,312,164
RECEIPTS:
Property Taxes 0.00 0.00 $0 0.00 0.00 $0
Fire Insurance Premium Tax 0.00 70,249.69 $40,000 0.00 63,087.83 $32,000
Investment Interest 358.70 9,373.68 $110,000 947.56 9,882.39 $115,000
DISBURSEMENTS:
Fire Pension 30,932.24 250,665.76 $375,000 28,870.67 235,262.16 $355,000
Office/Operating Supplies 69.21 69.21 $400 137.82 138.82 $400
Actuarial/Firemen's Pens 0.00 0.00 $0 0.00 4,575.00 $4,000
Reimb General/Clerical&Acct 558.00 4,468.00 $6,700 542.00 4,332.00 $6,500
ENDING CASH/INV BALANCE $4,957,735.87 $4,957,735.87 $4,901,215 $5,140,827.65 $5,140,826.65 $5,093,264
CURRENT PREVIOUS LAST YEAR LAST YEAR
ACTIVITY: MONTH MONTH CURR MO PREV MO
CASH $49,104.79 $30,305.54 $66,289.59 $94,892.52
INVESTMENTS
CD's&State Investment Pool 479,767.46 529,767.46 749,767.46 749,767.46
Snohomish County Housing Authority 0.00 0.00 98,272.00 98,272.00
Federal National Mortgage Assn 99,555.84 99,555.84 0.00 0.00
Treasury Strips&Zero Coupon Bonds 4,329,307.78 4,329,307.78 4,226,498.60 4,226,498.60
Corporate Bonds 0.00 0.00 0.00 0.00
Convertable Bonds 0.00 0.00 0.00 0.00
Mutual Funds 0.00 0.00 0.00 0.00
TOTAL CASH AND INVESTMENTS $4,957,735.87 $4,988,936.62 $5,140,827.65 $5,169,430.58
The State Investment Pool interest 1.3073% 1.1543% 1.0620% 1.0866%
H:\FINANCE\FINPLAN\FIREPEN\2003 Fire Pension\1_Fire_Pension_2003.xls Page 1 9/10/2004
FIREMEN'S PENSION BOARD
PENSION/MEDICAL PAYMENTS FOR SEPTEMBER, 2004
Recipient Pension Amt Medicals Total
ANKENY, Charlie (Captain) $83.60 83.60
ASHURST, James (Assistant Chief) $3,927.00 - 3,927.00
BANASKY, George (Captain) $830.82 830.82
BEATTEAY, Karlen (Widow) $173.27 173.27
BERGMAN, Claudette (Widow) $107.78 107.78
CHRISTENSON, Chuck (Firefighter) $256.48 256.48
COLOMBI, Jack(Captain) $351.97 351.97
CONNELL, Robert(Captain) $604.89 604.89
GOODWIN, Charles(Captain) $3,563.00 558.95 4,121.95
GOODWIN, Donald (Firefighter) $835.12 835.12
HAWORTH, Constance (Widow) $2,472.05 2,472.05
HAWORTH, Jack (Firefighter) $2,688.00 - 2,688.00
HENRY, Teresa A. (Widow) $235.62 235.62
HENRY, William, Jr. (Captain) $1,099.60 1,099.60
HURST, Gerald (Firefighter) $436.61 436.61
JONES, Gerald D. (Firefighter) $188.09 188.09
LAVALLEY, Theodele (Captain) $274.95 274.95
MC LAUGHLIN, JACK(Battalion Chief) $656.13 656.13
NEWTON, Gary (Lieutenant) $204.14 204.14
NICHOLS, Gerald (Battalion Chief) $286.52 286.52
PARKS-ANDREASON, Arlene (Widow) $255.17 255.17
PARKS, John (Firefighter) $2,789.50 539.74 3,329.24
PHILLIPS, Bruce H. (Deputy Chief) $15.71 15.71
PRINGLE, Arthur(Captain) $376.80 376.80
PRINGLE, S. Joan (Widow) $2,123.77 2,123.77
RIGGLE, David E. (Firefighter D Step) $46.81 46.81
SMITH, Leroy (Firefighter) $325.09 325.09
STROM, Karl (Firefighter) $2,688.00 - 2,688.00
TODD, Franklin (Firefighter) $375.94 375.94
VACCA, Nick(Lieutenant) $238.36 238.36
WALLS, Kenneth (Firefighter D Step) $98.89 98.89
WALSH, David (Firefighter) $874.71 874.71
WALSH, Patrick(Captain) $804.52 804.52
WEISS, Larry (Battalion Chief) $463.47 463.47
WOOTEN, Marilyn E. (Widow) $179.86 179.86
Total Expenses: Pension/Medical 30,932.24 1,098.69 32,030.93
Prior Year Pension/Medical Payments:
Total Pension Payments for September, 2003 28,870.67
Total Medical Bills Reimbursed in September, 2003 363.55
Total Expenses: Medical/Pension 29,234.22
4 SUMMARY 2004 9/10/2004 8:02 AM
ivisoe
FIREMEN'S PENSION BOARD
MEDICAL BILLS TO BE REIMBURSED IN SEPTEMBER, 2004 PAYMENT
Page Name Pharmacy/Medical Facility Amount of Bill
James Ashurst 0.00
2 Charles Goodwin Bartell Drugs 6.35
2 Charles Goodwin Bartell Drugs 6.35
2 Charles Goodwin Bartell Drugs 123.93
2 Charles Goodwin Bartell Drugs 13.63
3 Charles Goodwin Bartell Drugs 123.93
3 Charles Goodwin Bartell Drugs 278.41
3 Charles Goodwin Bartell Drugs 6.35
558.95
Jack Haworth 0.00
5 John Parks Olympic Drug 22.58
5 John Parks Olympic Drug 153.65
5 John Parks Olympic Drug 46.49
5 John Parks Olympic Drug 23.85
7 John Parks Olympic Drug 46.60
7 John Parks Olympic Drug 23.85
7 John Parks Olympic Drug 153.65
7 John Parks Olympic Drug 22.58
7 John Parks Olympic Drug 46.49
539.74
Karl Strom 0.00
TOTAL 1,098.69
3_2004 FP Medical 9/10/2004 8:02 AM
SEND CLAIM TO: City of Renton
Finance Dept.- Fire Pension
1055 South Grady Way
Renton, WA 98055
CITY OF RENTON
FIREMEN'S PENSION BOARD
Pharmacy/Medical Claim Reimbursement Request
1) DATE c1 3 o •
C
2) DISABILITY RETIREE'S NAME(print) C -
3) ADDRESS 41N W)n/Ji de i+i)e- N £ '. 06) F�1T>,U� Cd'f 7320 56,
4) DISABILITY AT TIME OF RETIREMENT 50424
/ eUx�
5) DESCRIPTION OF CLAIM: (Supporting documentation must be attached.)
(Note: Medical coverage is limited to current treatment of the retiree's disability as
determined at the time of retirement. (RCW 41.18) Submit only claims that relate to
item#4.)
6) TOTAL AMOUNT OF CLAIM 41' SS CJs 9S-
7)
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7) I certify that I have not been and will not be compensated by any other organization,
insurance carrier or Medicare for the above-mentioned claim for reimbursement ether than
the City of Renton. I further certify that the above statements are complete and accurate to
the best of my knowledge, and that all claims submitted are related to my disability as
determined at the time of my retirement from the Renton Fire Department.
Signature: �'
il-er-hey))- -,
Note: Supporting documentation must be attached.
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DRUGS
BARTELL DRUGS -W '•°WM°"BARTELL DRUGS
wwWWW�WahMMWOM'r Ome DWW .W"�� 4700 NE 4TH STREET RENTON,WA 98059
4700 NE 4TH STREET RENTON,WA 98059
Rx# 45- 223189E DR. MOSLEY
Rx# 45- 208099 E DR. LORCH,GERALD
DATE: 1 10/04 R (206)06) DATE: 08/06/04 a (425) 899-3123
903-9510NAME: CHARLES GOODWIN
NAME CHA- ES GOODWIN 201 UNION AVE SE 99
201 UNION A • SE 99 RE -CAP 200/25 57871030 4).3
ALLY-URINO 1100MG TABLET(MYL)-10 0597-0001
003 0137-01 02672894
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XPS $6.35
3s XPS $123.93
REFILL 4 QUANTITY 62.00
REFILL YES QUANTITY 30.00
BARTELL DRUGS#45
BARTELL DRUGS#45 425-793- 1015
425-793- 1015
THANK YOU
THANK YOU WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU
WE TRULY BEST RVYOUR IBLEBUSINESS.PLEASE
TOE PORDER YOU
WITH THE BEST
APPRECIATE
24-48 HOURSS IN ADVANCE.ORDER YOUR
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR
REFILLS 24-48 HOURS IN ADVANCE.
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BARTELL DRUGS BARTELL DRUGS
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4700 NE 4TH STREET RENTON,WA 98059 4700 NE 4TH STREET
RX# 45-208099 E DR. LORCH,GERALD Rx# 45- 201856 E DR. FLO
DATE: 1:/01/04 R (206)903-9510 DATE: 08/09/04 R 0-
NAME: -H',-LES GOODWIN NAME: CHARLES GOODWIN
201 NION A SE 99 201 UNION AVE SE 99
AL OPURINO1 100MG TABLET(MYL)-1050MG TABLETO(4$E8 5-
003 8-0137-01 56603467 AT 0 81- 506-1 ')
XPS $6.35 11�/"^
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REFILL YES QUANTITY 30,00 REFILL YES QUANTITY 90.00
BARTELL DRUGS#45 BARTELL DRUGS#45 A
425-793- 1015 425-793-1015 'IU�'"�_y.
THANK YOU THANK YOU � �
WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR WITH THE BREST FILLS 2R HOURS IN ADVANCPOSSIBLE PLEASE OERDER YOUR
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REFILLS 24-48 NOUS IN ADVANCE. IL
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Wuhtngton'.Own Drugstores..
4700 NE 4TH STREET RENTON,WA 98059
4700 NE 4TH STREET RENTON,WA 98059
R)(# 45 223189E
DR. MOSLEY Rx# 45- 208099 E DR. LORCH,GERALD
- DATE: 08/30/04 R (206)903-9510
DATE: 08/30/04 R (425)899-3123 CHARLES GOODWIN
NAME: CHARLES GOODWIN NAME:201 t0 SE 99
201 UNION AVE SE 99 A OPURINOL OMG TABLET(MYL)
A GR CAP 200/25 00 78-0137-01 58506234
0 597-0001-6 58809234
l G2 6. 3 s
XPS $123.93 ��.3 '/J XPS $6.35
REFILL YES QUANTITY 30.00
REFILL 3 QUANTITY 62.00
BARTELL DRUGS#45 BARTELL DRUGS#45
425-793- 1015 425-793-1015
THANK YOU
THANK YOU WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU
WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR
WITH THE BEST SERVICE POSSIBLE PLEASE ORDER YOUR REFILLS 24-48 HOURS IN ADVANCE.
REFILLS 24-48 HOURS IN ADVANCE.
IBARTELL DRUGSrjam.I ��"a'Zson ��Wo.6tngton'.own DruLda�es �jt 4700 NE 4TH STREET RENTON,WA 98059 6 /JRx# 45- 186109 E DR. MOSLEY ' 164/11 Y'
DATE: 08/30/04 R (425)899-3123
NAME: CHARLES GOODWIN
201 •N AVE E 99 ��`8� (��
C' -BID• • ,, EVODOPA 20 78/6 O0OMG TABh2/7-1),
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0 093-0293-0� y//`''
XPS $278.41 °��� / /7G
REFILL NO QUANTITY 540.00
BARTELL DRUGS#45
425-793- 1015
THANK YOU
WE TRULY APPRECIATE YOUR BUSINESS.TO PROVIDE YOU
WITH THE BEST RVICE POSSIBLEDER YOUR
REFILLS 24-48
IN ADVANCE.
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CITY OF RENTON
FIREMEN'S PENSION CLAIM FOR REIMBURSEMENT FORM
NAME `J 0 v L.. R.) i#5-
DATE
#SDATE
AMOUNT OF CLAIM $ C,
Reason for medication/hospitalization/physician's exam:
f rel 'te4
p-re � I-e
I have not been and will not be compensated by any other organization/Insurance Carrier
or Medicare for the above mentioned claim for reimbursement other that the City of
Renton.
All of the above are related to my disability from the Fire Department.
Signature K.
1 ✓2�/ �
Note: Proper Documentation must accompany this claim form.
Mail forms to: City of Renton
Finance Department—Fire Pension
1055 South Grady Way
Renton,WA 98055
Revised 12/24/02
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OLYMPIC DRUG
Value ut>
the 1244 15TH AVENUE
leo,YM�CO�� LONGV I EW , WA 98632
124415th Ave.,Lor ew,WA 98632 Ph.(3600423-3360 PHONE 360-423-3360
VwNNfi:eaY.FehNlw taral.dHd,pb.y.gidltrhnbp.amtr tw�psnbd
RX#C413922 DR.RICHARDS
UNKNOWN 7/14/04 DS PARKS, JOHN PRESCRIPTION 1 22.58 22.58
i 1l iirlilt�l�llllla0110111110n 413922
PRESCRIPTION 1 153.65 153.65
ALPRAZOLAM 0.5MG TAB 01
QTY#120 NDC#00228-2029-96 PUREP 413924
1 REFILLS UNTIL: 12/11/04 PRESCRIPTION 1 46.49 46.49
PRICE: $22.58 01
11110111111111111111111111111111421354
PRESCRIPTION 1 23.85 23.85
01
RECEIPT 412236
vt�.ath.,mtt�q° SUBTOTAL 246 . 57
iati''nYMPIC� TOTAL 246 . 57
12442 a.z.,:oa view WA w8e o.....,,,h.(a)423- CASH 300 . 02
RX#C413924 DR.RICHARDS CHANGE DUE 53 . 45
UNKNOWN 7/14/04 DS
PARKS, JOHN
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AMBIEN 10MG TABS#### Receipt #: 179117
QTY#45 NDC#00024-5421-31 WINTH Clerk: 423 - SANDY
NO REFILLS CALL PHARMACY Register #: 1
PRICE: $153.65 Drawer #: 4
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RECEIPT
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Value at the SmQUp•0'
�'YMPI�ORUG
HAVE A NICE DAY ! I. !
124415th Ave.,Lonavlew,WA 98632 Ph.(360)423-3360
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RX# 421354 DR.RICHARDS
UNKNOWN 7/14/04 DS
PARKS, JOHN 'lat" YMPIC DRUG
In 1111113110111111111110011111 II 124.1G360
RX# 1 412236 I DR.RICHARDS23
MIRTAZAPINE 45MG TAB UNKNOWN 7/14/04 DS
QTY#30 NDC#00185-0222-30 PARKS, JOHN
Generic
REFILLS UNTIL: 7/14/05 1Ii1 1 l11T1l1lno I II
PRICE: $46.49
011111H1100I111O01IBIIlllll01a110O1100a111 METOCLOPRAMIDE TAB 5MG
N QTY#100 NDC#50111-0517-01
Generic For:REGLAN 5MG
RECEIPT 4 REFILLS UNTIL: 6/7/05
PRICE: $23.85
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RECEIPT
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SEND CLAIM TO: City of Renton
Finance Dept.- Fire Pension
1055 South Grady Way
Renton, WA 98055
6 O�
+ A
��NT°� CITY OF RENTON
FIREMEN'S PENSION BOARD
Pharmacy/Medical Claim Reimbursement Request
l) DATE 9 ' ;- O 9"
2) DISABILITY RETIREE'S NAME print) U O b i/ /, 124, y' ?s
3) ADDRESS [3 33 (3 A V e Lang vi tit /o9 w�, ff63 a
4) D ABILITY AT TIME Of RETIREMENT � 2I i.)Ie'rn/'I , 5-1;11/e7e
1�eP 1 LI ,S7Lom aeh i'/�'e r5 a d a x/ f nfi /Drab tem s
5) DESCRIPTION OF CLAIM: (Supporting documentation must be attached.)
(Note: Medical coverage is limited to current treatment of the retiree's disability as
determined at the time of retirement. (RCW 41.18) Submit only claims that relate to
item#4.)
em ,sedi e_ r 'r -e 110-r- 51-D-m4e . .2 714
� xi
el e I it p-(od)l-e')rt .
6) TOTAL AMOUNT OF CLAIM V1 3 ,
7) I certify that I have not been and will not be compensated by any other organization,
insurance carrier or Medicare for the above-mentioned claim for reimbursement ether than
the City of Renton. I further certify that the above statements are complete and accurate to
the best of my knowledge, and that all claims submitted are related to my disability as
determined at the time of my fir nt from the Renton Fire Department.
Signature: Ali
Cf. 4/34J-4)
Note: Supporting documentation must be attached.
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RX# 412254 DR.RICHARDS RX#C 413922 DR.RICHARDS
UNKNOWN 8/13/04 DS UNKNOWN 8/13/04 DS
PARKS, JOHN PARKS, JOHN
11130111011111071111111111111 111111 littirliffilli till 11111111111 I II
PRILOSEC OTC 20MG TAB" ALPRAZOLAM 0.5MG TAB
QTY#56 NDC#37000-0455-03 P&G QTY#120 NDC#00228-2029-96 PUREP
10 REFILLS UNTIL: 6/7/05 NO REFILLS CALL PHARMACY
PRICE: $46.60 e PRICE: $22.58 e
1111 11 11 11 11 1Ill 11111 01111111111111111 11111011 111111111 1 1 11 1001111111101101111 II
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RECEIPT RECEIPT
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:1YMPIC DRUG
lYMPIC DRUG
124415th Ave.,Lonsqnum o WA 98632 Ph.(360 423.3360 124415th Ave.,Lon�vlew WA 98632 Ph.(360 423.3360
*ARMING Slate or Federal lar prohlEltaln num of um Omplo am/,enon olAar Nan N.penan�a Met
pnmlhM WA$NINC'Slanor 1.1anll00 pnhlhlb n001.,oltls Onp to a n/plono0m11.,to parson 0,010m1l.aa pnurn.
RX# 412236 DR.RICHARDS
UNKNOWN 8/13/04 DS RX# 421354 DR.RICHARDS
PARKS, JOHN UNKNOWN 8/16/04 DS
11Ifl�����1��11�II11��ifl� 11 1 11111111 1 0111 11 811 111 PAR...
KS, JOHN F
111 11l1hiMilhid1 ILII Ion IIIc II
METOCLOPRAMIDE TAB 5MG MIRTAZAPINE 45MG TAB
QTY#100 NDC#50111-0517-01 NDC#00185-0222-30
Generic For:REGLAN 5MG QTY#30
3 REFILLS UNTIL: 6/7/05 Generic For:REMERON 45MG TABS
e PRICE: $23.85
3 REFILLS UNTIL: 7/14/05
1111110111111111111111111111111101 IPRICE: $46.49 e
8111111111111 IIIIIIIIII 11110111111
RECEIPT
RECEIPT
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s 7YMPIC DRUG
2tni LmakWni3ge:.ho6e2
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RX#C 413924 DR.RICHARDS
UNKNOWN 8/13/04 DS
PARKS, JOHN
1I1 III!illi
AMBIEN 10MG TABS####
QTY#45 NDC#00024-5421-31 WINTH
NO REFILLS CALL PHARMACY
e PRICE: $153.65 e
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RECEIPT
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