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Viewing Document Id 0177ENZLFZL5TIDP4YVFAIJNFQ7OA55HCJ

Invoice Id 20519
Page Number Pg427
Case Number 228251
Period 2022-11-01
Service OT
Hours Flagged 4.00
Dates Flagged 7;14;21;28
Total Invoice Hours 9.00
Billing Rate $112.50
Invoice Total $1,012.50
Provider Name Dvori Statfeld
Invoice Issue Notes
Is Flagged Yes
DOE Tranche Category OVERNIGHT_SESSIONS
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