| HURLBUTT, MERRICK HASLETT, MI
 48840
 | Accident Fund Holdings, Inc./Manager, Claims | $60 | 11/21/2018 | P | BLUE CROSS BLUE SHIELD OF MICHIGAN PAC | 
					
						
					
					| HURLBUTT, MERRICK HASLETT, MI
 48840
 | Accident Fund Holdings, Inc./Manager, Claims | $20 | 10/11/2018 | P | BLUE CROSS BLUE SHIELD OF MICHIGAN PAC | 
					
						
					
					| HURLBUTT, MERRICK HASLETT, MI
 48840
 | Accident Fund Holdings, Inc./Manager, Claims | $140 | 09/27/2018 | P | BLUE CROSS BLUE SHIELD OF MICHIGAN PAC | 
					
						
					
					| HURLBUTT, MERRICK HASLETT, MI
 48840
 | Accident Fund Holdings, Inc./Manager, Claims | $120 | 06/21/2018 | P | BLUE CROSS BLUE SHIELD OF MICHIGAN PAC | 
					
						
					
					| HURLBUTT, MERRICK HASLETT, MI
 48840
 | Accident Fund Holdings, Inc./Manager, Claims | $260 | 12/21/2017 | P | BLUE CROSS BLUE SHIELD OF MICHIGAN PAC | 
					
						
					
					| HURLBUTT, MERRICK HASLETT, MI
 48840
 | Accident Fund Holdings, Inc./Manager, Claims | $260 | 06/22/2017 | P | BLUE CROSS BLUE SHIELD OF MICHIGAN PAC |