Invoice: 9619

Voucher Codes:
FR8F

Invoice: 9619

Invoice Date: December 31, 2025
Service Dates: 12/1/2025 – 12/31/2025
TO:
Wyoming Department of Health
Communicable Disease Unit
122 West 25th Street, 3rd Floor West
Cheyenne, Wy, 82002
Phone (307) 777-3562 | Fax 307-777-8547
FROM:
Big Horn County Treasurer
P.O. Box 430
Basin, wyoming 82410
Total Vouchers: 1
Vouchers Test Name Test Price Total
1Rapid HIV test provided by CDU$15.00$15.00
1Urine specimen – Chlamydia and Gonorrhea$14.00$14.00
1Syphilis blood draw$0.00$0.00
Invoice Total $29.00