Invoice: 5106
Voucher Codes:
V2YA
IE8X
V2YA
IE8X
Invoice: 5106
Invoice Date: May 31, 2025
Service Dates: 5/1/2025 – 5/31/2025
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:
Sublette County Treasurer
P.O. Box 250Pinedale, wyoming 82941
Total Vouchers: 2
| Vouchers | Test Name | Test Price | Total |
|---|---|---|---|
| 2 | Rapid HIV test provided by CDU | $15.00 | $30.00 |
| 2 | Pharyngeal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Vaginal specimen – Chlamydia and Gonorrhea | $14.00 | $28.00 |
| 2 | Syphilis blood draw | $0.00 | $0.00 |
| Invoice Total | $86.00 | ||