EFTA00089115

| NUM | ASSIGNMENT | REG NO | NAME | OCT DATE | QTR | WRK |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| 0001 | HOSP | | | 08-09-2019 | E05-535L | SUICIDE (UNASSG) |
| 0002 | | | | 08-09-2019 | E07-555L | ORD CCS |
| 0003 | | | | 08-09-2019 | E03-519L | SUICIDE (UNASSG) |
| 0004 | | | | 08-09-2019 | K12-064L | SUICIDE (UNASSG) |

TRANSACTION SUCCESSFULLY COMPLETED

G0000

EFTA00089116