| Name | Employer | Total |
|---|---|---|
| PAULA C URBOM-SHOPE | SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTERSTATE COMPENSATION INSURANCE FUND | $23,697 |
| PAULA C URBOM-SHOPE | — | $15,673 |
| Name | Employer | Total |
|---|---|---|
| PAULA C URBOM-SHOPE | SENIOR WORKERS' COMPENSATION CLAIMS ADJUSTERSTATE COMPENSATION INSURANCE FUND | $23,697 |
| PAULA C URBOM-SHOPE | — | $15,673 |