Case Number: 87R 00148
File Date: 08/26/1987
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
BELLINDER, MICHAEL
Address:
DOB:
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 1 | 03/25/1998 | EMPLOYER NOTICE OF TERMINATION-(EFF 3-10-98)CC: MS. NAAB |
| 2 | 07/23/1999 | RENEWAL AFFIDAVIT |
| 3 | 05/12/2000 | CSE TRANSMITTAL #L IL-STAE DISBURSEMENT UNIT |
| 4 | 08/16/2000 | CERTIFICATE OF MAILING (DACON ENG & SERV CO.) |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 49231 | 10/03/1997 | BELLINDER,M/DACON ENGIN | 46.15 |
| 49545 | 10/13/1997 | BELLINDER/DACON ENGINEERG | 46.15 |
| 49763 | 10/17/1997 | BELLINDER,M/DACON ENGNRG | 46.15 |
| 50015 | 10/24/1997 | BELLINDER/DACON ENGINEER | 46.15 |
| 50313 | 10/31/1997 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 50633 | 11/07/1997 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 50937 | 11/14/1997 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 51190 | 11/21/1997 | BELLINDER,M/DACON ENGRNG | 46.15 |
| 51401 | 12/01/1997 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 51737 | 12/05/1997 | BELLINDER,M/DACON ENG&SRV | 46.15 |
| 52076 | 12/15/1997 | BELLINDER,M/DACON ENG&SRV | 46.15 |
| 52287 | 12/19/1997 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 52509 | 12/29/1997 | BELLINDER,M/DACON ENGNRG | 46.15 |
| 52744 | 01/05/1998 | BELLINDER,M/DACON ENGNRNG | 46.15 |
| 53357 | 01/20/1998 | BELLINDER,M/DACON ENG&SER | 46.15 |
| 53604 | 01/26/1998 | BELLINDER/DACON ENGINEER | 46.15 |
| 53940 | 02/02/1998 | BELLINDER,M/DACON ENG&SRV | 46.15 |
| 54160 | 02/06/1998 | BELLINDER,M/DACON ENG&SRV | 46.15 |
| 54400 | 02/13/1998 | BELLINDER,M/DACON ENGINER | 46.15 |
| 54673 | 02/20/1998 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 55042 | 03/02/1998 | BELLINDER,M/DACON ENGINRG | 46.15 |
| 55349 | 03/06/1998 | BELLINDER, M/DACON ENGIN | 46.15 |
| 55594 | 03/13/1998 | BELLINDER,M/DACON ENGNRG | 46.15 |
| 55890 | 03/20/1998 | BELLINDER,M/DACON ENGNRG | 38.79 |
| 93513 | 07/10/2000 | BELLINDER, MICH/ST OF IL | 62.28 |
| 94127 | 07/21/2000 | BELLINDER, MICH/ST OF IL | 10.38 |
| 94402 | 07/27/2000 | BELLINDER, MICHAEL/ST IL | 10.38 |
| 94899 | 08/04/2000 | BELLINDER, MICHAEL/ST IL | 20.76 |
| 95298 | 08/14/2000 | BELLINDER,M/IL ST TREAS | 10.38 |
| 95462 | 08/18/2000 | BELLINDER, M/ST OF IL | 10.38 |
| 95856 | 08/28/2000 | BELLINDER, M/DACON ENGIN | 46.15 |
| 95877 | 08/28/2000 | BELLINDER, MICH/ST OF IL | 10.38 |
| 96091 | 09/01/2000 | BELLINDER/IL ST TREAS | 10.38 |
| 96166 | 09/05/2000 | BELLINDER, MICHAEL/DACON | 46.15 |
| 96436 | 09/11/2000 | BELLINDER, M/CACON ENGIN | 46.15 |
| 96467 | 09/11/2000 | BELLINDER, MICHAEL/ST IL | 10.38 |
| 96662 | 09/14/2000 | BELLINDER, M/ST OF IL | 10.38 |
| 96776 | 09/18/2000 | BELLINDER, MICHAEL/DACON | 46.15 |
| 96971 | 09/22/2000 | BELLINDER, MICHAEL/ST IL | 10.38 |
| 97118 | 09/27/2000 | BELLINDER, MICHAEL/DACON | 46.15 |
| 97168 | 09/28/2000 | BELLINDER/IL ST TREAS | 10.38 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| 19971001 #35527 | 10/03/1997 | 46.15 | BELLINDER,M/DACON ENGIN |
| 19971008 #35547 | 10/13/1997 | 46.15 | BELLINDER/DACON ENGINEERG |
| 19971015 #35566 | 10/17/1997 | 46.15 | BELLINDER,M/DACON ENGNRG |
| 19971022 #35593 | 10/24/1997 | 46.15 | BELLINDER/DACON ENGINEER |
| 19971029 #35626 | 10/31/1997 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19971105 #35652 | 11/07/1997 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19971112 #35677 | 11/14/1997 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19971119 #35703 | 11/21/1997 | 46.15 | BELLINDER,M/DACON ENGRNG |
| 19971126 #35730 | 12/01/1997 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19971203 #35747 | 12/05/1997 | 46.15 | BELLINDER,M/DACON ENG&SRV |
| 19971210 #35773 | 12/15/1997 | 46.15 | BELLINDER,M/DACON ENG&SRV |
| 19971217 #35794 | 12/19/1997 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19971223 #35824 | 12/29/1997 | 46.15 | BELLINDER,M/DACON ENGNRG |
| 19971231 #35840 | 01/05/1998 | 46.15 | BELLINDER,M/DACON ENGNRNG |
| 19980114 #35886 | 01/20/1998 | 46.15 | BELLINDER,M/DACON ENG&SER |
| 19980121/CK#35908 | 01/26/1998 | 46.15 | BELLINDER/DACON ENGINEER |
| 19980128 #35931 | 02/02/1998 | 46.15 | BELLINDER,M/DACON ENG&SRV |
| 19980204 #35953 | 02/06/1998 | 46.15 | BELLINDER,M/DACON ENG&SRV |
| 19980211 #35972 | 02/13/1998 | 46.15 | BELLINDER,M/DACON ENGINER |
| 19980218 #35995 | 02/20/1998 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19980225 #36007 | 03/02/1998 | 46.15 | BELLINDER,M/DACON ENGINRG |
| 19980304/CK#36039 | 03/06/1998 | 46.15 | BELLINDER, M/DACON ENGIN |
| 19980311 #36063 | 03/13/1998 | 46.15 | BELLINDER,M/DACON ENGNRG |
| 19980318 #36083 | 03/20/1998 | 38.79 | BELLINDER,M/DACON ENGNRG |
| 20000706/CK#20982542 | 07/10/2000 | 62.28 | BELLINDER, MICH/ST OF IL |
| 20000717/CK#5657858 | 07/21/2000 | 10.38 | BELLINDER, MICH/ST OF IL |
| 20000725/CK#5667996 | 07/27/2000 | 10.38 | BELLINDER, MICHAEL/ST IL |
| 20000802/CK#5682089 | 08/04/2000 | 20.76 | BELLINDER, MICHAEL/ST IL |
| 20000810#21027816 | 08/14/2000 | 10.38 | BELLINDER,M/IL ST TREAS |
| 20000816/#PD5697097 | 08/18/2000 | 10.38 | BELLINDER, M/ST OF IL |
| 20000824/CK#38215 | 08/28/2000 | 46.15 | BELLINDER, M/DACON ENGIN |
| 20000824/CK#5705872 | 08/28/2000 | 10.38 | BELLINDER, MICH/ST OF IL |
| 20000830#PD5714394 | 09/01/2000 | 10.38 | BELLINDER/IL ST TREAS |
| 20000901/CK#38229 | 09/05/2000 | 46.15 | BELLINDER, MICHAEL/DACON |
| 20000908/VK#38250 | 09/11/2000 | 46.15 | BELLINDER, M/CACON ENGIN |
| 20000908/CKPD5723580 | 09/11/2000 | 10.38 | BELLINDER, MICHAEL/ST IL |
| 20000912/CKPD5727173 | 09/14/2000 | 10.38 | BELLINDER, M/ST OF IL |
| 20000915/CK#38265 | 09/18/2000 | 46.15 | BELLINDER, MICHAEL/DACON |
| 20000920/CK#21074089 | 09/22/2000 | 10.38 | BELLINDER, MICHAEL/ST IL |
| 20000922/CK#38272 | 09/27/2000 | 46.15 | BELLINDER, MICHAEL/DACON |
| 20000926#PD5744421 | 09/28/2000 | 10.38 | BELLINDER/IL ST TREAS |