Case Number: 89D 00155
File Date: 09-22-1989
JONES, HELEN M
Address:
DOB: 07/24/1962
Attorney:
JONES, KENNETH R
Address:
SOLDIER KS 66540-9106
DOB: 12/12/1954
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 4134 | 07/16/1993 | JONES,H/STATE SETOFF | 0.00 |
| 7868 | 04/11/1994 | JONES,H/COMM HOSP ONAGA | 130.00 |
| 8207 | 05/04/1994 | JONES,H/COMM HOSP-ONAGA | 130.00 |
| 8640 | 06/03/1994 | JONES,H/COMM HOSP ONAGA | 130.00 |
| 9508 | 08/03/1994 | JONES,H/ONAGA COMM HOSP | 260.00 |
| 10042 | 09/06/1994 | JONES,H/COMM HOSP ONAGA | 130.00 |
| 10504 | 10/04/1994 | JONES,H/COMM HOSP-ONAGA | 130.00 |
| 11051 | 11/04/1994 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 11472 | 12/02/1994 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 12340 | 01/09/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 13249 | 02/02/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 14190 | 03/01/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 15653 | 04/05/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 17102 | 05/10/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 18144 | 06/06/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 18936 | 06/27/1995 | JONES,H/STATE SETOFF | 0.00 |
| 19389 | 07/07/1995 | JONES,H/COMM HOSP ONAGA | 25.00 |
| 19980 | 07/25/1995 | JONES,H/FEDERAL SETOFF | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S STATE (6-1-93) | 07/16/1993 | 187.00 | JONES,H/STATE SETOFF |
| C/S #5842 | 04/11/1994 | 130.00 | JONES,H/COMM HOSP ONAGA |
| C/S #5914 | 05/04/1994 | 130.00 | JONES,H/COMM HOSP-ONAGA |
| C/S #5986 | 06/03/1994 | 130.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6152 | 08/03/1994 | 260.00 | JONES,H/ONAGA COMM HOSP |
| C/S #6229 | 09/06/1994 | 130.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6317 | 10/04/1994 | 130.00 | JONES,H/COMM HOSP-ONAGA |
| C/S #6462 | 11/04/1994 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6604 | 12/02/1994 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6686 | 01/09/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6754 | 02/02/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6834 | 03/01/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6907 | 04/05/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #6973 | 05/10/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S #7061 | 06/06/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S-(6-1-95)-STATE | 06/27/1995 | 104.00 | JONES,H/STATE SETOFF |
| C/S #7143 | 07/07/1995 | 25.00 | JONES,H/COMM HOSP ONAGA |
| C/S-(6-12-95)FEDERAL | 07/25/1995 | 399.00 | JONES,H/FEDERAL SETOFF |