Case Number: 90C 00025
File Date: 02/07/1990
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
CARPENTER, FRANK SR
Address:
WAMEGO KS 66547
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 18694 | 06/20/1995 | CARPENTER/CONTI-WORK COMP | 2583.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #5120426745 | 06/20/1995 | 2583.00 | CARPENTER/CONTI-WORK COMP |