Case Number: 90C 00037
File Date: 03-01-1990
ST OF KS EX REL SRS
Address:
** STOP, SEE MEMO **
DOB:
Attorney:
WILLIAMS, DENNIS E
Address:
(KOCH TRUCK LINE:
DOB: 03-09-1962
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 605 | 05/18/1992 | WILLIAMS,D/KOCH TRUCK LIN | 0.00 |
| 620 | 05/18/1992 | WILLIAMS, DENNIS E | 0.00 |
| 899 | 06/09/1992 | WILLIAMS,/KOCH TRK LINE | 18.84 |
| 1315 | 07/15/1992 | WILLIAMS/KOCH TRUCK LINE | 18.84 |
| 1667 | 08/12/1992 | WILLIAMS/KOCH TRUCK LINE | 18.84 |
| 1791 | 08/26/1992 | WILLIAMS,D/FEDERAL SETOFF | 0.00 |
| 1885 | 09/01/1992 | WILLIAMS/KOCH TRUCK LINE | 18.84 |
| 2188 | 09/29/1992 | WILLIAMS/KOCH TRUCK LINE | 18.84 |
| 2485 | 10/27/1992 | WILLIAMS/KOCH TRUCK LINE | 18.84 |
| 2560 | 11/24/1992 | WILLIAMS/KOCH TRUCK LINE | 112.30 |
| 2614 | 12/22/1992 | WILLIAMS/KOCH TRUCK LINE | 18.84 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #27072 | 05/18/1992 | 373.84 | WILLIAMS,D/KOCH TRUCK LIN |
| ADJ $ AMT OF #605 | 05/18/1992 | -355.00 | WILLIAMS, DENNIS E |
| ADJUST SRS | 05/18/1992 | 0.00 | WILLIAMS, DENNIS E |
| C/S #27409 | 06/09/1992 | 18.84 | WILLIAMS,/KOCH TRK LINE |
| C/S #27990 | 07/15/1992 | 18.84 | WILLIAMS/KOCH TRUCK LINE |
| C/S #28463 | 08/12/1992 | 18.84 | WILLIAMS/KOCH TRUCK LINE |
| C/S FEDER (7-23-92) | 08/26/1992 | 157.39 | WILLIAMS,D/FEDERAL SETOFF |
| C/S #28961 | 09/01/1992 | 18.84 | WILLIAMS/KOCH TRUCK LINE |
| C/S #29461 | 09/29/1992 | 18.84 | WILLIAMS/KOCH TRUCK LINE |
| C/S #29926 | 10/27/1992 | 18.84 | WILLIAMS/KOCH TRUCK LINE |
| C/S #30357 | 11/24/1992 | 112.30 | WILLIAMS/KOCH TRUCK LINE |
| C/S #30843 | 12/22/1992 | 18.84 | WILLIAMS/KOCH TRUCK LINE |