Case Number: 93D 00111
File Date: 08-30-1993
FORTENBERRY, JOLYNN
Address:
HAVENSVILLE KS 66432
DOB: 12/31/1966
Attorney:
FORTENBERRY, JEFFREY DALE
Address:
INDEPENDENCE KS 67301
DOB: 03/28/1961
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 12541 | 01/17/1995 | FORTENBERRY,JEFF/VENTURE | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| SETTLE(#1GARN)#71645 | 01/17/1995 | 195.21 | FORTENBERRY,JEFF/VENTURE |