Case Number: 95D 00104
File Date: 07/18/1995
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
HEFTY, BARBARA & LARRY
Address:
HAVENSVILLE KS 66432
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 21889 | 09/18/1995 | HEFTY,BARB/USD #322 | 212.50 |
| 22368 | 10/02/1995 | HEFTY,BARB/USD #322 | 212.50 |
| 22851 | 10/16/1995 | HEFTY,BARB/USD 322 | 212.50 |
| 23345 | 10/31/1995 | HEFTY,BARB/USD #322 | 212.50 |
| 23879 | 11/16/1995 | HEFTY,BARB/USD 322 | 212.50 |
| 24361 | 12/01/1995 | HEFTY,BARB/USD 322 | 212.50 |
| 24950 | 12/19/1995 | HEFTY,BARB/USD 322 | 212.50 |
| 25329 | 01/03/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 25813 | 01/17/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 26313 | 02/01/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 26850 | 02/16/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 27212 | 02/29/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 27980 | 03/19/1996 | HEFTY,BARB/USD 322 | 212.50 |
| 28398 | 04/01/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 28991 | 04/16/1996 | HEFTY,BARB/USD #322 | 212.50 |
| 29542 | 05/02/1996 | HEFTY, B/USD #322 | 212.50 |
| 30102 | 05/16/1996 | HEFTY,BARB/USD #322 | 212.50 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #8872 | 09/18/1995 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #8891 | 10/02/1995 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9033 | 10/16/1995 | 212.50 | HEFTY,BARB/USD 322 |
| C/S #9049 | 10/31/1995 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9069 | 11/16/1995 | 212.50 | HEFTY,BARB/USD 322 |
| C/S #9186 | 12/01/1995 | 212.50 | HEFTY,BARB/USD 322 |
| C/S #9321 | 12/19/1995 | 212.50 | HEFTY,BARB/USD 322 |
| C/S #9330 | 01/03/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9438 | 01/17/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9457 | 02/01/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9475 | 02/16/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9599 | 02/29/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9728 | 03/19/1996 | 212.50 | HEFTY,BARB/USD 322 |
| C/S #9737 | 04/01/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9859 | 04/16/1996 | 212.50 | HEFTY,BARB/USD #322 |
| C/S #9870 | 05/02/1996 | 212.50 | HEFTY, B/USD #322 |
| C/S #9886 | 05/16/1996 | 212.50 | HEFTY,BARB/USD #322 |