Case Number: 95R 00169
File Date: 11/06/1995
STANISLAUS COUNTY
Address:
FAMILY SUPPORT DIVISION
MODESTO CA 95352-4189
DOB:
Attorney:
BLACK, JIMMY
Address:
130 MCCALL RD., LOT 7
MANHATTAN KS 66502
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 26076 | 01/25/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 26663 | 02/12/1996 | BLACK J/CONTINENTAL INN | 0.00 |
| 27030 | 02/23/1996 | BLACK, J/CONTINENTAL INN | 0.00 |
| 27560 | 03/07/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 28067 | 03/21/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 28676 | 04/08/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 29046 | 04/18/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 29684 | 05/06/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 30148 | 05/17/1996 | BLACK/CONTINENTAL INN INC | 0.00 |
| 30469 | 05/30/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 31071 | 06/13/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 31427 | 06/27/1996 | BLACK, J/CONTINENTAL INN | 0.00 |
| 31906 | 07/10/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 32524 | 07/26/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 33008 | 08/08/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 33482 | 08/22/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 33927 | 09/05/1996 | BLACK,J/CONTINENTAL INN | 0.00 |
| 35997 | 10/30/1996 | BLACK,J/INTERN'L TRANSF | 0.00 |
| 36296 | 11/06/1996 | BLACK,J/INTERN'L TRANSF | 0.00 |
| 36542 | 11/13/1996 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 36895 | 11/25/1996 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 37099 | 12/02/1996 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 37317 | 12/05/1996 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 37553 | 12/11/1996 | BLACK, J/INTERN'L TRANS | 0.00 |
| 37903 | 12/20/1996 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 38042 | 12/26/1996 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 38337 | 01/03/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 38580 | 01/10/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 38708 | 01/15/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 39057 | 01/27/1997 | BLACK,J/INTERNAT'S TRNSF | 0.00 |
| 39236 | 01/31/1997 | BLACK,J/INTERNAT'L TRNSF | 0.00 |
| 39636 | 02/10/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 39930 | 02/18/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 40163 | 02/25/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 40210 | 02/26/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 40738 | 03/10/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 41047 | 03/17/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 41554 | 03/28/1997 | BLACK, J/INT'L TRANSFORM | 0.00 |
| 41555 | 03/28/1997 | BLACK, J/INT'L TRANSFORM | 0.00 |
| 41970 | 04/07/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 42152 | 04/11/1997 | BLACK,J/INTERNAT'L TRANSF | 0.00 |
| 44970 | 06/19/1997 | BLACK,J/IRS COLL SETOFF | 0.00 |
| 45436 | 07/01/1997 | BLACK,J/ST SETOFF-INTERST | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #8534 | 01/25/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S/ #8559 | 02/12/1996 | 98.80 | BLACK J/CONTINENTAL INN |
| C/S #8590 | 02/23/1996 | 98.80 | BLACK, J/CONTINENTAL INN |
| C/S #8619 | 03/07/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8653 | 03/21/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8682 | 04/08/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8711 | 04/18/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8744 | 05/06/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8776 | 05/17/1996 | 98.80 | BLACK/CONTINENTAL INN INC |
| C/S #8810 | 05/30/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8849 | 06/13/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S/ #8887 | 06/27/1996 | 98.80 | BLACK, J/CONTINENTAL INN |
| C/S #8920 | 07/10/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8957 | 07/26/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #8989 | 08/08/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #9022 | 08/22/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #9066 | 09/05/1996 | 98.80 | BLACK,J/CONTINENTAL INN |
| C/S #3664 | 10/30/1996 | 49.43 | BLACK,J/INTERN'L TRANSF |
| C/S #3693 | 11/06/1996 | 49.43 | BLACK,J/INTERN'L TRANSF |
| C/S #3727 | 11/13/1996 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #3766 | 11/25/1996 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #3787 | 12/02/1996 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #3816 | 12/05/1996 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S-CK#3843 | 12/11/1996 | 49.43 | BLACK, J/INTERN'L TRANS |
| C/S #3921 | 12/20/1996 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #3943 | 12/26/1996 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #3962 | 01/03/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #3997 | 01/10/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4015 | 01/15/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4067 | 01/27/1997 | 49.43 | BLACK,J/INTERNAT'S TRNSF |
| C/S #4089 | 01/31/1997 | 49.43 | BLACK,J/INTERNAT'L TRNSF |
| C/S #4133 | 02/10/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4171 | 02/18/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4188 | 02/25/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4211 | 02/26/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4233 | 03/10/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4269 | 03/17/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S-CK#4336 | 03/28/1997 | 49.43 | BLACK, J/INT'L TRANSFORM |
| C/S-CK#4286 | 03/28/1997 | 49.43 | BLACK, J/INT'L TRANSFORM |
| C/S #4372 | 04/07/1997 | 49.13 | BLACK,J/INTERNAT'L TRANSF |
| C/S #4388 | 04/11/1997 | 49.43 | BLACK,J/INTERNAT'L TRANSF |
| C/S-(6-3-97)IRS COLL | 06/19/1997 | 2300.00 | BLACK,J/IRS COLL SETOFF |
| CS(7-1-97)ST-INTERST | 07/01/1997 | 100.00 | BLACK,J/ST SETOFF-INTERST |