Case Number: 96D 00024
File Date: 02/08/1996
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
CARLEY, T J
Address:
OVERLAND PARK KS 66202
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 29502 | 05/01/1996 | CARLEY,T/OLD CHICAGO REST | 33.27 |
| 30595 | 06/03/1996 | CARLEY,T/OLD CHICAGO,COLO | 33.84 |
| 31564 | 07/01/1996 | CARLEY,T/OLD CHICAGO,COLO | 35.00 |
| 31976 | 07/11/1996 | CARLEY,T/STATE SETOFF | 0.00 |
| 32589 | 07/29/1996 | CARLEY,T/OLD CHICAGO BAR | 35.00 |
| 33472 | 08/22/1996 | CARLEY,T/OLD CHICAGO, COL | 35.00 |
| 33915 | 09/05/1996 | CARLEY, T J | 4130.89 |
| 34486 | 09/20/1996 | CARLEY/OLD CHICAGO-RK BOT | 35.00 |
| 36083 | 11/01/1996 | CARLEY,T/ROCK BOTTOM REST | 31.99 |
| 37057 | 12/02/1996 | CARLEY,T/OLD CHICAGO, CO | 16.83 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #6887 | 05/01/1996 | 33.27 | CARLEY,T/OLD CHICAGO REST |
| C/S #7168 | 06/03/1996 | 33.84 | CARLEY,T/OLD CHICAGO,COLO |
| C/S #7403 | 07/01/1996 | 35.00 | CARLEY,T/OLD CHICAGO,COLO |
| C/S-(6-15-96)-STATE | 07/11/1996 | 32.00 | CARLEY,T/STATE SETOFF |
| C/S #7607 | 07/29/1996 | 35.00 | CARLEY,T/OLD CHICAGO BAR |
| C/S #7916 | 08/22/1996 | 35.00 | CARLEY,T/OLD CHICAGO, COL |
| C/S-ARREARS-#905 | 09/05/1996 | 4130.89 | CARLEY, T J |
| C/S #2210 | 09/20/1996 | 35.00 | CARLEY/OLD CHICAGO-RK BOT |
| C/S #2359 | 11/01/1996 | 31.99 | CARLEY,T/ROCK BOTTOM REST |
| C/S #8617 | 12/02/1996 | 16.83 | CARLEY,T/OLD CHICAGO, CO |