Case Number: 97D 00001
File Date: 01/02/1997
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
JACKSON, REGINA K
Address:
ST GEORGE KS 66535
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 39679 | 02/11/1997 | JACKSON, REGINA K | 225.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #64592364047 M/O | 02/11/1997 | 225.00 | JACKSON, REGINA K |