Case Number: 00D 00065
File Date: 06/02/2000
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
MARTINDALE, ORA & SUSAN
Address:
HAVENSILLVE, KS 66432
DOB:
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 1 | 01/01/1998 | SRS V. MARTINGALE -- 00D65 -- |
| 2 | 01/01/1998 | ============================================================ |
| 3 | 12/03/2001 | NOTICE OF TERMINATION OF IV-D SERVICES--(SRS ASSN TERM) |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 92771 | 06/23/2000 | MARTINDALE,ORA/SUSAN | 50.00 |
| 94474 | 07/28/2000 | MARTINDALE,SUSAN (&ORA) | 50.00 |
| 95944 | 08/30/2000 | MARTINDALE, ORA & SUSAN | 50.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| 20000621#9402 | 06/23/2000 | 50.00 | MARTINDALE,ORA/SUSAN |
| 20000721#9427 | 07/28/2000 | 50.00 | MARTINDALE,SUSAN (&ORA) |
| 20000827/CK#9459 | 08/30/2000 | 50.00 | MARTINDALE, ORA & SUSAN |