Case Number: 87C 00191
File Date: 12/04/1987
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
MERRIMAN, FRANCIS O
Address:
KANSAS CITY MO 64126
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 7885 | 04/12/1994 | MERRIMAN, FRANCIS O | 0.00 |
| 8409 | 05/19/1994 | MERRIMAN,F/DIRECT PMT-SRS | 0.00 |
| 19307 | 07/06/1995 | MERRIMAN,F/SRS OTHER PMT | 0.00 |
| 20228 | 08/01/1995 | MERRIMAN,F/SRS MEMO | 0.00 |
| 21256 | 08/31/1995 | MERRIMAN,F(DIRECT PMT) | 0.00 |
| 22556 | 10/05/1995 | MERRIMAN,F(DIR TO SRS) | 0.00 |
| 23435 | 11/02/1995 | MERRIMAN,F/DIRECT SRS PMT | 0.00 |
| 24376 | 12/01/1995 | MERRIMAN,F(MEMO PMT) | 0.00 |
| 25399 | 01/04/1996 | MERRIMAN,F/SRS DIRECT PMT | 0.00 |
| 29080 | 04/19/1996 | MERRIMAN,F/HENRY CO, MO | 900.00 |
| 29513 | 05/01/1996 | MERRIMAN,R/HENRY CO, MO | 100.00 |
| 37610 | 12/12/1996 | MERRIMAN,F/HENRY CO, MO | 280.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S(3-31)DIR PMT-SRS | 04/12/1994 | 250.00 | MERRIMAN, FRANCIS O |
| C/S (5-2-94) DIR PMT | 05/19/1994 | 250.00 | MERRIMAN,F/DIRECT PMT-SRS |
| C/S-(6-30-95)-OTHER | 07/06/1995 | 250.00 | MERRIMAN,F/SRS OTHER PMT |
| C/S (PD SRS DIRECT) | 08/01/1995 | 250.00 | MERRIMAN,F/SRS MEMO |
| CS-DIRECT PMT TO SRS | 08/31/1995 | 250.00 | MERRIMAN,F(DIRECT PMT) |
| C/S=DIRCT PMT TO SRS | 10/05/1995 | 250.00 | MERRIMAN,F(DIR TO SRS) |
| C/S (DIR PMT TO SRS) | 11/02/1995 | 250.00 | MERRIMAN,F/DIRECT SRS PMT |
| C/S (DIRECT TO SRS) | 12/01/1995 | 250.00 | MERRIMAN,F(MEMO PMT) |
| C/S--SRS DIR,1-3-96 | 01/04/1996 | 215.00 | MERRIMAN,F/SRS DIRECT PMT |
| C/S #0044244 | 04/19/1996 | 900.00 | MERRIMAN,F/HENRY CO, MO |
| C/S #0044471 | 05/01/1996 | 100.00 | MERRIMAN,R/HENRY CO, MO |
| C/S #0049390 | 12/12/1996 | 280.00 | MERRIMAN,F/HENRY CO, MO |