Case Number: 90C 00136
File Date: 08/15/1990
ST OF KS EX REL SRS
Address:
** SRS CASE CLOSED **
DOB:
Attorney:
MILLER, ALLAN E
Address:
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 9201 | 07/11/1994 | MILLER, A/PRIVATE IND COU | 89.24 |
| 9202 | 07/11/1994 | MILLER, A/PRIVATE IND COU | 89.24 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #010194 | 07/11/1994 | 89.24 | MILLER, A/PRIVATE IND COU |
| C/S #010383 | 07/11/1994 | 89.24 | MILLER, A/PRIVATE IND COU |