Case Number: 91D 00118
File Date: 10-04-1991
ST OF KS EX REL SRS
Address:
*SRS CASE CLOSED 7-31-93*
DOB:
Attorney:
GAREIS, CYNTHIA
Address:
RT 2, BOX 372
WAMEGO KS 66547
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 155 | 04/08/1992 | GAREIS, CYNTHIA A | 0.00 |
| 566 | 05/12/1992 | GAREIS, CYNTHIA | 0.00 |
| 900 | 06/09/1992 | GAREIS, CYNTHIA | 72.00 |
| 1241 | 07/08/1992 | GAREIS, CYNTHIA | 72.00 |
| 1659 | 08/12/1992 | GAREIS, CYNTHIA | 72.00 |
| 1987 | 09/09/1992 | GAREIS, CYNTHIA | 72.00 |
| 2368 | 10/12/1992 | GAREIS, CYNTHIA | 72.00 |
| 2494 | 11/06/1992 | GAREIS, CYNTHIA | 72.00 |
| 2557 | 12/03/1992 | GAREIS, CYNTHIA | 72.00 |
| 2613 | 01/06/1993 | GAREIS, CYNTHIA | 72.00 |
| 2631 | 02/01/1993 | GAREIS, CYNTHIA | 72.00 |
| 2642 | 03/02/1993 | GAREIS, CYNTHIA | 72.00 |
| 2861 | 04/05/1993 | GAREIS, CYNTHIA | 72.00 |
| 3251 | 05/10/1993 | GAREIS, CYNTHIA | 72.00 |
| 3526 | 06/02/1993 | GAREIS, CYNTHIA | 72.00 |
| 4016 | 07/07/1993 | GAREIS, CYNTHIA | 72.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #3111 | 04/08/1992 | 72.00 | GAREIS, CYNTHIA A |
| CS/FOSTER CARE #3149 | 05/12/1992 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3L80 | 06/09/1992 | 72.00 | GAREIS, CYNTHIA |
| C/S #3200 | 07/08/1992 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3235 | 08/12/1992 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3259 | 09/09/1992 | 72.00 | GAREIS, CYNTHIA |
| FOST CARE(AMY)#3286 | 10/12/1992 | 72.00 | GAREIS, CYNTHIA |
| C/S #3306 | 11/06/1992 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE (AMY) | 12/03/1992 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3339 | 01/06/1993 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3357 | 02/01/1993 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3379 | 03/02/1993 | 72.00 | GAREIS, CYNTHIA |
| FOSTER CARE #3405 | 04/05/1993 | 72.00 | GAREIS, CYNTHIA |
| C/S (AMY) #3426 | 05/10/1993 | 72.00 | GAREIS, CYNTHIA |
| FOST CARE(AMY)#3439 | 06/02/1993 | 72.00 | GAREIS, CYNTHIA |
| FOST CARE(AMY) #3566 | 07/07/1993 | 72.00 | GAREIS, CYNTHIA |