Case Number: 93D 00162
File Date: 12-16-1993
I/M/O SECRETARY SRS
Address:
*SRS ARREARS PD IN FULL*
DOB:
Attorney:
BAIRD, DEBRA
Address:
ONAGA KS 66521
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 6212 | 12/16/1993 | DOUGLAS, DEBRA | 282.00 |
| 7113 | 02/28/1994 | DOUGLAS, DEBRA | 282.00 |
| 7418 | 03/14/1994 | DOUGLAS, DEBRA | 282.00 |
| 7870 | 04/11/1994 | DOUGLAS,D/BEV CALIF CORP | 167.16 |
| 7954 | 04/18/1994 | DOUGLAS,D/GOL ACR-BEV CAL | 103.03 |
| 8083 | 04/29/1994 | DOUGLAS,D/BEV CALIF-ONAGA | 136.12 |
| 8378 | 05/17/1994 | DOUGLAS, DEBRA | 57.70 |
| 10829 | 05/17/1994 | SRS CENTRAL CASHIER | 57.70 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| FOSTER CARE #1922 | 12/16/1993 | 282.00 | DOUGLAS, DEBRA |
| C/S - JAN - #1981 | 02/28/1994 | 282.00 | DOUGLAS, DEBRA |
| CS/FOSCARE-FEB-#1996 | 03/14/1994 | 282.00 | DOUGLAS, DEBRA |
| C/S #8794426 | 04/11/1994 | 167.16 | DOUGLAS,D/BEV CALIF CORP |
| C/S #08831166 | 04/18/1994 | 103.03 | DOUGLAS,D/GOL ACR-BEV CAL |
| C/S #08861521 | 04/29/1994 | 136.12 | DOUGLAS,D/BEV CALIF-ONAGA |
| BEV CA CORP #8894698 | 05/17/1994 | 57.70 | DOUGLAS, DEBRA |