Case Number: 94D 00076
File Date: 06-13-1994
ST OF KS EX REL SRS ET AL
Address:
DOB:
Attorney:
SCHULTZ, WILLIAM N
Address:
MOGADORE OH 44260
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 8780 | 06/14/1994 | SCHULTZ,W/BLACKS AUTO CLI | 104.00 |
| 9294 | 07/20/1994 | SCHULTZ/BLACKS AUTO CLIN | 104.00 |
| 9592 | 08/05/1994 | SCHULTZ/BLACKS AUTO CLIN | 104.00 |
| 10215 | 09/15/1994 | SCHULTZ,W/BLACKS AUTO CLI | 104.00 |
| 10637 | 10/12/1994 | SCHULTZ/BLACKS AUTO CLIN | 104.00 |
| 11258 | 11/18/1994 | SCHULTZ/BLACKS AUTO CLIN | 104.00 |
| 11676 | 12/13/1994 | SCHULTZ,W/BLACK AUTO CLIN | 104.00 |
| 23877 | 11/16/1995 | SCHULTZ/BLACKS AUTO CLIN | 104.00 |
| 26935 | 02/20/1996 | SCHULTZ, WILLIAM N | 112.00 |
| 26936 | 02/20/1996 | SCHULTZ, WILLIAM N | 112.00 |
| 26937 | 02/20/1996 | SCHULTZ, WILLIAM N | 112.00 |
| 31092 | 06/14/1996 | SCHULTZ, WILLIAM N | 277.00 |
| 33794 | 09/03/1996 | SCHULTZ, WILLIAM N | 361.25 |
| 35917 | 10/28/1996 | SCHULTZ/FIRST MERIT/BANK | 400.00 |
| 39627 | 02/10/1997 | SCHULTZ, WILLIAM N | 90.00 |
| 40931 | 03/13/1997 | SCHULTZ, WILLIAM N | 242.00 |
| 43083 | 05/05/1997 | SCHULTZ,W/TRAV EXP M/O | 88.00 |
| 44610 | 06/11/1997 | SCHULTZ, WILLIAM N | 172.00 |
| 46438 | 07/28/1997 | SCHULTZ,W/ALLYSON BUSKIRK | 84.00 |
| 47514 | 08/25/1997 | SCHULTZ,W(ALLYSON BUSKIRK | 84.00 |
| 49152 | 10/02/1997 | SCHULTZ,W/ALLYSON BUSKIRK | 84.00 |
| 50387 | 11/03/1997 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 51524 | 12/01/1997 | SCHULTZ,W(ALLYSON BUSKIRK | 168.00 |
| 52694 | 01/02/1998 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 53648 | 01/26/1998 | SCHULTZ, WILLIAM N | 84.00 |
| 55027 | 03/02/1998 | SCHULTZ, WILLIAM N | 84.00 |
| 56550 | 04/03/1998 | SCHULTZ, WILLIAM N | 84.00 |
| 58403 | 05/18/1998 | SCHULTZ,W(A.BUSKIRK) | 84.00 |
| 60308 | 06/29/1998 | SCHULTZ, WILLIAM N | 84.00 |
| 61553 | 07/27/1998 | SCHULTZ,W/ALLYSON BUSKIRK | 84.00 |
| 63114 | 08/31/1998 | SCHULTZ,W/ALLYSON BUSKIRK | 84.00 |
| 64280 | 09/28/1998 | SCHULTZ/ALLYSON BUSKIRK | 84.00 |
| 65553 | 10/26/1998 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 67299 | 12/03/1998 | SCHULTZ,W(ALLYSON) | 84.00 |
| 69783 | 01/25/1999 | SCHULTZ(ALLYSON BUSKIRK) | 168.00 |
| 70977 | 02/22/1999 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 72851 | 04/05/1999 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 74193 | 05/03/1999 | SCHULTZ,W/ALLYSON BUSKIRK | 84.00 |
| 75301 | 05/27/1999 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 76640 | 06/28/1999 | SCHULTZ/ALLYSON BURKIRK | 84.00 |
| 78230 | 08/02/1999 | SCHULTZ(ALLYSON BUSKIRK) | 84.00 |
| 79277 | 08/23/1999 | SCHULTZ/ALLYSON BUSKIRK | 84.00 |
| 81164 | 10/04/1999 | SCHULTZ,W/ALLYSON BUSKIRK | 84.00 |
| 91847 | 06/05/2000 | SCHULTZ, WILLIAM N | 200.00 |
| 92531 | 06/19/2000 | SCHULTZ, WILLIAM N | 200.00 |
| 92549 | 06/19/2000 | SCHULTZ, WILLIAM N | 272.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #5543 | 06/14/1994 | 104.00 | SCHULTZ,W/BLACKS AUTO CLI |
| C/S #5562 | 07/20/1994 | 104.00 | SCHULTZ/BLACKS AUTO CLIN |
| C/S #5607 | 08/05/1994 | 104.00 | SCHULTZ/BLACKS AUTO CLIN |
| C/S #5577 | 09/15/1994 | 104.00 | SCHULTZ,W/BLACKS AUTO CLI |
| C/S #5592 | 10/12/1994 | 104.00 | SCHULTZ/BLACKS AUTO CLIN |
| C/S #5642 | 11/18/1994 | 104.00 | SCHULTZ/BLACKS AUTO CLIN |
| C/S #5663 | 12/13/1994 | 104.00 | SCHULTZ,W/BLACK AUTO CLIN |
| C/S #5868 | 11/16/1995 | 104.00 | SCHULTZ/BLACKS AUTO CLIN |
| CSDEC95#15-226936651 | 02/20/1996 | 112.00 | SCHULTZ, WILLIAM N |
| CSJAN96#15-226936650 | 02/20/1996 | 112.00 | SCHULTZ, WILLIAM N |
| CSFEB#15-226936649 | 02/20/1996 | 112.00 | SCHULTZ, WILLIAM N |
| C/S #84575082482 M/O | 06/14/1996 | 277.00 | SCHULTZ, WILLIAM N |
| CS&ARRS#70399464003 | 09/03/1996 | 361.25 | SCHULTZ, WILLIAM N |
| C/S #888813 M/O | 10/28/1996 | 400.00 | SCHULTZ/FIRST MERIT/BANK |
| C/S #70500129194 M/O | 02/10/1997 | 90.00 | SCHULTZ, WILLIAM N |
| C/S #70612923799 M/O | 03/13/1997 | 242.00 | SCHULTZ, WILLIAM N |
| C/S #70617471199 M/O | 05/05/1997 | 88.00 | SCHULTZ,W/TRAV EXP M/O |
| C/S-CK#922 | 06/11/1997 | 172.00 | SCHULTZ, WILLIAM N |
| 19970724 #106 | 07/28/1997 | 84.00 | SCHULTZ,W/ALLYSON BUSKIRK |
| 19970819 #127 | 08/25/1997 | 84.00 | SCHULTZ,W(ALLYSON BUSKIRK |
| 19970919 #148 | 10/02/1997 | 84.00 | SCHULTZ,W/ALLYSON BUSKIRK |
| 19971020 #160 | 11/03/1997 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19971119 #187 | 12/01/1997 | 168.00 | SCHULTZ,W(ALLYSON BUSKIRK |
| 19971229 #215 | 01/02/1998 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19980121/CK#229 | 01/26/1998 | 84.00 | SCHULTZ, WILLIAM N |
| 19980223 #249 | 03/02/1998 | 84.00 | SCHULTZ, WILLIAM N |
| 19980325/CK#280 | 04/03/1998 | 84.00 | SCHULTZ, WILLIAM N |
| 19980514 #319 | 05/18/1998 | 84.00 | SCHULTZ,W(A.BUSKIRK) |
| 19980616/CK#339 | 06/29/1998 | 84.00 | SCHULTZ, WILLIAM N |
| 19980721 #353 | 07/27/1998 | 84.00 | SCHULTZ,W/ALLYSON BUSKIRK |
| 19980825 #380 | 08/31/1998 | 84.00 | SCHULTZ,W/ALLYSON BUSKIRK |
| 19980923 #398 | 09/28/1998 | 84.00 | SCHULTZ/ALLYSON BUSKIRK |
| 19981019 #436 | 10/26/1998 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19981123 #444 | 12/03/1998 | 84.00 | SCHULTZ,W(ALLYSON) |
| 19990119 #478 | 01/25/1999 | 168.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19990217 #494 | 02/22/1999 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19990330 #529 | 04/05/1999 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19990422 #547 | 05/03/1999 | 84.00 | SCHULTZ,W/ALLYSON BUSKIRK |
| 19990524 #566 | 05/27/1999 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19990618#579 | 06/28/1999 | 84.00 | SCHULTZ/ALLYSON BURKIRK |
| 19990727#597 | 08/02/1999 | 84.00 | SCHULTZ(ALLYSON BUSKIRK) |
| 19990817#608 | 08/23/1999 | 84.00 | SCHULTZ/ALLYSON BUSKIRK |
| 19991001#633 | 10/04/1999 | 84.00 | SCHULTZ,W/ALLYSON BUSKIRK |
| 20000530/CK#855 | 06/05/2000 | 200.00 | SCHULTZ, WILLIAM N |
| 20000613/CK#858 | 06/19/2000 | 200.00 | SCHULTZ, WILLIAM N |
| 20000616/CK#861 | 06/19/2000 | 272.00 | SCHULTZ, WILLIAM N |