Case Number: 95D 00062
File Date: 04/19/1995
ST OF KS EX REL SRS
Address:
DOB:
Attorney:
SCHREINER, KURTIS W
Address:
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 21433 | 09/05/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 21901 | 09/18/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 22843 | 10/16/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 23262 | 10/30/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 23755 | 11/13/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 24114 | 11/27/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 24681 | 12/11/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 25099 | 12/26/1995 | SCHREINER,K/SMOOT CO | 22.50 |
| 25552 | 01/09/1996 | SCHREINER,K/SMOOT CO | 22.50 |
| 25711 | 01/12/1996 | SCHREINER(S.ACOSTA)BANNIS | 2184.00 |
| 25950 | 01/22/1996 | SCHREINER,K/SMOOT CO | 22.50 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #031624 | 09/05/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #031811 | 09/18/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #032195 | 10/16/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #032383 | 10/30/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #032559 | 11/13/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #032706 | 11/27/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #032851 | 12/11/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #033100 | 12/26/1995 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #033175 | 01/09/1996 | 22.50 | SCHREINER,K/SMOOT CO |
| C/S #185842(CASH CK) | 01/12/1996 | 2184.00 | SCHREINER(S.ACOSTA)BANNIS |
| C/S #033361 | 01/22/1996 | 22.50 | SCHREINER,K/SMOOT CO |