Case Number: 96R 00136
File Date: 09/25/1996
ST OF KS EX REL SRS ET AL
Address:
DOB:
Attorney:
WILLIFORD, SHANE M
Address:
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 39935 | 02/18/1997 | WILLIFORD,S/MS DEPT H.S. | 55.38 |
| 40682 | 03/07/1997 | WILLIFORD,S/MS DEPT H.S. | 55.38 |
| 41272 | 03/21/1997 | WILLIFORD,S/MS ST HUM SRV | 59.62 |
| 41681 | 04/01/1997 | WILLIFORD,S/ST OF MS | 62.31 |
| 42240 | 04/14/1997 | WILLIFORD,S/MS DEPT H.S. | 55.00 |
| 42746 | 04/28/1997 | WILLIFORD,S/MS ST HUM SRV | 62.31 |
| 43348 | 05/12/1997 | WILLIFORD,S/MS DEPT H.SER | 57.31 |
| 43891 | 05/27/1997 | WILLIFORD,S/MS DEPT H.S. | 62.31 |
| 44500 | 06/09/1997 | WILLIFORD,S/MS DEPT HM SR | 57.31 |
| 45102 | 06/24/1997 | WILLIFORD,S/MS DEPT HM SV | 62.31 |
| 45679 | 07/08/1997 | WILLIFORD, SHANE/ST OF MS | 41.14 |
| 45798 | 07/10/1997 | WILLIFORD, SHANE/ST OF MS | 16.17 |
| 46154 | 07/21/1997 | WILLIFORD,S/ST OF MISS | 62.31 |
| 46856 | 08/06/1997 | WILLIFORD, SHANE/ST OF MS | 36.52 |
| 46951 | 08/08/1997 | WILLIFORD,S/MS DEPT H.S. | 20.79 |
| 47280 | 08/18/1997 | WILLIFORD, SHANE M | 62.31 |
| 47758 | 09/02/1997 | WILLIFORD,S/MSDEPT HUM SR | 31.90 |
| 48051 | 09/08/1997 | WILLIFORD,S/MS HUM SERV | 25.41 |
| 48362 | 09/15/1997 | WILLIFORD,S/ST OF MISS | 62.31 |
| 48875 | 09/26/1997 | WILLIFORD,S/MS DEPT H.S. | 27.28 |
| 49331 | 10/06/1997 | WILLIFORD, SST OF MS | 30.03 |
| 49605 | 10/14/1997 | WILLIFORD,S/MS DEPT H.S. | 62.31 |
| 50086 | 10/27/1997 | WILLIFORD,S/MS DEPT H.S. | 22.66 |
| 50627 | 11/07/1997 | WILLIFORD,S/MS DEPT H.S. | 0.00 |
| 50689 | 11/10/1997 | WILLIFORD,S/MISS DEPT H.S | 0.00 |
| 51269 | 11/24/1997 | WILLIFORD,S/MS DEPT H.S. | 0.00 |
| 52851 | 01/06/1998 | WILLIFORD,S/MS DEP HUM SR | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #13246137 | 02/18/1997 | 55.38 | WILLIFORD,S/MS DEPT H.S. |
| C/S #13499055 | 03/07/1997 | 55.38 | WILLIFORD,S/MS DEPT H.S. |
| C/S #13971501 | 03/21/1997 | 59.62 | WILLIFORD,S/MS ST HUM SRV |
| C/S #14172912 | 04/01/1997 | 62.31 | WILLIFORD,S/ST OF MS |
| C/S #14662035 | 04/14/1997 | 55.00 | WILLIFORD,S/MS DEPT H.S. |
| C/S #14942673 | 04/28/1997 | 62.31 | WILLIFORD,S/MS ST HUM SRV |
| C/S #15326406 | 05/12/1997 | 57.31 | WILLIFORD,S/MS DEPT H.SER |
| C/S #15613632 | 05/27/1997 | 62.31 | WILLIFORD,S/MS DEPT H.S. |
| C/S #15962202 | 06/09/1997 | 57.31 | WILLIFORD,S/MS DEPT HM SR |
| C/S #16265061 | 06/24/1997 | 62.31 | WILLIFORD,S/MS DEPT HM SV |
| C/S-CK#16521903 | 07/08/1997 | 41.14 | WILLIFORD, SHANE/ST OF MS |
| C/S-CK#16622226 | 07/10/1997 | 16.17 | WILLIFORD, SHANE/ST OF MS |
| 19970717 #16931925 | 07/21/1997 | 62.31 | WILLIFORD,S/ST OF MISS |
| 19970806/CK#1722024 | 08/06/1997 | 36.52 | WILLIFORD, SHANE/ST OF MS |
| 19970804 #17340687 | 08/08/1997 | 20.79 | WILLIFORD,S/MS DEPT H.S. |
| 19970814/CK#17637381 | 08/18/1997 | 62.31 | WILLIFORD, SHANE M |
| 19970828 #17892576 | 09/02/1997 | 31.90 | WILLIFORD,S/MSDEPT HUM SR |
| 19970902 #18005679 | 09/08/1997 | 25.41 | WILLIFORD,S/MS HUM SERV |
| 19970911 #18268425 | 09/15/1997 | 62.31 | WILLIFORD,S/ST OF MISS |
| 19970923 #18548064 | 09/26/1997 | 27.28 | WILLIFORD,S/MS DEPT H.S. |
| 100297/CK#18775242 | 10/06/1997 | 30.03 | WILLIFORD, SST OF MS |
| 19971009 #19002195 | 10/14/1997 | 62.31 | WILLIFORD,S/MS DEPT H.S. |
| 19971023 #19316007 | 10/27/1997 | 22.66 | WILLIFORD,S/MS DEPT H.S. |
| 19971103 #19555794 | 11/07/1997 | 34.65 | WILLIFORD,S/MS DEPT H.S. |
| 19971106 #19682352 | 11/10/1997 | 62.31 | WILLIFORD,S/MISS DEPT H.S |
| 19971120 #20010546 | 11/24/1997 | 18.04 | WILLIFORD,S/MS DEPT H.S. |
| 19980101 #20968155 | 01/06/1998 | 39.27 | WILLIFORD,S/MS DEP HUM SR |