Case Number: 86R 00036
File Date: 06-12-1986
EPPERLEY, PATRICIA
Address:
DOB:
Attorney:
MICK, DENNIS
Address:
RT 1
HOLTON KS 66436
DOB: 10-12-1950
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 631 | 12/03/1991 | MICK/MARY | 25.00 |
| 8237 | 12/03/1991 | DEPT OF HUMAN SERVICES | 25.00 |
| 2010 | 05/06/1992 | MICK/MARY | 25.00 |
| 8776 | 05/06/1992 | DEPT OF HUMAN SERVICES | 25.00 |
| 2304 | 06/03/1992 | MICK/MARY | 0.00 |
| 2974 | 08/13/1992 | MICK/MARY | 0.00 |
| 3545 | 10/08/1992 | MICK/MARY | 0.00 |
| 3937 | 11/17/1992 | MICK/MARY | 0.00 |
| 4753 | 02/08/1993 | MICK/MARY | 0.00 |
| 6343 | 07/07/1993 | MICK, DENNIS | 0.00 |
| 6614 | 08/03/1993 | MICK/MARY | 25.00 |
| 10191 | 08/03/1993 | DEPT OF HUMAN SERVICES | 25.00 |
| 6998 | 09/07/1993 | MICK, DENNIS | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| ARR TO HUMAN SERVICE | 12/03/1991 | 25.00 | MICK/MARY |
| ARREARS TO HUMAN SER | 05/06/1992 | 25.00 | MICK/MARY |
| ARR 122 TO HUMAN SER | 06/03/1992 | 25.00 | MICK/MARY |
| ARR 239 TO HUMAN SER | 08/13/1992 | 20.00 | MICK/MARY |
| ARR 328 TO HUMAN SER | 10/08/1992 | 25.00 | MICK/MARY |
| ARR 388 TO HUMAN SER | 11/17/1992 | 20.00 | MICK/MARY |
| ARR 486 TO HUMAN SER | 02/08/1993 | 25.00 | MICK/MARY |
| ARR TO DEPT HUM SVC | 07/07/1993 | 25.00 | MICK, DENNIS |
| ARREARS TO HUMAN SER | 08/03/1993 | 25.00 | MICK/MARY |
| ARR M.O. DEP/HUM/SER | 09/07/1993 | 10.00 | MICK, DENNIS |