Case Number: 87D 00067
File Date: 11/04/1987
CRITCHFIELD, ANNETTE A
Address:
714 IDAHO APT 16
HOLTON KS 66436
DOB:
Attorney:
CRITCHFIELD, WILLIAM D
Address:
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 10033 | 05/20/1994 | CRITCHFIELD, WILLIAM D | 0.00 |
| 19509 | 05/25/1995 | CRITCHFIELD, WILLIAM D | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| SRS SETOFF - FEDERAL | 05/20/1994 | 416.00 | CRITCHFIELD, WILLIAM D |
| ADJ NEGATIVE ADJMENT | 05/25/1995 | -416.00 | CRITCHFIELD, WILLIAM D |
| ADJUST NON-SRS | 05/25/1995 | 0.00 | CRITCHFIELD, WILLIAM D |