Case Number: 90D 00006
File Date: 01/25/1990
SRS-KANSAS
Address:
DOB:
Attorney:
MASQUAT, GAYLE A.
Address:
RT 2 BOX 49A 14
MAYETTA KS 66509
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 5728 | 05/11/1993 | MASQUAT, GAYLE A. | 0.00 |
| 5909 | 06/01/1993 | MASQUAT/SRS NOTICE REC | 0.00 |
| 11327 | 08/08/1994 | MASQUAT, GAYLE A. | 20.00 |
| 19589 | 05/30/1995 | MASQUAT, GAYLE A. | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| SRS NOT SETOFF STATE | 05/11/1993 | 65.00 | MASQUAT, GAYLE A. |
| FEDERAL INC. TAX REC | 06/01/1993 | 263.00 | MASQUAT/SRS NOTICE REC |
| JUDG TO CSE | 08/08/1994 | 20.00 | MASQUAT, GAYLE A. |
| SRS SETOFF - FEDERAL | 05/30/1995 | 400.00 | MASQUAT, GAYLE A. |