Case Number: 90D 00025
File Date: 02-27-1990
CSE RECEIVABLES
Address:
652 WEST
TOPEKA KS 66612
DOB:
Attorney:
SIMS, CLAUDIA
Address:
GIRARD KS 66743
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 254 | 10/21/1991 | SIMS, CLAUDIA | 0.00 |
| 665 | 12/09/1991 | SIMS/SRS NOTICE REC'D | 0.00 |
| 794 | 12/23/1991 | SIMS, CLAUDIA | 0.00 |
| 1069 | 01/27/1992 | SIMS, CLAUDIA | 0.00 |
| 1473 | 03/12/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 1610 | 03/30/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 1742 | 04/10/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 1838 | 04/22/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 1981 | 05/04/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 1982 | 05/04/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 1983 | 05/04/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 2017 | 05/07/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 2291 | 06/02/1992 | SIMS/ STATE UNEMPL SETOFF | 0.00 |
| 2359 | 06/08/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 2390 | 06/12/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 2625 | 07/06/1992 | SIMS, CLAUDIA | 0.00 |
| 2890 | 08/03/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 2891 | 08/03/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 2978 | 08/12/1992 | SIMS/SRS NOTICE REC'D | 0.00 |
| 4040 | 11/30/1992 | SIMS/T.W.G. NURSING HOME | 11.54 |
| 4279 | 12/22/1992 | SIMS/T.W.G. NURSING HOME | 23.18 |
| 4802 | 02/12/1993 | SIMS/T.W.G. NURSING HOME | 46.16 |
| 5259 | 03/30/1993 | SIMS/T.W.G. NURSING HOME | 34.62 |
| 5989 | 06/03/1993 | SIMS/HERITAGE | 55.70 |
| 6423 | 07/14/1993 | SIMS/SRS NOTICE RECEIVED | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| JUDGMENT #569 | 10/21/1991 | 50.00 | SIMS, CLAUDIA |
| STATE INCOME TAX | 12/09/1991 | 191.00 | SIMS/SRS NOTICE REC'D |
| JUDGMENT 686 TO SRS | 12/23/1991 | 50.00 | SIMS, CLAUDIA |
| JUDGMENT TO SRS 738 | 01/27/1992 | 50.00 | SIMS, CLAUDIA |
| UNEMPLOYMENT INS BEN | 03/12/1992 | 81.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 03/30/1992 | 145.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 04/10/1992 | 162.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 04/22/1992 | 162.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 05/04/1992 | 81.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 05/04/1992 | 81.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 05/04/1992 | 81.00 | SIMS/SRS NOTICE REC'D |
| STATE INCOME TAX REF | 05/07/1992 | 84.15 | SIMS/SRS NOTICE REC'D |
| SRS NOTICE RECD | 06/02/1992 | 81.00 | SIMS/ STATE UNEMPL SETOFF |
| UNEMPLOYMENT INS BEN | 06/08/1992 | 243.00 | SIMS/SRS NOTICE REC'D |
| FED INCOME TAX REF | 06/12/1992 | 1263.77 | SIMS/SRS NOTICE REC'D |
| UNEMPL SETOFF | 07/06/1992 | 81.00 | SIMS, CLAUDIA |
| UNEMPLOYMENT INS BEN | 08/03/1992 | 162.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 08/03/1992 | 243.00 | SIMS/SRS NOTICE REC'D |
| UNEMPLOYMENT INS BEN | 08/12/1992 | 74.00 | SIMS/SRS NOTICE REC'D |
| JUDG TO CSE 2012 | 11/30/1992 | 11.54 | SIMS/T.W.G. NURSING HOME |
| JUDG TO CSE 2019 | 12/22/1992 | 23.18 | SIMS/T.W.G. NURSING HOME |
| JUDG TO CSE 2028 | 02/12/1993 | 46.16 | SIMS/T.W.G. NURSING HOME |
| JUDG TO CSE 2033 | 03/30/1993 | 34.62 | SIMS/T.W.G. NURSING HOME |
| JUDG 2039 TO CSE | 06/03/1993 | 55.70 | SIMS/HERITAGE |
| FEDERAL INCOME TAX | 07/14/1993 | 681.27 | SIMS/SRS NOTICE RECEIVED |