Case Number: 90D 00100
File Date: 06-20-1990
DRINKARD, MICHELLE
Address:
RT 2 BOX 254
VALLEY FALLS KS 66088
DOB: 08-02-1970
Attorney:
DRINKARD, ERIC
Address:
RT 1
DENISON KS 66419
DOB: 06-14-1953
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 19521 | 05/26/1995 | DRINKARD, ERIC | 225.00 |
| 19673 | 06/01/1995 | DRINKARD, ERIC | 0.00 |
| 30105 | 06/07/1996 | DRINKARD, ERIC | 225.00 |
| 30106 | 06/07/1996 | ADJUSTMENT | -225.00 |
| 30107 | 06/07/1996 | DRINKARD, ERIC | 0.00 |
| 30108 | 06/07/1996 | DRINKARD, ERIC | 0.00 |
| 38014 | 02/28/1997 | DRINKARD, ERIC | 0.00 |
| 38437 | 03/12/1997 | DRINKARD, ERIC | 0.00 |
| 44305 | 08/29/1997 | C/S M.O. TO MICHELLE | 0.00 |
| 44567 | 09/08/1997 | DRINKARD, ERIC | 0.00 |
| 66337 | 04/09/1999 | C/S M.O. TO MICHELLE | 225.00 |
| 66338 | 04/09/1999 | ADJUSTMENT | -225.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #18545 TO CSE | 05/26/1995 | 225.00 | DRINKARD, ERIC |
| RECPTD WRONG CASE | 06/01/1995 | -225.00 | DRINKARD, ERIC |
| ADJUST SRS | 06/01/1995 | 0.00 | DRINKARD, ERIC |
| C/S M/O TO MICHELLE | 06/07/1996 | 225.00 | DRINKARD, ERIC |
| SHOULD BE W/R | 06/07/1996 | -225.00 | DRINKARD, ERIC |
| C/S M/O TO MICHELLE | 06/07/1996 | 225.00 | DRINKARD, ERIC |
| POSTED TO WRONG CASE | 06/07/1996 | -225.00 | DRINKARD, ERIC |
| ADJUST NON-SRS | 06/07/1996 | 0.00 | DRINKARD, ERIC |
| C/S M.O. TO MICHELLE | 02/28/1997 | 225.00 | DRINKARD, ERIC |
| WRONG CASE | 03/12/1997 | -225.00 | DRINKARD, ERIC |
| ADJUST NON-SRS | 03/12/1997 | 0.00 | DRINKARD, ERIC |
| 19970827 | 08/29/1997 | 225.00 | C/S M.O. TO MICHELLE |
| RECEIPTED WRONG CASE | 09/08/1997 | -225.00 | DRINKARD, ERIC |
| ADJUST NON-SRS | 09/08/1997 | 0.00 | DRINKARD, ERIC |
| 19990409 | 04/09/1999 | 225.00 | C/S M.O. TO MICHELLE |
| SHOULD BE W/R | 04/09/1999 | -225.00 | DRINKARD, ERIC |
| ADJUST NON-SRS | 04/09/1999 | 0.00 | DRINKARD, ERIC |