Case Number: 87R 00073
File Date: 11/09/1987
ST OF KS, EX REL., SRS
Address:
DOB:
Attorney: NAAB, WILMA J.
CULLIP, DAVID LLOYD
Address:
C/O RUTH KEMP
CLAY CENTER KS 67432
DOB:
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 1 | 06/15/1999 | RENEWAL AFFIDAVIT FI'D BY ATTY NAAB C/A |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 3551 | 05/26/1994 | CULLIP/ST OF LOUISIANA | 190.48 |
| 3654 | 06/14/1994 | CULLIP/ST OF LOUISIANA | 95.24 |
| 9645 | 05/11/1995 | CULLIP/STATE SETOFF | 0.00 |
| 11045 | 07/18/1995 | CULLIP, DAVID LLOYD | 225.00 |
| 15255 | 12/05/1995 | ADJUSTMENT | 210.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #4165010 | 5/26/1994 | 190.48 | CULLIP/ST OF LOUISIANA |
| C/S #4218938 | 6/14/1994 | 95.24 | CULLIP/ST OF LOUISIANA |
| ST SETOFF 5/6/95 | 5/11/1995 | 141.00 | CULLIP/STATE SETOFF |
| C/S (3 - M.O.'S) | 7/18/1995 | 225.00 | CULLIP, DAVID LLOYD |
| ADJUST SRS | 12/5/1995 | 0.00 | CULLIP, DAVID LLOYD |
| ADJ REC #14758 | 12/5/1995 | 210.00 | CULLIP, DAVID LLOYD |