Case Number: 95TR01036
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Name: SHROYER, KIM S.
Address:
4120 NW 70TH KANSAS CITY MO 64137
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 13892 | 10/27/1995 | CHIROPRACTIC ARTS #6436 | FINE AND FE | 310.00 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 13865 | 10/26/1995 | FINE AMOUNT | 218.00 | 0.00 |
| 13866 | 10/26/1995 | DOCKET FEES | 42.00 | 0.00 |
| 13867 | 10/26/1995 | D L REINSTATEMENT | 50.00 | 0.00 |
| 13892 | 10/27/1995 | PAYOR-> CHIROPRACTIC | 0.00 | 310.00 |