Case Number: 95TR03296
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Name: FLEWELLEN, TRACY
Address:
82ND MED CO FT. RILEY, KS 66442
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 16635 | 01/11/1996 | FLEWELLEN, TRACY | FINE & FEE | 28.00 |
| 17695 | 02/05/1996 | FLEWELLEN, TRACY | FINAL PAYMENT | 28.00 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 15902 | 12/22/1995 | FINE AMOUNT | 14.00 | 0.00 |
| 15903 | 12/22/1995 | DOCKET FEES | 42.00 | 0.00 |
| 16635 | 01/11/1996 | PAYOR-> FLEWELLEN, T | 0.00 | 28.00 |
| 17695 | 02/05/1996 | PAYOR-> FLEWELLEN, T | 0.00 | 28.00 |