Case Number: 97TR01741
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Name: RAMIREZ, KIRK
Address:
82ND MEDICAL BAT. FT. RILEY, KS 66442
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 32392 | 07/01/1997 | RAMIREZ, KIRK | FINE AND FEE | 69.00 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 32392 | 07/01/1997 | PAYOR-> RAMIREZ, KIR | 69.00 | 69.00 |