Case Number: 94SC00037
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Name: FAIRCHILD, CRYSTAL
Address:
VALLEY FALLS MEDICAL CLIN CRYSTAL FAIRCHILD
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 11344 | 5/4/1994 | VALLEY FALLS MEDICAL CLIN | DOCKET FEES | 16.50 |
| 13171 | 6/27/1994 | STONE, PATTY | JUDGMENT | 0.00 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 11344 | 5/4/1994 | PAYOR-> VALLEY FALLS | 16.50 | 16.50 |
| 13170 | 6/27/1994 | JUDGMENT AMOUNT | 143.50 | 0.00 |
| 13171 | 6/27/1994 | PAYOR-> STONE, PATTY | 0.00 | 143.50 |