Case Number: 95L 00084
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Name: HARMON, JEANNINE A
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ANESTHESIA ASSOC/TOPEKA JEANNINE A HARMON
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 22906 | 4/10/1995 | VALENTINE, THOMAS A | DOCKET FEES | 16.50 |
| 29284 | 9/29/1995 | STATE OF KANSAS | JUDGMENT | 0.00 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 22906 | 4/10/1995 | PAYOR-> VALENTINE, T | 16.50 | 16.50 |
| 29283 | 9/29/1995 | JUDGMENT AMOUNT | 90.63 | 0.00 |
| 29284 | 9/29/1995 | PAYOR-> STATE OF KAN | 0.00 | 90.63 |