Case Number: 96L 00040
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Name: KOEHN, DONNA & WILLIAM
Address:
JEFF CO MEMORIAL HOSPITAL KOEHN, DONNA & WILLIAM
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 33403 | 1/31/1996 | JEFF CO MEMORIAL HOSPITAL | DOCKET FEES | 16.50 |
| 42746 | 10/10/1996 | BANK IV | JUDGMENT/STAMPED | 0.00 |
| 43663 | 11/5/1996 | BANK IV | JUDGMENT/STAMPED | 0.00 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 33403 | 1/31/1996 | PAYOR-> JEFF CO MEMO | 16.50 | 16.50 |
| 42745 | 10/10/1996 | JUDGMENT AMOUNT | 211.29 | 0.00 |
| 42746 | 10/10/1996 | PAYOR-> BANK IV | 0.00 | 211.29 |
| 43662 | 11/5/1996 | JUDGMENT AMOUNT | 3.59 | 0.00 |
| 43663 | 11/5/1996 | PAYOR-> BANK IV | 0.00 | 3.59 |