Case Number: 96L 00073
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Name: MONDERO, DENNIS
Address:
JEFF CO MEMORIAL HOSPITAL MONDERO, DENNIS
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 35242 | 3/22/1996 | JEFF CO MEMORIAL HOSPITAL | DOCKET FEES | 16.50 |
| 79633 | 5/14/1999 | MONDERO, DENNIS | JUDGMENT AMOUNT | 65.25 |
| 10111 | 5/14/1999 | JF CO. MEMORIAL HOSPITAL | DISBURSEMENT | 65.25 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 35242 | 3/22/1996 | PAYOR-> JEFF CO MEMO | 16.50 | 16.50 |
| 79633 | 5/14/1999 | PAYOR-> MONDERO, DEN | 65.25 | 65.25 |