Case Number: 76D 10962
File Date: 11-08-1971
HERCULES, JOANNE
Address:
5016 MEADOWVIEW
WICHITA KS 67216
DOB:
Attorney:
HERCULES, GUS
Address:
(OKLA DEPT OF HUM SERV)
DOB:
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 1 | 10/19/1994 | PETITION |
| 2 | 10/19/1994 | AFFIDAVIT |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 1436 | 07/28/1992 | HERCULES/OK DEPT HUM SERV | 75.00 |
| 1989 | 09/09/1992 | HERCULES/OKLA DEP HUM SER | 50.00 |
| 2369 | 10/12/1992 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 2502 | 11/02/1992 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 2601 | 12/08/1992 | HERCULES/STATE OF OKLA | 50.00 |
| 2612 | 01/08/1993 | HERCULES/ST OF OKLAHOMA | 50.00 |
| 2643 | 02/10/1993 | HERCULES/ST OF OKLAHOMA | 50.00 |
| 2645 | 03/11/1993 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 2921 | 04/08/1993 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 3253 | 05/10/1993 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 3711 | 06/15/1993 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 4102 | 07/14/1993 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 4472 | 08/09/1993 | HERCULES/OK DEPT HUM SERV | 50.00 |
| 4988 | 09/17/1993 | HERCULES,G/OK HUMAN SERV | 50.00 |
| 5348 | 10/14/1993 | HERCULES,G/OK DEPT H.S. | 50.00 |
| 5745 | 11/12/1993 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 6130 | 12/09/1993 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 6603 | 01-18-1994 | HERCULES,G/OK DEPT H.S. | 50.00 |
| 7098 | 02/25/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 7540 | 03/23/1994 | HERCULES,G/OK DPT HUM SER | 50.00 |
| 8024 | 04/25/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 8427 | 05/20/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 8907 | 06/24/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 9276 | 07/18/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 9777 | 08/17/1994 | HERCULES,G/OK DPT HUM SER | 50.00 |
| 10262 | 09/19/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 10745 | 10/19/1994 | HERCULES,G/OK DEP HUM SER | 50.00 |
| 11354 | 11/28/1994 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 11888 | 12/29/1994 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 12544 | 01/17/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 14087 | 02/27/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 14702 | 03/13/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 16318 | 04/24/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 17554 | 05/22/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 19027 | 06/29/1995 | HERCULES,G/DEP HUM SER,OK | 100.00 |
| 19887 | 07/24/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 21323 | 09/01/1995 | HERCULES,G/ST COMPTR, TX | 263.00 |
| 22360 | 10/02/1995 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 24116 | 11/27/1995 | HERCULES,G/OKLA DEPT H.S. | 100.00 |
| 25241 | 01/02/1996 | HERCULES,G/OK DEP HUM SER | 100.00 |
| 26486 | 02/06/1996 | HERCULES, G/ ST OF OKLA | 100.00 |
| 27779 | 03/13/1996 | HERCULES,G/ST OF DEP H.S. | 169.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #0597020 | 07/28/1992 | 75.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0626400 | 09/09/1992 | 50.00 | HERCULES/OKLA DEP HUM SER |
| C/S #0653742 | 10/12/1992 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0672628 | 11/02/1992 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0695699 | 12/08/1992 | 50.00 | HERCULES/STATE OF OKLA |
| C/S #0717215 | 01/08/1993 | 50.00 | HERCULES/ST OF OKLAHOMA |
| C/S #0736399 | 02/10/1993 | 50.00 | HERCULES/ST OF OKLAHOMA |
| C/S #0760235 | 03/11/1993 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0780827 | 04/08/1993 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0801246 | 05/10/1993 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0831122 | 06/15/1993 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0853351 | 07/14/1993 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0870615 | 08/09/1993 | 50.00 | HERCULES/OK DEPT HUM SERV |
| C/S #0900334 | 09/17/1993 | 50.00 | HERCULES,G/OK HUMAN SERV |
| C/S #0922265 | 10/14/1993 | 50.00 | HERCULES,G/OK DEPT H.S. |
| C/S #0938589 | 11/12/1993 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #0963262 | 12/09/1993 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #0995494 | 01-18-1994 | 50.00 | HERCULES,G/OK DEPT H.S. |
| C/S #1021985 | 02/25/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1046880 | 03/23/1994 | 50.00 | HERCULES,G/OK DPT HUM SER |
| C/S #1070781 | 04/25/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1098267 | 05/20/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1127423 | 06/24/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1145312 | 07/18/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1172319 | 08/17/1994 | 50.00 | HERCULES,G/OK DPT HUM SER |
| C/S #1196589 | 09/19/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1221499 | 10/19/1994 | 50.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1254533 | 11/28/1994 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1285541 | 12/29/1994 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1299040 | 01/17/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1338621 | 02/27/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1355150 | 03/13/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1390494 | 04/24/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #0039829001 | 05/22/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #1457532 | 06/29/1995 | 100.00 | HERCULES,G/DEP HUM SER,OK |
| C/S #0039829001 | 07/24/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #0039829001 | 09/01/1995 | 263.00 | HERCULES,G/ST COMPTR, TX |
| C/S #1550389 | 10/02/1995 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S #0039829001 | 11/27/1995 | 100.00 | HERCULES,G/OKLA DEPT H.S. |
| C/S #1646833 | 01/02/1996 | 100.00 | HERCULES,G/OK DEP HUM SER |
| C/S/ #1684132 | 02/06/1996 | 100.00 | HERCULES, G/ ST OF OKLA |
| C/S #0039829001 | 03/13/1996 | 169.00 | HERCULES,G/ST OF DEP H.S. |