Case Number: 87D 00050
File Date: 03-25-1987
BURROUS, RICK L
Address:
WAMEGO KS 66547
DOB: 11/01/1957
Attorney:
REZAC, JENNIFER K
Address:
113 W. 4TH
ONAGA KS 66521
DOB: 03/02/1961
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 30 | 04/02/1992 | REZAC, JENNIFER K | 0.00 |
| 421 | 05/04/1992 | REZAC, JENNIFER K | 0.00 |
| 816 | 06/03/1992 | REZAC, JENNIFER K | 0.00 |
| 1147 | 07/02/1992 | REZAC, JENNIFER K | 0.00 |
| 1502 | 07/31/1992 | REZAC, JENNIFER K | 0.00 |
| 1895 | 09/02/1992 | REZAC, JENNIFER K | 0.00 |
| 2281 | 10/05/1992 | REZAC, JENNIFER K | 0.00 |
| 2525 | 11/02/1992 | REZAC, JENNIFER K | 0.00 |
| 2564 | 12/04/1992 | REZAC, JENNIFER K | 0.00 |
| 2606 | 01/05/1993 | REZAC, JENNIFER K | 0.00 |
| 2644 | 02/03/1993 | REZAC, JENNIFER K | 0.00 |
| 2645 | 02/03/1993 | REZAC, JENNIFER K | 0.00 |
| 2641 | 03/02/1993 | REZAC, JENNIFER K | 0.00 |
| 2808 | 04/01/1993 | REZAC, JENNIFER K | 0.00 |
| 3117 | 05/03/1993 | REZAC, JENNIFER K | 0.00 |
| 3560 | 06/03/1993 | REZAC, JENNIFER K | 0.00 |
| 3927 | 07/06/1993 | REZAC, JENNIFER K | 0.00 |
| 3928 | 07/06/1993 | REZAC, JENNIFER K | 0.00 |
| 4377 | 08/03/1993 | REZAC, JENNIFER K (#2744) | 0.00 |
| 4773 | 09/02/1993 | REZAC, JENNIFER K | 0.00 |
| 4774 | 09/02/1993 | REZAC, JENNIFER K | 0.00 |
| 5191 | 10/04/1993 | REZAC, JENNIFER K | 0.00 |
| 5192 | 10/04/1993 | REZAC, JENNIFER K | 0.00 |
| 5610 | 11/02/1993 | REZAC, JENNIFER K | 0.00 |
| 6017 | 12/02/1993 | REZAC, JENNIFER K | 0.00 |
| 6459 | 01-05-1994 | REZAC, JENNIFER K | 0.00 |
| 6816 | 02/02/1994 | REZAC, JENNIFER K | 0.00 |
| 7293 | 03/04/1994 | REZAC, JENNIFER K | 0.00 |
| 7294 | 03/04/1994 | REZAC, JENNIFER K | 0.00 |
| 7725 | 04/04/1994 | REZAC, JENNIFER K | 0.00 |
| 7726 | 04/04/1994 | REZAC, JENNIFER K | 0.00 |
| 8193 | 05/03/1994 | REZAC, JENNIFER K | 0.00 |
| 8194 | 05/03/1994 | REZAC, JENNIFER K | 0.00 |
| 8639 | 06/03/1994 | REZAC, JENNIFER K | 0.00 |
| 9070 | 07/05/1994 | REZAC, JENNIFER K | 0.00 |
| 9071 | 07/05/1994 | REZAC, JENNIFER K | 0.00 |
| 9554 | 08/02/1994 | REZAC, JENNIFER K | 0.00 |
| 9555 | 08/02/1994 | REZAC, JENNIFER K | 0.00 |
| 10004 | 09/02/1994 | REZAC, JENNIFER K | 0.00 |
| 10005 | 09/02/1994 | REZAC, JENNIFER K | 0.00 |
| 10453 | 10/03/1994 | REZAC, JENNIFER K | 0.00 |
| 10454 | 10/03/1994 | REZAC, JENNIFER K | 0.00 |
| 11026 | 11/03/1994 | REZAC, JENNIFER K | 0.00 |
| 11027 | 11/03/1994 | REZAC, JENNIFER K | 0.00 |
| 11477 | 12/02/1994 | REZAC, JENNIFER K | 0.00 |
| 11478 | 12/02/1994 | REZAC, JENNIFER K | 0.00 |
| 12177 | 01/04/1995 | REZAC, JENNIFER K | 0.00 |
| 13305 | 02/03/1995 | REZAC, JENNIFER K | 0.00 |
| 14323 | 03/03/1995 | REZAC, JENNIFER K | 0.00 |
| 15459 | 04/03/1995 | REZAC, JENNIFER K | 0.00 |
| 16778 | 05/03/1995 | REZAC, JENNIFER K | 0.00 |
| 18027 | 06/02/1995 | REZAC, JENNIFER K | 0.00 |
| 18028 | 06/02/1995 | REZAC, JENNIFER K | 0.00 |
| 19338 | 07/06/1995 | REZAC, JENNIFER K | 0.00 |
| 19339 | 07/06/1995 | REZAC, JENNIFER K | 0.00 |
| 20280 | 08/02/1995 | REZAC, JENNIFER K | 0.00 |
| 20281 | 08/02/1995 | REZAC, JENNIFER K | 0.00 |
| 21428 | 09/05/1995 | REZAC, JENNIFER K | 0.00 |
| 21429 | 09/05/1995 | REZAC, JENNIFER K | 0.00 |
| 22457 | 10/03/1995 | REZAC, JENNIFER K | 0.00 |
| 22458 | 10/03/1995 | REZAC, JENNIFER K | 0.00 |
| 23390 | 11/01/1995 | REZAC, JENNIFER K | 0.00 |
| 23391 | 11/01/1995 | REZAC, JENNIFER K | 0.00 |
| 24559 | 12/06/1995 | REZAC, JENNIFER K | 0.00 |
| 24560 | 12/06/1995 | REZAC, JENNIFER K | 0.00 |
| 25392 | 01/04/1996 | REZAC, JENNIFER K | 0.00 |
| 25393 | 01/04/1996 | REZAC, JENNIFER K | 0.00 |
| 26676 | 02/12/1996 | REZAC, JENNIFER K | 0.00 |
| 26977 | 02/21/1996 | REZAC, JENNIFER K | 0.00 |
| 26978 | 02/21/1996 | REZAC, JENNIFER K | 0.00 |
| 27624 | 03/08/1996 | REZAC, JENNIFER K | 0.00 |
| 28130 | 03/22/1996 | REZAC, JENNIFER K | 0.00 |
| 28131 | 03/22/1996 | REZAC, JENNIFER K | 0.00 |
| 28639 | 04/05/1996 | REZAC, JENNIFER K | 0.00 |
| 29188 | 04/23/1996 | REZAC, JENNIFER K | 0.00 |
| 29189 | 04/23/1996 | REZAC, JENNIFER K | 0.00 |
| 29715 | 05/06/1996 | REZAC, JENNIFER K | 0.00 |
| 30134 | 05/17/1996 | REZAC, JENNIFER K | 0.00 |
| 30135 | 05/17/1996 | REZAC, JENNIFER K | 0.00 |
| 31188 | 06/18/1996 | REZAC, JENNIFER K | 0.00 |
| 31595 | 07/01/1996 | REZAC, JENNIFER K | 0.00 |
| 31596 | 07/01/1996 | REZAC, JENNIFER K | 0.00 |
| 32067 | 07/15/1996 | REZAC, JENNIFER K | 0.00 |
| 32610 | 07/29/1996 | REZAC, JENNIFER K | 0.00 |
| 32611 | 07/29/1996 | REZAC, JENNIFER K | 0.00 |
| 33064 | 08/09/1996 | REZAC, JENNIFER K | 0.00 |
| 33511 | 08/23/1996 | REZAC, JENNIFER K | 0.00 |
| 33512 | 08/23/1996 | REZAC, JENNIFER K | 0.00 |
| 34061 | 09/09/1996 | REZAC, JENNIFER K | 0.00 |
| 34496 | 09/20/1996 | REZAC, JENNIFER K | 0.00 |
| 34497 | 09/20/1996 | REZAC, JENNIFER K | 0.00 |
| 35125 | 10/08/1996 | REZAC, JENNIFER K | 0.00 |
| 35666 | 10/21/1996 | REZAC, JENNIFER K | 0.00 |
| 36090 | 11/01/1996 | REZAC, JENNIFER K | 0.00 |
| 36986 | 11/26/1996 | REZAC, JENNIFER K | 0.00 |
| 36987 | 11/26/1996 | REZAC, JENNIFER K | 0.00 |
| 37705 | 12/16/1996 | REZAC, JENNIFER K | 0.00 |
| 37706 | 12/16/1996 | REZAC, JENNIFER K | 0.00 |
| 38156 | 12/30/1996 | REZAC, JENNIFER K | 0.00 |
| 38157 | 12/30/1996 | REZAC, JENNIFER K | 0.00 |
| 38640 | 01/13/1997 | REZAC, JENNIFER K | 0.00 |
| 38641 | 01/13/1997 | REZAC, JENNIFER K | 0.00 |
| 39088 | 01/27/1997 | REZAC, JENNIFER K | 0.00 |
| 39089 | 01/27/1997 | REZAC, JENNIFER K | 0.00 |
| 39648 | 02/10/1997 | REZAC, JENNIFER K | 0.00 |
| 39649 | 02/10/1997 | REZAC, JENNIFER K | 0.00 |
| 40124 | 02/24/1997 | REZAC, JENNIFER K | 0.00 |
| 40125 | 02/24/1997 | REZAC, JENNIFER K | 0.00 |
| 40751 | 03/10/1997 | REZAC, JENNIFER K | 104.50 |
| 40753 | 03/10/1997 | REZAC, JENNIFER K | 0.00 |
| 40755 | 03/10/1997 | REZAC, JENNIFER K | 0.00 |
| 40756 | 03/10/1997 | REZAC, JENNIFER K | 0.00 |
| 40794 | 03/10/1997 | REZAC, JENNIFER K | 0.00 |
| 40795 | 03/10/1997 | ADJUSTMENT | -104.50 |
| 41360 | 03/24/1997 | REZAC, JENNIFER K | 0.00 |
| 41361 | 03/24/1997 | REZAC, JENNIFER K | 0.00 |
| 41955 | 04/07/1997 | REZAC, JENNIFER K | 0.00 |
| 41956 | 04/07/1997 | REZAC, JENNIFER K | 0.00 |
| 42527 | 04/21/1997 | REZAC, JENNIFER K | 0.00 |
| 42528 | 04/21/1997 | REZAC, JENNIFER K | 0.00 |
| 43150 | 05/06/1997 | REZAC, JENNIFER K | 0.00 |
| 43151 | 05/06/1997 | REZAC, JENNIFER K | 0.00 |
| 43568 | 05/16/1997 | REZAC, JENNIFER K | 0.00 |
| 43569 | 05/16/1997 | REZAC, JENNIFER K | 0.00 |
| 44742 | 06/13/1997 | REZAC, JENNIFER K | 0.00 |
| 45336 | 06/30/1997 | REZAC, JENNIFER K | 0.00 |
| 45864 | 07/14/1997 | REZAC, JENNIFER K | 0.00 |
| 46406 | 07/28/1997 | REZAC, JENNIFER K | 0.00 |
| 47032 | 08/11/1997 | REZAC, JENNIFER K | 0.00 |
| 47547 | 08/25/1997 | REZAC, JENNIFER K | 0.00 |
| 48087 | 09/08/1997 | REZAC, JENNIFER K | 0.00 |
| 48614 | 09/22/1997 | REZAC, JENNIFER K | 0.00 |
| 49277 | 10/06/1997 | REZAC, JENNIFER K | 0.00 |
| 49779 | 10/17/1997 | REZAC, JENNIFER K | 0.00 |
| 51007 | 11/17/1997 | REZAC, JENNIFER K | 0.00 |
| 51488 | 12/01/1997 | REZAC, JENNIFER K | 0.00 |
| 52026 | 12/12/1997 | REZAC, JENNIFER K | 0.00 |
| 52594 | 12/30/1997 | REZAC, JENNIFER K | 0.00 |
| 53129 | 01/12/1998 | REZAC, JENNIFER K | 0.00 |
| 53601 | 01/26/1998 | REZAC, JENNIFER K | 0.00 |
| 54152 | 02/06/1998 | REZAC, JENNIFER K | 0.00 |
| 54626 | 02/19/1998 | REZAC, JENNIFER K | 0.00 |
| 55252 | 03/04/1998 | REZAC, JENNIFER K | 0.00 |
| 55898 | 03/20/1998 | REZAC, JENNIFER K | 0.00 |
| 56530 | 04/03/1998 | REZAC, JENNIFER K | 0.00 |
| 57145 | 04/17/1998 | REZAC, JENNIFER K | 0.00 |
| 57808 | 05/01/1998 | REZAC, JENNIFER K | 0.00 |
| 58402 | 05/18/1998 | REZAC, JENNIFER K | 0.00 |
| 59674 | 06/12/1998 | BOSSE, JENNIFER K | 0.00 |
| 60272 | 06/26/1998 | BOSSE, JENNIFER K | 0.00 |
| 60983 | 07/14/1998 | BOSSE, JENNIFER K | 0.00 |
| 61541 | 07/27/1998 | BOSSE, JENNIFER K | 0.00 |
| 62135 | 08/07/1998 | BOSSE, JENNIFER K | 0.00 |
| 62835 | 08/24/1998 | BOSSE, JENNIFER K | 0.00 |
| 63600 | 09/10/1998 | BOSSE, JENNIFER K | 0.00 |
| 63931 | 09/18/1998 | BOSSE, JENNIFER K | 0.00 |
| 64585 | 10/02/1998 | BOSSE, JENNIFER K | 0.00 |
| 65286 | 10/19/1998 | BOSSE, JENNIFER K | 0.00 |
| 66616 | 11/17/1998 | BOSSE, JENNIFER K | 0.00 |
| 67154 | 12/01/1998 | BOSSE, JENNIFER K | 0.00 |
| 67762 | 12/14/1998 | BOSSE, JENNIFER K | 0.00 |
| 68331 | 12/28/1998 | BOSSE, JENNIFER K | 0.00 |
| 69069 | 01/08/1999 | BOSSE, JENNIFER K | 0.00 |
| 69700 | 01/22/1999 | BOSSE, JENNIFER K | 0.00 |
| 70436 | 02/08/1999 | BOSSE, JENNIFER K | 0.00 |
| 70954 | 02/22/1999 | BOSSE, JENNIFER K | 0.00 |
| 71670 | 03/08/1999 | REZAC, JENNIFER K | 0.00 |
| 72356 | 03/23/1999 | REZAC, JENNIFER K | 0.00 |
| 72934 | 04/05/1999 | REZAC, JENNIFER K | 0.00 |
| 73514 | 04/19/1999 | REZAC, JENNIFER K | 0.00 |
| 74843 | 05/17/1999 | REZAC, JENNIFER K | 0.00 |
| 75438 | 06/01/1999 | REZAC, JENNIFER K | 0.00 |
| 76136 | 06/14/1999 | REZAC, JENNIFER K | 0.00 |
| 76662 | 06/28/1999 | REZAC, JENNIFER K | 0.00 |
| 77303 | 07/12/1999 | REZAC, JENNIFER K | 0.00 |
| 78589 | 08/09/1999 | REZAC, JENNIFER K | 0.00 |
| 79265 | 08/23/1999 | REZAC, JENNIFER K | 0.00 |
| 79900 | 09/07/1999 | REZAC, JENNIFER K | 0.00 |
| 80506 | 09/20/1999 | REZAC, JENNIFER K | 0.00 |
| 81117 | 10/04/1999 | REZAC, JENNIFER K | 0.00 |
| 81825 | 10/18/1999 | REZAC, JENNIFER K | 0.00 |
| 82982 | 11/15/1999 | REZAC, JENNIFER K | 0.00 |
| 83455 | 11/29/1999 | REZAC, JENNIFER K | 0.00 |
| 84132 | 12/13/1999 | REZAC, JENNIFER K | 0.00 |
| 84718 | 12/28/1999 | REZAC, JENNIFER K | 0.00 |
| 85273 | 01/10/2000 | REZAC, JENNIFER K | 0.00 |
| 85876 | 01/24/2000 | REZAC, JENNIFER K | 0.00 |
| 86549 | 02/07/2000 | REZAC, JENNIFER K | 0.00 |
| 87231 | 02/22/2000 | REZAC, JENNIFER K | 0.00 |
| 87880 | 03/06/2000 | REZAC, JENNIFER K | 0.00 |
| 88395 | 03/17/2000 | REZAC, JENNIFER K | 0.00 |
| 89665 | 04/14/2000 | REZAC, JENNIFER K | 0.00 |
| 90258 | 04/28/2000 | REZAC, JENNIFER K | 0.00 |
| 90993 | 05/15/2000 | REZAC, JENNIFER K | 0.00 |
| 91640 | 05/30/2000 | REZAC, JENNIFER K | 0.00 |
| 92217 | 06/12/2000 | REZAC, JENNIFER K | 0.00 |
| 92753 | 06/23/2000 | REZAC, JENNIFER K | 0.00 |
| 93466 | 07/10/2000 | REZAC, JENNIFER K | 0.00 |
| 94214 | 07/24/2000 | REZAC, JENNIFER K | 0.00 |
| 94890 | 08/04/2000 | REZAC, JENNIFER K | 0.00 |
| 95427 | 08/17/2000 | REZAC, JENNIFER K | 0.00 |
| 96803 | 09/18/2000 | REZAC, JENNIFER K | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #1946 | 04/02/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #1995 | 05/04/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #2047 | 06/03/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #2089 | 07/02/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #2143 | 07/31/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #2201 | 09/02/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #2256 | 10/05/1992 | 107.50 | REZAC, JENNIFER K |
| C/S #2298 | 11/02/1992 | 178.00 | REZAC, JENNIFER K |
| C/S - DEC - #2339 | 12/04/1992 | 178.00 | REZAC, JENNIFER K |
| C/S - JAN - #2405 | 01/05/1993 | 178.00 | REZAC, JENNIFER K |
| C/S #2436 | 02/03/1993 | 178.00 | REZAC, JENNIFER K |
| REIMB MEDICAL #2447 | 02/03/1993 | 39.53 | REZAC, JENNIFER K |
| C/S - MAR - #2469 | 03/02/1993 | 178.00 | REZAC, JENNIFER K |
| C/S #2520 | 04/01/1993 | 209.00 | REZAC, JENNIFER K |
| C/S - MAY - #2573 | 05/03/1993 | 209.00 | REZAC, JENNIFER K |
| C/S - JUNE - #2652 | 06/03/1993 | 209.00 | REZAC, JENNIFER K |
| C/S #2688 | 07/06/1993 | 209.00 | REZAC, JENNIFER K |
| 2/3 OF MEDICAL,#2693 | 07/06/1993 | 62.70 | REZAC, JENNIFER K |
| CS-AUG LESS HALF JUL | 08/03/1993 | 104.50 | REZAC, JENNIFER K (#2744) |
| MEDICAL PMT #2783 | 09/02/1993 | 20.00 | REZAC, JENNIFER K |
| C/S - SEPT - #2782 | 09/02/1993 | 209.00 | REZAC, JENNIFER K |
| C/S - OCT - #2817 | 10/04/1993 | 209.00 | REZAC, JENNIFER K |
| MEDICAL REIMB #2818 | 10/04/1993 | 20.00 | REZAC, JENNIFER K |
| C/S - NOV - #2850 | 11/02/1993 | 209.00 | REZAC, JENNIFER K |
| C/S - DEC - #2894 | 12/02/1993 | 209.00 | REZAC, JENNIFER K |
| C/S - JAN - #2935 | 01-05-1994 | 209.00 | REZAC, JENNIFER K |
| C/S - FEB - #2978 | 02/02/1994 | 209.00 | REZAC, JENNIFER K |
| C/S - MAR - #3011 | 03/04/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #3012 | 03/04/1994 | 20.00 | REZAC, JENNIFER K |
| C/S - APR - #3064 | 04/04/1994 | 209.00 | REZAC, JENNIFER K |
| PRESC, #3065 | 04/04/1994 | 20.00 | REZAC, JENNIFER K |
| C/S - MAY - #3101 | 05/03/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #3102 | 05/03/1994 | 20.00 | REZAC, JENNIFER K |
| C/S (COUNTER CHECK) | 06/03/1994 | 209.00 | REZAC, JENNIFER K |
| C/S - JULY - #113 | 07/05/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #114 | 07/05/1994 | 20.00 | REZAC, JENNIFER K |
| C/S--AUG--#120 | 08/02/1994 | 209.00 | REZAC, JENNIFER K |
| JASON-MEDICAL-#121 | 08/02/1994 | 25.00 | REZAC, JENNIFER K |
| C/S #162 | 09/02/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL | 09/02/1994 | 25.00 | REZAC, JENNIFER K |
| C/S-OCT-#193 | 10/03/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL-#194 | 10/03/1994 | 25.00 | REZAC, JENNIFER K |
| C/S-NOV-#230 | 11/03/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #231 | 11/03/1994 | 25.00 | REZAC, JENNIFER K |
| C/S-DEC-#265 | 12/02/1994 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #266 | 12/02/1994 | 25.00 | REZAC, JENNIFER K |
| C/S-JAN-#323 | 01/04/1995 | 209.00 | REZAC, JENNIFER K |
| C/S #363 | 02/03/1995 | 209.00 | REZAC, JENNIFER K |
| C/S-MARCH-#507 | 03/03/1995 | 209.00 | REZAC, JENNIFER K |
| C/S #546 | 04/03/1995 | 209.00 | REZAC, JENNIFER K |
| C/S-MAY-#584 | 05/03/1995 | 209.00 | REZAC, JENNIFER K |
| C/S-JUNE-#629 | 06/02/1995 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #639 | 06/02/1995 | 25.00 | REZAC, JENNIFER K |
| C/S-JULY-#669 | 07/06/1995 | 209.00 | REZAC, JENNIFER K |
| MEDICAL(JASON)#670 | 07/06/1995 | 25.00 | REZAC, JENNIFER K |
| C/S #708 | 08/02/1995 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #709 | 08/02/1995 | 25.00 | REZAC, JENNIFER K |
| C/S #762 | 09/05/1995 | 209.00 | REZAC, JENNIFER K |
| NON C/S PMT #763 | 09/05/1995 | 25.00 | REZAC, JENNIFER K |
| C/S #806 | 10/03/1995 | 209.00 | REZAC, JENNIFER K |
| MEDICAL #807 | 10/03/1995 | 25.00 | REZAC, JENNIFER K |
| C/S-NOV-#844 | 11/01/1995 | 209.00 | REZAC, JENNIFER K |
| JASON/MEDICAL #845 | 11/01/1995 | 25.00 | REZAC, JENNIFER K |
| C/S-DEC-#875 | 12/06/1995 | 209.00 | REZAC, JENNIFER K |
| JASON-MEDICAL-#876 | 12/06/1995 | 25.00 | REZAC, JENNIFER K |
| C/S-JAN-#911 | 01/04/1996 | 209.00 | REZAC, JENNIFER K |
| MEDICAL-#912 | 01/04/1996 | 25.00 | REZAC, JENNIFER K |
| C/S/ #982 | 02/12/1996 | 104.50 | REZAC, JENNIFER K |
| JASON MEDICAL/1001 | 02/21/1996 | 25.00 | REZAC, JENNIFER K |
| C/S #1002 | 02/21/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-HALF MAR-#1024 | 03/08/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-HALF MAR-#1043 | 03/22/1996 | 104.50 | REZAC, JENNIFER K |
| JASON-MEDICAL-#1044 | 03/22/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-HALF APR-#1076 | 04/05/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-APR-#1126 | 04/23/1996 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1128 | 04/23/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-MAY-#1144 | 05/06/1996 | 104.50 | REZAC, JENNIFER K |
| C/S MAY #1104 | 05/17/1996 | 104.50 | REZAC, JENNIFER K |
| JASON MEDICAL #1105 | 05/17/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-JUNE-#1151 | 06/18/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-JUNE-#1169 | 07/01/1996 | 104.50 | REZAC, JENNIFER K |
| MEDICAL(JASON)-#1170 | 07/01/1996 | 25.00 | REZAC, JENNIFER K |
| C/S/ JASON 1/2 JULY | 07/15/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-JULY-#1281 | 07/29/1996 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1282 | 07/29/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-AUG-#1296 | 08/09/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-AUG-#1312 | 08/23/1996 | 104.50 | REZAC, JENNIFER K |
| JASON MEDICAL #1313 | 08/23/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-HALF SEPT-#1330 | 09/09/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-SEPT-#1345 | 09/20/1996 | 104.50 | REZAC, JENNIFER K |
| MEDICAL-JASON #1346 | 09/20/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-HALF OCT-#1363 | 10/08/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-OCT-#1383 | 10/21/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-HALF NOV-#1395 | 11/01/1996 | 104.50 | REZAC, JENNIFER K |
| C/S-NOV-#1419 | 11/26/1996 | 104.50 | REZAC, JENNIFER K |
| JASON-MEDICAL-#1420 | 11/26/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-DEC-#1445 | 12/16/1996 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1446 | 12/16/1996 | 25.00 | REZAC, JENNIFER K |
| C/S-DEC-#1455 | 12/30/1996 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1456 | 12/30/1996 | 30.00 | REZAC, JENNIFER K |
| C/S-JAN-#1466 | 01/13/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1467 | 01/13/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-JAN-#1480 | 01/27/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1481 | 01/27/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-FEB-#1506 | 02/10/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL-#1507 | 02/10/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-FEB-#1528 | 02/24/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1529 | 02/24/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-MAR-#1541 | 03/10/1997 | 104.50 | REZAC, JENNIFER K |
| ADJ#40751 TO WR PMT | 03/10/1997 | -104.50 | REZAC, JENNIFER K |
| ADJUST NON-SRS | 03/10/1997 | 0.00 | REZAC, JENNIFER K |
| C/S-MAR-#1541 | 03/10/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1542 | 03/10/1997 | 30.00 | REZAC, JENNIFER K |
| ADJUST NON-SRS | 03/10/1997 | 0.00 | REZAC, JENNIFER K |
| ADJ#40753/WRONG ADJ | 03/10/1997 | 104.50 | REZAC, JENNIFER K |
| ADJ#40751 TO WR PMT | 03/10/1997 | -104.50 | REZAC, JENNIFER K |
| ADJUST NON-SRS | 03/10/1997 | 0.00 | REZAC, JENNIFER K |
| C/S-MAR-#1561 | 03/24/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1562 | 03/24/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-HALF APR-#1580 | 04/07/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1581 | 04/07/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-APRIL-#1600 | 04/21/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1601 | 04/21/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-MAY-#1620 | 05/06/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL(JASON)#1621 | 05/06/1997 | 25.00 | REZAC, JENNIFER K |
| C/S-2ND MAY-#1657 | 05/16/1997 | 104.50 | REZAC, JENNIFER K |
| MEDICAL #1658 | 05/16/1997 | 30.00 | REZAC, JENNIFER K |
| C/S-JUNE-#1705 | 06/13/1997 | 104.50 | REZAC, JENNIFER K |
| C/S-JUNE-#1729 | 06/30/1997 | 104.50 | REZAC, JENNIFER K |
| C/S-CK#1740 | 07/14/1997 | 104.50 | REZAC, JENNIFER K |
| 19970725#1760-JUL CS | 07/28/1997 | 104.50 | REZAC, JENNIFER K |
| 1997088#1775-1/2 AUG | 08/11/1997 | 104.50 | REZAC, JENNIFER K |
| 19970818 #1807 | 08/25/1997 | 104.50 | REZAC, JENNIFER K |
| 0905-HALF SEPT-#1826 | 09/08/1997 | 104.50 | REZAC, JENNIFER K |
| 19970919 #1839-SEPT | 09/22/1997 | 104.50 | REZAC, JENNIFER K |
| 100397/CK#1860 | 10/06/1997 | 104.50 | REZAC, JENNIFER K |
| 19971017 #1884-OCT | 10/17/1997 | 104.50 | REZAC, JENNIFER K |
| 1114 #1925-HALF NOV | 11/17/1997 | 104.50 | REZAC, JENNIFER K |
| 19971128 #1940-NOV | 12/01/1997 | 104.50 | REZAC, JENNIFER K |
| 1212 #1955-HALF DEC | 12/12/1997 | 104.50 | REZAC, JENNIFER K |
| 19971223 #1975-DEC | 12/30/1997 | 104.50 | REZAC, JENNIFER K |
| 19980109-#2001-JAN | 01/12/1998 | 104.50 | REZAC, JENNIFER K |
| 19980123/CK#2012 | 01/26/1998 | 104.50 | REZAC, JENNIFER K |
| 980201-#2043-1ST FEB | 02/06/1998 | 104.50 | REZAC, JENNIFER K |
| 980220#2068-HALF FEB | 02/19/1998 | 104.50 | REZAC, JENNIFER K |
| 980303#2094,HALF MAR | 03/04/1998 | 104.50 | REZAC, JENNIFER K |
| 19980320 #2112-MARCH | 03/20/1998 | 104.50 | REZAC, JENNIFER K |
| 19980403/CK#2134 | 04/03/1998 | 104.50 | REZAC, JENNIFER K |
| 19980417 #2151-APRIL | 04/17/1998 | 104.50 | REZAC, JENNIFER K |
| 19980501/CK#2178 | 05/01/1998 | 104.50 | REZAC, JENNIFER K |
| 19980515#2195-1/2MAY | 05/18/1998 | 104.50 | REZAC, JENNIFER K |
| 19980612-#2226-JUNE | 06/12/1998 | 104.50 | BOSSE, JENNIFER K |
| 19980626#2249JUN 1/2 | 06/26/1998 | 104.50 | BOSSE, JENNIFER K |
| 19980710#2264,JUL1/2 | 07/14/1998 | 104.50 | BOSSE, JENNIFER K |
| 19980724 #2287-JULY | 07/27/1998 | 104.50 | BOSSE, JENNIFER K |
| 19980807 #2308-AUG | 08/07/1998 | 104.50 | BOSSE, JENNIFER K |
| 19980821 #2326-AUG | 08/24/1998 | 104.50 | BOSSE, JENNIFER K |
| 9-4-98#2347-HALF SEP | 09/10/1998 | 104.50 | BOSSE, JENNIFER K |
| 19980918#2363-1/2SEP | 09/18/1998 | 104.50 | BOSSE, JENNIFER K |
| 19981001#2385-1/2OCT | 10/02/1998 | 104.50 | BOSSE, JENNIFER K |
| 19981016#2405-1/2OCT | 10/19/1998 | 104.50 | BOSSE, JENNIFER K |
| 19981113#2448-NOV | 11/17/1998 | 104.50 | BOSSE, JENNIFER K |
| 19981124 #2473 | 12/01/1998 | 104.50 | BOSSE, JENNIFER K |
| 19981208#2499DEC HLF | 12/14/1998 | 104.50 | BOSSE, JENNIFER K |
| 19981224#2527PRT DEC | 12/28/1998 | 104.50 | BOSSE, JENNIFER K |
| 19990108 #2538-JAN | 01/08/1999 | 104.50 | BOSSE, JENNIFER K |
| 19990122/CK#2558 | 01/22/1999 | 104.50 | BOSSE, JENNIFER K |
| 19990205#2584-PT.FEB | 02/08/1999 | 104.50 | BOSSE, JENNIFER K |
| 19990217#2609-PT FEB | 02/22/1999 | 104.50 | BOSSE, JENNIFER K |
| 19990305/CK#2624 | 03/08/1999 | 104.50 | REZAC, JENNIFER K |
| 19990319/CK#2629 | 03/23/1999 | 104.50 | REZAC, JENNIFER K |
| 19990401 #2653-APRIL | 04/05/1999 | 104.50 | REZAC, JENNIFER K |
| 19990416 #2677 | 04/19/1999 | 104.50 | REZAC, JENNIFER K |
| 19990514#2724HALFMAY | 05/17/1999 | 104.50 | REZAC, JENNIFER K |
| 19990601 #2750 | 06/01/1999 | 104.50 | REZAC, JENNIFER K |
| 19990611 #2773 | 06/14/1999 | 104.50 | REZAC, JENNIFER K |
| 19990625#2790-JUNE | 06/28/1999 | 104.50 | REZAC, JENNIFER K |
| 19990709#2809-JULY | 07/12/1999 | 104.50 | REZAC, JENNIFER K |
| 19990806#2847-PT AUG | 08/09/1999 | 104.50 | REZAC, JENNIFER K |
| 19990820#2871-PT AUG | 08/23/1999 | 104.50 | REZAC, JENNIFER K |
| 19990903#2885-SEPT. | 09/07/1999 | 104.50 | REZAC, JENNIFER K |
| 19990917#2899-PT SEP | 09/20/1999 | 104.50 | REZAC, JENNIFER K |
| 19991001#2924-NOV | 10/04/1999 | 104.50 | REZAC, JENNIFER K |
| 19991015#2945-OCT | 10/18/1999 | 104.50 | REZAC, JENNIFER K |
| 19991112#2895-NOV | 11/15/1999 | 104.50 | REZAC, JENNIFER K |
| 19991123#3007-NOV. | 11/29/1999 | 104.50 | REZAC, JENNIFER K |
| 19991210#3024 | 12/13/1999 | 104.50 | REZAC, JENNIFER K |
| 19991223#3043-DEC. | 12/28/1999 | 104.50 | REZAC, JENNIFER K |
| 20000107#3058-JAN. | 01/10/2000 | 104.50 | REZAC, JENNIFER K |
| 20000121#3089-JAN. | 01/24/2000 | 104.50 | REZAC, JENNIFER K |
| 20000204#3109-FEB | 02/07/2000 | 104.50 | REZAC, JENNIFER K |
| 20000218#3128-PT FEB | 02/22/2000 | 104.50 | REZAC, JENNIFER K |
| 20000304#3150-MAR | 03/06/2000 | 104.50 | REZAC, JENNIFER K |
| 20000317#3170 | 03/17/2000 | 104.50 | REZAC, JENNIFER K |
| 2000414/CK#3205 | 04/14/2000 | 104.50 | REZAC, JENNIFER K |
| 20000428/CK#3221 | 04/28/2000 | 104.50 | REZAC, JENNIFER K |
| 20000512#3251-MAY | 05/15/2000 | 104.50 | REZAC, JENNIFER K |
| 20000626/CK#3266 | 05/30/2000 | 104.50 | REZAC, JENNIFER K |
| 20000609/CK#3281 | 06/12/2000 | 104.50 | REZAC, JENNIFER K |
| 20000623#3295 | 06/23/2000 | 104.50 | REZAC, JENNIFER K |
| 20000707/CK#3315 | 07/10/2000 | 104.50 | REZAC, JENNIFER K |
| 20000721/CK#3341 | 07/24/2000 | 104.50 | REZAC, JENNIFER K |
| 20000804/CK#3355 | 08/04/2000 | 104.50 | REZAC, JENNIFER K |
| 20000818/CK#3385 | 08/17/2000 | 104.50 | REZAC, JENNIFER K |
| 20000912/CK#3450 | 09/18/2000 | 104.50 | REZAC, JENNIFER K |