Case Number: 93D 00085
File Date: 07/13/1993
BEATTY, KIMBERLY K
Address:
DOB: 08/19/1973
Attorney:
BLACKFORD, JERRY A
Address:
DOB: 11/11/1970
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 1 | 02/25/1998 | AFFIDAVIT OF SERVICE (IWO BY SRS UPON FRIENDLY COOKER) |
| 2 | 03/16/1998 | EMPLOYER ANSWER (COPY TO MS.NAAB) |
| 3 | 05/22/1998 | NOTICE OF TERMINATION OF EMPL. (EFF. 5-8-98) CC: MS.NAAB |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 18666 | 06/19/1995 | BLACKFORD,J/LABOR READY | 21.46 |
| 19442 | 07/10/1995 | BLACKFORD, J/LBR READY IN | 190.62 |
| 20666 | 08/14/1995 | BLACKFORD,J/LABOR READY | 112.45 |
| 21842 | 09/15/1995 | BLACKFORD,J/LABOR READY | 75.99 |
| 30597 | 06/03/1996 | BLACKFORD,J/WESTERN STAFF | 155.35 |
| 32924 | 08/06/1996 | BLACKFORD,J/WESTERN STAFF | 12.37 |
| 32925 | 08/06/1996 | BLACKFORD,J/WESTERN STAFF | 107.31 |
| 32926 | 08/06/1996 | BLACKFORD,J/WESTERN STAFF | 102.58 |
| 32927 | 08/06/1996 | BLACKFORD,J/WESTERN STAFF | 91.77 |
| 33361 | 08/20/1996 | BLACKFORD,J/WEST STF SERV | 51.75 |
| 34734 | 09/23/1996 | BLACKFORD,J/WESTERN STAFF | 11.42 |
| 34942 | 10/07/1996 | BLACKFORD,J/WESTERN STAFF | 60.13 |
| 35175 | 09/30/1996 | BLACKFORD,J/WESTERN STAFF | 63.00 |
| 35449 | 10/15/1996 | BLACKFORD,J/WESTERN STF | 63.00 |
| 35626 | 10/21/1996 | BLACKFORD,J/WESTRN STF SV | 63.00 |
| 35873 | 10/28/1996 | BLACKFORD,J/WESTERN STFF | 63.00 |
| 36170 | 11/04/1996 | BLACKFORD,J/WESTN STF SRV | 63.00 |
| 36455 | 11/12/1996 | BLACKFORD,J/WESTRN STF SV | 19.28 |
| 36810 | 11/21/1996 | BLACKFORD/WESTERN STAFF | 63.00 |
| 36968 | 11/26/1996 | BLACKFORD,J/WESTERN STFF | 63.00 |
| 55640 | 03/16/1998 | BLACKFORD,J/FRIENDLY COOK | 63.00 |
| 56207 | 03/27/1998 | BLACKFORD,J/FRIENDLY CKR | 126.00 |
| 56793 | 04/09/1998 | BLACKFORD,J/FRIENDLY COOK | 99.39 |
| 57296 | 04/21/1998 | BLACKFORD,J/FRIENDLY COOK | 63.00 |
| 58234 | 05/12/1998 | BLACKFORD,J/FRIENDLY COOK | 126.00 |
| 58680 | 05/22/1998 | BLACKFORD,J/FRIENDLY COOK | 59.15 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S-(GARN #1)-#55699 | 06/19/1995 | 21.46 | BLACKFORD,J/LABOR READY |
| C/S #56890 | 07/10/1995 | 190.62 | BLACKFORD, J/LBR READY IN |
| C/S #60826 | 08/14/1995 | 112.45 | BLACKFORD,J/LABOR READY |
| C/S-GARN-#62184 | 09/15/1995 | 75.99 | BLACKFORD,J/LABOR READY |
| C/S #527165 | 06/03/1996 | 155.35 | BLACKFORD,J/WESTERN STAFF |
| C/S #518720,DTD 6-4 | 08/06/1996 | 12.37 | BLACKFORD,J/WESTERN STAFF |
| C/S #519676,DTD 6-10 | 08/06/1996 | 107.31 | BLACKFORD,J/WESTERN STAFF |
| C/S #520583,DTD 6-18 | 08/06/1996 | 102.58 | BLACKFORD,J/WESTERN STAFF |
| C/S #521881,DTD 6-24 | 08/06/1996 | 91.77 | BLACKFORD,J/WESTERN STAFF |
| C/S #535135 | 08/20/1996 | 51.75 | BLACKFORD,J/WEST STF SERV |
| C/S #544622 | 09/23/1996 | 11.42 | BLACKFORD,J/WESTERN STAFF |
| C/S #547040 | 10/07/1996 | 60.13 | BLACKFORD,J/WESTERN STAFF |
| C/S #537268 | 09/30/1996 | 63.00 | BLACKFORD,J/WESTERN STAFF |
| C/S #548105 | 10/15/1996 | 63.00 | BLACKFORD,J/WESTERN STF |
| C/S #549070 | 10/21/1996 | 63.00 | BLACKFORD,J/WESTRN STF SV |
| C/S #550500 | 10/28/1996 | 63.00 | BLACKFORD,J/WESTERN STFF |
| C/S #551819 | 11/04/1996 | 63.00 | BLACKFORD,J/WESTN STF SRV |
| C/S #553060 | 11/12/1996 | 19.28 | BLACKFORD,J/WESTRN STF SV |
| C/S-CK#555513 | 11/21/1996 | 63.00 | BLACKFORD/WESTERN STAFF |
| C/S #556212 | 11/26/1996 | 63.00 | BLACKFORD,J/WESTERN STFF |
| 19980311 #3036 | 03/16/1998 | 63.00 | BLACKFORD,J/FRIENDLY COOK |
| 19980326 #3061 | 03/27/1998 | 126.00 | BLACKFORD,J/FRIENDLY CKR |
| 19980408 #3101 | 04/09/1998 | 99.39 | BLACKFORD,J/FRIENDLY COOK |
| 19980420 #3120 | 04/21/1998 | 63.00 | BLACKFORD,J/FRIENDLY COOK |
| 19980510 #3178 | 05/12/1998 | 126.00 | BLACKFORD,J/FRIENDLY COOK |
| 19980520 #3214 | 05/22/1998 | 59.15 | BLACKFORD,J/FRIENDLY COOK |