Case Number: 92D 00062
File Date: 05/17/1992
CORNELISON, SALLY
Address:
GOLDEN SPUR COURT #4
ONAGA KS 66521
DOB:
Attorney:
CORNELISON, KEITH
Address:
RT. 1, BOX 142
HOLTON KS 66436
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 9595 | 04/18/1994 | CORNELISON, KEITH | 0.00 |
| 9718 | 04/29/1994 | CORNELISON, KEITH | 0.00 |
| 13880 | 11/04/1994 | CORNELISON, KEITH | 0.00 |
| 14052 | 11/10/1994 | CORNELISON/SALLY | 20.00 |
| 16635 | 02/13/1995 | ADJUSTMENT | -20.00 |
| 16638 | 02/13/1995 | ADJUSTMENT | 20.00 |
| 17237 | 03/06/1995 | CORNELISON/SRS SETOFF | 0.00 |
| 27951 | 03/28/1996 | CORNELISON, KEITH | 0.00 |
| 27953 | 03/28/1996 | CORNELISON, KEITH | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| SRS SETOFF - STATE | 04/18/1994 | 395.00 | CORNELISON, KEITH |
| SRS SETOFF - FEDERAL | 04/29/1994 | 905.00 | CORNELISON, KEITH |
| SRS SETOFF - PD DIR | 11/04/1994 | 50.00 | CORNELISON, KEITH |
| TRANSCRIPT DEPOSIT T | 11/10/1994 | 0.00 | CORNELISON, KEITH |
| TRANSCRIPT DEPOSIT | 11/10/1994 | 20.00 | CORNELISON/SALLY |
| TRANSFER TO STATE | 02/13/1995 | -20.00 | CORNELISON, KEITH |
| ADJUST OTHER FEES | 02/13/1995 | 0.00 | CORNELISON, KEITH |
| ADJUST OTHER FEES | 02/13/1995 | 0.00 | CORNELISON, KEITH |
| TRANSFER TO STATE | 02/13/1995 | 20.00 | CORNELISON, KEITH |
| SRS SETOFF - STATE | 03/06/1995 | 250.00 | CORNELISON/SRS SETOFF |
| SRS SETOFF - FEDERAL | 03/28/1996 | 700.00 | CORNELISON, KEITH |
| SRS SETOFF - STATE | 03/28/1996 | 100.00 | CORNELISON, KEITH |