Case Number: 82D 00060
File Date: 4/15/1982
MOSBY, PATRICIA
Address:
NORTONVILLE KS 66060
DOB:
Attorney:
GODFREY, WAYNE L.
Address:
P.O. BOX 535
JOHNSON, KS 67855-0535
DOB:
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 2 | 3/9/2001 | INCOME WITHHOLDING ORDER (MODIFICATION)-$100.00/MO PAST |
| 2 | 3/9/2001 | DUE SUPPORT ONLY |
| 3 | 3/16/2001 | CERTIFICATE OF SERVICE - SCHWANS SALES ENTERPRISES INC. |
| 4 | 3/30/2001 | EMPLOYER ANSWER - $24.08/WEEKLY |
| 5 | 3/30/2001 | LTR FROM SCHWAN'S SALES ENTERPRISES, INC. RE REPORTING |
| 6 | 3/30/2001 | OF LUMP SUMS; MAILED COPY OF LETTER TO SRS |
| 7 | 10/18/2002 | TERMINATION NOTICE FROM SCHWAN'S RE WAYNE L. GODFREY- |
| 8 | 10/18/2002 | TERMINATED 9-1-02 |
| 9 | 2/13/2003 | NOTICE OF TERMINATION OF IV-D SERVICES |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 73 | 8/7/1991 | GODFREY, WAYNE/JA CO EMS | 0.00 |
| 354 | 9/11/1991 | GODFREY, WAYNE/JA CO EMS | 0.00 |
| 426 | 9/19/1991 | GODFREY, WAYNE L. | 0.00 |
| 613 | 10/11/1991 | GODFREY, WAYNE/JA CO EMS | 0.00 |
| 975 | 11/22/1991 | GODFREY, WAYNE/JA CO EMS | 0.00 |
| 2491 | 5/8/1992 | GODFREY, WAYNE L. | 0.00 |
| 2962 | 6/26/1992 | GODFREY, WAYNE/MERCY HOSP | 0.00 |
| 3259 | 7/27/1992 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 3405 | 8/10/1992 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 3758 | 9/11/1992 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 3896 | 9/25/1992 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 4302 | 10/30/1992 | GODFREY, WAYNE L./SETOFF | 0.00 |
| 4357 | 11/4/1992 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 4777 | 12/11/1992 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 5145 | 1/19/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 5410 | 2/12/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 5574 | 3/1/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 6069 | 4/9/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 6416 | 5/7/1993 | GODFREY, W/MERCY HOSPITAL | 187.50 |
| 6727 | 6/4/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 6801 | 6/8/1993 | GODFREY, WAYNE/SETOFF | 0.00 |
| 7141 | 7/7/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 7432 | 8/2/1993 | GODFREY, WAYNE L/MERCY | 187.50 |
| 7734 | 8/27/1993 | GODFREY, WAYNE/MERCY HOSP | 187.50 |
| 8263 | 10/8/1993 | GODFREY, WAYNE/MERCY HOSP | 184.59 |
| 16785 | 10/11/1994 | GODFREY, WAYNE/SETOFF | 0.00 |
| 24740 | 6/2/1995 | GODFREY, WAYNE/MED-CARE S | 143.33 |
| 26153 | 7/7/1995 | GODFREY, WAYNE/MED-CARE S | 143.33 |
| 27131 | 8/2/1995 | GODFREY, W/MED CARE SERVI | 143.33 |
| 28569 | 9/11/1995 | GODFREY, WAYNE/MED-CARE S | 143.33 |
| 29696 | 10/11/1995 | GODFREY, WAYNE L/MED CARE | 143.33 |
| 65145 | 5/11/1998 | GODFREY, WAYNE/KROY INDUS | 66.17 |
| 66000 | 6/1/1998 | GODFREY, WAYNE L. | 150.00 |
| 66782 | 6/17/1998 | GODFREY, WAYNE L. | 150.00 |
| 66820 | 6/18/1998 | GODFREY, WAYNE/SETOFF | 0.00 |
| 67146 | 6/29/1998 | GODFREY, WAYNE L. | 150.00 |
| 67704 | 7/13/1998 | GODFREY, WAYNE L. | 150.00 |
| 68744 | 8/10/1998 | GODFREY, WAYNE L. | 150.00 |
| 69346 | 8/24/1998 | GODFREY, WAYNE/GOODYEAR | 150.00 |
| 69975 | 9/10/1998 | GODFREY, WAYNE L. | 150.00 |
| 70385 | 9/21/1998 | GODFREY, WAYNE L. | 150.00 |
| 72780 | 11/18/1998 | GODFREY, WAYNE L. | 150.00 |
| 73708 | 12/11/1998 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 74014 | 12/21/1998 | GODFREY, WAYNE/STATON CO | 66.18 |
| 75138 | 1/22/1999 | GODFREY, WAYNE/STANTON CO | 198.54 |
| 76498 | 3/1/1999 | GODFREY, WAYNE/STANTON CO | 132.36 |
| 77524 | 3/29/1999 | GODFREY, WAYNE/STANTON CO | 132.36 |
| 78708 | 4/26/1999 | GODFREY, WAYNE/STANTON CO | 132.36 |
| 79450 | 5/11/1999 | GODFREY, WAYNE/STANTON HO | 66.18 |
| 79889 | 5/21/1999 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 80533 | 6/7/1999 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 80665 | 6/9/1999 | GODFREY, WAYNE/DIR PAYMEN | 0.00 |
| 81105 | 6/18/1999 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 81544 | 6/29/1999 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 81911 | 7/7/1999 | GODFREY, WAYNE/SETOFF | 0.00 |
| 82604 | 7/23/1999 | GODFREY/STANTON CO HOSPIT | 66.18 |
| 82905 | 8/2/1999 | GODFREY/STANTON CO HOSPIA | 66.18 |
| 83674 | 8/18/1999 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 84107 | 8/30/1999 | GODFREY, WAYNE/STANTON CO | 66.18 |
| 84924 | 9/17/1999 | GODFREY, WAYNE L. | 66.18 |
| 92927 | 3/20/2000 | GODFREY, WAYNE/SETOFF | 0.00 |
| 94029 | 4/13/2000 | GODFREY, WAYNE/SETOFF | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #6048 STAMPED | 8/7/1991 | 187.50 | GODFREY, WAYNE/JA CO EMS |
| C/S #6176 STAMPED | 9/11/1991 | 187.50 | GODFREY, WAYNE/JA CO EMS |
| C/S FED TAX ATTACHED | 9/19/1991 | 147.00 | GODFREY, WAYNE L. |
| C/S #6274 STAMPED | 10/11/1991 | 187.50 | GODFREY, WAYNE/JA CO EMS |
| C/S #6429 STAMPED | 11/22/1991 | 187.50 | GODFREY, WAYNE/JA CO EMS |
| C/S #1342 STAMPED | 5/8/1992 | 187.50 | GODFREY, WAYNE L. |
| C/S #2953 STAMPED | 6/26/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #4014 | 7/27/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #4421 | 8/10/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #5664 SRS | 9/11/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #6187 SRS | 9/25/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| ATT FDSO 7-15-92 | 10/30/1992 | 237.00 | GODFREY, WAYNE L./SETOFF |
| C/S #7506 SRS | 11/4/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #9063 SRS | 12/11/1992 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #10342 SRS | 1/19/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #11246 SRS | 2/12/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #11903 SRS | 3/1/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #13719 SRS | 4/9/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #14803 SRS | 5/7/1993 | 187.50 | GODFREY, W/MERCY HOSPITAL |
| C/S #16039 SRS | 6/4/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| ATT FED TX 5-13-93 | 6/8/1993 | 181.13 | GODFREY, WAYNE/SETOFF |
| C/S #17143 SRS | 7/7/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S 18117 | 8/2/1993 | 187.50 | GODFREY, WAYNE L/MERCY |
| C/S #19216 SRS | 8/27/1993 | 187.50 | GODFREY, WAYNE/MERCY HOSP |
| C/S #20862 SRS | 10/8/1993 | 184.59 | GODFREY, WAYNE/MERCY HOSP |
| ATT ST TX 9-1-94 | 10/11/1994 | 33.83 | GODFREY, WAYNE/SETOFF |
| C/S #2728 SRS | 6/2/1995 | 143.33 | GODFREY, WAYNE/MED-CARE S |
| C/S #2782 SRS | 7/7/1995 | 143.33 | GODFREY, WAYNE/MED-CARE S |
| C/S 2840 SRS | 8/2/1995 | 143.33 | GODFREY, W/MED CARE SERVI |
| C/S #2903 SRS | 9/11/1995 | 143.33 | GODFREY, WAYNE/MED-CARE S |
| C/S 2975 SRS | 10/11/1995 | 143.33 | GODFREY, WAYNE L/MED CARE |
| 19980507 C/S 5010 | 5/11/1998 | 66.17 | GODFREY, WAYNE/KROY INDUS |
| 19980530 C/S MO | 6/1/1998 | 150.00 | GODFREY, WAYNE L. |
| 19980612 C/S 4230 MO | 6/17/1998 | 150.00 | GODFREY, WAYNE L. |
| FED TX 6-8-98 SETOFF | 6/18/1998 | 244.61 | GODFREY, WAYNE/SETOFF |
| 19980626 C/S 4253 | 6/29/1998 | 150.00 | GODFREY, WAYNE L. |
| 19980711 C/S 8746322 | 7/13/1998 | 150.00 | GODFREY, WAYNE L. |
| 19980807 C/S MO | 8/10/1998 | 150.00 | GODFREY, WAYNE L. |
| 19980822 C/S MO | 8/24/1998 | 150.00 | GODFREY, WAYNE/GOODYEAR |
| 19980906 C/S MO | 9/10/1998 | 150.00 | GODFREY, WAYNE L. |
| 19980919 C/S MO | 9/21/1998 | 150.00 | GODFREY, WAYNE L. |
| 19981114 C/S MO | 11/18/1998 | 150.00 | GODFREY, WAYNE L. |
| 19981207 C/S 28463 | 12/11/1998 | 66.18 | GODFREY, WAYNE/STANTON CO |
| 19981217 C/S 28508 | 12/21/1998 | 66.18 | GODFREY, WAYNE/STATON CO |
| 19990119 C/S 28571 | 1/22/1999 | 198.54 | GODFREY, WAYNE/STANTON CO |
| 19990224 C/S 29098 | 3/1/1999 | 132.36 | GODFREY, WAYNE/STANTON CO |
| 19990323 C/S 29202 | 3/29/1999 | 132.36 | GODFREY, WAYNE/STANTON CO |
| 19990420 C/S 29301 | 4/26/1999 | 132.36 | GODFREY, WAYNE/STANTON CO |
| 19990505 C/S 29348 | 5/11/1999 | 66.18 | GODFREY, WAYNE/STANTON HO |
| 19990514 C/S 29391 | 5/21/1999 | 66.18 | GODFREY, WAYNE/STANTON CO |
| 19990601 C/S 29435 | 6/7/1999 | 66.18 | GODFREY, WAYNE/STANTON CO |
| 19990407 DIRECT PAYM | 6/9/1999 | 692.00 | GODFREY, WAYNE/DIR PAYMEN |
| 19990614 C/S 29520 | 6/18/1999 | 66.18 | GODFREY, WAYNE/STANTON CO |
| 19990624 C/S 29538 | 6/29/1999 | 66.18 | GODFREY, WAYNE/STANTON CO |
| DIR PAY 6-26-99 | 7/7/1999 | 150.00 | GODFREY, WAYNE/SETOFF |
| 19990715 C/S 29597 | 7/23/1999 | 66.18 | GODFREY/STANTON CO HOSPIT |
| 19990726 C/S 29664 | 8/2/1999 | 66.18 | GODFREY/STANTON CO HOSPIA |
| 19990811 C/S 29703 | 8/18/1999 | 66.18 | GODFREY, WAYNE/STANTON CO |
| 19990825 C/S 29775 | 8/30/1999 | 66.18 | GODFREY, WAYNE/STANTON CO |
| 19990913 C/S 29829 | 9/17/1999 | 66.18 | GODFREY, WAYNE L. |
| 20000313 ST COLLECTE | 3/20/2000 | 173.00 | GODFREY, WAYNE/SETOFF |
| 20000410 C/S SETOFF | 4/13/2000 | 796.00 | GODFREY, WAYNE/SETOFF |