Case Number: 93L 00092
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Name: RICE, MIKE
Address:
JEFF. CO. MEM. HOSPITAL MARILYN RICE & MIKE RICE
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 23621 | 5/1/1995 | RICE, MIKE | JUDGMENT | 36.50 |
| 3572 | 5/15/1995 | JEFF. CO. MEM. HOSP. | DISBURSEMENT | 36.50 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 23620 | 5/1/1995 | JUDGMENT AMOUNT | 36.50 | 0.00 |
| 23621 | 5/1/1995 | PAYOR-> RICE, MIKE | 0.00 | 36.50 |