Case Number: 94D 00139
File Date: 10/3/1994
STATE OF KANSAS, SRS
Address:
P.O. BOX 2637
TOPEKA KS 66601
DOB:
Attorney: HAYES, JANICE L.
SCHRICK, RONALD
Address:
410 WALNUT
VALLEY FALLS KS 66088
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 20906 | 2/15/1995 | SCHRICK, RONALD/PAULETTE | 11.54 |
| 21207 | 2/24/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 21820 | 3/13/1995 | SCHRICK, RON/SCHRICK BODY | 11.54 |
| 22211 | 3/23/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 22212 | 3/23/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 23044 | 4/13/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 23311 | 4/21/1995 | SCHRICK, RONALD/SETOFF | 0.00 |
| 23479 | 4/28/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 24287 | 5/19/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 24610 | 5/31/1995 | SCHRICK, RONALD/SCHRICK'S | 23.08 |
| 24851 | 6/5/1995 | SCHRICK, RONALD/SETOFF | 0.00 |
| 25422 | 6/19/1995 | SCHRICK, RONALD/SCHRICKS | 23.08 |
| 26348 | 7/12/1995 | SCHRICK, RONALD/SCHRICK'S | 11.54 |
| 27001 | 7/31/1995 | SCHRICK, RON/SCHRICK'S BO | 11.54 |
| 27778 | 8/18/1995 | SCHRICK, RONALD/SCHRICKS | 23.08 |
| 28564 | 9/11/1995 | SCHRICK, RONALD/SCHRICK;S | 23.08 |
| 29705 | 10/11/1995 | SCHRICK, RON/SCHRICK'S BO | 23.08 |
| 30369 | 11/1/1995 | SCHRICK, RONALD | 2241.25 |
| 30574 | 11/6/1995 | SCHRICK, RONALD/SCHRICK'S | 34.62 |
| 33883 | 2/12/1996 | DEBBIE SCHRICK | 61.50 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S 3483 | 2/15/1995 | 11.54 | SCHRICK, RONALD/PAULETTE |
| C/S #3487 SRS | 2/24/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| C/S 3511 SRS | 3/13/1995 | 11.54 | SCHRICK, RON/SCHRICK BODY |
| C/S #3532 SRS | 3/23/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| C/S #3537 SRS | 3/23/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| C/S #3575 SRS | 4/13/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| STATE TX REF 3-30-95 | 4/21/1995 | 60.00 | SCHRICK, RONALD/SETOFF |
| C/S #3588 SRS | 4/28/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| C/S #3602 SRS | 5/19/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| C/S #3617 SRS | 5/31/1995 | 23.08 | SCHRICK, RONALD/SCHRICK'S |
| FED TX REF 5-10-95 | 6/5/1995 | 543.90 | SCHRICK, RONALD/SETOFF |
| C/S #3628 SRS | 6/19/1995 | 23.08 | SCHRICK, RONALD/SCHRICKS |
| C/S #3655 SRS | 7/12/1995 | 11.54 | SCHRICK, RONALD/SCHRICK'S |
| C/S 3672 SRS | 7/31/1995 | 11.54 | SCHRICK, RON/SCHRICK'S BO |
| C/S #3690 SRS | 8/18/1995 | 23.08 | SCHRICK, RONALD/SCHRICKS |
| C/S #3705 SRS | 9/11/1995 | 23.08 | SCHRICK, RONALD/SCHRICK;S |
| C/S 3715 SRS | 10/11/1995 | 23.08 | SCHRICK, RON/SCHRICK'S BO |
| C/S #MO4159 SRS | 11/1/1995 | 2241.25 | SCHRICK, RONALD |
| C/S #3756 SRS | 11/6/1995 | 34.62 | SCHRICK, RONALD/SCHRICK'S |
| DOCKET FEES | 2/12/1996 | 61.50 | DEBBIE SCHRICK |