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MINUTES - 09122000 - C149
C144 TO: BOARD OF SUPERVISORS Contra FROM: FROM: Phil Batchelor, County Administrator F Costa By: Gary Brown, Director Office of Revenue Collection County DATE: September 12, 2000 SUBJECT: Discharge from Accountability SPECIFIC REQUEST(S)OR RECOMMENDATION($)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION AUTHORIZE the discharge from accountability for certain Health Services accounts. REASONS FOR RECOMMENDATION The Office of Revenue Collection has attempted collection on these accounts and has assigned them to a third—party collection agency where appropriate. It is uneconomical to pursue further collection action on these accounts inasmuch as the debtors are deceased, bankrupted and/or have no assets, or the statutes of limitations has expired. Based on the inability of these patients to pay=foY:-.the needed medical services they received, the Health Services Department should classify these accounts as "Charity Care" pursuant to its Hospital Charity Care Policy. Approval of the recommended action will allow accounts in the amount of $697,547.64 to be written off and purged from the files of active accounts on the collection computer system. ATTACHMENT: YES SIGNATURE: RECOMMENDATION OF COUNTY ADMINISTRATOR -RECOMMENDATION OF BOARD COMMITTEE J.0 APPROVE ..OTHER SI NAT;R S ACTION OF BOARDge-n-.-,--,o�Qef A& AejaQ - -APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT - 1 AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. JCC: Office of Revenue Collection, Gary Brown ATTESTED ' , a Auditor—Controller's Of C., Jack Cooper PHIL BATCHELOR,CLERK OF THE BOARD OF CAO Attn: Sara Hoffman S PER SOPS AND COUNTY ADMINISTRATOR Health Services, Pat Godley C� 8Y - .DEPUTY M382 (16/88) �( :SORT DEBTOR BY 1 BY 14 BY 2 $REAR-ON 1 2 14 23 14 TOTAL 15 TOTAL 16 13 TOTAL TOTAL-BAL TOTAL CHT HEADING R'C' HEALTH FINANCIAL CLASS 'LC' WRITE-OFF REPORT 'L' DATE%'$L' FAG€:'PL'. {P HEALTH FINANCIAL CLASS VRiTE-OFF REPORT DAT€•21 Aug ?000 PAGE; 1 DEBTOR.... CLIENT#... NAME.......................... DSx ST CD DT-ASSIGN PH-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CHT 40033 10103 ANDERSONJILLY 200 STA 04-16-87 88.53 01-26-87 88.53 1 40238 10103 DOYLiNG,RICHARD H 203 STA 04-16-87 177.20 12-08-86 177.20 1 42473 10103 CLEVELAND,€$MOND 203 STA 04-30-87 54.40 10-04-86 59.40 1 CLEVELAND,EDMOND E 43302 10103 CLEV€LAND,EDNOND E 203 STA 05-07-87 128.96 03-30-87 128.96 1 44071 10103 ALCUTT,CORA 203 STA 05-28-87 19.20 09-15-86 19.20 1 47563 10103 BORKS,CR€ER 203 STA 06-25-87 62.00 02-09-87 62.00 1 44007 10103 MANtESKE,HAROLD G 203 STA 07-02-87 35.53 4.20 02-09-88 31.33 1 30528 10103 ALCUTT,CORA N 203 STA 07-23-87 28.36 12-15-86 28.36 1 51822 10103 ANTUNE:ALEX H 203 STA 08-13-87 124.30 124.50 1 54024 10103 BURCH,GLADYS G 203 STA 04-10-87 652.80 08-05-87 632.80 1 54805 10103 ALCUTT,CORA N 203 STA 09-17-87 125.22 05-13-87 125.22 1 56834 10103 JACOBSIIN,JOA#NE F 203 STA 10-01-87 47.52 06-24-87 47.52 1 61,795 10103 ALCUTT,CORA 203 STA 01-21-88 51.30 10-02-87 51.50 1 ALCUTT,CORA N 64092 10103 HARRIS,JAMES 203 STA 02-04-88 11.40 12-09-87 11.40 1 71259 10103 JAC08S0N,JOANNE 203 STA 02-25-88 45.60 12-28-87 95.60 1 JACOBSIIN,JOANNE F 73436 10103LVI,HONG-LING 203 STA 03-24-88 1088.00 1088.00 1 87458 10103 HARRIS,JAHES 203 STA 06-30-88 237.90 01-2588 237.90 1 HARRIS,JAMES 88446 10103 KAHRS,MELVIN 203 STA 07-14-88 80.60 06-10-88 80.60 1 KAHRS,MELVIN J 93811 10103 ALCUTT,CORA 203 STA 08-11-88 10.40 01-07-88 10.40 1 ALCUTT,CDRA N 93814 10103 ALCUTT,CORA 203 STA 08-11-88 20.00 12-22-87 20.00 1 ALCUTT,CORA N 93821 10103 CHURCH,LARRY 203 STA 08-11-88 60.11 03-30-88 60,11 1 CHURCH,LARRY T 93007 10103 ALVARADO,RESECCA 203 STA 08-18-88 55.00 55.00 1 ALVARADC,REBECCA J 43093 10103 COSTANZA,KAY 203 STA 08-18-88 87.50 03-25-88 87.50 1 COSTANZA,SAL J 94561, 10103 COSTAMZA,KAY 203 STA 08-25-88 39.10 6.30 02-01-89 32.80 1 COSTANZA,S& J 97634 10103 ALCUTT,CORA 203 STA 09-08-88 21.00 01-25-88 21.00 1 ALCUTT,CORA 93642 10103 BURCH,GLADYS 203 STA 04-08-88 54.30 04-19-88 54.36 1 BURCH,GLADYS 97764 10103 OXFORD:CLAUDE JR 203 STA 09-08-88 18.60 09-11-$4 18.60 1 OXFORD,CLAUDE JR 128932 10103 SCHUELLER,NORBERT A 203 STA 02-09-89 83.45 10-20-88 83.45 1 SCRUELLER,NORB€RT A Pee 3564.18 10.50 3553.68 28 ee 3564.18 10.50 3553.68 28 t4011 29 items listed out of 28 items. /07-.e-ate :SORT DEBTOR BY i BY 14 BY 2 BREAK-ON 1 2 10 23 14 TOTAL 15 TOTAL 16 13 TOTAL TOTAL-DAL TOTAL COT HEADING "C' HEALTH SERVICES MIDI-CARE 'LC' MRITE-OFF REPORT 'L' DATEVOL' PAGE:'PL" tP HEALTH SERVICES MEDI-CARE VRITE-OFF REPORT DATE•21 Aug 2000 PAGE; 1 DEBTOR.... CLIENT#... HARE.......................... DSK ST CD DT-ASSIGN PM-ASSIGN...... PRIM COL LST PAY. TOTAL DAL...< CRT 233087 10103 NCNEELY,REUBEN 203 STA 07-10-91 592.00 592.00 1 238326 10103 READ,€LIZABETH 203 UNC 08-1441 138.00 138.00 1 R£AO,ELIIABETH R 240312 10103 CORSO„JOSEPH 203 STA 08-28-91 392.00 100.00 09-09-91 492.00 1 240324 10105 EVAHS,DOMMA 203 STA 08-28-91 592.00 370.00 01-20-93 222.00 1 EVAN'S,DONNA R 254180 10103 GONIALES,MALCOLM 203 STA 12-05-91 628.00 628.00 1 234178 10105 NURPHY,HADELIME 203 UNC 12-05-91 628.00 628.00 1 254181 10105 PUCKETT,JAMES 203 STA 12-05-91 628.00 628.00 1 PUCKETT,JANES P 262423 10105 TOUCHSTONE,JERRY 203 DEC 02-03-92 71.00 71.00 € TOUCHSTOME,JERRY 8 273788 10105 NATTS,ERNESTINE 203 STA 04-2142 628.00 628.00 1 280233 10105 FERDIMAND,FAITH 203 STA 05-27-92 628.00 628.00 1 FERDINAN#,FAITH L 280234 10105 GOMIALES,MALCOLH 203 STA 05-27-92 652.00 652.00 1 280232 10105 MARSHALL,JARES 203 STA 05-27-92 652.00 652.00 1 MARSHALL,JAHES 0 280230 10105 PATTISON,DAVID 203 STA 05-27-92 632.00 632.00 1 PATTISON,DAVID A 281458 10105 DYKE,HALTER 203 STA 06-0442 632.00 652.00 1 281461 10105 81NMONS,CHARLES 203 STA 06-04-92 628.00 628.00 1 SIMMONS,CHARLES H 281460 10105 VHITAKER,ROSS 203 STA 06-0442 123.60 125.60 1 VRITAKER,MAXINE M 283222 10105 TEGELBERG,HELEN 203 STA 06-1642 628.00 254.80 02-08-94 377.20 1 TEGELBERGrHELEN E 284221 10105 EGAM,JOHN 203 STA 06-23-92 71.31 71.31 1 294377 10105 HARRIS,HARY 203 STA 04-10-92 632.00 652.00 1 295009 10105 RYAN,PATRICK 203 UMC 09-13-92 1142.83 1142.83 1 RYAH,PATRICK M 297631 10105 CARDENAS.MANUEL 203 STA 10-07-92 628.00 231.04 12-0844 396.96 1 CARDENAS,MANUEL J 297630 10105 KNOU1.ES,EDVARD 203 STA 10-07-92 439.16 439.16 1 KNONLES,EDHARD T 2976322 10105 SCRUGGSrROSCOE 203 UNC 10-07-92 628.00 628.00 1 SCRUGGS,RDSCOE E 307521 10105 BROOKS,ALM£DIA 203 STA 01-20-93 652.00 652.00 1 309684 10105 KLUPIAK,HELEN 203 'STA 02-09-93 652.00 632.00 1 KLVPIAK,H€LEN N 310556 10105 BEAR,B€RNARD 203 STA 02-18-93 652.00 652.00 1 BEAUERNARD J 310557 10105 LANE,GUILFORD 203 STA 02-18-93 652.00 652.00 1 LANE,GUILFORD D 310535 10105 VATKINS,ROWALD 203 STA 02-18-93 628.00 628.00 1 MATKINS,RON,ALD D 311883 10105 KELLEY,CAROLYN 203 STA 03-03-93 652.00 652.00 1 311884 10105 MITCHELL,HERDERT 203 STA 03-03-93 652.00 652.00 1 313205 10105 GERMEN,VERA 203 STA 03-18-93 632.00 652.00 1 313206 10105 GERREN,VERA 203 STA 03-1843 652.00 652.00 1 /r HEALTH SERVICES MEDI-CARE WRITE-OFF REPORT DATE:2€ Aug 2000 PAGE: 2 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 317372 10105 BARRON,LEVESTER 203 STA 04-26-93 697.00 697.00 1 325485 10105 NEYMAN:CLARENCE 203 STA 07-02-93 676.00 676.00 1 NEVNAN,CLARENCE 0 328543 10105 BROI#1,NERLE 203 STA 07-27-93 632.00 652.00 1 331341 10105 BURTON,RICKY 203 STA 08-2543 676.00 676.00 1 BURTON,RICKY G 331342 10105 FRAIIER,JARES 203 STA 08-25-93 659.02 659.02 1 FRAZIER,JARES N 331983 10105 BEDAL,THELMA 203 STA 09-10-93 676.00 676.00 1 331981 10105 CAILLOUET,RUSSELL 203 STA 09-10-93 1€32.15 1132.15 1 CAILLOUET,RUSSELL T 331985 10105 HVOLBOLL,LIONEL 203 STA 09-10-93 676.00 676.00 € HVOLBOLL,LIONEL K 331986 10105 KING,PHENNIE 203 STA 09-10-93 676.00 440.00 12-11-95 236.00 1 KIN6,PHENNIE M 3392207 10105 GIBLIN,MARGARET 203 STA 11-09-93 676.00 23.00 02-24-94 651.00 1 GIBLIN,MARGARET M 339209 10105 HUTCHINSON,JOHN 203 STA 11-0943 679.30 679.30 1 365178 10105 MATTINGLY,FLORENCE 203 STA 07-19-94 460.71 460.71 1 NATTING-tY,FtORENCE M 387255 10105 VILBURN,GEORGE 203 DEC 02-22-95 852.50 852.50 1 VILBURN,GEORGE O 394020 10105 BRETIEL.THORAS 203 STA 05-02-95 4371.18 4371.18 1 BRETIEL,THMAS N 394022 10105 GUTIERREZ,NARCOS 200 STA 05-02-95 76.67 76.67 1 395343 10103 HAGANS,JOHNNIE 203 STA 05-12-95 773.68 773.68 1 HAGANS,JOHNNIE L 395343 10105 NANNING,ROBERT 203 STA 05-12-95 712.94 772.94 1 MANNING,ROBERT A 395344 10105 NEVLIN,CHARLES 203 UNC 05-1245 98.11 98.1€ € NEVU0,CHARLES E 395346 10105 PORTER,RILLIE 203 UNC 05-12-95 797.95 797.95 1 PORTER M LLIE R 396967 10105 EGAN,JOHN 203 STA 05-22-95 37.90 37.90 € EGAN,JOHN A 396969 10105 PORTER,RONALD 203 UNC 05-2245 60.30 62.30 1 PORTER,RONALD J 399851 10105 CIO DAVE SILVA 203 STA 06-14-95 491.41 30.00 10-06-95 461.41 1 GALAL,HAROL3 A 399128 10105 CLARK,VILLIAP 203 STA 06-14-95 37.90 37.90 1 CLARK,YILLIAM J 349126 10105 LAFLEUR,AOODRDH 203 STA 06-14-95 773.48 713.4E 1 LAFLEUR,YOODROV A 349127 10105 NENDEI,RUBEN 203 STA 06-14-95 162.48 162.48 1 399124 10105 NOBLITT,ALFRED 203 UNC 06-14-95 12€.44 121.44 1 N08LITT,ALRED J 399130 10105 NOBLITT,ALFRED 203 STA 06-14-95 36.54 36.54 1 NOBLIMALFRED J 399131 10105 NDBLITT,ALFRED 203 STA 06-14-95 1265.85 1265.85 1 NOBLITT,ALFRED J 394129 10105 PORTER,RONALD 203 STA 06-14-95 748.61 748.61 1 PORTER,RDNALD J .i ilq'Y HEALTH SERVICES HEDI-CARE NRITE-OFF REPORT DATE M Aug 2000 PAGE: 3 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 399854 10105 STEIENKO,ALEXANDRA 203 STA 06-14-95 880.27 880.27 1 404159 10105 JANES,ROBERT 203 STA 07-20-95 980.07 940.04 05-15-98 40.03 € JANES,ROBERT E 404160 10105 RABY,GEORGE 203 UNC 07-20-95 761.81 761.81 1 405450 10105 TATOONI,NAY 203 STA 08-02-95 970.51 970.51 1 TATOUl NAY A 405451 10105 NEATHERSBY,RUTHIE 203 STA 08-02-95 902.57 902.57 1 VEATHERSBY,RUTHIE N 405449 10105 NILLIANS,JACK 93 STA 08-02-95 13.89 13.89 1 NILLIANS,JACK E 416370 10105 JAMES,DELIIE 203 STA 10-0645 911.33 911.33 1 JANES,DELIIE B 416371 10105 KINBLE,ARNOLD M STA 10-06-93 56.92 56.92 1 420331 10105 KNUDSEN,CO*STANCE 203 STA 11-09-95 891.91 891.91 1 KNUDSEN,CONSTANCE M 420327 10105 ROUSE,ERIC 200 STA 11-09-95 872.89 872.89 1 ROUSE,ERIC S 420329 10105 RUM STEVEN 200 STA 11-09-95 1006.73 1006.73 1 RUBY,STEVEN E 420332 10105 RUBY,STEVEN 203 STA 11-09-95 41.27 41.27 1 RUBY,STEVEN E 42+0326 10105 TNITCHEL,DON 203 STA 11-09-95 772.93 772.93 1 TNITCHEL,DON O 420330 10103 TUITCHEL,DON 203 STA 11-09-95 54.07 54.07 1 TNITCHEL,DON 0 430835 10105 KERRI,MARY 203 DEC 01-22-96 1097.22 1097.22 1 KERRI,NARY E 433816 10105 KINGrTINOTHY 203 STA 02-08-96 850.00 850.00 1 KING,TINOTHY P 433814 10105 SHIBER,SUE 95 STA 02-08-96 19.77 19.77 1 SHIBER,SUE N 476948 10105 ADANS,HILLIAN 203 STA 11-22-96 790.69 190.69 1 ADARS,NILLIAN N 476955 10105 ALCANTAR,ALONSO 203 STA 11-22-96 728.11 728.11 1 ALCARTAR,ALONSO B 476956 10105 ALEXANDER,JOHN 203 STA 11-22-96 818.47 818.47 1 ALEXANDER,JDKN J 476949 10105 ALEXANDER,SANUEL 203 STA 11-22-96 841.60 841.60 1 ALEXANDER,SrAIWEL B 476951 10105 ANCARrURBAIN 203 STA 11-22-96 716.00 716.00 1 476953 10105 BERL,RICHARD 203 DEC 11-22-96 1315.95 1315.95 1 BEHL,RICHAR9 L 476958 10105 BEHL,RICHARD 203 DEC 11-22-96 899.59 899.59 1 BERL,RICHARD L 476950 10103 BRADY,ROBERT 203 STA 11-22-96 782.02 70.00 02-23-99 712.02 € BRADY,ROBERT D 476954 10105 CRAIG,SAM 203 STA 11-22-96 811.23 811.23 1 CRAIG,SAM P 476957 10103 ESTRELLA,ANTONIO 203 STA 11-2246 781.00 781.00 1 ESTRELLA,ANTONIO L 478896 10105 TOURVILLE,STANLEY 203 STA 12-11-96 794.19 794.19 1 TOURVILLE,STANLEY L HEALTH SERVICES NEDI-CARE NR1TE-OFF REPORT DATEt21 Aug 2000 PAGE: 4 DEBTOR,... CLIENT*... HANE.......................... DSII ST CD DT-ASSIGN PN-ASSIGN...... ERIN CDL LST PAY. TOTAL BAL..... CRT 503935 10145 ANDERSM ALBERT 243 DEC 05-21-97 1604.53 1604.53 1 ANDERSON,LAVINIA J 524577 10105 DELCARLD,JEANETTE 203 BAN 11-06-97 861.17 861.17 1 DELCARLD,JEANETTE V 532715 lo105 BEHL,RICHARD 2203 DEC 01-07-96 794.19 744.18 1 BEHL,RICHARD L 552165 10105 NONTANO,LUIS 203 DEC 06-08-98 1358.28 1358.28 1 586324 10105 ISAACS,ROSALIA 203 DEC 02-1949 816.77 816.77 1 ISAACS,ROSALIA P 5881122 10105 KELLY,RICHARD 203 DEC 03-11-99 664.00 664.00 1 KELLY,RICHARD E 601101 10105 HAINES►DONALD 203 DEC 05-2449 4172.56 9172.56 1 HAINES:DONALD D 636748 10105 ZINGLER,DON 203 UNC 02-03-00 4110.56 4110.56 1 BELLNAN,NARY 655861 10103 PRINDLE,DOROTHY 203 DEC 05-23-00 874.04 874.04 1 PRINDLE,DORBTHY A 78956.12 2456.88 76499.24 98 78956.12 2456.88 76449.24 98 [4051 98 iteAs listed out of 98 iteR5. :SORT DEBTOR BY 1 BY 14 BY 2 BREAK-ON 1 2 10 23 14 TOTAL 15 TOTAL 16 13 TOTAL TOTAL-DAL TOTAL CNT HEADING "C' MENTAL HEALTH SERVICE&-HOSP AD 'LC' WRITE-OFF REPORT 'L' OATE;'DL' PAGE:'PL" tP MENTAL HEALTH SERVICES-HOSP AD WRITE-OFF REPORT DATE:21 Aug 2000 PAGE: 1 DEBTOR.... CLIENT!... NAME.......................... OSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT 16972 10102 WIESE, CAROLYN 203 STA 09-05-85 272.00 272.00 € WIESE, CAROLYN M 16514 10102 WEBSTER. ROBERT 203 STA 03-20-86 399.00 399.00 1 WEBSTER, ROBERT W 16453 10102 WARD, SHERRY 203 STA 04-03-86 304.00 03-20-86 504.00 1 WARD, SHERRY D 16050 10102 REESE,NEILSON 203 STA 05-01-86 223.65 03-11-85 223.65 1 REESE,NEILSON 16347 10102 RASMUSSEN, LINDA 203 STA 03-08-86 114.35 114.35 1 RASMUSSEN, LINDA S 17080 10102 WALTER$, RHONDA 203 STA 05-08-86 272.00 272.00 1 WALTERS, RHONDA 14839 10102 ROBERTS, KATHY 203 STA 05-15-86 128.30 128.30 1 ROBERTS, KATHY E 17410 10102 WILLIAMS, DEBRA 203 STA 05-15-86 436.60 08-02-85 436.60 1 WILLIAMS, DEBRA L 18179 10102 MORIYAMA, DEA€! 203 STA 07-03-86 156.03 12-05-89 156.05 1 MORIYAMA, SUSAN M 19205 10102 RUSSELL, RAYMOND 203 STA 07-17-86 210.00 210.00 1 RUSSELLr RAYMOND G 14664 10102 WRIGHT, DARRYL 203 STA 07-17-86 361.00 381.00 1 WRIGHT, DARRYL 19642 10102 NASH,JANE 203 STA 07-24-86 2722.00 272.00 1 NASHrJANE L 14763 10102 WEATHERTON, CHARLENE 203 STA 07-24-86 474.00 479.00 1 WEATHERTON, CHARLENE 19772 1010E WILLIAMS# DANIEL 203 STA 07-24-86 360.45 04-07-86 360.95 1 WILLIAMS, DANIEL R 19892 10102 WALKER, THOMAS 203 STA 07-31-86 34.10 08-27-84 54.10 1 WALKER, THOMAS J 20433 10102 VICKMAN, JEANIE 203 STA 08-07-86 343.40 08-02-03 343.40 1 VICKMAN, ALICIA J 20504 1010E WILSON, DAMIAN 203 STA 08-07-86 401.78 401.78 1 WILSON, DAMIAN C 20517 10102 WOODWARD, JOHNIE 203 STA 08-07-86 337.30 337.50 1 WOODWARD, JOHNIE M 20681 10102 BATCHANrMARK 203 STA 08-14-86 272.00 272.00 1 BATCHAN,MARK 0 20682 10102 CONLEY, CHRISTOPHE 203 STA 08-14-86 272.00 272.00 1 CONLEY, CHRISTOPHE W 20683 10102 HOWARDrNANCY L 203 STA 08-14-86 127.00 127.00 1 HOWARD,NANCY L 20684 10102 KENDALL, MARGARET 203 STA 08-14-86 65.00 65.00 1 KENDALL, MARGARET 1 20634 10102 WESLEY, ALEX 203 STA 08-14-86 357.40 357.40 1 SPIKES, ROBERTA L 20688 10102 GILBERT,ROSE 203 STA 08-21-86 36.28 56.28 1 GILBERT.ROSE 20964 10102 SCHNAIBLE,DEAN 203 STA 06-21-86 272.00 272.00 1 SCHNAIBLE,DEAN R 71y- MENTAL HEALTH SERVICES-HOSP AD HRITE-OFF REPORT NATE;21 Aug 2040 PAGE; 2 DEBTOR.... CLIENT#... NAME.... ......... ,,st... DSK ST CO DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAC..... CNT 21278 10102 VASHINGTON, NAII-JANES 203 STA 08-28-86 3017.30 07-08-86 5017.30 1 YASHINGTON, NAXI-JAMES 4319 10142 URBINA,JUNE 203 STA 10-09-86 272.00 272.00 1 URBINA,JUNE 24418 10102 BONIFACIO,PHYLLIS 243 STA 11-06-86 45.20 09-02-86 °5.20 1 BONIIFACIO,ANY N 31806 10102 BENTLEY,LINDA 203 STA 01-01-87 399.00 399.00 1 BENTLEY,LINDA 32800 10102 AYALA,ERNEST 203 STA 01-22-87 37.00 37.00 1 AYALA,ERNEST 32804 10102 BARNHILL,JOE A 203 STA 01-2247 399.00 399.00 1 BARAMILL,JOE A 32807 10102 BLOUNT,NELSON L 203 STA 01-22-87 37.00 37.00 1 BLOUNT,NELSON L 32813 10142 CARL€1S,CHRISTINE K 240 .STA 01-22-87 81.00 81.04 1 CARLOS,CHRISTINE K 33317 10102 COOPER,KENNETH L 8 STA 01-29-87 40.00 40.00 1 COOPER,KENNETH L 36962 10102 CENTER,LEVIS 203 STA 02-12-87 516.00 516.00 1 GILLES,BECKI N 36963 10102 GILLES,REBECCA N 203 STA 02-12-87 272.00 272.00 1 LEMS CENTER 35807 10102 FAULKNERMARY L 203 STA 03-04-87 90.00 40.00 1 FAULKNER,NARY L 33812 10142 HANSEN,SUE 203 STA 03-0447 52.44 52,00 1 HANSEN,JASON P 36769 10102 ANATRONE,HILLIAN P 203 STA 03-12-87 129.00 30.00 01-07-88 99.00 1 57219 14102 BRENNER,KEVIN J 203 STA 10-08-87 63.00 10-10-86 63.00 € 57810 10102 NHALEY,CHARLES J 203 STA 14-08-87 37.00 20,00 02-18-89 €7.00 1 58195 10102 BELLANY,LARRY 203 STA 10-15-87 36.94 01-27-86 36.90 1 58240 10102 SENNETT,JANES 203 STA 10-15-87 50.00 02-19-87 50.00 1 SENNETT,JUANITA 58221 14142 BOGGS,CAROL S 203 STA 10-15-87 37.00 01-27-86 37.00 1 58339 10102 DAVIS,JERONE R 243 STA 10-13-87 56.04 04-16-86 36.04 1 38386 10142 FIELDS,THELNA S 243 STA 10-15-87 33.04 07-05-87 33.44 1 38426 10102 GOLDSBY,DUANE P 203 STA 10-13-87 64.00 02-13-87 64.00 1 58539 10102 OLINGER,THERESA R 203 STA 10-15-87 64.90 10.00 12-14-87 54.90 1 58807 14142 DAVSON,VILLIAW S 243 STA 10-22-87 251.44 04-07-86 231.04 1 58859 10142 HALL,JOSE R 203 STA 10-22-87 37.40 01-27-87 37.40 1 58864 10142 HANSEN,KIN R 203 STA 10-22-87 37.00 04-07-87 37.00 1 58882 10102 HERNANDEMIANA E 203 STA 10-22-87 37.00 06-23-87 37.00 1 58885 10142 HERRERA,CHARLENE L 203 STA 10-22-87 37.00 02-20-87 37.00 1 58966 10102 JOHNSON,JAY B 203 STA 10-22-87 MOO 08-19-87 59.00 1 59398 10102 KLIRESH,PATRICK J 203 STA 10-22-87 63.00 03-€3-87 63.00 1 59080 10102 RENDOZA,GUADALUPE G 203 STA 10-22-87 81.00 81.00 1 59086 10102 NINGILS,STEPHEN G 2203 STA 10-22-87 37.00 07-17-86 37.04 1 59138 101022 PACKER,DENISE 203 STA 10-22-87 37.00 01-09-87 37.00 1 59186 10102 ROCERS:ROBERT 203 STA 10-22-87 65.00 01-09-87 65.00 1 59191 10102 ROYSTER,PATRICK T 203 STA 10-22-87 37.00 04-30-86 37.00 1 54205 10102 SCHUNAKER,DONALD L 203 STA 10-2247 51.00 12-05-86 51.00 1 59262 14102 TORREZ,EDNARD L 203 STA 14-22-87 37.40 12-09-86 37.04 1 59289 10102 NE€SS,AARON 0 203 STA 10-22-87 71.40 14.00 05-12-92 57.04 1 NENTAL HEALTH SERVICES-HOSP AO WRITE-OFF REPORT DATE*21 Aug 2000 PAGE; 3 DEBTOR.... CLIENTS... WE.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CMT 61592 10102 HADFIELDYKI R 8 STA 1€-12-87 71.00 07-27-87 71.04 1 61632 10102 JOHNSON,LAURA J 203 STA 11-12-87 37.00 08-24-87 37.00 1 62361 10102 STINGL£Y,ANTHONY N 203 STA 11-€9-87 399.00 399.00 1 62836 10102 FORTADMEORGE A 203 STA 11-24-87 37.00 37.00 1 63043 10102 HOOVER,CERALD D 203 STA 11-24-87 37.00 03-13-87 37.00 1 63811 10102 PINNEY►SUIETTE N 203 STA 12-03-87 107.00 30.00 02-17-88 77.00 1. 64214 10102 ORTEGAYNICHAEL 203 STA 12-22-87 64.00 10-08-87 64.00 1 64395 10102 TURNER,LEE A 203 STA 12-22-87 37.00 07-13-87 37.00 1 64416 10102 HALLINtDONNA L 203 STA 12-22-87 38.10 07-07-87 38.10 1 64439 10102 VILLIANS MAYNE L 203 STA €2-22-87 37.00 07-09-87 37.00 € 64441 10102 NILLIANB,JOHN L 203 STA 12-22-87 272.00 272.00 1 67687 10102 YOODALU TON1 203 STA 01-14-88 399,00 399.00 1 iMODALL,TDN€ K 67688 10102 HORLEY,ANTHONY 203 STA 01-14-88 242.00 160.00 03-01-90 82.00 1 NORLEY,ANTHONY T 67690 10102 WRIGHTtDOUGLAS 283 STA 01-14-88 399.00 399.00 1 MR€GHT,BOUGLAS G 67820 10102 BARRIOS,JANES 203 STA 01-21-88 37.00 08-10-87 37.00 1 BARRIDWANiS 67895 10102 DAVIS.NARK 8 STA 01-21-88 37.00 04-10-87 37.00 1 DAYISfmRK L 67943 10102 HANSEMIN 203 STA 01-21-88 37.00 11-13-87 37.00 1 HANSEN,KIN R 68760 10102 KALETOHI JR,HIRAN 203 STA 01-21-88 71.00 10-07-87 71.00 1 KALEIOHI X HIRAN S 68728 10102 PIOLETTI,DIANE 2.03 STA 01-28-88 272.00 272.00 1 69178 10102 DERANO,ARTHUR 203 STA 02-04-88 37.00 05-26-87 37.00 1 68651 10102 FRITSCH,JAHES L 8 STA 02-04-88 37.00 07-10-87 37.00 1 68400 10102 PALONARES,LIONEL 203 STA 02-04-88 37.00 09-01-87 37.00 1 68676 10102 VIDRIO,SARA N 203 STA 02-04-88 32.30 32.50 1 70436 10102 KYLE,CLAY 203 STA 02-11-88 37.00 03-13-87 37.00 1 KYLE,CLAY A 70737 10102 LEVIS,YOLANDA 11 STA 02-18-88 64.00 12--12-86 64.00 1 LE#IS,YOLANDA R 70954 10102 PELIIIARI,CHUCK 203 OTA 02-18-88 37.00 10-05-81 37.00 1 PELIIIARI,CHUCK E 71073 10102 NALSH,TINOTHY 203 STA 02-18-88 79.00 01-23-88 79.00 1 NALSH,TINOTHY J 71091 10102 WINDERLIKWEVAYNE 203 STA 02-18-88 74.00 01-23-88 74.00 1 NONDERLINC,DEVAYNE A 71189 10102 DYSON,BETTY 203 STA 02-25-88 53.00 02-27-86 53.00 1 DYSOMETTY J 72829 10102 BEARDtLARRY 203 STA 03-17-88 50.00 09-14-87 30.00 1 BEARD,LARRY 72832 10102 COLLINS,JUANITA 203 STA 03-17-88 30.00 01-12-88 30.00 1 COLLIN3,JUANITA 72957 10102 JOHNSON,LYNETTE 8 STA 03-17-88 37.00 10-01-87 37.00 1 JORNSON,LYNETTE 73303 10102 YQHELL,SHAVN 203 STA 03-17-88 50.77 11-04-97 50.77 1 YQUELL,SHAM 73709 10102 SHAN,DANNY 12 STA 03-24-88 37.00 10-02-37 37.00 1 SHAH,DANNY 1111114 NENTAL HEALTH SERVICES-HOSP AD WRITE-OFF REPORT DATEa21 Aug 2000 PACE; 4 DEBTOR.... CLIENT!... NAME.......................... DSII ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAI..... CNT 74446 1010E GALLEGOMOLORES 200 STA 03-31-88 30.00 12-10-87 30.00 1 GALLEGOSrDOLORES 8 74630 10102 MASTERSON,HAROLD 203 STA 03-31-88 37.00 11-13-87 37.00 1 MASTERSON,HAROLD R 74775 10102 SILV£YRA,LISA 203 STA 03-31-88 80.00 06-18-87 80.00 1 SILV£YRA,LISA M 78361 10102 HALL,ESTMER 203 STA 04-14-88 165.45 165.45 € HALL,JESSE K 79233 10102 VIGINGTON,ROBERT 203 STA 04-14-88 336,00 10-14-87 356.00 1 VIGINGTONrROBERT L 79236 10102 YILLIAMS,JOHN 203 STA 04-14-88 560.18 560.18 1 NILLIAMS,JOHN G 80648 10102 GARCIA JR,VATIVIDAD 203 STA 04-21-88 24.00 11-06-37 24.00 1 GARCIA JRrVATIVIDAD 79590 10102 GARDNERJILLIE 203 STA 04-21-88 58.00 06-12-87 58.00 1 GARDMER,BILLIE J 79192 10102 MCCt1NE,ROBERT 203 STA 04-21-88 544.00 544.00 1 MCCIMNEMSERT M 80107 t0102 VEAVER,DEBRA 203 STA 04-21-83 100.00 11-20-87 100.00 1 WEAVER,DEBRA L 84243 10102 DAVIS,PHYLLIS 203 STA 05-12-88 40.00 03-10-88 40.00 1 DAVIS,PHYLLIS R 84433 10102 NALLOY,STEVEN 203 STA 05-12-88 37.00 08-07-87 37.00 1 MALLOYrST£VEN 84784 10102 EMMONS:ARTHUR 203 STA 05-19-88 61.00 02-29-88 61.00 1 EMMONS,ARTHIR J 85096 10102 JOHNSON,DALE 203 STA 05-19-88 50.00 12-08-87 50.00 1 JOHNSOM,DALE M 85145 10102 TVITCHELL,GYNITH 203 STA 05-19-88 33.00 12-08-87 33.00 1 TVITCHELLrGYNITH F 85223 10102 ADAMS,HELEN 203 STA 05-26-88 86.50 10-14-87 86.50 1 ADAMS,HELEN 86437 10102 MCCRAY,DANNY 203 STA 06-09-88 335.84 12-17-87 335.84 1 MCCRAY DANNY 86516 10102 PARRISH,CARLOS 203 STA 06-09-88 17.00 11-14-87 17.00 1 PARRISH,CARLOS 87180 10102 VANVOGELPOEL,NANCY 203 STA 06-23-88 52.00 07-10-87 52.00 1 VANVOGELPOEL,NANCY E 87314 10102 BAKER MYNE 203 STA 06-30-88 245.00 170.00 08-12-88 75.00 1 BAKER,VAYME 87825 10102 IESATIPMEPHIMA 203 STA 06-30-88 37.00 01-23-88 37.00 1 tESATI,JOSEPHINA 88138 10102 BROIIM,LEMONE 203 STA 07-14-88 37.00 11-02-87 37.00 1 BROIMI,LENON£ N 88684 10102 PERRY,JINMY 12 STA 07-14-88 143.00 11-04-87 143.00 1 PERRY,JIMMY L 88685 10102 PETERS,MAR 203 STA 07-14-88 50.00 11-13-87 50.00 1 PETERS:MARY 887€7 10102 RESELEMANCE 203 STA 07-14-88 37.00 08-07-87 37.00 1 REBELEMANCE J 88791 10102 STILLrLONNIE 203 STA 07-14-88 74.00 10-14-87 74.00 1 STILL40KNIE L 9/a ani RENTAL HEALTH SERVICES-HOSP AD YRITE-OFF REPORT DATEt21 Aug 2000 PACE: 5 DEBTOR.... CLIENT#,.. NAME.......................... DSK ST CD BT-ASSIGN PM-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CHIT 88815 1010E TAYLOR,ALTIE 203 STA 07-14-88 33.00 05-02-88 33.00 € TAYLOR,ALTIE J 88835 1010E TURNER,ALICE 7 STA 07-14-88 37.00 12-12-86 37.00 1 TURNER,ALICE A 89111 10102 BRUNO,ALLEN 203 STA 07-21-88 272.00 272.00 1 BRUMO,ALLEN R 90914 10102 JENKINS.KATHL€EN 2.03 STA 08-04-88 37.00 11-13-87 37.00 1 JENKINS,KATHLEEM 8 91096 10102 PEARSON,G£RALBINE 203 STA 08-04-88 64.00 02-26-88 64,00 € PEARSON,GERALDINE 94538 10102 JENKIMS:KENNETH 203 STA 08-11-88 37.00 04-30-88 37.00 1 JEMKIMS,KENNETH D 93091 10102 COSTA,PAUL 203 STA 08-18-88 80.00 03-21-88 80.00 1 COSTA,SHIRLEY 93167 101022 HEATH,ESTHER 11 STA 08-18-88 37.00 11-13-87 37.00 1 HEATH.ESTHER 93227 10102 JAMIIAL►BASSAN 203 STA 08-18-88 280.00 80.00 03-14-90 200.00 1 JAMAU BASSAR 8 93292 10102 NENDOZA,NARIO 203 STA 08-18-88 163.90 163.90 1 NENDOZA,NARIO J 93670 10102 ZESATI,JOSEFINA 203 STA 08-18-88 25.00 €2-11-87 25.00 1 ZESATI,JOSEFINA 94561 10102 CHARLTON,JVBY 203 STA 08-23-88 79.00 12-11-81 79.00 1 CHARLTON,JUDY E 94681 10102 KOROLB,NARK D 203 STA 08-25-88 280.00 50.00 09-27-90 230.00 1 t*t 23642.40 564.00 23078.40 136 23642.40 564.00 23078.40 136 14051 iib iter list#d out of 136 itm. :SORT DEBTOR BY I BY 14 BY 2 BREAK-ON 1 2 10 23 14 TOTAL 15 TOTAL 16 13 TOTAL TOTAL-DAL TOTAL CMT NEADINO "C' HEALTH SERVICES VRITE-OFF REPORT 'L' DATE:'OL' PAGE 'PL" iP HEALTH SERVICES MRITE-Off REPORT DATE:21 Aug 2004 PAGE: I DEBTOR.... CLI£NTI... NAME.......................... DSK ST CD BT-ASSIGN PN-ASSIGN...... PR€N COL LST PAY. TOTAL BAL..... CMT 381432 I0199 AIZENMAN,LAURIE 200 ACC 01-04-95 299.15 299.15 1 A€ZENNAM,LAURIE K 381250 10199 ARENAS,CRYSTELA 200 ACC 01-0445 193.80 195.80 1 ARENAS,CRYSTELA E 381407 10199 ARENAS,CRYSTELA 200 ACC 01-04-95 177.00 177.00 1 ARENAS,CRYSTELA E 381483 10199 BALOFF.PAUL 200 ACC 01-04-95 1238.00 1238.60 1 BALOFF:PAUL N 381034 10199 SARAJAS,RIGOBERTO 200 RCC 01-04-95 224.36 224.36 1 BARAJAS,ROSA 381066 10199 BARAJAS,RI60BERTO 200 ACC 01-04-95 469.45 469.45 1 BARAJAS,ROSA 381291 10199 BENSON,SUSAM 200 ACG 01-04-95 85.40 83.00 1 BENSOM,SUSAM A 381372 10199 BRYCE,GEORGE 200 ACC 01-04-95 98.30 98.30 1 BRYCE,GEORGE A 381389 10199 CAMPB£LL,BRIDGET 200 ACC 01-0445 658.00 658.00 1 381172 10199 CASTELLANOS,RAROM 200 ACC 01-04-95 322.40 522.40 1 CASTELLAMOS,RANON N 381221 10199 CHAPPELWERRY 200 ACC 01-04-95 126.10 126.10 1 CHAPPELL+JERRY B 381128 10199 CICEROJAV€D 200 ACC 01-04-95 119.30 119.50 1 CICERO,TRACY A 381393 10199 CLARKtMELVIN 200 ACC 01-04-93 107.50 107.50 1 CLARK,NELVIN L 381439 10199 CORDOVA,MARGARIYO 203 ACG 01-04-95 192.50 192.50 1 CORDOVA,S€LVIA 381091 10199 CRAIG&,GREGORY 203 ACC 01-04-95 318.95 318.95 1 CRAIGG,6REGORY L 381101 10199 DEROSE,DOU&LAS 200 ACC 01-04-95 12852.02 12852.02 1 381270 10199 DUKE,JOSEPH 203 ACC 01-04-95 853.65 853.63 1 DUKE:JOSEPH C 381322 10199 DUKE,JOSEPH 203 ACC 01-04-93 145.00 145.00 1 DUKE.JOSEPH C 381320 10199 OUNCAN,NELISSA 203 ACC 01-0445 120.00 120.00 1 DVNCAN,NELISSA K 381094 10199 ECKERT,VILLIAN 200 ACC 01-04-95 211.00 211.00 1 ECKERT,OILLIAN D 381367 10199 ELLIOTT,RErdA 203 ACC 01-0445 233.50 233.50 1 ELLIOTT,RETHA M 381353 10199 ELNORE,SNAVN 203 ACC 01-0445 98.00 48.00 1 ELNORE,SMUM E 381433 10199 EN£A,VITO 203 ACG 01-04-95 183.50 183.50 1 EMEA,VITO A 381078 10199 ESP€NOIA,ENTELRO 203 ACC 01-04-95 97.23 97.25 1 381121 10199 FEIKAI,NAINA 200 ACC 01-0445 281.30 281.50 1 381302 10199 FERNANDEZ,NIGUEL 203 ACC 01-04-95 98.00 98.00 I FERNANDEZ,MICHAEL A 381030 10199 FIAI,SARYEN 200 ACC 01-0443 110.80 110.80 1 FIAI,DAFME P 391074 10119 FIAT,SARYEN 200 ACC 01-04-95 261.30 261.50 1 HEALTH SERVICES KRITE-OFF REPORT DATE:21 Aug 2000 PAGE1 2 DEBTOR.,.. CLIENT#... NANE.......................... DSK ST CO DT-ASSIGN PN-ASS/GN..,... PRI# COL LST PAY. TOTAL SAL..... CKT FIAI,DAPME P 380989 10199 FREN,JOHN 200 ACC 01-04-90 397.90 397.90 1 381276 10199 OALLEGOS+ANTON10 203 ACC 01-04-95 221.90 221.90 1 OALLEOOS,ONAR A 381388 14199 OARDNER,TOKI 203 ACC 01-04-95 231.30 231.30 1 381390 10199 SENTRY,DEBRA 203 ACC 01-04-95 302.27 302,27 1 GENTRYrJEFFREY A 381315 10199 GONIALES,REGINA 200 ACC 01-04-95 339.30 554.50 I MATERS-6ONIALEZ,REGINA N 381643 10199 CONZALES,RESINA 200 ACC 01-04-95 160.76 180.76 1 MATERS-MIALEI,REOINA !! 381234 10199 OUNIALM SANDRA 200 AGC 01-04-93 113.50 113.50 1 OONIALEZ,SANDRA V 380994 10199 HADLE,JOSEPM 203 ACC 01-04-95 158.50 158.54 1 NADLEJANYA 0 381240 10199 HANNOW DANIEL 203 ACC 01-04-95 114.30 114.50 1 HANNONMANIEL J 381278 10199 M KPTON,OAVE 203 ACC 01-04-95 259.50 259.50 1 MANPTOK,DAVE S 381294 14199 RENRY,JOSEPH 203 ACC 01-04-95 124.48 124.48 1 HENRY,LANSA K 381613 10199 HERNANDEI,JVAN 203 ACC 01-04-95 96.40 96.40 1 381137 10199 HICKLIMEATHER 200 ACC 01-04-95 265.35 175.00 03-11-96 110.35 1 381009 10199 HIPOLITO+JOSE 203 ACC 01-04-93 12.20 22.220 1 HIPOLITO,BELEN 381047 10199 MIPOLITO,JOSE 203 ACC 01-04-95 212.00 212.00 1 HIPOLITMELEN 381065 10194 HIPOLITO;,JOSE 203 ACC 01-0445 22.20 22.20 1 HIPOLITO,BELEN 381488 10199 HIPOLITO,J05E 203 ACC 01-0445 118.07 118,07 1 MIPOLITO,BELEN 361351 10199 HOLKES,ALFRED 240 ACC 01-04-95 89.23 84.25 1 HOLNES,ALFRED E 381334 10199 HOLNES,ALFRED 200 ACC 01-0445 77.00 77.00 1 HOLNES,ALFRED E 381228 14199 MUNT,BARBARA 203 ACG 01-04-95 253.50 253.50 1 HUNT,BARBARA J 381231 10199 1WKT,BARBARA 203 ACG 01-04-95 177.89 177.89 1 H"TrBARBARA J 381337 10199 JOMNSON,EJEWVA 203 ACC 01-0445 307.50 307.50 1 JOHNSON,EJEWA C 381004 10199 JONES,FRANK 203 ACC 01-04-9S 681.00 681.00 1 JONES:FRANK J 381141 10199 JONESIFRANK 203 ACC 01-04-95 58.00 38.00 1 JiNtES,FRANK J 381166 10199 JONES,FRANK 203 ACG 01-04-95 187.00 187.00 1 JONE3,FRANK J 361253 10199 JOKES,FRANK 203 ACG 01-04-95 16.00 16.00 1 JONES,FRANK J 381412 10199 JONES:FRANK 243 ACG 01-04-93 1197.15 1197.15 1 JONES,FRANK J 381506 10199 KENNEDMERGIE 203 ACC 01-04-95 262.95 262.45 1 381161 10199 KINSLO1I,TROY 203 ACG 01-04-95 835.50 635.50 1 HEALTH SERVICES VRITE-OFF REPORT DATE M Aug 2000 FADE$ 3 DEBTOR.... CLIENT*... DAME.......................... PSK ST CD DT-ASSIGN FK-ASSIGN...... PRIM COL LST PAY, TOTAL BNL..... CRT KINSLOM MOY P 381163 10199 KINSLOWsTROY 203 ACC 01-04-95 583.00 583.00 1 KINSLOM TROY D 381435 10199 LARSON JESBRA 203 ACC 01-04-95 116.73 116.73 1 LARSONJEORRA P 381658 16199 LARSOMEBBRA 203 ACC 01-04-95 927.64 927.60 1. LARSONJEBBRA D 381260 10199 LEKONS.EDDARD 92 ACC 01-04-95 101.00 101.00 1 LEAMEMARP L 381724 10199 LOPE2:JORGE 263 ACC 01-04-95 593.46 593.40 1 LOPEZrJAINE 381109 10199 NVNDT.KEITH 200 ACC 01-0445 779.85 25.00 09-13-96 754.85 1 IWNPT,KEITH V 381181 10199 NURFHY.NILLIE SR 200 ACC 01-04-95 293.87 293.87 1 IWRPHYrVILLIE SR R 381344 10199 NURRAY.KATHLEEN 200 ACC 01-04-95 518.62 318.62 1 WRRAMATHLEEN A 381706 16199 NAVARRETErCORONA 200 ACC 01-04-95 366.00 366.00 1 NAVARRETE.CORONA F 381519 10199 WNEZtKARGARITO 200 ACC 01-04-95 1258.50 1238.50 1 NUNEZrMARIA 0 381683 16194 Nit M NARGARITO 200 ACC 01-04-95 1307.00 1387.00 1 IMI'NARIA D 381120 10199 NYSER,KARK 200 ACC 01-04-95 4362.18 4362.18 1 NYSERIKARK P 381373 10199 OCEGIIERA►CILIA 200 ACC 01-04-95 423.50 423.50 1 OCEGUERArLILIA R 381176 10199 ODONNELU DENNI8 280 ACC 61-04-9S 233.50 255.50 1 381262 16199 ODONNELU DE1N1IS 200 ACC 01-04-95 235.58 253.50 1 381332 10199 MONNELU DE1N1IS 200 ACC 01-64-93 262.30 262.50 1 OOONNELLrDENNIS 381457 16I99 OPONNELU DENNIS 200 ACC 01-04-95 5616.22 5616.22 1 381415 16199 OROICOrJDSE 200 ACC 01-04-99 15657.14 15657.74 1 381607 10199 FARISJIM 200 ACC 01-04-95 525.37 425.28 12-10-96 100.09 1 FARIS.JODI R 381244 10199 FARTOV ASHRAF 200 ACC 01-04-95 501.70 501.70 1 FARTONrASHRAF S 381547 10199 PATRIM BRENDA 200 ACC 01-44-95 251.31 261.31 1 PATRIC3(,MNDA F 381642 10199 PEARCE MLLIAM 200 ACC 01-04-95 402.23 402.25 1 PEARCE MLLIAN A 381496 10199 FETERSOMAVID 200 RCC 01-0443 1338.20 1338.20 1 PETERSON.NANCY R 381535 10199 SHERIDAN,DEBORAN 200 ACC 01-04-95 1621.15 1621.15 1 SDERIDAN:DEBORAH L 381618 10199 SVEJDA.ERIK 91 ACC 01-04-95 88.00 88.00 1 SVEJOArERIK T 382093 10199 ALIrS11BHAN 200 ACC 01-10-95 77.00 77.00 1 BIBI.JAINAR 382094 10199 ALIrSVBHAN 200 ACC 01-10-95 218.00 218.00 1 1111,JAINAB 382095 10199 ALIJUBHAN 200 ACC 01-10-95 91.00 91.00 1 SIBWAINAB HEALTH SERVICES NRITE-OFF REPORT DATE•21 Aug 2400 PAGE: 4 DEBTOR,.., CLIENTi... NAME........«................. OSK ST CO OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CMT 382096 10199 ALI,SUBNAN 200 ACC 01-10-95 29.40 29.40 1 BIBI,JAINAB 382097 10199 ALI,SUBHAM 200 ACC 01-10-95 311.40 311.40 1 BIBI,JAINAB 382099 10198 ALI:SUBMAN 200 ACC 01-10-95 396.00 396.00 1 BIBI,JAINAB 382099 10199 ALI.SUSHAN 200 ACC 01-10-95 €35.50 135.50 1 BIBI,JAINAB 383120 10199 ANTNONY,VALERIE 200 ACC 01-20-95 97.00 97.00 1 RICHEY,TERRY B 382936 10199 AVALOWESUS 200 ACC 01-2045 132.00 132.00 1 383045 10199 BACON,CARL 200 ACC 01-20-95 777.75 777.15 1 BACON,CARL E 353119 10199 B£NNER,JULIE 200 ACC 01-20-95 117.50 1€7.50 1 BENNER,JULIE S 383022 10199 BLADE,SABRINA 200 ACC 01-20-95 97.00 97.00 € ABERCRONBIE,NARIAN P 382954 10199 BLALOCK,CATHERTNE 200 ACC 01-20-95 428.60 428.60 1 BLALOCK,CATNERI*£ R 382940 10199 BLANDrSANUEL 200 ACC 01-20-95 88.00 88.00 € BLAND,SANUEL L 382977 10199 BROCK,EUGENE 200 ACC 01-20-95 177.00 177.00 1 BROCK,EUGENE F 382997 10199 BRUCKrEUGENE 200 ACC 01-20-95 221.50 221.50 1 BROCK,EUGENE F 383186 10199 BROCK,EUGENE 200 ACC 01-20-95 189.00 189.00 1 MCK,EUGENE F 383193 10199 CABANAG,TRINDAB 200 ACC 01-20-95 1071.02 1071.02 1 383188 10199 CADE,ROBERT 200 ACC 01-20-95 149.00 149.00 1 CADErYORIK 382988 10199 CAMARENA,LINDA 200 ACC 01-2045 103.00 103.00 1 CANARENA,ANIBAL 383071 10199 CRUZ.JOSE 200 ACC 01-20-95 561.00 561.00 1 383049 10199 CRUZ,SANTOS 200 ACC 01-20-95 94.05 94.05 1 CERVANTESrFERNANDO 383058 10199 DARGELO,THONAS 200 ACC 01-20-95 €23.00 123.00 1 DANGELO MOMAS M 383117 10199 DAVIS,DENETRES 200 ACC 01-20-95 160.65 160.65 1 JONES,NAIJA A 382935 10199 D£UBLER48HM 200 ACC 01-20-95 1380.80 1364.80 1 383109 10199 DUGAN,ROBERT 200 ACC 01-20-95 266.90 266.94 1 DUGAN,ROBERT L 383151 10199 ECNEVARRIA,CESAR 200 ACC 01-20-95 50,07 50.07 1 ECNEVARRIArJONATHON G 383134 10199 ENGLAND,BRITTANI 200 ACC 01-20-95 91.00 91.00 1 ENGLAND,BRITTANI 0 382936 10199 FEIKAIrNAINA 200 ACC 01-20-95 t303.70 1303.70 1 383026 10199 FEIKAI,NAINA 200 ACC 01-20-95 16.00 16.00 1 383110 10199 FEIKAIrNAINA 200 ACC 01-20-95 77.00 77.00 1 363026 10199 FIAZ,SARYEN 200 ACC 01-20-95 138.00 138.00 1 FIAZ,DAPNNE P 383002 10199 FLORES,CUAHUTEROC 200 ACC 01-20.95 115.94 115.90 1 383095 10199 FLORES,SONIA 200 ACC 01-20-95 84.07 30.00 02-29-96 54.07 1 HEALTH SERVICES VRITE-OFF REPORT DATE•21 Aug 2000 PAGE: 5 DEBTOR.,.. CLIENT#.., NAM£.......................... DSK ST CO DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL HAL..... CKT FLORES,SONIA C 383068 10199 FOSTER,RAMON 200 ACC 01-2045 82.33 82.35 1 FOSTER,RAMON 8 383115 10199 FOSTER,RAMON 200 ACC 01-20-95 103.90 103,90 1 FOSTER,RAMON B 383089 10199 HAYDEN,ST£YEN 203 ACC 01-20-95 174.50 174.50 1 ani HAYDEN,ROBERT 8 383006 10199 JOHNSON,£JEHYA 203 ACC 01-20-95 173.26 €73.26 1 JOHNSON,£JEWVA C 383033 10199 LOPEI,JUANITA 203 ACC 01-20-93 74.00 74.00 1 LOPEI,JUANITA L 382924 10199 OLDFORD,YILLIAM 200 ACC 01-20-95 281.50 281.50 1 OLDFORMILLIAM L 383074 10199 ORTII,ALVARO 200 ACC 01-20-95 460.15 460.15 1 ORTII,ALVARO 0 383189 10199 OTIS,MATHALINE 200 ACC 01-20-95 410.10 470.10 1 OTIS,MATHALINE V 383147 10199 PAUL,T£RR2 200 ACC 01-20-95 312.90 312.90 1 PAUL,TERRI L 383270 10199 PEARSON,DIANA 200 ACC 01-20-95 352.42 352.42 1 PEARSON,DIANNA 382970 10199 PEARSON,DIANNA 200 ACC 01-20-95 2583.52 2583.52 1 333196 10199 ROB£RTSONtRACH€L 200 ACC 01-20-95 550.50 550.50 1 ROBERTSON,RACH€L L 383496 10199 CABAL►BEN 200 ACC 01-24-95 94.00 94.00 € STEPH£NS,CHRISTIME E 383620 10199 CASSELL,RANDOLPH 200 ACC 01-24-95 123.00 123.00 1 CASSELE.,BODIL 383553 10199_ _ CERDA,ANTONIO 200 ACC 01-24-95 142.45 142.45 1 383355 10149 CERVANT€S,OLGA 200 ACC 01-24-95 88.00 88.00 1 383548 10199 CHASE,CEORGE 200 ACC 01-24-95 155.00 155.00 1 CHAgE,GEORGE J 383609 10199 CHRISTIANSEN,RICK 200 ACC 01-2445 135.00 135.00 1 CHRISTIANSEMICK A 383576 10199 CORN€IO,ANDRE 200 ACC 01-24-95 121.50 121.50 1 383373 10199 DECADILLO►FAVIAN 200 ACC 01-24-95 221.00 221.00 1 383571 10199 DELCADO,PAULO 200 ACC 01-2445 42.45 42.43 1 DELGADO,PAULO J 383476 10199 ENGLISH,RHONDA 200 ACC 01-24-95 1831.77 20.00 02-13-98 1811.77 1 £NGLISH,R MIA L 383478 10199 ERICKSON,YHITNEY 200 ACC 01-24-95 103.00 103.00 1 383653 10199 FARTHING,KENNETH 200 ACC 01-24-95 146.76 146.76 1 FARTHING,K£NNETH R 383444 10199 FERGUSON,CORY 200 ACC 01-24-95 212.50 212.50 1 383376 10199 FERNAND€I,JOSE 200 ACC 01-24-95 319.99 319.99 1 FERNANDEI,JOSE E 383569 €0199 FIAL SARYEN 200 ACC 01-2445 6644.65 6644.65 1 FIAI,DAPHN€ P 383558 10199 FISHER,SIRKKU 200 ACG 01-24-95 357.79 357.79 1 383634 10199 FRANCIS,ALVIN 200 ACC 01-24-95 2002.33 2002.33 1 FRANCIS,M€LISSA J 383562 10199 GARCIA,FELIP£ 203 ACC 01-24-95 76.00 76.00 1 GARCIA,ALIDA HEALTH SERVICES WRITE-OFF REPORT DATE•21 Aug 8000 PAGE.' 6 DEBTOR.... CLIENT*... OAHE.......................... DSK ST CO OT-ASSIGN PN-ASSIGN...... PRIW COL L51 PAY. TOTAL BAL..... CNT 383398 10199 GARCIA,JOHN 200 ACC 01-24-95 146.40 146.40 1 383392 10199 GARCIA,NIRELLA 200 ACC 01-24-95 610.50 610.30 1 GARCIA,NIRELLA N 383511 10199 GARFIELD:KATHERINE 200 ACC 01-24-95 118.00 118.00 1 GARFIELMATHERINE C 383439 €0199 GLABDENITANI 200 ACC 01-24-95 167.90 167.90 1 GLADDEN,TANI L 383623 10199 GONZALES,MARIA 200 ACC 01-24-95 250.00 230.00 1 GONIALEMARIA A 383515 10199 CONZALEIrRICARDO 203 ACG 01-2445 854.40 854.40 1 GONIALMRICARDO C 383489 10199 GRANTAERALD 203 ACC 01-24-95 759.90 759.90 1 GRANT,GERALD L 383379 10199 GREM NICHOLAS 200 ACC 01-24-95 182.89 182.89 1 383393 €0199 GREGOIRE,ROGER 200 ACC 01-24-95 550.95 550.95 1 GREGOIRE:ROGER W 383435 10199 GUINANrBEN 803 AGC 01-24-95 139.50 159,50 1 GUIMAN,ANDY R 383519 10199 KAMND,TERRI 200 ACC 01-24-95 198.57 180.00 09-1947 18.57 1 FREEHAN,RANDY T 383622 10199 HANMOND,TERRI 200 ACC 01-24-95 227.07 227.07 1 FREEMMEVIN W 383583 10199 HERNANDEI,JOHN 203 ACC 01-24-95 688.00 175.00 09-22-95 513.40 1 383532 10199 LARKIN,NATTHEW 203 ACC 01-24-95 662.15 6622.15 1 LARKIN,NATTHEW J 383673 10199 NECIICHEA►NARK 200 ACC 01-24-95 860.15 860.15 1 NECOCHEA,MARK N 384431 10199 HENRY,JDSEPH 203 ACC 02-0145 270.44 270.44 1 HENRY,LANSA H 384406 10199 LARKIN,MATTIIEW 203 ACC 02-01-95 88.00 88.00 1 LARKINtRATTREW J 384359 10199 LUCAStmv 203 ACC 02-01-95 704.65 104.65 1 LUCAS,JOHN A 384422 10199 LUCAS,JOHN 203 ACC 02-0145 451.10 451.10 1 LUCAS,JOKN A 384533 10199 NENNIAEVIN 200 ACC 02-01-95 25€.00 2231.00 1 384497 10199 OLIVER,JANES 200 ACC 02-01-95 384.34 384.34 1 OLIVERMHES R 384370 10€99 PAANANEN,JON 200 ACC 02-0145 405.€0 405.10 1 PAANANENrJON K 384342 10199 PARWIZ,ADELA 200 ACC 02-01-95 316.00 316.00 1 384389 10199 PEEKE,BTEVE 200 ACC 02-01-95 341.54 341.50 1 PEEDLE ATEVE L 384521 10199 PEREI,NUNBERTO 200 ACC 02-01-95 798.00 792.00 1 385256 10199 ANCHANTErVIDALINA 200 ACC 02-07-95 88.00 88,00 1 ANCHANTErVIDALINA R 385154 €0199 ARAKAWA,NICHAEL 2200 ACC 02-07-95 139.00 €39.00 1 ARAKAWA,NICHAEL J 385038 10199 BAYARD,BETTY 200 ACC 02-07-95 83.00 15.00 03-23-98 70.00 1 BAYARD,BETTY G 385157 10199 BUNDY,LISA 200 ACC 02-07-95 93.50 93.50 1 BUNDMAYLA 385264 €0199 CANARENA,JESUS 200 ACC 02-07-95 100.07 100.07 1 w$^�? HEALTH SERVICES NRITE-OFF REPORT DATE:21 Aug 2000 PAGE; 7 DEBTOR.... CLIENT#... NAME.......................... DSK ST CO DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY, TOTAL DAL..... CNT 393149 10199 CAMPOS,EULOGIO 200 ACC 02-07-95 85.20 85.20 1 CAMPOS,EVELEIA 385237 10199 CHIODWRANCES 200 ACC 02-07-9S 766.30 766.50 1 CHIDDO,FRANCES M 395069 10199 COLEY,ALISON 200 ACC 02-07-93 167.90 167.90 1 COLEY,ALISON N 383296 10199 COLLIER,GARLAND 200 ACC 02-07-95 126.20 126.20 1 COLLIER,GARLAND S 355233 10199 CONSAGRAtNARIE 200 ACC 02-07-95 85.00 95.00 1 CONSAGRA,KARIE A 385184 10199 CONTRERASIELISEIOA 200 ACC 02-07-95 159.90 158.90 f 385009 10199 CORDERO MONICIO 203 ACC 02-07-95 126.90 126.90 1 COADERO,DIONICIO R 385143 10199 CROWERtJOHN 200 ACC 02-07-95 88.00 88.00 1 CROVKRtJON T 385210 10149 DAVIS,JAMES 203 ACC 02-0745 247.00 247.00 1 DAVIS,EVELYN 385187 10199 DAVIMICKY 200 ACC 02-07-93 39.24 39.24 1 DAVIStRICKY D 385260 10199 DELACRUZ,CONCEPCION 200 ACC 02-0745 196.00 196.00 1 385190 10199 DELPRADO,RICHARD 200 ACC 02-01-95 88.00 85.00 1 DELPRADMICHARD A 395107 10199 REOL,SANDEEP 200 ACC 02-0743 98.00 88.00 1 DEOU SANREEP S 385032 10199 DRAKEtSTACY 200 ACC 02-07-95 259.50 259.50 1 DRAM STACY C 385197 10199 ECHEVERRIAtTHERESA 203 ACG 02-07-95 107.55 70.00 02-12-96 37.55 1 ECHEVERRIA MERESA A 395174 10199 FERNANDEZ,ENIN 200 ACC 02-0745 583.23 383.23 1 385138 10199 FIAZ,SARYEN 200 ACC 02-07-95 211.00 211.00 1 FIAZ,DAPHNE P 385150 10199 FIAZ,SARYEN 200 ACC 02-07-95 55.00 55.00 1 FIAZ,DAPHNE P 385015 10199 FLANNERY,PHILIP 200 ACC 02-07-95 319.50 319.30 1 FLANNERY,PHILIP R 385270 10194 GALAZ,JOSE 200 ACC 02-07-45 380.15 390.15 1 6ALAZ,ARACELY 385136 10199 GAOtJIAJU 240 ACC 02-07-95 186.00 186.00 1 HAH,HUIIHEN 385€83 10199 GARICA,ANTONIO 203 ACC 02-07-95 48.00 48.00 € CARCIA,ANTONIO 385027 10194 GENTRYtKBDIE 203 ACC 02-07-95 706.20 706.20 1 GENTRY,JEFFREY A 385192 10199 GONZALEZ,ADRIANA 203 ACC 02-07-95 60.00 60.00 1 AKAs MARIA PLACIDA 385145 I0199 GRAY„JEFF 200 ACC 02-07-95 347.20 347.20 1 GRAY,JEFF D 385278 10199 GRAY,JEFF 200 ACC 02-07-95 14.48 €4.49 1 GRAY,JEFF D 384999 10199 GUERRERO,MANUEL 200 ACC 02-07-95 121.50 121.50 1 385170 10199 GUITERREZtANA 200 ACC 02-07-95 91.10 91.10 1 GUTIERREZ,ANA G 384985 10199 HAM,LEONARD 203 ACC 02-0745 65.09 65.09 € HEALTH SERVICES VRITE-OFF REPORT DATE:21 Aug 2000 PAGE; 8 DEBTOR.... CLIENT*... NAME.............rst.......... DSK ST CD 8T-ASSIGN PM-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT 384467 10199 HEREDIA,MARIA 203 ACC 02-8745 83.82 83.82 1 NEREDIA,GONIALO 385122 10199 KIRSCHMER,RAMDY 283 ACC 02-01-95 211.00 20.00 04-09-96 191.04 1 KIRSCHMER,RANDY S 385191 10199 LAVTON:DERRICK 203 ACC 02-07-95 341.50 341.50 1 LAVTONJERRICK D 385261 10199 LAVTON,D£RRICK 203 ACC 02-07-95 380.80 380.00 1 LAMTON,DERRICK O 385265 10199 LAVTON,DERRICK 203 ACC 02-07-95 16.00 16.00 1 LANTON,DERRICK D 185069 10199 LEVIS,JANES 203 ACC 02-07-95 998.98 998.90 1 LEYISrJANES J 385075 10199 MUNOI,FERNANDO 280 ACC 02-07-95 43€.50 451.50 1 NUNOZ,OLGA 385235 10199 NURILLO,RICARDO 200 ACC 02-07-95 322.00 322.00 1 385223 10199 MELSON,THOMAS 200 ACC 02-07-95 284.80 284.80 1 NELSON,THONAS J 385012 10199 OGDEMrJOHN 280 ACC 02-07-95 638.55 638.55 1 OGDEN,JOHN U 385218 10199 OUCH,JENNIFER 290 ACC 02-07-95 533.25 533.25 1 OUGN,JENNIF£R A 385€23 10199 PARROTT,BRIAM 280 ACC 02-07-95 971.75 971.75 1 386495 10199 ALVAREI,NARIA 280 ACC 02-17-95 88.00 88.00 1 386679 10199 ANSALER,NAT14LY 200 ACC 02-17-95 107.20 181.20 1 386698 18€99 BERTOLUCCI,NICHELLE 200 ACC 02-17-95 136.30 136.50 1 BERTOLUCCI,JORDAN C 386693 10199 BRASSFIELD,DORENE 200 ACC 02-17-95 153.00 €53.00 1 BRASSFIELD,DORENE G 386807 €0199 BRIDEMSTINE,CHARLES 200 ACG 02-17-95 169.20 169.20 1 BRIDENSTINE,SH£LLI£ K 386737 10199 CABANAG,TRINDAD 200 ACC 02-17-95 209.00 209.00 1 386689 10199 CAMPBELL,JEAN 203 ACC 02-1745 443.65 443.65 1 NARCHItRABECCA L 386869 10199 CAPURRO,SHARI 200 ACC 02-17-95 85.00 85.00 1 CAPORRO,SHARI J 386509 10199 CARTER:GARY 200 ACC 02-17-95 293.92 293.92 1 CARTER,CARY A 386707 10199 CARTER,GARY 200 ACC 02-17-95 77.00 77.00 1 CARTERrGARY A 386875 10199 CARTER,GARY 200 ACC 02-17-95 211.00 211.00 1 CARTER,GARY A 386881 10199 CARTER,GARY 200 ACC 02-17-95 263.57 263.51 1 CAR€ER,CAARY A 386650 10199 CASILLAS;DOT 200 ACC 02-17-95 91.00 91.00 1 CASILLAS,ANGELA R 386459 10199 CHAVARIN,SANDRA 200 ACC 02-17-95 148.50 148.50 1 CHAVARIN,BAMBRA L 386527 10149 COLLIN8,ANETTRA 200 ACC 02-17-95 338.56 338.56 1 COLLINS,ANETTRA R 386455 10199 CONTRERRAS,PAULO 208 ACC 02-1745 94.00 94.00 1 386479 10199 CVENCArANTONINIA 200 ACC 02-17-95 3346.30 3346.50 1 386745 10199 CUENCA,ANTONINIA 200 ACC 02-1745 100.00 100.00 1 386571 10199 CURTIS,YVORE 200 ACC 02-1145 236.00 236.00 1 s` C.�Y9 HEALTH SERVICES #RITE-OFF REPORT DATE.21 Avg 2000 PACE: 9 DEBTOR.... CLIENT#... MARE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT CURTIS,YVOKNE H 386547 10199 DAVIS,JAIE 200 ACC 02-17-95 385.00 385.00 1 DAVIS,JAIE L 386827 10199 DAVIS,RICKY 200 ACC 02-17-95 54.00 34.00 1 DAVIS►RICKY D 386419 10199 DECARLO,JUDITH 200 ACC 02-17-95 140.27 140.27 1 DECARLO,JUDITH K 386736 10199 DELACRUZ,CDMCEPCION 200 ACC 02-17-95 117.00 117.00 1 386685 10199 DEOUSANDEEP 200 ACC 02-17-95 224.00 224.00 1 DEOU SANKEP S 386400 10199 DOTSOM,URSULA 200 ACC 02-17-95 93.80 93.80 1 386746 10199 DRULLINGER,FRANK 200 ACC 02-17-95 98.00 98.00 1 386756 10199 FARLEY►SEAN 203 ACC 02-17-95 1144.40 1144.40 € FARLEY,8EAN N 386761 10199 FARLEY,SEAN 203 ACC 02-1745 88.00 88.00 1 FARLEY,SEAN K 386858 10199 FARLEY,SEAN 203 ACC 02-17-95 88.00 35.00 04-0346 53.00 1 FARLEY,SEAN K 386771 10199 FEIKAI,NAINA 200 ACC 02-17-95 104.80 104.80 1 386735 10199 FERNANDEZ,EVERADO 200 ACC 02-1745 85.00 85.00 1 FERNANDEI,EVERADO 8 386878 10199 FITICERALD,PAUL 200 ACC 02-17-95 85.00 85.00 1 FITZGERALD,PAUL D 386787 10199 FRASCH,JOHN 200 ACC 02-17-95 479.25 479.25 1 FRASCH,JOHN 8 386879 10194 GALVES,ERNESTO 200 ACC 02-17-95 622.00 622.00 1 GALVEA,WARIA N 386535 10199 GANDARO,LORI 203 ACC 02-1745 58.32 58.32 1 GANDARO,LORI M 386540 10199 GANDARO,LORI 203 ACC 02-17-95 85.00 85.00 1 GANDARO,LORI N 386622 10199 CARCIA,ADILIA 200 ACC 02-17-95 92.00 92.00 1 386748 10199 CARRETT,ROCER 200 ACC 02-17-95 121.50 121.50 1 CARRETT.ERIC N 386511 10199 GIBSON,HAVID 200 ACC 02-17-95 102.75 102.75 1 CIBSOM,BRAK30N F 386395 10199 CONZALEZ,JOSE 200 ACC 02-1745 7450.64 7450.64 1 GUZALEZ,JOSE M 386510 10199 GRAY,JEFF 200 ACC 02-17-95 165.81 165.81 1 GRAY,JEFF D 386675 10199 GREENE,JANE8 200 ACC 02-11-95 131.25 131.25 1 GREENE,JAMES E 386774 10199 GUZNAN,KICHOLAS 200 ACC 02-17-95 1510.35 1510.35 1 GUIRAN,NICOLA$ 366957 10199 HADLE,JOSEPH 203 ACC 02-17-95 185.00 185.00 1 HADLE,TANYA D 386589 10199 HENDERSON,ANTHONY 203 ACC 02-1745 173.78 173.78 € HENDERSON,ANTHONY R 386743 10199 JANES,LARRY 203 ACC 02-17-95 535.00 535.00 1 JARES,LISA C 386503 10199 JOHNSON►EJEVVA 203 ACC 02-17-95 117.50 117.50 1 JOHNSON,EJEWA C 386397 10199 KINSLEY,8TEVEN 203 ACC 02-17-95 517.00 20.00 02-2146 557.00 1 HEALTH SERVICES VRITE-OFF REPORT DATE121 Aug 2000 PACE: 10 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN.,.... PRIM COL LOT PAY. TOTAL SAL..... CHT KINSLEY,STEVEN G 396644 10199 LANHAN,GLORIA 2200 ACC 02-17-95 272.70 272.70 € LAMHAN4LORIA C 356492 10199 LUTQN,DERRICK 203 ACC 02-17-93 171.01 171.01 1 LANTONtOERRICK D 386394 10199 LOPEZ,CYRUS 203 ACC 02-17-95 236.00 236.00 1 LOPEZ.JULIA 386137 €0199 LUCAS,JOHN 203 ACC 02-17-95 317.00 317.00 1 LUCAS,JOHN A 386900 10199 LUCAS,JOHN 203 ACC 02-17-95 610.55 610.33 1 LUCASrJOHM A 386430 10199 NUNOZ,RAUL 8R 200 ACC 02-17-93 962.82 862.82 1 HUNQZ,LUPE 386349 10199 NURILLO,JESUS 200 ACC 02-17-95 635.00 633.00 € HURILLO,ISHAEL 386921 10199 NURRAY,JANES 200 ACC 02-17-95 726.90 726.90 1 HURRAY:JANES R 386926 10199 NAI,SIONE 200 ACC 02-17-95 261.00 261.00 1 NAI,SIONE S 386930 10199 NIINlIS,LINDA 200 ACC 02-17-95 511.42 50.00 06-29-95 461.42 1 386317 10199 OCEGUERArLILIA 200 ACC 02-1745 297.25 297.25 1 OCEGUERA,LILIA R 386914 10199 OCHOA,ELYIRA 200 ACC 02-17-95 928.24 928.24 1 366421 10199 OL.IVA,LAURA 200 ACC 02-17-95 385.50 383.50 1 386516 10199 PADILLA,YOLANDA 200 ACC 02-17-93 1334.76 1534.76 1 386621 10199 PANASrSUZAN 200 ACC 02-17-93 11314.36 1814.56 1 386676 10199 PERAZA,ADQLF0 200 ACC 02-17-95 1137.40 1137.40 1 PERAZA,ADOLFO A 386834 10199 PERAZA,ADOLF0 200 ACC 02-1745 273.58 273.58 1 PERAZA,ADOLFO A 386$23 10199 PEREZ,ALMA 200 ACC 02-17-93 388.00 388.00 1 PEREZ,ALRA L 386750 10199 PEREZ,CARLOS 200 ACC 02-17-95 910.33 910.33 1 386937 10199 PEREZ,ESPERANZA 200 ACC 02-17-95 330.00 330.00 1 38067 10199 PEREZ,JESUS 200 ACC 02-17-95 579.15 579.15 1 PEREZ,LUZ N 387134 10199 ABURTO,HARRISON 200 ACC 02-2245 135.00 135.00 1 397133 10199 ALEXANDER,NICOL.E 200 ACC 02-22-95 740.23 740.223 1 ALEXANDER:NICOLE D 387177 10199 ALEXANDER,NICOLE 200 ACC 02-22-93 556.00 536.00 1 AL€XANDER,NICOLE D 387095 10199 ATKINSOM,SHANNON 200 ACC 02-22-95 135.00 135.00 1 ATKINSON,SHAWON D 38723$ 10199 BARTNER,STACEY 200 ACC 02-2245 238.98 258.9$ € SARTNER,STACEY B 387170 10199 OENSON,JENNIFER 200 ACC 02-22-95 108.00 108.00 1 BENSON,JENNIFER L 387101 10199 BOSSETTE,TINA 200 ACC 02-22-95 91.00 91.00 € BOSSETTErTINA G 387118 10199 BRIDENSTINE,CHARLES 200 ACC 02-22-95 85.60 85.60 1 BRIDENSTINE,CHARLES A 387171 10199 CAMPO$,EUL9GIQ 200 ACC 02-22-93 121.30 121.30 1 387103 10199 CARROLL,IAN 203 ACC 02-2243 73.00 73.00 1 %li HEALTH SERVICES YRITE-OFF REPORT DATEa21 Avg 2000 PACE: 11 DEBTOR.... CLIENTB... NAME.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CMT CARROLLAAN A 387115 10€94 CARROLL:IAM 203 ACC 02-22-95 88.00 88.04 1 CARROLLtIAN A 381185 10199 CARROLL,IAN 243 ACC 42-22-95 241.40 241.00 1 CARROLL►IAN A 387207 10199 CASTILLO.CESAR 243 ACC 02-22-95 88.00 88,00 1 387220 10199 CASTILLMESAR 203 ACC 02-22--95 101.20 141.20 1 387247 10194 GAZARES.JORCE 20€1 ACC 02-22-95 92.00 92.04 1 387185 10199 CORNELIUMANNETTE 203 ACC 02-22-95 520.89 175.04 09-25-96 345.89 1 387194 10199 CORTEZ,LAMBERTINA 203 ACC 02-22-95. 218.50 218.50 1 387161 10199 GILLIAM.MICHAEL 203 ACC 02-22-95 180.90 184.90 1 GILLIAMICHAEL A 387196 10199 GILLIAMrMICHAEL 203 ACG 02-22-95 813.00 815.00 1 GILLIAM►MICHAEL A 387211 10199 GILLIAM,MICHAEL 203 ACC 02-22-95 138.00 138.00 1 GILLIAMMICRAEL A 387133 10199 GONZALEMIRGINIA 200 ACC 02-22-95 100.04 100.00 1 VERA,EDER I 387079 10199 PAYTON:TONY 2200 ACC 02-22-95 470.50 470.50 1 PAYTONtTONY L 387173 10149 PEREZ.GILBERTO 200 ACC 02-2245 421.00 421.00 € PEREI.LILIA 397110 10199 VILLIAM8,4ESORAH 9€ ACC 02-22-95 627.94 627.40 1 VILLIAMSiDEBORAH L 381856 10194 ABBE.CYNTHIA 200 ACC 03-02-95 28.80 28.10 1 ABBE.TARYN D 387927 10149 AFLLEJE.ALFREDO 200 ACC 03-02-95 123.00 123.00 1 AFLLEJE:ALFREDO B 387766 14194 ANDERSON,DAM 244 ACC 03-02-95 85.44 85.00 1 ANDERSOMANA J 381058 10199 BAKER.STEPHEN 200 ACC 03-02-95 88.04 88.00 1 BAKER.STEPHEN J 381118 10199 BLACKMON,HARRY 200 ACC 03-02-95 385.00 585.00 1 BLACKIM1K,MRRY L 387835 10199 MTOSIJUAN 240 ACC 03-02-95 554.38 554.38 € 387804 10194 CAMPBELWEAN 203 ACC 03-0245 176.30 176.30 1 MARCHI.RABECCA L 387769 14199 CARVER,MIKE 200 ACC 03-02-95 115.50 115.50 1 CARVERsHICHELLE L 387140 10199 CERVANTES,AURELIO 200 ACC 03-02-95 135.50 13:.50 1 387918 10199 CHAPMAN.CELESTE 200 ACC 03-02-95 477.00 477.00 1 388043 10199 CHAPMAN,CELESTE 200 AGC 03-02-95 36.04 35.04 1 388109 10199 CHAPNAN.CELESTE 240 ACC 03-02-95 335.94 335.94 1 387941 14199 CHRISTOPNERtALEXIS 200 ACC 03-02-95 139.20 139.20 1 CHRISTOPNER,ALEXIS J 387894 10199 COBBS,LONNIE JR 200 ACC 03-02-95 742.00 742.00 1 387998 10199 CORNELIUS.JOHN 240 ACC 03-02-95 154.32 40.00 06-19-98 114.32 1 387778 10199 CORRIM TRACT 200 ACC 03-02-95 54.00 54.00 1 CORRICK.TRACI L 387980 14199 COSIOtFRANCISC4 200 ACC 03-0245 168.01 168.01 1 388107 10199 CROMIE.MICHAEL 240 ACC 03-02-95 407.00 407.00 1 CROMIE,STACEY 387906 10199 CRUI.JAVIER 203 ACC 03-02-95 177.00 177.00 1 wry: HEALTH SERVICES VRITE-OFF REPORT DATEx21 Aug 2000 PACE• 12 DEBTOR.... CLIEN9... NAME.......................... DSK ST CD DT-ASSIGN PR-ASSIGN,..... PRIK COL LST PAY. TOTAL SAL..... CNT CRUI,NOEL 388048 10199 CRUZ,TINA 200 ACC 03-02-95 104.75 104.75 1 367765 10199 CRUI,TONY 200 ACC 03-02-95 161.40 161.40 1 CRUIrTONY J 387827 10199 CUMMINGS►AMELIA 200 ACC 03-02-95 98.00 98.00 1 CUMMING&AR£LIA J 388011 I0199 DAVISrANTONIO 200 ACC 03-02-95 97.45 97.45 1 387915 10199 DELACRUIrCONCEPCION 200 ACC 03-02-95 177.90 02-12-96 177.90 1 387976 10199 DELGADO,PAULO 200 ACC 03-02-95 13.94 13.94 1 DELGADO,PAULO J 387964 10199 DEOL,SANDEEP 200 ACC 03-02-95 138.00 138.00 1 DEOL,SANDEEP S 387991 10199 DINGLASAN,NARCELLA 200 ACC 03-02-95 233.20 233.20 1 MACASET,MARCELA 387861 10199 DOHRNANN,DONALD 200 ACC 03-02-95 88.00 88.00 1 00HRNANNrDONALD K 387798 10199 DRULLINCERrFRAN 200 ACC 03-02-95 135.00 135.00 1 387334 10199 ECKERTrJOE 203 ACC 03-02-95 184.07 184.07 1 ECKERT,JAMIE R 387919 10199 ECKERTrTHOMAS 200 ACC 03-02-95 93.00 93.00 1 ECKERT,KELLI 387857 10199 EDVAROMEBRA 203 ACC 03-4245 1315.58 30.00 04-17-95 1285.58 1 EMARDS,DEBRA D 387877 10199 ELDER,GLENN 200 ACC 03-02-95 365.07 365.07 1 ELDER,GLENN D 387986 10199 ELDER,GLENN 200 ACC 03-02-95 378.66 378.66 1 ELDER,GLENN D 388450 10199 ELKINTON,RICHARD 200 ACC 03-02-95 545.04 545.04 € ELKINTOK,RICHARD E 387973 10199 ELZE,CINDY 200 ACC 03-02.95 14.40 14.40 1 ELIE,CINDY K 388042 10199 ERATO,JOABUIN 200 ACC 03-02-93 189.40 189.40 1 fRAZO,JOAGUIN N 388063 10199 ESPEJELrEIMANUEL 200 ACC 03-02-95 329.30 329.50 1 388064 10199 FISIIAHIrSIONE 203 ACC 03-02-95 79.50 79.50 1 FISIIAHI,LUTE 388034 10199 FOSTER,RAMON 200 ACC 03-02-95 29.35 29.35 1 FOSTER,RANON 8 387789 10199 FRANKLMERIC 200 ACC 03-02-95 92.00 92.00 1 388038 10199 FRASCH,JOHN 200 ACC 03-02-93 348.00 348.00 1 FRASCH,JOHN S 387970 10199 FRAZIER,JOHN 200 ACC 03-02-95 98.00 MOO 1 387887 10199 FRfY,TANIK0 2200 ACC 03-02-95 86.50 86.50 1 FREY MBE M 388066 10199 GARCIArANTONIO 203 ACC 03-02-95 227.50 227.50 1 388103 10199 GARCIA,AURELIO 200 ACC 03-02-95 135.00 10.00 05-26.95 123.00 1 387871 10199 GARZR,LUIS 200 ACC 03-02-95 603.20 605.20 € 387775 10199 GELDEMIM 200 ACC 03-02-95 143.70 143.70 € GELDER,KIN N 387849 10199 GEORGE,NANCY 2200 ACC 03-02-95 146.10 146.10 1 GEORGE,NANCY L 387820 10199 GLASPER,FELICIA 200 ACC 03-02-95 7024.52 7024.52 1 GLASPER,FELICIA E r�Y'�- HEALTH SERVICES NRITE-OFF REPORT DATE•21 Aug 2000 PAGE. 13 DEBTOR.... CLIENT*_ MAKE.....................11..Y DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 387794 10199 GODFREY:DOUGLAS 244 ACC 03-02-95 7829.43 7829.03 1 COD€REYtDOUCLAS C 388020 10199 901FREMOUGLAS 200 ACC 03-02-95 449.60 449.60 1 CODFREMOUCLAS C 387948 10199 CONE.„#ESUS 244 ACC 03-02"95 98.00 98.04 1 GONEItJESUS R 388070 10199 GONEZtJESUS 200 ACC 03-02-95 1060.90 1060.90 1 MEZ►JEWS R 388119 14199 GONEZIAWS 200 ACC 03-42-95 230.25 234.25 1 GONEZtJESUS R 387897 10199 CONIALEZtBERTHA 200 ACC 03-02-95 897.90 897.90 1 387901 10199 CONIALEItKELLIE 203 ACC 03-02-95 247.40 35.00 46-25-96 212.04 1 GONIALEMELLIE A 387809 10199 CONIALU MBEN 200 ACC 03-02-95 64.07 64.07 1 388084 10199 COM PAUL 209 ACC 03-02-93 3022.90 302.90 1 GORRtPAUL H 388040 10199 CREEN.GERTRUDE 200 ACC 03-02-95 106.58 106.58 1 387790 10199 GUERRAtHARIA 203 ACC 03-0245 119.50 119.54 1 GUERRArMARIA D 388067 10199 CUERRArNARIA 243 ACC 03-02-95 353.50 353.50 1 GUERRA,NARIA D 388096 10199 GUSHUE.NARK 200 ACC 03-02-95 916.30 916.30 1 GUSNUEtNARK C 388919 10199 GUZNANtALEIANDER 200 ACC 03-02-95 118.94 118.90 1 387875 10199 GUINAMEN 203 ACC 03-02-95 97.00, 97.00 1 GUMANtANDY R 388102 14199 CUMANtNICHOLAS 240 ACC 03-02-95 77.00 77.00 1 GUI11ANtMICOLAS 387904 10199 GVYNNtDAVID 200 ACC 03-02-95 453.35 453.35 1 GVYNNtSHELLY A 387907 10199 HEININGEtJANES 203 ACC 03-02-95 88.00 88,00 1 HEININCE.JANES T 388115 14199 NENDERSONtMTHONY 203 ACC 03-02-95 155.50 155.50 1 NENDERSBN.AIITHONY R 388100 10199 KAUR>BALBIR 200 AGC 03-0245 286.20 286.20 1 387807 10199 MORHAN,SHIRLEY 200 ACC 03-0245 2961.98 2961.98 1 NORMANtSHIRLEY A 387961 10199 NORNANtSHIRLEY 200 ACC 03-02-95 559.00 559.00 1 NO"AN.6HIRLEY A 387797 10199 ORDAS:JUAN 200 ACC 03-02-95 270.35 274.35 1 ORDAZIJun A 388369 10199 ADAIRYTERRY 200 ACC 03-07-95 151.50 151.50 1 ADAIR.TERRY D 388658 10199 ANDERSOMAUNDRA 203 RCC 03-07-95 76.00 76.00 1 ANDERSON MUNDRA J 388424 10199 BARKLEYt11E10RE 200 ACC 03-07-95 21.60 21.60 1 9ARKLEMEI32E R 388751 10199 BEHLt2 200 ACC 03-07-95 147.50 50.00 03-22-93 97.50 1 BEHLJONI L 388291 10199' BELTRAN,SALMADOR 200 ACC 03-07-95 89.50 89.50 1 388794 10199 BDNLESTCHARLES 200 ACC 03-07-95 117.00 117.00 1 388758 10199 BRE#EMOGERS 200 ACC 03-07-95 37.48 37.48 1 BREVERtROCERS B ^ir HEALTH SERVICES WRITE-OFF REPORT DATE.E1 Aug 2000 PAGE• 14 DEBTOR..,. CLIENT#.,. !{A1#E.......................... DSK ST CO DT-ASSIGN Phi-ASSIGN...,.. PRIN COL LST PAY. TOTAL BAL..,., CNT 388353 101" BROHN,RICHARD 200 ACC 03-07-95 465.55 465.55 € BROWN+RICHARD 8 388588 €0199 CADAMAG,TRINDAD 200 ACC 03-07-95 19.08 19.08 1 388524 10144 CASTILLO,JOSE 203 ACC 03-0745 236.00 236.00 1 CASTILLM JOSE V 388615 10199 CHILDERS,JOHM 200 ACC 03-07-95 184.00 184.00 1 388621 10199 CHILDER'S,JOHN 200 RCC 03-07-95 433.541 433.50 1 388314 10199 CROHNELLrSHERRY 203 ACC 03-07-95 135.00 135.00 1 CRONVELL,$HERRY M 388789 10199 CRORVELL,SHERRY 203 ACC 03-07-95 164.70 164.70 1 CRONVELL AKERRY N 388585 10199 DELACRVZ,CONCEPCION 200 ACC 03-0745 88.00 88.00 1 388727 10199 DINGLASAN,NARCELLA 200 ACG 03-07-95 186.00 186.00 1 MACASET,MARCELA 388406 10199 FAGERHAUCHtCANDYCE 203 ACC 03-07-95 166.70 166.70 1 FAGERHAUGH,CANDYCE N 388446 10199 FACERHAUGH,CANDYCE 203 ACC 03-07-95 €65.80 165.80 1 FAGERHAUGH,CANDYCE N 388622 10199 FACERHABGH,CANDYCE 203 ACC 03-07-95 27.00 27.00 1 FAGERHAUGH,CANOYCE N 388477 10199 FERNANDEZ,TONAS 200 ACC 03-01-45 90.50 90.50 1 FERNANDEZ,IRENE 388341 10199 FLORES,OLGA 200 ACC 03-07-95 145.00 145.00 1 388838 10199 FRANKLIN,EDDIE 203 ACC 03-07-95 271.50 271.30 1 FRANKLINtEDDIE L 388526 10149 FRANSEN,KINBERLY 200 ACC 03-07-95 12.00 12.00 1 FRAN8EN,JONATHAM 8 388403 10149 FRANTZIRONALD 200 ACC 03-07-95 88.00 88.00 1 FRANTZ,RONALD M 388408 10199 FREITAS MATIN A 203 ACC 03-07-95 2668.08 MOM M 1 I ANT1XY AUTO RECKERS 388834 10199 GARREM STANLEY 203 ACC 03-07-95 237.50 237.50 1 CARRETT,BTANLEY G 388433 10199 GAVIRIA,JARES 200 ACC 03-07-95 €61.00 161.00 1 GAVIRIAtJANES A 388642 10199 GAVIRIA,JANES 200 ACC 03-01-95 47.00 47.04 1 GAVIRIA,JAMES A 388544 10199 COODE,JAINE 200 ACC 03-07-95 70.20 70.20 1 GOODE,JAINE D 388802 10199 GOODE,JAINE 200 ACC 03-07-95 76.00 76.00 1 GOODE,JAINE D 388311 10199 GREEN,AVA 200 ACC 03-07-95 99.00 99.00 1 GREEN,BRIAN 388593 10199 CREEN,RICHARD 200 ACC 03-07-95 85.00 85.00 1 388496 10199 GVERRERMELIA 200 ACC 03-07-95 120.00 120.00 1 388538 10199 CUILLORMICOLE 200 ACC 03-07-95 170.00 170.00 1 GUILLORY MCHOLAS A 388842 10199 GUZNAN,ROSALIA 200 ACC 03-07-95 98.90 98.80 1 388801 10199 CNYINI,DAVID 200 ACC 03-07-93 79.60 79.60 1 GUYNN,SHELLY A 388604 10199 HANtLEONARD 203 ACC 03-07-95 58.56 58.56 1 388683 10199 M&LEONARD 203 ACC 03-07-45 69.16 69.16 1 388570 10194 HANMOND,DANIEL 203 ACC 03-07-95 229,90 229.90 1 HEALTH SERVICES HRITE-OFF REPORT DATE M Aug 2000 PAGE: 15 DEBTOR.... CLIENT*... NAME.......................... DSK ST CO DT-ASSIGN PM-ASSIGN...... PRIM COL LST PAY. TOTAL DAL...., CRT HANNOND,DANIEL J 386476 10199 HEIMINGEYJAMES 203 ACC 03-07-95 197.00 197.00 1 HEINIMGE,JAMES T 388290 10199 HIPOLITO,JOSE 203 ACC 03-07-95 216.50 216.50 1 HIPOLITO,BELEN 388413 10199 HIPOLITO,JOSE 203 ACC 03-07-95 18.00 18.00 1 HIPOLITDYBELEN 388796 10199 HOLLEY,ANTHONY 203 ACC 03-07-95 88.24 88.24 1 HOLLEY,ANTHONY V 388837 10199 JACODOYANNELECE 2203 ACC 03-07-95 183.60 €83.60 1 JACOSO,DEBORA C 388235 10199 JIMENEZ,EDUARDO 203 ACC 03-07-95 380.10 380.10 1 388281 10199 KHOKHAR:MIANIMZHAR 203 ACC 03-07-95 131.05 131.03 1 KHOKHAR,MIANMAZHAR 0 398365 10199 LANCE,SUSAN 203 ACC 03-07-95 663.50 663.50 1 388569 10199 LANCE,SUSAN 203 ACC 03-0745 72.00 72.00 1 388596 10199 LANCE,SUSAN 203 ACC 03-07-95 189.26 189.26 1 388635 10199 LANCE,SUSAN 203 AGC 03-07-95 117.30 117.30 1 398856 10199 LANCE,SUSAN 203 ACC 03-07-95 155.50 €55,50 1 368270 10199 LENCHNER,EVA 2203 ACC 03-0745 143.00 145.00 1 LENCHNER:EVA C 388451 10199 LENCRNER,EVA 203 ACC 03-07-95 135.00 135.00 1 LENCHMEA,EVA C 388440 10194 MUNDT,KEITH 200 ACC 03-07-93 349.84 349.84 1 MUNOT,KEITH V 368431 10199 MURILLWAVIER 200 ACC 03-0745 366.14 366.14 1 388258 10199 NORRISYBAM 200 ACC 03-07-93 425.90 425.90 € IRIS,DAN A 346846 10199 OGARA,LAURIE 200 ACC 03-07-95 583.50 160.00 06-22-95 423.50 1 OGARA,LAVRIE J 388433 10199 OLIVA,LAURA 200 ACC 03-07-95 471.00 471.00 1 388760 10199 ORTEGA,ENRIWE 200 ACC 03-07-95 407.67 407.67 1 388438 10199 ORTEGA,HUG0 200 ACC 03-07-95 349.00 349.00 1 ORTEGA,HUGO G 388470 10199 ORTEGA,OLIVIA 2200 ACG 03-07-95 1196.00 150.00 06-15-95 1048.00 1 ORTEGA,LVIS 388621 10199 OVER,BRONHY1 200 ACC 03-0745 364.00 364.00 1 OVER,BRONVYN F 388385 10199 PALACIOS,GILBERTO 200 ACC 03-07-95 462.00 40.00 04-11-95 422.00 1 388607 10199 PARSCAL►TONY 200 ACC 03-07-95 521.05 521.05 1 PARSCAL,CHRISTOPHE J 386763 10199 PARSCAL,TOMY 200 ACC 03-07-95 262.50 262.50 1 PARSCAL,CHRISTOPHE J 388770 10199 PARSCAL,TONY 200 ACC 03-07-95 2285.50 245.50 1 PARSCAL►CHRISTOPHE J 384404 10199 PERALSKY,BRIAN 200 ACC 03-07-95 257.50 257.50 1 388750 10199 PEREZ,JESUS 200 ACC 03-07-95 583.50 563.50 1 PEREZ,LUZ M 388766 10299 PH€LLIPS,CLAUDIA 200 ACC 03-07-95 294.86 294.86 1 386241 10199 RUIZ,ANTONIO 200 ACC 03-07-95 1356.32 1356.32 1 388525 10199 SANCHEI MALTA 200 ACC 03-07-95 668.10 668.10 1 SANCHM AMALIA I 388787 10199 SIMPSON,ARNOLD JR 200 ACC 03-07-95 252.45 252.45 1 `.7 HEALTH SERVICES WITE-OFF REPORT DATE;21 Aug MO PACE; 16 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSICN PN-ASSIGN...... PRIN COL LST PAY. TOTAL SAL..... CNT SIMPi.ARNOi.D JR F 389446 10199 ALSERM MICHELLE 200 ACC 03-15-95 923.68 923.68 1 389405 10199 ALVAREZ.HUMKRTO 200 ACC 03-13-95 89.30 89.50 1 389484 10199 ANGELITO,MARIO 200 ACC 03-1545 221.80 221.80 1 ANGELIM ULISES 389362 10199 ARTHUR:TONY 200 ACC 03-1545 139.05 139.05 1 ARTHURtTONY E 389506 10199 BARNER.VINCENT 200 ACC 03-15-95 120.00 120.00 1 BARNER.PATRICK V 389461 10199 SHAMBRA,NARANJAN 200 ACC 03-15-95 819.50 819.50 1 BHAMBRA,KARANJAN K 389497 10199 BHAMBRA:NARANJAN 200 ACC 03-1545 274.00 274.00 1 BHAIRRA,KARANJAN K 389500 10199 BIGLEYIBAUNDRA 200 ACC 03-15-95 98.00 98.00 1 DICLEY.SAVNDRA L 389444 10199 BROCKtROBERT 200 ACC 03-15-95 150.60 150.60 1 BROCKtROBERT B 389510 10199 BROW&CHRISTOPHE 200 ACC 03-15-95 685.45 3.00 09-1046 682.45 1 BROOKStCHRISTOPHE L 389345 10199 BUTT.SHAHSAZ 200 ACC 03-1545 129.12 129.12 1 BUTT,ALIYA T 389479 10199 BYRNEStMARCARET 200 ACC 03-15-95 233.40 233.40 1 389365 10199 CASTELLANOStRANON 200 ACC 03-15-95 123.00 123.00 1 CASTELLANDS:RANON N 389481 10199 CASTELLANDBtRAWN 200 ACC 03-15-93 176.67 176.67 1 CASTELLANOMAMON N 389483 10199 CASTELLANOSAAMDN 200 ACC 03-15-95 21.00 21,00 1 CASTELLANOMANON N 389379 10199 CRUZ.JOSVE 200 ACC 03-15-95 124.40 124.40 1 39933E 10199 DtANGINEtKDRVETT€ 200 ACC 03-13-93 135.00 135.00 1 D`ANGINEtKDRVETTE A 389418 tO199 DIAStDANIEL 200 ACC 03-15-95 88.00 10.00 07-17-96 18.00 1 DIAS:NIRMALA N 389499 10199 ERDEM EDVARD 200 ACC 03-1545 135.00 135.00 1 389413 10199 ESCORZA.ALBERTO 203 ACC 03-15-95 301.50 301.50 1 389324 10199 ESPINOM ENTELND 2203 ACC 03-15-95 9846.74 300.00 08-09-95 9546.74 1 389460 10199 FORMONALD 200 ACC 03-15-95 2001.37 2001.37 1 FORMONALD E 389430 10199 GARREMSTANLEY 203 ACC 03-15-95 158.80 158.80 1 GARREMSTANLEY G 389353 10199 GRAY►FERN 200 ACC 03-15-95 16.00 16.00 1 GRAY,FERN L 389346 10199 GUERREROJELIA 200 ACC 03-15-95 337.50 337.50 1 389454 10199 GUERRERMELIA 200 ACC 03-15-95 14012.99 14012.99 1 389349 10199 HOLMES,ALFRED 200 ACC 03-15-95 88.00 88.00 1 HOLMEStALFREED E 389523 10199 PEREZtG1LBERTO 200 ACC 03-15-95 476.00 476.00 1 PEREUILIA 389501 10199 ROSE,THERESA 200 ACC 03-15-95 518.00 518.00 1 ROSEtTHERESA M 390823 t0t99 ALCARAMTEVE 200 ACC 03-28-95 897.00 897.00 1 ALCARAZtSTEVE A 390820 10199 ALEMANtMARTHA 200 ACC 03-28-95 120.50 120.50 1 HEALTH SERVICES NRITE-OFF REPORT DATE M Aug 2000 PAGE= 17 DEBTOR.... CLIENT#... KANE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CVT 390884 10199 ALVARADO,DORA 200 ACC 03-2845 82.00 40.00 06-1246 42.00 1 ALVARADMORA N 390534 t0t99 ARNSTRONG,HOLLIE 200 ACC 03-28-95 141.30 141.50 1 ARKSTRONGrHOLLIE L 390680 10199 ARRARITMINCENT 200 ACC 03-28-95 88.00 88.00 1 390661 10199 BALDNINrVICKI 200 ACC 03-2843 124.83 124.83 1 BALDVIN►RICK 390693 10199 BALLARMORIS 200 ACC 03-28-95 181.50 181.50 1 BALLARD,DORIS A 390629 10199 BELL:TERRY 200 ACC 03-28-95 89.03 89.05 1 BELLJERRY L 390789 10199 BRAGGMERRY 200 ACC 03-28-95 695.00 695.00 1 DRAMMERRY 0 390792 10199 BUSTOS,TONACITA 200 ACC 03-2845 125.30 125.50 1 BUSTOBJURACITA R 390383 10199 CALDNELL,SOLANGE 200 ACC 03-28-95 142.00 142.00 1 DORSEMALEKCIA 390191 10199 CANPBELL►JEAN 203 ACC 03-28-95 90.00 90.00 1 NARCHI,RABECCA L 390828 10199 CARVER,GAIL 200 ACC 03-28-95 960.00 960.00 1 CARVEMAIL N 390592 10199 CASSON,KINBERLY 200 ACC 03-28-93 100.15 100.15 1 CASSON,JACOB 390897 10199 CASTONtLETORIA 200 ACC 03-28-93 116.20 116.20 1 390681 10199 CHANBERS.NICHELLE 203 ACC 03-28-95 479.00 479.00 1 CHANBERStTIFFANY A 390606 10199 CLEVELAND,BRIDGETT 200 ACC 03-28-93 18.00 15.00 1 CLEVELAW BRIDGETT D 390348 10199 COLE,STACEY 200 ACG 03-28-95 135.00 135.00 1 COLE MN€VIN J 390601 10199 CURTIS,JANES 200 ACC 03-2845 253.30 253.30 1 CURTIS,JANES C 390730 101" DAKGELOrTNONAS 200 ACG 03-28-95 168.00 168.00 1 DANCELO M RSTEN 390636 10199 DAVIStNARY 200 ACC 03-28-95 236.40 236.40 1 DAVISOMRY A 390923 10199 DE LA CANPA.ELIZABETH 200 ACC 03-2845 159.00 139.00 1 DE LA CANPAtNIKOLAS 390844 10199 DUDLEY,2 200 ACC 03-28-95 48.00 48.00 1 HOLEY r PAUL L 390560 10199 ECHAVARRIA,BILLY 200 ACC 03-28-95 838.19 838.19 1 390619 10199 ECKERT,VILLIAN 200 ACC 03-28-95 337.50 337.50 1 ECKERT,VILLIAN D 390392 10199 EDR NfDSOMMERR€DRIC 200 ACC 03-28-95 170.60 170.60 1 EDNUNDSON MERISH 1 390889 10199 EDVARDS,DEBRA 203 ACC 03-28-93 28.50 28.30 1 EDVARDS,DEBRA D 390645 10199 ESTES MNA 200 ACG 03-28-95 241.85 241.83 1 ESTES,TINA C 390673 10199 ESTES,TINA 200 ACC 03-28-95 149.18 149.18 1 ESTES,TINA C 390817 10199 ESTEStTINA 200 ACC 03-2845 148.80 148.80 1 ESTEMINA C vt?YT HEALTH SERVICES HRITE-OFF REPORT DATE.21 Aug 2000 PACE• 18 DEBTOR.... CL€ENTB... NAME.......................... OSK ST CO OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 390673 10199 FARMER,NICHAEL 203 ACC 03-28-95 119.00 119.00 1 390867 10199 FERNANDEI,PATRICK 200 ACC 03-28-95 574.55 574.55 1 FERNANDEIrPATRICK H 390153 10199 FLORES,FERNANOO 200 ACC 03-28-95 143.00 143.00 1 390842 10199 FLORES,STEVEN 200 ACC 03-28-95 197.90 197.90 1 FLORES,STEVEN J 390590 10199 FORWANES 200 ACC 03-28-95 84.22 84.22 1 FORD,JANES E 390713 10199 FORWARES 200 ACC 03-28-95 179.00 179.00 1 FORWANES E 390735 10199 FRASCH,JOHN 203 ACC 03-28-95 101.50 101.30 1 FRASCH,JOHN S 390947 10199 GALLARDO►SALVADOR 200 ACC 03-2845 85.00 85.00 1 390822 10199 GARCIA:ROSARI0 203 ACC 03-28-95 117.30 117.50 1 390387 10199 GARIDEL,LOVIS 203 ACC 03-28-95 144.24 144.24 1 GAR€DEL,LOU€S R 390662 10199 GHAUS,NALIHA 200 ACC 03-28-99 88.00 88.00 1 390731 10199 G€LE,K£LLY 200 ACC 03-28-93 973.00 973.00 1 STORER,SAMUEL N 390593 10199 GILLARO,DONALD 200 ACC 03-28-95 167.60 167.60 1 GILLAR0,00NALO N 390878 10199 GLADNEY,MICHAEL 200 ACC 03-28-95 135.00 135.00 1 GLADNEY.MICHAEL T 390734 10199 GONZALEZ,B£RTHA 200 ACC 03-28-95 147.40 147.40 1 390872 10199 GONZAL£Z,DAVID 203 ACC 03-28-95 211.00 211.00 1 GONIALEZ,DAVID A 390144 10199 GONIALEI,JAVIER 200 ACC 03-28-95 97.44 97.44 1 390748 10199 GONIALEI,JAVIER 200 ACC 03-28-95 241.00 241.00 1 390877 10199 GONIAL£I,JUL10 200 ACC 03-28-95 521.20 521.20 1 GONIALEI,JULIO N 390633 10199 GONZALEI,RAFAEL 200 ACC 03-28-95 101.80 101.80 1 390929 10199 GRAY,DELINO 200 ACC 03-28-93 99.40 99.40 1 GRAY,DEL€NO A 390667 10199 GREENAVAY,BEVERLEE 200 ACC 03-28-95 624.49 624.49 1 GR£ENAMAY,BEVERLEE R 390688 10199 GRIFFIN-KARLA 200 ACC 03-28-93 224.00 224.00 1 GRIFFIN,KARLA N 390780 10199 GRIUROV,CHR€STO 200 ACC 03-28-95 42.00 42.00 1 GRIGOROV,CHR€STO T 390918 10199 GUTIERREI,HARRY 203 ACG 03-28-95 332.10 332.10 1 390924 10199 GUIMAN,NICOLAS 200 ACC 03-28-93 948.65 948.65 1 390762 10199 HANOND,TERRI 200 ACC 03-28-95 221.00 221.00 1 FREENAN,RANDY T 390882 10199 HERRERA,NARIO 203 ACC 03-28-95 140.70 140.70 1 HERRERA,ROH£LIA 0 390781 10199 KIRSCHN£R,RANDY 203 ACC 03-28-9S 211.00 211.00 1 K€RSCHNER,RANDY S 390928 10199 NELSON,ROBERT 200 ACC 03-28-95 494.50 494.50 1 NELSON,ROBERT 0 390907 10199 NIEBUHR,NARK 200 ACC 03-28-95 762.00 762.00 1 NIEBUHR,JAMES E 390154 10199 NOV€S,CAIL 200 ACC 03-2845 2494.26 2494.26 1 310797 10199 ORTEGA,HUGO 200 ACC 03-28-95 846.50 846.50 1 HEALTH SERVICES VRITE-OFF REPORT DATE•21 Aug am PAGE: I9 DEBTOR.... CLI£NTI... NAME.......................... ASK ST CD DT-ASSIGN PN-ASSIGN....., PRIM COL LST PAY, TOTAL BAL..... CRT ORTEGA MUGO G 396711 10199 PAREDESrGUSTRVO 200 ACC 03-28-95 289.15 289.15 1 PAREDES+OELIA 390679 10199 PARKERrERIN 200 ACC 03-28-95 1161.92 1161.92 1 PARKERrERIN E 390599 10199 PATRICKrLISA 200 ACC 03-28-95 13000.99 13000.99 1 PATRICKrLISA M 390633 10199 PEREIrJESUS 200 ACC 03-28-95 299.75 299,75 1 P£REIrLUI M 390633 10199 RUII,ANT0NIO 200 ACC 03-28-95 906.00 906.00 1 391965 14199 ALEMANYRARTHA 200 ACC 04-06-95 856.79 856.79 1 392095 10199 ALLEN+DANIEL 200 ACC 04-06-95 135.00 135.00 1 392047 10199 ARASArCHARLES 200 ACC 04-06-95 1926.28 1926.28 1 ARASArCHARLES A 391855 10199 CERVANTESrHUBERT 200 ACC 04-06-95 17,00 17.00 1 CERVANTESrELVINA 391863 10199 DIEKENrAARON 200 ACC 04-06-95 293.00 03-13-97 295.00 1 DIEKENrAARON P 391866 10199 DUDL£YrPAUL 206 ACC 04-06-95 151.20 131.20 1 DUDLEY:PAUL L 391929 10199 FERNANDEL ELISEO 200 ACC 04-06-95 88.00 88.00 1 FERNANDEIrRAF AELA 392036 10199 FERNANOM PATRICK 200 ACC 04-06-93 111.50 €11.50 1 FERNANDEIrPATRICK H 391869 10199 GARCIArROSARIO 203 ACC 04-06-95 189.50 189.50 1 391909 10199 GARCIA.ROSARIO 203 ACC 04-06-95 117.30 117.50 1 391876 10199 GILWASBIR 200 ACC 04-0645 103.00 103.00 1 391942 10199 GONEWESUS 200 ACC 04-06-93 95.00 95.00 1 GOMEIrJESUS R 391989 10199 CONNE"AMrGEOFF 200 ACC 04-06-95 138.60 138.60 1 391986 10199 GINiIALEI.EVELIA 200 ACC 04-06-95 116.60 116.60 1 391888 10199 GREGOIRE.ROGER 200 ACC 04-0643 83.00 83.00 1 GREGDIRErROGER V 391773 10199 GREGORYrRYAN 203 ACG 04-06-95 12€,50 121.50 1 GREGORYrARMIDA 391962 10199 GREGORY:RYAN 203 ACC 04-06.95 478.70 478.70 1 GR£GORY.ARMIDA 391966 10199 GREGORYrRYAN 203 ACC 04-06-95 88.00 88.00 1 GREGORYtARMIDA 391878 10199 GUEVARArJOEL 200 ACC 04-06-95 93.00 93.00 1 GUEVAW EVETTE L 391890 10199 HENRYrJOSEPH 203 ACC 04-04-95 €30.50 130.50 1 HENRY rLAW N 391947 10199 HENRYrJOSEPH 203 ACC 04-06-95 247.26 247.26 1 HENRYrLANSA N 392696 10199 JAMES LARRY 203 ACC 04-06-95 88.00 88.00 1 JARMUSA C 39212b 10199 JAMESrLARRY 203 ACC 04-06-95 494.00 494.00 1 JANESrLISA C 392109 10199 KUYKENDALLrVILLIAM 92 ACC 04-06-95 681.34 681.34 1 KVYKENDALL,VILLIAM N 391864 10199 LESLIE,ANTHONY 203 ACC 04-06-95 135.00 135.00 1 LESLIErANTMY 0 HEALTH SERVICES VRITE-OFF REPORT DATEi21 Aug 2000 PAGE! 20 DEBTOR.... CL€ENT4... WE......i..,......M........i DSK ST CD DT-ASSIGN PN-AS&ICN...... PRIN CDL LST PAY. TOTAL BAL..... CNT 391894 10199 LESLIE,ANTHONY 203 ACC 04-06-95 111.00 11€.00 1 LESLIE:ANTNONY 0 392100 10199 LOPEIrFRANCISCO 203 ACC 04-06-95 88.00 88.00 I LOPEI,MARIA 5 392083 10199 OLIVER MLLIAN 200 ACC 04-0645 411.65 411.65 1 OLIVER,PATRICIA R 391948 10199 OLSEN,GEME 200 ACC 04-06-95 258.00 258.00 1 392027 €0199 ONEAL,TAIMY 200 ACC 04-06-93 514.77 314.13 1 ONEAL,TANNIE S 391805 10199 PACIS,LEONARDO 204 ACC 04-06-95 722.00 722.00 1 PACIS,EDUARDO 392060 10199 PAOILLA,HUCO 200 ACC 04-06-93 271.00 271.00 1 391768 10199 PARKERrRUERT 200 ACC 04-06-95 281.63 281.63 1 PARKER,ROBERT J 391791 10199 PETERSON:CATHY 200 ACC 04-06-95 334.32 120.00 12-10.96 214.32 1 PETERSON MEGORY A 391824 10199 REEC£,TOIUIY 200 ACC 04-06-95 891.08 891.08 1 REECE,TONMY M 392610 10199 AANODTrSTEVEN 200 ACC 04-12-95 98.00 98.00 1 AANOOT,STEVEN B 392739 10199 AGUILERA MRIS 200 ACC 04-12-95 129.90 129.90 1 AGUILERA MRIS N 392349 10199 AKERSrRODNEY 200 ACC 04-1245 169.77 169.77 1 AKERSrROONEY D 392367 10199 ALATINI,MELE 200 ACC 04-12-95 $6.00 88.00 1 ALATINI,NELE L 392495 10199 ALVAREI,GILBERTO 200 ACC 04-12-95 145.00 145.00 1 392639 10199 AYALA,RUBEN 203 ACC 04-12-95 109.50 109.50 1 AYALA,EDGAR 392289 10199 BACON,CARL 200 ACC 04-12-95 98.00 98.00 1 BACON,CARL E 392301 10199 BARAJAS,JVAN 200 ACC 04-1245 292.00 292.00 1 392455 10199 BARRAIA,RiiMURTO 203 ACC 04-12-95 211.00 211.00 1 BARRAM BERTHA A 392469 10199 BAUMGARONER,CLAUDETT 200 ACC 04-12-95 128.80 128.80 1 BAUNCARONERrCLAUDETT G 392524 €0199 BAUTISTA,OSCAR 200 ACC 04-12-95 1554.30 1450.00 1!•15-99 104.50 1 BAUTISTA,OSCAR A 392677 10199 80HR,JACK 200 ACC 04-12-95 95.00 95.00 1 392543 10199 BRMRDENICK,TED 200 ACC 04-12-95 118.00 118.00 1 BORDENICK,RANONA L 392427 10199 BROOKS,CHRISTOPRE 200 ACC 04-12-95 313.00 313.00 1 BROOKS,CHRISTOPHE L 392344 10199 CANCHOLArSTEVE 200 ACC 04-12.95 141.00 141.00 1 CANCHOLA MARON 392418 10199 CARAVAY,MELVIN 200 ACC 04-1245 89.05 89.05 1 CARAVAYrMELVIN L 392724 10199 CASTILLOrLUIS 203 ACC 04-12-95 119.50 119.50 1 CASTILLO,MIREYA 0 392339 10199 CHARDONNAY,JANE 200 ACC 04-1245 101.20 101.20 1 CHARDONNAY,CHERYL L 392567 10199 CLONINGERrVICTOR 200 ACC 04-1245 149.00 149.00 1 392692 10199 CONPATITLAN,EVA 200 ACC 04-12-95 153.08 153.08 1 HEALTH SERVICES VRITE-OFF REPORT DATE;21 Aug 2000 PAGE; 21 DEBTOR.... CLIENT#... WE.......................... DSK ST Cl DT-ASSIGN PN-ASSIGN....,. PRIN COL LST PAY. TOTAL SAL...,. CMT CONPATITLAN,EVA 392470 10199 CORTEMAMBERTIKA 203 ACC 04-12-95 75.30 75.30 1 392692 10199 DAVIBtMARY 200 ACC 04-12-95 118.00 118.00 1 DAVIS:MARY M 3924422 10199 DIKES,JASON 200 ACC 04-12-95 134.80 154.80 1 DIKES,JASON NAYNE 392687 10199 DOLLAR,JACK 203 ACC 04-12-93 116.00 116.00 € 392311 10199 FEIKAI,MAIMA 2200 ACC 04-12-95 635.99 635.99 1 392601 10199 FLING,STEVART 200 ACC 04-12-95 85.00 83.00 1 FLING,STEWART J 392653 10199 GOMEZ,ROBERTO 200 ACC 04-12-95 88.00 88.00 1 392456 10199 SONIALEI,EVELIA 200 ACC 04-12-93 142.30 142.50 1 392722 10199 GRAY,ALBERT 203 ACC 04-12-95 132.03 132.05 1 392370 10199 MENRYtJOSEPM 203 ACC 04-12-95 71.00 30.50 10-26-95 40.50 1 MENRY,LANSA M 3922348 10199 KIRUNNER,RANDY 203 ACC 04-12-95 328.50 $28.50 1 KIRSCNNER,RANDY S 392395 10194 KIRSCMNER,RANDY 203 ACC 04-12-95 309.85 304.85 1 KIRSCMNER,RANDY 8 3922608 10199 LIEDTKE,BECKIE 203 ACC 04-1245 172.00 172.00 1 MARSHALL,MICMAEL J 392700 . 10199 PADILLA,MUGO 200 ACC 04-12-95 20976.26 20976.26 1 392715 10199 PADILLO,ANTONIO 200 ACG 04-12-95 483.30 483.50 1 392337 10199 PALACIO&GILBERTO 200 ACC 04-12-95 366.72 366.72 1 392437 10199 PAVL,TERRI 200 ACC 04-12-95 423.18 423.18 1 PAUL,STACIE M 392565 10199 PEREI,MUMBERTO 200 ACG 04-12-95 426.07 426.07 1 392461 10199 RAMIREI,MARTMA 200 ACC 04-1245 746.70 746.70 1 393412 10€99 ACOSTA,JULIO 200 ACG 04-21-95 177.00 177.00 1 ACOSTA,JVLIO C 393433 10199 AGUILERA,DORIS 200 ACC 04-21-95 765.32 763.32 1 AGUILERA,DORIS M 393496 10199 ALCALA,JOSE 200 ACC 04-21-95 911.90 911.90 1 ALCALA,MARIA 343491 14199 ALItSUBMAN 220 ACC 04-21-95 1028.80 1028.80 1 BIB WAINAB 393446 10199 AYAR,E#SAM 200 ACC 04-21-93 146.30 146.50 1 393459 10199 BEALL M AME 200 ACC 04-21-93 541.35 541.33 1 BEALL,DIAME L 393419 10194 BERRELLEZ.FRANCISCA 200 ACC 04-21-95 453.00 453.00 1 393473 10199 SLACKNOMtDANNY 200 ACC 04-21-95 104.34 104.54 1 SLACKNOM,DANNY R 393457 10199 BLALOCK,OIZIE 200 ACC 04-21-95 120.00 120.00 1 BLALOCKtOZZIE J 393420 10199 CANTUrCMRISTOPME 200 ACC 04-21-95 404.30 404.30 1 393497 10199 CARRENO,GABRIEL 200 ACC 04-21-95 151.00 131.00 1 CARREWCABRIEL N 393494 10199 CASTELLANOB,RANON 200 ACC 04-21-95 59.40 59.40 1 CASTELLANOS,RANON N 393398 10199 CNAPIS,JULIE 200 ACC 04-21-95 211.00 211.00 1 GARDNER,RYAN M 393484 10199 CLARK:EDDY 200 ACC 04-21-95 88.00 88.00 1 CLARK,EDDIE F HEALTH SERVICES NRITE-OFF REPORT DATE=21 Avg 2000 PAGE• 22 DEBTOR.... CLIENT*... NAM€.......................... 85K ST Cl DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CHT 393486 10199 COLA.DAVID 200 ACC 04-21-95 140.10 140.10 1 COLA,DAVID A 393490 10199 COLLINS,ANETTRA 200 ACC 04-21-95 296.20 296.20 1 COLLINS:ANETTRA R 393481 10199 CORDOVA,NARGARIYO 203 ACC 04-21-95 18.00 18.00 1 CORDOVA,SILVIA 393428 10199 DELGADO,PAULO 200 ACC 04-21-95 77.00 77.00 1 DELGADO,PAULO J 393429 10199 DELGADO,PAULO 200 ACC 04-21-95 34.20 34.20 1 DELGADO,PARD 3 393460 10199 EDNONDS,LARRY 200 ACC 04-21-95 89.24 88.24 1 EOWND&,LARRY A 393454 14199 ELKINTON,RICHARD 200 ACC 04-2145 376.16 376.16 € ELK I ROO I R I CHARD E 393452 10199 ESTES,TIK 200 ACC 04-21-95 44.00 44.00 1 ESTES,TIN R 393451 10199 EUSEBIO.EMNANUEL 200 ACC 04-2145 231.65 231.65 1 EUSEBIO,ENNANUEL M 393442 10199 FAGERHAUGH.CANDYCE 203 ACC 04-21-95 118.00 €€8.04 1 FAGERHAUGH,CANDYCE 9 393399 10199 FENTON,DAN 200 ACC 04-21-95 98.00 98.00 1 FENTON,DAN G 393434 10199 F€RNANDEI,ELISEO 200 ACC 04-21-95 135.00 €33.00 1 FERNANDEI,RAFAELA 393411 10199 FISIIAHI,SIONE 203 ACC 04-2145 6177.89 6177.89 1 FISIIANI,LVTE 393436 10199 FOBBS,KEVIN 200 ACC 04-21-95 148.50 148,50 1 FODBS,KENIKA R 393405 10199 FRANKLIN,EDDIE 203 ACC 04-21-95 133.00 135.00 1 FRANKLIN,EDDIE L 393478 10199 GILL,JASBIR 200 ACC 04-2143 312.50 312.50 1 393502 10199 GONZAL€Z,DAVID 203 ACC 04-21-95 231.00 231.00 1 GONIALEZ.DAVID A 393427 10199 GONZALEI,EVELIA 200 ACC 04-21-95 117.50 117.50 1 393430 10199 OKEEFE,ANN 200 ACC 04-21-95 285.65 285.65 1 D'AGOSTINO,CHRISTOPHE J 394169 10199 ACOSTA,ANNA 200 ACC 05-02-95 303.90 303.90 1 ACOSTA,MORENA C 394115 10199 ACOSTA,JULIO 200 ACC 05-02-95 138.60 €38.60 1 ACOSTA„JULIO C 394160 10199 ACOSTA,JULIO 200 ACC 03-02-95 292.50 292.50 1 ACOSTA,JULIO C 394212 10199 ACOSTA,JULIO 204 ACC 03-02-93 97.00 97.00 1 ACOSTA,JULIO C 394592 10199 ACOSTA,JULIO 200 ACC 03-02-95 274.08 274.00 1 ACOSTA,JULIO C 394576 10199 AIIENMN,LAURIE 200 ACC 05-02-95 €66.00 166.00 1 AIZENNAN,LAURIE K 394375 10199 ALCALA,ARNANDO 200 ACC 05-02-95 344.40 344.40 1 394062 10199 ALDRIDGE,ERICA 2200 ACC 05-02-95 166.10 166.10 1 ALDRIDGE,ERICA L 394163 10199 ALI,SUBHAN 200 ACC 05-02-95 91.75 91.75 1 81814A INAB HEALTH SERVICES VRITE-OFF REPORT f`-iv�'�67dXj DATE*.21 Avg 2400 PAGE; 23 DEBTOR..,. CLIENT#... MAH£.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL-- CRT 394292 10199 ALLEN:SCOTT 200 ACC 05-02-95 136.35 139.35 1 ALL£N,$COTT L 394066 10199 ALYA,ELIIABETH 200 ACC 03-02-95 480.00 460.00 1 394165 10199 ALVA,ELIIAKTH 200 ACC 05-02-95 353.50 353.50 1 394567 10199 ALVA,ELIIABETH 203 ACC 05-0245 210.82 210.82 1 394075 10199 ALVARADO,MANUEL 200 ACC 05-02-95 88.00 88.00 1 ALVARADO,NORKA E 394545 10199 ARMBTRONG,KATHY 200 ACC 05-02-95 764.70 764.70 1 ARMSTRONG,KATHY A 394144 10199 BARDIN,LINDA 200 ACC 05-02-95 172.20 172.20 1 394130 10199 BARROC LEVESTER 203 ACC 05-02-93 32.90 32.90 1 394136 10199 BARRO4l,LEVESTER 203 ACC 05-02-93 239.78 239.78 1 394523 10199 BOOKER,MARCUS 200 ACC 05-0245 838.09 838.09 1 BOONER,MARCVS A 394145 10199 BRADFORD,JOSEPH 200 ACC 05-0245 24.55 24.55 1 BRADFORD,JOSEPH E 394470 10199 BRADFORD,MPH 200 ACC 05-02-95 72.00 72.00 1 BRADFORD,JOSEPH E 394186 10199 IWCHFELO,ERIK 200 ACC 05-0245 578.00 578.00 1 394393 10199 CADENA,JORGE 200 ACC 05-02-93 141.00 141.00 1 ALEJANDRE,ADELA 394038 10199 CARDENAS,TINOTHY 203 ACC 05-0245 50.00 50.00 1 CARDEMAS,SISELEY S 394354 10199 CARDONA,MARIA 200 ACC 05-02-93 163.00 165.00 1 GONEI,THERESA N 393962 IOi99 CHANDERS,RICHAEL 200 ACC 03-02-95 92.00 92.00 1 394356 10199 CHANEY,SANUEL 200 ACC 05-02-95 69.03 89.05 1 394183 10199 CLEVELAND,BRIDGETT 200 ACC 03-02-93 153.40 153.40 1 CLEVELAND,BRIDGETT D 393978 10199 CQLTON,GUY 200 ACC 05-02-95 426.85 426.85 1 COLTON,GUY R 393827 10199 COMPANI,ERICIA 200 AGC 05-02-95 135.00 135.00 1 394310 10199 CORDERO410NI00 203 ACC 05-02-93 389.17 389.77 1 CORDERO,JOSEPH/NE M 394445 10199 CORDERO,DIONICIO 203 ACC 03-02-93 62.59 62.59 1 CORDERO,DIONICIO R 394459 10199 CORDERO,DIONICIO 203 ACC 05-02-95 147.44 147.44 1 CORDER0,01ONICIO R 394489 10199 CORDERO,DIONICIO 203 ACC 05-02-95 546.38 546.38 1 CORDERO,JOSEPHINE M 393811 10199 CURIEL,NICHELLE 203 ACC 05-02-95 134.40 134.40 1 CURIEL,MICHELLE R 393787 10199 DAVIES,NICHAEL 200 ACG 05-02'-95 85.00 85.00 1 DAVIES,NICHAEL S 394100 10199 DAVIS,KERRY 200 ACC 03-02-95 4521.83 4321.83 1 DAVIS,KERRY L 394397 10199 DANBON,MCIEL 200 ACC 05-0245 123.50 123.60 1 SUSON,YONCIEL D 393961 10199 DEOL,SANDEEP 100 ACC 05-02-93 360.50 360.50 1 DEOL,SANDEEP S 393965 10199 DEOL,SANDEEP 2200 ACC 03-02-93 169.00 169.00 I DEOL,SANDEEP S 394027 10199 DEOL,SANDEEP 200 ACC 05-02-95 686.30 666.50 1 HEALTH SERVICES VRITE-OFF REPORT wg�3 DATE•21 Avg 2400 PACEI 24 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN Coit. LST PAY. TOTAL DAL..... CNT D£OL,SANI:EEP 8 394003 10199 DINAANO NWITA 200 ACC 05-02-95 91.00 97.00 1 394016 10199 DROTT,CARI 200 ACC 03-02-95 162.40 €62.40 1 DROTT,CARI A 393959 10199 ERVARDS.CODY 200 ACC 05-02-95 290.40 290.40 1 EDURDS,CODY T 394180 10199 ENARDS,FRANK 200 ACC 05-02-95 63.36 63.36 € EDHARDS,FRANK E 394312 10199 EDNARDS=FRANK 200 ACC 05-02-95 86.17 86.17 € EDVARDS,FRANK E 394318 10199 EDHARD6,FRANK 200 ACC 05-02-95 €3.26 13.26 1 EDVARDS,FRANK E 393851 10199 ELLIS,ISADORE 200 ACC 05-02-95 109.30 109.30 € 394259 10199 ESPARIA,FRED 200 ACC 05-02-95 136.69 136.69 1 394182 10199 EUSTIMALTER 2203 ACC 05-02-95 212.10 212.70 1 EUSTIMALTER G 394404 10199 EVSTIS,iMLTER 203 ACC 05-02-95 433.65 435.65 1 ENTIMALTER C 394420 €0199 EUSTIMALTER 2203 ACC 05-02-95 442.00 442.00 1 EUSTIMALTER G 393879 10199 FACERHAUCH,CANDYCE 203 ACC 05-0243 121.50 121.50 1 FAC£RHAUCH,CANDYCE N 394392 10199 FEIKAI,NAINA 200 ACC 05-02-95 81.20 81.20 1 394269 10199 FERNANDEZtELISED 200 ACC 05-02-95 403.06 403.06 1 FERNANDEZ,RAFAELA 394443 10199 FERNANDEI,ELISEO 200 ACC 05-02-93 88.00 88.00 1 FERNANDEI,RAFAELA 394301 10199 FISHER,CRACIE 2200 ACC 03-02-93 27.12 27.12 1 FISHERrGRACIE C 393825 10199 FRANCIS,LORENE 203 ACC 05-02-95 133.00 135.00 1 FRANCIS:LORENE A 393761 10199 FRANCO,ANA 203 ACC 05-02-95 213.60 213.60 1 393804 10199 FRANCO,ANA 203 ACC 05-02-95 227.30 227.50 1 393940 10199 FRANCO,ANA 203 ACC 05-02-95 386.50 386.50 1 393783 10199 FROSTrCATHLEEN 200 ACC 05-02-95 101.00 107.00 1 FROSTYCATHLEEN N 394260 €0199 FRYAR,BDBBY 200 ACC 05-0245 237.47 237.47 1 FRYARJOBBY K 394282 10199 CALLEGOS,JULIA 200 ACC 05-02-95 98.00 98.00 1 393947 10€99 CALVEZ,AIDA 200 ACC 05-02-95 113.80 113.80 1 GALVEZ,AIDA 1 394032 €0199 CARIArADAN 203 ACC 05-02-95 83.00 85.00 1 GARIA,ADAN A 394011 101" GODWARMYNN 200 ACC 05-02-95 97.00 97.00 1 CODUARD,JARROD 393893 10199 GONZALEI,EVELIA 200 ACC 05-02-95 88.00 88.00 1 394214 10199 CONIALM EVELIA 200 ACC 05-02-95 107.30 107.50 1 394293 10199 GONIALEI,EVELIA 200 ACC 05-02-95 117.30 117.50 1 394362 10199 CONIALEI,SALVADOR 204 ACC 05-02-95 130.50 130.50 1 SONIALEI.*sARA 394240 10199 GRAY,JEFF 200 ACC 05-02-93 115.28 113.28 1 GRAY,JEFF D 394362 10199 GRAY,JEFF 200 ACC 05-02-93 18.00 18.00 1 HEALTH SERVICES NRITE-OFF REPORT �r DATE;21 Aug 2000 PAGEz 25 DEBTOR.... CLIENT#... MANE.......................... 9511 ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY, TOTAL BAL..... CRT CRAY►JEFF D 394367 10194 GRAYYJEFF 240 ACC 05-02-95 17.00 17.00 1 GRAY,JEFF D 394404 10199 GRAY,JEFF 200 ACC 45-02-95 12.69 12.69 1 GRAY,JEFF D 394413 10194 GRAY,JEFF 200 ACC 05-02-95 14.26 14.26 € GRAY►JEFF D 394030 10199 CREEN,GERTRUCE 200 ACC 05-02-95 64.76 64.76 1 394330 10199 GREEN,GERTRUDE 200 ACC 05-02-95 226.03 226.03 1 394368 10199 GREEN,GERTRUDE 200 ACC 05-0245 14.48 14.48 1 394499 10194 GREEN,GERTR'JDE 200 ACC 05-02-95 145.18 145.18 1 394554 10199 GREEN,GERTRUDE 200 ACC 05-0245 130.86 130.86 1 394285 10199 GREEN►RICHARD 200 ACC 05-02-95 394.25 394.25 1 394222 10199 GREGORY,SHARON 200 ACC 05-02-95 435.61 435.61 1 GREGORY,SHARON P 394268 10199 GREGORY,SHARON 200 ACC 05-02-95 295.62 75.00 f€-0945 220.62 1 GREGORY,SHAROM P 394394 10199 CRECORY,SHARON 200 ACC 05-02-95 16.24 16.24 1 GREGORY,SHARON P 394047 10199 GRINES,STANLEY JR 200 ACC 05-0245 572.50 572.50 1 394117 10199 CRINES,STANLEY JR 200 ACC 05-02-95 772.12 772.12 1 394302 10199 GRINES,STANLEY JR 200 ACC 05-02-95 383.83 383.85 1 394023 10149 HALL,TYRONE 203 ACC 05-02-45 106.20 €06.20 1 HALL,TYROME L 394009 10199 HIPOLITO,JOSE 203 ACC 05-0245 36.00 36.00 1 HIPOLITO.BELEN 394194 10199 HUERTA,BLAMCCA 203 ACC 05-02-95 235.82 235.82 1 HUERTA,BLANCA N 394099 10199 JILES,JANES 203 ACC 05-02-95 40.15 40.15 1 JILES,JANES M 393919 10199 LAKE,ANTHONY 203 ACC 05-02-95 35.50 35.50 1 393983 10199 NADEAU,PATRICIA 200 ACC 05-0245 434.50 434.50 1 MDEAU,PATRICIA H 393411 10199 NARCISSE,RONALD 200 ACC 05-02-95 266.80 266.80 1 MARC I SSE,RONALD R 393935 10199 NORTHCUTTYJEFFREY 200 ACC 05-0245 5837.45 5887.45 1 MORTHCUTT,JEFFREY 8 394473 10199 OCHOA,AUGUSTIN 200 ACC 05-0245 500.00 500.00 1 OCNOA,AUGUSTIM F 393884 10199 OGDEN,ERAIE 200 ACC 05-02-95 697.50 697.50 1 OCIEN,ERNIE R 393757 10199 OREILLY,DENISE 200 ACC 05-0245 1227.16 1227.16 1 OREILLY,DENISE E 394476 10199 ORTEGA,HUGO 200 ACC 05-0245 468.00 468.00 1 ORTEGA,HUGO G 394037 10149 PELONIO,CYNTHIA 200 ACC 05-0245 285.10 285.10 1 PELONIO,CYNTHIA J 343776 10199 ROORIGUEZ,ANTONIO 200 ACC 05-02-95 477.67 477.67 1 393820 10149 SCHNERKER,JAKS 200 ACC 05-02-95 443.24 443.24 1 SCIKRKER►JANES C 395394 10199 ACOSTA,JULIO 200 ACC 05-12-95 700.00 700.00 1 ACOSTA,JULIO C 395602 10199 AGUILAR,JOSE 200 ACC 05-12-95 74.90 74.90 1 HEALTH SERVICES IWITE-OFF REPORT DATE:21 Aug 2000 PASEi 26 DEBTOR.... CLIENTt... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... COT ACUILAR,FERNANDO 395545 €0199 AINSLEY,VILLIAN 203 ACC 05-12-95 215.40 215.40 1 AINSLEY,VILLIAN L 395572 10199 ALEXANDER,ART 200 ACC 05-1245 101.20 101.20 1 ALEXANDER,ART A 395305 10199 ARMSTRONCAATHY 200 ACC 05-12-95 96.80 96.80 1 ARNSTRONC,KATHY A 395773 10199 ARROYOrDANIEL 200 ACC 05-12-95 88.00 88.00 1 ARROYO,BANIEL 0 395818 10199 BANKSrEULA 200 ACC 05-12-95 160.00 160.00 1 BANKS,EVLA M 393390 10199 BOLANOSrROBERTO 200 ACC 05-1245 1370.10 t370.10 I BOLANO$,MARIA 345414 10199 BURKErJOHN 203 ACC 05-12-95 1598.35 €598.35 1 395406 10199 CANNON,CILBERT 200 ACC 05-12-95 123.00 123.00 1 CANN NI,ANBER 3953553 10199 CANTU,NOEL 203 ACC 05-12-95 1205.00 1205.00 1 CANTU,NOEL T 395801 10199 CANTU,NOEL 203 ACC 05-1245 245.251 245.25 1 CANTUrNOEL T 395402 10€99 CARNAHANrBONNIE 200 ACC 05-12-45 877.50 877.50 1 CARNAHAN,BONNIE L 395829 10199 CARNEYrNARIE 203 ACC 05-12-95 839.04 839.04 1 ENGEUDAVID L 395369 10199 CHANBERLIN,JENNIFER 200 ACC 05-12-95 120.19 120.19 1 395499 10199 COLEMANrDEMETRUIS 203 ACC 03-12-95 212.00 212.00 1 COLEMANrDEtVEMIS S 395623 10199 CDOPER,STEPHANIE 200 ACC 05-12-95 143.50 145.50 1 COOPER,STEPHANIE J 393715 10199 CORTEI,DERRICK 200 ACC 05-12-95 240.60 240.60 1 CORT£I,DERRICK A 395379 10199 COXIMY 200 ACC 05-12-95 97.88 97.88 1 COWROY G 395481 10199 ELNORErJOSIE 200 ACC 05-12-95 87.70 87.70 1 ELNORErJOSIE B 395576 €0199 ENSICOrSEBASTIAN 200 ACC 05-12-95 77.00 77.00 € VALDIVIA,DENDFILA C 393685 10199 F£IKAI,NAIMA 200 ACC 05-12-95 15.00 15.00 1 395661 10199 FLYNN,1fIN 200 ACC 05-12-93 1212.96 1212.96 1 FLYNN,KIN E 395620 10199 fOLAU,TALI 200 ACC 05-12-95 130.00 150.00 1 393377 10194 GIURAWON 200 ACC 05-12-95 135.00 135.00 1 CIUNARIA 395469 10199 GILBERT,CNESLEY 200 ACC 05-12-95 168.86 168.86 1 GILBERT,CHESLEY C 395600 10199 CONEt,FRANCISCD 200 ACC 05-12-93 118.00 118.00 1 395822 10194 GONAILEZ,EVELIA 200 ACG 05-12-95 201.76 201.76 1 GONZALEI,EVELIA 395483 10199 GONIALEI,MERCEDES 203 ACC 05-12-95 592.45 591.45 1 345779 10199 6ONIALEI,MERCEDE5 203 ACC 05-12-93 146.31 146.31 1 395444 10199 GRAY,DELINO 200 ACC 05-12-95 104.50 €04.50 1 GRAY,BELINO A 395594 10199 GREER,DAVONNE 200 AGC 03-12-95 742.36 742.36 1 HEALTH SERVICES UNITE-OFF REPORT 9 a DATE M Aug 2000 PACE: 27 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT DOYLE-GREER,DONALD E 393461 10199 GRISBY,VON 200 ACG 05-12-95 131.04 131.00 1 393438 10199 JENKINS:KENNETH 203 ACC 05-12-95 268.10 268.10 1 JENKINS,KENNETH D 395403 10199 BILES,JAKS 203 ACC 05-12-95 44.01 44.01 € JILES,JARES M 395830 10199 KAUPNAN,NICHELLE 203 ACC 03-12-95 912.00 912.00 1 393720 10199 LAND,GNESA 203 ACC 05-12-93 696.00 696.00 1 LAND,6NESA K 393348 10199 NULLINS,HARVEY 200 ACC 05-12-95 361.38 361.38 1 MULLINS,HARVEY L 395364 10199 NOSEK,DAVID 200 ACC 05-12-95 2401.46 2401.46 1 NOSMIAVID N 393352 10199 NUM MICAH 200 ACC 05-12-95 331.00 551.00 1 NUTT.NICAH 0 395645 10199 OGLErDANIEL 204 ACC 03-12-93 264.40 264.40 1 OGLEJANIEL N 395467 10199 PADILLArFELIFE 200 ACC 03-12-95 407.10 407.10 1 393451 10199 PAREDES,GUSTAVO 200 ACC 03-12-95 661.50 661.30 1 PAREDES,DELIA 395737 10199 PARRAS,LOOIS 200 ACC 05-12-93 464.00 464.00 1 PARKAS:ALICE B 395445 10199 PERALSKY,BRIAN 200 ACC 03-12-93 432.60 432.60 1 396698 10199 BALDNINrVICKI 200 ACC 03-22-95 220.50 220.50 1 BALNIN,RICK 396487 10199 BARBERIO,JOHN 200 ACC 05-22-93 295.00 293.00 1 396630 10199 BARBERIOrJOHN 200 ACC 05-22-93 517.63 517.65 1 396644 10199 BARBERIOrJOHN 200 ACC 05-22-93 4633.04 4633.04 1 346746 10199 BARBERIO:JOHN 204 ACC 03-22-93 280.20 280.20 1 396769 10199 BARBERIO,JONN 200 ACC 05-22-95 645.10 645.10 1 396779 10199 BAMRIO,JORN 200 ACC 05-22-95 7034.63 7054.63 1 396802 10199 BARBERIO,JOHN 200 ACC 05-22-95 361.00 361.00 1 396904 10199 BLACK,RANDY 200 ACC 05-2245 77.00 77.00 1 396919 10199 BRIDGES,ELLENIA 200 ACC 05-22-95 104.00 109.00 1 396581 10199 BRUCKNAN,RICHAEL 200 ACC 03-22-95 259.50 259.50 1 MCKW,NICHAEL P 396799 10199 CASTELLANDMIEGO 200 ACC 05-2245 91.04 91.04 1 CASTELLANOS,DIEGO G 396934 10199 CHADVICK,ROSEMARY 200 ACC 05-22-95 75.00 75.00 1 396881 10199 CHAVEZIBOTHA 200 ACC 03-22-95 83.00 85.00 1 CHAVEZ,BERTRA A 396822 10199 COLLINS METTRA 200 ACC 05-22-95 88.00 88.00 1 COLLINS.ANETTRA R 396569 14199 CONTRERASrCHR18TINE 203 ACC 05-22-93 145.00 143.00 1 CONTRERAS,CHRISTINE N 396659 10199 CHH,RAFAEL 200 ACC 03-22-95 43134.60 45154.80 1 396513 10199 CUDAIL,RAJVINDER 200 ACC 03-2245 77.00 77.00 1 CUDAIL,RAJVINDER K 396796 10199 CURRY,JOSEPH 200 ACC 05-22-95 482.10 482.10 1 396607 10199 DARMSHARRON 200 ACC 03-22-95 478.60 478.60 1 DARBY,SHARRON S 396745 10199 OAYIS,EVELYN 203 ACC 05-22-93 133.00 120.00 05-07-96 13.00 1 DAVIS,EVELYN j/r i�� HEALTH SERVICES VRITE-OFF REPORT DATE:21 Aug 2000 PACE, 28 DEBTOR.... CLI£NTB... NAME.......................... DSK ST CO BT-ASSIGN P*-ASSIGN...... PRIM COL LST PAY. TOTAL BAL...., CRT 396521 10199 DAVISrTATAM 200 ACC 05-22-95 221.30 221.50 1 NALKER,SHANISE A 396705 10199 DEANDA:RAUL 203 ACC 05-2245 853.62 853.62 1 396892 10199 RELAPAZ AALIA 200 ACC 05-2245 135.00 135.00 1 396952 10199 DELAROSA,RANDY 203 ACC 05-22-95 312.00 312.00 1 396677 10199 D OL►SAKKEP 200 ACC 05-22-95 129.50 124.50 1 DEOL,SANDEEP S 396788 10199 DEROSE,DOUGLAS 200 ACC 05-22-95 92.25 92.25 1 DEROSE,CYNTHIA S 396491 10199 DESSAUSSOIS,KIM 200 ACC 05-22-95 128.50 120.50 1 DESSAUSSOIS,CHRISTOPHE P 396684 10199 EATON,CLYDE 200 ACC 05-22-95 295.10 295.10 1 EATON,CLYDE L 396722 10199 EATON,CLYDE 200 ACC 05-2245 117.00 117.00 i €ATON,CLYDE L 396616 10199 ECKERT►JOSEPH 203 ACC 05-2245 392.60 392.60 1 ECKERT,JOSEPH 0 346525 10199 FARNER,JOHN 203 ACC 05-22-93 152.30 152.30 1 FARMS,JOHN L 396744 10199 FARMER,JOHN 203 ACC 05-2245 395.30 395.30 1 FARM€R,JOHN L 396608 10199 FERNANDES,CYNTHIA 200 ACC 05-22-95 94.50 94.50 1 FERNANDES,CYNTHIA L 396523 10199 FLORES,JOSE 200 ACC 05-22-95 157.50 157.50 1 FLORES,JOSE M 396592 10199 FOULER,CARLITA 200 ACG 05-22-95 332.50 332.50 1 FOKS,CARLITA R 396860 10199 FUNCANNON►ROBERT 200 ACC 05-22-95 166.45 166.45 1 FUNCANNON,ROBERT E 396803 10199 GALLECOS,LORENA 200 ACC 05-22-95 103.00 103.40 1 346763 10199 GALVAN,FRANCISCO 200 ACC 05-22-95 235.43 235.45 1 396882 14199 GALVAN►FRANCISCO 200 ACC 05-22-45 312.20 312.20 1 396778 10199 GANBL€,TRACY 200 ACC 05-22-95 2507.16 2507.16 1 GAMBLE►TRACY M 396930 10199 GAMEZ,DORA 203 ACC 05-22-95 398.07 398.07 1 396732 10199 GARCIA,ANTHONY 200 ACC 05-22-95 88.00 88.00 1 GARCIA►ANTININY R 396597 10199 GARFIELB,KATHERINE 200 ACC 03-22-95 117.00 117.00 1 GARFIELB,KATHERINE C 396808 10199 GILL,JASSIR 200 ACC 05-22-95 71.00 77.00 1 396624 10149 GILL,SUKHJINDER 203 ACC 05-22-93 106.16 106.16 1 396475 10149 GOODMAN,LILLIE 200 ACC 05-22-95 91.50 41.50 1 LOVE,LATISHA N 396726 10199 GRAHAM,STEVEN 200 ACC 05-22-95 168.00 168.00 1 396770 10199 GREEN,KEVIN 203 ACC 05-22-95 211.00 211.00 1 GREEN,KEVIN T 396750 10199 GUY►VIGKTORIA 200 ACC 05-22-95 414.86 414.86 1 396756 10199 GVY,VICKTORIA 200 ACC 05-22-45 290.50 290.50 1 396562 10199 JINEMEI,EDUARDO 203 ACC 05-22-95 77.00 77.00 1 396636 10199 JORDAN,LINDA 200 ACC 05-22-95 257.68 60.00 10-2745 197.68 1 JORDAN,LINDA S 396841 10199 KAUFMRN,RICHELLE 203 ACC 05-22-95 88.08 88.00 1 396863 10199 KUMAR,PARVEEN 203 ACC 05-22-95 251.62 251.62 1 HEALTH SERVICES HR€TE-OFF REPORT f °✓ DATE:21 Aura 2400 PAGES 29 DEBTOR.... CLIENT#... NAME.......................... DSX ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL $AL..... CRT SHARMA,MISHU 396825 14199 MARTIN,ALEJANDRO 92 ACC 03-22-95 162.44 162.40 1 MARTIN,JESSICA 396646 10199 NUSA,4BED 200 ACC 43-22-95 344.94 544.94 1 396709 10199 NOBLE,JANES 200 ACC 05-22-93 252.04 252.44 1 NOBLE,JANES T 396661 10199 OBRYAN,CONNIE 200 ACC 05-2245 514,00 514.00 1 396685 10199 OLIVER,CNARLYNM 200 ACC 03-22-95 290.81 290.81 1 OLIVER,CHARLYNN E 396718 10199 PADILLA,FELIPE 200 ACC 05-22-95 8974.69 8974.69 1 396961 10199 PHILLIPS,ROBERTA 200 ACC 05-22-95 313.00 513.00 1 397386 10199 ABREGO,RAFAEL 200 ACC 03-2645 105.10 195.10 1 ABREGO,RAFAEL A 397268 10199 AGUILERA,NARVELLA 200 ACC 45-26-93 401.30 401.50 1 397360 10199 ANDERSON,ANGELIA 204 ACC 05-26-95 3090.08 3090.48 1 ANDERSON,ANGELIA W 397692 10199 ANDERSON,CHARLITA 240 ACC 03-26-93 72.00 72.00 1 JONES,TAMMY Y 397499 10199 ARNSTRONG,DONALD 200 ACC 05-26-95 117.00 117.04 1 ARMSTRONG,DONALD C 397323 10199 AUSTI,PATRICIA 200 ACC 05-26-93 97.00 97100 1 AUSTItPATRICIA A 397262 10199 BARTHELMEStSHANNON 200 ACC 05-26-93 379.70 379.70 1 BARTHELMEStSNANNON L 397398 10199 BARTHELNEStSHANNON 200 ACC 03-2645 102.43 102.45 1 BARTHELNES,SHANNOM L 397110 10199 BERMUDEI,ROCIO 200 ACC 03-26-95 90.75 90.75 1 NAVARRO,CRISTIAN 8 397366 10199 BETTStVERLINDA 200 ACC 05-26-93 138.80 138.80 1 GtN4E2,JESSE V 397414 10199 lIRDEM,UYVON£ 200 ACC 05-26-95 942.33 942.33 1 397640 10199 BIRDENPVYVONE 200 ACC 03-26-93 143.00 143.00 1 397393 10199 BOLANOS,ROBERTO 200 ACC 05-26-95 83.04 50.00 02-16-96 33.00 1 DOLANOS,NARIA 397739 10199 BONILLA,DAISY 200 ACC 05-26-95 111.00 111.00 1 BONILLA,ERIC N 397339 10199 BROCK,EUGENE 204 ACC 03-26-95 394.80 394.80 1 BROC%,EVME F 397629 10199 BROWDENISE 203 ACC 05-26-95 326.73 326.75 1 MVN,DENISE J 397331 101" BUTLER:NAYVARD 200 ACC 05-26-93 163.60 163.60 1 BUTLERtHAYVARD E 397476 10199 CERVANTES,JOSE 2.00 ACC 03-26-95 92.04 20.00 07-06-93 72.00 1 397746 10199 CHANVERS,JERRY 203 ACG 03-26-95 133.00 133.00 1 CHAMBERS,TIFFANY A 397238 10199 CHEN,JUDY 200 ACC 45-26-93 138.30 158.50 1 397617 10199 CLAYPOOL,VILLIAM 200 ACC 05-26-93 88.00 88.00 1 CLAYPOOL,NILLIAM K 397243 10199 CONTRERAS,PORFIRIO 203 ACC 05-26-93 88.00 88.00 1 397348 10199 CONTRERAS,PORFIRIO 203 AGC 05-26-93 167.50 100.00 07-17-96 67.50 1 397649 10199 CONTRERAS:PORFIRIO P03 ACC 05-2643 1014.34 1414.54 1 397635 10199 CONTRERAS,PORFIRIO 203 ACC 03-26-95 196.00 196.00 1 397447 10199 COULTER,RAYMOND 200 ACC 05-26-95 131.90 131.90 1 Z!,/4 HEALTH SERVICES WRITE-OFF REPORT DATE+21 Aug 2000 PAGE; 30 DEBTOR.... CLIENTt#.,. MAKE.......................... 9SX GT CD OT-48SICM Pit-ASSIGN...... PRIM COL LOT PAY. TOTAL BSL...., CNT 397567 €0199 OEOL AANDEEP 200 ACC 05-26-95 148.50 148.50 € DEOL,SANDEEP 8 397867 10199 DINA8,11ANUEL 200 ACC 05-26-95 114.50 119.50 1 DIKA8,VAMESSA 397301 10199 DOUGHERTYJAN 200 ACC 05-26-95 364.44 364.44 1 DOUGH RTY►DAN 1 397691 10199 ELMORE►SHAWN 203 AGC 05-26-95 46.00 46.00 1 ELNORE,JEAMA K 397751 10199 FIGUEROA,PEDRO 200 ACC 05-26-95 92.00 92.00 1 347388 10199 FRAZIER,JENNIFER 200 ACC 05-26-95 161.50 161.50 1 FRAZIER,JENNIFER N 197400 10199 FRGST►CATHLEEN 200 ACC 05-2645 401.00 401.00 1 FROST►CATHLEEN N 397646 10199 GANS,NICNAE'V, 200 ACC 05-26-93 279.50 279.50 1 GANS,NICNAEL V 347409 10199 GILBERT►ROBERT 200 ACC 05-26-95 145.30 145.50 1 GILBERT,ROBERT L 397486 10199 SILL,2 200 ACC 05-2643 85.00 83,00 1 GILL►JOCINDER 397370 10199 &ONEZ,SARA 203 ACC 05-26-95 824.00 428.00 1 G011EI,SARA P 397573 10199 GONAILEZ,EVELIA 200 ACC 05-26-95 379.50 379.50 1 GONIALEZrEVEL1A 197453 10199 GONIALES MANVEL 203 ACC 05-26-95 541.06 341.06 1 397609 10199 GONIALEZ,EVELIA 200 ACC 05-26-95 117.50 117.50 1 397624 10199 GONZALEZ,EVELIA 200 ACC 05-26-95 126.85 126.85 1 397368 10199 GONZALEItSALVADOR 200 ACC 05-26-95 111.50 131.50 1 GONZALEZ,SARA 397463 10199 GONZALEZ,SALVADOR 200 ACC 05-2645 214.04 214.04 1 GONZALEZrSARA 397644 10199 GORDON,CNAROLETTE 203 ACC 05-26-93 189.76 189.76 1 GORDON,CHAROLETTE C 397715 10199 &RAMNtJOYCE 200 ACC 05-2645 198.40 198.40 1 GRAHA11rJOYSE I 397681 10199 GROVES,JANES 200 ACC 05-26451 87.20 87.20 1 GROVES►DEBORA D 347736 10199 HA11,LEONARD 203 ACC 05-26-95 268.81 268.81 1 397719 10199 11ENRX,LISA 203 ACC 05-26-95 33.00 33.00 1 HEMRY►LISA A 397327 10199 #IUBDARD MITER 203 ACC 05-2645 88.00 84.00 1 3WBBARO,DEXTER M 397669 10199 NUBBARD,DEXTER 203 ACC 05-26-95 411.30 411.30 1 NUBBARD,DEXTER N 397731 10199 JACKSON,BRIAit 200 ACC 05-26-95 1172.00 1172.00 1 JACKSON BRIAN D 347234 10199 KULU►ANDREV 203 ACC 05-26-95 280.35 280.35 1 397253 10199 LOPEI,LVCIA 203 ACC 05-26-45 204.82 204.82 1 397496 10199 11UNOZ►ISRAIL 200 ACC 05-26-95 €2422.50 1242.30 1 1RUNOZ►BERENICE N 397656 10194 NEAL,ANTNONY 200 ACC 05-26-95 263.40 263.40 1 397666 10149 NEUMALD►DONALD 200 ACC 05-26-95 1256.07 1256.07 1 NEUVALD,CATNERINE 397331 10199 OSANN,NARCARITA 200 ACC 05-26-95 612.91 300.00 05-01-96 372.97 1 _114 HEALTH SERVICES YRITE-OFF REPORT DATEz2€ Aug 2000 PACE= 31 DEBTOR.... CLIENT!... NAME.......................... DSK SI CD DT-ASSIGN PN-ASSIGN...... PRIM CDL LST PAY. TOTAL SAL,.... COT 397299 10199 ORELLANA,CORNELIS 200 ACC 05-26-95 360.10 360.14 1 HER VANDEZrAURORA 397324 10199 PAYNErJASON 200 ACC 05-26-95 341.95 301.95 1 PAYNErJASON N 397581 10199 ROA:JODY 200 ACC 05-26-95 602.00 602.00 1 ROA,JODY L 398155 10199 ALOANA,MARCOS 200 ACC 06-02-95 112.00 112.00 1 398134 10199 ALLENrRUTH 200 ACC 06-02-95 562.19 562.19 1 NELLINC,NICNELLE 398015 10199 ANARALYSHELLEY 200 ACC 06-02-95 411.04 411.04 1 ANARAU SHELLEY R 398363 10199 AVALOS,ELVIRA 200 ACC 06-02-95 83.00 83.00 1 AVALOSrELVIRA C 396071 10199 BARBEErLANRENCE 200 ACC 06-02-95 62.70 62.70 1 BARDEErLARREENCE A 398437 10199 BAUNGARONER,NERHYN 200 ACC 06-0245 83.00 85.00 1 398400 10199 BERRIAULT,ENILY 200 ACC 06-02-95 114.50 114.50 1 SERRIAULTrEHILY N 397922 10199 SILLINGS:ROBSIE 200 ACC 06-0245 412.15 412.15 1 BILLINGS,ROBDIE E 398295 10199 BRADFURD,JOSEPH 200 ACC 06-02-95 341.49 341.49 1 BRADFIMRD,JOSEPH E 397976 10199 BROMNrCHARLES 200 ACC 06-02-95 101.00 101,00 1 BROHN,CHARLES D 398428 10199 BVCKNAN,4EFFREY 200 ACC 06-0243 139.32 139.32 1 BUCKNAN,JEFFREY N 398038 10199 CAGLEt VICKI 203 ACC 06-02-95 324.49 324.49 1 CAGLErNICKI A 398072 10199 CASTILLOrJORGE 203 ACC 06-02-95 314.50 314.50 1 ARENAWORGE 398014 10199 CLEVELAND,BRIDGETT 200 ACC 06-02-95 183.30 185.50 1 CLEVELAW BRIDGETT D 398118 10199 COURTOIS,ROBERT 200 ACC 06-02-95 88.00 88.00 1 COURTOI8,ROBERT R 398320 10119 DAVIS,RICKEY 200 ACC 06-0245 277.80 10.00 04-29-96 267.80 1 DAVIS,RICKEY A 398038 10199 D£OL,SANDEEP 200 ACC 06-0245 €75.30 175.50 1 DEOL,SAND£EP S 398101 10199 DRAKE,STACY 200 ACC 06-02-95 1117.85 1117.85 1 DRAXErSTACY C 398516 10199 EATOM,CLYDE 200 ACC 06-02-95 98.24 98.24 1 EATONrCLYDE L 398034 10199 ECKLUMD,0011N 203 ACC 06-02-93 290.21 290.21 1 ECKLUND,ROBIN R 398320 10199 EDNARDS,CODY 200 ACC 06-02-95 378.30 378.50 1 EDUARDS,CODY T 397921 10199 ERVARDS,FRAW 200 ACC 06-02-95 45.48 45.48 1 EDVARDS,FRANK £ 398211 10199 ELZE,CINDY 200 ACC 06-02-95 100.40 100.40 1 ELZE,CINDY K 398218 10199 ELZE,CINDY 200 ACC 06-02-93 126.50 126.50 1 ELZE,CINDY K 398246 10199 ESCAHILLA,FRANK 200 ACC 06-02-95 726.00 726.00 1 1< A T HEALTH SERVICES WRITE-OFF REPORT DAT E:21 Aug 2000 PACE= 32 DEBTOR.... CLIENT#... N1ltfE..............ff4......... OSK ST to DT-ASSIGN PI-ASSIGN...... PRIM COL LST PAY. TOTAL $AL...,, CNT ESCANTLLA,FRANK L 397957 14199 FALLS,STEPNANIE 203 ACC 06-02-95 135.00 135.00 1 398285 10199 FALLS,STEPHANIE 1203 ACC 06-02-95 237.00 237.00 1 397985 14199 FIELDS,BETTY 203 ACC 06-0245 207.80 207.80 1 FIELDS:BETTY L 395313 10199 FIELDSrKTTY 203 ACC 06-4245 99.00 99.00 1 FIELDS,BETTY L 398347 10199 GALVAN,FRANCISCO 240 ACC 06-02-95 85.00 85.00 1 398409 10199 GALVEZ,JULIA 200 ACC 06-13245 135.00 133.00 1 39$142 10199 GARCIA,FRANK 203 ACC 06-02-95 88.04 88.00 1 398473 14199 GARCIA:FRANK 203 ACC 06-02-95 259.25 259.25 1 398350 10199 GARIBAY:JESUS 200 ACC 06-02-95 151.00 151.00 1 GARISAY►JUANA N 397937 10198 CONZALES,RAUL 200 ACC 06-02-95 631.76 631.76 1 CONIALES,RAUL P 398115 10199 GONIALEI,RICARDO SR 203 ACC 06-02-95 141.00 141.00 1 SONIALEI,RICARDO JR 398234 14199 GREEN,GERTRUOE 200 ACC 06-02-95 24.03 24.03 1 398243 10199 GRIFFIN JANIE 200 ACC 06-02-95 €00.00 100.00 1 SPENCER►CNRISTOPHE S 398266 10199 GUTIERREI,IRNA 200 ACC 06-02-95 398.43 398.43 1 398356 10199 GMERREMMA 200 ACC 04-02-95 84.50 84.50 1 398264 101" GUINANIBEN 203 ACC 06-02-95 137.75 137.75 1 GUINAN,ERIC N 397411 10199 HENRY,LISA 203 ACC 06-0245 249.45 249.45 1 HENRY,LISA A 397982 10199 LAVY,JENNIE 203 ACC 06-02-95 121.00 121.00 1 LAVY,JENNIE N 398375 10199 LAVY,JENNIE 203 ACC 06-02-95 36.00 36.00 1 LAVYtJEN NIE N 397963 14199 OEAULT►2 240 ACC 06-02-95 456.30 456.50 1 NEAULT,DOROTNY L 397947 €0199 NEVES,CHARLES 200 ACC 044-02-95 252.40 252.40 1 NEVIS►CHARLES S 398402 10199 OCHOA,ELVIRA 204 ACC 06-02-95 432.34 432.30 1 OCHOA,DANIEL 398€24 10199 PATRICK,BRENDA 200 ACC 06-02-95 483.83 483,83 1 PATRICK,BRENDA F 398397 10199 PATRICK,BRENBA 200 ACC 06-02-95 495.38 495.38 1 PATRICK,BRENDA F 397969 10199 PAULSON,JAN 200 ACC 06-02-95 784.70 784.70 1 PAVLSON,JAN C 398343 10199 PAYNE,JASON 200 ACC 06-02-95 293.00 293.00 1 PAYNE,JASON N 398348 10199 PAYTON,VILLIAN 200 ACC 06-02-95 676.15 676.75 1 PAYTOMILLIAM B 398431 10199 RIVERA,ELIA 200 ACC 06-02-95 3729.27 650.00 03-26-97 3079.27 1 RIVERA,JVAN N 400008 10199 ALVAREZ,CEASAR 200 ACC 06-14-95 211.00 211.00 1 ALVAREZ,BERTA 399215 10199 ANDERSON,CHARLES 2200 ACC 06-14-95 933.19 933.19 1 ANDERSON,CHARLES N 399272 10119 ANDERSSNf,CHARLE8 200 ACC 06-14-95 26.00 26.00 1 HEALTH SERVICES URITE-OFF REPORT N , DATE121 Aug 2000 PAU 1 33 DEBTOR.... CLIENT*... WE.......................... DSK ST CD DT-ASSIGN i+R-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CRT AMDERSON,CHARLES M 399315 10199 BARNES,CARL 200 ACC 06-14-95 123.93 123.93 1 3999€9 10199 BARRAIA,HUHDERTO 203 ACC 0644-95 154.50 154.50 1 BARRAIA,BERTHA A 399938 101" BENEDICTrKARVIN 200 ACC 06-14-93 631.00 631.00 1 BENEDICT,HARVIN S 399569 10199 BIBLE,NOEL 200 ACC 06-1445 112.34 €12.54 € 399592 10199 BISHOP,GEORGE 200 ACC 06-14-45 177.87 €77.87 1 399599 10199 BISHOP,CEORGE 200 ACC 06-14-95 46.03 46.03 1 399960 10199 BRIDENSTINErCHARLES 200 ACC 06-14-95 1216.96 1216.96 1 BRIDENSTINE,SHELLIE K 399963 10199 BROVN,AUBREY 200 ACG 06-1445 173.70 173.70 1 BROIIM,AUBREY A 400027 10199 CABRERAtRONICO 200 ACC 06-14-93 155.90 155.90 1 CABRERA,JESSICA 399950 10199 CASTILLO,JORGE 203 ACC 06-14-93 77.00 77.00 1 ARENAS,JORGE 400183 10199 CASTILCO,JORCE 203 ACC 06-14-95 136.50 136.50 1 ARENAS,JORGE 400193 10199 CASTILLO,JORCE 243 ACC 06-14-93 16.00 16.00 1 ARENAS,JORGE 400141 10199 COLLIMS,ANETTRA 203 ACC 06-14-95 213.70 2€3.70 1 COLLINS,ANETTRA R 400322 10199 DELCARLO:DARES 2200 ACC 06-14-95 3598.71 3595.71 1 DELCARLO,CORINNE K 400310 10199 DIAIrGREGORIO 200 ACC 06-14-93 1492.40 1492.40 1 400161 10199 DOUGHERTYrDAN 200 ACC 06-14-95 345.26 545.26 1 DOUCHHERTY,DAN 1 399939 10199 DULL,CLIFTON 200 ACC 06-14-95 88.00 30.00 12-13-95 58.00 1 399991 10199 FiSIIAHI,SIOME 203 ACC 06-1445 30.00 30.00 1 FISIIANI,LUTE 399878 101" GALLAGHER,TINOTHY 200 ACC 06-14-95 141.50 66.50 08-16-95 75.00 1 GALLAGHER,TIHOTHY H 400203 €0199 GAKEI,DORA 203 RCC 06-14-95 88.00 88.00 1 400290 10199 GARCIA,JOSE 200 ACC 06-14-93 100.40 100,40 1 400072 10199 GARCIA,ROSARIO 203 ACC 06-14-95 88.00 88.00 1 GARCIA,ANNA 400218 10199 GIDDS,V.C. 203 ACC 06-14-95 414.27 414.27 1 400251 10199 CIBBSrN.C. 203 ACC 06-14-95 85.00 85.00 1 400137 10€99 GWEr,RODERTO 200 ACC 06-14.93 17466.36 17466.36 1 399924 10199 GONZALEI,RANON 200 ACC 06-14-95 171.00 171.00 1 400224 10199 GRAY,FERN 200 ACC 06-14-93 294.00 294.00 1 GRAY,FERN L 400118 €0199 GUZNAN,JORGE 240 ACC 06-14-95 92.00 92.00 1 394433 10199 HANSiNi,JENNIE 203 ACC 06-14-95 304.00 304.00 1 HANSON,JENNIE M 399474 10199 HENRY,LISA 203 ACC 06-14-95 509.00 509.00 1 HENRY,LISA A 399660 10199 HIPOLITO,JOSE 203 ACC 06-14-95 283.90 283.50 1 HIPOLITO,BELEN 399652 10199 HOFFARTHrROSEAMN 203 ACC 06-14-95 1:89.40 189.40 1 HOFFARTH,ROSEANN N 399490 10€99 HUDER,HILLIAM 203 ACC 06-14-95 94.00 94.00 1 HEALTH SERVICES VRITE-OFF REPORT 9 DATE.21 Aug 2000 PACE* 34 DEBTOR.... CLIENT#... NAME.......................... OSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT NUIER,DIANA L 399706 10149 JAC1t M EUGENE 243 ACC 06-14-95 45.49 95.48 € JAMONrEUGENE N 394156 14199 JILES,JANES 203 ACC 06-1445 24,77 24.77 1 JILES,JAMES N 394192 10199 JILES,JAMES 203 ACC 06-1445 663.51 663.51 1 JILES,JAMES Ii 399449 10199 JILES,JANES 203 ACC 06-14-95 36.77 36.77 1 JILEWARES N 399772 14199 JILES,JANES 203 ACC 06-14-95 18.17 18.17 1 JIL£S,JAMES Y 394774 14199 JILES,JANES 203 ACC 06-14-45 42.75 42.75 1 JILES:JAMES M 399766 10199 JILES,JAMES 203 ACC 06-1445 423.4€ 423.41 1 JILES,JAMES N 399807 10194 JILES,JAMES 203 ACC 06-14-95 114.45 114.45 1 JILES,JAKES it 399461 14199 JUES,DDROTHY 200 ACC 06-14-95 30.31 30.31 1 JONES:DOROTHY J 399638 10199 JONES,OOROTHY 200 ACC 06-14-95 46.46 46.48 1 JONES,DOROTHY J 394755 10194 JOWES,DOROTHY 200 ACC 06-14-95 115.98 115.98 I JONES,DOROTHY J 399783 10194 JONES,DOROTHY 200 ACC 06-14-95 63.96 63.96 1 JONES,DDROTHY ! 399395 10199 LADNER,MARK 203 ACC 06-14-95 236.16 176.44 04-01-98 59.72 1 LADMER,MARN A 399490 10199 LEVIS,2 203 ACC 46-1445 3696.48 3896.98 1 LEVIS,JANES J 399409 10199 OHALLORAN,JOHN 204 ACC 06-14-95 286.19 266.14 1 OHALLORAN,JOHN T 399484 10149 OLSONINANCY 200 ACC 06-14-95 275.50 275.50 1 OLSOMANCY S 394527 10194 PAILO,CRISTINA 200 ACC 06-1445 265.00 285.04 1 PARI.O,CRISTINA M 399635 14194 PADILLArHUG4 200 ACC 06-14-95 245.74 295.70 1 399134 10199 PADILLO,ANTONIO 200 ACC 06-1445 368.00 366.00 1 399590 10199 PAREDES,GUSTAVO 240 ACC 06-14-95 260.50 260.50 1 PAREDEMELIA 399128 10149 PARSONS,HARRY 244 ACC 06-14-95 2566.14 15.40 05-23-96 2551.89 1. PARS ONS,JENNIFER 349760 14199 PATCHIMAVID 240 ACC 06-14-95 3€4.63 314.63 1 PATCHIN,DAVID B 399759 14199 PAULSON:JAN 240 ACC 06-14-95 649.04 649.04 1 PAULSON,JAN C 404024 10199 PAULSON,JAN 200 ACC 06-14-95 255.40 255.00 1 PAULSONIJAN C 399609 10199 PEREI,80NIFAC10 200 ACC 06-14-95 350.00 350.00 1 399974 10199 RUIZ,HMERTO 200 ACC 06-14-95 854.97 859.97 1 400801 10199 ALEXANDER,PRENTIS 203 ACC 06-21-93 10€.50 141.50 1 ALEXANDER,PRENTIS V 441457 14199 ARGELES,JAVIER 240 ACC 06-21-95 162.35 162.35 1 400726 10199 AYALA,RANIR0 200 ACC 06-21-45 135.00 €35.00 1 HEALTH SERVICES VRITE-OFF REPORT DATEi21 Aug 2000 PAGE# 35 DEBTOR.... CLIENTO... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CRT 400897 10199 BARBA,MAGDALENA 200 ACC 06-21-95 129.61 129.6€ 1 401042 10199 BARBA,NAGDALENA 200 ACC 06-21-95 285.96 285.96 1 401065 10199 SARRICKLON.KAREN 200 ACC 06-21-95 108.75 108.75 1 MAHRT,RONALD N 400722 10199 BAUNGARDNER,NERHYN 200 ACC 06-21-95 264.26 264.26 1 401092 10199 BAYES,TIHOTHY 204 ACC 06-21-95 236.79 236.79 1 BAYES,TINOTRY A 400896 10194 BOLTON,NARK 200 ACC 06-21-95 241.00 241.00 1 BOLTON,MARK D 400790 10199 BROMN,DARREN 200 ACC 06-2145 223.04 223.00 € MUMMER T 401095 10149 BRO1iWERMAINE 200 ACC 06-21-95 18693.90 186#3.90 1 400789 10199 BRUNE12 200 ACC 06-21-95 415.51 415.51 1 BROKE:KAREN D 400830 10199 BRUNE12 200 ACC 06-21-95 299.60 299.60 1 MME,KAREN 0 400887 10199 BRUNE,KAREN 200 ACC 06-21-95 111.50 111.50 € BRUNE,KAREN D 401075 10199 BRUNE,KAREN 200 ACC 06-2€-95 106.25 106.225 1 BRUNE,KAREN D 400699 10199 CEBALLOSrANDREA 203 ACC 06-21-95 216.00 216.40 1 CASTANEDA,JOSE C 400688 10199 CHARRETTEf6REGGRY 200 ACC 06-21-95 464.40 464.40 1 CHARRETTE,GRE60RY D 400957 10199 CHAVE2,PAULA 203 ACC 06-21-95 16.00 16.00 1 401090 10199 CMAVEI,PAULA 203 ACC 06-21-95 56.00 56.40 1 400875 10199 COLBERT,JEANETTE 200 ACC 06-21-95 732.70 732.70 1 COLBERT,JEANETTE N 400771 10199 CRONDER,JOHN 200 ACC 06-21-95 37.50 37.50 1 CROHDER,JOHN T 400905 10199 CROHDER,JOHN 200 ACC 06-21-95 141.50 141.50 1 CRDNDER,JOHN T 401067 10199 CROYBER,JOHN 200 ACC 06-2145 9715.77 9715.77 1 CROHBER,JOHN T 400879 10199 CODAIL,RAJVINDER 200 ACC 06-21-95 167.50 167.50 1 CUDAIL,RAJVINDER K 404891 10199 DAUGKRTY,BETTY 200 ACC 06-21-95 99.60 99.60 1 DAUGHERTY,BETTY R 409953 10199 DAY,DANIEL 200 ACC 06-2145 88.00 88.00 1 DAY,DANIEL K 400750 10199 DELANEY,DAISY 200 ACC 06-2145 254.60 254.60 1 DELANEY,DAISY C 400733 10199 DICKEN$,ROBERT 200 ACC 06-21-95 156.00 156.00 1 DICKENB,ROBERT B 400708 10199 ELIIARRARAZ,GABRiELA 200 ACC 06-21-95 3190.18 3190.18 1 ELIIARRARAI, BABY BOY 401052 10199 ELIIARRARAI,GAMIELA 200 ACC 06-2145 1065.50 1065.50 1 ELITARRARAI, BABY BOY 400813 10199 ESPINOIA,MARGARITA 200 ACC 06-21-95 766.05 766.05 1 400978 10199 €ANARO,JERONE 200 ACC 06-21-95 125.50 125.50 1 FANARO,JERONE A 404819 10199 FISCHER,KENMETH 200 ACC 06-21-95 165.00 165.00 1 400939 10199 FITZ61"ONS,GREGORY 20 ACC 06-2145 162.49 162.49 1 HEALTH SERVICES VRITE-OFF REPORT DATE121 Aug 2000 PAGE• 36 DEBTOR.... CLIENTS... NAME.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CRT FITISINNNONS,QAEGORY J 400741 10199 FLORES,NARIA 200 ACC 06-21-95 123.00 123.00 1 401064 10199 FORICE,ANDER 200 ACC 06-21-95 214.85 214.85 1 FORIGE,AMBER M 400797 10199 FREGOIO,OLEGARIO 200 ACC 06-21-95 51.00 51.00 1 FREGOZOrRICARDO 400758 10199 FULNER,THONAS 203 ACC 06-21-95 164.30 164.30 1 FULMER:THONAS J 400869 10199 CARCIA,CARY 200 ACC 06-21-95 133.00 135.00 1 GARCIA,CARY A 400633 10199 CARDNER,PAULINE 203 ACC 06-21-95 136.00 136.04 1 GARDNER,JONATHAN N 400936 10199 CARDMER,PAULINE 203 ACC 06-21-93 88.00 88.00 1 CARDNER:J'ONATHAN N 401083 10199 GARDNER,PAULINE 203 ACC 06-21-95 385.33 385.33 1 GARDNER,JONATHAN N 400679 10199 GILLIAN,TANNI 200 ACC 06-2145 90.35 90.55 1 OHENS,TRACE N 400792 10199 GODSEY,JAHES 200 ACC 06-21-93 23.30 23.50 1 CODSEY„MMES D 401080 10199 CONIALES,ERIC 200 ACC 06-21-95 83.00 85.00 1 400429 10199 GORDON,CHAROLETTE 203 ACC 06-21-95 143.50 193.50 1 GORDON,CHAROLETTE C 400791 10199 GREENrAVERY 200 ACC 06-21-95 106.40 106.40 1 401009 10199 GULLEY,CLARENCE 200 ACC 06-21-95 109.80 109.80 1 GULLEY,CLARENCE E 400669 10199 GUTIERREI,LARRY 200 ACC 06-21-95 177.60 177.60 1 GUTIERREI,LARRY A 401087 10199 CUTIERREI.VIRGINIA 203 ACC 06-21-95 146.04 146,00 1 400757 10199 HENDRIX,MARGARET 203 ACC 06-21-93 492.10 492.10 1 HENDRIX,MARGARET A 400994 10199 HERNANDEIrRICK 203 ACC 06.21-95 391.70 391.70 1 HERNANDEIrRICK E 401019 10199 JANES,2 203 ACC 06-21-95 88.00 88.00 1 JANES,LISA C 400794 10199 JAN€S,LARRY 203 ACC 06-2145 96.10 96.10 1 JAIIES,LISA C 400745 10199 NUGHAL,9HABSIR 200 ACC 06-21-95 338.65 338.65 1 400686 10199 NEVTONrCHRISTINE 200 ACC 06-21-95 340.00 540.00 1 NEMTON,CHRISTINE N 400878 10199 NEVTON,CHRISTINE 200 ACC 06-21-95 319.40 319.40 1 NEHTON,CHRISTINE M 400960 10199 NILES,CHERRI 200 ACC 06-21-95 613.50 613.50 1 NIL€S,CHERRI L 400673 10199 NOCUEDA,ROGELIO 200 ACC 06-21-95 336.79 336.79 1 401055 10199 NOVOrRICHARD SR 200 ACC 06-21-95 509.60 509.60 1 NOVO,NICHOLAS T 404660 10199 NUNEI,ALEJANDRO 200 ACC 06-21-93 701.79 701.79 1 401028 10199 OBRIEN,ENILIA 200 ACC 06-21-95 288.00 288.00 1 ORRIEN,EHILIA J }+� 600033.04 5616.72 594416.321106 0 600033.04 5616.72 594416.321106 i '�L/Q HEALTH S€RVUES VRITE—OFF REPORT OATE:21 Aug 2000 PAGE; 37 DEBTOR.... CLIENT#... NAKE.............<,........... DSK ST CD OT-ASSIGN PM-ABSICN...... PRIM COI. LST PAY. TOTAL RAL..... CRT 14051 1106 items listed out of 1106 items.