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MINUTES - 09232003 - C.86
TO: BOARD OF SUPERVISORS , J ., .A CONTRA �,r.. ....: COSTA FROM: John Sweeten, County Administrator -XW-V— O[JNTY t DATE: September 16, 2003 SUBJECT: Discharge from Accountability SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATION(S): Authorize the discharge from accountability for certain Health Services accounts, which are not collectible due to: being discharged in Bankruptcy, Death of Debtors, the Expiration of the Statute, the cost of recovery is excessive or the debtor no longer reside in this State. BACKGROUNDIREASONIS) FOR RECOMMENDATION(S): The Office of Revenue Collection (ORC) has received confirmation that these accounts in our collection system are not recoverable due the following reasons, Debtor's accounts were discharged in Bankruptcy proceeding. Debtors are deceased. Debtors are homeless. Debtors have moved to another State. The statute of limitations for pursuing recovery of these debts through the courts has expired. The cost of recovery is excessive. Based on the stated facts, the Health Services Department should write off these accounts as "Charity Care" pursuant to its Hospital Charity Care Policy. Approval of the recommended action will allow ORC to generate a purge of these files from our computer system thereby creating 1. An accurate inventory of our recoverable accounts. 2. A more manageable case count for the collection staff. 3. Elimination of redundant research by the accounting staff. 4. A better distribution of work to staff Fiscal impact: Total value of accounts that are to be discharged is $4,192,073.32. CONTINUED ON ATTACHMENT: _YES SIGNATURE: K,--RECOMMENDATION OF COUNTY ADMINISTRATOR_RE O MENDA ION F RD COMMITTEE APPROVE OTHER .tel SIGNATURE(S): ACTION OF BO/CF ON September 23, 2003 APPROVED AS RECOMMENDED XOTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A X UNANIMOUS{ABSENT ) TRUE AND CORRECT COPY OF AN AYES: NOES: ACTION TAKEN AND ENTERED ABSENT: ABSTAIN: ON MINUTES OF THE BOARD OF SUPERVISORS ON THE DATE SHOWN. Contact: ATTESTED September 23, 2003 JOHN SWEETEN,CLERK OF THE BOARD OF SUPERVISORS AND COUNTY ADMINISTRATOR cc: Office of Revenue Collection,Johnny W.Jefferson Auditor-Controller,Jack Cooper CAO Attn:Sara Hoffman Health Service,Pat Godley r BY, 3 EPUTY HEALTH SE"RES t3RITE-OFf REPORT DATE•07 Jul 2003 PACE. 1 DERTDR........ CLIENT4.R. NANE..i%%:i%.%i.}...........%% 099 ST CO DT-ASSICi1 PO-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CRT 779889 10101 ARIELNABYrYASMAR 203 UNC 02-21"43 641.66 641.66 1 772597 total A80UR33ALILINANAR 203 URC 11-26-02 98.04 98.00 1 773953 total A1OWMALIL MNAN 203 URC 12-03-o2 562.67 562.67 1 KRADRAtA AS G 744292 14101 ABRANARBI RIS 1 203 UNC 04-tR-02 210.11 284.11 1 591217 10111 ABRIAMELER 203 ACC 03-22-99 109.00 108.44 1 771640 10141 AB RrSHANE E 263 UNC 11°21--02 641.43 601.43 1 699427 total ACOSTAtiftia 203 URC 0425-01 40634.46 40634.46 1 ACOSTWULIO C 763035 10101 ACUM,JESUS J 203 UNC 48-00-02 2163.30 2165.50 1 $55024 10101 ADANStDANNY A 203 URC 06-10-99 37'.34 37.30 1 573503 total AD"StDANNY A 203 URC 14-28-99 110.49 110.40 1 $13596 total ADAMIARNY A 203 URC 10-20-98 65.40 66.40 1 573649 10101 ADANSIDANY A 293 UNC 10-28-98 37940 378.00 1 513664 18101 AD1 toAmy A 203 6142 1028%98 571.50 571.50 1 596783 total ADARMAM A 203 UNC 05-04-99 6344.00 6344.00 1 567947 10141 ADA3lMEIIBIE 203 UNC 09-23-98 144.44 100.40 1 ADARMERBIE 8 567971 total ADARS,DEBBIE 203 UNC 04-23-98 374.00 374.00 1 ADAM EBBIE S 623705 Mot ADAHMEDDIE 203 URC 10-M-11 24126.36 24126.36 1 ADAMStDERBIE S 575970 10111 ADMS,TIRA 203 ACC 11-17-98 395.20 395.20 1 ADARSrT131A D 576021 10111 ADANstTINA 203 ,RCC 11-17`99 238.05 238.05 1 ADARSiTINA D 573019 total ADANS,ZIRNIA 9 243 UNC 10`28-99 159.50 159.54 1 573167 total ADMISr OXIA R 203 UK 10-2848 144.60 146.60 1 648512 14101 ARDISOAtCARLflS 203 UNC 04-1840 466.85 446.85 1 ADDISMICARLOS F 554675 10101 AOt133ROMNA R 243 UNC 06-10-98 157.40 157.44 1 55317E total A4oR14OMM R 203 UNC 06.10-98 92.00 92.00 1 547160 total ADOR ,TINA R 203 UNC 09-21-94 252.96 262,96 1 W119 10101 ADOW 41NA R 203 URC 0$-23-99 ".16 96.16 1 56Rao8 10101 AVOINr3IMA R E03 UNC 49-23-98 111.50 111.50 1 579742 total ADDINOMNA R 203 VAC 12-29-98 209.50 249.50 1 57976. total ADORK&TI34A R 243 UNC 12-29-18 205.40 205.00 1 5799.9 total ADORNO,TIRA R 203 U14C 12-29 4 343.50 343.30 1 581003 10101 ADORNUrTINA R 203 UNC 01--20499 22 .43 2203.48 1 $99790 total AGAEY'ArINNA 203 UNC 05-17-9'4 526.227 526.27 1 600343 10141 ACAEVA.IRNA 203 UNC 03-17-" 112.54 112.50 1 512551 10141 ACARIADEMOROUtAN 203 UNC 04-W" 1922.19 1822.19 1 AGANZAK rPEJtlA31 593229 14101 AUARIADEt OROU AR 203 UNC 04-05-99 191.00 191.04 t AOANZADERIPEJ11AN 546464 10101 AURZAM,FMUZAN 203 U4C 05-0449 237.50 237.50 1 AQHZAM:PEJ3!AR 554747 total AGEE,JOARN 203 WK W10-18 145.70 145.70 1 566935 10141 A E,JOARN 203 UNC 09-21.98 138.99 138.49 1 566490 total AGEE,JOANN 203 UNC 09-21-98 89.50 89.54 1 568019 total ASEE.JOMN 203 UNC 09-23-98 374.70 374.70 1 568032 total AGMAM 203 UNC 09923-98 235.50 235.50 1 568049 total AGEEtJOANR 203 URC 09-23.99 92.00 92.40 1 U3470 10141 AOEErJOAN14 203 URC 02-0499 85.00 85.00 1 HEALTH SERME4 VRITE-OFF REPORT OATEF07 hl 2003 PACE: 2 KIT22R........ CLIENT*... 22A13E...........4...t..4!;..>.. 036 IT 0 0T-A8M P23-ASSIM..... PRIM COL LST PAY. TOTAL RAL..... CNT 593475 18201 ACEErJOANN 203 UNC 02-04-" 313.55 313.55 1 583539 14101 AGEE,J33Al2 203 UK 02-024-9f 302.30 302440 1 '543670 14101 ACEE48ANN 203 UK 02-04-" 'iEt#.20 920.24 1 592384 10101 ACEE*AANN 203 VAC 03-31-9f 71." 71450 1 592655 24101 AGEEtJ32ANN 203 2N4C 04-03-11 1836.41 12236.41 1 9EEtTI2:PANY A "593172 10141 ACEErAA2K 203 WK 04.83-99 127.50 127.50 1 OU24 14101 A613IARIMN2 203 UK 86-08-" 126450 126.34 1 AC24IAR►44 YPA C 603745 10101 ACUTA2tt€t108 203 UNC 8b•08-99 217.00 217480 1 AC22IAR IMYRA C 592641 101021 A1,`1FIA1tsM 203 WC 04.05 2376.65 M.63 1 AcU ARr21 YRA C 37$461 10101 AWILAR:ERICK 243 UK 11-17-f4 383.80 73.78 09-28-99 507.22 1 AC22ILARt44ARIA 0 575381 18101 AC44ILARtNAI2IA 243 We 11-17-94 113.34 113.30 1 575624 141141 AC441LARt24ARIA 203 Q#c 11-11-98 113.00 113.40 1 375"474 10101 AC22ILAR IA 203 UK 11-11-94 282.50 242.54 1 561769 10101 AGUILERAtANELIA 203 UK 07-249-94 160.00 $0.04 07-27-98 $0.00 1 575331 10101 AC UTLERCA12ELIA 203 WK 11-17-94 153.40 135.20 1 591442 114141 AWILERA.A14ELIA 203 ac 03-2k-" 1097458 1897.30 1 $372" 10141 AC24IRRErPRANK 203 22NC 46-10'X4 110.00 110.00 1 513477 10141 AC311R41E:PRAM 203 24410 04-20-19 492.86 492.86 1 5312'43 124101 AIELL0r23;ATKEEN 243 W4C 06-18-98 181.40 241.44 1 AIELLWAT14LEEN A 567462 101#41 AIELL32rNAT42LEEN 203 41NC 09-21-98 133.40 135480 1 AIELL0.41RT24LEEN A 369823 14141 AIELL0+AAT#LUM 203 2N€C 09-23-98 123.08 123.00 1 AIEtr22AT42L£EN A 575375 10101 AIE#.LMAT22LEEN 2031R1C 11-17-98 186.60 186.60 1 AIELLO=AATR1,M A 573578 10101 AIELL0r3IATWEEN 243 UK 11-17-98 154.70 154.70 1 AIELLOMTKEEN A 575800 10101 AIELL21MTNLEEN 203 4VC 11-17-94 117.20 117.20 1 AIELL21r32AT42LEEN A 575936 14101 AIE}L}LO#KATHLEEN 203 3X440 11-17-48 141.3,40 141.00 1 AIELL2 IKATRLEEN A 575957 10141 AIELUMT22LEEN 203 VIC 11-17.98 W.50 139.50 1 AIELLO,KATRLEEN A 543690 10101 AIELL22tNAT42LEEN 203 UNC 0244-99 23.2.44 232.44 1 AIELLMATHLEEN A 596367 201331 Almat3:AR23L J 203 IEC W04-11 22651.26 1483.79 03-146-03 11167.47 1 146144 14141 AI4NANY3aM J 203 DEC 05-09-03 2147.64 2147.68 1 555286 10111 AIRESIDAN 283E w 06-14-914 62.034 62.00 1 MEMO 0 7433% 1019f A1RE8:14AN 201 ACC 04-12-82 18.240 98.800 1 AIRE'l1r0AN A 383868 114141 AKEY0 r JE12$NIA 203 14420 02-04-99 24.00 24.00 1 476291 10111 AL"I0PARI 0 203 UNC 11-22-% 273.00 59.00 05-14-332 216.80 1 55776f 14111 ALMIrPARI 0 203 3#220 06-10-19 89!340 89.40 1 383309 10111 ALA2NI,PARI0 203.2X42 242-44-f9 471.30 671.50 1 '58na$ 122111 ALA42IrPARI 24 223 UK 242.234-f9 1149.90 189.98 1 34'.1731 10101. ALANIYPARI 0 203 UK 82-244-ff 536.50 528.00 11^12-02 486.34 1 617246 10101 ALAR IPARI 0 203 MK 48-24-9f 293.234 295.20 1 HEALTH SMI1 E8 VRIT'E-Off REMRT WE107 Jill 2043 �yPAGE. 3 ��R.{{+p g yy, �+ ( �+ }(T�j {��j M- jay y f�}j� LST a�y� TOTAL ]}�,{ /�y $EB'OR*...Q..k CLIENT#.*. MAt1E..,,..,f e.k.i i t.a.k Q.s.k i c 081( ST C11 OT-ASSISM M-A8811i11...... PR111 COL LS PAY. i OTAL RAL..... CR 753891 14201 AL.AHILLARGERARDO 203 UK 06-10-42 873.67 873.67 1 558582 10101 ALANIWAMET 203 UK 06-14.94 433.00 453.04 1 574136 10142 ALATINI,EA14ARA11A 203 UNC 11-17-11 617.04 617.00 1 573254 10101 ALATINI,1'AKAHAUA 203 UNC 11-17-98 177.00 177.00 1 592645 14101 ALATINI, A11Al1AUA 243 U11C 04'05-94 124.46 124.46 1 396641 10,101 AMMEVEL2A 203 U11C 03.21-01 63".92 5566.5E 1 594477 10101 ALBERTOMMUEL 0 203 UNC 43-22-94 1372.55 1672.35 1 600274 10161 ALO11A11UEL 0 203 UNC 05~17-94 154,15 159,15 1 561142 111101 ALCALArALICIA 243 A1C 07-W94 1465.43 1065.43 1 561684 10101 ALCALAYALICIA 203 UNC 07-Oji-98 92.00 92.44 1 711341 101" ALCALA,I3LARCA 201 ACC 08'-30-01 90.50 90.50 1 687410 10161 ALCUTT,#ILLIS JANES JR 203 11110 01-17-01 113.10 113.10 1 ALCU1''f VILLIS J 734731 111101 ALEJMM t JUAR RAM 203 UNC 01-25-02 1034.11E 1134.14 1 PON „ 411 ALE,1ANUE 554914 10111 ALEIAI1SEMOBBIE 203 UNC 06-24-9$ 170.41E 176.00 1 ALEXA116ER,$01181E R 567382 14111 ALEIAU$ER,BOSSIE 203 UK 04-21-48 198.00 198.00 1 ALEXANDER OUBIE R 571993 10111 ALEIAMRfEURIE 203 UNC 10-27-9$ 92.40 42.00 1 ALEIAl4WOOBBIE R 572906 14111 ALEX1111)1ER, BIE 203 UNC 14-28-98 355.0 355.44 1 A1�EXAM11�, 83E R 572910 10111 ALEIANKR,S0ME 243 WC 10.28-98 595.06 595.00 1 ALEXAM6ER,B SME R 572982 14111 A#EXANVERMSBIE 203 USC 14.28-9$ 674.04 579.44 1 ALEIAMMUIE R 573302 10111 ALEXAN0ERR OUIE 203 UNC 10-28-9$ 158.30 158.34 1 ALEXAIIBER,28111E R 573407 14111 ALEIA1111ERMSSIE 203 UMC 11-11.98 4.8.00 98.00 1 ALEJANKMO881E R 575871 10111 ALEIA110EMOSSIE 283 U11C 11-17-98 478.15 478.75 1 AL,EXANDE11,$0111IE R 575687 10111 ALEIA KR, if 203 UNC 11-11-98 10.00 108.00 1 ALEMADE11,B BIE R 581933 10111 ALE2A1l4E&,BOUIE 203 UMC 0126-99 596.85 543.85 1 ALEIAl111ERISORIE R $86464 10131 AL€7ANEM IE 263 U11C 02-19-99 1710.23 1710.23 1 ALE1ANDER,BORRIE R 5116330 10111 ALEXANDE8,101TE 203 UK 02-19-49 460.50 460.54 1 ALEXANOE1tJUDIE R 64mu 10111 AL£IANDER:$I DIE 243 1110 %-it-" 344,$1 349.51 1 ALEXAMR OBBIE R 604122 14111 ALETAI#M8NOTE 203 U11C 04-28-49 157.01 157.01 1 ALEXANKMOSHE R 312413 10111 ALEIANKR,8 IRTE 203 UNC 47-22-49 868.58 $68.68 1 ALEIANKRY801181E R 312436 10111 ALEXANDERREORIE 2031180 a7-22-" 1037,28 1057.28 1 ALEXANDER,80ORIE R 543360 10111 ALEIAiMW,801111E 203 URC 03.34-04 341.40 341.40 1 ALEtA138ERM1101E R 64341$ 1 111 ALEIANOER,80"IE 2203 UK 03-30.00 178.24 178.24 1 ALEXA110ER,00881E R 643540 10111 ALEXAl18ERMBS I E 203 UNC 03-30-04 151.47 151,47 1 HEALTH SERVICES MRITE-OFF REPORT DATEW Jul 2003 ypyPACE; 4 {� Y }� ��Yy.�n COsYr. �JaS y��yy ay�?yy� ogK iM(i } j� Wt0R**.3*.Y. OCLIE #ia.x NANE.i�...i..1!Y<txk...Y...... DSK ST CO WASSIG •w •�SSIN....t1 PRIM COL LS{ PAY. TOTAL. 8AL.ii!t CWT ALE1AIk0ERYB0801E R 643642 10111 ALE;<ARMYROISIE 203 UK 03-30-04 3221.63 3221.63 1 ALEIA091w 80"IE R 650373 10101 yA3L�EXA1KR78T111E y 203 UNC 04-28-00 3114.81 3114.31 1 ALEX"MR 401HE R 732237 18181 ALEXANDER,RONALO 203 0116 01-04-02 1515.12 1315.12 1 ALEXA89E&ROHALO A 674509 10111 ALLEIIYCELESTINE 203 UK 01-19-00 10q.0 109.80 1 688301 10111 ALLE94ELE5T114E 203 UNC 01-11.91 109*49 109.40 1 893814 10111 ALLE14ELESTINE 203 UI1C 02-22-91 202.75 282.75 1 696462 10111 ALLENtCELESTIHE 203 11116 03-21-01 749.90 749.00 1 146534 10199 ALLE14iCELESTIVE 201 ACC 04.30.02 13.40 13.4€ 1 7731126 10101 A€.LEN i CELEST INE 203 VIIC 12~03-02 488.54 489.54 1 647933 10191 &LENJELICE 0 203 DEC 06.28-" 1335.87 1338.97 1 608232 10191 ALLENIFELICE N 203 DEC 06-28-99 158.38 159.38 1 5688611 10101 ALLERiKEITH PARR 203 0I#C 09-23-98 437.05 437.05 1 ALLERr11EITH P 574`M 19101 ALLEI1&ITH POKER 203 at 12-24-19 213,00 213.00 ALLEHYKEITH P 612112 10101 ALLFA,KEITH ?ARM 203 we 07-22-99 102.90 192.99 1 ALIENrXEITH P 741469 10101 ALIMIENNETH 203 WC 03-U-U 163.09 183.00 1 =615 10141 ALLEI€YHICRELLE 243 1HIC 06-10-98 92.09 92.90 ' 1 ALLEN.11ICHELLE S 556255 10101 ALLENtRICHEI.LE 203 UK 06-10-98 110.92 119.92 1 ALLEN ICHELLE 0 601744 19101 ALLMNICHELLE 203 UNC 05-24-99 192.00 100.00 1 ALLE&WIGHELLE S 558334 10191 ALLEM&HIL 8 203 0K 06-18-96 450.00 459.00 1 5511741 10101 ALLEWHIL 0 293 WK 0638-98 141.10 141.70 1 724360 19101 ALLENtSTARA14 203 UK 11-08-41 40.25 40.25 1 ALLENATARAN L 707618 10199 ALSTON VICKIE lot ACC 06-27-01 85.00 3S.99 1 ALSTONtVICKIE L 512724 10111 ALVAREI.,HIS1 201 AGC 10-2E-98 27.50 21.50 1 ALVAREZ*ALEJODRA 769088 10101 ALVAREI:JIAH H 203 UNC 19-07-02 1254.45 12544.45 1 7227522 10141 ALVAREL OSCAR 203 UK 10.15-01 902.30 982.30 1 769346 10101 ALVAREIiR mom 203 UK 10-07-02 85.00 831.00 1 ALVAREIYRAIH}H A 575427 10111# AIVIBRE1Y40H 203 1010 11-37-9$ 146.00 146.00 1 573434 19141 ALVI#REIYAIII#4 v 203 UK 11-1798 20.50 ZO.30 1 575450 19101 ALVIOREI.ANNEV 293 UNC 11-1798 222.50 222.59 1 575476 14191 ALVINEI.ANDREH 203 WC 11-17-90 104.79 184.70 1 574314 14191 ALVIORELAVOREH 203 UK 12-29-98 22. 0 22.00 1 596664 10101 ALVINEIYAI14RE1 203 UNG 05-04-" 203.50 203.50 1 6693" 10141 ALVI4REIYA1fD11EI1 243 UK 98-041-00 324.29 324.29 1 562864 10101 AHARAL:AOSARIO 203 11#10 97'21.98 212.09 212.99 1 5881176 19141 AHARALtROSAR10 203 UK 09.23-98 168.00 168.90 1 388130 19101 AIFARALvR ARIO 203 118£ 44-23-90 72.00 72.99 1 365541 10101 ANWL,ROSARIO 203 UK 09-23-4$ 295.34 295.50 1 568864 10101 ANARAL,"BAHIO 203 UK 09-23-71 3966.41 3966.41 1 7311572 10101 A11K1trt4#1HA"&D 203:BAN Oi-U-92 95+1:+46 939.46 1 572959 10101 ANERAL. GUY LYNN 203 UK 10-28-98 207.00 207.04 1 HEALTH SERVICES VRITE-OFF REPORT OATE07 Jul 2003 PACE-1 5 DEBTOR....,... CLIENTS.., NAME.......................... IS ST CO IT-ASSIQ PO-ASSICK...... PRIM COL LOT #SAY. TOTAL U ..... CXT 573244 10141 ANE]RAL:PEQY LVNX 203 UK 10-28.98 278.50 298.50 1 574363 10101 ARERAI KCGY LYNN 203 UK if-m-99 163.04 163.00 1 57603 10141 Al AI,PE Y LYNN 203 UK 11-17-98 166.50 166.54 1 578982 10101 AMERALrPE99Y LYNN 203 UK 12-2948 179.27 179.27 1 613712 141311 ANERKtPEGGY LYN 203 3032 07-27-99 1764.64 1764.64 1 707606 14199 miESMIJA11ES 201 ACC W27-43 98-.00 ".04 1 AMERSON*JAMES 31 698806 10101 ANURSON,EMNEST 243 SSC 03-21-01 154.53 155.55 1 A#DERSWUMST R 714162 10101 ANERSONto l 203 UNC 09-13-01 1991:00 1128.110 1 741470 1.0101 ANU13011 t 31ARL" 203 UK 03-24.02 111.75 117.75 1 ANSERS011HARL0 V 575511 10101 ANVERS4Rx1'1ARY 203 UNC 301.68 301.68 1 ANDEASOCNAR3 C 575587 10101 ANDERSOStNARY 20311!12 11-1798 114.72 114.72 1 WERSWINARY F 575675 10101 ANDERSONINARY 203 UK 11-17'98 92.40 42.00 1 tFNDERSONtRAR F 578997 14141 ANDERWINARY 203 WK 12-21.48 161.44 167.40 1 ANDERS1CKARY F 563458 10101 00 M AARYY �+ 243 we 02-04-99 318.80 318.80 1 ANDERSONtKARY 701673 10141 ANDER3311NtTOtR Y 203 31RC 06-27-01 278.16 278.16 1 ANDERS01 ,TDANY L 773423 14141 ANNAK,ARISTEDES 203 11NC 12-05-02 762.50 782.50 1 578886 10101 AR17RE tPEG&Y 203 UK 12-24-98 270.2# 270.24 1 AwRE 'PUCY N 5790111 10101 ANDRENSO3¢E£6Y 203113112 11.00 11.00 1 ANDREU s FEW N 555149 10141 ANCALE11tOSCAR 203 U18C 06-10.96 211.00 211.00 1 555265 10101 W LESt4SCAR 203 UK 06-18-98 29744 291.811 1 558657 10141 AN ELES.08CAR 203 31112 06-19-98 8340.03 8390.03 1 559199 10101 ANrW1,08CAR 203 UK 06-18x98 133.40 133.40 1 559835 10101 WELE5,08CAR 203 UNC 06-24{-98 133.00 133.00 1 582192 10111 AWL88tAROREV 203 ACC 01-20-99 281,27115.00 08-20-02 166.27 1 ANGELOS.AND113sV J 593272 10111 AN637IAN&LETICIA 20311140 04.05x99 376.30 376.50 1 A1IGVIWtLETICIA R 7613% 14141 ARVAR3 r1i1411AB 203 QNC 03-14-03 61.01 61.01 1 ARVARItT lAS E 6322,67 10111 AP000,40CELA MARIE 203 UNC 01-04-40 124.00 124.00 1 581113 10111 APPELSA3R ASEN 201 ACC 03-11-94 47`.50 97.30 1 562697 10101 ARASA CHAIK S A 203 W 07-2148 8657.87 "57.87 1 562$88 14101 ARASA CHARLES A 203 UK 47-21-98 18.30 18.30 1 547443 10101 ARASA CHARLES A 203 UK 03-X04-" 430.36 430.0 1 574428 10:1#€1 AMR R18 Y a 203 URC 11-45-98 4059.13 4059.13 1 871903 10101 ARC3IER:RODNEY 8 203 WC 12-17-48 133.04 133.00 1 576 15 14101 ARmtR0411EY 8 203 UK 11-17-98 67.24 67.20 1 57%37 10101 ARCHERWROOKEY B 203 URC 12-29"98 92.04 92.00 1 585123 14101 AACKRiRONEY 1 203 31#12 02-12-49 1735.87 1735.57 1 781390 14101 AR1'ASIADAN JOSEN 203 UK 03-14-03 480.04 480.00 1 575384 10101 ARIAS. RAY 203 UK 11-17-98 415,30 435.30 1 ARtAStim R 575456 10141 ARIASt+ 1 RAY 203 UK I1--17-98 135.00 135.00 1 "To SER9IGE5 #RITE-OFF REPORT UTEI07 Jul 2003 PAGE% 6 Yu n ! y r �y(}ys j�lyr [��{y[ LST 1��j (� ai }��{ 0E8T1 ,.,..... CLIENTµ... NANE...t..f.........f.i...i.;. 03K 0T C0 OT-A115T fS9FY..... PRIM XML S PAY. TOTAL RAL..... CMT 575343 total ANIAS40% RAY 203 UK 11-17-90 197.00 197.00 1 ARI *dtlllll R 573199 total A1NTIONr0ECKY 2201 we 10-2844 22.00 22.08 1 ARNSTROMAI tE3ECCA E 573322 total ARMITROXISECKY 203111µC 10-28-93 10.40 18.40 1 ARNSTRWAKCCA E 57m total ARNSTNONSIVE 1' 203 at 10-20-16 42.20 42.20 1 AA TUN AEUCCA E 554610 10201 14"OT1 6.$ANELA 203 WK 00-10-98 491.40 497.68 I AWIM PARELA N Sup total Al UMPMELA 203 WK 09-23.93 207.58 207.58 1 AR[ISTRON$r A11ELA N 56$092 10101 ARTNOK PWLA 203 11NC 09-23-98 29+!.60 299.60 1 ARNSTRW&AKELA N 585221 total ARNSTROM4,PANELA 203 UK 02-12.99 1174.33 1134.83 1 ARN;kTROWAKLA N 3731}52 total ARNTRONCIREUCCA 203 VIC 12-29-14 133.00 135.0 l ARNSTROUrRECCA E 578917 total ARNSTRONGAEBECCA 203 "C 12-2f-" 92.00 92.00 l ARNOTRONCASMA E 579131 tale# AA TROKIN SCCA 203 UK 12-29-48 143.15 143.15 1 A1N'ISTRONCIREBECCA E 531551 14101 AMTR 'RESEW M WC 02-04-99 231.32 231.32 1 ANSTRUKAMCCA E 597908 10101 ANKSTROKAWCA 203 VK 05.04-fig 991.03 997.01 t AMSTRONG.IIEBECCA E 561097 10111 ARNSTRONS R1l3ERT 203 UNC 0709-93 19$.10 190.10 1 772404 10101 ANNBTRIN IST EN WHAEL 203 UNC 11-23-02 313;30 318.50 1 $73448 total A♦�RyN#N;.a#BOA'T 201 lt-t3'`9d 192.00 192.00 1 ARNOUtR1 T L 575733 10101 AA140Li1tWEAT 203 WC 11-1793 113.00 115.00 1 A11NOLOaR1i1N~RT L *3"37'14 10141 AfflWrNQ$ERT 203 .INC 11-17-78 154.54 134.54 1 3757" 14101 ANNOLBrNOSENT 203 1iNG 11-17M98 211.00 211.00 1 574141 10101 ARMOLI AOSERT 203 WC 11.17-11 150.00 110.00 1 ARN11L1,10SENT L 576164 10101 AR1111L0:RMT 203 we 77.18 77.13 1 ARMOLStRO ERT L 343937 10101 ARNOL1r11001 203 WK 02-04-99 t50.04 150.00 1 ARii011 AVERT L 583007 total Al 0-ROSER 203 UK 02-04-99 192.00 142.00 1 ARNOL1r11 ERT L 779649 10101 ARNOL11r1103ETTA E 201 w will-03 220.00 223.00 1 579624 total ARCRAsRAN S1NGt1 203 UK 12µL'9-98 131.00 151.00 1 5"144 total ANOWRAN SINGH 203 UK 12-21-90 7x.00 72.40 1 ARGRAMN 0 4$0643 total ARRIOL,A11510NA 203 V#C 11`09-00 24.44 24.34 1 ARRI LA:18104A A 367926 total ART1111I MICHELLE 203 1NIC 09023-93 129.00 129.00 1 567937 total ART111 AINELLE 203 VIK 01-23-98 1t0.00 118.00 1 HEALTH SSERVICE3 #RITE-OFF REPORT BAW07 Jul 2003 PASE: 3 DEBTOR........ CLIENT#.., ltIE..........t.s.z.a.t..s.sa. MK 81 CC OT-4610 P1€-ASS€CI...... PRIN COL LST PAY. TOTAL BAL..... CWT 567987 total ARTHi tNICHELLE 243 VNC 99-23-98 364*00 364.0 1 56805E 14141 ART4 iNICHELLE 243 UNC P-23-19 227.0 221.50 1 568073 total ARTiIURrAKNELLE 203 VIC 09-23-1# 117.114 117.44 1 56092 total ARY MICRELLE 203 wC 09-23-18 118,0 €12.90 1 659914 10191 ARTH14R'rlItMIE 203 UNC a6-20-09 90.00 80.00 1 MAMA 11 568012 total ATHERTON LUCIROA WE 203 UNC 09_23_" 140.56 140.56 1 568711 total ATI RTDN*LUCINBA 0£ 203 2lRC 09-23-14 135.00 135.00 1 74036 10101 ATWER ONr1XIMA SUE 203 UK 04-30-02 744.65 744.45 1 7076M €0199 ATTAVIAN14A 26 ACC 06-27-01 98.09 18.00 1 35730 19101 AUSTItSTEVEN V 203 UNC x6.10-48 92.00 3.00 11-99-99 89.09 1 367264 19101 AWI,STEVEH V 293 U21C x4-21.48 687.00 647.00 1 596516 total AMUMAKN N R 203 #NC 08-0444 211942 20.00 02-08-00 2999.82 1 741912 10149 "ALOSIMARLA 201 ACC 03-26-02 133.99 50.90 06-04.02 83.90 1 NRCQIA:PE9RQ 583841 total AVALOSI3A1LY RAIVEL 203 mc 02-04°99 1108.39 1108.39 1 730439 10101 9AAS:VICK1 ELAINE 203'QNC 12-26--01 769.00 364.90 1 9AASIVICK2 E 5712189 10191 BA23BrCHRIST114E L 203 BAN 10-27-98 753-.03 753.03 1 582630 total M824025T131E L 203 UK 01-211-49 246.56 245.56 1 747086 10101 BAMF"RENCHELE H 203 BAN 34-02 836.+62 801.62 1 147272 10€44 BAI1.EYrMIE 201 ACC 04-30-02 83.0 85.00 1 64733€ 10101 BAiIMSTACY Z03 0C 94-18.00 364.00 364.00 ' 1 BAIMSTACY L 565876 total BARE& ATR CE 203 UNC o4-2t-V9 140.00 1441.90 1 875694 14141 BAt4UMAT'RICE 20 me t1-°17x"98 IWoo 110.00 1 51A142 I0141 BAXERAEATRICE 203:we 11-17-94 1478.52 1478.0 1 572913 10101 BAKER o23N R 203 we 10-29-48 42A." 428.80 1 57302V total BAK ROM A 203 11l1C €0-29-48 110.90 1132«00 1 374459 total BAKERtym R 293 11240 it-05-98 150.0 130.90 1 575288 101111 8A atm R 293 VKC I1-t7-98 10.00 150.00 € 5726236 19141 BAA12;€RMA 203 WK 1"9-98 494.69 494.64 1 578926 10101 BAKEA.KIII 203 #IBC 12-15"98 517.80 517.89 1 578320 total 1AXER.NIM 203 UNC 12-15-98" 511.90 317.99 1 57934t total VAKERt11111 203 me 12-21f-98 517,89 $17.80 1 575622 10101 SAKEMICHAEL 203 U0 11.17-9S 228.0+0 220.00 1 1IMERrl42CHAEL H 576207 19101 BAKEMICHAEL 203 11310 11-17-98 1225.0 1225.00 1 BAKERMCNAM H 581523 total BAKEMICHAEL 203 UK a1-20-_99 259.50 250.80 1 SAKEMI2 HAR H 5893313 19141 BAKEMICHAEL 203 w 03-11-49 359.37 SS9.37 1 BAKEMICHAEL H 603749 total 9AKERr1ITEPIER 203 UNC "-a8-99 92.04 92.00 1 BAXERY 3ATT1EV 866780 total WESMKOLD PHILLIP 203 WK o4-21 98 110.0 110.00 1 567194 total MME$ HAR212.13 PHILLIP 293 VIC 04-21-98 205.89 205.90 1 677935 total SALEBI&AW PHILLIP 293 UNC 10•-19-00 1406M 1406.52 1 720654 10101 BALTAIAMEATR1i 203 UNC 09-V-111 941.59 941.50 1 581978 10191 13A14}F OARAH 243 We 01-29-99 152.54 162.30 1 SANKS„SARAN R 582213 10101 DA1R48t$ AM 203 we 91-20-49 118.90 114.219 1 SA21KMARAH R 585395 total W rSARAM 203 WC 02-12-'49 703.30 703.50 1 44EALTH BE"ICEB NRITE-Oft REPORT 4ATEW Jett 2D03 PACE, 3 DEBTBA.xxi.... CLIENT#x.. #AK.....x..p.x...xxx+.x.,,...x ON ST CD BT-A4 t4�4 P44�A88T4�1....x. PRI41 COL LST PAY. TOTAL BAL..... CNT *fit;R^�L total Ffr♦Cft��+.7��tttm 8 535375 total SAMSARAN 203 4K 02-12.7? 714700 10.00 1 8A444£ISAR1A44 A 59w9 total 8AMSy ARA44 203 4440 04-05-11 280.00 284.00 1 .f3l stum 44 "3019 total SANKMARA44 203 4#AC 04-05-Y4 214.10 214.10 1 8ABA8tSA 1 a 543041 10101 DAUS'tSARA44 203 UK 04-05-99 297.00 287.00 1 600738 total RAMMAR14 203 4K 05-17-44 $1.07 81.01 1 LOPEZ tISRAEL E $74481 total 8A44A44k1.YIVORIA 203 4I44C 13-1# 2A2sa#€ 232.00 1 541427 total WMIAMINE 203 WC 03-31-49 211.00 211.00 1 592410 10101 MAMIJEAMINE 203 WK 03-31-49 142.04 140,04 1 4 D45tts EAKI44E C 737644 tot" BAMMMttKAREa 201 ACC 02-27-02 94.50 44.50 1 Y�4 BARN ,KAIM L 567193 10141 UADUNA NWI 44 203 UK 09-21-98 198.50 198.50 1 587343 total BAOa€€#MAE#4Dt X 243 4C 04-23-98 124.00 124.00 1 5724t2 total 8: 4€A44D.4 3 K 203Q*C 10.23-98 92.00 92.00 1 $74231 total BAU4 MINEVOI A 203 VIC 11-05-43 384.52 386.52 1 575349 total 8A444A41'Dr44E14Dt 44 203 4111C It-11.43 92.00 12.00 1 644335 total BAAA RAtPETE41 A 203;w 04-17-00 17711.81 1111931 1 645024 total BAA44EMAAADY MAYNE 203 41440 04-11-00 1005.22 1005.22 1 661244 14141 BARRETToVILLIAN 203 ORC 07-24-00 20.20 20.20 1 SMINETT411,110 C sum total BAA 4t1lAI4I3EL 203 WC 03-31-99 149.30 t49.50 1 RERNAIMIMISEL 592204 10101 BA O4tf14 ISEL 20314440 03-31-49 329.411 329.00 1 HERNAMEZ.4tARIBEL 723080 10101 URTLEYr1t KIEL L 203 44140 10-1301 2403.43 2408.43 t 6444463 Idiot B4iVeNt41YLVIA 4 2443 KC 04-18.04 6470.47 6470.47 1 114126 total policy 903 UNC 04-13-01 162.04 162.00 1 DA"'Ay E 514x4$9 10111 84TE8rALPAED 203 ACC 01-20-49 163.50 161.50 1 BATES ALfORO I. 575836 total BATTL4rMY4OWD LESTEA 203 4180 11-11-48 161.60 161.60 1 579M total B44TTLE►44AlROND LESTER 203 WK 12-p-14 225.81 225.81 1 547914 10111 BEA1t.44A t4A 8 203 ACC 0.04-94 113.50 113.30 1 6136" total BEABLEY'x,tURY R 203 VNC 07-21--99 5354'.61 13.05 01-0603 5346x56 1 573563 idiot BEABLEY.4EEAOR 203 M 11-17.98 35 OO 319.00 1 5791200 total BEAR,EYt HAOR 203 1480 03-28-99 3104.00 314.00 1 743486 total KU,PATR1CIA 20310 04-3302 918.2040.00 05-13-02 818.20 1 BELL:PAT4IICIA A 6449546 14141 BELLf"INCY A 243 WC 01-17.0t 2181.11 2181.11 t 5446682 10141 BELLJE4t4Y 203 0E-19-94 94.20 49.20 1 BELL:TE4414Y L 5104043 10141 BELl..I4491 0 203 tw 02-0+1-14 143,544 193x54! 1 613713 total KU,TAACI 0 203 we 47-27-" 114`7.10 1197.10 1 am 10101 BELL$K441C44A 243-WC *46-00 21.60 21.60 1 604426'1 14101 BELT *t 814E 203 4tl4C 05-17-99 143.07 143.07 1 4fOL14EA04#A1;D'8 600725 total BELTBA4t 814E 203 VK 05-11-49 258.50 252.50 1 #ULKErA044ALD B HEALTH SERVICES VRIT'E-OFF REP08T IKTE#07 Jul 2003 PAW 9 REST .....x.s CLIEtt# ., 34AME...........fiszatszssa taxa• OR ST SSD OT-ASSIGO MI-ASSIG04s.... PRIM LST PAL. TOTAL DAL..... COT 600834 14141 BELTAMISVE 203 1R#C 03-17-=49 100.00 100.00 1 Y11U4EsROMU B 690978 10t02 SE4#AIIMCMAS 203 41t4C 42-07-01 389.10 8 .t4 1 DENAMNICl10LAS J WASE 1$111 SEllJAi4MC11ENOM 203 UNC 02.4ta-" $0.04 90.0 1 VEL s0El4ESI T' 653328 10141 SE14JU M CMDOLY41 R 242 WK 05-0-00 7822.52 128.00 7101.82 1 566756 20101 IMAKINtm 203 Ime 09-21-18 499.95 499.93 1 573588 10101 SE14JANI#IJ40 203 UK 10-22:93 1743.60 1743.60 1 RE11J141l NWOM F 538126 14101 RE4tMINIAN 243 ac 12-29-9 114.00 114.00 1 BE14JA8114a s N F 378370 10102 3E11JA41I# Jam 203 UK 12-29.98 168.00 168.00 1 BENJAMsJ0N f 579215 10201 BEVANINIANK 203 WK 12-29-98 164.00 164.00 1 572077 10101 RENNETTiCOLLETTE 203 1R1C 10-21-13 274.10 274.10 1 SOMEMCKLEfT'E P 579580 101411 RENT:€OLLETTE 203 We 12-n-18 203.00 203.00 1 KINETT P 58110'1 10101 SEMVT',COLLET'T£ 20311410 01-20-319 1729.11 1728.11 1 RE*VTrCOLLET"TE F 641684 1010# BERTLEYPLIR1#A 203.11110 04-18-110 12.30 12.30 1 568587 10101 SEMMPATRICIA K 203 KC 09-23-98 141.04 141.0 1 568 02 14141 1}ERCSTR014.PATUCIA R 203.DEC 09a-23-98 144.60 144.60 1 363703 10101 SETR014sPATRICIA % 203 Kc 09-23 98 360.00 354.00 1 560761 10141 SEROTIMPATRICIA 3 203 SEC 09-23.98 12332.70 12832.70 1 572 9 101111 REROSTMPATRICIA R 203 DEC 10-27-=93 566.20 $66.20 1 6553145 10141 SEROSTIONI PATO R IA K 203 0EC 05-23-0 79810.0 M14.67 1 639435 10101 KNAMCRTSTI11A 203 UK 03-10-00 14.00 14.00 1 572895 10181 BERl19IMUT 43 203 UK 10-i'1 IS 71.00 17.00 1 373164 14101 BEM:008EOT N 203 11410 10-28-98 110.00 110.00 1 381230 10102 KW ROVERT 0 203 M 0124-99 67.80 61.50 1 541816 14101 DER10,403ST A 203 1440 01-2 9'9 173.00 173.00 1 MIS 10101 SE1111IMSERT R 243 vKc 43-11-94 155,23 756.23 1 717458 10101 SERNTINErM1 . 243 UK 04-14-0I 493.85 493.85 1 1STINIsSAll14EL J MM 10101 BIKS4lEA418:CYRITH14 JIM 243 0140 M-12-" 413.10 413.90 1 539383 lot01 B£SMRS,CY11ITHIA JW 203 11110 03-11-99 62.00 62.00 1 5419643 14101 BE13HEARB,CYNTRIA APW 203 UK 03-11-99 1322.52 1322.52 1 593030 10101 SES! R#. YNIT806 JUNE 203 VIK 04-03-99 135.00 135.00 1 393573 10101 SHAl4xNOLARK I 203 O*C 04-05-99 224.40 224.40 1 592646 1#1101 118A4tsOJI£# AIKI 203 1IC 04-05-99 1os.00 105.00 1 108036 14101 NUMSYLVEVER L 243 UNC 06-27-01 1940.91 1940.21 1 674384 10101 SILLIALICE' NUIE 203 w "-9-40 474.48 474.46 1 598689 10101 S1LLI1108iVILIE T#4M 203 14110 05.17-" 414.3 84.37 1 ""30 10101 S1LLI1+l4MILL1E T1144040 203 lt3C 115-17-99 39.60 59.60 1 598935 10.141 RILL11t08s111LLIE THOM 203 VIC 03-17-99 42.02 42.02 1 77973? 10101 RI SA4tsWA 203 ac 02-19.03 $57.00 $17.00 1 3195614 10101 SIRBAR.Y"WE C 203 #1 12.29-" 124.00 124.00 1 W243 10101 R1RSOV YVM C 203 131[0 03-11-99 345.30 345.30 1 SOM 10141 1118A11MWE C 203 1#410 03-11-99 286.80 286.60 1 WEALTH SERVICES VRITE-OFF REPORT 1#ATE101 Jul 2003 PAGE. to /�/ y�u�r �/ j! A �y �M�( PK /(} {} OEBTOR........ CLIENT$*.. MANE....i.....}....Yl ii..it+.Y 00R 8T C5 WASSM ifl ASSIGNu.... PKIN COL LOT {'AY. TOTAL BAL..... CRT 114518 10101 B1R$AN,Y#t NE C 203 VK 09-13.01 1013.14 1083.14 1 634331 total OIRTtLA31R11tCE 203 DEC 01.05-00 4376.50 4376.50 1 BIRT,LA1iME 0 839474 total 8I11MI,Y# IE 203 UK 03-14-00 77.24 77.2$ 1 11SWItYURIE J 700#462 10149 BLAC#1N311:IF IK 201 ACC 04-28-0t 67.54 33.00 04.13-01 34.00 1 BL1t0ER11 A 505044 total SLACMICL VICTOR B 203 We 02'-12-49 129.81 129.141 1 5146052 10101 R.AC11NE1,VICTOR 0 203 we 02-12-99 416.40 416.40 1 $8961111 10101 RLACKNELUVICTOR 0 203 O11C 03-tl-" 142.87 142.47 1 584787 10101 BLMFELL 410OR 0 203 Me 109.40 109.40 1 074 total BLACKNELLoVICTO 0 203 VK 03-11-" 133.65 143.63 1 651011 10111 BLAESERMAtY 203 4010 OS-0+3-40 $45.04 543.00 1 8LAEUR,T CY L 715323 10101 RMIAM ANTHONY 203 UK W13-01 1052.52 1052.32 1 5433351 total ILANKMIPrIEVERLY 203 1f1'1C 04-20-94 2429.7:2 2029.12 1 WMENI1IPONVERL.Y L 740714 10101 BLE0S#R40NNIE BEL 203 11NC 03-16-02 226x011 228.1111 t 750475 10101 BLEIERAISCILLA L 203 RAN 86-10%02 362.011 362.00 1 $75490 10111 11L## TTrER11EBI 203 ACC 11-17-43 350. 3'50.92 1 349107 1010! R01d20L0.511IRLEY 203 w 06.14-95 339.32 90.05 10-11-02 139.27 1 617064 10t01 BOMMICLAYTON 203 UK W24-99 08.44 96.44 1 617734 total 6011A1ONICLAYTOM 203 UNC 08-24-" 10111,54 1001.51 1 646531 10101 80LAA1 'rLA4#RA 203 WC 04-11-00 1.1.50 11.54 1 BSrLA€RAP 762010 14101 80LBEMARRYL L 203 1RK 01-110 275.70 273.70 1 700047 tot" ROLDISCHARALISSA 241 ACC 04-28-111 74.00 74.00 1 SO ISCHARALISM R 746416 10t" BOL6RRIKIRSMY 201 ACC 04-3042 78.50 70.50 1 DOLCERsKINKIMY 0 651179 total 80LMJENNIFER 283 WK 05-03-00 20. 0 20.40 1 JAE04ENNIEER 51 24 1010t 4OLT0NANNtB LANA 203 UK 09-23-90 143.40 143.44 1 568885 10141 BOLt'01i.4 MIB LAN#11t 203 We 0143-98 100.00 108.00 1 572035 10101 BOLTOM:EN1415 LANON 203 UK 10-27-98 MAO 4'15.14 t 5772100 total BOLT011.ENNIS LARON 203 we 10-27-90 078x" 870.% 1 640353 10101 001100t00RAL11 LM 203 WC 04-18-00 242.05 242.03 1 741853 total 1001=71KEVIN HICUEL 2034R1C 03.26-02 921.00 921.00 1 765675 10101 80ONEAANGELD LARRY 203 U 08-21-02 5086.10 5486.10 1 546010 t010t R006E14.BARBARA 203 vK 09-21-90 91.50 91.30 1 ROR� t"RIARA J 367M 1010# BOR 11AWARA 203 ONC 04aµ98 134_.00 134.00 1 BOMMISARA J 36#€061 total 1440AARRARA 203 WC 09-23.48 5514.50 334.50 1 BORE8r0ARURA'J 542986 10101 BORMNJARRARA 203 QIK 04-05-99 274.00 274.00 1 SWENTSABARA J 5; 63 10111 808C11RIC#1A# 203 ACC 06.104-90 133.01 133.01 t 8080#1#RICHAR0 K 557612 1011:1 808131=RICNARD 203 ACC 08-•10-48 '48.00 9$.00 t 808131 RICM4 X 357729 10111 B00C11:RICHARD 203. ACC 06-10-90 92.00 92.00 1 R#SCHIRICt4RR0'x HEALTH SERVICES WRITE-OP NEW SATPOT Jul 2003 DEST4R....t..i CLIERT41..t MWE....6....t................ D8N ST 0 O 1 • I* OL LST PA , TOTAL #At A.1Kt CKT 55475# 101'11 808C14rRICHAR33 203 ACS 06-24-18 92.00 92.0 $I�Ct3rR2CI�RB K. SSW 10111 18SC1Ir1I:KMARD 203 AL'C 05-24-48 92.44 92.00 1 DDO€fIsII'I441ARII 573495 1011€ DOW RICRAC 203 ACC 10-21-91 353x54 333.50 # DR�xR £#iARD 3i 6175041 10111 80STIC DONALD RUESSELL 503 mc 338-24-99 92.00 92.00 1 5314728 14141 SOT'TONLEYMNN>N 203 31NC 43-10.00 1159.0 11.69.00 1 880305 10161 DOWI r MKI FER 243 UNC 1€-08-00 22.65 DOVER,JEWIFER N 5741€7 10141 90KIN641&IRTON 203 VK 1#-45-98 31.20 31.20 1 874147 14141 D4#t1ICIART91 243 UNC 1#r05-98 34.10 14.10 1 574172 14€41 B13ZILINGBARTOM 243 UK €1-04-94 49.40 49.40 3 574213 14141 SU3iL1N6'tMON 201 WK 11-05-48 140.00 140.00 1 574517 14141 MILINSrSART014 243 UNC 11-05-94 53.00 53.00 1 574350 10101 SOKINS,8MON 203'VKC #1-05-98 45.00 45.00 1 574452 €4141 8O43LII+U& 6A TON 203 UK 31-45.941 226.80 Moto 1 584508 10141 8€VLIUxBAI'€TON 203 UK 02-04-'49 219,00 219.40 1 588272 10141 B01€1.N UART43N 203Q#c 03#1-99 53.00 53.04 1 58113511 34161 SOUL11 IARTON 243 ac 03-11-99 43.00 43.00 1 3w28 10141 SO43LIKt8ARTON 203 434IC 4311-49 U.00 56.00 1 M414 111142 3#833#.:IN IIIARTON 203 M 0311-99 18.04 18." 3 588595 101:0€ DOIN.ING.DARTOW 203 431IC 43-11-99 14.10 14.14 1 588598 14101. mllKtWTBN 203 UNC 03-11-99 88.54 814.50 1 588644 10101 SO31L M IARTON 203 3NIC 133-1 i-" 49.04 49.04 # 588863 10161 SIILI MTON 203 at 03»11-94 140.00 140.00 1 5148957 10101 SOULI t61RTON 203 UNC 03--11-44 31.20 31.20 1 589123 10101 BIIiILIN1r4A4IT31N 203 UK 226.84 256.80 1 771369 141431 10141MIL L 203 OK 11-14-02 655.57 658.37 1 532939 10101 161LEYWEIR MIR 203'ac 01-44-00 517.84 517.80 1 514100 14141 BOYMEVIN 203 UK 02-04-19 25734 257.84 1 8 Y011NEVIN A 561741 10101 80YERr IKEY 203 UNC 07-49-98 211.00 211.00 1 86YER.814IRLEY .3 5731594 14101 84YEIIIMIRLEY 203 UK 10-28-90 132.00 132.60 1 80YERISMALEY J 572995 10161 80YERMIALE`I 243 UNC 14-28-92 42.00 42.44 1 80YERrSKIRLEY i 5727" 16141 203 UK 10.2144-98 72.00 72.04 1 572832 16101 DRAMORMALVIN 203 UK 14-234.98 116.00 110.00 1 573093 14101 BRAIW1RII ALVIN 203 13NC 14 C8-48 92.00 92.00 1 573099' 10161 WIFORVICALVIN 203 UK 14-211-94 M.73 759.75 1 573324 10141 8RA6FORMALVIN 203 VK 10-28-98 384.60 344.00 1 379678 14141 DRWORDOCALVIN 203 AMC 12W29»98 342.50 342.50 1 379747 1414€ sw tCA1.VIN 203 we f2-R-98 272.00 272.00 1 579713 141311 BRADF514 CALVIN 203 UK 12-29--98 72.04 72.40 3 581417 14141 SRAI100itYYETTE C 243 VK 01-24-11 #OO.#0 144.14 1 U1120 14141 BI4ftI A MET'#E C 243 UK 01-94-it 1073.48 1073.48 3 879549 14141 SRADY CKUEN NICKLLE 243 4NIC 12-24-98 12544 125.20 1 C/4 SK RICH 586386 10101 BIAIMULLEEN NICKILLE 203 U44C 02-1 f-44 5548.92 5543.92 1 C/O SUE RICH 573523 14101 SRAly' I4BY 203 U34C 10-28-98 267.20 207.20 1 MY NOISY L HEALTH SERVICES MITE-OFF EMT OATE107 Jul 2403 Rei I KIYOR........ CLIENT#... MIM...............i i.t E.i s X,. .DOB S# CO IT-MICS FBF ASSION...t.. PRM CK LST PAY. TOTAL QAL..... CRT 573695 10141 RRA1k4't$1 P 203 UOC 11-17-98 80.40 00101# 1 DUMMYL 376149 10141 S11ASYMODY 203 UMC 11.11-46 92.00 922.00 1 RRADYY 1 713343 14141 RRAIMOVERT MVIO 203 DEC 09.13-41 3221.10 3221.10 1 679985 14101 ORAS MONTSERRAT 203 10K 10.12-00 1853.21` 1153.27 1 653096 114101 DUEZEIMRA m 1oC 05-11-00 13.40 15.00 1 FRAZIERt IISTOPM H 554440 10141 sallmlon H 203 VIK 06-10-" 423.00 423.00 1 550842 10141 ValowleARL R 203 we 44.14-14 M.00 242.00 1 360490 10201 RRIVOUTU L N 203 UNC 01-W" 141.00 141.00 1 MOM 10141 SRIsalc 1L 9 203 #1112 04-24-04 119.0 119.00 1 650332 14141 MIKU'CARL 11 2113 UK 04-28-00 423.40 423.00 1 43M4 14101 RRID0tstwt 11 203 QK 04-28-4 173.00 173.00 1 630397 10101 ORIKEStCARL A 203 UK 04 211.011 252.00 202.40 1 630628 10141 IMMESMAL H 203 VMC 04-21-00 X8.00 282.00 1 650644 10101 8810 S CARL R 203 UlK 04-IS-00 141.00 141.04 1 ism? 10101 BRt1 SrCm A 203 {C 04-28-04 Me." 282.00 1 6504&4 1014t MIDGESICARL H 203 11110 04-20-00 4931.93 4951.9'3 1 608565 10141 DRIDGEOtERNESTIVE 203 UK 06-21-" 44.20 44.20 1 111110E0'►ERNEBTIRE 0 634642 10101 011IMESA 41EST'ISE 203 wC 04-WOO 103.40 1113.#0 1 81110&ES:�':ST2RE 0 632323 10141 SRMyrio11E203 Qlc 01.04-00 259.00 258.00 1 6843'14 14141 MILLJOIEL TWA$ 2113 UNC 01-17-01 17249.06 17248.06 1 594464 10141 RROCKICLETA 203 MK 11.W14 14.26 14.26 1 RROCK4LETA 41 768633 14101 SMS9140YELLE 203 DEC 10-04-02 144.40 144.00 1 768613 10141 MONSlO1:LOVELLE L 203 DEC 10-44--02 368440 368.00 1 IU#79 14141 ORODUrCLIFFOR0 V 203 WIC 118 o-42 829.13 829.13 1 561649 10141 MMJAVID 203 Ulla 07.0-" 247.10 241.10 1 579669 10141 RR01KSt0AV10 203 1K 12-29.48 125.30 125.50 1 574742 10141 RROOKSt4 Y14 203 UNC 12 29.48 94.30 94.54 1 $19739 111101 BROOKSIDAVIO 243 UNC 12.n-98 474.30 471.0 1 374643 14101 POOKS 1E1`F EY C 203 U11C 1-29-911 1049.61 1449.61 1 Sam 14141 I OOKStAFF'RET C 203 UNC 02-I" 347.45 391.45 1 6328+4!1 14101 "00"'FATRI f N 203'3112 01-04.00 84442 $04.62 1 535137 10111 14000,11C11A00 803 ACC 06-10-98 186.00 126.40 1 RROORMICHARR E 591457 10111 811Q01'MICH"t 203 ACC 05-9-" 12.6.00 126.00 1 SUMMIC11AR0 E 774522 101111 MOMAR11rCERALDINE 203 UNC 02-19.43 6913.11 013.11 1 OROU SAR4t& AMNE H 334562 10101 ORl' 1:CA38A11I1R.►A LAYETTE 203 w 06-10-98 92.0 92.00 1 5560 6 14101 OROWCASSA11DRA LAYETTE 243 111[2 06-10.48 194.00 144.00 1 575401 10141 RRO MOSAAMA LAYETTE 203 U11C 11-17-411 90.00 98.00 1 $73717 10101 80004ASSA A IAVETTE 203 UK 11-47-18 233.41 233.41 1 579757 111141 SRl#1R1 CA811A410RA LAYETTE 203 UNC t2-29 96 206=26 206.26 1 693471' 14101 ORMCASMORA LAYETTE 203 we 03-21-41 2014:34 2014.34 1 UT152 10111 OROMMAUA 203 UK 0921-#8 18842 188.82 1 11ROUN CHANDA A 573199 101t.1 11R111311IC11ANDA 203 UK 10.28-48 134.00 134.00 1 RROV041A4DA " 571321 10111 OR4W14900A 203 URC 11-11-18 471.30 471.50 1 REALM SEAVICM VRITE-Off FORT DATE+07 Jul 2043 PUEs 13 h� iT41........ CL IENTy•... NAME ........... DSR ST C1 OT-A0810 P11-AS * y...... MIN COL LST QAy• TOTAL OTAL DAL..... CNT �iR€11aC11A31DA � . 573565 10111 13ROIR1rC#ANDA 203 VIK 11'17.98 240.50 244.30 1 DRO04CHANDA 3 576153 10111 PRO 0:000A 203 Vic 11-17-98 144.86 149.96 1 81002CHA A #I 5762511 10111 3R111111MAMA 003 UK 11-17-98 320.09 320.00 1 Ila pirrt7:LirAMM N 081743 10111 HROfiI'CRANDA 203 Vic 01-20-99 243.30 293.54 1 3$1 33 10111 HOWMANIA 203 011C 01-24-94 333.30 333.30 1 MVICHA11DA 11 384312 10111 SRMIC11ANDA 243 UNC 02-X04-94 SUM 916.69 1 HllOW C11ANDA R 349034 10111 H1iUMMANDA 203 IMC 03-17-94 564.50 184.30 1 DR#ifll:CHANIA 1 549847 10111 3ROWIC8ANDA 243 at 05-17-i4 107.50 147.50 1 IROWIC#ANIA !I 60106 10111 BRIM:CHARDA 203 mc 45-11-19 234.50 230.50 1 81MMANIA M 604107 10111 BROWICHAM 243 SIC 06-11.94 6444.85 6094.83 1 610473 10111 H11D101 r C1A 203 UNC 07-"-99 252.30 252.30 1 SR0IN4HN1DA 11 615144 14111 14001CMDA 203'4110 08-11-99 2292.55 2292.55 1 VILLIMUNITRIS L 622431 10111 $S##141 rCN11 203_MK 09-27-" 177.00 177.00 5 SRO31 i4RANDA N 607462 10101 SR4i01rC1NIISTOPHER PAM. 203 ac 06.29--99 7411.58 704.58 1 56679 10141 SR#I18I Em"D 203 11RC 09-21-to 57.00 37.04 1 HROW)EDMD D 36325 141$# 1311 vNfEmuo 203'4110 09-21-98 189.54 189.30 1 SROMADVAND 0 531424 10141 800MVEMARD 203'11110 01-20-" 126.00 126.00 1 D11OMADWS<0 501174 14181 1IROI111rEPWI 203 U 01-20-49 37.00 57.00 1 BROiiRADVARD 0 583903 10101 �ma,mm 203 03-11 99 1235.32 1235.32 1 3RDi1 ADVARD 0 778030 10101 BROMair DOLYN 203 UNC 01-24-03 1343.116 1393.96 1 594309 10111 BRO40 ir1lIC1I01:AS 203 ACC 43-2249 143.25 143.25 1 542342 14101 Dt103>MICRIi1OUNE 20311110 04-03-94 333.,73 38.3.73 1 646793 10101 HOUNIPAULA 203 WK 03-ti-0t 241.40 241.40 1 ByilMPAI11 A A 340940 10141 BROUv ticly 203 UNC -22-'99 135.80 135.34 5 544943 10141 $511101 OR CR1' 203-DNC 43^22.99 163.60 163.64 1 391233 14141 8R!#"l11ICf1Y 203 #1110 03-22-99 MAO 135.04 1 620490 14101 BR018lMY 203 we 04-10-99 44.04 44.04 1 566975 10101 BROMISANDRA 203'!010 09.21-911 43.80 48.80 1 r�A C 563052 10101 "Oft"SUBRA 243 we 09-23-90 216.40 216.40 1 I Ni rSAN#RA C 372123 10101 HROWSANIRA 203 VIC 131-227-93 73.20 73.20 1 MOWr$A11OM c 3#1062 10101 RIMMr3 ORA 203 00C 01-20-94 2979.66 2974.66 1 REALTN SERVICES ITE-OFF REPORT BATE101 Jut 2003 PA4Ex 14 C1:Im'1'41.Y R p15{�('i%Y y Y�i(Y Rye{t}R t 4 Y#i R%f R#i Y Y i i 4 X IT C4 IT-48810 ASSIM Y#4 R Y PRI# COL LST PAY. TOT CMT iF�7A#SRYA#!..C 581570 total oRmmf$A A 243 4485: 01-20-94 49.00 49.00 t 589411 14141 #43AW# yr 243 VIK 03"11-" 592.30 542.30 1 783061 total "ONV:liAMEN M DEC 04"11.43 35.0 35.80 1 573182 10111 8RYANTIAL41IAKE P 203 !R#C H-28-98 164.60 164.64 1 573239 14141 14YA4#T.A4rOf4ME P 243 UK 10-2648 194.00 194.00 1 $73394 14143 RRYA#TrALMAKE f 203 UK 10-28"94 312.84 312,44 1 5413663 total "YANTIALDRAKE P 243 UNC o2-l" 2902.52 2942.52 1 6W47 142#11 "YAW1ALIWA E P 203 4K 01-OS-00 176.44 176.00 1 773025 10101 BRYANTr4ABARA 203 BA44 110.26-02 12.74 12.79 1 81i'YMTt#ARMRA L 689264 14101 SUCRANANiELAI4#E 203 UK 01.27-01 924.40 424.40 1 579721 20142 84C41AAWACOR 2113 WC 12-2t-93 113.50 113.54 1 579728 total 4 W'JAC08 203 WC 12-29-40 6411#6o 681.60 1 3"m 10141 W4`11A1#A4#rJAcm 20 VNC 03-11-" 97.30 87.84 1 S6 14 total RUCHANANJIVA LOUISE 203 4;11#C 07-21=94 363.00 363.00 1 564605 total 84# %WtTIM LOUISE 203 o4#C 04-23-94 190.84 194.80 1 579781 total 841C14A14ANJIVA LOUISE 243 VIC t -29-$4 92.0 42.00 t 582543 141104 VVCHA0A4#rTt#IA LOUISE 203 mc 01-20-99 179.60 174.60 1 732131 14103 B43LL24GIOCRICHM MILLIS 203 WK 01-04-02 884,60 448,60 1 738934 10101 ROLLaCKJEROND 203 WK 06-26-42 134.70 61.40 47-14-112 67.70 1 BULLOC4tt8E4R14#11 L 561447 14101 BULLVINKE65TEP4#ER 203 UK 07-Wt8 122.60 122.64 1 4#ULLVINKEL&EP14ER R 367945 10101 B41 WI105ELYSTEP44Ea 203 41#30 09-23-18 97.60 97.60 1 8o4.LVI4#ITEC:STEP41ER 44 568016 10101 11414.4.5114 I STEP41ER 203 UK 01-23.98 25.00 23.40 1 41#ILti114 LrSTE4441E4# R 568474 10-141 BULLVINKELiSTEPHEN 203 UNC 04-23-94 122.60 122.60 1 SULLVINKELf4TEP 1 R 5"469 total g$#44x#IVINKEEGSy1!�EPREW { 243 w 22-2"1.--v$ 28.00 28.00 1 S42S81 10101 B4 LLVI104EL#STEPRE41 203 #€110 411*211-99 44.00 98.00 1 BULLMINKELr5TEP15E4# R 383954 10104 VOL1.44I4IE68TEPRE4# +203 44110 02-04 49 369.60 369.60 1 BULIVINK LiSTEPRO R 542964 total 44 UVIi48E#tSTEPHER 203 mc 04-W" 125.60 1251.60 1 414)Ll INKELtSTEP REN R $43100 total HURMSSTEPHER 203 UK 04-W" ".00 29.00 1 4341LLVIN#ES.rB't'EPKR R 643138 10101 SURCHETTLLOYD 4#AYNE 203 VIC 04-17.00 206.25 204.25 1 674499 10141 8 OETTE4A410Y 203 VIC 09-111-40 17.10 17.10 1 4RSNOETTE,XA140Y L 561278 tolot W$IK,KVEI EY 243 KC 47-044-96 320.24 61.50 10-10-00 258.76 1 814ROINGIEVERfLEY E 361247 total 0VR1M*KVf1LEY 203 KC 07-0-" 14.24 94.24 1 BUR41101*0EVERLEY E Saw total 841RSINEYSEVERLEY 243 DEC 5141 56.98 56.98 1 4141R014*1EYERI EY E 371732 10101 4141RBt4 WERLEY 203 t4EC 10-27-118 244'.04 244#04 1 BURVINE' KYERLEY E 572433 total B4840I4E.1 YERLEY 203 DEC 10-2748 272,16 272.16 t HEALTH HVICES #RITE-OFF RMT UTE107 Jet 2803 PAE1 15 KsTQR k s.#%..A CLIEN i c- MWE.......................... UK ST to DT-ASS E liSi 19N....... "M COL LST PAY. TOTAL TYL Y i.M k UT MIKONETERLE E 573100 10101 MOIrlyl�xIE�EY 203 KC 10-H-" 263.17 283.17 I SUROI#E&VERLEY E 1173332 10111 BUS UrB DALL 203 V IC 11-11-14 941.40 98.04 I 686187 10141 BIRMTIR Y 243 12 41-16-01 12619.55 12415.33 1 3743" 14141 v1 0 243 WC 11-0-" M.01 224.47 t 804##t2M.4 # #I 648462 14141 "MOM 243 UK 06-8-" 314.61 374.0 I 644614 14141 IlM400 203 UNC 44-241-99 3922.15 3E22.1 1 "MAN V 737846 14141 IMTTExCERULA T 283 ut 82-27-42 120.0 1249.00 1 361062 14141 SMIDARIEL 243 we 49-21.42 1146,44 1146.94 1 IM*IiAI#IEL E 361244 14141 SMDANIEL 243 UK 89-21-11 114.19 II6Y19 I IMMMEL E 724427 14141 NM*#IC##AEL 243 we 10-13-01 688.14 633.14 1 NMt#IIC#IAEL 4 669656 14141 SURTMALOYI4 L 203:#IAC 04-of-00 0444.92 13444.92 1 472X7 10141 "SHIONALD 203`VIC 14-24-" 906.60 946.40 1 572732 14181 B4 ,#OMLO 203 VK 10-2914 gall 863.27 1 572814 18141 BII'SMMIALD 203 UK 1"4.98 3".90 389.94 1 573244 14181 80S4MALD 203 UK 4p-211-98 378.40 310.44 I 873288 18101 84} IDMO 243 JAK 10-24-98 92.44 92M44 1 573334 18141 RUMMULD 203 WK 10-24-" WOO 98.44 1 584368 14141 B#4S##IMALII 203 WC 82-44-99 114.44 110.00 1 um 18141 8MM#1#At:4 2.43 431#0 42'12-11 92.44 92.04 1 589281 14141 MAW 243 UK Wit-" $4.00 84.44 I 664132 Met MTAW ART C€RALPH 41ICMQLASS 203 VK 07-18-04 2624." 2424.66 I S32I18 18101 B#48T8S+ E 243 UK 01-m-" 644,44 644-04 1 B1TM+34ME 0 6W10 14181 I MTCMEMAREST 203 #IIK 04-17-00 28.40 24,00 1 t44'4'co#fOIEST 1 653183 10111 HTLEi#.414#98Y JOE SR 283 Kc 05-11-44 AM" 224.77 10-10-00 SUN i 688'353 10141 843TLEBMMAY##A88 E 203 WK 11-48-00 2347 23.67 1 593071 18141 19TUWAY M 283 WIC 04-W" 1091.54 1419.34 1 57107 10141 BYIACCURLES E 243 at 12-29-18 207.06 247.04 1 579883 18101 $1''tACC#MES E 243 VIK 12-29-11 IIB.1S 80.75 1 584144 14141 VIA430CM ALES E 203'VIK 03-I1-'49 491to 499.48 1 183 14141 B'tIAB:C##A8I E8 E 242 VK 43-11-91+ 150.00 150.00 1 S#E1812 10101 PIAM:C11AtUS E 203 UNC 03-1I-99 03.88 1751.88 1 406461 toilet CABIIERAVA MON 203 wc 06-11-11 I982.00 1942,08 1 77 46 14141 CA1 '2#4 AAFAEL 9 203 #fit 12.45.02 M.40 258.414 1 739492 14t" CAKL.YI€41 K 281 ACC 0247-42 44,08 44.04 1 373133 10181 4+AIMLLMPAT8ICIA 243 w 10-.-98 94.50 426.34 1 CANML.PAT4ICIA L 561217 10111 CA#IPorclLKR 203 ACC 01- 1-98 114.04 116.00 I CA#fP4.MAT B 584054 14111 CARPOICIL IT 20 ACC W-04-" 174.84 170.08 I CA00,4IL8E44T II 5841297 I411I CAMAILIERT 203 ACC 0312-94 198:o8 I98.00 I CANP0,91LOST'A 3#3433 10101 CA##P4S:II MAl E 243 UNC 02-M-99 513x98 313.98 1 $10765 14101 CA Y*TEKSA 203''43110 03.22-99 2+1.6{1 24.60 1 HEALTH SERVICES 4NRITE-I RMT 0ATE107 jut 1401 PAM; 16 DESTaR..,xt!xA CL12!!TCAa MM .xA,!..tt!i.ti...x:.x::!! K ST 3.a 0T-AUICN P#-AMIU.x..... PRIM COL LST PAY. TOTAL BAL....t C41T CAM Y i EM A 7411748 10101 CAMLESIAN LN4 E`ITWIN" 203 UK W16-02 161:28.28 16225.28 1 686117 10101 CANTMLY3iIUSSA R 203 VIK 01.16-01 2127.11 2127.49 € 771765 10141 CANTIRELLoVINESSA R 203 #1414 It-21-02 331.40 351* 0 1 514210 141St CAGILEMLER14 283 at 11-03-911 24.39 24.34 1 567383 18181 CARIELLAx311AR 243 UK 19-51~48 154.54 154.58 1 544834 total CARIELIAt,l##AN 283 3INC 89-23-94 372.00 372.00 1 573804 18141 WrEw>,}vAl2t 2 8114 18-28--98 29M1,14293.10 i CARKU AY,3IAN 7�y 581.784 14141 CA� 1�.�4 t, +12203 UK 41-20-" 373.50 373.30 1 CARDEV LIAf VAN V 644930 total CARa3l.'im 203 WC 04-17-04 185.28 1$5.28 t 033 LLAT-Am V 743700 101 CAR .(Ally M 241 ACC 04-12-42 34.50 34.50 1 CARNMIN R4A t 7425.29 10199 CARMNAMILM 241 Act 03-111-a'l 98=04 41€.00 1 CAR 1 ,VARA C 64Ao40 14101 CARty,JOHN ALBERT 203 #SIC 43-EI-41 643.14 643.10 1 CARETr. I A 375471 total CARLIBLE:AL1N41A L 203 UK 11-17-48 428.40 428.40 1 574265 total CARLIBLEiALONTA L 243 vu I1.17-48 18041 180.71 1 411840 total CARLM#RMA 8 203 ANK 08.24-94 4716.14 4714.14 ' 1 761178 total CANIMMLtLOREM P 203 o11C 10-07.02 392.30 542.30 1 7492314 141:81 CARRICNAELIL31 NA P 203 UK 10-07-02 83140 83.04 1 572377 10141 CARKIMURALD tt 283 UNC 111-27-48 190120 14#.2 t 3;APEl1T3RYRALo 1 572458 10181 C�Ayty.i�Pt(E1i=.tyllyyyyrRI��RA�r�MLD 203 w 10-27-99 185.70 153.70 1 CARPENTERrLi�E A 384546 total CMWERIC ALD 243 VK 02-04-99 487189 487.89 1 CARPENTER-LBREE A 511986 total CART ELR8 203 WK 10-27-98 1872.16 1872.75 1 512025 total CA3 t.3 LIM 203 VK 1027-48 134.40 14.44 08.29-01 3.64 1 584105 16141 CARRtem 203 UK 02-04-" 2.148,25 209.25 1 3661197 total CARRIC11tCTt4T11IA C 203 #NIC "41-98 472.21 472.21 1 368790 10101 CARR1C8t YNTRIA C 203 we 09-23-'18 191.84 191.80 1 56V" 18101 CAMIcatcyoutA C 203 €INC 89-23-48 4044.35 40%.33 1 626164 total CARRIERMHEtal 243 31110 10.26-" 2747.4 2767.48 1 373402 10141 CARILLMANSEt,ICA 203 VK 11°17-44# 475.00 475.00 1 579821 1olot CARRILMANCELICA 203 we 11-17-18 12158 12.50 1 644234 10101 CARRILLaYAWLICA 243 WC 04-17-00 303.00 303.00 1 302626 10141 CAR RILL4rN33RiNA' 203 wc 01--2044 230.10 230.30 1 CARRI1 DINMA 4 382661 total C -RILLOIil0RM 203 VK 01-20-" 118.50 149.30 1 MUMMA 8 600763 total CARRILL11rINIRIIA 203 WK 315-17-99 69,00 69.00 1 CARRILL0rN1NA 0 731224 10194 CANIOLL,AWE 201' ACC 122-+2841 30.13 30.151 1 CANnur0Al"TRA R 37827+4 141141 CARRaiIi+Y"ttRu I NA811 203'31144 12-13-48 1621"45 1623.46 1 581459 WIN C#11ROLLIill'1WD EMARo 203 1#414 01-20-9'7 10.031 141.00 1 .'ll"16 Intal CAR11 .1.tDVAALD EDURl3 203 aNC 145.55 145.56 1 449117 total CAAROLLrLISA 203 UK 01-Wo0 4.24 4.24 1 CAROOMISHARKA R HEALTH 3EAVI3 ES VRIT£-JIFF REPORT DATE a7 Jul 2003 FACE; 17 KITON i.XX CLTEVTOX%. 4A8E..........Ytt AtXX..%X.XAi♦ 8 ST 0 IT-MIGM 11-A8$I .t.XiXX M13 COL LS PAY. jOTK 9x..%%. "T 367403 Iat01 CARTEE,'MMY DANEU 203 UNC 0-H-4E 50.40 30#00 1 363739 14141 CUTERANTHONY 4113 ML 243 UNC of-u-" 74.40 74.40 1 571717 total CARmr"TRO CY 3#ARKML 203 UK 14-27-98 50.00 50.00 1 381734 10141 CARTER.A31TIR3RIY DA LL 203 UK 41-24.49 2130.46 2130%44 1 338133 total C TER:ANTMONY DARNELL 203 UK 03-11-99 33.33 40.30 1 596718 total CARTE8131w3t 203 WK 03-21-01 937.4'0 937.43 1 CARTERAMRON 0 331713 total CASEYMCMEL 4AYNE 203 UK 01-24-99 2304.90 2304.90 1 555730 total CAMIJAW JE40K it 203 UK a9-444 286.39 225.39 1 356747 total CAM A ,083E A 203 WC 01-11- 3'13.44 93«48 1 366740 1olo1 CAMAM MORE A 203 mc 0921-93 141.88 141.00 1 866733 total CASMAM JET A 203 3810 09-21-98 239.34 239.90 1 1t 10141 CAMJA S AROKE A 703 313#0 09-21-48 222. 9 222.54 1 356336 total CA811IM AXONE JR 283 VIK 09-21-94 96. 0 96.30 1 55633t 18181 CAOR04M AROM JR 243'WK 09-21-" 62.114 62.00 1 7319727 total CASIa:rCERAIN A 283 URC 10-01-82 913.12 973.92 1 584241 18181 CA;iB*T lama 243 3410 I1-118-00, 14.11 14.11 1 t TTAB 7009 lot" CA38Et r3+3ltT33AN FSI AM 0&-t2-o1 41.44 49.48 1 389095 10141 CASTAKWANDRE1! 203 UK 03-11-99 221.97 221.97 1 CABTAI�aAr�# 572221 total CASTEal r KSOMH 283 31310 10-27-ts 1416.41 1426.41 1 5#4171 10141 CASTELLI romm 243 U#C. W04-if 173.00 113.00 1 593392 14141 CASTELLI&MAN 203 UK 04-03-99 264.00 264.44 1 440463 total CASTELLIAMA4 203 ac 03-17-40 1432.0 1432.00 1 547440 Mot CASTILL3 ARRIM 203 3410 134-18-00 211.83 22.44 l CASTILL4,0 0ALVE 646347 total CASTIL3.MELI 1 203 VK 04-17-04 24.80 24.50 1 CASTILLOrJEFFERSON S 648621 14101 CASTLEMMfID A 203 V#C 04-13.40 168.14 154.14 1 763112 14181 CASTRO ALFRE10 233 8A31 031-43-82 1200.04 1204.00 1 CASTRMAROLI3#A H 363332 10141 CASMICI11 T 1 NMELLE 243 3110 01-23-18 173X25 173«23 I 893960 total CASTRO4190Y 31IC3 .LE 203 4110 04-20-99 1343%28 1348.28 1 773'724 total CASTRt#rFI MA 243 3R3C 1248-12 711.30 741.34 I 522904 total CASTRIMAVALVE 243 UK 09-27-99 2434.93 2450.83 1 613336 total CASTHIJOW A 243 WK 07-27-99 3844.54 3844.34 1 572927' total CAS7811r11 RIA a 203 3180 tow28-98 52.00 62.00 1 376143 16141 CASTAOI#ARIA #1 243 UNC 11-17.94 2914'.39 2919.39 1 +624966 14141 CAMU,400 AFfESY 243 we 10-W" 6439.61 6839.51 1 763934 141111 CAMs t 1 I3rI Y31At 203 I 48.21-02 1388.$9 1348.49 1 77347 101#!1 CAVINSI1IHME1. 243 w 12-45-02 243.00 283.00 1 530941 14141 CENWASr3tAiRt11 203 OTS.` 04-23-40 1661.04 1661.04 1 634904 total CE80Ar,lA4IE3 2313 WK 01-47-00 842.00 902.00 1 648751 total CER03k44VIER 203 UK 04-18-00 517100 $17.00 1 562443 total caurvICTOR 203 UK 07-21-94 92.00 92.00 1 WDArVE81 NA 556753 total CER3# NKTTIR 203 WC 09-21-" M-40 226.00 1 CERIMMICA 5672.38 10141 CE} 30ICTOR�i203 UK 09-21x-14 92.00 92,00 1 C3ERI} ICA 725091 10199 C lARIa 20t ACC 11-08-01 43.00 15.40 1 164271 total CERVACESNICTOR ANNES 203 UK U-09-02 211.00 211.00 1 HEALTH SERVICES RITE-OFF RMT DATC107Jul 2403 P .AU to ` {ii1 M# y �(y� qyy i R uY ,�y �y�t Nt 9EOT1Bt........ C I�i1 #..i 142 s...i t.s.\#....M i...Y%.... HE ST YS OT�-2341441 P14-ASSIGN...... MIN i. LST PAY. TOTAL{ M 5441 t i i Y CNT 371413 1o10t WARIOILARRY 203 we 1"7-18 42.00 92.00 1 CEtd1RI9.STE1�}1A14IE 358433 10141 CCXARIO:STC HABIC 203 14BC 06 WI$ 0.00 80.00 1 C1;ZARIMSTEP11AME C 567157 10141 CF.7 ICATEPHAME 203w 09-21-18 234.00 234.00 1 MARMS`1U114IE C 371412 to of CEZARI ATEPHABIC 203 WK 10-27-" SLOO 53.00 1 CfZARID13?E1l41fIE C 653076 10101 CEXAR111.8MKIE 203 UK 05-11FOO 118.90 194.00 1 CEIARIO,BTEPN tE C 584263 10141 CHATNAKI1 148h 0 203 VAC 02-04-11 2461.19 2461.79 1 634060 14141 cmmtfKKRttx 20399 01-05-00 216.72 216.72 1 620424 10141 CHA11►TI101 203 we 01-10-11 1317.04 1317.00 1 wto 743431 10141 CRA4ELLUISA 203 (MC 04-12.02 1534.15 1034.14 1 MRS 14101 CHAVEZZYMMA L103 UNC 10-27--11 363.10 363.81E I 3813st 14141 cuVEMENNICA 203 mc 01:24- 1778.36 1778.36 1 618342 1:91:01 CRIfFOLENOPHILLIP 203 WC 02-24--" 370.10 374.10 1 C#I F ,EA33r1 ILUF 4 702623 WIN CRILMAKIL 1 203 ac 05-10-01 I034 64 1951.64 1 354648 10141 CHLALAIRO T 293 KC 06-10-98 323.19 323.10 1 5554763 14141 CKLALAM RT 203 DEC 06--14-18 +41.10 41.19 1 534748 19141 CKALAIROORT 203 KC 06-24-14 41.10 41.10 1 513126 14141 C44LALCROBERT 293 KC 04^'05-" 100104 1040.00 1 6518834 19141 GISOVICAlf 203 11400 05-03-00 4560:29 4566.20 1 CIO VAUEY MITCL 701044 10119 C191l40110A rtim 201 ACC 04-26-0t 141..00 $1.39 45-31-41 84.70 1 573760 10101 CLAU,JETT' 203 1 11-17-18 243`.34 243.54 1 CLARK r JEFF 0 57'5146 19101 CLARRIJEF 203>UNC 11.17-98 350.13 350.13 1 CLARKtAFF 4 57"23 19101 CLAMWER 203 VK 11-17.48 130.00 150.00 1 CLARKAFF 0 374136 19141 CLARR.11A7RI*A 203 UNC 12-2t-" $16.30 5'46.50 I 6177' 19101 CLAMR1001 MICHAEL 203 WC W14-" 109.32 1062.32 1 554871 10111 CL:ARRr11ILLIAII 201 11CC 06-10-18 24.64 24.64 1 7t6603 10191 CLE99 6.A14**WO11 LAIRIISTON Z03'WK 0 ^14-01 399.18 U1.Is 1 676316 14141 tool'Am A 203 MK 44.27-40 NCO 104.00 1 77VO4 19101 C0 OM% A 203 0410 11-26-02 247.04 297.90 1 682186 14141 tDCHRA 41 A B 203 DEC 12-13-49 4160.06 1.63 8138.43 1 642145 19141 COLKLEMORMN R 203 UK 43-tT-09 991.74 909.74 1 567234 10141 COLE.TKNOE 203 1,1BC 09.21-14 49.40 41.40 1 l 51x1420 1.0101 COLLTHEOICK 203 WK 09-21-14 45,00 +45.00 1 $74119 19141 C131.CrT1 SOME 203 UK 11-05~98 28.00 28.00 1 37'1315 14181 �C1t1LE 17N0 RE 243 fC 12-24-" 56.09 56.140 1 4OLEITKUM L U1424 10191 COLEMMORE 203 voc 01-20-" 21.00 29.00 1 COLEx'4KO E L 582398 19101 COLE.TK OWNS 203 UK 01-20-'19 1063.60 1063.60 1 COL&TWOSORE L SIM 10101 COLUACLATAVA KNISE 203 tib 12-29-18 142„54 142.30 1 HEALTH WCES #ITE-OF' REPORT OATE107 Jul 2003 PACE 19 j�* y�j y)� y yy} T f�hy �vj� p�yy� �{�} Q {� TOTAL y��� y{ WT11R........ CLIE*TOY.. NAME>.{s:.Y....s.s.....x...... 0033 II3 CD IT ASSiCf !'!C""1NIGN...... "IN COL LST PAY. O AL 7F{3Ltf1Y{ CIT 379646 total CDLEMANtLATAMYA 0E41lSE 203 313#0 12-29-98 4717.26 4717.26 1 379684 10101 COLE44i4 .UTAVA IIEMIK 203 014G 12.29.98 191.00 141.00 1 741233 t01ot COLEMACLATA44YA 11E11ISE 203 Ot 03-26-02 122.83 122.83 1 537637 19101 COLLI .E1144AR14 203 31RC 06-10-98 211.00 211.00 1 353227 10101 C.�KLIz1MS"E@iiA`1 a 203 t 04-10-98 1'331011 1.35.0 1 COLLI34I€tE14140 333330 total COLD -ET414A3RIS 203 3R1C 06-14-98 133.00 133.00 1 COLLINCE011ARD 584207 total COLLIKSWAt14E 203 VIK 02.44-99 80.00 00.00 1 384442 total CO3 LINS24AINE 203 i111C 02-04.94 120.42 126.42 1 621429 total C-DIU 48 4A111E 203 ISK 09-17-99 231`.39 237.39 1 554M total COLLIMSIJOSLYM 203 UK 06-10-14 92.00 92.00 1 391127 10141 COLLIN&J41SLYR 203 #RC 113.04-49 346x014 $46.00 1 640610 10101 COLONVOYREM 203 WC 03--17.00 16.77 15.77 1 COLON00,00A M 513+642 10101 C311ML ICARY PETER 203 w 10-28-98 1781.1172 178.814 1 604412 10101 COi MMY PETER 203 UK 05.17-99 1149.23 1199.23 1 743376 total CONUr£4ELY11 MARIE 203 ESC 04-12-42 1271.30 1279.30 1 355799 total COKOMARITES 203 UNC 06-10-98 264.44 264.44 1 3:1041€SY1314RITES 11 339189 10101 CONS&MARITFS 203 3113 06-18-98 133.00 133.00 1 COMMUTES MUTES 14 575433 total C0118StWITES 203 t4MC 11-17-94 13.60 13.60 1 COM *KITES 0 5756S4 10101 COMBS►MARITES 203 WC 11-17-98 133.80 135.80 1 C3N:04RITES 0 373873 10101 CORKxMARITES 203 31MC 11-11.48 92.00 42.00 1 COMWITES 0 375444 total CO3ISINARITES 203 0440 11-17-98 ".00 92.00 1 COMOMARITES 0 3762',€6 10141 CCIMBS'IMARIT'ES 203 314tC tt-17-914 364.00 364.00 1 COMltRARITES 0 $76260 10101 Ct1MOCKAR1TES 203 WK 11-17.48 197.81 147.81 1 COM fMARITES 0 6221443 10101 C0M rMARITES 203 31140 09-2194 2241.70 2211.70 € C01414S.3tARITES 0 388132 total CONEAWKEVIN MARK 243 at 03-11-91 10.40 114.0 1 38&469 total CD*AVX,KEY111 MARK 203 UK 03-11`94 17520.05 17520.05 1 702448 16101 COKEY;0LAXIS 203 31KC 05-to-01 643.14 643.10 1 CONLE1.Kats D 502104 total C04413EUVRO8ERT 14 203 UK 052+4-94 1138.74 1138.74 1 3AH37 tonal C0NKLY,WARK R 203 UK 313-11.49 422.14 422.14 1 $88484 total 3:i4tifNO LYsAARK R 203 UNC 03-11-99 St1.45 311.43 1 7658143 total COMTRERA8:J33Al3 203 UK 08-21-02 324.30 320.30 1 CORTRERAS:STEP44A IA 567468 total COMTRERASxR318311 J 203 WC 09-2t-48 420.00 424.00 1 $72005 total COMTRERACRUM J 203 We t0-27-48 18.90 1411" 1 538513 total C0013I33AW 203 w 06-18-" 281.30 287.30 1 COOKO#t1t4R331 0 367040 total COOKt13ANS 203 V#C 09-21-" 18597.94 18647.44 1 041 X33Am 11 573346 total CAMN OOKON }� 203 UK 10--231 14 3.08.30 108.514 1 CO3MEr43 KS D 384118 total COOK MICHAEL 203 4470 135.00 135.00 1 HEALTH SERVICE$ WIT4E-OFF REPORT 4ATE;07 Jul 2003 PASE1 20 16TOR...Yk.iY CLIENT#... MAE...Y.i.%..«i.o..Yk.Y%.!.%• 0EE 81 CD @T-ASSIM "-A88IGN....s. PRIA: COL LST PAY. TOTAL RAL....* ERT COOK'44IC44aL C 727017 10101 C4141KIRICHA440 243 41410 11-01-01 306.00 3110.00 1 727035 10101 C4H14i88.ENARD 203 UNC 11-0801 807.00 807.00 1 575614 10101 C#tRITA J 203 UK 50193.58 50195.58 1 50461 10101 COOPIRITA 1 203 UK 022-04-99 171%00 171.04 1 584149 111101 C00P,RITA 1 203 UK 02-04-" 342.30 302.80 1 3414297 1 101 C414PIRITA 1 203 4240 02-04-44 42.00 92.00 1 559760 141101 CDOM KELLY R 203 UNC 06-24-98 80.00 84.00 1 561573 10101 C041P4 RrKELLY R 203 1210 07-04.48 1663.41 16,63.41 1 622819 10101 COOPECKELLY R 203 ac 09-21.44 195,40 183.00 1 760745 14141 C41m£Rt4! AK E 203 UNC 07-24-42 344.00 344.00 1 562104 10141 COOPERtPHILLIP CHARLES 203 we 07.2194 1589.12 1184,12 1 724766 10101 C4i ERrPHILLIP CHARLES 243 mc 10-31-01 1733.0 1153.26 1 772619 10101 C041PER►RODNE1 203 UNC 11-26-02 997.62 447.62 1 C04PER:41ONEY F 554364 10101 CO3PER:8HANNON DAWN 203 at 06-10-19 314.00 310.84 1 761304 1$101 COOPER,8TEPHEN 203 41440 03-14-43 30.00 50.00 1 MULLERWESSICA 8 666713 141101 t PELANDYANTOINETTE 203 w 07-17-00 "3.81 9#'3.81 1 COI4''E1AND,ANTOINETTE N 574341 10101 COPELA64A8011 203 11!10 11-05-98 161.52 161.52 1 CIIPELANO„1AW L 581041 10101 C4IPEI.AR liks41K 203 UNC 01-20-99 110.00 110.00 1 COPELANDIASON L 581088 10141 C4IPELA4401r3A84H4 203 WK 01-2099 157.50 137.50 1 COPELAN$,,JASON L 566726 10101 C41R0ER4rSORIS 203 4R4C 09-21-98 2x"3.24 223.24 1 566747 141411 CORSEROJORI8 203 UNC "-21-98 264.76 264.76 1 5664158 10101 COR8ERO'BORI& 203 L41C 0't 21 48 $0.04 80.00 1 771593 10141 C04144511A,PIE0A0 203 41110 11-21-Sk 1642.44 1642,44 1 374793 10101. COROVELLEWK 203'ac 12-29-96 160.60 180.60 1 C0RNUELLEr002 8 583477 145101 CORNUELLEVOO 3 203 UIC 02-04-49 1653.50 1663%50 1 C081I41ELLEs44141 S 596,327 10111 CORIALE,10:0IAME 203 ACC 05-04-99 135.00 135.00 1 CORRALEJOrDIANt E 59664.2 141111 CORRALE&DIANE 203 ACC 05-04-" 1414.24 109.24 1 COMALEJO t 11IARE E 546694 10131 CORRALEJ0x0IANE 203 ACC 05-04-94 75.50 75.54 1 CORRALWOMANE E 126768 10199 CORREA.30LI43 201 ACC 11.08-01 56.10 56.10 1 581141 14111 CORREIAxLARR1 203 UNC 01-20-,9 176.70 176.70 1 COXIArLARRY E 556044 10101 COROEIA.LEOLIE 203 UK 06-10-94 10.28 142.28 1 CORREIA.LESLIE L 556877 10101 CORREIArLE'3LIE 203 UNC 06-10-13 388,00 30.04 1 C14 XIA,LESLIE L 55011 10101 CORREIAr4.ESLIE 203 WK 06'141-19 212,414 212.80 1 COWIA,LESLIE L 633637 10101 CORTEI,,1418E 203 UNC 01-03-00 1081,62 1081.62 1 AGUILAR,NARIA' 572887 10101 CMWNEYYCAMBACE 243 4H4C 10 28-48 526.22 326.82 1 COURINEY,CA4 ACE J 376030 1111411 COVRTKEY,CA44l1ACE 203 UNC 11-17-944 661.95 661.95 1 HEALTH SERVICES 4RITE-OFF REPORT OATEM M 2003 RAW. 21 DEIT0R........ CLIENT#... 41AME............s......t s.*ass M S! Cl OT-4010 CiF"45810.*.t a♦ M COL LST PAY. TOTAL B14t..... CNT Cfl14RTITEViCA#OACE J 575328 14141 COVARR1181A6, REATRIZ 203 WIC H-11-18 719.0 719130 1 571913 10101 C1111A131R4$IASMATRII 203 WIC 10-27-48 28.00 29.00 1 373599 14141 C4VA"WIASMATR1I 203 UNC 11-1199 107.30 107.34 1 375646 141131 COVAR91181ASMATRIi 203 WIC 11-17-94 107.9 101.30 1 $73708 10141 C13VAR19381ASIXATRIZ 203 UNC 11-17- 149,44 168.00 1 575497 13?101 COVARRMASMATR1i 203 we 11-17-98 107.50 147.30 1 781579 101.01 COVAMMA8x11ARC033 203 WIG 03-20-03 253.00 853.00 1 567394 10101 MIJA41A L 203 UNC 09-21-18 533.50 $.33.50 1 656319 10141 COI JAM L 203 31110 03-23-00 110.00 114.00 1 336435 10101 CRAVENtlEBRA 203 WK 06-1049 2094.30 2444.30 1 379198 141131 CRA 11x14EIRA 20311410 12-29-48 430.40 450.40 1 579436 10101 CRA MMA 203 UK 12-24`-08 46.50 46.50 1 579436 10101 CRA Ir13E " 203 3NC 12-29-49 121.00 121.00 1 574+174 10141 CRAI€E11f0MA 203 33K 12-2t-98 73.513 73.50 1 5331933 10141 CRAVE1AIRA 203 UK 01-20-48 $366.30 3366.30 1 542841 14101 CRAVE31x8E0RA 203 UK 04-03"94 38.013 38.40 1 632125 14101 C4134M1#E$RA 203 WC 01-04-00 42.00 92.130 1 573595 10141 CRA OMELI1ASETH E03 1RIC 11-17-98 23.10 23.10 1 CRAiH}T1 tEL1IARETH A 574197 10101 CRAi4RI AIKE I< 203 UNC 11-01-" 404.08 404.09 1 5'!4362 10141 CRAIIf3,3RSIMIK£ 3' 203 4110 12-29-19 497.09 497.04 1 539521 141+01 CRI11ERxASTsR A 203 DEC 06-18-99 92.00 42.00 1 375 4 14101 CRI R3J08" A 203 DEC 11.17-48 42.40 92.00 1 584010 10101 CRIN"tio po A 203 DEC 02-04-94 112.30 112.34 1 594114 10101 C0Iwtj4SEP1€ A 203 DEC 02-04'94 706.26 706.16 1 6314942 14101 CRISANTO&JACOVELME 203 WIC 07.04-" 243.00 243.00 1 610231 10101 CRI9A41TOSr.4ACHELME 243 UK 14?-44-99 1224.71 1220.70 1 610339 10.101 CRISANT0S.JAC1433EL1KE 203 UK 07-49-99 165.30 165.50 1 515596 14101 CRIS41A40HARRY 203 WIC 11'~17-48 4726.14 400.04 04-16-03 4320.14 1 CRISMIA144IE 1' 603775 10101 C9I841A4kluRRY 203 Q*C 06-08-99 3211.30 75.00 1.2-16-99 3196.30 1 CRIS11A14rA814IE f 762244 10101 CRIBfELLrv9341AT14AI E 203 UK 03-0842 1005.14 1005,14 1 574394 10141 CRMIEx4E151 11 203 WIC 12-29-49 92.0 92.01# 1 582393 10101 CROMMONE111 13 203 WIC 01-a-" 3416.10 3016.70 1 680602 1010# CRD1S JEAN 243 WK 11-01-0 24.90 24.40 1 5AMS 10111 C9085.L134IS I3 203 UNC 01-20-44 226.04 100.00 08-14-02 126.00 1 772607 10101 CR08Sr01318 Q 203 111[0 11-26-02 200.80 200.40 1 366741 10141 CROUSEARTHUR 203 13140 09-21--931 116.30 116.50 1 CR03GE.49TH33R L 391148 10101 CROUSEzARTHUR 203 WIC 01-20-99 926.30 9+26.38 1 CADMART394R L 5142463 14101 CROUSE,"THU t 243 UK 01-20-9f 76.40 76.00 1 CROUSE ARTNUR L 5333855 10101 CR4I'tNARTEL 203 UK 02-X12-0't 90.00 84.00 1 58603 10101 Cal 243 WC 02-i2-" 8"7.83 8921.33 1 347035 14101 CRUISSTIL10 203 UK 05-W" 1920.78 1920.78 1 5'1234'2 14101 08406,11ATHLEER 203 INC 04-05.94 669.50 669.54 1 CWWMj,€ATTILEE41 J $93364 10101 C13t1bf 8,11ATHLEEM 203 WIC 134-03-" 253.42 255.42 1 C13A0R08:RATHLEEB J 757M 10141 C33A8 SYKATHLEEN 203 UK 06-24-02 602.40 602.90 1 CUA33R14MATHLEE31 J HEALTH SERVICES VRITE-OFF REPORT DATE;417 Jul 2043 f�I.1pFAsoE; 22 Sf fp�yZrZY yyy'(�$� III111 y�Ft♦I xy��. wY�µy�itCy��{♦i «gy} {it yt iF DAL {A��� K1 OK.fifitiF CUES �trk ME.F.t k..F...f 3Ff>%xiFF!kFi OSK T IT-4S I tFR ifY'SIMkt.FF Pill# COL LOT PAY. TDTAL DALkkffF CNT 558230 14101 C3N#I3 S JEFFREY V 203 11440 06-t8"98 141.00 141.00 1 =701 10101 C31##EU&JEE1REY 11 203 Vic 06-12-14 291.10 30.00 04-03-it 261.10 1 5587611 total C33#1I48=aRtY 3# 203 31RC 06-18-931 431.30 431.50 1 5M4 10101 C31liN&JE`flEY 0 203 4#tC 06-1848 456.00 456.04 1 559352 total C31133I11RrdEFFREY H 203 UNC 06-131~48 143..80 143.80 1 559714 total CUNIUStATFREY V 203 UK 06-24-19 300.50 300.50 1 to" 10101 CUNI11 JEFF41EY V 203 311#0 01-09-98 143.80 143+80 1 575656 10101 C37RI1OIJEFfREY H 203 Q*C 11-17.048 482.20 4441.20 1 576243 10101 C1t34I4#BrdEFFREY 0 203 31140 11°17-19 210.00 210.00 1 61OM 10101 CVVIU$vJE FREY Y 203 UK 07-09-99 416.46 416.48 1 578231 10101 C}t1�4EIEFiWOS N ARTHUR 203 we 12-13-48 225.05 225.05 1 CURIELt30E R 574003 10101 C3 RM I Ja8EPH ARTHUR 203 1013: 12-29-98 314.40 311.00 1 574664 10101 CURIEL: MPH ARTHUR 203 31#10 18w29-98 113.00 113.00 1 C4131ELIJOE A 632742 total C13RIELrJ4114E N ARTM 243 VIC 01-04-00 167.50 167.50 1 WRIEWDE A 558287 10141 C1IRLEE.LES d 203 1111C 06-18-44 684,82 684.82 1 559143 total CURLEE,LES J 203 WC 04-18- 1 117.20 117.20 1 3HI24 10101 CUKEEILES 1 243 UNC 044-98 133.00 135.00 1 751604 total C1AA#,NI34E Z03 UK 06.10-02 1104.07 1104.07 1 5'1"2431 10101 0311#TI8':Y#1RA L 203 1H1C 44-05-9R 2183,4+0 2183.+40 ' 1 543244 14101 CURT1MOPA L 203 31110 04-43-" 666.16 666.76 1 543378 total CURTIOMPA L 203;121£ 04-05-49 840.40 &40.40 1 5'15003 10101 CURTISPA, L 2.03 VIC 04-20-11 1151.30 1151.30 1 734469 10141 C4STa010,1011 RIC#1AR0 203 UJK 01-25-02 301..4#1 301.40 1 641836 total DAILEY:1 NY 203 #1RC 03-17-00 231.04 25.00 1 DA1LEYANY L 544717 total DAL RTitALE1A3411RE 203 Q*C 04-20»99 840.73 890.13 1 640246 total DAL8ERT1IALEXA#1D1#E 203 31110 03-17-00 670.90 670.10 1 644521 10101 DALY.ANGEL 203 WK 04-21-00 21791.19 27741.14 1 216155 10101 0A#1IA#1rJ11A34 203 we 04x12`41 491.20 340.00 07-2t-941 101.20 1 �4#31A14tE#41A 302849 total DA1#IARr vA34 203 U*C 12-01'92 72.00 72.0 1 $A!€IARrE1 554391 total t1A14IA1#IJ1AN 203 o#1C 06-10-48 111.62 44.+00 08-24-48 131.62 1 DA141A3txE#H#A 554843 Mot DA#1tAt11�,tUM 203 UK 061-10-48 411.88 +417.88 1 O111#1A41r1A 561301 total 1ANIA3tr114A3# 803 94C 07-09-98 164.00 164.00 1 DA41IA&ENNA 581216 total VA#110*401 2#13 #IRC 01-20-" 423.34 423.34 1 DA11IA8rE#o4A 581398 tolot WIA34,+1M 203 o31C 01-24-44 1031.33 1031.4#3 1 DANIME3 1 54£'48+11 total DA3#IA##: #A#1 203 31#IC 04-W" +450.28 251.211 1 DANIA8:ENNA 393053 total DA31IA#1xd11AR 203 31110 04-05.49 855.50 853.50 1 DA44IME34#1A 561454 tolol DA34CEY►LISA 203;31#10 0741-94 5231.00 $28.04 1 $4143.5 total DAN EY413#A 203 31RC 4709-94 203.00 203.00 1 574101 total DA3#CY:DANIA44 0 203 WK 11-115µ48 121.50 121.50 1 391732 total DA31CYJAHIAH 1 203 3180 01-20-99 378.00 378.00 1 HEALTH SERVICES WITS-OFF WORT DATE301 Jul 2003 PAMI 23 DEBTOR.....#). CLIE14T41... 14l4F1E......:...:►...}.......... DSA ST C0 DT-438160 M-488165...... PR1* CSD. LST PAT. TOTAL RAL..... CRT "593028 total OMMODAMIAN 0 203 V*C 04-W" 144.5'8 104.50 1 152040 10101 BAIIIELMECILIA 203 VNC 06-10-08 431.50 431.30 1 DASIF,. MECILIA Y 57M total DAFIIEL6�LISA MARIE 203 WFC to-28-9$ 243.85 243.55 1 DAF11EMLISA R 606224 total DAMEMLISA NAR1E 203 UK 06.11-" 982.30 9$2.34 1 DAFIIEL8rL1$A #� 704464 10101 DAM BIER 203 UK 0"2-01 3153.27 31313.21 1 DADMAN M 561330 103:01 DASILVA MEVE 203 WC 07-09-9$ 62.00 62.00 1 DAS LYAST"EVE C 561363 10101 DASTIVA.SsTEVE 203 O14C 07-09-95 45339 453.89 1 DASILVAMEVE C 561732 10101 DA51LMSTEVE 203 WFC 07-09-98 98.00 98100 1 DASILVAxSTEVE C 515751 total DASILVAtSTEVE 203 UNC 11-17"98 50.00 90.40 1 OASILaAtSTE1� C 70300 10199 DAVALINAMAJUD gal ACC 0'3°-1741 ".04 95.00 1 068412 total DAVEMT,C15RISTIM A 203 UK 09-23-9$ 199.59 199.59 1 56$567 total DAVENPORT4HRISTIM R 203 LRFC a9 23-98 223.00 223.00 1 584122 16141 DAMPORTiCHNISTIM M 243 51!10 02.04-99 129100 129.00 1 372130 total DAVEMP$RTrJ041F1 R 203 WC 14.27-9`8 270.14 270.10 1 58'14519 total DA51EtM71JOHN R 203 WC wt 1-" 1352.27 1352.27 1 553532 10111 DAVE1FMT LA5WA 203 53l1C 06-09-98 110.00 110.00 1 DAVENPORT rCA O R 648651 10101 DAVIL:AfALVERT 203 WK 04-18-0$ 12.0 12..08 t OAVILA,ALKRT A 57$#138 1$111 DAVISr$RIAR JANES 203 ACC 12.1.'1"98 136.30 136.30 1 6""1 total DAVISS10111. 203 we 07-17-00 3634.40 3634.40 1 DAVIS*IUIEL L 656195 total DAVISrJA1lE5 KNJANIN 243 51 c 05-25-00 1833.33 1$3533 1 774189 total DAV111.JEWIIFER 203 WK 01-06-43 1279.95 1219.35 3 0 01WENIPER 8 WWI 10141 DAMISIJUAN R 20.3 VII 11.17-95 512+100 512.00 1 59;1953 18101 DAVIS49AN N 203 WC 04-145-'99 817.53 817153 1 573430 total DAVISJOLIE VALETTE 203 a C 11°17--98 603.95 683.95 1 575459 tall t DAVISsJULIE VALETTE 203 voC 11--17-98 159:00 159.00 1 975584 total DAVIS4511.IE VALETTE 203 UNC 11-17-98 108000 104.00 1 591866 total DAVTS JULM VALETTE 203 W 0 X1-99 1854.1.2 1854.12 1 7718394 10101 DAV164NORA 203 VNC 01-3003 $3.00 $5.04 1 DAVIS►LWIM N 738073 10101 DAVIS,MKY E 203 UNC 02-27-02 3523.96 3523►96 1 559716 €0101 DAVISJUALD 203 WFC 06.24-98 124.00 124.40 1 DAVISMNA D 0 659039 total DAVISIVAMA .1 203 DEC 116.20-00 13514.25 13514.25 1 SU419 total DA#SOKIJN WK 203 UK 06-1$-98 96.40 96.40 1 562910 total DAM4#: OUN MEK 203 WC 07-21-98 943.20 413.20 1 568543 14101 DA 11FrJM MEMS 203 WFC 09-23-98 10.50 168.50 1 WAS 10101 DAM,JM EUMNE 203 UNC 09-23`9$ 210." 210.66 t 9118604 10101 DAW0400 EUSEVE 203 UNC 09-23-'943 244.27 248.27 1 565&90 10199 DEA1l1►FIAR1tARET 203 UNC 09-X23-9$ 132.$0 132.80 1 DEAMOLA8 542452 10199 DEAN,MR6ARET 203 UNC 01-20-" 141..00 141.00 1 DEARr10ILM HEALTH SERVICES VRITE-*T WORT DATE107 Jul 2003 PAGE x 24 e` 7 r{� .�..[ in yyp� MI-ASSIGN ap f.0 Mp �Aµ�� TOTAL �Yi Iy a��p iyfi DEDTOR.Y...... CLI EN I*,4 Arr{k.Y R.1 R i.1 1 i i 4 t Y Y y i f Y O O k M O DSK ST CD DT-ASS M MI ASSIGN...... PRI* COL LST PAY. 1 AL .�lM Y Y.i f CKT 623017 total D€AK,KARURET 203 UK 0927-99 €18.3 118.00 1 SEANt3381LAN 625455 total rDE�ARg�KARGAARET 203 UNC 10-13-19 4740.33 4740.53 € DEA34 OMAN 575640 1.0101 DEACRIC33ELLE 2383 UNC 11.1718 248.00 298.00 € MA" total DEA4iAKKE LE 203 UNC 11-17-98 457.00 457.00 1 589383 total DEA34IRRELLE 203 03-11-99 24.57 24.57 1 $89379 total DEAN:RICNE3.LE 203 31NC 03-1€-" 272.0 272.00 1 5314623 total DEfN331ID ELLE 203 UK 03-11-99 395.00 345.00 € 589650 total DWINI RE1 LE 203 0310 03-11-19 156.50 155.50 1 589738 10101 DEANtOICRELLE 203 WK 03-1194 118.00 118.00 1 589837 total DEAIVNICNELLE 203 UNC 03-t1-99 177.00 177.03E t 622699 total DEA3I ICNELLE 203 UK 0927-99 346.50 346.50 1 719603 total DEAMILLIAN RAY 203 UK 09-21.01 3583.00 3313.00 1 766242 total DE EREVILLErNATTRER 203 UK 08-21-42 251.17 251.17 t 594341 total DEC33ARDM$ECCA LEE 203 UK 04-E0-99 221.0 221.3E € 695767 total DEDEAVIYDESIREE L 203 43NC 02-07-01 35165.12 55%5.12 1 567081 14101 DEPERMAVID ALLEN 203 VIC 09-21-98 211.00 211.00 1 605438 lolot 0EFEMDAVID ALLEN 203 UNC 06-11-99 2-19"#.5:7 2647.37 1 557777 19101 DEL#14o TA#YAr3'3ATTREV 203 UKC 06-10-98 201.11 201.17 1 576213 10101 DELAWARY&RATTREV 203 VIC 11-17-411 891.48 841.48 1 172416 total DELATORREr43AYDEE 203 UK 11-23-02 973.00 973.00 1 752446 total DELCARGtSSE 1 203 $ERC 06-10-02 244.42 244.42 1 7513678 total DELGA"'im I 203 we 06-26-02 98.00 98.00 1 573548 14101 KNURatJAKE 203 UNC 10-28-98 356.48 356.98 1 573704 total D VM f JOE 203 3810 10-21.98 356.40 35#x.40 1 665388 total DEN RWANE 203 31NC 07.10-00 730.58 734.333 t 737838 10199 DENURMEAN 201 ACC 02-27-02 56.10 56.14 1 DERD+JEAN 582215 total DENNAVI r43NADWE 203 UK 01-20-94 $0.00 $0.00 1 592994 10161 DOW rlHAVEJE 203 we 04-05-1 1237.34 1237.34 1 '3608$8 14101 K0AVI.N3131 TAPS#A 203 UNC 09-23-48 84.00 $0.0 1 DENNAVttKKADEJE 8,68420 10101 KKAN3'1Etl30R34AN 203 3N3C 09-83-99 110.00 110.00 1 DEOCANPatN31RNAN N 581823 total DE3WOt44DRNAN 203 UK of 20-44 211.00 211.40 € DE04;A D,N43ERl3AN R 558164 10101 DEVALLE.6REG 0 203 Q#C 46-18-98 60.84 60.84 1 5$55'311 loto't DEVALLE.CREG 0 203 UK 02-12-99 RUA 1488.86 1 672,430 total DEVERSARIC 2203 UNC 09-08-00 287.95 50.87 10-30-00 237.08 t 551463 10111 DEVORErDANNY #AYE 203 UK 06-10-98 164.00 164.0 1 748535 10101 DE1t3# MANY #AYE 203 3NiC 03-16-02 1231.70 1231.70 1 553769 total RIAS. SIREE 203,UNC 06.09-98 220.00 2220.00 1 DIWANTN433NY R 554400 total DIAStKSIREE 203 33NC 06-10-18 294.44 294.44 1 DIASMSIREE L 555311 total DIAStKOIREE 203 otic 06-10-98 183.50 183.50 BIAS A34TRWY R 5$4t45 total DIASt83SIR3E 203 we 02-04-99 4794.13 4794.13 1 D1 AS,ANTN3NNY R 607968 total DIAS�MIREE 203 UNC 06-236-99 211.00 217.00 1 DIA&ANTNaNY R 722773 total DIAS,VILLIAl3 203 3N3C 10-15-01 3011.24 3014.24 € DIA&VILLIAI3 V HEALTH SERVICES RITE-OFf REIT UTE107 Jul 2003 PAOEr 25 MTOR........ CiIENT#... IME.......................... D$X ST CO DT-ASSI411 PI-4811CM...... PRIM COI. LST FAY. TOTAL DAL..... CRT 640522 total DIAIVURIA C 203 wc 03-11-0 1128.37 1128.37 1 680143 10101 DIAMICENTE 203 VK 11-08.00 14.11 1411t t DIAMICENTE 9 558429 10101 DIEDErJASON 203 WIC 06'1$- $ 211"0 211.00 1 588642 10101 OIEDEIJA8N 203 UK 03-11--99 135.00 135.00 1 566498 total DIEDErJARON 203 we 03-11-99 308.41 303.61 1 650326 10101 DIENUKARL 9 203 UK 04-20-00 213." 213.00 1 561006 told DICSrCREGORY 203 ACC 07-09-98 2403.60 2403.60 1 563877 10111 DIUSrCREC4RY 203 ACC 07-€9-" 30740 307.30 1 56680E loitl 0IOC8i6ttEWRY 203 ACC 09-21-98 133.00 133.00 1 519618 10111 DIGGSGREGORY 203 ACC 12-29-98 .$02.70 MUM 1 57%88 10111 DI1YtGSICREGORY 203 4&C t2-29-98 2664.00 2664.00 1 37%84 10111 DIUSIGREGORY Z03 ACC 12-29-98 244.00 244.00 1 552669 10111 DIMIGRECORY 203 ACC 01-20-99 842140 892.40 1 610185 10111 DIaMiCRECORY 203 ACC 07-09-99 277.00 277,00 1 01MCAESORY E 617504 10111 MUMMY Y 203 ACC 08-24-99 5234.80 8234.80 1 O'IC064E00RY E 561165 10141 DIKEWANET FAE 203 UNC 07-09-48 107.60 107.60 1 562716 total DIXE64MET FAE 203 WC 07-21-48 168.00 168.00 1 562743 total DUES,JANET FAE 203 me 07-21-58 206.00 206.40 1 562181 total DIRES,JANET FAE 203 U11C 07-21-98 171,50 177.30 1 562963 10101 DIKEWA11ET FAE 243 UK 07-21-98 371.50 371.50 ' 1 633403 10101 DIXES:JA11£T FAE 203 WK 01.04-00 14.40 14,40 1 581573 total DILLVORTMICMEL 203 OTIC 01-20.49 2689.9 2649.62 1 DILt.1MT&HICHAEL 0 584139 total DILLIOIRTiI,IIICHAEL 203 W4C 02-04«49 110.00 110.00 1 DILLVORTHINICHA€L D SU378 10101 OILLMMMICUAEL 203 WIC 02-1944 931.50 931.50 1 DILLMORTHI NICHAEL 0 165'845 total 018MEJO tI'S N 2203 UNC 48-21-02 404.40 04.40 1 618234 total 01XaNIMPE 203 WIC 08-24-99 22.00 22.00 1 D'IlE£01MOPE 4 594260 total DOMER'['IrPATRICE 203 WC 04--20-94 t42.40 120.00134-27-49 22.40 1 594278 tolot D RTYrPATRICK 203 WAC 04-20-94 275160 5.40 06-14-9$ 274.64 1 54+447"1, 10141 DONERMPATRICK 203 U1tC 04-20-" 119.93 5.00 06-14-99 114.93 1 394846 10101 DOREItMPATRICB 203 UK 04-20.99 227.34 5.00 06-14-99 222.34 1 M33 total DORER'MPAT I'C8 203 WK 04.27-99 2553.10 253.10 1 623037 1010t DOMRMPATRICK 203 UNC 09-27-94 291313 291.13 1 608111 10101 DONINUE1 4AREN 203 MN 06.28-99 3094.76 3014.76 1 617711 total DONINGUEI:P€TRA 203 UNC W24-" 21.50 21150 1 00401N0 1rYOUCID 567473 10101 00lltti # I'VICT00 203 WIC 09-21-96 221.87 221.87 1 571760 total DMINUE1r9ICTOR 203 tC 10-27-48 617.77 617.77 t 372193 10101 DWT1MEMICTOR 203 URC 10-27-9'5 150.00 150100 1 MOM 10141 DMINSUEIrVICTOR 203 URC 10-28-98 130.00 150.00 1 595742 10111 DUMANrRARCO 203 ACC 05-a4-" 92.00 48.00 1 D#N JIMMARCO A 582473 10111 004JUAMICARIM 203 WIC 01-20-" 190,40 194.40 1 515612 10101 MAN rWATTl1131 J 203 UNC 11-17-19 555..82 5531.82 1 57 9 10101 Dt#R NINATTREU J 203 WC 11-11-98 42#.12 4£8.12 1 375930 total MRADMAT'TREN J 203 WIC 11-17-96 100.00 100.00 1 579611 10101 DORAOtNATTREV J 203 UK 1249-98 4284,32 4234.32 1 375625 total DURAMNATTNEt1- J 203 WIC 12-29-94 244.17 244.17 1 HEALTH SERVICE VRITE®OFF REPORT IIAT007 441 tool PACE'- 26 DEBTOR...%t i4% Cttl«NNT4#i%. N ..lkt ii..4%1,...i..if%YiiY. IN Si CO DT-ASSIGN M A IGA...... PRIM COL LS PAY. TOTAL IAL..... itis# 579657 total DORADOONATTIE41 j 203 UNC 12-21-98 952.32 $52.31 1 579709 total D#IRANIMTTNEI4 1 203 UNC 211.00 211.00 1 '34 724 total D€1RADMATTREV 3 203 UNC 03-11-11 483.66 983.55 1 741054 10101 DORILLOVAILA D 243 #INC 03-06.03 12704.02 12704.02 1 649426 10141 109118R 'ftt# * A �1y4 283 868 04-28-40 #28:91# 828.98 2 VORR1DrNATHAN A 762301 tolot DORTOCROY ARTHUR 243 DEC 04-08-02 9033.17 2033.27 1 631346 total DOBNEY'RONALD K It 203 UNC 01-04-00 1546.38 1546.35 1 576096 10141 DOTSONAOMALD KRKARD 283 UNC 12-17.98 176.28 276.20 1. 571454 total DOT80NIDONALD BERNARD 203 #IRC 12.29498 276.30 175.38 1 586631 total 141SONImpw BERNARD 283 E,HIC 4219-" 133.24 133.24 1 6170" total VOTSONJUNALI KANARD 203 UK 08-24.99 328.14 320.74 1 764651' total DOUG tERTY:l4l*LLIE 203 WC 07-24.02 1549.53 1649.63 1 DOUNERTYALLIE 8 769601 20101 DOUGHERTY.XEVIN 203 UNC 10-01-02 226.00 2261.00 1 594045 14122 D4IUC11ERMLEME N 203 ACC 04-20-99 37.00 57.00 1 541134 28102 DOWRr.#OES 203 UK 04"18-00 11.08 11.00 1 am 14M N 567099 total B WINICHAEL E 203 UNC 09-21-98 108.00 104.00 1 513633 14101 44#9#8:1#ICNAEL E 203 UNC 10-28-48 382.30 341.50 1 566"4 total OVARTESALEJAKDRO R 203 w 09-22°-94 205.76 205.76 1 566937 total DUARTE,A2.EJUDRO R 203 mc 44100 0.04 1 561994 20142 OUARTE.ALE3AN"D R 203 UK 01-23-" 252.54 252.30 1 34#4057 total DUMTE&EJANDAD R 203 UNC 09-23-18 3311,44 331.44 1 568466 total DUAMALEdANDRO R 203 m 09-23-98 646.30 646.541 1 544260 10141 DQARTftALE314N#iR4 R 203 UNC 0204-99 272.88 272.48 1 39409 14101. OUARTE:LE4##A44It R 203 UNC 04-20-" 529.15 529.15 1 555164 14101 DUi ISIDA41BARA A 203 SEC 05-19-00 20721.61 20721.67 1 582756 €clot OUNIAIWACR 203 VIK 01-20.99 185.30 246.30 2 5uvo total 000AWAC44 203 UNC 03-11-99 823.00 824.04 1 DUNIAR=JAC14 i 549044 total mwt^cx 203 WK 03-#2-99 6691,99 669.99 1 HOAR,JACK J 560104 14101 IWMAIRT 203 UNC 46-24.98 192.0 242.00 1 DUNCACOIRT L 579355 10102 D4€NCAN.DIRT 203 UNC 12.29-98 22.00 22.00 2 1141NLAI4t4iIRT L 579379 2.0101 DUNCANtSIRT 203 mc 12-2q-18 205.04 203.00 1 DUNCAII r GIRT L 633222 10101 OUNCAN11I.RT 203 QNc 01-04-00 14.00 94.00 1 ONCAN:BERT L $15415 total DUNKA&TIN44oT#4Y 203 WK 11-17-$4 240.24 20.24 1 575560 total DUMNAN TIM10THY 243'UNC 11-21-98 92.00 92.00 1 579724 10201 DUNNOWENDOLYN 203 UNC 12-29-98 1864.94 1868.90 1 $41001 10101 DMICK"3LYN 203 UNC 01-20-99 5124.97 $124.97 1 O#NN EILY44 A 604332 total VMvRAYMO0 3 243 UK 06-28.99 21763.43 11763.83 1 764159 total MWORAYNO" jus# 203 U14C 09-01-42 26836.60 16836.80 1 568454 total 0UPER1034At114Y P 203 V 09-2398 114.40 11.4.44 1 5ism 14101 B PERRON TANY F 203 VIC IMS-18 1016.00 1476.00 1 578263 10101 0 4RROIRrTA1#t4Y P 203 UNC 12.13.98 Moo 399.00 1 519325 total DUPERRO1117ANNY P 203 UNC 12-29-98 294.00 298.00 1 HEALTH SERVICES VRITE-WF REPORT WWI Jul 20fl3 FACE: 21 f E TOR...1...t CLIE19 t.. MXE...................X....... X ST 0 DT-A08IN PIFASS I'611 ..... PRIN CSL LST PAY. TOTAL RAI...... CWT 566725 18101 IMPRETrLAR1 203 WSC 01-21-18 409.58 409.50 1 371928 14101 IMPRETXLAN 1 203 3R4C 10--27-98 48.44 98.00 1 596612 10101 NMI ILANI 243 WC 85-44-49 146.04 164.00 1 712823 181" 11 URANIltJiBWI9TO 281 A€C 8 13.01 83.88 30.00 82-06-02 35.30 1 I15€Mt48CAR 555324 18181 8�YY3l�y �ft.t�lt KvP#�U203 WIC 06-10-96 92.518 92.08 1 881835 10101 E 4STUMMIMICRAEL. J 203 Qkc 01.20-4'9 948.27 942.27 1 730890 10101 EASTMA1111CRAEL J 203 UNC 11-28-01 48.00 98.00 1 632'#'47 10101 EATI'WI4ALLE14XARSELLA 203 KC 01-04-00 4709.80 4704.50 1 723429 14144 EfWA88MLATES 20t ACC 10-13.01 67.00 61.0 1 E01€ARMLATES L 575807 10111 E0511IR0SlWVI,# 203 ACC 11-17-98 44.80 41.80 1 566905 10101 EXERtSIMEL 9 203 WIG ENI-21-98 567.01 561.181 1 514540 10101 E#LM.4I0EL S 203 UNC 12-29-98 4013.77 400.17 1 674349 10101 ELLI#+SGESET 335I1'AN 203 v*C 44-18-00 641.20 645.20 1 610196 10101 EL31IISAM 203 134IC 07-09-99 2225.85 2223.65 1 834367 113101 E1I6L1$I INELISSA 201 UK 06-10-98 24.00 24.00 1 EMLII#IIl1IELISSA L 37UM 10101 Ewe ll G 203 WK 12-15-98 12'#6.44 217.8105-17-02 1058.61 1 6453556 10101 WEINENNETH C 203 UK 003-17-40 8884,91 4913.00 10-16.02 8064.91 1 56617 153101 ENRIOI 1,01T4 203 tq1C 09-21-°48 137.00 157.00 1 866484 18101 ENIOI bEDITQ 203 WK 09-21-98 610.110 610.30 1 566970 101531 ENRINEMPITO 203,UK 09-21-48 88.04 80.00 1 584648 10101 EIIRINEIXE33ITE3 203 UK 02-04-•44 609.10 6139.10 1 635813 10$01 EiIR1IIt3Et.PETER 203 DEC 12-2iM94 32a.84 322.84 1 366F32 10101 ENZRII �yXIIICHAE �#L 203 UK 04-23-98 246.40 246.40 1 ERTII41110EMIUML R 371146 10101 EXTININGERYNICUEL 203 UNC 11-17-48 182.20 182.20 1 ENTti3 MINICIIAEL 43 576024 10101 ERTIIIIS CE IICRAEL 203 531IC 11-17-98 863.86 863.86 1 EI4MINCERMCHAEL 54 605364 10101 ENTIl1IMRlNICKEL 203 DRC 06-11-49 129.80 129.80 1 E11TI1EIN ER.It1CR EL 0 586016 10101 EPPSx1"M 203 vkt 02.12-49 20'43.47 +2043.97 1 5893+45 10101 MCS#II4:IiLORIA J 203 UK Wit-" 118.04 110.00 1 319871 10101 MUMMA J 203 WIC 03-11-94 686x530 684.00 1 73824# 1!0101 ERItIIS+SSE MEY 0 203 USC 0247-02 148.50 146.50 1 130698 10101 EM FRE3301E 2.03 EVIG 12.28.01 220.10 228.153 t 1280,68 14141 ESCOVAR!ALLIII 203 ESRC 11-24-01 1036.40 1036.48 1 561890 101131 ESPIMLA#NIKE 2.03 53430 03.01-18 819.34 879.30 1 883739 10141 E 103341. NIIIE 203 531100 02-W" 597.64 397.64 1 5789313 14111 foptNDS A:LO ROBES 201 ACC 12-29-198 322.38 M.05 08-25-94 94.33 1 359756 10101 ESPIR3XA,JE8538 20311140 06:24-4E 261.50 261.30 1 561374 14101 ESPIR131A,MQS 203 UK 07-0f-" 1013.00 180.04 1 562841 10101 ESPINOUtJES13S 203 UNC 07-21-18 108.00 109.00 1 3661124 14141 ESPIND144EM 203 WC 09-21-98 425.50 486.38 1 $68681 10,101 ESPI4I41AIJEM 203 MAC 04-23.98 108.00 108.00 1 379778 153101 ESMITMOVIS 203-IRK 12*-21-98 220185 220.80 1 379795 10101. ESPERITUILUTS 203 WK 12.-24.10 62.100 62.40 1 561348 10101 ESA531KLLXJERI# J 203 SRC 09-21-98 48.80 +48.80 1 571849 10101 ES#3IIKLL k JDW J 283 VIIG 10-27-98 21.00 28.00 1 571921 18101 ESIVISELUJOHN J 203 U*C 10-27-98 180.00 1114.00 1 373512 10101 ES514IBELUJ4311R J 203 WK 10.28-98 424.73 424.73 1 HEALTH SERVICES 14RITE-01~4 1tE1"T DATE:07 Jul 2003 PAGE 28 51EBt53Rt,...tx. CLIENT#%.. KANE*t....x...tx........t=.... DSK ST CO 11T-ASSIO WAS81CV...... PRM CUL LST FAY. TOTAL DAL..... CVT 584389 141111 ESIVIIELL#,#11119 J 203 UVC 42-04-99 104.40 108.40 1 704875 10149 ES11#1i€EL#MAAIO 241 ACC 04-26-41 53.04 25,00 07-24-01 211.00 1 5553410 10111 ESTR1LLAMARLES LEROY 203 ACC 06-10.9x$ 232.38 232.38 1 573446 14111 ESRELLA,0WES LEROY 203 AEC 18-28-48 U.0 58.48 1 573108 18111 ESTIIELLAYCHWE'8 LEROY 203 ACC 15-2$-94 327.36 327.7A 1 582161 10111 ESTRELLA:CHARLES LEROY 283 ACC 81-24-99 56.48 58.48 1 589153 14111 ESTRELLA#CHARLES LEROY 203 ACC 03-11^-" 58.48 58.48 1 3419566 14111 ESTRELtA r C11ARLES LEROY 2.83 ACC 533.1194 58.48 38.48 1 MIN 14111 ESTRE1 LA,C11ARLES LEROY 283 ACC 03-31-49 58.48 58.48 1 604946 1$111 ESTRELLAMARLES LEROY 203 ACC 06-11-" 39.92 39.92 1 611782 10111 ESTRELLA#CRAILES LEM 2433 ACC 07-21-" 424.% 424.16 1 367,181 14101 ESTRELt4.R14M 203 WC 04-n-x-98 134.48 134.44 1 5 44 10181 ESTRE€LA#11I&1#EL 203 we 09-23-98 594.54 $94.50 1 374242 14181 ESTRELLAINICUEL 243 1AK 241.19 247.19 1 584052 14101 EPRELLAM SEL 203 13RC 82-04-" 49.40 99.00 1 754484 18181 ETCVIES111,JDKF11 DAVID 203 31110 06.14-42 573.83 373.85 1 ETCHIE1 1..101EPH D $64329 18141 EVANINKE R 283 11#10 09-22^98 697.90 647.90 1 56831'1'5 10101 EVANoREREE 9 203. 3110 09-23-98 133.04 133.04 1 568439 10101 EVA141 REE1EE V 203 UK 49-23-19 478.93 478.93 1 558465 10101 EVANSMEDDIS A JR 203 we 06-18-•98 62.00 62.00 1 $75354 1$141 EVENSONNIRCIL 203 UK 11- MA 211.04 211.00 1 EVENM,TERRI15 573981 14141 E9£14 rVIRGIt 243 V15C 11-17-98 424.74 426x78 1 E1?E9.TERR1 R 575210 1#11+41 E1iE11O*#VIUIL 200311190 11-17-98 130.74 154.70 1 EVENSS I TMI 15 58im 14141 EVEM#if 16. t 203 31110 01-24{99 62.00 62.00 1 EVENSW►TERR1 15 $41434 14101 EV{Eyy}S�U[.'Y1R�yCyIL 24314110 02424-94 232.64 232.60 1 EVERi7#►1s#T1r•RRI N 584197 14101 EVERS 911NUMIL 203 VNC 03-11-99 163.68 163.68 1 EVUSUMERRI N 379468 10101 EVERIOCEOVARII 2.03 SRC 12-29 98 92.40 42.00 1 EVERIMENAND A S79$16 10141 EVERINEsEDU 203 We 12-29-98 260.04 260.04 1 EVERtDGE.E0012 M 576736 14111 FA8IOI YRIt 201 ,ACC 12-41.98 63.00 63.44 1 FASI ,CYRIL L 576832 141.11 FA8IMYRIL 201 ACC 1201-48 94.00 44.00 1 FAST4=CYRIL L 577055 10111 FASIefCYRIL 201 ACC 1.2-01-48 63.00 63.00 1 FA814t3:YRIL L 5774168 14111 FA#I4�CYRIL 201 ACC 12.01-93 63.04 63.00 1 FAVI4tCYRIL L 577109 14111 F'ASIU CYRIL 201 ACC 63.00 63.0 1 FA8IMYRIL L 649745 10101 FALLASINUCY 243 UNC 44.21-00 4953..77 423.25 12-45-01 4334.32 1 372758 10101 FARFAMARA 203 MC 10«28-98 154.04 130.00 1 572122 14101 FARFAMARA 203 we 10.211-9$ 134.0 130.00 1 5732412 10141 FARFA19rSARA 203 3R€C 10-24-941 92.00 92.00 1 373218 14141 FA A91r11ARA 203 UNC 10-24-98 37=30 157.30 1 57335? 10101 FARFAMARA 20311110 10.21-18 246.35 246.33 1 $73.385 10141 FARFAMARA 243 #1110 10-28-99 418.50 414.50 1 RIEALTH SERVICES VRITE-Off REPORT MTV47 Jul 290 PACES 29 0EOTIRR........ CLIENT$... RARE..........,tt.,xt...t.x,.x 08RI 8T C4 IT-ARRIGM P ASSIG0t..t.a PRIR CK L$T PAYx 'QOM M..... COT 573397 total FWAI1tum 203 411C 10-28-98 337,30 357.50 1 $13413 18141 FARFA6,8ARA 203 WC 1048`98 23.30 235.39 1 642149 total FARIA,ELIIADETRR LOUISE 203 UNC 03-17-00 41$4.34 4929.34 1 597144 total fmmfvlLLIA# ROY II 203 KC 05.44-49 11545.64 11543.69 1 547151 10191 fARRtCARRY 203 URIC 04.18-1R# 17,1 # 17.60 1 371941 total FA11RI4tFMERRICI( 203 URIC 12-29-'90 22.05 22.05 1 FARIS,FREDERM 0 560934 18101 FAMMYRRRRNIA E 203 UNC 07-09-98 79,19 19.10 1 $61986 total FAVN*RMA E 203 UK 07.0-96 92.110 92.00 1 577132 total FAMRRI0 M E 203 .RRC 22-0248 2817.65 2417.65 1 558994 1410t FAY4ENIFER 203 UK 06-19-18 20.00 20.00 1 FAYrJE tfERR E 113959 10199 FEL11tCARLOS 201 ACC 09^1301 90.00 98.00 1 FEL11,CARLOS F 113942 14101 FEL IX,RIR SERRR E RR 243 WK 04-13-41 4347.98 4567.98 1 Mot 10111 FELIXtSHERYL 203 ACC 09-23.99 90.13E 92.94 1 558999 total FERMW ARES LEE 203 VIK 06-1I-96 192.50 182.30 1 334tot 10191 FERCOBORtY1ARRE8 LEE 203 WC 06-1141 222.48 221.48 1 37'9915 total FEROMJAtR£8 LEE 203 URIC 12-29.98 351.25 351.25 1 341186 total FRARIOEZALIVA TELLEI 293 UNC 01-W" 155.50 155.50 1 381VA 10141 FERRRRRAt18E1,01.tVA TELLEZ Z03 mc 01-2.0-44 948.25 846.25 1 38920 10141 FERR11 SEZALIVA TELLER 203 RRRC 41-24-99 34.90 39.94 1 572908 total FERAIGNO At IME R 243 #RIC 1R#-28x16 $1.50 8' AO 1 5731442 total FERRRI RAMIELLE 4 203 UNC 10°28-48 430.50 450.50 1 5733 10141 FFRRIUMARRIELLE R 203 VIK 10'26.18 166.04 166.44 1 381194 total FERt1RIR oAMIELLE R 203 V#c 01-20-91 164.97 164.17 1 541274 total FEARIC94,1ARIELLE R 203 mc 01-20-" 133.48 133.88 1 572479 10141 FERRRIMMY G 203 URC t0-29-99 108.04 108,00 1 FERRtISMORMY C 573251 total FERRIBl81'MMY G 203 UNC t0-2A•46 537.00 533.00 1 113541 total FERRISYST Y RC 203 IRIC 01-13-41 7480.47 7490.67 1 FER118,810 Rt G 56#421 10101 FEMyL14W 203 UK 04-23-99 20.00 20.00 1 33116:23 total FINLEYtJMICE A 203 UK 06-18-99 92.40 92,40 1 617357 .total FINLEY,JA410E A 203 WC U-94-" 1411.34 1411.34 2 735211 10141 FIswR,DIRUALI E 203 ORG 01-21-02 636.46 63&.46 1 381205 total FIM,FKWICX L 203 WK 01-24-" 328.00 326.40 1 591243 total FISWRRYFR PfRICK L 243 Vic 01-20-99 173.00 173.04 1 581340 total FIB tFKKRtICRt L 243-QIK 01.29-#19 339.42 334.42 1 6343644 10101 Ft1RIE 4KOERICK L 203 #RIC 05-11-00 5101.59 310t.38 1 UM44 total FITIGERALDAWMAEL PAUL 203 RRIC 07.21-18 137.08 157,00 1 5633" 10141 FITIMAMNICIRAEL PAUL 203 URRC 07-21-9'8 101.00 101.40 1 653305 total FIT21 A110"ICRRAEL PAUL 203 UK 03.11--0 494.251 490.25 1 71801 tonal fIVrpEPE 203 DEC 09-44-01 11831.34 11831.34 1 744617 10149 FLORE$tFELIIPE 2201 ACC a3-2tr92 22.34 22.30 1 FLOKS*JDMTMN 740680 lot" FLOREMELIPE 201 ACC 03-26.42 541.80 51.60 1 FLMB,JBMT1RAR 740743 141" FL1lREf tF€L PE 2ol ACC 03.26-02 14.64 19.40 1 740850 191" FLORESALIPE 241 ACC 03-26-02 23.40 23.49 1 FLORELANATHM 674242 14111 FLRIRRE6,RRtGUEL 201 ACC 09-I6-0 60.40 80.40 1 HEALTH SERVICES 11RITE-TIFF REPORT DATE107 Jul 2003 PACE'l 30 h ty� �i�y Coy /�� �(y y ref fY���gµ LST yY iy {F#JYf Y.*V itt 33 Rt CLIEN ., �iY iit4tY{S l3i Yt it3YttkY i{Y Y'�YK S1 + OT-AS Ig SSIGNftfty. PRIX CML LS PAY* TOTAL SAL*..ii T 734249 10141 FLMtR0MT 203 IMC 02-17-02 367.93 367.93 1 FL $rR1# RT L 641661 10161 fL11RE1#tROKM 203 DEC 03-17.00 4312,97 2010.00 01-07-03 4112.97 1 654UI 10111 FLORESJRt1SENTO 203 DEC 03-19-x# 411.54 411.54 1 FL11RE31r.11Y 1 680663 10101 FLOURNOY,LOULA 2013 UK 11-08-00 208.20 208.24 1 FL01 N4YJLUELIA A 714812 14151 FLYWROVERT JANES 2013 WK 09-13-01 1736.24 1156329 1 773891 10101 FOUILORI 203 #1NC 01-10-03 240.10 240.70 1 573220 10101 F08I1EYRSANNA Z03 UNC 10.28-96 ,63.0 63.00 1 F01RKY+U"A j 381444 10141 FOWSAMA 203 INK 01-20-99 238.41 236.51 1 FU YrSAi113RA J 48883#1 10101 FOS110lJ1.ANREIICE EDVARV 203,11110 W17-01 3241.711 354330 09"24-02 "01.20 1 3722#0 10101 F1RILERJwlo 203 80 11-27-98 124.00 124.00 1 NUUM40LISA 6OR34 10101 FONLERJ00ROTHY 203 11EC 06-28-99 2439.00 2639.00 1 372918 10101 fULEWRYLLI9 J 203 LqK 10-28.98 343130 345.30 1 573224 10101 F01R.ER:PIIYLLIS .1 203 1 10.28-48 49.98 49.98 1 474329 10111 F011LER: 1I 201 ACC 08.01-04 42.00 92.00 1 fOUL11tDANICA R 551807 10101 FOX NARK D1AY11E 203 11NC 07-019.48 96.02 96.02 1 512958 10101 fox JAARK;DAUYKE 203 UK 1048-98 350.50 350.30 1 313022 10141 F01 *NW DAVAVK 203 UNC 131-211-9S 12'12.24 1292.24 1 57330 10101 FOX #ARK DA AYNE 203 #1140 10-28-18 441.10 491.70 1 573398 18103 101 *NARK 11Ai1AYNE 203 UK 10-21-" 444.$31 446.91} 1 494530 WIN F111 KARK DAVAY11E 203 WK 03-21.01 1851917 185.90 1 6871189 14141 F414W HENURICKA 2€13 KC 01.17-01 329.00 329.00 1 11ILLECAVrANNA1 VERICBA 763904 10101 FQlE t E41I11E 203 81.11 001-08-02 1302.10 1302.70 1 579968 10101 FOYtPMT11A R 203UNC12-29.98 98.00 98.00 1 MU34 1011}1 FOYtSMA1NTNA R 203 UK 03-i1-99 463.90 443.90 1 573345 10101 FRANCIS,WY SS 203 11140 10-28.98 366.05 356.05 1 541413 18101 FRAKICKARY S 203 voc 01-211-99 197.00 147.00 1 581142 10141 FRANCIStl4A0RY 6 203 111K 01:24-99 1370.911 1570.90 1 582411 10141 fRANCT&WARY S 203 UNC 01x20-94 3211.15 328.15 1 588721 10101 FRA#CISJI€Y 8 203 WK 03-11`99 239.40 254.40 1 312767 10101 FRANKIsIRIAN 203 VIK 10x28-98 135.00 153.00 1 fRANKStUNDRA R 582268 11101 FRANFStIRIA11 203 UNC 01-20-99 1774186 1779.84 1 FRAN"'Ut 11 J 578897 10101 FRA114ANES E 203 VIC 10-28-98 102.00 102.00 1 573137 10101 FRA14I r JAKS E 243 UK 101-28.98 13.40 43.00 1 440101 14101 FRAYtPATRICIA 243 VK 03-27--96 9148.17 4549.76 08-28-02 3618.41 1 FRAYIPATRICIA L 599835 10141 FRAIII&TIVA 20311110 05-'17-" 178.50 178.30 1 LAM,-TINA L OU43 10101 FRAMER:TINA 203 we 03-17-41 299.44 299.66 1 LARSOCTIM L 372874 10101 FREIRICKStRS8E0RT 203 V*C 10-28-98 174.54 176.54 1 FREOR1CKWOU 1T L 741685 10101 F#tMANDJRALPH VADE 2203 1K 03-24-02 1172.92 1172.42 1 FREELPACRALPH 11 512679 10101 FREITAWARIE 203 Q#t 10-211-98 222.50 222.50 1 _ _ IH ALTH SERVICES ITE--OFF REPORT UTE:07 Jul 2003 .ygPA&V 31 ay/rY;Yy ya�Sy�r`' 1�Y{��y( �.�pS IT •••yIM(I}�i.Y{.jA�1i y1 yA� KI9TOR.S i..1 9; CLIEt1Tf►.. NAME..�....�.................... VOK T C1 IT-ASSIGN �{« ai L� t;i«i• PRIM . LOT PAY. `OTAL DAL..... €' FREITAN��iSl If A 572825 10101 FRE1TA84AXIE 203 UNC t0-28-46 60.00 84.00 1 FREITA8ts1A1!!IE A 573€36 10101 FREITAWAN1E 203 Vic 10-18-96 U." 80.00 t FREITAI,JAMIE A 373396 1018€ FREITAStJAI'itE 203 ViC 10-28.96 130.00 134.00 1 FREITAStmIE A 669752 10141 FR1TCHtTRACY 203 UNC 00-0400 13.24 13.28 1 766114 10101 FROSTtCARLA ANN 203 UNC 08-21-02 3264.38 3269.50 1 661103 40101 FROSTrCNARLES RORY 203 OEC U-24-0 19580.14 1"".11 1 "m 10101 FR€OLCH iRLES RENY 253 DEC 04-M-00 241.20 261.20 1 6621513 10141 FltW,QARLE5 HWY 203 KC U-90-40 300.37 304.37 1 720568 10141 fROSTrIORIN 203 UIBC 09-21-41 331«38 531.58 € FR08TrLINtIN N $53217 14141 FRYE*4mpm 203 UNC 06-09-48 404.00 404.00 1 FRYE4AWN L 609612 t410t FRVE,AUPH 203 UNC 07-09-99 462.20 462.20 1 562082 10101 FRYKUt$W B 243 we 07-09-98 492.59 492.54 1. 57M3 14101 FRYIELL:SEAN 0 203 UNC 14-28-46 451.15 4511.15 1 573€55 14101 FAYIELL+SEAN 0 203 LINC 10-22%96 108,00 108.00 1 572929 10101 FVENTEO,ELOY 203 WIC 10-28.98 736.90 736.40 1 608146 10141 FUEI!>TES:ELOY 203 tN1C 06-28-19 26+4.50 264.54 ' 1 516163 10101 FULLEItt0AINICE 203 ac 12-01-16 343.00 345.00 1 FVLLERrI4ANNICER 577011 10101 FULLER►OANICE 203 UNC 12-01-98 694x50 690.50 1 FULLER JAMNICE R SM06 10101 FULLERJANNICE 203 UK 01-20-49 364,26 564.26 1 FULLUrDANNICE R 572704 10101 FVNEWAVI4 3 203 U8C 10-28-44 132►91 132.41 1 373tS3 €0101 PJKL,IAVI0 J 203 WK 10-28.98 435.88 433.83 1 383713 10101 FWEL4 010 J 243 UK 02'12-99 1620.16 7620.18 1 5823"11 10101 GAETAICURINNE 203 UNC 01-20.99 161.20 161.20 1 566156 10101 CAETAYCORINNE 203 UK 03-11-94 11.70 11.70 1 SU713 40101 CAETAtCORINK 203 WC 03-11.99 40.43 40.43 1 584544 10101 GAGE.LEATW t 203 WC 03-11-94 226.00 228►00 1 588751 10#01 GAGUEATHON R 203 UNC 03-11_99 194.00 199►00 1 588362 10101 GAGE:NARK E 203 UNC 02-12-99 232.97 232.47 1 383363 14101 SAUEtRARft E 203 UNC 02-12-99 280.11 260.1€ 1 $831441 10101 GA s1NARR E 203 UllC 02-12-94 151«95 151.95 1 585330 10141 GAtNARII E 243 UNC 02-12-94 117.38 117.35 1 588660 10101 "afWARK E 243 UNC 02-12-99 219.00 219.44 1 5858##3 10101 QGEinm E 203 UK 02-1-99 80.00 80.00 1 642787 14101 &AGE:1 11 E 203 VIC 06-46.99 36►35 36.35 1 609716 10101 GAIL I:BAYED 8 203 UK 07-04.99 48,00 48.00 1 604933 14101 CAILANItSAVED 0 203 UNC 07-49-94 110.00 114.04 1 784400 14141 GAINESsA HALL 203 UK 02-21"03 1583196 €585.46 1 CAINES:IUIRSHAL.L Irl 388604 10101 GAIIE8tRIMLE 203 UNC 06-10-98 308.30 308.50 1 $83744 10101 GAIKSNICHELLE 203 UNC 0E-04-94 210.85 210.85 1 583789 10101 UIlIE9,91CRELLE 203'w 02-0 99 96,83 96.63 1 563043 10101 EALEB ALUIVE 203'URIC 07•21-96 42.00 92.00 1 GALtStALEIINE' 0 563138 10101 CALEWLEI1NE 203 !41C 07-21--98 153.80 153.80 1 HEALTH SMIM #RITE-#Ff REPORT DATE447 Jul 2003 PAM 1 32 DEBTOR. i k.X R# CUERM f f 1tAI1E2..X:;..•Y#i.X.i.X......X i M ST 0 IT-AS IGN W4901 CO ..... PRIN COL LST PAY, TOM CNT 6ALMALERNE B 5315" 10101 ME&ALE1itIiE203 UNC 01-20-99 736.00 736.00 1 CA1 ESrALE2INE 0 595857 total CAR. 6AALIXINE 203 OIC 02-12-99 1009.22 1008.22 1 CALMALEXINE D 746659 total CALICIAIIDAAC DAVID 203 UNC 06-20-it 2563#92 2363.92 1 179169 10141 CAIICIAti1AAC DAVID 203 VK 02-14-03 1442.29 1442.29 1 744449 10199 DALICIMICTOR 201 ACC 04.30-02 72.00 72.00 1 754438 10101 GALIND ,CriISTINA 203 VIK 06-.10-02 85.00 81.00 1 541910 total ULLt1A,1EO1& 203 #RIC 01.20-91 $55.I4 100.00 08-26.02 700.IV 1 "AM total OA40l54.UNELi$8A 4 203 UK W04-" 27.00 27.00 1 546263 10101 CAML.1ELI49A A 203 VAC 05-04-49 104.00 104.00 1 596341 10101 GA#ll l.#.r1 .tA$!k A US UK 05-X04--91 241.00 243.04 1 596733 10101 GANNELUNELINA 9 203'URC 05-44-99 210.09 214.02 1 704307 10101 NURSER EELIIN t 203 03-22.01 '143.03 23.00 02-23-03 769.83 1 CARMEVELIIIE L 418262 total CAR IALEJAt19RA 203 1910 12~11'96 166.32 42.00 06-27-02 124.32 1 LARE00tALEAMA 713328 total CA:R AiCA1t11M It 203 #K 1127-02 2m.13 2192.15 1 718072 10194 URCIAtESUARK 20t ACC 09-14.01 12.99 12.98 1 ARCIArEt14#ON f 889393 total CAMArC438TAVO 203 UK 03-11-" 20.00 20.00 1 116442 total CARCIAIJOK 203 WC 09-14-01 1196.19 1196.18 1 604296 total 4AR+CIArJDK A 2x3 010 06-11-49 2028.93 229.61 04-18-00 1900.24 t 582064 10101 CARCIAx,R#VMIND 203 VIC 01-24-17 22.05 22X08 1 CARINAMEPHAIII i4 662253 total 6A IAx016 203 me 06-20-00 14.40 14.40 1 6ARCIAnKISSA 750059 10101 CARCIAXMMEND 203 UK 06-10-02 11+ f 1109.34 1 569559 11141 CAKIAr1IEREIDA E 203 WK 04M23--99 172.17 172.17 1 541232 total CARCIAtIEREIRA E 203 VIIC 01-20-94 135.00 135.0 1 582389 total CAKIMEREIlk E 203 UK 01-90-1v 499265 499.65 1 620437 total GARCIMLIVIA 203 UNC 0410-49 17.95 17.95 I 6ARCIAIDLI SIA R 639625 total CARSKERr11#ITHER VE AMI 203 VIC 03-10-40 1344.67 1344.67 1 6ARMERMT0ERIDE A 585015 total CARIDaA1tIMIEL 203 WIC 02-12-" 92.00 92.00 1 726351 10101 CAWT,VAYNE BERNARD 203 4K 11-49-01 109100 109.00 1 63101+4 10111 CARREMCWTt'8 0 203 DEC 01-04-00 151.00 151.110 1 631011 14111 6ARRETT.CURTI6 V 203 DEC 01-04-00 316.60 316260 1 63t214 10111 6ARRE TxCWTIS V 203 DEC 01-04.00 314.90 314." 1 64519 10111 6AWT*CWTI9<9 203 DEC 04.17-0 212.00 212.00 1 648461 10111 6AMETT,MTIS V 203 BEC 04-11.00 113.56 113.56 1 650559 10111 CAR1tEMC#R€{ID V 203"DEC 04-29-00 440.67 440.67 1 664136 10111 CARRETTrClR4TI'3 V 20.3 DEC U-0400 77I.So 54.00 08-28-00 129.50 1 664174 lottl CAME'fT49TI5 V 203 Kt 08-89-00 173.00 173.00 1. 686454 14111 CAMM 41Rti9' V 203'DEC 01-17-01 123.40 125.00 1 6"100 10111 CARKTTACKTis V 203 DEC 04.23-01 447.00 447.00 1 600499 total CARRETT,JEF DY ALAN 203 me 03-11-99 99.10 98.10 1 659199 total CAR44ET'T,LaA1R4A 2€13 UK 04-0400 30.00 30.00 1 CAIIRETUAVRA 41 HIM total CARMEAKET"9 G 203 4#110 oleo-" 312.90 312.90 1 582046 14101 4AAMENNETH 6 203 1810 01-24-" 1811.14 1811.14 1 542507 total. GARTr1MTH C 2#13 WC 01-20-11 386.50 3.86.50 1 HEALTH SERVICES 14RITE-OFF REPORT DATE101 4#1 2003 PACE1 33 DESTQR......,t CLIENT#... Moe... ...................... DS33 ST CD DT-4SSIM PN-ASSI41t..:.. PRI* COL LST PAY. TOTAL SAL..... CRT 6490314 10141 GASALATA3i,31ARERTO 203 U11C 44-1840 174.80 174.40 1 574407 14141 GA01INSt34AY14ARD 4 203 AMC 231.36 231.36 1 609480 10101 GAS3{IRSt14AY3tARD 1 203 UNC 07-09-'I"i 739.00 739.08 1 64011 10141 UVAR-EMMA 2113 UK U-11-99 43.00 43.00 1 SA3+3C1i tESA $96830 14101 4ATT44I:WNDA C 203 DEC 83-44-99 2637.49 2637.49 1 617933 10101 GAY CAPMICIRA MARIE 283 UK 0"4-99 946.00 946.94 1 734734 10199 GERRREARIC4L0349I31A 241 ACC 01-23-42 32.80 32.80 1 734877 10349 GEREARtu im 201 ACC 01-20-09 84.0 95.00 1 599183 10111 3; D1~3t:3O41ICA MARIE 203 VVC 01-20-94 346.27 346.27 1 GI KS*WNICAR 734959 14101 GE03 .340RICA MARIE 203 UNC 12-2.8-81 1306.67 1546.67 1 582531 10101 3ERTRY:JEF3=REY A 203 UNC 41x2099 99.00 49.04 1 504174 101311 44TRY14EfPREY A 203 U34C 4311--99 1149.30 1149.50 1 556316 10101 SERARIIOt33;ARC4 A 203 UK 06-10-" 129.10 18.00 12-07-914 119.30 1 559223 14141 4ERARDOiNARCO A 903 1810 06-11-4$ 220.10 220.10 1 398436 10141 GERAR1t8,41ARC0'A 203 U 03-11-49 17.10 11.10 1 3682244 10141 GERTI{VNA 243 URC 09-23-99 374.10 374.78 1 GERTII3'1ONA P 3*314 141311 GERT1,AONA 243 VVC 44-23-41 457.29 457.29 1 CERTI►443 1 P 561323 10101 CERTZt440y1im# 203 UK 09-23.98 196.80 146.80 1 GERTI t444P 569483 10101 CERTiY44041A 203 WK 09-23-98 60.40 60.04 1 GERTZvMONA P 564494 18101 SERTI,4 01A 203 12€0 09-23'18 789.70 704.70 1 GERT7t3 P 568620 10101 GERTItAONA 203 UK 434.63 434.63 1 GERTI.l3OiA P 569753 14184 CERTItsm 203 UNC 89-23-" 273.89 273.01 1 GERTZs Om P 501182 10101 GERT1 43041A 203 V IC 01-20-94 120.08 128.00 1 SERTIr3'33444A P 516363 10141 9ERT1 ANA 203 UK 02-14-49 146.00 146.00 1 GERTI,AOMA P 3965340 10101 GERTX,433} A 203 WC 09.19.44 60.00 60.00 1 GERTZINGRA P 586593 10101 SERTI:3R1m 203 31410 0E-19 49 1302.+40 1342.40 1 596+194 10101 4ESTNERrIIONALD 203 DEC 05.04--94 49.00 49.40 1 GEST343_R►DONALD D 3"16923 14141 CESINFRIBRALD 203 DEC 05-04-99 12.00 42.80 1 GEST1 R:0R44ALD 0 597813 141101 GESTNERtD4VALD 203 DEC 3N,4-04-49 149.80 149.08 1 GESTNER,D3131ALD D 5911344 10181 GHT41ER,DtH ID 203 11EC 03-04-44 121.08 121.00 1 CESTNER,00NALD D 39'7933 10141 GE5T10,00NALD 203 DEC 03-04.99 92.80 92.310 1 CESIVERID NALD 0 448366 14101 GE07VERVIGNALD 283 DEC 04-19-00 488.20 488.20 1 CEST43ER,RVALD D 5332682 10101 CI'AWNEt34ELES 243 9K 311--9099 34.0 30.40 1 586422 10181 GIA3€IRVE,W1E#4 203 UK 02-19-" 30.14 30.40 1 5861111 tD10t SIANOWE,43E€.E41 2031420 02-19-99 38.40 34.40 1 HEALTH SE"ICES VATTE-OFF RMT OATEM Jul 2003 FAS E= 34 itE34T iRi.Y i.AY CLIEN #... KANE..........YDSWIT YYT-ASSISO M-ASYi4Vi..... PRIN COL LSTPAY. TOTAL V T 558270 14€:11 GIM29.2. 203 UNC 06-18-98 447.63 447.65 t 597113 total GIo88toc. 203 UNC 115-44-99 1878.,24 1872.20 1 654335 total 016SERGI0 243 UNC 4t5"t9--4@ 80.00 80.00 1 CIL,MTAVO 581156 10141 GILSERTeRili.I1M SR 243 11112 41-24-4'1 1224.24 124.24 € GILBERTfROLUND L 582196 14101 G1LBEAT:R111OMR OR 203 A1C 01-21-99 Moo 214.00 1 G1L8£Rlri OL:4€H0 L 639991 total GILSERTRRM0140 SR 203 we 03-14-H $0.00 80.00 1 GILHEMROL:119i0 L 5685166 14101 GILR',MSTEVER DUANE 203 UK 09"23-414 509.50 504.54 1 588608 total CILKRTr3STEilE41 MANE 243 WC 03-tt-99 348.47 348.47 1 658867 total GILBERTrTERR1 203 UK 06-24-00 23.24 23.24 1 GILBERT,TERRI L 704056 10101 GILRYTOUN4AY 203 UNC 04-2.5-41 $6.04 56.00 1 HEAVEREME L 588317 total CILLMOGRAN L 203 UK 03-11-411 354.62 359.62 1 588544 total GILLMIGRA41 L 203 UK 03-11-99 559,04 339.00 1 588567 10101 GILL+43 MAR L 203 UK 03-1t-49 80.00 80.00 1 5188441 10101 GILLMORAN L 243 UK 03-11-49! 110.00 Ito-00 t 588286 1+0141 CILLARIMETTA R 203 €NC 03-t1-99 151.50 151.34 1 645569 total GILLETTEr41RISTA R 203 1R€C 04-17-00 2622.03 26222.43 1 589054 total SILLETTEMARE A 203 WK 03-11-99 283.40 $0.00 12-03-02 233.00 ' 1 588223 tolot CILLEYrCH1R1STY 243 UK 03-11-94 4U.60 436.60 1 SILLEViCHRISTY J 584156 total CILLEY,CHRISTY 203 UK 03-1145 141.00 141.00 1 GILLEY:CHRIST'S J 609966 10141 GIL,LEYMISTY 203 5112 07-09-49 M.38 250.38 1 6ILLEY,CHR€STT' d 588702 €0101 MLIA14r0AVE S 203 VNC 03-11-99 141.24 141.20 1 597786 total CILLIAMr0A9E 8 203 UK 45.04-94 633.74 633.70 1 581670 total CILLILAWLYMETTE 0 203 UK 01-24-" 25.00 25.00 1 73191S 14141 GUNER A14TOIRETTE 203 11112 06-10-02 98.00 48.00 1 GILKERtA4IMINETTE L 707672 total CILMOREtALLM 203 we 06-27-01 103.00 103.00 1 722138 total CIMIJERY 203 VIK 10-15-01 104.70 104.70 1 GIVES 4E11R1' V 701477 10194 6IVEN8.0AISY .203 ACC W10-ot 41.18 91.18 1 CAREYrME C 707603 10194 C19EHS.4A3SY 201 ACC 06-21-01 98.50 98.50 1 TAYLOR LE%VS J 578816 total GIVEN ISA 203 43140 12.29-98 135.00 135.40 1 fHUTCHIt1S011,0ARA€1.A L 3942" 1otol CI9E11St11` m 203 UK 04-20-99 1013.10 1013.10 1 NUTCHINUK,MAELA L 582477 total GLA4SOMME11E L 203 DEC 01.20-44 2877.85 1700.00 12-10-02 1177.95 1 604704 total CLA4&41IrE4tCSIiE L 203 DEC 07.09ti49' 1261.65 75.00 €186.65 1 411317 Witt GLASPI£rARYLOVIS 201 ACC 09-21-95 361.80 322.00 01-08-02 47.80 1 GIASPIEMESTER 719438 10194 GLASPIE.KSTER 201 ACC 09-27-01 98.51 98.51 € 720592 10194 GLASPIEsHESTER 201 ACC 09-27-01 63.77 63.71 1 720786 101" GLASPIEtRESTER 201 ACt wX27-01 47.03 47.03 1 632690 total GLATIELTER,JGY 203 We 03-0400 €102,82 1102.88 1 CLATI;ELTER,JOY R HEALTH SERVICES VRITE-OFF REPORT VATV07 Jul FAU4 35 «.� .q �yA � � DERTU**.Y 4 4 9 R '1FYr.iSTC.! NAK%l R i t Y t o S Y Y f Y 1{a t i i t Y C Y.R t Y OU S{ 0 IT-AS f 4 R"R' AYlll(I��Y i Y t t R PRiN tOL LS PAY. TOTAL IAL..... CRT 655579 10101 GLUVINKEL,LEVIS 203 UK 03-19-00 12.00 12.00 € 643767 10101 GLYN&AAR01L TYLER 203 13142 04-17-00 2411.79 2411.79 1 336743 10101 GL.YW,JANET MARIE 203 UNC 06-10-48 111.20 111.20 1 02$131 10101 GLYNWANET MARIE 203 A1C 03-11-99 80.00 80.00 € 361932 10101 GOI1SStl4#LLIS 203 we 01-2t-" 233.04€ 235.30 1 613I'KS IKLIS L 600020 10101 GOLUNIMSTEPHEN L 283 me 05-17- 2319.61 23€8.61 € 312509 10101 90LST1N1XIL11LLAR 20.3 UK 0€-20-99 23.10 23.10 1 GOLSTOCTVILLAN S 60%34 10101 GOL STT1lLXUILLAH 203 ac 07-09 if 119.04 119.04 € OHM,WTVILI.AR 8 359051 10101 GUTLITEVEN LN KC 06-1010 133.20 135.20 1 &OLTIATSAN R U1746 10101. GOLTZ:STEVS 203 OEC 07-09-98 191.90 191.40 1 GOLMSTEVEN R 363157 1##10€ GONES 1MAEL 203 UNC 07-21-98 101.75 101.75 1 362022 1010€ QNSAUKA 203 We 01-09.91 98.00 "38.00 4 CONES MARLA J 562050 10101 G0w8NAR1.A 203 ac 07-09-48 98.013 98.00 1 &ONSTE"T:JEFFERY T 616668 10101 SONESI i€AR4..A 203 11211 08-24-99 1936.90 1936.40 1 &0112 TEFFT,JE EERY T 726331 10101 90KIIAUTURO 203 WK 11-08-01 1198.93 1196.93 1 712823 10194 91042 AASRIELA 201 ACC 09-13-01 67.00 67.00 1 7€3091€ €0199 G K14MIELA 20€ ACC 09.13-01 98.00 98.013 1 714429 10199 G044E116ABRIELA 201 ACC 09-13-01 15.00 13.00 1 FLOREOV ANATUN 7151142 14199 GO ZTGAIRIELA 201 ACC 09-13-01 63.50 63.30 1 FLORE$tJ1•RtATMASR 734371 10199 GONEZIGAIRTELA 20€ Ate 01-23-02+ 13.42 03.42 1 134842 18194 &1N EZAA1R1ELA 201 ACC 01-23-02 47.78 47.79 1 740677 10199 WEZAASRIELA 201 ACC 03µ26.02 €9.60 14.60 € 74079 40199 !G13 Z.MIELA 201 Ace 03-2+6-02 22.40 22.40 1 6013443 10101 &011EZ X1 iN4EL1A 203 UK 07-09-99 119.50 111.50 1 684734 101111. GOKZ NANOEL. 203 'SEC 0€-16-01 13472.91 15472.91 1 3$1327 10101 C01EI r1lE4 ODY ANN 203 WK 01-20-" 921.20 928.20 1 60!3215 10101 GONI3AL.ESrJOL4N 203 UK 05»47-99 12.00 €2.00 1 WAIATEf%ATYA R 708012 10101 G1IN141E8,ALFREO 203 11NC 06-27-01 83.00 63.00 1 $7,1491 10101 G1 ULEStCHERYL J 203 LSC 12-29~98 197.50 197.50 1 X19338 10101 CoNIAustoL Y1 J 203 411411 03r-11-99 143.20 145.20 1 589480 10101 GON ALE84MYL J 203 IAC 03"11-99 27.00 27.00 1 389687 14101 GONIALE$XCHERYL J 203 we 03.11.99 147.00 147.00 1 589740 10101 UNIALE&CHERYL J 203 UK 03-11-99 2991.40 2941.40 1 707864 10199 CONZALEZXAM 201 ACC 08-27-01 30.50 30.50 1 QNIALUtARA L 752232 10101 MIAL€Z rA#10NES AVALDS 203'l3NG 06.10-02 519.00 519.00 € 7057% 10199 GONZALUIXIANIM 201 AOC 06-14-01 30.63 58.63 1 718081 10101 G041ZAL1 Z49CRECIA 203 13442 04-14.01 14.67 14.67 1 4IA1, LOIL.ENNE 58ml 10101 C0141ALETXL#IS 203 UNC 01-20-94 135.00 135.40 395916 10101 GONIALEUVIS 203UNC 03-04-9'9 3221.62 3221.62 720709 10199 MIALE1,FAILD 201 ACC 09-27-01 98.40 48.40 5823% 10101 COMIAL,ELRA140NA 2031 01-20.99 681.9 681.50 HEALTH SERVICES VRITI-OFF REPORT WE401 Jul 2003 PACE. 36 CLIENT#... Im.........%%..%.t,.%t.%%%:s #RR ST CO ;IT-A58ICM PN-ASBtGN...... PRIM CGL LST PAY. TOTAL DAL..... CNT 711313 total GONIALEbROBA 203 UNC 08-30-01 37.00 37%00 1 GONIALEZIR08A 14 624337 10103 GONZALEItR05ALIA 203 UNC 10-06-" 3243.111 3243.81 1 MCIELYR08ALIA 638795 18101 9000t9EHEE 203 UK 03-10-00 29.9 28.30 1 584394 28183 GBOORICH.LISA 203 UK 03-11-94 80.00 80.00 1 080RICHOLI8A 1t 661714 103.01 GOOORICHtLIBA 203 UK 06'20`00 80.00 80.00 1 GOOKIC&LIBA d 581884 10101 SIN/CHRIS ANTHONY 20.3 0410 01-20-" 823.60 813.60 1 584455 10141 68Q0NJ1tWt3 ANTHONY 203 0NC 03-it-44 154.42 154%42 1 58$'304 18101 G00011#4018ANTHONY 203 UK 03-21.99 171.0 172.60 2 $89230 20101 WOVIN 0m 41 203 UK 03-12-" W.% 233.96 1 5811364 30102 cmtk*mRc8 It 203 UK 03-11-94 92.80 42.00 1 584654 total G41088Y'KEVIN 203 Vic 83-21-44 10.30 10.510 1 GO#iBBYeNf'Y141 R 609528 10101 40ROOMIRRONDA 283 UK 07-0-" 1802112 1802.72 1 650444 10141 GORk"'PATRICH 203 UK 04-28-00 12.12 12.12 1 589489 20102 WKY40RISTOPHE T 243 VK 03-11-9'7 152=12 132.12 1 5#4816 2010# GORML'4NRISTOPHE T 8a3 VNC 03-11-94 155.10 135.10 2 $56658 total G31RRxPAVL 283VIC 06.10-48 173." 113180 1 561271 10101 CORRsPAUL 203 UK 47-0'7^48 92.00 42.04 1 GM PAUL M 618533 10301 4m,PAVL 203 UNC 08-24-99 201.56 201.56 1 QWtPAVL N 555401 20102 004RELL2ROSER 203 UK 06-10-98 133.00 133.00 t GQRKU* ER JR. 172752 20101 WULDJERRICK 203 BAN 12^26-02 588.90 588.44 1 cotutBERRICK j 711770 10101 GOU AY:GEORGE 203 4NIC 11-21°0.2 2565.20 2365.20 1 GORRLAY40CE 0 148334 20101 awtKAREEN 203 VK 06-27-01 75.00 15.00 1 761504 total GRA GEORGE 13 243 DAN 07-24-02 2434.15 1934.13 1 7`86754 101:01. GRA rLARRY 243 VIC 05-16-83 2578%00 2578.00 1 568508 total CRA43ANtRWISHA L 203 LIMC 04-2398 171.34 100.00 1142-02 72.34 1 584702 total GRAt tRWISNA L 203 UK 03-11-94 357.73 357.75 1 3341103 10101 GRAJEWWSTINA 203 UNC 06-10-98 31.00 31.00 1 CRAJEWCHRISTINA N 554"1 10141 203 UK 06-10-48 590.00 340100 1 SRAJEWC4RISTIVA 4 556354 121101 ORAJEU2CHRIBTINA 203 UNC 06-14-" 27.50 27.50 1 CRAJEDAtCHRISTINA N 556m 10101 CRRAJEDAY�Cfy�{1�1tI8TINuNA. 203 UNC WW" 142.00 142.00 1 W&DA4016TINA N 561460 10101 GRAJEWCHRISTINA 203 VIC 07-01.48 232.00 231.00 1 4RAJIM103t15TINA N 7;122'45 total GWEVAJRNA 203 DEC ob-j10-02 7867x33 7861.33 1 707144 lot" GRANASOJESSOW 201 ACC 06-21-01 79.00 79.00 1 I ;NA01'#r UM4A A 584125 10101 GRANAMIY01:AW 203 QK 03-11-49 113.00 113.00 1 GRANAW YOLANOR N 582227 total CRANTtNAURICE 203 UK 01-20-4`4 114.80 214.80 t 3"421 10101 GRANT►NAORICE 203 tN4C 03-32-'44 107.30 207.30 I REALTR SERVICES VOITE-OFF EMT 44ATE107 Jul 2003 PAGE4 37 i[ �i'h&TOR........ CLIERTI... M11F........%4..%:i.+f 5{'%.Y%%% ISK ST CO IT-WISM 3R A iMFL4f1i 4i PRIIf COL LST PAY. TOTAL BAL..... CIT 6W64 13101 9RAJtT%,Nlt3AEL 203 MCC 12-21-" 6446.73 632.00 00-14-01 3364%73 1 55507 10101 GRABTxSOSA13 203 UK 06-10-98 240.31 240481 1 GRA*T.SVSAR L 339601 10101 C8A11T:33ESA0 203 got 03.11-99 630.00 530.00 1 040tysl# 3 L 58'1827 10101 CRAIMUSA 3 243 VK 03-11-99 53,60 33.60 1 GRANT, 1#3614 L 669012 10141 SWIMS" 203 UK U-"-" 1132.53 1132.53 1 CWT4S3 3 L 66$483 10141 4RAWtCECILIA 203 UK 06-WOO 19420 19.20 1 343012 14101 C y"NAIVELL 203 WK 04-2f-" 10.04 10.00 1 640033 10101 GRAY+TED E 203 we 03-17-99 2135.17 2136417 1 6411m 10103 UE 4ALFREO 203 oc 03-17-H 16.83 16483 1 ' REMALFREO J 582147 10101 GREE3IAVA 203 UNC 01-20-99 10.20 10.20 1 582168 10101 GREE4>I.AVA 243 UK 01-24"99 1"02.12 14902%12 1 5m 14101 CREENtAVA 203 UK W20.99 69.19 609.19 1 689372 10101 G11EE1l"RISTOPl ALFRED 203 02c 01-17-01 4210.20 450.20 1 562248 10111 CREERIVEl 1I LOUISE 203 UK 07409-'1R 105%30 105.50 1 771518 19101 CREMILEXIS 203 we it-21-02 3039.20 1039.24 1 502512 10€01 WENVILE1'IS V 203 3#3C 06-09-99 1569.49 1569.49 1 =119 10111 11Rmlim I331RRY 243 OEC 06-10-90 403.60 103.60 1 559633 10101 GREE434JERENY 203 UC 03-11-9'1 Wo 98.00 1 0EEMERE14Y W 610390 10101 CCREE34aWy 203 W 04-U-00 113.00 113.00 1 486737 10101 CRoERIC##AR0 203 UNC 01-17`01 35.00 35.00 1 747813 10199 GMILEN JR. 2.01 ACC 06-27-01 '48.83 98.83 1 7"m 101" GREEMEN X. 201 ACC 06-27-01 19.34 19.34 1 766110 10101 CREESONsLILL10 203 w 03-09-03 226.00 226.00 1 33ALKERPTILEA A 772819 10141 CREESONYLILLIA33 h 243 UK 11'26°02 2266.30 2266.50 1 581106 10101 GRREGORY40A{VSE �4 203 t 03-"1#-99 211.04 211140 1 GREI Y,DAVE M 611746 10101 GRECORY I DAVE 203 UNC 07-22-vt W." 349.66 1 CRE y'lAVE A 3813517 14101 owsaY4RYA11 OR 203 UK 01-24-99 1.351.00 1351.00 1 CRECORYYR AN 0 542122 10101 GRE3O€RYrWA34 SR 203 WK 01-20-99 102.10 102.10 1 GREI;ORY'RYA13 0 582134 101.#1 6 EWRY4RYAW 69 203 UK 01-20-99 115.23 110423 1 GR4rG41RY'RYAN 0 58+2241 14141 CRE RY4RY0 P 203 UK 01-20.99 116.00 116.00 1 Cago4YYrRYA# 0 653237 10101 GR CHYMA# SR 203 UK 05-11-00 814.30 814.34 1 CRE331RYrAYA14 0 348406 10101 C41EYrKRA 203 UK 09-X23-18 231.44 257400 1 3"m 18101 6FEEY KIRA E03 wc 09-23-98 110.00 110.00 1 339363 10101 CRIfFlIsPARELA 203 33330 Wit-" 27408 21.00 1 CRIFFI11:PMA A 589416 10101 CRIFF'1RrPl4laA 203 #3K 03-11-99 23.70 23.74 1 0IFFIR PARELA A 369468 10141 GRIFFINPAMELA 203 411.0 03-11-" 403.95 406.95 1 GRIF'FIt,PAMEL.A A HEALTH SERVICES VAITE OFF REPORT SATEW Jul 2003 PACEI 3# KSTO ......ii CLIEENT#.Y4 189 ST CSI Olw}SSI s�QY 7�l�RtYY kO MM COL LST FAY. TOTAL OALi..at COT 549422 Mot GRytIFFIICREVE 203 UNC 03-11-" 46122 4612 1 CRIFI:IlIrREM E 361094 10101 CR1f IMA1RRIRA 203 #11111 07-04-98 180.00 180.00 1 CRIFfMISAKI#A L 589265 10101 GRIFFM,6AIIRIRA 203 WK 03-11-49 613.92 613.4E 1 GRIFFI0rOAUIRA L 391389 10101 6RIFfINtOCOT'T 0 203 O11C 113-04-99 +697.60 687.30 1 361108 30101 CRIFF T11aL1SA 203 WK 07-09.48 553.00 553.00 1 561251 10101 GRIMT&L1SA 203 w 01-04-98 196.64 146.84 1 CRUHT&LISA A 561678 10101 GAIFF3TTiUSA'' 203 UNC 01-04-48 424.00 424.00 1 CRIFFITHYLISA A 63044 10101 GRIFFITHMOA 203 UNC 01-07-00 818.50 814.50 1 GRIFIWITRMSA A 3585.54 10101 GRUGME1€8ETH V 203 DEC 06-18-48 322.83 322.81 1 389764 10101 GRIOGMENNEt11 0 203 DEC 03-11-" 30.40 30.40 1 1'18$197 10101 GRl"Sir11E"ETR 8 203 HC 03-11-49 507.77 307.11 1 SP429 10101 GRIGSIM R11AR0 203 UK 03-11-49 233.85 233.83 1 6RICORrfrKawO L 597036 10111 CR1LL0r8ALVATORE 243 Act 03°0449 161.20 161.20 1 GR1LLMALVATORE A 547295 10#,11 GRILLOrSALVATORE 203 ACC 05-04.11 203.0 2115.00 1 GRILLOJALVATORE 8 541579 10111 GR1LLOr«SALVATORE 203 ACC 0504-99 110.00 110.00 1 6RIU.MALVATORE 11 397853 10111 GR1LMSALVATORE 203 ACC 05-04--94 105.00 105.+00 1 GRIUMALVATORE R 600029 10111 GRILLOsSALVATORE 203 ACC 05-11-94 118.50 173.30 1 GRILLMALVATORE 11 600033 10111 G11ILLMSALVAT011E 203 ACC 05-17-94 110.00 110.00 1 SR I L1. SALVATORE 11 600254 14111 GRIUMALVATORE 203 ACC 05-11.44 242.39 242.39 1 GR1LL&SALVATORE 8 600302 10111 GRIUMSALVATORE 203 ACC 05-17-94 623.72 623.72 1 GRILLOoSALVATIIRE K 600369 10111 CRILLOfSALVATORE 203 ACC 05-11-99 46.22 46.2E 1 CR1LL0.SALVATONE R 4,00460 10111 CR1LL&SALVATORE 203 ACC 05-11--99 151.04 151.04 1 CAILLO rIALVATORE A 600535 10111 GAILLMALVATORE 203 ACC 05-17.49 1510.89 150.60 1 GRIUMALVATORE X 6011563 10111 LRtLLGISALVATORE 203 ACC 03-17-99 80.00 80.00 1 GRILL&SALVATIIRE A 600609 10111 &RIL1.MALVATORE 2.03 ADCC 03-17-4'9 922.00 42.00 1 CRILL&SALVATORE N 603223 10111 GRILLMALVATORE 203 ACC 06-08.49 164.60 164«60 1 ILLO:SALVAI'ORE 11 643333 10111 GRILLOrSALVATORE 203 ACC 06-08.99 42.00 92.00 1 GRtLLMALVAT'ORE K 623743 10111 CRILLOSSALVATME 203 ACC 10•#16-'99 329.00 324.00 1 GR1LLOISALVATORE A 623800 10111 GR1LLMALVATORE 203 ACC 10-06.94 135.80 135.00 1 GRILLOISALVATORE 13 623920 10111 GRILLOISALVATORE 203 ACC 10-06-94 886.67 806.67 1 14EALT54 SERVICES VtT'E-OFF REPORT "TE101 Jul 0403 PACE1 39 RED T0R k s*..... CLIA T#,._ !lA#'€E....:.s.r..t t:.s s t t..s a... VSK ST CO OT-fit M ft-AEE i r t..t. PRIl1 COL LST PAY, TOTAL HAL..... CI T CRILLOISALVATORE M 623423 tolit CRI{LI�MALVAATORRE �p 253 ACC 10-%-19 €01.40 251.40 1 CRILLOISA UTORE A 6231i9 10111 CRILLO#SALVATORE 203 ACC 10-06-94 422.74 422.14 1 CRILLMALVATORE W 654219 14101 CRIMKRINIKE L 203 15 -11 00.00 80,04 1 603240 10101 94I84iKI'MARLM 203 WK 06-01-" 141.00 141.00 1 019981.01HAKAN 1 699623 14141 CAtML1'URLA54 203 Vic 97-41-19 45.00 50.00 1 CRI4€i1OL4,1 PL I 563669 19141 94MMCEORCE 203 UK 09-93-98 52.25 $1.25 1 CROKMR+102AROA L $72211 19141. CRUKETTsGEOME 203 UNC 10-27-94 53.44 53.44 1 CROKETTMIAl1AA L 661914 10141 CR5 4.€UK*CE 203 VII 06-24-40 243.32 243.32 1 GRONtLANKENCE R 549302 14101 CROT15„JAY 203 VK 03-11-99 246." 206,90 1 5403'45 10101 S TREJAYY �w 243 41 03"11-99 155.30 155.30 1 GROWW # C 589625 10191 OROT�2HIJAY 203 03-11-91 263.51 265.51 1 idi:rjAYC 531454 10101 611OTTKEtKTTY 203 We 03-1€-99 100.90 141.84 1 POTTKE&ITY L 625258 10141 WTKE,41ETTY 203 1N4C 10.13-19 302.00 302.04 1 CROTTKE#BETTY L 355462 10101 4RUE#4'"m 20315110 06-10-18 114.00 110.00 1 CMs4ANNAH " 589385 14141 CR4U.Afm 203 O54C 03-11-91 92.00 92.40 1 563400 19101 ,CR41THAMAKE88Ai 243 47-21-98 98.49 98.94 1 GRUTWtVANESSA A 563407 10141 &RBT4IAB.VA44ESSA 203 UC 07-21-14 133.04 133.00 1 $64416 14141 CR0m.IA�SA 203 41110 09-23-93 135.00 135.40 1 CRUTNAMAi ESSA A 610734 14101 CRlSTY€AN,VAN.9SA 203 mc 07.0-" 906.15 946.13 1 CR41TWIVANESSA A 564130 14101 C41AOAMIRso 203 UK 07-09-94 1643.94 1645.94 1 363214 10101 GUAMMISUBAN 203 UK 01-21-98 18.00 92.00 2 Ct UCA0,898AR J 5"254 10101 900"tMAK 203 we 03-11-" 119.50 119.50 1 C11ASAMIMAN J 6471'25 19101 WERRERO ANA A 203 wc 06.28-99 148.50 50.90 148.30 1 581679 20141 &1MMOARITZA 203 ac 03-11-91 173.40 173.00 1 6125114 20101 GVERREROMIT'IA 203 551'10 07-22-11 572;80 572..80 1 688966 10101 CUILLORY►A1 EV SAMEL 203 UK 91-17-01 44.30 44.40 1 674639 1014€ C#117A14ESUS 293`#1!14: 09-18-00 178:54 150.0010.56-40 28.50 1 54218.6 10141. CiiRi1 AYAtMACE 203 UK 04-2t-" 44.00 89.00 1 C11RMYAAEORCE P 554550 145101 CUR1K AYA#FORCE 203 UNC 06-10-18 42.00 12.00 1 C#1RLR# AISEME P 691722 10101 WSTE41f441'ELL 293 OEC 02.01-01 349.13 09-14-U 349.13 1 779440 14141 WSTERSIAZELL 203 BEC 02-21-03 365.62 363.62 1 60042 10101 C11THRIE.JKtA 203 UK 06-€1-11 231.00 237.00 1 HEALTH SERVICES HITE-OFF REP T GATE=07 Jul 2403 PAGE'- 40 11UTO8........ CLIERM.. MANE.......................... Oft ST Cl OT-! I# P1 14Sr' tl ,.,... P€IN COL €OT PAY. TOTAL 8l1t.4...t CAT HETTELLrNMISSA 542664 t0101 6UTHR€£MITH 203 UNC 04-29-98 €98.30 190.50 1 GUTTUIIEtKEITH A 554857 10101 4UTH11IEMITH 203 w 06-W13 21537.56 21537.36 1 CUT1 IEMITH A =361 10101 CUTMIEt1(M 203 U11C 06-IO-18 €33.30 133.00 1 WTHRIGNEITH A 563304 1014€ CUTH81EtKUTH 203 UNC 07-21-98 €33.40 133.00 1 CU1THRIE,KEITH A 342678 10101 WTHRIEMITH A 203 at 04.29-98 €43.84 143.80 1 391166 1010€ CUTH8IEt8E1TH A 203 MEC 03-22-99 144.73 144.75 1 766892 10101 GUT11rMt113111A 203 UK 08-29-02 103.50 €03.00 1 7'M0 10141 UTIERREWOM O 203 UHC 10 02 1218.65 1218.65 1 741686 1010t CUT1E IJ0SE 203 UNC 03-20-03 131.00 131.00 1 726397 10101 60T1E318E2:JOAN 203 UK 11-08-01 W." 1664.90 1 74MII 10149 CUTIENEZY,f N 4A811IEL 201 ACC 04-17-02 61.40 61.40 € 590762 10€11 6UTIERRE2tJUAN MANUEL 203 UMC 03-22-99 39.90 39.90 1 590910 113111 CUTI1~1111E17JUN NA11M 203 UHC 03-22-94 135.04 138.00 1 448477 1411.1 C€€TIEyE#tET�H.}� IBCA} 20€ ACC 04-11-00 97.50 97.50 1 CUTIERRE2t19ENICA L. 661452 14111, 6UTIERKIr€OMICA 201 ACC 06620-00 27.30 27.30 1 40TIER1E2t31OKICA L 674321 €0111 GUTIEI TM4ICA 201 ACC 09-18-00 €03.14 103.10 1 GUTT UMNICA L 582051 10141 411TIME2tPETER 203 UHC 01-20`99 137.36 137.36 1 OUTIEROEMNE8RYL K 590851 10101 CUTI 1tEZATER 203 mc 03v-22°99 112.74 192.74 1 605969 1010€ WIER1EIaSA1108A 203 me 06-11-9t 16.40 16.04 Mal-Am J 683431 10101 C11TIERREMINEON 203 UNC 12-28.40 25.00 $5.00 1 CUTIME1,81 ON C 555803 14101 1112 1.A110A1110 203 UNC 06-10-98 103.04 105.00 1 CUIMMENEOIH0 752440 14141 41f111A11rCOLLEEH V 203 U11C 06-14-02 1480.40 1080.00 1 538561 1410t 411lmi'SAMUEL 203 WK 06-18-98 %00 92.00 1 590939 14141 &IMMAWL 203 UHC W22-99 36.00 36.40 1 609446 10141 4U219W SANUEL 203 UHC 07-09- 445.50 485.50 1 &U211A11tTAHIA 590827 14141 HWIELO.AHY MIRELL 203 UNC 03-2E-99 566.69 366.69 1 $63180 13#14€ HAMLOCtt,JOSEPHIHE 203 WC 01-21-98 141.00 141.00 1 50W 10141 HA4ENLOCKASEPHIHE 203 wc 07-21.98 1015.30 1015.30 1 514294 10141 HACENLOCK AMPHINE 203 U11C It-W911 112.00 112.00 1 594763 10141 HA4 :OCIWOSEPHIHE 203 WC 03-22.99 12.29 12 :E9 1 581755 10141 tH3AI Sf.B}A�1ltYDY{f��tr 203 U11C 0i-20-99 329.04 329.00 1 HAINEMNA�tO11NE 0 58 7 10101 HAINEStRA11T€Y 203 UNC 01-20-99 107.50 101.54 1 HAINUMAVOWE N 647283 14101 HAINESOR NDY 203 UNC 04-18-00 177.50 177.50 1 HA€jar$HAU1Ui11E N 56110 10101 HA1SO1 WOSEPH f 203 Uoc 01-24-" 88#.49 688.41 1 590745 €0101 13A8OLA J1111E1'11 E 203 ac 03-22-99 116.00 116.00 € 590792 1011?€ HA1At.1OOEP11 E 203 UHC 03-22-" 226.50 226.30 1 700126 101" MA#tOLMA1111Y 201 ACC 04-26-01 96.04 98.00 1 HEALTH SERVICES VRITE-M MST aATEM Jul 2003 PACEx 41 M �fa3yy y�y y /3�y- �.( �3{yrt3 Aµrti PAY. {� ay<3 1aW' �T##RY%.alts% CLIE*T1#... NAME...%........tiirt#Y%asfiif. x ST Co Jas-ASSR40 •* As-j bill. �1* CIL Lf%} PAY. TOTAL L..... CK BISHOPMODY L 702366 10199 HA1t0t:AtTAN Y 201 ACC 05410-01 92.00 9200 1 8ISWP:KNOY L 690717 10101 HALA911KAN 203 UNC 02-07-01 92.00 92.00 1 HALASLISEAN P 592566 total HALEY'SCOUR 243 UK 01-20-" 140.60 140.60 1 71t435 10199 HALWA11E8 201 ACC 08-30.01 48.00 44=00 1 HALL,JAM R 100461 101" RA&LEONARO 201 Act 0"6-01 20.28 20.28 1 544739 total HARB1 i'INKRT 203 UNC 05-17-49 157.00 157.00 1 HAICNWIP`fAHY R 600244 total RATt1RlMIOMT 203 VIC 05-11744 337.58 337.50 1 HAMMUJIffANY R 604M 18181 HANBMsROVERT 203 00C 06-11-94 4152.45 4152.45 1 RA8M,TIFFANY R 605399 total HARBiH1CtRGURT 243 VIC 0611-94 107.50 107.60 1 HMBM,TIFFAKY R 606175 total RAl18MtR08Ei1T 203 MK 0b"--11- 202.50 202.50 1 HAMUKJIFFANY R 602910 total RA1!1 11CrTIf1:ANY 203 URC 06-04-99 2614.74 2614.78 1 603094 total RA#1 MrTIfFANY 203 TNS 06-11`99 134.00 134.00 1 6m total t1AR811NC:T1ffANY 203 UNC Writ-" 1776.29 1776."x'9 1 543204 total HAMILTOMICHAEL NICHOLAS 203 UK 04-24-18 101.12 107.12 1 5969I5 total RAWILTOl1MCNAEL NICHOLAS 243 QIK 05-104-99 883.11 883.17 1 769051 10101 HARILTiNItRYAN 203 OEC 10-07-02 246.00 246.00 1 HANILIONt1tYAN L 397814 total WMILTON"YAN1r95A 2031K 05-04-99 27.50 27150 1 NAKILTTN1MMSA 0 732461 total RAWTOWNTRONY H 2113 UNC 06-10.12 29'II!.93 29521193 1 705361 tonal HAVIONtJEANK L 203 VK 06-12-01 184.52 180.52 1 581944 10101 HAl1PTONfPATRltx 8 203 t1NC 01-20-" 381.18 381.10 1 382339 total HANPTONfPATAKK 13 203 UK 01-2a-99` 104.44 106.44 1 582418 10101 HAIPT'OWAT M 0 203 ac 01-20-" 145.21 143.25 1 582632 total MAPTUIPATRICR 0 203 UNC 01-20-99 525.50 325.50 1 660381 total HAW#1N ATRICK B 203 VIC 06-20-00 796.02 796.02 1 773135 total HANCEAEKA CII 203 UK 11-27-02 522%70 522.70 1 RANCEfFR1r1l£RIC1( 0 744449 10101 MANCExfREI ICN 9 203 11NC 04-t2-a2 166.50 166.50 1 641922 10101 HANG1.OYD E 203 9AlI 03-17-00 1477.42 1477.92 1 58.524 total HAN11IlstJORN>A 203 €1NC 01.20-" 424.30 424.30 1 541714 total RAMIN8IA" A 203 We 01.20.44 364.44 364.44 1 582114 total MAKINSIAM A 203 w 01-20-49 1055.0 10351160 1 582534 total HAM N9 A N A 203 we 01-20-" 583.64 583.09 1 $81474 Will MULEY,31RTliTOETTE 203 to 01-20-49 10940 109.80 1 HANL MENNAOCTTE J 590932 10111 RANLEY+T1E3ti1A0ETTE 203 WK 03-22-44 MOO 50.00 02-28-03 42.00 1 RAMLEY r KROA$ETT E J 391023 10111€ HAKLEVYIENNADETTE 243 UNC 03-22-94 12►06 5.68 01'21-03 6.34 1 RTiN1 EY r11 RMKTTE J 591162 Witt 11l*LE't.KMA TTE 2031191 03-2249 151.44 151.44 1 RAKMARNADETTE J 631420 10101 RAN Y&KNAOET TE 203 UK Ot-04-00 921.09 421.04 1 HAOMr88R UTTE J 773114 10101 HANLEYrBERNAKTTE 203 UK 11-27-02 268.00 264.00 1 HEALTH 8EME8 WRITE-DFF NEWT WE107 Jul 2003 pm; 42 (;µ4 %y {(y;y{ y wyA/�(yR� {y%%�{k�{t y[ �.Fy TOTAL CUUTC vAl7E.%44...4..ttkk......:tktt. DSS VT 0 IT-4SSIGM r^ SjCXt*4*.. PRIM Rini `ST PAY. TOTAL IAL..... CKT 1IAKL£Y'r8E71NA11ETTE J 581603 10101 I€MALMA, 203 UK 711-20^99 62.00 62.00 1 580085 10101 murALM 203 fmc 01-20-99 124%00 124.00 1 582782 total HARNrALPM 203 UK 01-m-" 62.00 62,00 1 582635 total FtWALPRA 203 71NC 01--20-49 92.00 92.00 1 581878 101101 11AMrR73WT 203 7K 01-24-99 19.30 15E.50 1 581883 10141 HAMIR WT 203 UNC 01-20-19 451.95 401.10 l 582065 total HAMIR0KRT 203 UK 51-20.49 72.00 72.00 1 MIS total HANWIMENT 203 UNC 01-20x94 252.24 252.24 1 582256 10101 RA stWIT 203 #010 01-20394 M.50 233.50 1 59386 10101 HAMIROKAT 203 UK 731-20-99 141.00 141400 t 728291 !0149 HANM'VICKI L 201 !CC 11-20-01 99.00 48.00 1 H M,Vl7'.RI L 583460 total HA770I&NICHAEL 203 73740 026.1141-" 102.95 583836 10101 MWIMIC47AU 203 71170 W04-" 132.20 132.20 1 31AR$IVINICHAE7. 0 583875 total HAR0I7l UNAEL 203 UK 02-04-99 140.40 140.40 1 HAMN:NICHAEL 8 59'4851 10101 HhR01Nr3IMEL 203 UNC 03-17-" 2.52.48 258.48 1 HAROIN A CHAEL D 583821 10101 HAROM MIT74 C 203 w 02-04.19 177%44 117.44 1 583347 10101 HARDINGfKATHY 203 UK 02-04-99 144.30 104.30 1 M"11K,KATHY A 5W72 10101 HARDINIVKATHY 203 iN4C 02-04--49 190.70 190470 1 NAfIUK'KATHY A 583343 total 77ANOIUMTHY 2113 VIK 02-04-" 184430 184.30 1 ##AR8TIMIXATHY A 583440 total HARalNOI A H'Y 203 UK 021-04x94 100.20 100.20 1 HANOIKIKAT`RY A 58350'4 lalol HAROIII MTHY 203 INK 02-04`49 756.54 756.54 1 NAR'0IN7.LATHY A $83579 total HAR0T7+KIMTHY 203 71MC 02-04-99 13.20 13.20 1 HARRINCsKATHY A 583679 total MOINGMTHY 203 MK 02-04-" 75400 75.04 1 HAMIK:77ATHY A 58304 10241 HARBIII&rKATHY 2.03 QKC 02-04-49 77.00 77.00 1 HAR11UCKATHY A 583743 10101 MROINGMTHY 203 VIIC 02-04-49 104.30 104.30 1 HAR01I IKATHY A 583795 total HAR0IN7YrI7ATl7Y 203 7#RC 02-0499 92.09 92.00 1 HAR0IN"KATHY A 583805 Calot HMINCtIATRY 203 MK 732-04-44 284.40 284.40 1 HAR0TR6MTHY A 583697 total HARDI7t7iM NY A 203 UK U-04--99 1059.70 1+039.70 1 660709 141ot HARKIRRrNSIMU 203 UK 06-20-00 24.01 24.01 1 563341 total SAUU RAT'7#I.EEN L 203 7€Nc 07-21-16 673475 673%75 1 584240 total HARI€AN UTHLUM L 203 UNC 02-04-49 211.00 211.00 1 760084 total HAR44G7rtEAi 203 IM 07-11-01 245.00 293.40 1 714864 total HAR0.7.ANCE 203 UNC 09-13-771 165.50 165.50 1 MUrLOM W 772490 total HAR CARLANO 203 w 11-23-02 168.83 168.83 1 HARPEMARLANB 8 584131 10101 HARPS *JMY 9 203 UK 02-0499 69.80 69.80 1 HEALTH SERVICES VRITEMOFF REPORT DATE+07 Jail 2003 PAGE1 43 K8TU........ CLIEHT4... RSX ST CD I3-486101 t ASSIG... i. PAIR COL LST PAY. TOTAL DAL...}. CKT 584477 10101 HARP'ER2JERRY G 203 URC 1321.04-99 12.00 72.00 1 584129 10101 HARPI RJERRY 0 203 13110 02-04-99 441.40 447.00 1 384299 total HARRER.JERRY C 203 UK 02-44-94 109.00 109.00 1 594305 10141 HAWIRtJERRY C 203 UK 02--44-99 99.40 99.80 1 084307 10141 HARM"JERRY C 203 UNC 0204-" 214.50 214.50 1 584183 10141 HARPERIJERRY C 203 AMC 02-04-99 62.00 62.00 1 584656 11#101 HARKMERRY C 203 URC 02-04-99 99.$0 99.80 1 7411463 total HARPU LEE ANN 203 UNC 05-18-02 53816.31 53815.34 1 764107 t4I41 HAW94EE AN 203 me 08-0$-02 98.00 99.00 1 764224 tolot HAREtLEE ANN 203 UK 08-0$-0E 458.94 458.94 1 5113942 101131 HARRELL,NITCH£LL 0 203 UIIC R-04-99 290.57 290.57 1 584060 total HARRE1633ITCHELL 4 203 ISE 02-04-99 173.00 173.00 1 584328 total HARREIUNITCHELL 4 203UK02-04-91 152.10 152.10 1 5$= 10101 HARRIS:CHRISTINE 203 WC 02-04-99 1390.41 1390.41 1 ItA<I�HA1.1.t11AR� J 583#47 10101 HARRIS.CHRISTIHE 203 URC 02.04-f9 281.00 261.00 1 1#liRR18.C#tRISTIBE 1! 584202 10101, HARRIS CHRISTIME 203 UNC 02-04.99 302.10 302.10 1 ItAROI'SrC13RI3TI1+lE 3€ 584347 10101 HARRIStCHRISTINE 203 WK 0204-99 21.30 21.50 1 HARRIS�CHRi$TIHE 14 584412 1010# HARRI'S40RISTI1IE 243 Ut1C 02-04"99 80.00 80.04 1 HARRIS't1HRISTIIIE Il 584581 10101 HAIIRIS:CHRISTIRE 203 UNC 02.04 99 107.50 107.50 1 HARRI&CHRISTIRE K 594590 total HARRIS:CHRISTINE 243 UNC 02-04-" 474.90 470.94 1 HARR1StCHRISTINE 4 584630 10101 MARRISYCO18TIVE 203 URC 0204-99 107.50 107.50 1 HARRIS►CHRISTIME H 594633 10101 HARRI8.041 STINE 243 UNC 0204-99 7993.52 7993.52 1 HARRI&CHRISTIIIE 14 5$4642 10141 HARRIStCHRISTIME 203 L41C 02-0449 353.34 353.84 1 HARRi04HRI'STIRE R 601453 10101 HARRI&CHRISTINE 203 WK 06-48-99 1164.51 1164.37 1 HARRIS:CHRISTINE 11 618500 10101 HARRISt1tIR11STIHE 203IIHC 08.14-" 523.% 523.96 1 KCGYt R4RIO631A E 738025 10199 HARR1MOSERT 201 ACC 002--27-42 64.00 60.00 1 HARRIStAWAT F 591159 14111 HARRIStRIDERT FRANK 203 ACC 01-22-99 306.44 306.40 1 HARRISrROKR F 714102 10199 HARRISrR01tE13T FRAM 201 ACC 09-13-•01 9$.00 98.00 1 HARRISrROSERT F 735978 10199 HARRIStRWERT FRAM( 201 ACC 01-23-02 54.90 54.90 1 HARRIStROI1ERT F 590858 10141 HARRIStTASHARA MARIE 203 URC 01-=22-" 196.04 196.04 1 590455 tt114t 1ARRISITA " MARIE 203 WK 03-2299 112.36 172.36 1 584179 10101 HARAIWIKTTY 203 WK 02.04-99 741.04 303.2104-24-0 397.79 1 722495 14199 HARRISONsCNRISTOPHE 201 A& 1"" 91 In 81.48 1 597747 14111 HARRIS04RE0 P 203 ACC 05-W" 428;44 429.44 1 597889 10111 HARR181 ,FREDP 203 A" "-" 105000 105.00 1 6004$3 10111 HARRI81,FREO P 203 ACC 05-11-" 551.30 251.30 1 604573 10111 HARRtS41 FRED P 203 ACC 05-17-99 1764.60 1789.60 1 $13993 total HARTtsm R 203 1160 02-44-94 782.51 50.00 11-16-01 712.59 1 HEALTH NVICES ITE-OFF REPORT 4ATE401 Jul 2003 PACE4 44 MT*.*.**** CLIEKT4... HARE:..}..i..,?...};..}....... 091 8T CO $T-A38161 N-ASSICK...... PRIM CO€. LOT FAY. TOTAL SAL..... CKT 631923 total HARTLEYx40$8Y 203 U 01-04-0 who 90.00 1 HAOTI,EY t I$tA#I fl 661015 t414t HARTLEY,WRY 243 UNC 06-2040 422.0 92.44 1 HARTLEY1181AN 11 584444 total HART €x3AHIE 203 UNC 42-04-99 342.60 342.60 1 584540 total HARTNAN-4ANIE 203 WK 02-04-19 379.84 371.84 1 88461€ total HAOT11AHIMIE 203 WK 02-04-41 672.97 672.19 1 58466 total HARTNA04ANIE 203 UK 02-04-99 125.10 125.10 1 631158 total HART&LAOARREL 203 UK 41.04.04 25.00 25. 0 1 660180 total HARTSUCKINE A 203 BAH WN-00 €433.21 1033.21 1 590742 total HARTOEWOAIiNVA4L 203 VIIC 03-22.11 1080.60 1080.60 1 HARTIIELL t OA#I4I19AUL 0 584273 10101 ItA1YI1nL,0ANWVAVL 4 203 mc 02M04-19 293.41 293.49 l 558635 14101 mmy'CHARLES A 203 W 06-18.18 618.32 699.72 € 352016 10101 HARVEY CHARLES A 203 WC 07 01-98 583.80 583}84 1 352129 10101 HARYEY10 0LE0 A 203 UK 09-0-9I€ 80.01E 80.40 1 5831P total HARYEY=CWLES A 203 UK 02-44-99 80.04 84.00 1 683'373 10101 HAOVEYxt1EN VE4STER 243 VK 0-28-00 130. 0 50.00 06-17-02 138.00 l 132371 10€" MARVEYINEEM 201 ACC 01"04`02 85.00 85.44 1 732466 total MARVEY#BRIE 203 w tt_ -02 18.00 18.40 1 NAR9EY'tSl€E RIE R 732023 10101 HAVEYrTENA 203 UK 11-22.02 €319.00 €318.04 1 HA EYtTEkA L 583118 1014€ H&TTWvK£11N 0 203 VIC 02-04.19 773.94 773,94 1 583176 10141 HAT'MIKEYIH 0 203 UNC 02-04-49 80.00 $0.00 l 5#4281 total HAT€ ►K£1IK 0 203 UNC -04-" 150.13 150.13 t 54341 total HATTRUP4 % 0 203 1110 02-°04-"74 358.00 358.00 1 5&4310 14101 HATTKVf,fEVIN 0 203 VK 02-04-19 133.00 133.00 1 600613 10141 HATT'RIO'AVIS 4 203 UK 03-11-" 402.30 402.50 1 651+503 t41o1 HAVERJELL WIUAEL 203 UK 06-20-00 4456.05 4456.45 1 655913 total HAMOOTNtONEVIA 8 203 0112 07-10-00 2106.36 2106.38 1 791961 total HANKIWMTHERINE ANN 203 wc 06-10°02 202.59 202.50 1 124782 14191 L 201 'ACC 09'27-01 34.90 54.10 1 653273 14111 PAYIEN C.0"IE ££ 243 UNC 03-11- 146.00 146.04 1 HAYIENtt.iiR 1f, L 771029 total HAUE04ONMIE 243 WC 02-10-03 1385.95 1789.15 1 HAYIE&CONNIE L 711726 14119 HAYEWAK6 201 ACG 08-WOI 79.00 "x00 1 HAYE84A: E 173235 total HAYEStROVAt4 T 203 IIHC 11-27.02 779.00 779.04 1 543313 total HAILEMITROY 243 at 04.21-98 135.04 135.40 1 HAZI.ETOtTROY A 584559 1010€ HAILETUI:TROY 203 Vic 02-04-1 501.15 $01.15 1 HAILETONrTROY A 599045 10101 HEAR0,ULD 8 243 w 04-25.01 M.40 955.40 1 590771 total REATNJINTRY 0 E03 wc 03-22-'19 227.76 227.14 1 6432I9 total NEINJA11IEL J 203 m WW" 1034.83 1039.83 1 661374 total RM&CHARLES 203 VI€C 06-24.00 11.90 11.9 1 HELKICHARLES N 63"04 total NELIMANN 243 w 0620-00 313.04 313.40 1 €€ELZERxA€M N 596855 10141 HERENiAYtOALE C 203 at 05-04-99 2137.47 2137.47 1 316974 total HENMAY4A€.E 4 243 WC 05.04-99 $28.60 5.29.60 1 517417 10141 HENEWAYx4ALE 6 203 WC W04-19 13;1.00 133.00 1 MALTH SERVICES VRITE-OFF REPORT 11ATEM Jul 2003 PACE; 45 CLIE4T8#.A 19K ST 0 OT-ASSIGN s## ASBIGIf....f PRIN CUL LST PAY. TOTAL DAL..... CN 645118 total MENEWAYJALE C 203 UMC Wil 11 278.90 278.10 t 605811 14141 I#EMNMY I BALE C 203 WK 06-t1-11 267.00 267.00 1 616757 10101 HENDENSWALPHON80 203 WK 08-14-99 501.80 509.80 1 60184 10141 #E4DERSOMIALP1 MO 203 we 06-24-11 389. 0 389.00 t 617148 total HENK"UN:ALPHONSO 203 VK 08-14:92 969.00 961.40 1 590930 t0141 HENDERSON,J0V&N 203 UK 03.22~19 138.68 188.68 1 590976 10141 MENDEAGNIJOV0 203 U4C 03-22-99 321.00 337.04 t 391003 14101 HE413ER'3ON40VAN 203 UK 03-22-91 216.30 816.30 1 591101 total HE88ERMIJOVAN 203 WK 03.22-99 327.90 327.10 1 591132 total ft-M4fJUVAN 203 UK 03-`22-99 273.90 273.90 l 591278 total MENDER1I44:J09A4 203 UNC 03-22-91 233.30 833.30 1 596824 10141 1IENDERMLAW t 203 UK 05-04-91 903=74 M.74 l 9 total HEMEROMMIN YVETTE 203 UK 06-11-99 338.00 333.00 1 771656 total NEWAa14rR48I4 YVETTE 203 UNC t1-21-42 267.14 267.74 1 779841 10101 It NER85 iR5 IR YVETTE 203 UNC 02:11-03 934.90 938.40 1 745484 10101 HE40RICi 408TOR EMANUEL 203 Kc 06-14-41 1661.21 1467.21 1 511148 10101 HER41tiCItSI AICR Y 243 UK 03-22-19 91.50 91.30 1 891277 total HtMICM*RIC#19 203 Vic 113-22-99 384.30 330.314 1 723411 tolot MENDRICKSON,500OLIA 203 USC 10-15-41 79.00 79.80 1 RENDRICKSOMM .IA 4 590889 14101 II wsotffL;uoy 203 UK 03°22.199 16#44 16.40 1 IIE1 SEMELODY L 773323 total REMMICRARLES 203 UNC 11-E7-02 508.33 309.33 1 890710 total MEMYrIK"M M 203 UK 03-22--99 MAD 131.48 1 590902 total HENRY.TREVORK 8 203 UK 43-22~49 211.75 211.76 1 591108 10141 HEIMY,TAEMAE N 243 UNC 03-22-19 111.34 117.34 1 620255 total HERDEMLAVANIA 203 UK 09-10-91 222#00 222.00 1 654099 total HERNANDEZ.ANALIA 203 we 06-20-00 353.0 02-05~-02 333.44 1 689411 total HER4A SEII37f77ti.IA 203 AMC 41-11-01 892.36 892.36 1 85I1408 total IIER1IA40EZ�ARA 203 VIIC 05-18-96 732.30 732.50 1 562073 10141 NER41DEZfAIIA 203 U4C 07-09-98 309.81 309.81 1 560493 total ME AIOEI'AIIA 203 UNC 09-23-18 216.30 216.30 1 590142 total HERNAADEZ44A 203 UNC 03-22-99 43.00 43.00 1 561503 total KR#iA4KZf8IUt8ARA T 203 UK 07-49-98 133.00 135.00 1 590723 10101 HERNAWrIARIARA T 203 U4C 03-22-99 3043.0.2 3043.02 1 562045 total H RMW11CAROL R 203 WC 07-41-18 9740 97.84 1 $91121 total HERRAROEX,CAROL R 203 UNC 03-22-11 734.30 734.30 1 650935 total IIERMUDEZ=CELIA 203 UNC 04-2I1 122.60 122.60 1 737852 10101 HERM ZY1106COR4 203 UNC 02-27--02 87.28 55.00 03-11-03 32.28 1 584047 10101 HERM tEZfIELIPE 203 WIC 02-04-19 133.00 135.00 1 584476 tolot HER4A110EIsEELIFE 203 UK 02-04-99 M1.05 160.05 1 U4212 total NEUMVE3sFELIPE 203 U11C 02-04-91 133.00 133.00 1 $84335 total HER #iaEWELIPE 203 WC 02-04-91 214.17 214.17 1 584314 total HERNAMWELIPE 203 UMC 02-04-19 140.57 140.51 1 584617 total 141rR11MZ FELIPE 203:UK 02-04-19 ITW.26 17662.26 1 596140 total HER4A413E1rFELIPE 203 UK 05-04-'99 365.33 563.53 1 HERMSEWIRIAN J 892218 10101 KRli EZ401ER 203 UK 03-319'9 98.40 98.00 1 650404 total HERNAI EZ:JAVIER 203 UK 04-21.00 78.40 76.00 1 592012 total NER4A40EWORN 203 UK 03-31-19 115.50 115.50 1 592109 10101 HERRMSE1409 103 UK 03-31-99 226#30 226.50 1 MERNMEIfRAI OM 592.310 10101 '1#EMNDEZ Y JM 203 UNC 0331.99 536.90 5316.10 1 HEALTH SERVICES IIRITE-*T t1EP12RT UTII07 Jul 2003 Mal 46 1KI .......i CLIE44T14... NAM......t........t....t t.,.. 058' 8T C9 OT-A IN P*-ASSIGN...... PRI41 COL LST PAY. TOTAL VAL..... CKT 41ERNAME1s10014A 711770 10194 IIERMOMrJOK 201 ACS 983o-91 85.0 83.00 1 41ERINDEIoJOSE A 759770 19101 41E1tl18410EI.44ARIA 203 WK 07-11-02 334.50 339.50 1 592323 total 11ERNAROEI:IIA1tISE4. 20311140 -11-" 15.21 t5o.21 1 597653 total ff"Wil ,9ARI14EL 203 UNC W0499 142.0 182.00 1 592x82 total 11ERRt1141 MMICHAEI 203 41415 03'31-'74 620.46 620.46 1 7T'S715 19101 41ER31AROIrZ.01~ELIA 203 14110 01-10-03 14813.06 1431546 1 $58322 10101 41ER41 9MPAT'RICIA 203 $140 06-18--98 214.00 214.00 1 HER14AUEl:PATRUTA A 53$388 10101 I4ERtOUZIPATRICIA 203 WC 06-18-98 412.50 412.50 1 HER1t NIMPATRICIA A 39433 WIN HE1 AWIaPATILIA 203 we 06-19-" 926.64 926.90 1 #I MA#KIsPATR1CIA A 351168$ 10101 HERNANDEZ,PATRICIA 203 we 06-11198 16.31 16.51 1 REHANKI&ATRICIA A 732544 10101 HERNAMM<E-1 PATRICIA 203 UK 01-04-02 482.89 9822.89 1 ALLEIa.0Ati1Et. E 756439 111103 "E"AMI'PATRICIA A 203 WK 05-24-42 13'7.00 139.00 1 598930 10111 HERMIOMPEORD 203 ACC 05-1799 15226.01 15226.01 1 $49219 10111 HERNANOEI.PEDRO 203 ACC 05-17-" 36'720.73 36924.75 1 602791 113111 #IERNM1$EZ:PE21R11 2.03 ASC 06-08-99 464.00 464.00 1 6112004 10111 HERNA410MPE0110 203 Ace 0638-94 1298,19 1248.19 ' 1 692923 10111 RER14AN0EI.PEDRO 203 ACC 96-08-99 282.00 282.00 1 602843 10111 41ERRA#OEI.PEOR9 203 ACC 06-0894 1327.48 132M3 1 602874 10111. NERNAIME1,PEON 203 ACS 06"0899 582.94 $92.94 1 602923 10111 41EMANDE1*PEORO 203 ACC 06-0899 133.014 133.00 1 602972 10111 KRNA148E l*PENO 203 14CC 06-138-99 3$5.54 383.54 1 603021 10111 HER42A1411MPEQRO 203 ACS 06-0899 212.00 212.00 1 603070 10111 41ERNA KI*PEORO 203 ASC 06-01199 307.30 397.30 1 603164 10111 4IERMUZIMM 203 ACC 06-08-99 4258.10 4258.10 1 603167 10111 41ERN#141 tPEORO 203 ASC 06^'9899 1139.00 1258.00 1 603172 10111 MERNAROEIsPEORD 203 ACC 06-014.49 1054..33 1054.33 1 603205 MAI NERt114140EI.PEING 203 ACC 06.08-99 14314.45 14314.45 1 603213 10111 HERMUMPEOR11 +203 ACC 06-08-'79 405.80 405.30 1 603216 10111 4ER1#A140E1.PEORD 203 ACC 06-U-" 141.00 141.40 1 603217 10111 HEMSEZIPENO 203 ACC 06-0-99 188.311 188.50 1 603262 10111 HE#tItANI tPEOR14 203 ACC 06-X08-'7'9 541.28 341.28 1 603265 10111 44ERWIEZtPEORD 293 ASC 06-08-" 133.00 133.00 1 603315 29111 HER46tUEZIPE14R0 203 ASC 06.0894 478.30 478.30 1 592083 10101 HERNA440EI.RA,MOM 203 WK 033199 228.9!1 229.90 1 624285 141131 41ER1OKIOROKCCA 14 203 €K 114-06-" 1761.90 1761.90 I 689520 29101 11ERRER SANDRA 203 we 01-17-91 259.99 254.00 1 REAREMISANDRA A 7'7556T 191141 1E140EMIP.4IM 2. UNC 01-10-03 145.09 143.00 1 NEUSEMAICHAR0 0 606171 10101 RUMA#fJUDY 203 UK Wit-" 21.00 21.09 1 542354 10101 91W.41A10.ENE 2031#NC 03-31-99 $8$.94 588.99 ? 592397 total HIMMARLM 203 UK 03-31-99 521,50 122.50 5471TI 10101 HICKSIMARME 203 w 05.04-49 97.44 97.40 397330 total HIMI 4ARLEK 203 #1NC 05-04-'99 144.00 194.00 $62318 10211 F4TIR44MAM 0 203 1K 07_09=98 14766.06 14766.06 594446 101#41 HICKSrWK D 203 URC 05-W" 994.53 994.55 316879 10101 HICKBINARK 0 203 i1NC W0489 2273.32 2273.32 HEALTH 8E111+ICES ITE-OFF 11EP111IT 18ATE107 Jul 1003 PACE; 47 1€ES'1 U.......: CLIENT#.x. ...x.......:x...x,........ DSW ST C1 IT-AUIGN "--AN INN...... POR COL LST PAY. TOTAL CXt 397898 14141 HICKSVIA8H & 203 UK 05-04-" 410.20 410.20 1 650872 total HIC111NAM 11 243 UK 44-88-0 291.50 291.50 1 726882 10199 HIC88t11ICHAEL 241 ACC It-u-at 13.40 13.40 1 $85443 Mot HI4ALG&SILV1A 203 UK 02-12-79 301.00 501.00 € ESWIYELt8ILY1A 612149 10101 HI NSs4AVID G 203 me 0722-99 1709,69 1709.69 1 77973E total HIGGStLINDA F 203 LI1C 02.19.43 34.20 38.20 1 530910 10141 HIMHICHAEL A 203 WK 06-18-98 514.58 516.58 1 595810 total HI51 MICHAEL A 203 UK OSb04-" 1958.44 1958.48 1 577554 1410€ HIMSYNICHAEL A 203 WC 05-04-99 €19.00 139.40 3 5478311 10101 HI'MNICHAEL A 203 WC 05-04-" 166.60 t66.60 1 643332 10101 HI11C8+111CHAEL A 203 UNC 04-17-00 323,48 328.48 1 632383 10101 HILIBRA1104101ISTOMR LEN 203 UK 01-04-0 213.80 215.90 1 6416" 10101 HILKIRAIt1F.CHRIST1MA LES 203 U 03.17-00 110.00 110.40 1 HILI MAI14.CHRIS L 116786 14199 HILL,ALSERT 201 ACC 11-W-01 34.30 34.30 € 604575 total HILL40ABLES 203 UNC 06-28--9$ 37.93 31.73 3 613374 10101 HILLICHARLES 243 we 07-27-99 3177.67 3177.67 1 613629 10101 HILL,CHA1US 203 We 072729 330.90 330.90 1 613643 141181 HILL:CHARLES 203 UK 01-27-" 644.22 694.22 1 513677 10101 MILLtOMALES 203 UK 0727-99 626.711 626.40 1 648267 14101 BHIL6CHA LES 203 WK 04-14-04 73.00 73.40 1 661701 total HILL.CH RIM 203 UNC 4k-20-00 1346 13.56 1 5'12352 10141 HILL46NNIE M 203 1HtC 03-31-99 212.7+0 212.70 1 612718 total HILL,CMIE H 203 UK 01-22-" 5472.89 5472.87 1 585662 total H1LLMNA110 P 203 WC 02-19-99 1249.50 1249.30 1 586663 10101 MILLtERVA1t0 P 243 VK 02-19-99 759.22 739.22 1 703658 10174 HILL,E8IOT 201 ACC 03-17.01 98.40 98.0#8 € 563148 10101 HILL.LA0I IA 243 UK 47-21-90 124.40 124,00 1 HILL4ADONIA H 660894 10141 H ILL;M" 203 WC 06-20-00 21.21E 21.28 € HILL.HAHY L 683496 total HILL"3TEPHAINE 203 WK 12-24-00 23.00 25,00 1 HILLMLLEY 592431 18111 HML,TAM 203 ACC 03.31-" 101.60 101.60 1 HILLITAM L 700694 14197 HILL*TE8t11Y GLEN 201 ACC 04-b-01 Woo 78.411 1 Mot 18141 HILL49IL'31H1 203 VIC 03-21-ot 219.28 219.28 1 011.6VIL511t1 L 771767 total HIKSMENVA fs 243 UNC 11.2102 9$7.05 987.45 1 746364 lot" HINKLE49F 2111 ACC 04-18-01 98.00 93.00 1 0II4U*JEF1c I 822735 10101 HIRLIIMAXIN 203 UNC 09-27-99 5,00 3.40 1 VIRLINGERMIN 9 376864 10101 HOsK81 Nm 203 VI1C 05-04.99 72.44 92.00 1 575880 total 811114HAM 203 UNC 05-04-99 324.11 324.11 1 397345 10101 Ha HHAM 203 UNC 45-04.99 145.00 195.00 1 597534 14101 havEH € 203 WC W04-99 308.0 306.00 1 597823 10141 HO,HHAR 203 WC 05-04-99 92.00 Moo 1 59Tul 10141 MIKHANK 203 UK 03-04.79 72.04 92.00 1 ".€77941 10141 ##11MANO 243 UNC 03-04-" 92. 8 92.00 € 533237 total marKMAi1H 203 UNC 0104-00 193.00 195.00 1 773734 10101 Ha1#IEVMK 203 VI1C 41-t4-03 7106.69 7106.69 1 74"1967 total #10CAHINARY 203 $AH a6-10.02 67.04 61.00 1 HEALTH SERVICES VRITE-OFF 81 PUT OATEI01 Jul 2003 PA►CEI 418 DEI OR......... CLIRTS... NAK.........t.Y...Yt......... 12SX Si CA IT-AQQICI M UGA...... PRIX ML LS TAY. TOTAL DAL..... CNT 775944 10101 HUMAN 883 BAN 01-10-03 669.10 669.10 t Norm 1 597253 total WHW TARRIE A 203 DEC 05-04-49 92.00 92.00 1 609513 total IMAMANIE A 203 DEC 01-09-" 242.44 242.44 1 609614 10101 HtMMArTANIE A 203 KC a7-04- 92.00 92.00 1 609905 10101 MMW TA IE A 203 DEC 87-09-" 811.08 211.00 1 596809 10101 WITENtimICA H 203 WK 43-04-99 374.35 374.35 1 562011 10141 HOL1HfMERVEST 203 we 07-09-98 127.80 121.80 1 562174 total MOLMA14AMEST 203 UNC 01-0-98 209.30 204.30 1 HOLMAN,ERliEBT J 5613t5 tolot HI#.0!liA4ftMEST 203 99C 09-23-" 517.00 817.00 1 HOLDRA4frERt1E8T J 59694.2 total HOLOMwENEST 203 WC 05.04-99 Moo 389.00 1 RKMAK ARNEST J 615198 total HMMxENEST 203 UNC 08-11-49 1444.50 1494.30 1 HOLOWtERKST J 597300 total HOLLAHrJEMIE L 203 UHC 05-04-99 3200.38 3200.31 1 778M 10101 HOLLAMI#rAFROMY 203 UNC 01-29-03 1420.32 1428.32 1 774901 total HOLLEY:+CATHY ASH 203 UIIC 01-06-03 950.75 450.75 1 564438 total IRUI4s:m"y 203 UK 09-23x98 20140 20.00 1 H€#LUNSI H tTH'Y E 597035 total HOLLINS►OaSOTHY 203 UK 45-04-99 62.00 62.00 1 HOLLMStMOTHY E 591476 10101 ROLLI1 BUROTHY 203 UHC 05-04-" 159.60 159.60 1 HOLLINS 400TRY E 781814 10101 HOLLIWARES 203 UMC 0320-03 234.11 234.11 1 VOLL164S M 5620" 10101 H LLOHAY:TA#lA1tI J 203 U1C 07-09-98 110.00 110.00 1 592367 10101 HOLLOii MAHAHt J 203 UK 04-05.99 159.90 159.90 1 592613 total VOLLO3iAiMAHAO1 J 203 WC 44-03-94 145.17 145.77 1 592932 total HOLL11MYITAMRI J 203 UHC 04-05-99 92.00 9$.04 1 3933 10101 HOLLOWITAMI J 203 UK 04-05-99 396.55 346.55 1 $93244 10101 HOLLO14AMAMAKI J 203 UHC 04-05.94 140.60 144.60 1 593316 10141 HOLLOWAY:TAKA1I J 203 UK 04-0-" 98.20 98.20 1 Mus total HOLLO41AY:1AWI J 203 UNC 05-23-00 195.10 195.10 1 568445 10101 HOMIYUllIE 203 VAC 09-23-91 695.44 695.44 1 BISHAIII:YURIE J 120142 10199 HO€:HESAREMY 201 ACC 09-27~01 24.50 24.50 1 HURSrUI URt 0 699221 total HOLMMAMMINE 203 UHC 04x-25-01 1147.00 1197.00 1 775941 total HOLMAKISMAMNAME 203 WC 01-10-0 91.00 41.00 1 741022 total HULTMEVEH E 203 UK 03-26-42 372.60 372.60 1 591964 10141 ROWRErSINOR 203 WC W04-" 162.50 162.30 1 H"ErSIMIN 0 609939 total HOMMItst"ON 203 V*C 07-09-99 135.00 135.00 1 MOii08ErSINDI 0 596152 total HONDKISIM 0 203 UK 05.04-99 1033.29 1033.24 1 591059 total M,MWT RGIERT 203 Vic 05-04-99 ".00 92.00 1 7871" 10101 HUOTMEM 203 UK 04-06-03 119.13 119.73 1 404340 total HOOM'r3t0H IS L 203 UK 06-11.99 821.00 881.00 1 605184 total HOOMINOH1IS L 203 w 46-11-99 210.54 280.54 1 551923 total HOMY.12 MICL E t 203 USC 05-M-00 Is". 8 1579.68 1 HOtHl11�Y.ROME 561737 10101 HOH4f88MONNIE L 203 UHC 07-04-98 1102.08 1102.08 1 HEALTH SERVICES 11RITE-OFF KMT OATEM Jul 2003 PAGE I 41 Clj }�} �{ Q sS�� ( LST �{ TOTAL y( DWOR......X 1 CLIEIITI"... VA11E.........X..X.!t%..%...i.. M ST C0T-ASS1611 ?14-ASS-IGN...... MIN COL LS` PA ♦ OTAL IAL.i... CNT 597237 10101 HOVELL10AN 203 VIC 05-04-11 117.80 117.80 1 597545 10101 HO11E1;WAN 203 URC 051.04-99 378.31 378.31 1 597886 10101 HOME, DAN 203 URC 05-04-99 610.40 610.00 1 662669 10101 1D11ELLY E 203 URC 06-20-00 62.00 62.00 1 561753 14141 HROACE114M 1 203 URC 07-09-" 130. 0 130.00 1 347742 10101 H"ACEKrTlE # J 203 U11C 05-04-99 173.00 173.00 1 60494"6 14101 11RSACEMEOR J 203 UK Wit-" 160.04 165.00 1 605202 10101 HRSACE1DEOR J 243 UHC 06-11x99 220.04 220.00 1 64861E 10101 HRSt10E1130EON j 203 UK 06-11-99 121.40 1221.40 1 64M 10101 11RSACMDEON J 203 U11C 06-11.99 387.34 381.34 1, 606374 14101 11RSACERJEON 1 243 URC 01r11-9't 177.30 177.50 1 604852 10101 HRMCMDEOM J 243 UNC 07-09*-9"4 140.70 140.70 1 618806 MCI HARACE11t0EM d 203 UNC 08-30x99 89.40 92.44 1 645045 14101 P1MOSTAYFRAKISCO 203 UK 04-11-00 610.00 610.00 1 1fi[AiiGS AYNARIA 5'96896 10141 NUMTA«FRAIICISCO 203 UK 05-44-9+9 4#13.00 903.00 1 HUAMSTA VINAR I A 597341 10101 HUAMSTAtFRAHCISCO 203 UHC 0-044V 133.00 133.00 1 HUANOS3Afi1 IA 597'460 10141 NVANOSTAYFRAKISCO 203 UK 05-04-99 80.00 80.00 1 RVANCRAINARIA 597431 10141 RVANOSTA,FRANCISCO 203 URC 05.-04x49 129.20 124.20 1 NUAWTAIMRIA 585506 10101 R1f8S1.Ry�1�YNZ01y1♦♦R 203 WIC 02-12-49 371.50 371.510 1 WISO 1KELLY D M779 10101 HUM+400 203 UK 05--04-99 W.13 659.93 1 HUOSO11r1 LLY 0 609370 14141 U11���0{ .y#M p 243 WK 4?'-09-44 110.00 110.00 1 HUM- C Min 10199 RUTS 1MILL1A11 201 ACC 09x27-01 73.44 73.40 1 HUDSONMILIAN 11 744483 10141 11KNEY,CARLA 203 1#00 04.12x02 1014.00 1414.00 1 320413 10149 H1111A111MNOTHY RAY 201 ACC 09-21-01 70.27 70.27 1 642876 10101 W)MLESIKIN 203 QK WOO.49 3018.40 3019.40 1 HIJOBLESTAIRK Y 775634 10101 HWT,MCE 203W 01-10-03 61.00 61.00 1 RUNT,,t#lM 0 593704 14101 HUNTER MY D 203 USC 04-20-" 5792.20 $792.20 1 5+14435 141111 HUNTERt Rif 0 203 UK 04-20-4R 157.00 157.00 1 594732 10101 HUNTERMY 0 903 UK 04`20-49 183.04 183.00 1 721177 10199 WJ#TERYJACK ROSS JR 201 ACC 09„27-01 '12".00 92.00 1 riVR 33•.RMCK A $931122 14101 HUtiT1.E'1. MIEL L 243 UK 04-24--94 64x40 64.00 1 544604 10141 MUNTLEMAWL L 203 UNC 44-20--94 42.00 42.00 1 543066 10101 11URT*VILLIAH 203 UNC 04-05.99 2.5.00 25.00 1 HURTYi1ILLIAW 8 586M 10101 HURTUDISEYENIX R 203 11110 0 19-49 1021.00 1021.00 1 SUM 10101 HURTUDISE.Eall R 203 UNC 02-19-99 MIA 422.18 1 SU634 10151 801VOISEYE11R R 203 UK W19-" 108.00 108.00 1 70@366 14199 11V8044ME 201 ACC 04-25-61 98.00 48.00 1 HUT8441JOYCE E 704814 10194 WON I JOYCE 901 ACC 04-26-01 80.00 80.00 1 HUTtJOYCE E 37`8281 10101 HUTSONY1ZALPH E 203 UNC 41-30-03 803.14 883.19 1 HEALTH SERVICES ITE-OFF REPORT OATEI07 Jul 2003 PA"I 50 00EOT ........ CLIE411.x. WOE........x...x...x......x x t 4810 ST C2 DT-ASSIGI 3?RIK COL LST PAY x TOTAL DAL...x* CIT 779505 14101 H30T8000.3tA3.PH E 203 UK 02.11-03 307.67 3407.67 1 714762 10101 MINNsTH3E1010IE 203 33RC 0413-01 1286.60 1286.60 1 704426 10t" NUITMENI04 ELLSVORT'H 201 ACC 05-12-01 45.00 45.00 1 H01TT3#RrE0111;11 E X8781 10101 NUOMPUMA, C 203 Mc 46-19-40 $3.0 35.00 1 559134 10101 333030:PA30ELA & 203 3030 06-19-96 (63.40 163.40 1 559327 10101 H3033'880:PMELA is 203 3#RC 06-X14-98 558.93 534.13 1 361102 10141 H1J3J8 IPlQNIA 3. 203 033#0 07-04-98 80.00 80.00 1 593830 10141 RVMOVPA3' LA G 203 INK 04-20-" 241.0 247.00 1 594282 10101 H3J30UMPAt1ELA C 203 3JOC 04.20--49 58.00 66.00 1 700447 10194 ImA.m"N 201 ACC 06-M-41 94.00 98.00 1 620657 -10101 18ARRAISALVA141 203 UK 304-10-" 163.00 163.30 1 621041 10141 IMIRMALV 1M 203 wC 09-10-49 627.58 627.58 1 632324 10101 1063 UtULVA00R 203 3J03C 0104-00 738.47 738.47 1 714907 10199 INCRA34:R31KRT 201 ACC 0427.01 100.00 100.00 1 1*4RA31.YO NA, T 543839 10101 IHTI31 FEMICO 203 33130 0420-" $41.36 841.36 1 003807 10101 INTINStFUERICO 203 UNC 0420-99 173.00 176.30 1 M63 10141 INTIU#F` RICO 203 UK 04-20-" 132.00 132.00 1 343862 10141 IRIIARRMTEVE 243 3360 04-20-" 161.00 00.00 0-15-"9 117.0 OJO 1 514130 10141 IRIIARRYMEVE 203 3361.` 04--201-49 92.00 92.00 1 994205 Mot I11I7ARRY:STEVE 203 Q%t 04.20-" SU.20 563.20 1 594M 10101 IRIIARRYr8TEVE 203 WC 04-20-" 92.000 92.00 1 5x94373 10101 IR11ARMST E 203 UNC 04.20" 215. 0 215.00 1 59462.0 10101 1811A# Y'STEVE 203 UK 0440-94 92.00 92.00 1 385147 10141 ISCH"C3 TNEY 203 QKC 02-12-19 133,00 133.00 1 585631 10101 ISCH.008RMY 203 MC 02-12-44 113.00 115.00 1 5315684 t410t ISC&COURTNEY 203 ARK 02-12-99 14142.64 10142.64 1 SU017 101311 ISCHICOURTHEY 203 01130 02-11-99 569.00 569.00 1 625323 10101 ISCHIC40JRTHEY 203 UK 14-18-94 120.95 120.95 1 358886 10101 JACM41TOINE 203 UK 06-18-928 170.54 170.54 1 594232 10101 JAUSOH:ANTOINE 2303 UK 0-20-" 1035.11 1035.17 1 59421@ 10101 JACtts05:JOSH 0 203 UNC 104-X230-99 80.00 80.00 1 594488 10101 JACKSONIAN 0 203 3I33C 04-W" 42.00 42.00 1 544577 10141 JAC3183R3.J3 31 203 0H3C 0420-94 107.00 107.00 1 713294 10101 JACR331J4 IMETH 203 01RC 09.13-01 2361.04 1381.04 1 5942$7 14101 JACKSOMY1.114A E 203 QNC 04-20-99 10.50 10.30 1 603243 10101 JACKSONsLI330A H 203 UK 06-08-" 3711.50 3771.50 1 603595 10101 JAC03UN,LINDA S 203 UNC 06-03 -'99 136.00 136.00 1 367936 10101 JACKSUMR179A 203 30I3C 0943-48 35.44 95.44 1 EVANS=DANIM C 542880 10101 JAC M04#LOOLN 203 1340 04-05-94 20.80 20.80 1 JAC31M1YIHA L 59430'94 14141 JAC30R013-t0ALCOLN 203 UK 04-�20-" 179.00 174.000 1 JA3<1€S3R1 MNA L 612048 131101 JA318S00r 0363 COLH 2003 O03C 47-U-" 409.40 409.+41 1 603103 10101 JA3K3003 MIANNA 1 2003 03HC 06$08-11 781.44 25.00 01-14-03 7516.44 1 773217 101,01 JAC 00#.R003A*NA 1 243 3430 11µ27y42 1213.87 1113.307 1 561716 10101 JAC85ONkvt*A 203 30130 07-04-18 17.64 17.69 1 JAC 3"VIM L $76116 10101 .0AS03Px3Hix#€I34A 203 VNC 11-17"98 120.60 120.60 1 3 VA3035TOAS30AM R 601163 10101, JACKSONOVINA 203 OHO: 05-24-99 2199.24 2154.20 1 JACKSOA i01HA L HEALTH SERVICES ORITE-OFF REPORT 11ATE101 Jul 2043 PAGE; Si Mif �y Clhh w�! �q f �u Y M �f f � IttUTOR........ CLIENT#..Y MME.................Xx....... 4511 S COT-A I Pli AMI . f.►1:! PAIN COL LST PAY. TOTAL Alk}.... CXT 733571 10199 JACR5OKIV.JEAN 201 ACC 01-04.02 34.54 34.50 1 JAC11SONoMEAN J 720287 14101 JAC i# 8At1A S 203 Mc 09-27-01 236.41 236.67 1 $44131 1+0101 JACU&CYNTRIA 20:3 VNC 04-2t-49 48.40 98.40 1 JACOSSrCYNTRIA A 662747 14101 JACGIS?CY#THIA 203 UNC 06-20-00 21.60 21.64 1 JACOMICYNTRIA A 552156 10111 JACOM.KE14t4ETH L 203 ACC 06-18-98 034.50 830.50 1 592496 10141 JACUS AVAL0 203 UNC 04-W" 44.44 14.00 I JACQBBtmAto A 513366 10101 JACUSORONAL0 203 #NC 04 w" 22$.5$ 228.58 1 JACO181111 ALD A 544711 1#11#1 JACOSSrlONA l 203 WK 04-20494 683.40 683.90 1 JACOB#RSI I A 594832 10101 4ACt4SS:R041A1.0 2.43 Q#C 04-20-" 447.11 447.11 1 JACMIkoi1AL4 A 6651986 10101 JA&1r*O,CYNTKIA WOREF 203 UNC 06-20-00 11.34 17.34 1 601344 14141 JACCE.RALLE ZU ac W24-" 27114.21 27114.21 1 601342 10141 JA MIXELL.E 203 O!£ 4244 163.30 168.50 1 601925 10101 JAGM#X 1,1.E 20 UK 45-24-99 227.50 27.54 1 769094 10101 J441ERILLE 203 vu 10-01-02 3391.35 3341.35 1 562090 tO14t JAR111 4ENKIFER A 203 UNC 07-49`98 302.00 302.00 1 650342 10141 JANNM►JEI4NIFER A 201 UK 06-20-00 8977.74 8477.78 1 b0128'J 14101 JANES►11A#10 C 243 i#RC 43.24-99 100.40 100.04 1 641514 10101 JA1 IUVI0 C 203 VNC 05.24-44 100.44 104.00 1 732073 101" JAKS:EOSl4ft ALLEN 111 241 ACC 01-04-02 20.56 20.55 1 543233 14141 JAANEWENNIF'ER 203 SAN 44-29'98 385.74 373.00 OV-45-42 10.70 1 JA S,JEWIfER A 554474 10101 JANSOANNIFER 203 w 46M-1044 153x00 153.04 1 JAK84WIFER 14 620123 10101 JANEWENNIFER 203 2AN 09-10-19 3172.64 3172.64 1 JAMES sJEW FER N 769730 10101 JANE.ySs��tENNNsIF^U 243 24N 10-01"02 895.54 $%.54 1 555556 101.01 JANES44 AN 203 €N4C 06-10-98 80.44 80.00 1 U4114 14101 JAMIJOBAN 203 UK OR-23-48 318.50 118.50 1 UAW 18101 JANEWORDAN 203 UK W23-fa 62.00 62.00 1 5658647 14141 JANEB:ORDAN 243 VAC 49-2.3- 281.40 284.90 1 558709 114101 JANES SAN 2.03 we X04-=23-94 652.00 62.00 1 574450 10141 JAKSrJOROAN 203 11410 1.1-05-98 106.00 108.00 1 598794 19101 JANES,JORIAN 203 UK 05-€7-49 305.00 303.011 1 394439 141111 JA11ES,MDAN 203 vK 05-17-49 217.00 217.00 1 594376 1#141 JANEWBROAN 2031fNC € IT-" 62.00 62.00 1 594346 10141 JANE.R' rJ0110A# 203 UNC 05-17-44 108,04 108.40 1 591464 14101 JANES:JD AN 243 WK 05.17't9 504.50 3004.54 1 "Mi 18t01 JANESrJQROA# 203 UK 05-17-" 113.04 113.00 1 642193 10141 J#AS:JDRUN 203 UK 06-0#-9"4 36.04 36.00 1 603001 10141 JANESrJ0R1EA11 203 11NC 06-08-99 112.00 112.00 1 785454 10101 JA$lCZYNrR0SAU`TA 243 vNc W"-03 134.20 134.20 1 JASICZY11r40SAL1TA L 624136 10101 JA21CZYK ROSALITA L 21'13 UK 09-10µ94 6445.74 6445.74 1 602921 10101 JAYARANANrANAKI 203 11NC 06-01-44 257.00 251.00 1. 602944 10101 JAYANAI'1#NrANAN4 203 11100 06-09-94 1888.50 1814.50 1 603471 14101 JEEl"I:1811 AA11 203 UK 06x-08'"!31 2236.63 2236.653 1 HEALTH SER9'IUS VR1TE-OFF REPORT IATfE107 Jail 24103 PA4�a 32 8TOf1.,YLO,.t CLIENT#<if ISX it Cl IT-ASSIGN PI- IC0...... PRIM COL LST PAY. TOTAL CK Jf�1.A8I�140#1A44Aif A 605196 10,101 JEELAf1I,MWAf4A8 243 UNC 04-11-11 264.50 264.50 1 JEELAW1.40HAt4A0 A 719635 10199 JEW111,8081 201 ACC O9µ27-01 87.05 $7.05 1 562065 14101 JE14K361RA4141k0 ft 203 4#RC 07.49.48 497.00 147.00 4 587`245 10141 JE*KINS HAROL0 0 203 4mC 03402-99 147.01 147.04 1 544466 101411 JE44KI rHAROLD 0 203 WK 04-20-99 1247.85 1247.65 1 7=87 10199 JE IM#VltLlfx 2141 ACC 01.23-02 78.60 78.60 1 "L4411*vILEJERE J 7334107 10199 ANNI if AILLIE 2411 ACC 02-21-02 85,00 $5.00 1 MM*VIUJBE J 594936 10144 JUSECAMNALISA, 203 €1140 04-20-99 276.34 276.30 1 3449S6 10101 JENSE*#AVMALISA Z03 WK 04-20-99 184.31 104.37 1 593037 10101 JE41SU'ANNALISA 203 WC 04-W" 260.94 260,44 1 595466 10101 JERSENtAR14ALISA 203 IAC 04-20-99 797.85 797.45 1 3949111 10101 JENWrIRVCE 2031010 WWII 255,00 2$5,00 1 594924 10101 ANSEfftMU 203 UNC 04.20-99 92.410 42.00 1 393035 10101 JENSECUKE 203 ft14C 04-W" 293.90 293.90 1 511705 141101 JENSEIGIR E 203 UK 07-22-99 1064.42 1064,42 1 660354 10111 JENSENAL41ABETH 203 WK 06-20-04 42.00 92,00 1 JENSEVISACE R 731483 411101 JEf4SE04A4IIE E 203 UNC 4Hr14-02 307.85 807.85 1 13364b 10101 JENSEMXEKTH 203 8AR 02-27-02 647.49 667.99 ' 1 JENSENAENNETH A 8417210 10101 JEASECKIRK 203 UK 03.02-99 111.14 111.74 1 JMN#KIRK 0 3#7230 10141 JENSENtKIRK 203 41440 03-02-99 192.05 192.445 1 JEf1SE44 URK 8 397242 11>10t JEISlrKIRK 203 at 03-X02-99 344.18 344.13 1 587263 10101 JE#SE14:KlftK 203 4140 03-42-94 245,11 243.11 1 Jf14SE14'KIRK 8 337267 10101 ANSEfl IRK 203 w 03-02-99 62.24 62.24 1 JEl"tKIRK # $37246 40141 JEK,KIRK 203 1IC 03-02-99 239.79 238.74 1 JEWN,KIRK 0 588183 10101 Jf 44SEf4.f1I144t 203 UNC 03-11-94 31.56 31.36 1 JEf4SEfltKIRK 8 588256 10101 ANSEMIXIRK 203 Vic 03-1147 20.31 20.51 1 JEMsKI 0 U"39- 10101 Jf:4mlxlRK 203 w 03-11-99 43.00 48.00 1 Jfm":t4IRf1 0 388413 10101 JEIilI OKIRK 203 UNC 03-11-99 55.37 35.37 1 JEi ,KIRK 8 383529 10141 JENSECKINK �y 203 UNC 03-11-99 31.49 34.1'7I JERSEf4,URK 1 3841596 10101 J EN,KVtx 2203 41440 03-11-99 14.26 14.26 1 58364#2 10141 JENSECK€RK 203 E144C 43µ1l-49 33.51 53.54 1 JERSECKIff1S 0 586713 101016 JE4fSE4 txltK 203 We 03-11-99 17.42 17.42 1 JERSENtKIRK 0 388T1T 141101 JEff=,K R44 203 L41C 03-11-49 30.04 30.04 1 JENSECKIRK 0 WALt41 SERVICES VRRITE-011''REPORT DATE107 Jul 2403 FAk 53 1iti.FTFAIs i..a s e s CLIENT#... .........s. UK S1 C# OT-ASSIO R WFttTsSIM Y.... MR COL UT PA • TOTAL IAL,.... CRT 568843 10141 JEI4SEIR IR14 203 ac 03-11-99 22.81 22.81 1 JER ERt14IR4t S 583414 10141 JE116ENVURK 203 UNC 03-11.49 39.?8 39.78 1 Jamt UR14 8 589434 i410t JENmtxIRx 283 W4C 03-11-99 61.72 61.72 1 JERSENtUlli 8 611974 10141 JE448E41FIIRIt 203 w 07`22-99 2012.65 2412.65 1 JER:RI4RK 0 728389 10101 JINMZ,EWSTQ 203 lxC 11-20-01 342.00 342.00 1 717961 10194 JI41E444:7F43ARE1R 201 ACC 09-14-41 $4.00 50.00 1 JIMEI,KARE* F 727714 101 9 JINENEI,XAREN 201 ACC 11-20-01 510.00 50.00 1 JINENEMAREN 1` 777899 14141 JI1 ENEZIN4RER F 203 UK 01-29-43 2314.42 2370.42 1 751540 10101 Jl"WitRICARDO 203 WK 06-10-02 45.50 45.50 1 601497 to of JIMRSt111t1D#IY 203 41440 05-24-99 123.50 123.30 1 60171'1 !0101 JIMMONJORY 203 We 03.24-19 130.80 130.80 1 602026 101311 J141t1Et+M t T044Y 203 ac 05-24-99 80.00 80.00 1 602103 10101 JINNERSONvTORY 203 UK 115-24-" 1118.140 168.00 1 66+4585 14141 J11141ERSON,T#41Y 203 1180 U-2#-00 127.10 127.10 1 76112.4 10101 J04R4tjo Y 243 w 10--07-82 2306.04 2306.04 1 654914 10141 J4414RSfHRI5 A 283 DEC 06-24-40 21x+4.40 244.40 1 534836 14101 40MV.-AIRT000 SR P 203 w 141-07-00 1044.19 1009.14 1 715454 10199 J0141RSW ARTESI A 901 ACC "-13-01. 80.00 $3,00 1 J3#JUNtARTESIA C 121044 101" J€HNNIEtARTESC TA p 201 ACC 01-21-01 31`.00 37.00 1 J041D "'ART IA 6#0812 10141 Jt#1 "toRE4RDA C 203 WK 03-1?-04 239.34 234.34 1 724473 101" JOHNSO t"ERYL 201 ACC 10-15-01 46.014 9A.00 1 Jt11WS"roma L A 588221 14101 J44W811NR"mY S 203 Ott 03-11-149 105.12 105.12 1 388334 10141 JORNS0111t4ERRY S 203 IE4RC 03-11-49 16.25 16.25 1 588338 14101 JOWONAMY S 203 UK 03-11-99 13.50 55,50 1 58392 10101 JOHNSW4 41ENRY S 203 1#410 43.11-44 174.44 174.44 1 388682 lot01 J018iS111R t WAY S 203 3R4C 03.11-49 271.58 271.58 1 594400 10101 JOHNSON IE 1RY S 243 m 05-17-99 520.42 520.42 1 720142 10141 Jt441*so*t#MY 8 203 WK P-27-01 71.144 71.00 1 623733 14tol J01114W A11ES T 203 WIC 10-06-99 990.834 490.80 1 70677 10101 JOttflmlim.l T 203 3RRC 131-147-112 6244.31 6244.31 1 574149 10141 J0114F80114WIf4 R 203 WtC 1t-05-98 200.83 200.83 1 J1W141RFJEWRI;'ER D 66t828 10141 JOHNS40WERRI4=ER 20311130 06.20-00 21248 212.28 1 JQWM,JENNIfER 0 653883 10141 J0f14t0R11Rt1IATHY 203 ac 05-t1-00 105.031 105.00 1 585049 10101 JNM,LARTHATTA 20314440 02-12-44 1787.64 1787.60 1 Jti#IR8ONIL IRT'RATTA R 612396 10141 J#1mm"LARTHATTA 203 UNC +01-22-99 109.60 109.60 1 J018t8W tLART14ATTA R 731922 14101 J0 84€1LEAN A 203 DEC 0t-04-02 2327.50 2327.50 1 564015 14101 JOHNSONINAR13 20311340 06-24--4$ 146.60 146.60 1 Jt111 11NtRARK E 653564 10141 JWlld8WIt14A K E 243 WC 45-11-04 687.95 687.45 1 664134 14101 J1 HMMAllt4E 203 Imc 01-16-01 1267.14 1267.14 1 HEALTH SERVICES VRITE-OFF REPORT DATE107 Jul 2003 Na(r l $4 �iF 1s�� f[L:y(. 1 PI-ASSIGN y{y�y! �My. {M�f {*ys ty LST {//� TOTAL )i CIT ItE8T1&I Y.►..►.Y CLI+ TI... MME..........Y.4..i..4 Y..Y Y t i DSK ST CI K -MIGN P s+ ASSIG ...... Ml COL LS PAY. i OTAL �#F�1►i CI J1#1114 IrWAII'49E 11 588202 10101 JOHNSON.NICIIAEL E 203 11410 wti-91 14►11 14.19 1 596812 10101 J01 OCNODISTIVE 20399 05.04-19 304.00 113.00 11-14-00 189.00 1 VALM,JENISE 5312570 14101 Jfl11t#8 '411 LAN 203 4RIC 04-05-99 62.00 62.00 1 599082 10101 J0141tSONIVOLAN 203 VIC W17-11 135.00 133.00 1 102105 10199 JOINONINALF44 201 ACC 03.10-01 21.60 28.60 1 J0104 OCIALPH L 702302 141" Amm-RALPH 201 ACC 05-10-01 11.30 11.30 1 J0401&IlNtitA pa L 641,214 14101 JOHNSONANNEY A 243 W 03-24-31'1 144.16 144.16 1 601835 10141 JOWSOVt14 ER 243 €41C 03-24-19 MOO 19.40 1 JOHOSONAOUR A 653405 10101 J01 ,y�11Nt�1 203 05"11-00 1040.41 1048.01 1 J1DINSONtOm N 731236 10101 J4W1AKYA K NEA 203 VIC 12-20-01 468.84 468.84 I 774'147 14101 J0WOONIU VLA 203 WK 02-21-03 1093.00 1095.00 1 J111 011#4#SKA L 621040 14101 JOKSML31t44 203 UK 09-10.19 78.13 78.15 1 641431 14101 JUME&CALVIN 203 UK 03.17-00 M.49 103.09 1 401148 10101 JOW&tCLlAA 8 203 UK 03-24-Y4 1797.40 1797.40 1 674691 10101 JOKWE11AYNE MUNAEL 203 WK 48-119-00 12 7.86 1221.86 1 388640 10101 JONESrFRA4111 J 203 V#C 03-11-" 2980.46 2980.46 1 631666 10101 JOW JEAME OEWITRIC 203 Vve 06-20-00 290.40 214.40 1 543042 10141 JONE84MY 0 243 VIC 07-H-14 3.315.00 133.00 1 644304 14141 J0NESANY 0 203 UK 04-17-00 733.40 733.00 1 119844 10199 40 11t14AREN 26 ACC 01-27-01 Moo 92.00 1 12.4301 lot" OKSIX�i4�}}f�1�t 24 Ac 0'4-27-01 84104 80.00 1 JOKS lYARCUS 531828 111101 J4NS z8ATI M 203 11110 114"24-18 363.96 3631% 1 733166 10199 JOMMNOA 2111 ACC 01-25-02 35.44 33.00 1 543 10101 J034ESYL0VIS E 203 41110 04-29~931 294.00 214►00 1 601773 10101 JOK8,10016 E 203 WC °24-t9 674.+64 674.68 1 460447 10101 JOVESI1ICNAEL 243 ac 06-20-00 21.13 21.13 1 JOKS 1IC11A3 L V 640711 18111 JOVESINIVIAEL R 203 OEC U-20-00 414.00 414.00 1 601438 14141 J11ar110` icE 4 243 11410 43-24-91 1593.63 1313.63 1 715431 10194 JONES SAMM 201 ACC 09-13-01 88.70 88.7.1 1 JOVES f SANVEL L 460585 10101 JOMSMRLENE 203 WC 06.20-00 1232.48 1232.08 1 661493 10101 20311141/ 06.20-#o 63.28 43.29 1 680514 10101 JONESIMIi01ANEAK 203 WC 11-08-00 11.10 11.10 1 111248 14141 JORIANOSEARICK 103 11NC 11-19-42 349.35 349.35 1 JURIAMMICK F 601507 10101 JORIANARRICK F 243 VNC 4524-99 1737.84 1337.86 1 771312 10101 JOR1 CNONARAE 243 10 11g19-02 528.50 528.50 3 730436 10141 JORIkA rWARAE 0 243 VNC 06-10- 2458.20 2434.20 1 601421 1010€ JOR1A AOSC11F1.,LE 203 VIC 05-24-19 134.00 134.00 1 MiPLC11U'ResCI1£i,LE C 601802 10101 JOROANtR UMELLE 203 31NC 03-2.4-99 80.00 94.00 1 JOR0ANtIOKKELLE C 641418 10101 JOR0AN.MORLE C 203 L41C 05-24-19 721.30 7221.50 t 43M 10101 JOR31A14tSHMN 0 203 WC 04-28-00 8434.19 8434.19 1 HEALTH .SERVICES NRITE-OF REST DATE=07 Jeal 2003 PAU; 35 K1T01I...t.t 4 t MENTO... N L.M%....{......... .......♦ OSX ST CO OT-ASS#GM WASSIGN...... PRiN COL LST PAY. TOTAL DAL.t... CIT 601232 10101 JOSEFIK,RAUL A 243 WK 03-24-94 2344.98 2394.98 1 ASEFINMEMMIA 641777 14101 JMFINDTRAUL S 243 UNC 03-24"-44 130.00 130.00 1 JOSE1 UMEMANCIA 750626 10141 JOSEFINMENANCIA 203 W 06-10-02 1382.28 1382.28 1 661800 10101 JOURHAN CKM 203 WK 06-20-00 14.10 14.10 1 739279 10194 4ULIANY1tYNEL8ER 201 ACC 02-27-02 82.00 82.0 1 JULIANrREYMELOER A 644311 10101 JULIENr&M 243 UHIC 04-21-00 15.88 18.88 1 JULIENYALHA I 368166 10101 JUSTr11UTH 11 203 UNC 09-23-90 157.50 157.34 1 568332 10101 JUSTrRUTH 2 243 UNC 09.23"96 222.00 222.00 1 368707 101!01 JU9TYRUTo, K 203 UNC 09-23-48 162.00 162.00 1 601343 10101 JUSTAU€H H 203 UN£ W24.49 7€4.00 714.04 1 588539 10101 KA£INIELYUR MA A 203 OEC 03-€€-99 61.34 10.74 04-02-03 50.60 1 589084 10101 KACINIELrURSIULA A 203 DEC 0311-99 74.66 74.56 04-02-43 0.10 € 612314 10101 KAC111IEL:URBIKA A 243 DEC 07-22.94 5534.43 5534.95 1 612585 10101 XACINIELIVRSIULA A 203 DEC 07-22-94 1873.12 1873.12 1 612'!73 10101 KACINIELMOULA A 203 Ur 07-22-" 413.42 413.42 1 601319 14101 KANINSKAYANALETICIA 203 UNC 05-24-99 826.06 826.06 1 601863 1.0101 KANIUMANALETMA 203 UNC 03-24.99 255.50 253.50 1 561734 10141 KAPPL:DAVID N 203 UNC 07-04-98 366.00 $66.00 1 362243 10101 KAPPUDAVID N 243 UNC 07-09-411 538.00 538.00 1 563146 14101 KAPPUDA9ID N 243 UNC 01-21-48 148.04 108.00 1 719571 10149 KARRERrJENNIEER 241 ACC 09-27-01 61.20 81.20 1 KAI Rfi,#E1fNIE'ER C 72097`1 10199 KARRYJENNIFER 201 ACC 09-27-01 42.60 42.60 1 KA tJENNIFER £ 605311 10101 KAR ARATNErCHRISTINE 203 UNC 06-•11~49 483:30 983.34 1 KARIMMATNEYCHRISTINE N 654860 10101 KARUNARATNEY£HIIISTINE 203 UNC 06-20-00 107.50 107.30 1 KARUNARATNErCHRISTINE H 661128 10101 KARUIIARATNErCHRISTINE 203 UNC 06--20-00 161.00 161.40 1 KARUHARATNErCHRISTINE A 661160 10101 KARUNAIIATNEYCHAISTINE 203 UNC U-20-00 78.30 78.50 1 KARUNARATNEYCHRISTINE A 661312 10101 KAR6IWATNErCHRISTINE 203 UNC 06.20-00 193.30 193.50 1 KARUMARATNE,CHRISTINE H 361371 14101 KAAUNlMTNE.REI 203 UNC 07-09-48 211.00 211.00 1 KARMARATN1'tJ MIKE 605813 10101 KARUWATNEYREX 203 UNC 06-11-99 447.98 447.98 1 WV ATNEYCHRISTINE N 660445 10101 KARWMATNEYREI 203 UNC 06.20-00 276.00 276.00 1 KARVAMATNE►£HRISTIIIE H 716433 101" KAU11rJUINDER 201 ACC 09-14-01 174.49 40.00 11-13-01 84.49 1 708040 10194 KAURMHAMA9 201 ACC 06-27-01 12.95 12.95 1 KAURrJASFAL 775816 10141 KAMPAVITAR 203 UNC 01-10-03 2763.09 2763.09 1 716780 101" K_AURYSIARAT 201 A£C 09-14-01 12.90 12.90 1 KAURY'SlNMT P 733973 14149 KAIENIAL1 201 ACC 02-23-02 40.00 48.00 1 737976 10199 KAIEKIrALI 201 ACC 42-27-02 48.00 99.00 1 7408.'18 10101 XA1E#I+SENEAN 263 UNC 03-26.02 1053.20 1053.20 1 768436 10101 1EARNEMICHt4RD JR. 203 UNC €0-07.02 128.34 128.80 1 HEALTH SERVICES VRITE-ORF REPORT DATE107 4u1 2003 PAGES 56 OEST4R1......., CLI '6#... 14A1tE.......................... 0SK ST a DT-A IG1l P*-ASSIG77...... PRIR COL LST PAY. TOTAL DAL..... CWT 601154 €0141 KfElYiGERALOINE 203 WC 03.24-11 1434.02 I134.02 1 660492 10101 KEEGAl4YKA N 203 Aw 06-20-00 10.50 10.50 1 NEE II KAAU K 634373 10141 K#~ET11Nt REllith 111iC X 14-00 12.3E 12.32 € KEET014rf1;E0A 9 737855 €0101 KEIPERMLLIM 203 SAN 02-27-02 €184.97 1€0.00 06-11-02 1674.97 1 601623 14101 KELLEAMICY LYRtt 203 WC OS-24-19 1996.40 1996.00 1 602073 14101 KELLMDARCY LYNN 203 WC 0524-94 152.30 152.30 1 719771 10101 MLERxlWY LYN 243 14RC 41-21-01 319,90 318.10 1 601249 10101 KELLY tCHESTER L 203 t44C 05-24-19 333.48 333.45 1 601170 10101 KELLYtCNOTER L 203 WC 0524-44 101.92 101.92 1 607876 10101 17ELLYIDAVID 243 UNC 06-28-" 181.50 187.30 1 647771 20101 KELLMAVID 203 VVC 04-€4-00 0746.02 5746.02 1 563410 10101 KELLYXJESSE LEROY 203 wC 07-21-96 132.88 €32.88 1 601194 10101 KELLYtLAVARZIA D 203 WK 03-24-99 200.00 250.00 1 554744 10111 KELLY:14IME1 RICHARD 203 lilt£ 146-10•-4`14 110.00 110.00 1 608406 10101 KEWtEDY.CLARENCE 203 VAC 04-28-11 19.00 11.00 1 KE DY XCLARENCE J 556664 10101 KEt44MONAL0 203 tmc 06-10-48 €16.44 116.15 1 KENDYtD7UL0 R 659856 10101 KEMOYYMNALLO243 0440 06.2040 326.00 316.00 1 F { }y 568506 10111 KENNEDY-FLITTER t JEMIETTE L 203 ACC 4923-98 849.21 844.21 1 551054 14101 KER6tERIC 8 203 13RC 06-14-94 533.30 083.00 1 561433 10101 KEWERIC 0 243 voc 47-0944 206.50 206.30 1 561835 14101 KEWERIC 8 203 UK 07-0-" 164.00 168.04 1 561423 14101 KEWERIC 0 203 UNC 07-09-44 13300 €33.44 1 635289 10101 17ERR,RDXA104E J 203 UK 01-V07-00 116.00 56.80 08-06-42 54.24 1 401144 14141 KEYS,NAPOLEOV 203 QK 05~24-''64 759.9 139.50 1 602100 14141 KEYSIN POLEON 203 Vkc 0544-99 48.00 98.40 1 388324 14141 KEYSXRm 203 UK 03-11-" 538.45 538.45 1 5417" 2024€ KEYMOSA 243 UK 03-11-14 €18.48 1€8.48 1 3149117 30141 KEYSt1tOSA 203 #RC 143-1€-" 31.17 3€.17 1 661835 10101 KHANDA:KAK€UT1 203,we 06-20-00 22.00 22.00 1 664733 141.41 KHAl4IS1t8111A 203 w 06-20-00 167.53,93 16.93.43 1 768827 10101 Kt1ANIKELEM R 203 W1C 10-07-02 €342.12 1302.12 1 649400 10101 KRAZAIAN*SARA41 203 M O7#41 " €39.35 I59.33 1 GUINUITANIA 604472 €0341 KHOS AMMAt1RAD R 203 UNC 06-11-44 290.02 210.02 1 662411 10101 KISLI EROINARTY E 203 w 06-20-00 471.74 479.74 1 601247 10141 K1GHT.C11ARLES 203 UNC 05-24-19 363.20 365.20 1 KIGVT.CWLES R 601268 €0101 K10TICHARLE5 203 w 05-24-11 354.20 354.20 1 KINTMARLES R 6416+17 10101 K IGRT y MARLES 203 tl4C 43-24-14 201.10 201.14 1 K140TICHARLES R 645585 14141: KILAVO,T171MORE N 293 V*C 04-17-00 2773.04 2773.09 € 603244 10111 KILINAMINIAN 203 ACC 46-08-" 3611.18 7671.94 1 KILIl1AWlt4RIAN 8 6170122 10111 K1LIllM11IXBRIAN 203 !RCC 08-24-94 4613.74 4613.70 1 KILINAt UMIAK D 312549 10101 KILKERt0AVt0 1 243 WC 04-43-19 153.66 103.66 1 641334 €414€ KI.LKER14AVID J 2243 UNC 03-24-91 424.40 424.40 1 444199 10109 MKOCHARt4AIl4E 0 203 ac 0.6-11-91 $54.82 534.82 1 HEALTH SERVICES VRITE-OFF WORT GATE;07 Jul 2803 %PACEI 57 } �j/�{� �j{ �} q�,�g' PI {Il f ij� j/ }},�" KITGR...r.... CLt 751... RAS1E...Y.k k....Y........O..R.} 0551 ST C8 DT-ASSISI PS-ASSIIsII...... PII15 MOL LOT PAY. TOTAL DAL..... CAT 604744 t014t KIRGICHARMINE D 243 WC 06-11.94 411.44 411.00 1 608841 10141 KINGGRAR11A111E 4 203 WIC €tb-E4-41 277.45 277.15 1 715110 10141 KING:ANK E 203 IW 09-13-41 2036.84 2436.90 1 120534 10141 KIVA,Jtil111E 2031€RC 44-27-01 1249.67 1244.67 1 1tli�.1I111t1E A 648522 10101 KINGMCHELLE 243 #1€C 06.28-94 146.48 146.40 1 617468 14181 KI1# AICHELLE 203 53312 46.24-9? 188+1.04 1884.48 1 601706 14141 KINCINILLIAH 203 w 05-24-94 784.00 784.00 1 596618 181111 KtN6WILLIAN E 203 WK 05-04-49 732.61 732.61 1 588554 10141 KINULEYIDAVI0 203 WK 03-11-44 290.03 244.03 1 660363 141531 KI1I LEY:DAVID 203 tw 06-20-00 3538.66 3538.66 1 758345 14181 KISGSLEMAVID 203 VNC 06-10-02 1"1.34 1992.34 1 772883 10141 KIWALE'YDAVID 203 ac 11-25-02 104.31 184.31 1 773448 18141 KINULEY+8AVI0 203 Doc 11-27-02 1462.24 1462.24 1 726586 14181 KIN LEY'KORY A 203 M 13-M-41 160.33 4613.35 1 727977 10199 K I14MU r 811 *A 201 ACC It-a-01 25.00 25.00 1 KINMvIDINA F 732659 18144 KtliRAR8►1#m 201 ACG 01-04-42 63.52 83.52 1 KI#1iAR13.M11A E 733553 14194 KIi4IA1113 TONNA 201 AGC 01-04-02 22.83 22.83 1 Xl*#4R1,*M F 727671 141" KIRMRDVGARY 201 ;ACG 11 sw511 14.07 14.47 1 Ktt1RAR0f111A F 732046 18101 KLUNIBIMMEEN 203 w 01.114-02 782.50 782.50 1 14LE1RI5 MUREER F 771385 10101 KHA"►REGIVIA E 203 UK 11-14-02 214.20 274.20 1 674015 14141 Ki4IGHT:G€.ERDA 243 UNC 10-20-00 18.84 18.84 1 KNIGHMMIA H 742003 10101 K11IPFERILMDA H 203 WK 03-24-02 1471.73 1471.73 1 651563 10181 110RS M M A# 203 Wt6 05-03-00 652.10 652.10 1 668495 10141 KDROSTOFF:JEFFREY 203 WC 06-24-00 t# 80 10.30 1 %0ROST81:F.JEFfREY N $59353 18111 NORSCAAR MEAtHER 203 #382 06-18-98 1527.00 1321.40 1 i10RNMRI MATHER 0 563215 10111 KOR AAR MEATHER 203 WK 07-21-48 234.70 234.70 1 KORSGAA11D.11EATHER H 563243 10111 KORSGAARI}.IIEATHER 203 we 07-21-" 4102,70 4102.70 1 i€13R'30AA14DMATHER H 563256 10111 KGRSCAARD.3IEATHER 203 WK 07-2148 173.00 173.00 1 K11ROCAARD.HEATHER A 563323 10111 KBRSCAAR1MEATHER 203 WIC 07-21-48 616.45 616.45 t WONSGAAARO:HEATHER M 563427 10111 MOGMYHEATHER 203 WK 07-21-98 144.94 144.94 1 #BROGAA3t MEATHER 0 568698 10111 ADISCAAWHEATHER 203 WK 09-2341 110.130 110.04 1 K413SCAAROMEAtHER M 576977 101st XONSGAARI1MA€HER 203 VAC 12-01-48 114.26 114.26 1 K1ISGAARI MEATHER H 515420 18111 K131 UMMEATHER 203 voc 02-12-49 423.38 423.38 1 KDR85 AAR' MEATHER H 585471 10111 KORSGAARIMEATHER 203 WIC 02-12-99 145.00 145.44 1 KORSCMR8 t 1€EATHEI A 585507 10111 KORSGAARIMEATHER 203 UNC 02-12-99 4147.05 4147.45 1 MUM'HEATHER H HEALTH SERVICES VRITE-OFF RE FORT DAT147 Jul 2003 PACE: 58 DEBTOR-t..... CLIENT#... NAND a...tt..tt...;.. t..t..,t. DSK ST Cl DT-48810 P11-ASS&IBE#...... PRIE# COL LST PAY. TOTAL BAL...a. CNT 565597 10111 KOR88iiARIMEATHER 203 ###EEC 02-12-" 269.11 269.19 1 KORMARD.IEATHER N 585612 10111 KORSSAARD►MATHER 203 UK 02-129'1 433.64 433.84 1 KORSE AARItHEATHER It 585861 10111 KOR6SAARDtHEATIEER 203 W 02-12-" 470.56 470.56 1 KORSUABE3 MATHER 0 585102 10111 KORSSAAR r,lOESPEE 203 UNC 021294 143:.19 143.19 1 KORSSAAItDIKA`iHER A 563325 10111 KDRECAmrJOSEPH 203 W 07-21-96 466.54 466.50 1 KORBSAA 44ILLIAN J 563455 10111 KORFAARStJOSEPH 2M #RIC 07-21-18 211.00 211.00 1 KORSSAARD►IIILLIAII J 660513 10101 KORSCAARDtJONEPH 8 203 €SEC 06-WOO 314.40 374.40 1 574086 14111 KRAIEULIK*ADY 203 SAN 11-05-98 92.00 92.00 1 KRA#EULI:KtJ51DY C 607$54 10111. KRAEEULIXFJUDY 203 BAN 06.28-99 110.00 110.00 1 KRAEIULIX,JUOY C 607978 14111 KRAIVLIKtJUDY 203 BAR 06.28-91 72.00 72.00 1 KRAWtKtADY C 608519 10111 KRAWLI&JUDY 203 BATE 06-28-99 24.6024.60 1 KRAWJLIK,JUDY C 6OH73 14111 KRAWJLIK+JUDY 203 BAIT 06-2&91 110.00 110.00 1 KRAWLIKtADY C 652903 10111 KMHULIKtJUDY 203 BAN 0511-00 395.50 395.50 1 KRAERIL IK f JUDY C 653045 161#1 KRAIRELIKfJUDY 203 DAN 05-11-00 310.00 310.00 1 KRAMLIKtJUDY C 653214 10111 KUHULIK*ADY 203 BAR 45-11-00 413.00 413.00 1 KRA LIKtJ DY C 653319 10111 KRAERELIKfJUDY 203 BAN 05-11-00 234.82 234.82 1 KRAMLIK,ADY C 653322 14111 fKRR#♦I�Ry€yLIKt t�DYY ¢ 203 SAN 4511-00 123.60 123:80 1 HA4SWLIKs JUDY it 653324 10111 KNOULIKVADY 203 BAN 05-11-00 756.40 756.40 1 KRAERELIKfJUDY C 662294 10111 KRAISLIK2JUDY 203 BAR 06-24-00 114.20 114.20 1 KRAWLIKxJUDY C 667956 10111 KRAMUL1KfADY 203 BAN 07-24-00 160.70 160.70 1 KRARRELIKfJUDY C 714440 10111 KRAERELIUVOY 203 BREI 09-13-01 630102 .630.02 1 KRAWL112ADY C 606227 14141. KRINEEI.J4EN VILLIAN 203 UNC 06-28.99 2641.62 2841.62 1 KRINER.ALEC 1 608004 10141 KUEW#JULIE ?03 5}K 06-28-" 517.50 517.54 1 KU N&AL.IE A 608242 14191 KEIENKtAL,IE 203 UNE 06-28--19 337.42 337.12 1 KUEENlt.1EEL1E A 606460 10101 KEEENNiALIE 203 UNC 06-28-9:# 534.50 534.30 1 KUEWsi9JLIE A 695714 10131 KUENNtALIE A 203 UNC 06-11-99 1124.58 1124.58 1 763423 10101 KUNKEL PAUL R 21#3 me 04-0802 2326.34 2328.54 1 7T32A6 10181 KUNKEL►PA€EL R 203 UNC 11-27-02 185.00 1831.00 1 605711 10101 KUTLU.LMM 203 U#SC 06-11-" 113.00 113.00 1 605147 14101 KYLEStBRUCE 203 UNC 06-11-99 326.0 24.60 07.4202 301.98 1 3#EALTH SERVICES VRITE F #EMT DATE107 Jul 2903 PACET 31 { M + (} {{ ��{ } # {(t yam/ DEDTOR...Y.4.Y CLI3»NT4..f NANE..}Y.....4}s.t}ii♦}xYc}Yk} 05N Ss CO IT-ASSIN R{�104f.4YY. ` IN � LST PAY} TOTAL ��ti}}f CNN 620476 10191 LADREC9UErJ SON 201 UNC 0-10-int 1411.26 1491.26 1 +604631 19194 LACEY T#N3#1Y 203 me 96-1t-94 163.80 163.29 1 697991 10€91 LACWCE,C#NRI3 203 WK 96-23444 254.00 254.319 1 LACRANCEIC##4318 0 702173 19191 LAC##ANCEYCRRIS 203 U4K 05-10-01 317.90 317}80 1 LACMUEYCHRI#S 8 774171E 10101 LARD CAROL J 293 WAC 02-14-03 5700.30 3700.30 1 653236 19191 LAMA149ELA 293 UNC 03-19-00 21.04 21.08 1 763606 19101 LA€AVREr31TACY 203 UK 08-08-02 29129.75 20128.75 1 733347 117t" LANNI&13TrALNA 241 Act 01-04-02 27.62 27.62 1 NITHEN IA4'#AE A J 317264 10111 LAM rLAM 203 UK 316-10-49 114.00 119.09 1 LA118WVA A N 6019310 10101 LANSWILAURA 203 UNC 06-29-" 231.12 231.72 1 541#801 10191 LAN90NYLAURA N 203 UK 05-17-99 549.319 349.0 1 361899 10111 LANE48E 203 ACC 07-09-48 193.80 193,80 1 624904 19101 LANEY33ARTIN LEON 203 UK 12-27-44 4923.42 4923.42 1 373179 131101 LAK MftTIN LEON 203 UNC 11-27-02 131.60 131.69 1 6631160 19t01 LA#MrCNERYL LYNN 203 UNC 06-29-00 143,60 143.60 1 581738 10111 LAPINrC1410Y 293 DEC 02-12 iq 4377.30 014-3 4577.50 1 LAPINPCINDY L 626266 10111 LAPIN4194Y 203 Kc 10-26-94 1434.10 1454.70 1 LAPIN41MY L 673741 10111 LAPIN,CINDY 203 DEC 09-08-90 42.09 42.99 1 LAPINrCINDY L 689491 10111 LAPIN*Ct#iDY 203 DEC 01-17-01 243.10 243.50 1 LAPINYCI330Y L 684656 10111 LAPINrCIN0Y 203 DEC 01-17-01 133.10 33.3.50 1 LAPINYCINDY L, 6931742 19111 LAPINrCINDY 203 DEC 02-07-01 191.00 135.00 1 LAPINYCINDY L 7310491 10191 LAPINXINDY 203 DEC 04-26-01 1713}40 1715.40 1 LAPIN}CINDY' I. 714399 10144 LAFI41rFERNAN 0 201 ACC 0-1301 U." 43.9+0 1 711061 10199 LARAsFER#1`ANDO 291 ACC 94--13-01 12.30 12.30 1 613433 10101 LARAYI13AUL 203 UK 07-27-99 €205.88 1205.88 1 619193 19101 LARArNAODALENA 203 UNC 97-09-94 110.00 110.00 1 619326 10101 LANAY!#A3WAt;ENA 203 UK 97-04-49 284.50 284.30 1 613403 10101 LAWNUDALEM 293 Vic 0747-99 719.37 MIX 1 723600 191" LARArUDIt#4 201 ACC 19.18.01 48400 48.90 1 RIVERIWELENIA 610433 131191 LAREDO.ALEJAN9NA 203 UK 01-09-4'7 1331.57 40.07 1243.30 1 5"1" 10,101 LARSONrTINA 203 VK 05-17-94 169.09 160.00 1 LA4SUrTINA L 599737 1411111 LARMrTINA 203 mc 31.9-17--94 +237.04 237.00 1 399771 10191 LARSWTIMA 203 UNC 05-17'49 1619.80 1619.811 1 600037 10191 LAROWTI13Ait 203 UK 03"17-94 229.041 220.09 1 LAR3131MMM L 60712 10191 LARS NrTINA 203 UNC 05-17-99 133.00 133.00 1 LARSONrTINA L 6U078 10191 LARSONYTINA 203 w 06-28-99 56.40 343.40 1 HEALTH SERVICES 3RITE-OFF REPS aATEM Jul 2003 �y PAAGE1 60 KITtRt........ CLIEi1C.. 11At4E.............f..Y:.Y,.%..i 0U ST C4 0T-ASSIM N-40140 ..... PRIit COL LST PAY. TOTAL RAL..... CR LAR81134xARIMA 6 608134 total LA DIVA 203 31140 06-28-94 25.60 25.60 1 LARWARIAM E 160057 total LA4 IDERICLIRT138 RAYMOND 203 VK 07-11x02 1071.93 1077,83 3 599862 18181 LAV sVERMICA 203 13110 05-0-99 478.4? 418.97 t 640177 total LAW rMOMMA, 203 UNC 05-17-99 31.24 31,24 1 758816 total LAit llti€ KI PAYE 203 3#80 10-07-02 13411.64 134".64 1 +68831 total 1.05004M FAYE 203 33110 10-07-02 Moo 97.00 1 758893 total LA3 MIKAREM MICE 203 1€140 10-07-02 434.00 434.00 1 330411 10101 LAVMtR 4AL0 J 203 VK 1228-01 519.12 519.12 1 :63€.829 total LAtA&AfNICHAEL 13 203 UK 01-04-00 1552.00 1333.04 01-43-03 219.40 1 792305 10199 LE r al€CTE 201 Act 05-10-41 98.40 98.00 1 714733 10199 LEAAET'ALA,ALISI 201 ACC 09-13-01 93.00 43.00 1 L.EAAETALArALISI 9 719396 10199 LEAAETALArALIBI 201 AGC 09-27-01 13.30 13.30 1 LEAAETAL.A#ALI£I V 554762 10101 LEAfr31IR8TER E 203 WK 335-10-9a 162.30 162.30 1 659845 total LEGLAIRE:l4ARIE 41 203 UNC 06-24-110 1841.02 1841.0E 1 717588 10149 LE0E8M441SELM 201 AGC 09-14-01 82.00 82.00 1 G33l4IALES r JOSE 3998:69 10141 LEDES11A40SEP4t 203 8140 03-17-99 5568.12 5368.12 1 LE M,jou" it 60#!53? total LE0ES3#AricsP4t 203 UK 05-17-99 135.00 138.00 1 600346 total LEE rSH EV AN 203 Q*C 05-17-99 2806.45 2806.45 1 600392 10101 LEE rSHIRLEY ANN 203 UK 05-17-" 400.00 400.00 1 733104 101" LEE -TINA 201 ACG Ot-04-42 85.00 88.00 1 { 73"" 10101 LEE4GEORCE C 203 UNG 07-11-02 11444.88 11449.88 1 714384 10199 LEExTERRY 201 AGC 09-13-01 68.00 Woo 1 LEE►TERRY J 714619 10199 LEErTERRY 201. ACC 09-13-01 68.00 68.00 1 LEErTERRY J 660237 total LE18E41IM&AUS 203 UNC 06-20-00 554.39 554.39 1 651024 10141 LEISENIM&AVS 203 UNG 06-20-00 520.50 520.50 1 6640143 10101 LENAIREARNO 203 we 06-20-00 167.76 167.76 1 LENAIREr411R31AN J 664'145 10101 LE34AIRE.40"m 203 plc 06-20.00 2".13 295.13 1 LENAIREx M J 3?9956 total LEMICHRIST11PME 203 We 02-21.03 112.00 112.00 1 714321 10101 LEME:LCRI A 203 UK 04-13-'01 1130*19 1130.14 1 724141 tot" LCONt ARY 201 ACC 10.31-01 10,50 10.50 1 LEON:CARY V 714262 10199 LED&NARIA 201 AL'C 09-13-01 48.00 96.00 1 LERNMIA f 714487 lot" LEI11NARIA 201 Act 09-13-01 9$.00 98.00 1 LE13MARIA 6 844424 141131 LECRAR1t'IJAMES 0 243 UK 04-211-9R 4122.84 41+22.34 1 604200 total LEIR41 MENDA 203 4N4C 06-11-99 "97.56 9817.36 1 AOA4Or14IM1.l.E 605732 10101 LEOMMENDA 2#13 UNC 06-11-99 194.60 194.60 1 AIA4'&NIC4 LLE 55"49 total LERCMA9I13 E 205 WC 06-24-99 323.00 323.00 1 343773 10101 LERI«MAVI0 E 203 11140 04-20-" 110.00 110.00 1 59384'4 total LERC441MVID E 203 1-1x0 04-20-9'6 541.50 591.30 1 HEALTH SERVICES MRIIE-0F€ REPORT DAUM Jul 20003 PASEt 61 {}y �} CO ♦�t�t py {��F ♦ �rF�y �} ♦ }{y LST �C �F s� p�! DERTDR..x.x.x x GLIEN t l x i. 31A3lE.........s x x x s x x x s x x x...x x OSX St C4 Di-ASSI3�3.3'13-ASOI3t33...... ?RIR COL LS PAY. TOTAL RAL CRT 5940" total LEDCHsDAVID E 203 UNC 04-231-99 589.27 311.27 1 594151 10141 L:ERMIAVID E 203 UK 04-20-99 94.00 94.40 1 594246 total LERCMAVID E 203 UK 04-20.99 249.04 248.00 1 594423 total L3r533EISTERMUS`INE 0 203 33330 04.20-" 249.314 209.00 1 604387 10101 L311xNA1 1IE 203 1AK 05-17-99 279.54 279.50 1 640391 10101 LfvtKkvmlE 203W 05-1799 737.00 737.00 1 6330556 10101 LE94A € IE 203 3110 05-17-99 176.84 176.94 1 600943 10141 LE3iF31Er313 SIE 243 UNC 05-11-94 70.17 706.17 1 125172 total L3EVIS,3'IFI REMEE 203 SNC 10-31°01 65.24 65.24 1 127426 10101 LEVISrFRA 4R ALAN 203 11DC 11-08-01 796.85 796.93 1 767244 10101 LEISFFRANK LEE 203 w 08-29-02 115,00, 115x00 1 776667 10101 LEVIS,G Al MA 243 31130 01-1743 174.50 174. 0 3 715485 10199 LE33IStJQWIE 241 AGe 09-13µ01 80.60 60.60 1 LEVIS40ANNIE L 715617 10199 LESIS40ANXIE 241 ACC 09-13.01 97.00 97.00 1 LEVIS,JUNIE L 7158" 10199 LEVIS,toAMIE 201 ACC 114-13-331 98.00 98.00 1 LESISAMONIE L 684441 10141 LEVIS,ASEPH CEMIC 203 UK o1-li-ol 284x44 264.40 1 715655 total LENI5,3ARCELL L 203 33330 09-13-01 407.00 447.00 1 561682 10101 LEVISISH1RLEY A 203 UNC 07.01-98 247.00 241.00 1 7312574 total LE11I3iF3MALEY A 203 1RIC W10-01 1829.46 13124.66 1 563339 14101 LE33IS,'fJt1R'1IE L 243 UNC 01-21-98 94.74 94.70 ' 1 599773 10101 LE33IS=IA1333IE L 203 13330 05-17-99 2966.05 2966.05 1 574286 total LI31DI33 BEC13IE 203 13100 It-W18 211.00 211.04 1 612453 total LIEDUEtIMARD 203 WC 07-M-" 80.00 84.00 1 744604 10141 L13}1THILLAA€ASDR 8 203 WK 03-26-02 790.44 780.44 1 715793 10199 LILLARDFIRIS 201 ACG 09.13-01 82.00 82.00 1 LILLAIED,ISIS 4 644133. total LI13AMIR8£RLY 20313110 06-11-99' 2835x32 2835.32 1 RASa31,TA41RI 559235 total LI3lA31t14IXIERLY A 203 11RC 06-1898 141.12 141.12 1 112376 10199 LINSMI CARER 201 ACC 09-27-°01 33.80 33.80 1 LIN1H3'1RS,EAM A 719477 10199 LIUMI 1ARED 201 ACC 339-21.01 16.64 16.64 1 719742 10194 LI#Mti3CARE33 201 ACG 09µ27-41 21.50 21.30 1 LI33D83 ,3CARE33 R '719984 10199 LINUOUrKARER 201 ACC 09-27-01 62.55 62.55 1 LISDD13R6FRARED R 779 131199 LI13D8MAEARER 201 ACC 09-27-01 27.04 27.44 1 LI310 ,u1�3 13 720990 10199 LI31S231R44ARE11 201 ACC 09-27-01 26.41 26.41 1 LI1Sr8ADE11 13 721039 tot" LIt1I#DMURE33 201 ACC 09-27-41 21.10 21.54 1 LI11DD�4:31631813 �1 721131 10199 LINUORMARE11 201 ACC 319.27-01 39.39 39x39 1 LI33D31aR&:316121 R 721185 10199 LI3to3 FSC M 2311 ACC 09-27-01 23x50 21.30 1 LI31O33�FKARER 33 725028 10199 LIDD330R37AEAREN 201 ACC 10-31-•01 7'1x5#1 79.50 1 I.i1303R&r 14AtRE41 11 725299 101" 1.1013 KARE33 201 ACC 10-31-01 98.00 98.310 1 L101MRC UREN 33 HEALTH SERVICES VRITE-OFF REPORT 0ATE147 Jul 2003 PACE: 63 Cu 7 y URE 020111#1.s t x t t a s CLIEHm t. URE...t t t.tit..*}..t..Y x.4..i 1109 ST CE IT-ASSISI PRI* CG. LRT FAY. TOTAL DAL..... Citi 763588 total LIMOSEY4.0. 203 11110 09-08-42 454.99 454.99 1 603017 to111 1IUSEY,LESSIE M 90 ACC 06.04-91 72.00 72.00 1 72#627 10149 LINUMPARIS TERRELL 201 Ace 11-0$-01 87.96 87x96 1 705424 lot" 1118 RIMEL 241 ACC 06-12-01 34.00 34.00 1 Ll#f4t11ICWL T 612+678 total LIPARYtJEEI;FREY C 203 VIC 07-22-49 1428.57 1428.57 1 715202 10199 LITTLEMANNA 201 ACC 09.13-01 18.50 18.50 1 LITTLEti? AI3AIA C 115486 10149 LITTLEMANNA 201 ACC 89-13-01 98.90 '18.90 1 LITTLE.BIAA C 7151x93 101" LITTLEMANA 201 ACC 09-13-01 95.50 95.50 1 LITTLEt0IANKA C 715719 10199 LITTLEMANNA 241 ACC W13-81 18.50 18.30 I LITTLEtal3A<C 713782 10149 LITTLEMARKA 241 ACC 0913-01 18.50 18.50 1 LITTLEt0IASIA C 121027 lot" LITTLEt11lUNA 201 ACC 11-08-01 98.00 98.00 1 LITTLEMANNA C 03166 10101 U9,11AISAANE 203 1iC U-01-" 135.80 135.80 1 LIMLAIBAARE 9 603215 10101 LI3J UISAANE 203 UHC 0608'49 141.00 141.00 1 608073 10101 LIMLAISAAKE 203 We 0628--99 228.50 228.30 1 LIU,ILAISAAKE V 6123" 10101 LIMLAISAAHE 243 UNC 07-22-49 1611.54 1611.54 1 LIMLAISAAME 9 663247 fatal LIM SISAAARE 203 UNC 06-03-49 491.50 491.50 1 LIOtILAISMNE 9 730727 10111 LI1it1111ET1 201 ACC 12-28.01 64.50 64.50 1 AXA31A r ROTOLUA 726719 101" LIUMAXASE 201 ACC 11-08-01 14.90 14.90 1 659423 total LOC33HART.STEM NICHAEI 203 MIC 06-20-00 3618.26 3418.26 1 747233 10101 LOUMMIN 203 we 0630-02 517.04 10.00 05-14-02 $47.00 1 LIICIE#11#1IatBENNIS Ill J 714682 10149 LOUNIMESECCA 241 ACC 09-13.01 98.40 48.00 1 LAWTOLTYLER 3I 714146 10144 LBERNIMESEM 201 ACC W13-01 98.40 48.00 1 LkKTOEtTYLER H 622968 Will LUGRENAUSAH 203 BAR 09-27-49 408.36 408.36 1 LOF31REI1tSVSAX J 635340 total LOF3 N,WSAN 203 BAR 01-16-01 1344.00 1349.00 1 LOF3;MtMA# J 612472 total LOSWERNEST 203 1IHC 07-22-49 16.14 16.19 1 LO1 t3 R31EST E UU51 10111 Lo6ANINAYHAR0 90 ACC 07-21-40 103.04 07-12.02 1315.00 1 LOSANYMYNARD B 723849 10199 LOLOHEAINE11 201 ACC 10.15-311 ".00 911.00 I L6L%€EA.RETI II M363 total 3.OI1MtA131AE 203 UK 10~20"00 16.64 16.64 1 542904 total LOKWAM R 203 3}113: 04-c05-99 320.81 320.81 1 59'990+1 total LONWASON 11 203 we 05-17-94 451.15 451.15 1 MIA lolot LOKvRQYA1 203 UNC 04-05-'99 166.17 166.17 1 599365 10141 LON4,40YAL 203 txC 05-17-44 $94.74 398.70 1 LO fROYYAL L .NEALTN SERVICES VRITE-OFF REPORT DATE#O7 Jul 2003 PACE: 63 DEFOR...x...r CLIENT#.., NAW-.........:..,:r........... TISK ST C13 OT-4861ON WASSIGN...... PAIN COL LST PAY. TOTAL CKT 626279 10141 LOMMME TYI 0 203 we 10•-26"94 1304.10 1304.74 1 659886 10141 LONG,T7ROKE 0 203 WK 06-20-00 104.00 108.00 1 680507 10101 LONITYRONE 0 203 MIC 06-20-0 108.00 MOO 1 662075 10101 LONMROME 11 203 UC 06-24-00 601.80 601.80 I 56286 10101 LOPEI:ALICIA 203 WC 09-2348 229.00 224.00 1 060720 101311 LOPEIEALICIA 203 UK 09-23-98 197,00 197.04 1 743082 101'1,9 LOPPEE1,FFRANCISCO y� 201 ACC 04-13-41 32.00 52.00 1 LOPEZEFRAL4CISCO 0 745444 10144 LOPEZ FRAKCISCO 201 ACC 04-1301 051013 85.00 1 715594 141' LOPEZELCMERDO 201 ACC 090301 911.00 48.00 1 LOPEZ,KARLA J 715810 10294 LOPEZEOERARDO 201 ACC 09-1304 67.00 67-100 1 LOPEZEKARLA J 715931 10149 LOPE1E4ERAA813 201 ACC 09-13-01 67.00 67.00 1 L31PEZEl3ARLA 3 716111 101" LOPEZ.GERAR13O 2331 ACC 49-13.01 67.04 67.00 1 LOPE14ARLA J 774675 10101 Li3M.GILSERTO 203 L[NC 42.19-03 226.00 226.00 1 8441111 101111 LOPEZ=QAOIS G 203 LNNC 0517.94 255.30 255.30 1 54#920 10101 LtIMICLA11IS O 203 UK 45-17-94 149.50 149.50 1 600185 10101 LOPEI:GLADIS C 203 w O5-t7-94 1434.00 1034.04 1 6110447 10101 LOPE.:GLAOIS G 203 WK OS*17-44 204.37 204.37 1 860242 10141 LOMICLAOIS G 2.43 UNC 06-20-40 367x22 361.22 1 719824 10144 LOPEZ I NADALUPE 26 Ate 09-2I-01 40.50 40.50 1 554930 10101 LOPEI E ISRAL L 203 11111, OIA-10-" 94,44 14.44 1 641282 40141 LOPEZ EISRAEL 203 UNC 03-17-00 420.00 420.40 1 647549 10141 LOPEZIJOK 243 UK 04-112x00 137.00 137.00 1 654283 10141 LOPEZ.383r 2113 VNC 05-14--00 1385.41 1385.91 1 LOPEZ r.1 E F1, 716055 10101 LOPEWDSE 203 W 0913-41 739.00 734.00 1 720136 14141 LOPEI: MENCE DAVID 203 ULC 09-27-01 86164.18 86164.13 1 769214 1010t LOPEIrLItitOUR 203 UNC 10-07-02 8188x87 8t813.87 1 5498b6 10181 LCMMRGAAITA 203 ULC 115-17-" 2894.90 2144.40 1 600344 10101 LOPEIELLAR3MITA 203 ULC 0517-49 246.50 246.54 1 600614 101#1 LIPMNARGARITA 203 UAC 05-17-49 254.30 254.50 1 725277 10144 LOP£Z*NELISSA ANNE 201 ACC 10-31-41 55.54 35.30 1 UPEZINELISSA A 773434 10101 LOPEItNICLLAEL 4004 203 QIK 12-05-02 6875.15 6875.15 1 5585'29 10101 LOPEIEt4ATALIE G 203 31NC 06-10-48 82.40 $2.40 1 561931 10101 LOPEIMULIE 9 203 #NIC 07-09'48 238.50 238.50 1 712764 10141, LIPEZ,SERCIO 203 ULC Ot-13-01 1012.42 1072.42 1 SA33CE1313t8mlo 716207 10149 LOPEIMISAM 20t ACC 01-13°01 85.00 851.00 1 492410 10194 LOPEZEYICTORIA 203 UNC 03-20.47 238.90 106.00 05-23-02 132.90 1 LORI'VICTORIA L 549895 10101 LOPE119ICTOAIA 203 ULC 0517-99 397,00 100.00 297.00 1 LOPEIN CTORIA L 725213 10199 LUENZG,,PAt111TIVG 201 ACC 10~-31-01 82.04 82.00 1 543453 10101 LOSTAUNA€#ECARMEN 203 UNC 04-29"98 173.00 173.00 1. "€34485 10101 LOSTAVNAMAANEN 203 w WIIF" 109".81 10945.$1 4 "35601€2 10101 LOSTA fAiV,CAIAEN 203 VNC 06-10-98 133.00 133.00 1 558422 10101 LOSTA#AA11.3:AULEN 203 UiC 06-28-98 27.50 27.50 1 561219 10101 LOSTA9104ARKEN 203 WK 07-09.98 262.00 262.40 1 HEALTH SERVICES #RITE-OFF REPORT OATE107 Jul 2003 PAGE=` 64 K#TQR..xx.... CLIENTt3... NANEx..x....4...A....x.....xx. #( ST C0 OT-A88I0 WASSIM...xx PAIR COL LST PAY. TOTAL BAL..... CRT 574180 total LDVA11tPATRICIA 2031111E €1.03-9E 202.€€ 20Ex€€ € 974297 total L11VAN&ATRICIA 203 UK 11--45-48 231.41 23€x41 1 713225 101" LOQ ELACEMIDA 201 ACG 09-13-01 92.00 42.00 1 LOV LACi~tLxK. K 721877 10101 LOK.IVANISM R 203 WIG 10-13-01 701.10 707.10 1 723215 101" L11YOtCRAIG 201 ACC W31-01 23.00 25.00 1 LOYO,CRAIG R 726873 101" LUMCRAIG 241 ACG H-011-01 23.00 23.00 € LOYOtCRAIG It 753635 10101 LOXAMPAOLIBE 20311110 06-10.02 6€24-H 6128.58 1 773147 total LDZW*PAULI11E 203 WtC 01-30-03 93.00 90.0 1 RUTCHINSONISMY 62#727 total LOCAStROWT 203 WiC oq-1 1-99 €8x94 18.99 L CAS,ROMT 11 723'089 10144 LVERASIMSTINA 201 ACC 10-31.01 31.30 31.30 € 389435 total L118AtCLEO D 203 VIC 03-11-49 333.00 333.0 € 589734 total LORA.CLED 0 203 UNC 03-€1-99 186.23 €1€6.23 1 589793 total LWA:CLEO B 203 UNC 03-1i»q4 19.86 19.86 1 389847 10101 L#1MCLED 0 203 UNC 03-11-49 19.86 19.86 1 688610 total LilMMLEa 0 203 UK 01-17-01 763.76 763.76 1 720691 tot" LWIAMAWRA 201 ACC 09-27~01 98.00 98.00 1 725283 10144 LUNAMAKIRA 201 ACC 10-31-01 83.00 83.00 1 72734? 10199 L1111AIDW 201 ACC 11-08-01 31.50 31.50 1 LWsJWY P 941148 10112 LW#Ar6REG 203 ACG 07-01-98 430.00 278.511 12-17-01 171.50 1 LOAME6 B 6337300 10101 t.t#31AIJOSZE 203 me 01-03"00 831.4? 831.44 t LUVAr.111$E 1 618850 total LUVAtROSA 203 WK 0824-9? 3726.80 3726.80 1 LQUIRM R 773444 10201 LUMCAREY CATLEME 203 BAIT 1244-02 746.90 746.?0 1 633732 10101 LYNCHMENDA SK 203 #1110 01-0.00 368.70 368.70 1 B1tK ,BR8R33A SUE 779837 10101 LYO tRARE* 203 BAR 02-21.43 370.34 310.34 1 LY1RiB.9AR" .4 772741 10101 LYO1tBtmm S 203 RAN 11-26--02 21.67 21.67 1 392736 20101 LYO1tSVKMIE C 203 UK 04.05-94 tot." 101.40 1 600661 total LYONME101TE C 203 UNC 03-17-" 352.30 552.90 1 600805 total LYWXMIE C 203 WK 03-17-99 2".90 295.50 1 765980 10101 IYONMENNIE C 203 m 08-21-02 27240 278.30 1 769227 total LYSEIitKBBRA 203 UNC 10-47-02 305.93 30.00 03-11.03 233.43 1 132142 10144 11ACE00:411111 201 ACC 01-04-02 98.00 Woo 1 773627 total NAMMANANDA RENEE 203 UNC 11-21.02 3147.70 3141.70 1 57754442 total XACHAMM"A 203 UK IH7"911 378.52 378.32 1 375632 total MCNAMMOR 1A 203 UNC H-17-48 511.30 311.30 1 573726 total NAC11AB0:iWRMA 203 UK ti~17.98 102.80 102..80 1 575874 total MCHA80tMA 203 UNC €t-11-18 $0.00 80.00 413475 10101 11ACRA08t110 M 203 1100 07-27-" 782.04 ?82.00 6114to -14141 11ACRUCAtMANVEL 203 11oC 01-17-01 6091.62 437.00 08-0201 5634.42 MIT 10101 *M*RAP 203 12 09-01-00 17.80 17.80 5791373 total MACKN2IE MTKEEN 203 W €t-17^9# 197.00 111.00 MACMILOT31LEE1t A 979409 total MC11E31I3E:it IKEEN 203 UNC 11.17.98 206.0# 206.08 31AMIIE"KATKEEN A HEALTH SERVICES VRITE-OFF RMT 4ATEY07`4ut 2003' PACEI 65 CLIENT1#... !NUE.««.««'....«.«..«„«,>«..«f ON 8T CO OT-AU1.0 P11-A8810. «.:« PRIN COL LST PAY. TOTAL PAL..... CKT 575658 10141 W%E#1IE,UTHLEE1 20311110 11-17-" 417.40 417.00 € NACMIE,KATKH* A 575834 10101 ltACKEl1IIEtUTREEN 203 /1110 11-17-45 1975.29 1075«20 1 #€ UENIIE,MTHLEEN A 576013 10101 NACKENI1Er1IATHLEE11 203 0110 11-17-48 92.00 92.00 I 11ACKNZ1EsKATHLEEN A 57624€ 10101 MCKENZIE,XATHLEEN 203 1010 11°17-98 773.20 772.20 1 NACITE,KATIILEEN A 542421 10101 09KENZIEfKATHLEEN 203 UK 01.2099 242..00 242.00 1 NACKENIIErKATKEEN A 6133b€ 10301 NACMIIErKATRE1 N 203 11110 07^27-94 6232.39 6232«34 1 NAC1EENIiErl1ATKEEN A 632184 €0101 1lAC011,8T1E1LA E 21#3 kNtC 01.04-00 1711.46 €716.4 i 1 620763 10101 NACNENAT4s1#MN 203 UK 09-10-99 25.00 23.00 € RACREMT&ANISSA 59fl80t 10141 NAMEWEARKE 1 203 VNC 03-22-99 62.00 62.00 1 590813 10101 NA00E12r EANNI£ 11 203 UK 03-22-94 2379.44 2574.04 1 59#085 10141 NAOSEN„3EAN11IE 8 203 01C 03-22-" 88x30 88.50 1 603576 14101 t1A M,JE NIE 0 203 W 06-08-99 $4.00 10.00 1 732834 lot"IMOy��DDxtY��E#t�llcA 201 ACC 01-44-08 98.00 48.00 1 ilrSi,YVxr"IAN C 133035 €0199 11i4WIwVEWICA 241 ACC 01-04-42 85.04 85.44 1 NAOIrNIAf1 C 734094 101" NAOMIfVERiINICA 201 ACC 02`27.02 t00 98.00 1 11111104!*NICNAfL 0 544742 10101 119 tiflAtY 20380 04-29-98 122.58 12.26 12-10-02 €10.32 1 1EA411211rNA11'l C 391675 2010€ NAM14KIEONUO 203 UNC 01-20-99 $58.82 558.82 1 NAPRI&ALrENANl< T 582532 1010t NAONISA1.r HARD 203 UK 01-20-" 192.20 192.20 1 NA0121GAUEDVA20 T 582634 10101 NAIRIQUE10" 203 UK 01-20-'49 1807.33 1807.33 1 NaRt"LIE1? ARD T 726579 10199 NAGALLONYWIA G 20€ ACC 11-03-41 72.00 72.00 1 620541 20101 NAWSTEPNEN NATTHEV 203 VIC 4'4-t4-94 22002.44 22002.48 1 60395 10141 NAKINAN4:28AAC m VKC 41-X17-01 WOO 48.00 € 576723 10101 NAXINANOINICHAEL JOSE 203 W 12-Ot-98 419,68 418.68 1 576447 10101 MAKINA04,41C11AEL JOSE 203 WK 12-01-93 115.00 174.00 1 617413 10141. WINA0f9109L JOSE 203 UNC 0024-99 1541.2€ 1541.21 1 57001 101111 NA131t1908,10t0 203 ENC IMI-911 426.49 4€6.49 1 5424!2 Mot NA11RUNOAVI0 203 #1NC 01-24-99 1712.0€ 1712.01 1 581752 10101 NALDI#NAI}4rSIL1tI11 203 UNC 01n0µ99 411.46 913.06 1 582480 10101 NAL011104044101A 203 UK 01-20-99 1€3.80 123.40 1 608171 10141 NALONE.,SI1AIJlf VI110EXT 203 11110 06-23-49 2067.94 2067.95 1 726516 #41'1'4 NANALIL1r4 ANIMA 201 ACC 11-08-01 31.54 3€.50 € 11ANALILIf&AVINA 8 376826 101312 NAKIT14AMRITO 243 WC 12 01-411 255.40 50.00 05-10-94 203.00 € NANITI,CARNELITO 0 576649 101111 NANITI,CAIINELITO 203 VK 12-01-98 171.50 177,50 € Will'CAMLITO 0 576482 14101 NANITI tAtt11ELITO 243 VIC 12-01-98 241.00 241.00 1 NUITIrCA11NELITO 0 376844 10101. NANITI«CA1lNE2.ITO 203 140 12-01-48 323.10 50.00 06-28;-99 275.10 1 NAN1TI,CA"ELITD 8 HEALT00 SERVICES VRIT'£-OFF REPORT DATE107 Jul 20003 }��O'J4CE; iib �y kyy�. f�N(t �.k�Y . F �kf l�k�y PR MWOR.... ... CL IENT0- NA01E........... b l.k.!♦.f l f.f I.Wf S C4 IT-ASSICK fk ASSIOY..... `AIN CM LST PAY. TG f AL CKT 573379 10101 01AN1RYFART'10UR 203 UNC 10-28-92 701.90 lot." i CANPRELL,PATRICIA L 877111 10101 NANIA0+00NAARKIE 283 0NiC 12-01-48 12.00 12.00 1 594212 10101 NARTAN011AYERNIE 203 0JNC 04-2299 221.00 221.00 1 6309011 10141 00ANTANONAvE0INIE 203 UNC 01-04-00 1144.24 1141.24 1 726229 10199 0'0AN11EL,AO.T00S 201 ACC 11-08-011 67.00 67.00 1 NA ,ALTUS 726315 10199 NAWEL,ALTOS 28.1 ACC 11-008-41 93.700 93.70 1 AAKUtALTUS 726408 10199 MWELATOS 201 ACC 11-08-01 42.00 42.010 1 NAN41EL rALTUS 726329 101'0`4+ NA0NIEI,F URS 201 ACC 11-oi-01 98.00 98.00 1 MOUALTUS 7260U 10199 MKU,ALTUS 201 ACC 11-08-01 85.00 85.00 1 NAND tALTUS 7008682 14199 NAN OrFELIPE 201 ACC 0647-01 42.00 42.00 1 726355 10194 MARCO MR#f01AlD 26 ACC 11-08-001 96.25 96.25 1 NA0000004,RMKD 0 7005358 101001 NARGLIN48RILYN 2003 UNC 06`18-01 24701.94 2470.49 1 73$751 10199 NARISCAt.,00ARIALUISA 201 ACC 042-27-012 79.15 79.15 1 73US7 lot" NAR148:ANDRE 201 ACC 002-21-"02 80.84 80.84 1 NA0#1€SrANNE 8 739383 101" 04ARL0N0 0E800AH 2011 ACC 02-27--02 33.53 35.53 1 01A#I0r00NJEWAN L 333041 10101 NAR3N,1URINE 203 DEC 01-004-"02 14806.003 14806.03 1 576167 10101 NAREMALL„JAMES 203 UNC 12-01 98 528.501 528.50 1 MRSH&0.F SAKES E 576179 10101 O'4ARS00ALL,JAMES 203 UNC 12-01-98 746.00 746.00 1 0ASNALL.JANES E 5768514 101001 NA010001ALO.,JANES 203 UNC 12-101-48 120.500 120.60 2 NARMAL F JANE E 57003 10181 00ARS10A0#..F JADES 203 WK 12-01-98 1101.00 1101.00 1 NARSMUvJAK8 E 5701929 10101 NAROMALL I JA00ES 2013 UNC 12-01-98 116.301 116.50 1 NA1A1:O..JANES E 583772 10101 NARS00ALL F JAMES 203 0K 02-004--99 183.56 183.56 1 00 AS01AO.LFJANES E 5838#7 10101 0 RONALL,JAm 203 0K 02-04'99 147.86 147.96 1 NA1020€A1.0.,JAS E 714744 10102 NARSNALL,JANES 203 UNC 009-13-01 183.001 185.00 1 NA01SHALLFJAKE5 E 706423 10194 MITI$NTH 201 ACC 06-14-01 98.00 98.00 1 01ARTI,R01T00 A 720703 10199 MRTI,R01TT0 201 ACC 09-27-01 95.010 3.010 11-28-01 92.00 1 NARTI,0tUTH A 516922 10101 NARTMAOM,ELA 0 203 We 1201298 264.54 264.50 1 583374 101101 NA00TINFAN6E0.A N 293 UNC 0204-" 2583,41 2583.41 1 583652 101001 NA02TIMAN EL 20i3;#0C 02--0499 92.00 92.00 1 04ARTIMANIEL L 739233 10101 0$ART'I10rJ03SNA 203 0J0#0C 42.27'-02 1012.54 1012.54 1 NARTIN, 041A J 5033149 10101 NARTI00 ULAND 0 203,0K 02-04-49 160.45 160.43 1 383474 102011 00ARTMUTAND D 803 0€NC 0120499 661.40 661.40 1 693048 101111 04ARTIN r MAN 2O3 I N 012-22-01 327.00 47.00 014-27-011 730.00 1 HEALTH SERVICES 11RITE•#F6: REPORT DATE147 Jul 2083' PAM{ 61 KITSR.....Y.. CL IENT8.4. 6lAIlE:..##♦1 i K.#Y f.#Y.......... VSK ST C4 DT-ASSIM PI-ASS 16;Jtt...... PRIM COL LST PAY. TOTAL RA1#.### CKT 722278 14144 NARTIMCAVOt JESUS 201 ACG 10.1541 83.04 83#80 1 722351 14199 16ART IVULCAMI J£SES 201 ACG 10-15-01 42.94 42.90 1 726454 18199 61ARTI)ISELtAt o JESUS 281 AGC 11-88-01 90.40 90.40 1 3613416 18141 NARTIVEItCARLOS ALAR 203 UNC 0204--49 430.75 460.75 1 5#3735 10141 6lARTI6IEZ:CARLDS ALAS 26'13 Wit 02-04-99 77.00 77.88 1 503435 1D16I1 "ARTI16EZICARLDS ALAN 283 U6#G 02-W" X2.50 222.39 1 367321 181611 66ARTIVEIrCARLDS ALAN 203 UK 07-24^-H 15.94 15.44 1 759912 10181 "ARIIREZ CAROLINA FELIPA 203 VII 01-11.02 139.3E 120.08 06-15-03 34#50 1 €1LI"RESrAIDNAYll I 640572 10141 NAAMEZ,CE5AR A 203 #ERC 03-17-00 I232MS0 1232.50 1 715119 10141 MARTINEZ xCHRIST INA MIALUP6E 203 61160 09-13-01 145.80 145.00 1 "6&#u" 10141 MARTI1lEZ rCHR15TOPHE T 203 UNC 02-4449 104.00 104..84 1 613308 10101 t6Al#TIVEZ rC 6I5TDP16E T 283 61116: 07-27-" 673.00 513.04 1 371714 I4tD1 66ARTTOMEDVARD M 203 UNC 10-27-98 536.30 25.00 4224-83 511.50 1 572111 10101 WTIEIMEDRARD N 203 61RC 10-27-98 277.39 50.08 01-16-03 227.39 1 732310 10181 RARTINEZ+EDWARD 8 203 UK 0114.02 201.40 201.00 1 729124 10199 HARTINEI,ELIZ66ET6 201 Act 11-20-01 73.00 15.00 1 MARTIKItELIZAIETH T13953 10181 NARTIREZYMIPE 203 6186! 1205-622 6993.45 6113.45 1 751731 14101. KARTIRE14REDY L 283 6161E 06-24-02 1362.13 1362.93 1 618985 10101 MARTIREZ MADALUPE 203 UNC 08-30-49 22.39 22.54 1 NART IME7 4VADALVE 16 $97667 10181 NARTIIEZrANA 1 203 UN` 05-04-99 24.39 24.39 1 618827 101611 MARTIERcI MNA 1 203 UNC 48-24-99 40.34 4#2.34 1 59417'5 10141 AARTI66EI t 82618E 203 UK 04-20-99 734.18 739.10 1 NARTIREIMRIA €1 624198 10181 MARTIVEI:JOSE 203 UNC 10-06-" 55.00 $5.40 1 NARTI16MMARIA 0 5"406 10101 MRTIEEIiJUAR 203 U6+6C 04-20-99 145.61 145.61 1 593826E 10141 MRTIKZ,aAk 203 UNC 44-20-99 370.88 370.8E 1 l6ARTIl Eb RA61 0 593982 18141 MARTIN EWUAtl 203 QK 04-20-'14 90.74 961.70 1 NART1 14VAI6 D 593971 10101 6IARTIMIJUAE6 203 UNC 84-262-49 461.01 409.07 1 l4ARTINEZ,JUAR D 594283 10141 l6ARTINE14UAE6 203 URC 04-20-99 629.25 629.25 1 NARTINE74UAl1 D 594M 10101 !MARTINEZ*AAR 203 UK 04-20-44 143.84 143.80 1 MARTINEIrJUAR D 594393 10181 NNAR`!`IVEI.JUM 203 UNC 04- 99 142.95 142.45 1 MARTINEZ,JUAN D 594436 10101 MRTIKzt4u# 203 URC 04-20-" 144.60 144.60 1 WARTIVEItJUAN 4 594593 10141 NNAATIKZ,JUAN 203 61RC 04-20-94 32.12 32.12 1 NARTINE14VA1l 0 "We 18101 EIARTINEICJ1M 203 UlG 04-20-9'1 459.61 459.61 1 E66tRTtNEEtrJ6EANi � 605617 10141 NARTINEWMA 203 UNC 06-11-94` 129.04 128.00 1 MIARTINEZ:J##M 728100 101" WARTtKI:LILIA 201 ACC 11-24-01 98.40 98.00 1 656676 10101 16ART1NMLIRIS 203 61RG 05-25-08 5.00 5.00 1 64ARTIREItLtRi6i N: 713554 10141 MARTIVEIMARIA 283 WC 09-13-01 349.00 389.00 1 MARTINEZ:N OR#ANDY HEALTH SERVICES VRITE-Off REPORT SATE107 Jul 2003 PAGE; 68 PR g LST ry TOTAL rq�� p�q DEBTOR:........ CLIERT33... MAM........... v,a.....,... DSK ST CS OT-48910 PM-ASS10...... tAIT! L+7S PAY. TOTAL BAL..... CKT 556915 10€01 34ARTINEIMC33AEL 63#AOALVPE 203 at 0E-10.18 70.80 74940 1 NARTINE1,HICHAEL C 617737 10141 33ART1331;'Lr34ICNAEL GUADALUPE 203 31332 W24-99 455.90 455.90 1 MRTINEIrMICHAEL G 71'9583 101" 14ARTIHElr34MMELL 201 ACC 09.21-41 86.30 86.50 1 13ARTI33iMMITC33ELL A 720638 10199 NART131*11TCHELL 201 ACC 59-27-51 $3.00 85.0 1 33ART'11iE1 MITCHELL A 771555 10501 14ARTI43EIrPEDRO 203 VK 11= 1--02 302.6.47 MAX 1 63€190 10151 NARTIMEIrPEDR€3 N 203 VIC 01-04.00 13M.97 1333'92.47 1 593834 131141 MRTI*El,,MCIC 23131182 0424.99 14€.00 141.00 € 594559 10101 34 ARTI34EZt33E13&I31 203 3R4C 04.20-99 705.20 705.20 1 594560 10101 1'3ARTI34EMERGIO 203 UK 44-20-" 141.00 141.00 1 71812$ 101" 34ARTI*I URYN 201 ACC 319wi3-Ol 48.00 98.00 1 NARTIN1,12YAW J 660648 10101 14ARIETT3rMN 2113 V#C 06-24-00 21.50 21.50 1 tO1115ARD:CHRISTOP3IE R 5'4`4580 10101 34AM 31A31ID DALE 203 31132 04-20-99 1060.66 1060.66 1 610147 101311 33ASOVI3AVID BRIE 203 UK 01-319-" 92.00 42.00 € 700346 10101 HAS1113rH YARD 203 VK 04-23-01 124.05 124.80 1 WASONs "ARD R 604859 10101 iO45€11€YR#S RT 203 UK 316-11-99 2701.76 2701.76 1 6316296 10101 3 MAVERT 203 VIC 06-11-94 143.30 193.35 € 608441 14101 mSDl3'31315ERT 203 3€KC 06-28-49 3906.24 59336.24 1 605051 Mot NATHE333grMITA N 203 UK 06-11-19 124.55 124.55 1 558622 €010€ NATOSIMPHILIP 203 3032 06-18-98 633.50 633.50 1 5939% 10101 NATOSIMPHILIP 203 UK 04-LO-99 42.00 92.00 1 544158 10141 RAT05ICH,PHIL€P 203,31132 04-E0-44 118.80 118.80 1 5'34330 10101 MAT0SIMPHILIP 203 31110 04-20-91 158.80 158.80 1 544691 10141 NATOSIMPHILIP 203 UK 04-20-99 165.00 163.00 1 646.125 1010€ 13ATT1 EMDARRYL R 203 3!133: 06-11-11 42:00 92.00 1 649460 1410€ MTT3 A,DARRYI R 203 31432 04`21-00 249.80 244.00 1 6+207% 10101 14ATIKErWALTE 203 33142 09.10-99 1559.15 1559.15 1 654803 10141 RAUREAWENIFER 203 QNC 05-19-00 12.00 12.00 1 11AM.KEV12 J 646392 €010€ NAIVEL60E3IISE 203 UK 04-17-00 516.00 516.00 1 41A134ELLIVENTSE E 556222 10101 13AI31E1.L,LARRY 3. 203 VNC 0410-48 19.00 79.00 1 670172 10141 31AYSEARYrjam 203 UNC 08-09-00 1732.37 1732.37 1 63#5676 10101 11AYES;GRECORY A 203 UK 06-11-9'7 837.50 837.50 1 610227 €0101 11AYSeLAW A 203 3212 01-09-49 7202.47 1242.47 1 700688 101" KAY31MILIAI4 201 ACC 04-26-01 67.00 67.00 1 RAYS 31ILIIAV 0 604654 10101 14CQkE,#ARX STEPHEN 203 UK 0411-99 2506.34 2506.34 1 772874 10101 KCATEE,KATHY L 203 3K 11-26-02 440.00 440.00 1 776216 10101 11CATEErKATRY L 203 UNC 01-10-03 430.50 430.50 1 594724 101311 3'1CC ILLr130GER KILLIAN 203 UMC 04-20-99 278.60 979.60 1 7391€7 101f9 l3CCIAl11rA14CEL 2.01 ACC 02-27-02 86.00 86.00 1 14CCLA113rA3 ML L 557244 10101 OCCL0350.VICKI 203 31i1C W14-98 226.92 75.00 09-20-02 151.92 1 11CCL03Rt.i€ICxl L 558630 10101 1€3;CMART1331R LEE JR 203 UK 06-'14-98 385.80 385.80 1 606446 10141 ?323 MART1131R LEE JR 203 UNC 06-11-94 12€.40 121.90 1 606652 1010$ KCDYYARTM LEE JR 203 vu 06-11-99 110.00 110.00 1 HEALTH SERVICES ITE-OFF REPORT DATE M M 2003 PACES 69 MT14R...f}.{s CL IEt4T4*}.t RAM.}.{.Y f l i..k.}Y}.}{.Y}9 1 DSR ST CS OT-AUIC P AUIGN*s.... a RIN 'M'ItM LST PAY. TOTAL 114 i.t 1• CMT 711PS 10149 41CC0Y.40141 M DEIIRE 201 ACC 08-30-01 62.40 62.40 1 WCCOYAHMN&IRRE L 715679 10149 KCOYJMONIDEIDK 20l ACC 09-13-01 62.40 62.40 1 ffCCOfJOHNSON,8EIVRE L 723828 10199 41CCQYMO4it0EIDRE Cot ACC 10-15-0t 37.20 37.20 1 34CC14YANNSOM EIDRE L 561992 total 1##DAK'CI%DY 203 UNC 07-09.48 211.00 211.00 1 x"4429 141Rt ACw1UE:}C ODY 243 USE 83-22-9" 457.50 X4577.«50 1 591422 10101 11CaADE#ii10y m UNC 03-22-" 203-22" 3q.22 2�i.2 1 769372 10101 ACMIELMVID 203 me 10-47-42 98.04 Moo i ACDARIELISAV1D 0 573062 10101 KDAi41ELtTERESA R 243 iv1C 10-28-99 71.00 71.00 1 605414 10141 11CIAt11ELtTERESA 14 283 INK 86-it-" M3.88 2843.88 1 6249614 18141 RCDINALMIC111"1.LE 203 URC 10-14-99 1363.26 1343.26 1 60 924 t0lot 11CMALMICNARD L 24.3 UK 06-11-99 187.0 187.40 1 740426 total RcmufITEVE 2031182 02-27.43 2$7.41 287.41 1 KDONALDISTEVE D 617826 total 11ONAL14t'4TEVEN 203 WK U-24-" 2366.41 2$66.41 1 71I2618 total 9CD04iA1.0MLTER J 203 Vic 03-21-03 Mat 33$2.49 1 572905 10101 ACD1NELL404LPt1 203 UNC 114-21-10 1124.77 1124.77 1 676826 10101 41C01 LL4111)OLP41 203 URC 09-27-00 1373}12 1375.12 1 59306 10101 41CFAi4LA4iD.CVSTAWS 203 UNC 04-20-99 687.39 617.54 1 593904 total 41CFARLAND.CUSTAVUS 203 1142 20-99 106.35 106.53 1 543967 total KFARLA41IktMAi4US 243 we 04.20-99 110.11 114.71 1 594605 total KFARLA0 fGUSTAVUS 203 we 04-20-99 134.89 134.89 1 514842 total 41CFARLA41DtmMus 203 UNC 44-20-" 132.60 132.64 1 644301 total 41 CFARt:ARMUSt'AVUS 203 UKC 04-17-0 1644.32 1609.32 1 $62024 total 41CFARLAWLAMY 203 UK 87-01-48 117.52 117.32 1 '362252 total 41CFARLAWLARRY 203 UK 07.09-48 92.00 42.00 1 6971494 1010# 41 CFARLINtFA14ELA S 203 UK 03-11-41 3511.85 3511.85 1 646650 total 11CC41EEMAE44 E 203 DEC 04-17-40 1240.53 1240.53 1 700874 14199 KSILLtDAVIEL 201 ACC 04-26-at 104.00 10.00 05-08.01 91.40 1 NMILL rBARIEL L 714407 10199 11CC01IISLEtAkim 201 ACC 09.14-01 36.00 36.40 1 11 ONICLEtAR EV V 716628 10149 ACCONIGLEtANDREV 201 ACC a4-t4-01 +42.00 42.00 1 WONISLEtANDREV 14 106402 10t" KWMRtLEE tot ACC 06-24-01 85.00 $5.00 1 #4CCR#m#LEE N 584014 1141141 41 CIRTOMCLARE4ICE 203 i441C 02-04.99 133.44 133.0 1 544025 14101 11CINTUSHICLARERCE 203 WC 02-04-99 18661+50 1866.50 1 3$4037 total K INTOSH,CLARERCE 203 UNC 0244-99 $0.00 80.00 1 584204 total 41 CI41TOB&CLARE44CE 243 i41C 02-04y-V4 168.114 168.00 1 $94253 total "CIl1TMICLAREACE 203 VIK 02-04-99 15746,00 15786.40 1 584382 total 11 CI41T14811tCLARE44CE 243UNC 02.04"49 820.90 $20.94 1 544472 144101 MCIRTMICLAREACE 203 UK 02-04-94 271.20 271.20 1 584534 10101 KIOTMCLAREIICE 2031#8& 02-0449 10.40 149.40 1 584650 tolot AtINTOS41&ARE CE 203 URC 02.144-49 271.50 277.50 1 700925 101' 1'lCI#TYREt}4EFFREY 201 ACC 04-26-01 34.10 34.10 1 7$7128 10t" 14CI44TYR1:r+4EFFREY 201 ACC 06-20-01 Woo 98.014 1 707167 10199 ACINTYRE:+WREY 201 ACC 06-20-01 98.40 94}014 1 732370 tot" 11 KEWIML1wA440RA 201 ACC 01-04-02 21.10 21.00 1 1'11>4€EWIC8 LEA14DRA E KALT33 SERVICES VRITE-OFF WORT I ATETO7 Jul 2003 PAW TO 0E8TOR.**..... CLtSNT31... 3iA33E..._...,..!.s.. ... ...... DSK ST C1 0T-ASSIGN "488IGN...... PRIM tot LST PAT. TOTAL IAL .... CKT 733024 10199 8333E331tRIC33=LEAN3IRA 201 ACC 01-04-02 12.60 ACKEURIC33.LEAN RA E 733010 10194 MC3fWRICK,LEAN3331A 201 ACC 03-04-02 78.20 72.20 1 BCKMICKILEAMA E 733110 €0149 IKKEORICKILEAIGRA 201 ACC 01-04-02 18.00 18.00 1 MCKMICKrLEMORA E 746035 10144 11CKANICKYLEANRA 201 ACC 04-30-02 90.00 10.00 € 33 CKMICK,LEAN333tA E 624932 10101 8C33I3+313E11,ELLA 203 at 10-11-99 30.40 30.40 1 ACKI39NME. L 620324 10141 KKIN EY►ELLA 203 UNC €0-18-99 40.34 40.34 1 NCKINNEY.E. L 681287 10101 RCKINSENEFFERY 203 QvC 05-03-00 1$7'1.60 1977.60 1 374415 10101 NCKNELT:MIS 203 UK 11-00-98 303=00 303.00 1 674284 10101 33CM TI IS 243 UNC 11-03-48 392.30 392,50 1 574446 10101 8Cla"I00IS 203 w 11-05-48 314.80 314.80 1 574316 14101 NCMYK IS 203 vK It-w" 473*50 475.50 1 594546 10101 KLANE AVERY 203 33NC 04-20-" 20.00 20.00 1 617573 10101 NCLEN33 ICAROLYN 203 Wic 08-84-vf 763.48 211.00 738.48 1 BCLENOWCAROLYN L 592494 10101 #CL3M3�fAN.33TEP31EN 203 UNC 04-05-99 $23.33 323.33 1 ACLIMISTEPREN 0 542300 10101 BCLENNAN,STEPREN 203 UNC 04-03-99 72.00 72.00 1 1 UBMAN.STEPREN 0 $92564 10101 NCL3 MAN ATEPNEN 203 33NC 04-03-94 2 4x4 234." € NCLENNA3 STEP3 EN 0 392862 10€01 NCCLE1 MMEMEN 203 WC 04-0-" 134.00 150.00 € KLEi3 ,STEPHEN 4 593265 €0101 8CL£1 MISTEPREN 203 31NC 04-05-11 ".32 48.32 1 BCLUMISTEP33EN 0 543211 14101 8CLENNA3lr8TEPHEN 203 URC 04-05-9"i 75.50 75.50 1 31CLE103AN ATEPNEM 0 P4148 10101 WCUINI0#IAN 203 UNC 04-20-" 32632 552.32 1 344344 14101 BCLIMMIAN 203 Ute 04-20-" 627.08 627.38 1 $94617 10141 8CLIMMIAN 203 UNC 04-20-99 478.70 478.70 1 594714 14141 ACLINNARIAN 203 3JTiC 04-20-" 316.00 316,10 1 651626 10101 BCLINVIRI ti 203 UNC W03-04 626*69 626.69 1 OCLINNr03R1AN 0 641512 10101 KFAMIANNE 203 UNC 315•^21-'44 23.00 23.00 1 721015 131199 K NAMIDAVID 201 ACC 09µ21-01 48.04 48.00 1 "C8AN3N1.0A910 J 617744 ##€1#11 ACRIL1MARE13 203 UNC 00-24-44 260.30 260.54 1 KNILI#fMRIN 0 617953# 10101 AC81LIU3Al3EN 203 WC 08-24-49 163.00 163.00 1 31CNILiMARIN 0 544478 10101 8CMISILELAN$ 2.03 UNC 04-20-99 92.00 92.00 1 544484 10101 XMIStLEl ANO 2113 UNC 04-211-94 56.36 346.56 1 544144 10101 NCKOHIS:LELANO 203 3NkC 04-20-44 214*00 249.00 1 382!343 10101 OCNMYI IS 203 UK 01-24-" 881.11E 881.16 € 738521 133101 MEILLISNAMON 203 UNC 06-211-02 1414.67 1916.67 1 711174 10194 3 y8EA3 S.AIE 201 ACC 08-30-01 ','x.30 53.34 1 REA ,ANNIE R 711282 10147 WEAM ANNIE 201 ACC 08-30-01 30.37 30.37 1 NEADOWS,AKIE R REALT16 SERMES VRITE-Off 11E1ORT DATEI-07 Jul 2403 PACE+ 71t}py; y� DOW t / �{T i {�{ { y @f}ay PAIN V r;` pit 0ERTOR...t.x.. CLIENT.a s *W*...s x s s x.x t......x x w w s a.z DOW S t Orf! DT-ASSIGN PIFASSIGN...... PAIN COL LST PAY. TOTAL if!li.t.s w xCRT 711321 101" �EADMANKIIE 201 Atc 06-30-01 31.17 31.17 1 REAS►ARIIIE 1 711110 10199 NEA��IANNIEE201 ACC -�34-01 65.53 63.53 1 REA0MANNIE Ky R 711813 10194 ME"MANNII{E. 201 ACC 08-30-01 11.43 11.03 1 KADMIANNI 711848 1919 y EAWtANNIE241 ACC 30-41 36.38 36.36 1 NEA1Rli Imml1E. R 732418 10199 KAM14ARY 201 ACC 01.04-02 49.50 49.50 1 REAMIGARY v 73mt 101" REEADMIt ttRT 201 ACC 01-04-02 29.+10 29.€0 1 MEA fwY 9 574479 tOt01 RECHLI11CtAUTURR 203 mc 11-03-98 129.93 121.93 1 607939 10141 MEOUNMA11TiR€N 203 mc 06-H-9t 92.00 92.00 1 608138 total 11EMINGIAUTURK 203 WAC. 04-21-" 1970=94 1170.94 1 6#18293 10101 RECKINGtOTUNit 20309 06-28.99 110.00 110.00 1 663069 10101 RECHLIMLY01A K 203 UK 06-27-00 6636.17 6636.27 1 617472 10101 OUIVAtJtlUM 40SEPH 203 UK 0-24.99 2458.85 2438.33 1 111438 10199 11E0INA 201 ACC 48-30-01 85.00 83.00 1 TIMM 10199 RERNA:11m 201 ACC 08-34-01 72.00 72.04 1 618331 total KEM:JERRY L 203 Kt 08-24V-" 361.30 361.30 1 604343 10t0l REEKSt11AYI0 VAYME 203 URC 0611-99 16749.86 16749.66 1 76M4 total NEICWtW 11 203 URC 10-07.02 302.98 $02.93 1 169709 total 11EIWA1tOY N 203 Mc 10-07-02 14.631 1€.63 1 739188 tot" REJIAtoA16IEL 201 ACC 02.27-42 65.00 63.00 1 773162 10141 REJ1AtVEL#ER 203 € K 12-05-02 17465.44 11465.44 1 605612" 14101 RELlA ESORA11 L 203 U11C 0b-t1~99 229.82 229.82 1 700091 lot" KNAIELIXAAETH 201 AGC 04 2601 83.00 85.00 1 123823 total 6E110MPAULA JEAN 203 UNC 10-15-01 40259#24 40254.29 1 604551 10101 AMMAR 203 SIC 06-11-99 424.00 424.00 1 IMMANIFER 604714 total REMKIIJOSE 203 URC 06-It-" 130.'90 130.90 1 0UE 00,JER6IFER 603064 total WENBEIkm 203 V*c 06-11-" 460.0 460.00 1 8UE4E0a:JWIFER 605199 10141 �MEf�1N6t���+r�t{,08E L ��77 203 06-�11-99 268.00 20,00 1 4fl'i'fZ.1KI i MNIFER 605404 total MER Z_FJ1M rip 243 URC 06-1t-99 168.00 168.00 1 41UG ft *JEMI ER 711617 14199 KNOZAxCAMO 201 ACC 08-30-01 'Ms 93.34 1 62203 total RESDO fEVEoIt6A 203 VNC "-V-" 20.00 2010 1 35043 total RER0818t1111LA# L 203 VK 0610-98 92=00 92.44 1 581216 18101 REl1 IMOLAN L 203 w 03-0-" 5371.69 $572.69 1 587'268 10101 R"GZAAMAN L 203 UNC 03-02-R4 3007.80 307.80 1 359641 10101 REAIR1}1#Y ON 203 UK 06-24x94 274.90 2.74.90 1 564013 tattle 11ERC164##IVROR 203 UNC 06-1"s 110.04 110.00 1 Saito 14101 6 R 640*RYRi61 203 4RIC 06-24-18 203.20 205.20 1 560147 total NERCAOMYROM 203 URC 06-24-96 183.43 183.45 1 561867 total 6ERCA1€#3 UOR 203 WC 01;09-98 Moo 92.00 1 371105 total RERCA0t11YRON A 203 UNC 10:27-98 307.17 301.17 1 O760 total RERCHART SA1 AA 203 U11C 06-10-98 106.08 206.08 1 RE#IC1iA11tt8ARaRA L 665408 10101 RENCRARTt SANDRA 203 WE 07-10-00 361.20 361.20 1 MERCHANT t5A641RtA L HEALTH SERVICES WIT1.1FF R T OATE101 Jul 2403 PAGE r 72 yy� y(; {M'My $ Mi ' u�µ��y��{ PAIN TOTAL y3�{ {Ni�� MTOK....i T.3 CLIVAT#.3. MAME...s...k.....X{{7.1 6.....1 1158 ST CO 11T-ASSIGt1 i T! ZiVMR S 13 T T'3 PAIN COL LST PAY. TOTAL PAL..... CRT 712731 101" ##ERCURIMAMGELA 201 ACC 09-13'~-01 67304 67300 1 ME#tWIOTJESrSI'CA 0 722168 10199 MERC11RI8#A E#.A 241 ACC 10-15-01 98.00 98.00 1 372144 14101 MEI ILLsSHA1tI 243 we 10-27-ft 98.40 98.44 1 1mILL,SA 1#THA R 372171 10141 NERAIWONARI 203 UK 10-21-14 147.24 124.04 03-22-" 23.24 1 613448 10101 MERRILLISMARI 203 UK 07-27-99 414.08 414.08 1 #1ERRILLISMAMTMA R 613622 14101 MERRILUS11ARI 203 UNC 07-U-" 543.110 343.04 1 MERRI4.1.s.WANT#MA R 617261 1014t 0ERRIL4.r'T4MARI 203 UK 03-24-" 162.12 162.92 1 MAR1LtMARI L 619837 IOI01 MESRAMIAELIMOA 203 we 48••30-99 1241.29 1241.29 1 768343 18t4t #MICA:LOIS A 203 WK 10-04-02 1481.04 1461.34 1 768636 10141 1#EIA.LI#IS A 203 we 10-04-02 319.80 379.00 1 336530 111101 11ILES44011 203 0140 06-14-18 371.26 371.26 1 604971 141111 MILESrJ11M#1 203 06-11-99 352.28 332.10 1 M1113 J # E 742417 10199 MILLERAMIARA M 201 ACC 03-26-42 98.110 95.44 1 606331 10181 MILLB,FARAH A 243 SIC 06-11499 741.80 749.80 1 $0759 14181 MILLER:FARA14 A 203 1K 07-01t-49 1344.94 1344.90 1 $72689 10141 11LURIURALD 203 we 10-28-98 1639.00 1639.00 1 594399 10141 MILLERAMALO 243 we 45-17-99 133.32 135.32 1 668821 18101 AILLER:KELLY 203 we 01-17-01 641.38 681.30 1 MILLERALLY M 763132 141101 MILLER=LAMCE A 203 DEC 48-08-02 3641.65 3649.65 1 674323 14101 MILLMLEE 203 DEC 09-18-00 2118.63 2110.65 1 385412 10141 MILLET40AN 283 w 02-12-99 6187.73 6131.73 1 KILLE'ItMITA E 5851155 14181 MILLETeJ41AM 203 WK 02-12-94 110.40 110.40 1 MILLET,R€1SITA E 5=4 14141 MILLET40V 243 Me 02-12-99 180.00 138.00 1 MILLETYUSITA f 585651 10141 NILUT aM 203 4#I1C 02-12-99 134.50 134350 1 MILLETrMITA E 583813 18101 KILLET40AM 203 LPAC 02-12-99 114.40 110.00 1 KILLET,RUSITA E 712720 141.99 MILLION,CLYK 201. Act 49--13"01 18.44 18.48 1 MILLIORAY1M A 712938 101" MILL14Mt#CLYIE 201 ADCC 44"-13-41 48.64 48.60 1 MILLI4M#CLY0E A 7125% 14199 MILLSIANGELA 201 ACC 0913.01 85.00 85.40 1 MILLOYAM LA J 712921 !0199 Mlt1S AMGELA 241 ACC 49-13-01 30.50 30.50 1 MILLSrAMGELA J 716709 141" MIUS,AKELA 201 ACC W14-01 98.80 98.84 1 7225317 10199 Mi#1###AMM1E 241 ACC 10-15-01 59.64 39.64 1 MIMS#l418fIE #1 385183 18181 MIM#MAMA O 203 UK 02-12-" 1251.44 1251.44 1 585917 t418t MINDRY 44SAMA #¢ 203 Me 02-12-'19 376.44 376.44 1 711309 10101 M10MCM;#ARM 203 UK 11-F19-02 384.40 380.00 1 HEALTH SERVICES URITE-WF REPORT 4ATE107 Jul 2003 Piz 73 TOR..%..%<. CL IE1 M.. 04knE..........%..}...}i 1¢}..,< 05K 8T C8 OT-M I CK P*-ANICK...... PRIM COL LOT PAY. TOTAL RAL..... CRT 1I88ACHINAR1K 0 781644 14101 RI611ACHYWK 20311oc 03.20-03 331.10 3371.14 1 RI$ CHrOARK 2 551827 10141 111$KELLYrKEVIN 203 46-114-98 173.40 173.44 1 $93741 14101 RISKELLMEYIN 243 VIC 94"218.99 549%94 599.59 1 5934" 14101 RISKELLYtKEVIN 243 URIC 94-20-19 574.21 574.21 1 594919 10101 11ISKELLYWIEVIN 203 RR!1C 04-24-fit 3".38 368%38 1 594219 14141 RISKE1.LYAEVIV 293 ac 04-24.99 26.3.24 263.24 1 594240 10141 RIUMLYrMIV 203 W 04-20-" 39.10 353.10 1 504720 14101 NISIUM I11 203111KC 04-20.99 247.00 247.00 1 717434 14191 11ITEE1.1.t€EDERICK R 201 ACC 0914+-91 35.40 35.00 1 624683 10141 RITCHELLt3AYSUM 203 AMC 09-14-99 110.54 1V0.54 1 NITCHEL at1AYNO H 624844 111191 RITCHR:1}Lr AY$411 203 v#c 09-10-99 4224.26 424.26 1 RITCHELWAYSON 9 620919 10141 RITCHELL#3AYS0 203 URC 0914.91 477.77 477.77 1 WITCHELWAYS0 1 624644 19191 WITORWAYSON V 203 we 99-19`99 918.50 118%59 1 74 826 14199 RITC11 LULARAR 201 ACC 04-30-02 96.00 98.00 1 659784 10101 HITCRELtTEREBA 203 UNC 06-24-04 144.80 144.80 1 371735 14101 R1TC41ELLrTERESA A 243 UNC 14-20-98 318.27 318.27 1 LONGTERESA 7I3674 19141 NOFFE'TrTONY L 203 Wt 49-13-01 984.85 984.85 1 6049.63 10101 NFUL4,0AHCY RUTH 203 U11C 06-11x99 189.80 189%89 1 645169 10141 1'OFIELIA CYRUTH 203 U11C 06-11-99 141190 141.00 1 644267 #!1101 ROFIEL9tRUCY RUTH 243 11110 04-17-04 799.19 794.14 1 572839 14101 118KIRY OOSHIK 203 0i1C 10.20.98 $9.0 34.24 07-92-02 54.84 1 776272 10141 MOLIRA:LAMA 203 DEC 01-10-43 6014}94 6071.94 1 110LI11AtLAWA C 655229 14111 R1WAIA*OWIELA 203 at 115-19'-04 176.64 178.44 1 TWIS,Q RIELA 738'127 10399 RONCREABEr}1ERRRY 291 ACC 42-21-02 12.90 12.90 1 721691 10199 201 ACC 11-20-01 99.04 94.04 1 NORM t ANILLAR4 K 739164 14199 1HIRRRO I M1ILLM1 241 ACC 41241-02 ".00 '18.00 1 NONNOWARILLAH K 742348 10119 ADAR{1Et RILLAH 201 ACC 03-26-42 67.09 67.44 1 H4WEI M11L:LA11 K 731129 14199 RORT'ARI4#CARUS 201 ACC 02-27-02 $5.0 85.09 1 7229819 10199 WONTE&EVANCELIRA 201 A1CC 10-15-01 ".00 98.00 t HOOTER,EVAIRGELIIIA C 797863 30199 140RTERRriERTRA 201 ACC 46-24-01 67.00 67.04 1 604347 14141 HIM11T1x4RER,BARBARA 3 293 11140 06-11.99 2129.94 2129.94 1 557096 14101 10111CUERY ADVALI1 SALE 293 Vic 06-10-14 103.711 103.70 1 622044 10101 NONT"NERY'ADVAID PALE 203 we 09-17-99 529.34 $29.34 1 634446 10401 110*14UN tRWAU 41..E 243 UNC 01-05-00 131.69 131.69 1 713$46 10191 NONTIEUNATIVISAD 243 UNC 09-13-01 1972.35 1472.35 1 713581 101" H�t�OREONAR�ItON �y 241 ACC 09-13.01 21x.41 26.41 1 H1R11R NARIORI0 71.3671 10399 R011i1Rt11AR1011 201 ACC 09-13-01 94.27 9!4.27 1 R OORE#11ARI011 0 714006 10199 R WINARIO11 201 ACC 91-1341 24.90 24.90 1 WOURE,NARION D HEALTH SERVICES VRITE-M REPORT DATEW Jul 2003 P+]� }y�. I 74 DEBTOR CLI !... KANE..a......t.... ........... D X Si CO OT"'ASSIN fl"-A SKN.....0 PRI* COL LOT PAY. TOTAL DAL..... CNT 548046 101#11 NOOREsNICHAEL 203 UK 06-18.17 511.80 47.10 09-E4-0E 471.70 1 737829 10144 NO EIRODERT 201 ACG 02-27.02 47.50 97.50 1 NQORE►RODERT L 730482 10101 NOOR&SYLVESTER R 203 UC 12-2$-01 97.00 47.00 1 598920 10101 MOGRE114ANDA 203 UNC 05-17'94 1571.94 1371.44 1 HOOREIMNOA 0 630648 10101 NOOREIVANOA 203 18NC 12.27-99 13.65 13.63 1 NlNANDA J 394216 10101 NOOREr#1LL1AN 203 U81C 03-17-94 175.50 175.30 1 544435 10101 NOGRE:RILLIAM 203 UNG 05-17-94 226.00 224.00 1 54'67 10101 N018RE�VILLIA84 203 URC 05-17-44 237.50 237.50 1 647229 10101 009A:14 t 203 UNC 04-18.04 406.33 906.33 1 621$73 10101 NORALESrIGNACID 203 UNC 09-17-99 20.00 24.00 1 720890 10199 NOPIAPES NANUEL 26 ACC 09-27-01 45.00 45.40 1 5"492 10101 MORALES,PATRICIA 203 UK 04-05-99 10$7.38 1087.38 1 SM9 10101 NORALE&PATRICIA 203 URC 04-@5 44 176.00 178.00 1 592964 10101 MORALE&P'ATRICIA 203 UNC 04-W" 558.022 358,0E 1 593101 10101 MORALES PATRICIA 203 UNC 04-05-99 470.42 470.42 1 593246 10181 MORALES'PATRICIA 203 UNC 04-0-" $8.021 88.00 1 780358 10101 NORALE AKER 203 URC 02-27-03 1778.92 1778.42 1 P40RALES R180ER J 583327 10101 NREWANTUNIO 203 UNC 02-04-94 7802.84 7802.36 1 11POt£d40xANTONIC E 583340 10101 NOREWA11T0410 203 UNC 02--04-49 67.20 67.20 1 NORE1041TONI0 E 353857 10101 MOREWANTONIO 203 UNG 02-04-94 34.00 $4.00 1 810REWANTONI6 E 780449 10101 MORENO.NANCY no 203 UK 02-27-03 98.00 98.00 1 NOREN& ANCY A 780430 10101 NP8MNtCURTIS 203 UNC 02-27-03 1322.64 1322.64 1 NORGA4tCURTIS N 624427 10101 WORGAN:OORSIE E 283 DEC 10-18-94 747.39 747.39 1 625159 10101 NO G#A,DORSIE E 203 DEC 10-18-99 752.71 752.71 1 623251 10101 NORGANIDORSIE E 203 DEC 10-1$-44 712.7$ 772.78 1 700443 10199 NORCAI4 FRANK 201 ACC 04-25-01 11.00 11.00 1 725081 10149 P101t ttlA# 2:•01 ACC 10-31-01 83.00 85.00 1 LEYENDEC81ER►84ELIS&A M 713726 101" NORCANIKENNETH 201 ACC 09-13.01 85.00 $3.00 1 NORG001E KIN 8 700465 10194 NORITZ OLIVIA 201 ACC 04-26.01 24.00 24.00 1 NORITZ►OLIVIA T 594063 10101 NORR S.JEP:FREY 203 UNC 0420-99 161.00 161.00 1 544253 10101 i'GOOIS JEFFREY 203 UNC 0420-94 68.00 68.00 1 594523 10101 90022184EFFREY 203 UNC 04-20-99 64.00 64.00 1 594742 10101 NMIS,JEFFREY 203 UK 04-80-49 $71.32 871.32 1 548643 10101 NORRISYNINBERLY 203 UNC 05-17-99 103.40 103.60 1 544634 18101 810RRIStKINP€ERLY 243 UNC 05-11-99 233.94 233.84 1 348776 101181 NORRIS'RIN88ERLY 203 UNC OS-17-99 124.76 124.76 1 599221 10101 110RRIStKI PDERLY 203 UNC W17-44 106.35 106.33 1 349240 10101 810RPtISKINBERLY 203 UNC 03-1749 114.00 116.08 1 39'4344 10101 NORRI&t8INBERLY 203 UK 45-11-49 41.16 41.16 1 59'4'604 10141 NORRI 4INDERLY 203 UNG 05-17-49 143.40 143.40 1 624888 14111 P80RRIStKINSERLY 203 UNC t0-18-44 133.07 133.07 1 HEALTH SERVICES MITE-OFF REPORT DATE•07 Jul 2003 PAW, 73 DEBTOR........ CLIENT$... RARE...................r..:r., BSS ST Cl OT-48816M WASSI&N...... PRIM COL LST PAY. TOTAL DAL..... CRT 623296 101.41 NORI MIXIN$ERLY 203 UK 1.0-18«99 99.00 92.00 1 630005 10101 NORRISMADENLY 203 UK 12-27-f4 4420.16 4420.16 1 713630 10141 NMIS!$11AR11N ELAINE 203 UK 09-13-01 $41.38 541.34 1 617937 10101 NORRIS.TANNY 203 WIC 08-24"49 24.30 24.30 1 RU116'ELL MI ZEL 898440 10141 NORROV,GEORGE R 203 WK 03-17-99 441.36 20.00 07-H-99 428.3+6 1 899330 10101 #QRMV,#EO &E R 203 UNC 03.17-" 606.85 606.85 1 51'4'3.3 10101 N1MVICENCE R 203 WIC 115-17-99 450.00 454.00 1 548644 10101 MORM411104 N 203 WIC W1?-" 29.24 29.24 1 548741 10101 NORROV41*04 N 203 UNC 05-17-14 21.00 21.00 1 59$$44 10101 WORROV,LINDA N 203 VNC 05-17-" 230.94 234.90 1 394384 10101 MOMMODA R 203WK05-17-99 266.48 265.90 1 599347 10101 MOMOV LINDA K 203 WK 05-17-99 136.00 156.00 1 549674 14101 NOMOV410A S 203 UNC 05-17-94 114.60 114.64 1 604169 10101 MORTOKIN4NETTE N 243 lK 06-11-" 210.55 270.35 1 62u76 10101 NOSCOSDIVERONICA 203 UNC 10-14-" 2117.30 287.50 1 625409 10101 MOSCOSMERONICA 203 UNC 10-18-'19 145.00 345.00 1 5.3765 10101 NOTBUINrANTON 203 UNC 04-20-" 4.9.32 444.32 1 N#TN1 MANTON C 594474 10101 NO INIANTON 203 VIC 04.20 IV $0.00 80.00 1 NOTNVINIANTON C 5385341 10101 NO NIN6fRSLAND 203 UK 06-18-98 200.00 200.00 1 NN3MIN&.RO AND N 603686 10101 RUIRMAEN 203 UNC 06-11-11 193.22 30.00 04-28-00 143.22 1 616862 10181 MIRt0EREN 203 UNC 09-24-91 268.36 30.00 218.36 1 714242 10194 NULM VERNON JR 201 ACC 09-13-01 10.50 14.50 1 NULBERrVERIOiN JR N 715101 10M 11ULDER40#09 a 201 ACC 09-13-01 83.40 $3.40 1 RULDEMERNONJR N 673411 10111 MUMMURIE 201 ACC 09-08-00 $0.00 30.00 1 JOSEPN,VALERIE D 625016 20101 NUNNIEDNIN 9 2.03 UNC 10.18-99 2331.+40 2831.40 1 318798 10101 NUMMENRIVE 203 WIC W17-99 365.64 30.64 1 5.9325 101##1 MOI!€NRINE 203 WIC 03-17-" 7462450 7962.50 1 714304 1019. NUNOI.&LORIA 201 ACC 04-13-01 47.00 47.00 1 602742 10101 NUNN1x:.uNA Y 203 UNC 06-08-19 5461.71 5461.77 1 714512 10194 NUMNISMANNON 201 ACC 09-13-01 98.00 48.00 1 715423 10199 NW8 NISNANNON 201 ACC 09-13-01 89.00 89.00 1 NUNSNIN SNANINON N 604534 10141 NUNSIlMILYMES CHARLES 203 UK 115-11-99 842.51 $42.51 1 605634 10101 NUNMULYSSES COAXES 203 UNC 06-11-49 154.31 134.31 1 606632 14101 NUNSON ULYSSES COAXES 203 UNC Writ-" 479.00 474.00 1 664833 11!101 NURATA:JABS 203 UNC 48-09-00 ;103.00 342.10 12-18-02 162.40 1 CIO JANET SIMONTON 513796 10101 NU kY'smoI 203 UNC 04-" 107.30 107.50 1 513475 10101 IIURRAYt$RAN111 203 UNC 04-20-99 23.30 28.50 1 393476 10101 N RAMRANOI 203 UNC 0420-49 190.02 140.02 1 3"095 10101 HURRAY BRANDI 203 UK 04-20-f1 101.50 107.50 1 394241 10141 NURRAYMANDI 203 we 04-20-11 107.30 101.30 1 344245 10101 NMAY40011 203 UNC 04»20»99 111.00 118.44 1 544727 10181 NUItRAAYMANBI 243 UNC 04-20-" 147.50 107.30 1 594771 10141 MURRAYrBRANDI 203 UK 04-20-49 661.50 664.30 1 HEALTR SERVICES VRITE-OFF REPORT DATEM Jul 2003 PAGE, 76 KSTDR........ CLIENT*... MAKE................t i}Y t.f#i• 08W T C1 OT-A V IGM Pl MSIQ...... PRIM COL LOT PAY. TOTAL 4lRiri.!#i 'SIR! 739566 10199 NVORAYMOELL 201 ACC 02-27-42 46.70 46.70 1 1143C{RAYrA419ELL N 598744 10101 NURRAMENNETH 203 vNC 05-17-99 141.40 141.411 1 NURRAMOMETH S 598818 10101 NURRAMENNETH 203 UNC 45-11-94 151.44 161.40 1 1lMAYrKENNETH C 598941 14141 11#MYtKENNETH 203 UNC 05-17-99 1046.95 1046.95 1 NUMAY WTH G 598954 19101 MINAMENNETH 203 UNC 05-1749 49.00 49.00 1 1' RAYr4(ENNETH & 599024 14191 HURRAYr44 METH 243 w 05-17-99 131.20 131.24 1 S99',148 10191 NU31RAMENNETH 243 UNC 05-17-99 24.04 29.$4 1 N#11411 MENNETH & 593901 10101 N11>1RAYr lICHAEL 203 UNC 114-29~99 166.00 166,00 1 HURRAY I811ANS1 604524 14101 1'IMYrROSER C112iRLES 203 UK 149.40 149.44 1 694549 18141 AU1 MOGER CRARLES 203 UNC 9b-11°99 259.00 238.09 1 773778 10101 NURR MTHAN O NITE 203 UNC 12-85-02 139.44 139.40 1 598792 10101 NYTHENr MY 203 41NC 05-17-99 129.90 129.04 1 599952 141101 NYTHEN,STACY 203 UNC 05-17-99 475.99 473.99 1 604243 111141 AYTKV STAGY 243 UNC 06-11-" 364.00 364.00 1 673973 10101 NAM4 2I CLARICE 203 UNC 09-04-40 749.50 748#60 1 626451 144101 NAYA1 ',#OSE A 293 UNC 14-28-99 30.94 30.00 ' 1 717083 101" NA11ARROtIfANUE1 201 ACC 01-14-01 98.94 98.48 1 620227 10141 NAVARR8.NAXINILIAN 203 UNC 99-19-99 2270.00 2270.00 1 14A1tAR vNAXINILIAN A 703786 1#19? NEA60RETA 201 ACC 05-11-01 31.50 31.30 1 718303 19199 NEALr&RETA 291 ACC 0-13.92 51.32 51.32 1 7154143 20199 NEALr6RETA 2.01 ACC 09-14-41 74.60 78.60 1 604116 19141 M L461TRU0Y A 203 UNC 06-11-9$ 21281,60 2728.40 1 723484 10149 NELSONrAWILLA 201 AM 10-13-01 57.00 67.40 1 NE1.11'MA4UILLA A 5934H 10101 NELSOKJAYN 203 UK 02-12-99 1260.23 1264.23 1 585712 10141 NELSIN I M A 203 UNC 02.12-99 2"411x58 280.58 1 NELSON,SAW R 585923 10191 NEL811N 11ANN 203 UK 02-12-99 550.44 560.44 1 KELSOtDARK R 598957 19101 NELSINIr4A11N 203 UNC` 45-17.99 .9622x32 5622.32 1 NEL60,00 R 545985 10191 NELSONIREVIN A 203 UK 02-12-99 6385287 5385.87 1 727797 14191 NELSON,TOMIE 203 UK 11-20-41 486.50 486.54 1 NEL ONJO NIIE L 585020 19101 NEN11MLANAR 203 UNC 02-12-99 348.50 340.50 1 NEN8O1rLANAR L 585437 10191 NEN99N LANAR 243 UNC 02-12°99 231.50 231.30 1 NENtfLANAR L 613.1'31 10191 NEVM FREENAN 203 UK 07-27-" 1163.52 1153.51 1 NEV94IKtFREEHAN R 7085b5 19139 AWYEN:TAN 201 ACC 06.27-01 85.04 83.00 1 NGUYENaTAN Y 723667 19199 NCUYENJAN 201 ACC 10.15-01 98.00 48.130 1 NGUYEN:TAN Y 721995 10199 NICKOVIC MARY 201 ACC 10-15-01 84.40 84.40 1 HEALTH SERVICES WITS-OFF REPORT DATE407 jut 2003 PAM; 77 DEBTOR.. ..Y CE NT .. Ki .. .. . DSK &T COT-ASSI&1PR IN tOL LSM PAY, TOTAL ML.-.. CWT HICNOYICHtM 8 604116 10101 NICOONAi4ADIVICK 203 UNC 06-11-11 969.32 90.32 1 742190 10101 NIEDZIALE1itMTTIE 203 DEC 03-26-02 13692.35 13692.35 1 5734118 10101 NIELKK,CNERYLL 203 UK 10-28-98 215.60 275.60 1 581274 11101 NIELBENtCHERYI t. 203 UNC 03-02-49 1505.97 1505.97 1 612492 10101 NIELSEN:CHRISTIAN A 203 UNC 07-22-" 207.2.32 2072.32 1 646453 11101 NIELSMICHRIBTIAN A 203 UNC 04-18-00 1191,50 114€.50 1 5 #227 10101 N1N0t8AT18RA 203 UNC 00~17-99 218.00 218.00 1 NIN0r MA P 594390 10101 NINIYITANDRA 203 UK 05-17-99 124.40 124.90 1 110MANDRA P 599583 11141 #11101SAINA 2.03 UNC 05-17-99 445.60 200.00 06-20-00 245.60 1 NINMANBRA P 5561138 10101 N tT€RRI 203 UK 06-10-90 34.00 34.00 € XOR TER81 L 554351 10141 XORDSTERRI 203 ZINC 06-18-98 12.0.60 120.00 1 NOR04TERRI1. 723484 10101 NM,YERA 203 UK 10-15-01 2342.74 2342.74 1 N11NE1$tYERA B 634122 14101 NUAGARAY PATRICIA 203 ZINC 01-00-°00 162.50 162.50 1 634223 19101 Ni1NGAMPATR1CIA 203 UK 01-05-00 448.50 448.50 1 634376 10101 N1HIGARAY:PA°TRICIA 203 UK 01-05-00 182.50 182.50 1 76€1856 10101 KUNGARAY PATRICIA 203 U£ 10-07-02 241.50 241.50 1 NIRA1NONTEBtEL1ZABETH 8 610611 14101 O'8R1EN.NATHLEEN L 203 UK 07-09-99 2289.25 47.00 08-14--02 8242.22 1 585497 10101 Oil AMUS 203 1K M-12-94 4673!75 4673.75 1 Oil RACHEL 585258 10101 OBI:RACIIE#.. 203UNC 02.12'44 104.00 184.00 1 IB 5#982 10101 HRI iRACHEL 203 UNC 02-12-" U.30 88.50 1 611844 10101 001iRA 1EL 203 UNC 07-U 442.63 442.65 1 646274 10141 OBRIMIANIEL J 203 1NlC 04-18-00 3759.66 3734.66 1 647013 101$1 OBRIENrOANIEL J 203 UK 04-18-00 ".2$ 44.20 1 726725 101" KAMtAL4ARD 201 ACC 11-08-01 244.02 150.00 11-22-01 94.02 1 OCAt€nrALVARO D 741740 101" O+WOrALVAR0 201 ACC 03-26-02 48,011 98.00 1 OCAIMALVARO D 604087 10111 0CLAIREtASEPH 201 ACC 06-11-49 $8.00 58.00 1 KLAIREtJOSEPH E 604602 10141 0I31 NrA11DRE1i 203 UNC 06-11-99 548.90 548.90 1 01 iAND11EV 8 644364 10101 ODB#muf# 203 UK 03-13-40 14307,17 14301.97 1 OWN+ANNEN 8 638977 14101 OLABAW1211AT11EM 203 DEC 03-10-00 5281.50 5281.50 1 66+4036 18101 OLESONr-ROBERT 203 UK 06-28-00 15.00 15.00 1 55513s 10101 OL1Y1<R*MANN RYAN 203 UNC 06-10.48 195.40 195.40 1 cm N 1mtCAHRTN C 556346 10101 SLIVER.:1111 NN RYAN 203 ONC 6-10-48 407.00 407.00 1 CU N1IN1011N1:CAMIN C 663507 10101 OLI40xGEORCE 203 UNC 07-24-0 20.40 20.40 1 504376 10101 OLY'ERAr€'REN 203 V IC 06-11-119 4758.30 4758.30 1 PERMAIN 596151 10141 ONA:PETRONILA 203 UK 05-04-99 143.00 143.00 1 OMArPETttONILA 11 HEALTH SERVICES VRITE-OFF REMT DATE:01 Jul 2003 PAW 70 MTOR,.4f.4.1 CLIENT0.t4 NA34E.ii1.,it. t..s...if......t DR ST C2 OT-46816M PN-ASSIW...i. PRIM COL LST PAY. TOTAL DAL..... CMT 596154 14101 OM PETR1INILA 203 UNC 05-04-99 411.40 411.44 1 ONAYPETR0141LA 31 596376 1€1141 ONAtPETRONILA 243 QKC 05-04-99 54.00 50.00 1 ONA PETMILA N 596682 60101 OutpETMILA 203 UNC 45-44-19 154.00 150.0 1 ON&ATROVILA N 605279 10101 ONEAL4010Y 243 t4NC 46-11µ99 105140 105.04 1 648442 10101 011 6J#11RINY 203 UNC 04-18-00 784.80 79+4.80 1 731601 10101 OPA'RE:ASSANE 243 WIC 124231-01 28.60 28.60 1 OPAK,ASS E K 719395 10199 OPULENCIA41BERTY 201 ACC 09-27-41 61.04 61.04 1 DFW.F IAtLIBERTY L 7#9398 101" OPINE34CIAtLIBERTY 201 ACC 09-23--01 90.00 90.00 1 OP#LENCIAtLIKRTY L 721129 10199 ORETA►LVCILA 201 ACC 09p21-01 30.00 30.00 1 322949 14199 OROMMARKN 201 ACC 10-19-01 9$..04 98.40 1 691078 10141 ORT AtDIONICIO FRAUD 203 DEC 02-07-01 230.00 230.00 1 5939`92 101311 ORTE3AtSAL9ADOR 203 WC 04-20-" 62.00 06-13-02 62.40 1 ORTECAtSALVAHR J 594570 10141 ORTECAtSALVADOR 203 3NIC 04-24-99 71.64 71.60 1 ORTECA:SALYADOR J 394497 10141 ORT'IZ tENRISUE 203 3#140 04-20-" 428.43 428.43 1 RAYGOWENKME 594552 131101 ORTIZ,ENRI031E 203 #NlC 04-224-94 445.49 485.44 1 RAYI OZA ENRII UE 394757 14101 ORTIT:ENRIGK 203 mc 04-20-99 2'!6.50 296.50 1 RAYGOZA,EfRI4Uf 644719 1+0101 ORTMOSCAR EMBAR 203 .NIC 06-11-99 110.00 114.00 1 603452 18101 ORTIZtOSCAR ESCOBAR 203 7#K 06-11-99 118." 118.80 1 7112" 14199 ORt#11r11EBBIE SUZAN 201 ACC 08.30-11 98.00 98.00 1 111313 14199 ORO&DERBIE SUZAN 201 ACC 08-34-01 74.34 14.30 1 596120 10101 OSBONtKAN JAMES 203 #NIC 0344-" 121.24 121.24 1 596273 10101 Oi180N,KAM JAMES 243 UK 05-04-99 114.00 114.00 1 96M 10141 05809,DEAN JAMES 203 UK 05-44-99 244.00 244.00 1 596430 14101 06W.OEAN JAMES 203 UNC 05-04-99 133.99 133.49 1 594564 10141 00110N:DEAN JAMES 203 WIC 43-04-" 32.00 32.00 1 596601 101311 OS8034tKA34 JANH 243 1N4C 05•'04-" 250.00 230.00 1 610713 10101 OS81&DEAN JAMES 203 #NIC 07-09-99 6063.68 6063.68 1 536376 14101 OS8#IRNtCECILIA 203 UNC 06-10-98 91.00 92.00 1 OSMIJIMNY 14 562839 10141 OSPM4ECILIA 243 UNC 07-Y21-98 761.35 761.33 1 06BUIN.CECILIA & 562944 10101 OSBURNICECILIA 203 IN3C 07-2€-98 110,40 18.00 42-2443 92.04 1 0533# NrCECILIA C 603067 10141 IISi#OR34 CE£ILIA 203 3N4C 06-03-" 4171.6# 4171.61 1 OSWRN:CECILIA 4 738D09 10199 Ovel As" 201 ACC 02-27.02 98.40 98.00 1 LAII AAKLEY N 647072 10141 OvewtimS 243 UK 04-18.40 13.33 O31E&JAMES B 598811' 10101 OVENBYLAVONNE 203 We 05-17-99 1806.45 1806.43 1 714743 10149 PACRECOtDALEN 201 AC£ 09-13-41 92.00 92.04 1 LEATEtAARON M 714161 101" PACHECD,DALEN 241 ACC 09-13-01 92.00 92.00 1 HEALTH SERVICES VRITE- RMT OATS O7 Jul 2403 PAU1 79 34E11T1Otxw.axss• CLIM... fWE*......rs.txt.xrw......... DU S 0 IT-ASSIM PO-ASSIGO.....1 FRIM COL LS PAS, TOTAL 9ALws... CWT LEATE,AAROH � 718452 131119 �PyACRELC#�oDAi�EI[ 201 Act 09.14'01 40.'5$ 40.30 1 WHEC6,1ALEN I 71$629 10149 PACHECOJALEN 201 ACC 04-14-01 93.40 93.40 1 PACHE 4.OALU I 726112 14199 PACHEC&BALEM 201 ACC 11-09-01 99.00 98.00 1 796139 10199 PUREC0,04E11 201 ACC It-01-01 96Y00 95.40 1 LEATE.AAROO 11 732135 10149 PACHECatskEN 203 ACC 01-04-U $5.00 95.00 1 LEAZAAROM It 547130 14141 PACR COrROXA11A 203 11110 04«1500 452.00 407.56 11-27-02 74.44 1 PACHEC0140SE 711353 10149 PAC1[AWPANELA 201 ACC 115-30-01 23.26 23.26 1 PACKAUtPA14ELA A 731581 10199 PACKAR1#.PARELA 201 ACC 02-27-02 41.47 41.47 1 PACKYPANELA A 711511 10199 PABILLA.CARKM 201 ACC 08-30-01 91.00 95.00 1 738305 10199 PAOILLA:CARKER 201 ACC 02-27-02 85.00 93.00 1 718372 10199 PABILLA.RANON 201 ACC 09-14-01 43.73 43.73 1 718618 10194 PA4ILLA RMON 201 ACC 09-14-01 16.77 15.77 1 738504 1.0199 PA$ILL&RA110I# 201 ACC 02-27'-02 46.76 46.76 1 665737 10141 PABILLA*RA11L 203 UNC 07-10-00 2457.47 2457.47 1 603331 10101 PAU.CH RLTON 203 1A* 46-08.99 3010.96 3070.96 1 PAGE,CRARLTOH T 676111 10101 PAU40ARLTON 203 DAN 021227'-00 5152.61 5152.61 1 PAGEvCHAKTO11 T 771885 10141 PAIZWAARIA 203 UNC 1121-02 134.04 95.00 44-23-03 39.00 1 738377 10194 PAIFALA111411.1110A 201 ACC 02-27-02 74.00 74.00 1 714197 10101 PALACAMA&RAWEL 203 VNC 01-06-03 518.46 5122.46 1 PALACANAS,VILL IAN H 54$831 10101 PA#IA011A.CAROL 201 14RC 05.17-49 839.60 939.60 1 599873 10101 PARIf A,86CAR 203 WC 0517-99 324.10 324.10 1 PANIAN&CAROL 59514$8 10101 PANIA614A,OKAR 203 UNC 05-17-99 354.66 .354.86 1 PAHIASUArCAROL 59$937 10101 PAHIAC1AiWAR 203 VIC 05-17-44 156.39 136.50 1 PA4IIAGU,CAROL 599152 1.0101 PARI 13A.OSCAR 203 U*C 05.17-99 136.00 136.00 1 PARI.A ACAROL 399574 10101 PAM1440t4ArISCAR 203 UNC 0517-99 571.32 571.32 1 PARIAWA404L 598774 10101 PAPAN1PVMvfLIIAJETH 2O3 UK 0517-99 3304.50 3504.50 1 5991167 10101 PAPAWKWELIZABETH 20311340 05-17-99 1097,56 1097."15 1 59924$ 14141 PAPAIDMOB,ELIIAIETH 203 UNC 03-17.99 110.00 110.04 1 54$263 10101 PAPAMULUS►ELIZABETH 2203 1180 05.17-99 42.00 922.00 1 70061{1 10111 PAPA140PULOS:ELIZABETH 203 VNC 04-26-01 1322.23 1322.25 1 1#U111'rt:L.CABSISY J 647437 10101 PARHAt1,NARBHA3Al1 203 UK 04-18-00 9.40 16.40 W2042 43.40 1 5991450 10101 PARKER I JASS RAY 203 w 03--17-9'1 1321.70 1325.70 1 623891 10101 PARXERWARES RAY 203 UNC 10-06-9$ 222.11 2222.17 1 751452 10141 PARi04KAYLY3111E 2143 UNC W14.03 5493.94 5643.44 1 PARES:l1AYLYNE A KALT44 SERVICES VRITE-OFF KMT PATE=07 Jul 2003 PASEI 84 DEQ!UR........ CLIUT#..• MAKE........................... DSK S CO ll`{-AIGN 3 6810...... Pill CK LS •AY. TOTAL CNT 707574 1o199 PAiR3RMENDRA D 291 ACC 06-27-01 11.30 12.30 1 711999 10199 PARRA,KENDRA D 201 ACG 09-14µ01 85.00 05.00 1 718144 10199 PARRA,KENDRA D 201 ACG D9-14-01 98.44 9$.00 1 71$13'!6 10199 PA"A KEM 0 241 ACC 49-14-01 44.314 40.50 1 718204 101" PARRME3333RA 0 241 ACC 49-14-01 98.00 98.0 1 71821:! 10199 PAR RA:34E330RA D 2.01 ACC 09-14-01 98.10 98.110 1 718252 14199 PAR3RA 33 3RA D 201 ACG 09-14-01 96.25 96.25 1 718336 10199 PARRAtRE318RA 4 201 ACC 04-14-01 40.34 40.50 1 718353 1019'9 PARRAIKEM 0 201 AGC 01-14-01 88.04 83.00 1 713391 14149 PARKA:3tENDRA 0 201 ACC 09-14-01 85.04 $5.0 1 718663 10199 PAIMA*KENOM g 201 ACC 49-14-01 23.00 25.40 1 7131100 10199 PARRA.33'E110RA 0 201 ACG 09-14-01 98.04 98.40 1 7F3339 10199 PARRAt3 URA D 241 ACC 10-15-01 93.44 93.40 1 123481 t0I99 PARKA=14ENNA 0 201 ACC 10-15-01 83.00 $5.40 1 723681 10199 PA4tRArKEMA0 201 ACG 10-15-01 $3.00 85.00 1 63332.8 10141 PARS0148t 4AVTD TV 203 WC 01-94-40 20.84 2044 1 PARM*►DAVID A IV 687777 13}14!1 PAR43MASEP33 11IC41AEL 203 Vic 01-17-01 61.00 61.00 1 606021 10101 PAMANA GROVEYA 203 UNC 04-11`'49 4781.43 4731.43 1 604454 14101 PAT'C34MPAULA E 203 At 0611-99 3374.42 3374.42 1 557768 10101 PATE:,3#33#34 203 WK 06-10-98 224.10 224.14 1 PATEe ONN 8 605044 13#11#1 PA't4"TJ1321f 203 L41C 06-11-99 3".73 566.73 1 PATErJ431131 S 6063312 10101 PATErM 203 UNC 0611-99 419.91 458.81 1 PATE*JM 6 744831 1#1101 PATRICUEVIR 243 UK 03-26-02 1103.00 11413.3333 1 PATRICKMVI 4 6 704347 10199 PAT'F03f.ARKENTRA 201 ACC 04-25-01 33.00 35.00 1 646231 14141 PAI►ALNA 203 WC 06-11-99 141+1.50 1421.50 1 PAZ 4"A A 606310 10101 PAIrAL14A 203 WK 06-11-99 75.20 73.20 1 PA2.AL11A A 707074 10199 PEDE43 ARLEA43 201 ACC 06µ20-01 72.00 72.00 1 PE43E0 r AR1 EAN 4 107113 141'29 PE33M ARLEA44 201 AGC 06-243-01 41.01 41.41 1 PEDE44tAR1LEAK C 780336 141441 PE33REYRA38031 203 me 02µ27-03 246.00 246.00 1 PE33REY4RA80R V 753649 10101 PELAMNARIA E03 WK 436-$0-W 27.30 27.50 1 638114 143101 PELLOV I8TA ..EY 203 WC 03-10.430 20.44 20.00 1 PELLOVtSTAKLEY C 599366 16141 PE ►+1414 34 203 WC 03-17.99 3057.47 3057.47 1 PE43At,34?3EP34 R 634920 10101 PEKA.RA4WEL 293 UNC 01-07-033 12x64 12.60 1 PE1#A 44AWA8T3334 3 60909 10141 FEWYMA3REi4#:E 2433 U#4G 0b-11µ99 17.40 17.40 1 598805 10141 PUNEVELL r JEFFERY 203 VIED 05-17µ99 4923.66 4925.46 1 5990119 101441 PE3INEVEL€r JEFFERY 203 vK 05-17-99 339.19 539.19 1 599364 14141 PE4431EVELL,fi3:FERY 203 #3K 45-17-99 495.35 495.35 1 599333 191!31 PERNEVELL,JEfn#Y 203 WK 03-17-94 167.44 167.04 1 599466 #9101 PENNEVELL r JEFFERY 203 4#340 05-17-" 143.27 143.27 1 454494 10101 P€43P'LEStAARO4 203 we 05-19=00 833.64 833.64 1 630769 10141 PERALTAeR SA 203 WK 04-29-00 1683151 1685.59 1 HEALTH SERVICES VRITE OFF REPORT DATE107 Jul 2003 PACEV 8t 14E8TOR........ CLIEFITI#... RARE... .....r.s.x............ VSK ST C4 OT-40SiGl WASSI ...... PAIN COL LST PAY. TOTAL DAL..... CN PERALTA*RM 11 7381451 1010t PERATTAISYLVIA 203 WiC 02-27-P 27.50 27.50 1 PERATTAMLVIA Z 767213 14101 PEREZ:AMEL 203 (MC 08-29-02 1225.78 1225.74 1 PEREI.ANTOHIC 4 706897 10149 PEREMARIA 201 ACC 0620-41 16.48 76.48 1 PE11EZrf1ARIA L 107161 131194 MAMMA 201 ACC 4624-01 30.82 30.30 1 PEREZvAAAIA L 598698 14141 PEREMAUL MEPH 243 DEC 05-17•99 798.39 798.39 1 540859 14141 PEREZIRAVL JOSEPH 203 DEC 05-€7`99 151.45 131.48 1 5909€7 €0141 PEREbRAUL JOSEPH 243 DEC 45-17-44 1723.41 1723001 1 899031 10141 PEAMRAUL JOSEPH 243 KC 06-17-" 1911.80 €98.80 1 643704 14101 PEM*RAVL JOSEPH 203 DEC 6-48-99 6304.48 6309.48 1 766444 10141 PERRYtAR1 11 REALUMA 203 WFC 4829-02 2136.68 2136.68 1 773965 10141 PER3T A0M KEALOHA 203 vK 12-03--02 804.50 844.50 1 $68313 1410€ PETERRa01RFA D 203 W3C 49�23-98 272.34 272.50 1 605461 14101 PETERFi01Fr3ATHERIKE K 203 ac 06-11-99 1772.05 1772.05 1 603371 10101 PETE14$lllt OKUY 203 UK 06-48'-49 6815.43 6415.43 1 PEMMIMUY A 605744 10101 PETEMNAHELLY 243 WFC 06-11-94 211.00 211.04 1 PETE111t131Yi.LY A 646651 10101 PETERB#1FiMELLY 203 W1C 46-t1-49 115.20 115.20 1 PETER111i14 MELLY A 603714 14101 PKAsJAC311 203 UNC 06-08-99 164.50 169.50 1 PREWAC48 11 666243 14101 #'`10'LPBtAWR 203 WK 07-€7-00 63.14 85.14 1 PRELP'$tANKA K 707852 101" PHILLIP6,911ERY 241 ACC 06-27-01 98.00 98.00 1 PHILLIPUSERY L 768714 10141 PIAZIArPATRICK 203 WFC 10-47-02 1549,58 13198.38 1 PIAllAtPATRICK F 76$867 141311 PIAllAIPAT11IC8 243 UK 10-07-02 152.79 152.74 1 PIAIMPAT'RICK F 646146 10111 PIAllArWRIE 203 WC 44-17-00 50.00 50.04 1 PIAllASME L 780344 141311 PIMA:RAEFFETTA 203 WFC 02-27-03 750.30 750.34 1 634667 10101 P€F1$41f6 LANITA 203 VK 03-14-00 3816.60 3816.60 1 PIR514NAAMITA R 719742 10141 PUT11rNAHCIANA 203 w 09-27-41 1615..33 1615.55 1 676740 14101 PINTOR HERCULAFIO 203 UK 09-27-00 11.00 11.40 1 PINTSR ALEX 773146 14101 POPEIMI8E 203 UHC It-V-02 4493.40 4493.40 1 598829 10101 PIWTER.L N M WC 05-17-94 283.00 283.00 1 P44RT€RMAN A 599046 141441 P011TERtLYF#R 203 UNC 05-17-49 473.40 973.04 1 PORTERrLYFFFF A 34'1248 10141 PORTERtLYNN 203 VK 05-17-44 571.50 571.54 1 PORTERMON A 549591 10141 POATErL N 203 UK 05-17-" 132.00 132.00 1 PORTE33:#.11101 A 604122 €0101 PORTUCALtMIA 203 UNC 06-11-99 5419.81 5414.87 1 779176 10101 P011ELLtA#TRCNY ELRAKO 243 UK 02-14-03 404.00 404.00 1 548638 10141 P01ELUJANES 203 UK 05-37-49 306.40 506.00 1 HCALTH SERVICES WRITE-OFF RE POR �.y f��f {ul g T PAGE t 82 f�(IM1y i1YYOfY CLI 4#..! 1"t......Yi.YY.6fi.f....Y... OOK S{ C4 O -ASSION PIM COL LOT PAY. TOTAL t.{fs CMT POKLLrt1ANES E 641786 1 301 P01>ELLr4Ao 203 UK 03-37-00 1013.00 1013.00 1 POKLLrJANS E 504481 10101 POktot.OTEPHEH 203 UNC 05-17-91 910.93 640.00 41-25-02 210.93 1 PON EStREBECCA R 600518 10101 PONLES ATEP11ER 203 UK 05-11-99 90.00 54.00 01-12-03 30.00 1 P0411ESAUCCA R 5"610 14101 PRI110EtHEATHER 203 WK 03-17-99 216.10 216.10 1 PRI€ICEtMEAT41ER K 594697 10101 PRI#ICEtHEATHER 243 L*C 05-17-49 135.40 133.00 1 PRI#CErREATHER K 3'#9732 10101 PRINCEtHEATHER 203 #Ric 05-17-19 249.34 248.34 1 PAINCEIREATHER 11 632300 10101 PRIBCLWATHER 243 IAC 01-04-40 860,27 950.27 1 PRIHCErHEATHER K 6€0424 10101 PRONtARA 203 Vic 07-"-" 3123.00 3723.00 1 mu 14301 PROSBER+lfl" 0 OR 203 I}RC 04.10-98 253.30 250.30 1 PgOSSERtPATRICIA A .174222 10101 PRUITTtBRIA11 243 UNC 07-03-40 3232.73 1794.20 04-26-01 1438.55 1 PRI11TTARIAR C 64SU6 113101 PRUITTrBRIN 203 UNC 44-11-00 312.28 33.00 03-04-03 259.28 I PRI.ITTtUtAR C 630412 10101 PRI.ITTIGMIA 203 URC 07-01-99 12.80 12.80 1 PRUITTtOMIA K 337147 113101 PUCCINELLI rCAROL ANN 203 UJK 06-10-98 2316.20 23'45.211 1 404789 10101 PUCCIVELL11CAROL An 203 4140 292.93 291.93 1 604160 10141 PUCCIIELLI.CAROL An 203 URC 06-I1-" 109.00 108.00 1 609180 30101 PUCCINELLIrCOOL ARIL 203 URC 06-1I-9f 135.30 155.30 1 624244 10101 PUCCIN LLItMOL AN 203 UNC 30-06-11 2004.51 2044,51 1 567333 101311 PUCKETTr#R# 1#A 203 VKC "-21-18 397." 397.90 € 573023 14341 PUCKKTT,A"ETHA 203 URC 10-29-49 114.00 114.00 1 755735 10141 14UALLSrRICNAD 203 URC 06-24-02 U5.00 216.00 1 641871 34101 3,lUARLE&TAIITA L 203 UNC 03-17--00 681.64 681.64 1 604251 10101 OVEERr$SA#VILLE A 203 URC 06-11-41 434.74 268.34 01`16-03 171.24 1 I9 642124 10141 1{KE&CRANVILLE A 203 WK 03-11-00 44.11 44.97 1 4422263 10301 SKE ARA141ILLE A 2203 1#112 03-17-00 44,81 44.87 1 387152 10101 61H:4EDO:ALFREDO 203 URC 03-02-49 214.24 114.20 1 642019 €01.41 AOEV00tALFREDO 203 UNC 03-17-00 1291.88 1291.98 1 506244 113101 9UETADA,M0LFG 103 voc 46-11.19 1002.64 130.00 10-25-02 852.64 1 730675 10144 BvNKSADVARD 201 Acc 12-2841 109.00 50.00 02.11--02 39.00 1 OUIR48ESAD€IARD K 605042 10101 HINNES I IG14C I a 243 UK 06-31-" 103.40 103.00 1 775631 10141 HIHTELA,GILHKRT U 203 umc 01-10-03 103.00 20.00 02-12-03 83.00 3 612780 101111 8UINTE11OtWMKRT0 203 NC 01-27-11 2738.10 2738.10 1 OUI#TER0,0RISTIRA 582.048 10101 RAOETICrPAULINE 203 UNC 01-20-94 1330.88 564.04 02-11-03 791.88 1 RADETICYPAULIHE 8 632853 30141 RAF'AKLtRWEL J 203 URC 41-04-00 1168.42 2168.42 1 52D103 141111 RARIMAIKI 203 UII:C 01-10-94 110.00 110.40 3 77 0 10141 RAHIREZ,ALEXA14DER R 203 WK 02-21-03 "4.00 794.40 3 7413* 10101 RAHIRE1tCARLOS 203 UK 07-24-02 4498.36 9+499:35 1 683411 10101 RANIRE1tDELIA 203 U41C 12-28-00 5630.48 5650.48 1 699138 10101 RAMIRET:FABIDLA 203 URC 04-25-03 3010.51 50111.69 1 HEALTH SERVICES #RITE-OFF REPORT UTET07 Jul 2403 PACE., 43 1H BTBRi.fY..tY CLIE19.Rt # .t<iiffittEikEiif!EitfxsiE 9SK SS CD IT-AGSIGN ASSN...... FRIM COL LS{ CAVY TOTAL DALE.tE. SLOT 599722 14101 RAMIREZAUT4R 203 41NC 0-17-'fit 12279.37 12279.37 1 $99424 14141 RA4#1REI AC t R 203 UK 05-17-99 80.94 80.00 1 600247 total RAl1KbRECTOR 203 4###C 05-17-99 127.10 147.14 1 600351 total RAMIREWECTOR 203 41NC 05.17-99 00.44 90.00 1 619025 10141 RAHIREZYUKIA 243 VIC 91-30-99 13.60 13.80 1 1#ANIREt.IFAtA H 600459 total RA##1REI,NARMET 3 203 ,1NC 05-17-99 5291.59 5291.59 1 672435 total RA4#l#EZ,MR1E 203 UK 09-01-40 25.00 25.09 1 RAKIREZAARTHA 642091 10141 RAHIRE1r8TEPHANIE 203 t1NC 9317-00 2299.31 2290.31 1 69"19 10141 RA414SXAM 203 w 01-17-01 1819.46 1819.44 1 659714 total RAMOS=LAURo 203 11NC 04-20-00 22.00 22.40 1 603310 total RAUALLJMY 283 4K 06-48 2M.00 23$.09 1 RANOALLAMY A 604181 total RANDALL*KN11Y 203 WC 96-1199 2029.85 20€0.85 1 RAS xKIGY A 777143 total RA* #-F941lERVTH 203 OEC 01-24.43 492.10 892.10 1 603020 total WKINAACHEL 293 UNC 06-08-99 3398.82 33914.42 1 RANRIRrWKEL R 6167#13 total RANNINAACHEL 20311NC 08-24-99 230.31 230.37 1 RA#KIN:RAi KL R 620564 141141 RWYr1RAKEY 203 UNC 09-10-99 993.93 993.93 1 RANNEYrOAOLEY L 711696 total MUMERYCYNTNIA 203 1H,C 48-30-01 353.34 353.34 1 RASNISS vANT449NY T 711686 lot" RATTI4.LY1tA 201 ACC 01-39-01 83.90 85.00 1 111827 10199 RATTUtLY41A 201 ACC 08-30-91 98.00 98.00 1 790343 10101 RAVATU*MW 203 'UK 04-25-01 1116.71 100.00 12-02-02 1076.71 1 605981 total RAYXSTEMN 2,33 43NC 06-11-99 23.00 23.09 1 RAYX$T$Pw P 674440 tolot RAYNOWCOMRA# 243 #1NC 09-19-00 22.83 22.83 t RAYNOM04ONRAD C 701200 total REBALKAW 203 UNC 06-2041 233.90 233.00 1 604254 14101 RECIW ANA 203 w 06-11-99 444.10 444.10 1 605127 total RECINSrALKA 203 VIC 06-11-99 3297.26 3287.26 1 6$423$ 10101 REE#1tPATRICK 203 UNC 06-11-99 561.70 .9$1.79 1 REUtPATUCK 1 6240111 10101 REEhFATRICK 293 WC 04-19-'t9 357.57 357.57 1 REE0*PAT IC#4 T 666292 10101 REEOINAR1t#4 243 UNC 97.17-49 26.10 26.10 1 REED-REY#i#LUtSHARON L 641169 10101 REEB,$TEVE R49RIGUEt 203 ,H#C 03--17-90 993.06 893.06 1 604244 tolo1 AUSEISTEPHEN 203 41NC 06-11-99 21820.42 21824.42 1 604436 total REESEXSTEPNEN 203 41110 06-11-99 169.00 168.90 1 605261 total REESEATEPREN 203 w 06-11-99 537.00 537.44 1 03271 19101 REESEAIEPREN203 #4NC 06--11-99 154.91 154.01 1 605494 #.8191 REESEATEAHEN 203 WK 96M11w99 4SA 34 458.34 1 685621 141191 REESErSTEPHEN 203 WK 06-11-99 525.54 525.90 1 606163 total 4lEESEtS EP#4EN 203 WK 06-11-99 230.92 234.92 1 64{x644 10191 REESEXSTEP#REN 203 t3NC 06-11-99 92.00 92.00 1 655110 total REE$EATEPHEN 203 UIC 05.19--04 6640.17 6648.17 1 774710 14191 REESE.STEPHEN 2433 UK 41-06-113 $2.81 82.41 1 RE13EfSTEPHEN E HEALTH 'SERVICES WRITE-OFF MST MTE107 Jul 2003 FACE, 84 MT011..►..4►. CLIENT#... #ME........-s............... D9K ST 0 IT-ASSISI PN-ASSIGN...... PRI# COL LRT PAY, TOTAL DAL..... CRT 685447 total RESPICIMELSON 203 WK 01-16-01 164.00 160.00 1 604553 10141 REYEWArMENRY 203 WIC 2245.90 2248.80 1 REYMAMORY A 644717 10101 REYhi ,NERRY 203 t 06-11-" 369.00 168.00 1 REAtIN~NRY A 587277 total REMIALIELID 203 UK 03-02-" 67.00 67.00 1 REVESINANCY £ 654128 10141 REY15d1ANCY 243 0110 06-20-00 257.00 257.00 1 REY1SrMIKY E 630991 total REYI IS,1WBERT 203 BEC 01.04-00 2545.06 2545.46 1 RE"OLIS MIERT 0 604832 10141 REIAMNARAL 203 VIC 06-11-99 3547.48 3541.48 1 MAE1r11A3IAL A 604677 total RHODE&3ACKIE 203 WK 04-11-99 251.0 231.69 1 RHODE rJAME L 603140 total R404E549KIE 203 vii 350.64 354.64 1 RHODE80ACKIE L 6575131 total RHODESt,IACKIE 203 ViC 06-09-00 3127.24 3127.24 1 RVMSrJACKIE L 716462 total RICEIMATIIAN 203 DEC 09-14.41 146.00 146.00 1 RIC£rMATHAN J 604101 1o101 RICIIAR18tP11ILIP 2.03 WIC 06-31-94 276.12 216.12 1 RICHARDSMILIF J 512271 10101 RICNERrKEN 243 UK 10-27-98 27.04 20.40 0208-00 7.00 1 TUCNLIISKI tStISAN E 579846 10101 RICK10x1IE31 203 UNC 12-28-88 75.40 75.44 1 T13CHLIMI MAN AN E 711737 10199 RIVASt63.I$A33ETH 201 AGC 09-14-01 319.50 40.04 10-26.01 79►50 1 JAINE rCE81 R A 604725 10101 RIVERA1190 203 WIC 06-11-99 ,340.62 3451.62 1 RIVERAtMI if 634431 10101 RIVERA490 203 0110 01-07-00 6162.81 6162.81 1 RIVERAEJUAN N 603464 14101 RIVERMINGENT 203 WIC 06-09-44 666.37 666.37 1 604156 10101 RIVERMINCENY 203 WIC 06-11-Y'9 92.00 92.04 1 604294 10101 RIVERA.VINCEIIT 203 WIC 06-11-99 14162.61 14162.61 1 604362 10101 RIVERAMNCENT 203 WIG 06-11-49 116.85 176.85 1 645966 18101 RIVERANINCENT 203 WK *-11.49 232.80 232.90 1 633361 10101 ROBEIlBUMLENCIA 203 WIC 05•-11-00 18.04 15.00 1 DAVIMALENCIA 0 639004 total ROVERMLYDtA R 203 VIC 03-10-00 6856.62 6856.62 1 644804 total RODERTMARCEL LABEAN 203 11110 06-11-94 105►04 105.00 1 62!37#10 10101 ROB£RT&NARCEL LASEAN 203 VIC 04-10-99 151.50 151.30 1 731307 total R013ERTSETANARA 203 BAN 12.28.01 1976.62 1478.62 1 R€3B£RTB.TANARA L 730764 10199 ROBINWI MAIME 201 ACC 12-29-01 85.00 40.40 01-09-02 45.00 1 RORINSORMANNE T 634881 14141 10911813NtEVELYN 203 DEC 03-10--00 5504.45 5504.43 1 ROBINSONrEVE M a 71"m 10199 ROD IMM L.C. 201 ACC 09-14-41 33.30 33.30 1 ROV INSMAYDREY 180832 total ROSt1i8Witi.MONT 203 w 03-06-03 264.85 261.86 1 ROSINMILMON>C R 639631 10101 R0811YSt1lIECO 203 UNC 03•-10-00 20.00 20.00 1 HEALTH SER4910E41 ORITE-OFF REPORT MTE107 Jul 2003 PAGES 85 iiLYT s:est.x. CLIEItT4..a RliMtit..ttRiYi.%x..tLia9..f.. $ 8T OT�ABSI 1 PV-ASSIU*4*t.. PRI4i COL LST PAY. TOTAL RAL..... C4T 604664 10101 RyOyfS�L��i49SE 203 LINC 06-11- 3405.25 34115.20 1 ROPLES408f 4 744364 101$1 ROSLESI$AL?ABOR 203 UK 04.12-02 117,87 25.00 08-09-42 92.67 1 ROSLEMALERIA 717460 10199 ROORIGVEIfAWAVIRD 201 ACC 09-14.01 96.30 46.30 1 685931 10;101 ROMICKIAILSERTO 203 UNC 01-16-01 3133,99 100.00 07-25-02 3033.88 1 784262 10101 ROMIC49MLANDERTO 203 UNC 04-29-03 351.50 351.50 1 713163 tot01 ROMIS4MNICRELLE 203 UNC 01-13-01 4274.63 4274.63 1 T81399 10101 ROORIM11PATRICIA 203 WC 03.14-03 $2,40 82.00 1 ROORINEWATRICIA L 745989 total ROSRICUEZIRO0MFO 203 UK 04-30.02 1316.27 1316.27 1 RODRIGUEZtLET1CIA 702633 1019? ROOR14i1i IMBE14 201 ACC 05-10-01 65,35 65.35 1 R#10RICUMIMSE4 R 708781 10199 "ORICK11RUK44 203 ACC 06-20-41 31.43 31.43 1 RODRICKI+RUSE$ R 706852 10194 ROIRIS4EItRMN 201 ACC 08-20-01 19.43 19.43 I ROORMIAMA R 658806 10111 RIKERS' JAMES ALLEN 203 UNC 04-28-00 274.54 274.50 1 562711 10101 ROJAStFARA41 2193 UNC 07-21-98 $0.70 80.70 1 562771 10103 ROJAWARAR 203 UNC 07-21-98 985.89 985,99 1 5627$3 total ROJAWMAM 203 U44C 07-21-98 121.00 121.00 1 651204 10101 ROLLET:A14A40A E 203 Mc 05-0-00 3765.50 3763.50 " 1 717433 10199 R0MM MARIA L 2.01 ACC 09-14-01 42.04 42.00 1 604536 10101 ROWEROIRMY J 203 UNC 06-11-49 117.75 117.75 1 622103 10101 NOWERBrRIC14Y J 203 TRIC 09-21-99 1356.12 1356.12 1 734664 10101 R444ERBtSAUL 203 #14C 01-25-02 3126.01 3128.01 1 629752 10101 R4NER19FS MIN T 203 UNC 09-144? 5842.70 5942.70 1 76$846 14101 R"MIIFIORERC1A 203 BEC 10-07.02 2901.30 2907.30 1 RtR441SSI:fLgR`€�CIA 4i 707016 10199 R4140UILLMLI91A 201 ACC 06-•20-01 150.00 90.00 01-08-02 6010 1 74079 1019? R08RIA49 201 ACC 04.30-02 67.00 67.00 1 673440 10101 ROSALWELESFOR0 203 L41C 09-09-00 3470.08 3470.04 1 614703 Mot R41S1h9tARTM 203 UK 07-04-99 1881.92 1889.92 1 604799 10141 R05CELLItJENNIFER 203 we 06-11-94' 21.50 27.30 1 SAUBSER,3E91111fER 4 651348 10101 ROSCOEMC44AEL 203 4R1C 05-03-00 24.00 24.00 1 ROSCOE:9110#1624. 4 598188 total ROSE*JM E 203 U41C 05-04-49 8267.59 30.00 6217.58 1 546856 total ROSESMS £ 203 UK 05-44-94 200.00 200.00 1 513712 1011!1 RaSYVARNELL 203 UK 04-20-94 $34.46 834.46 1 Noll ICNISTOPME M 593791 10101 RuSlir#3 HELL 2003 WK 04-20-" IM.00 1555.00 1 ROWNSONrCIR11STOP11E S 594761 10101 ROSBIVARNELL 203 UNC 04-20-" 135.04 135.00 1 R0$IIMIMIS OP44E 4'1 668268 111101 R088tfne" 203 UK 07-17.00 4716.89 4716.89 1 650530 10101 ROSS MICI41A 203 UK 04-28-00 6883.71 6983.78 1 9088MCAI14A 0 8646-49 total ROS$ICIONATER 203 UK 06-21-0 21.00 21.00 1 ROS$1GNO4tPETER R 746316 total R19MMATRIS 203 UNC 04-WOZ 06.30 816.50 1 1EALI41 SERVICES 4R4ITE-OFF REM OATET07 Jul 2043 PACE) 86 DEBT 4R........ CLIENT*.x# UK w....... S3 0 M- I411 P44-AO614V.f.#w t MIN COL LST PAY. TOTAL ML. #. 0941 631470 18141 441#EOAIRANCISCO 203 4442 01-44.00 6w.140 6337.64 1 617617 10101 WFr41A41E14 2031R1C 01-2+-W 2010 U4.49 i Ruff VIRAMI R �{� 617621 14141 R1FF.RA11E44 20311K 09-24-" 605.81 695.81 1 678284 10141 RVIi11SASEL 243 4RC 10-12-06 24.50 24.50 1 746453 10141 R14litivoto 243 44442 04-30-02 2422.50 29MS 1 44111 MELIA 604335 10101 81111 a,GARRET 203 1R4C 4411-4t 173.00 173.00 1 144€1!#42 #CMT E 604801 1#4181 R411 -SARRET 2031#1IC 06..11-99 5478.88 5478.84 1 RWM*UMET E 605498 10141 R1011RELtGAMET 203 WK 06-11-99 934.05 431#OS 1 RL*W,GWET E 606116 10101 MWEL 19ARRET 203 4442 06r11-" Woo 80.00 1 81114 L AARRET E 667519 10101 RMLIROA 20340 07-24-40 732.94 732x94 1 "MILI140# .4 73470# 10101 RUTHERE ,4ERIS£ 203 UK 12--26-01 611.42 617.42 1 R44T14rRfOWDERISE R 596565 18141 RYARANISE 203 UK OS-44-" 42.00 71.5# 07-24-01 20.50 1 1RYAOIKKI E E 621664 14101 RYAR.iROK" 20311!42 W17-44 486.17 488.17 1 596913 10101 SAAT44OFF,T111t'0 A 203`1#142 05-04-44 2864.71 2864.71 1 778131 10141 SAENGSWIT&SVES 203 DEC 01.30-83 1505.06 1805.00 1 571823 10141 SA}TIIE:3p�4OUPH 2031442 10-27-14 523.43 525.43 1 41A 1E.JV rP 0 512173 14101 8411E I JOSDH 203 11112 10 2)-98 271.9 271.34 1 556240 HIM SALAS.BALTAIAR 203 14RC 46-18-46 12.90 12.90 1 551610 14101 SALAMILSE41TS 203 U£ 06-10-98 72.00 72.00 1 $71032 10101 SALAStSILVEM 203 4440 10-21-14 14+6.00 146.00 1 572264 16101 SALASIGILIERTO 243 WC 10-27-98 113.00 113.00 1 557314 14101 SALAS 111REYA 203 UNC 06-10-98 211.0 211.00 1 SALAMI 4Y K 571367 14101 SALAIAR.A4GTIR 20314 10-27x'18 14.8'3 14.65 1 SALAIAMILDA 1 755710 10101 SALAMr&1?A44A1.44PE 203 4410 1#6.24-9 47.06 47.00 1 672339 10141. SALRARt.ES44S 203 WC 04~48-00 2795.01 2796.01 1 642054 16101 S�AALAZARf J41ANA iA 203 v4C 3483.25 3483.25 1 BALAIA41t�4A i 784761 18161 SALAZARMIM 263 41142 04-29-03 450.40 950.40 1 687842 10141 SALCA00 40SE 243 UK 01-17-61 +4060." 4064.90 1 M445 14101 SALI44ASrMEN 203 UK 06-24-02 SM-50 586>514 1 653377 10101 SALVAMS£148ELL 203 UNC 05.11-04 23.08 25.00 1 6944'3'7 16101. SANCHMAKELICA 203 WC 04»25x01 35140.94 3544x9# 1 617622 1001 �SAEMONO4ELO 203 MIA # 481.24-49 1067.16 9'50.50 04-11-03 51.46 1 r �� { 683107 10101 SAtEC I:NR4tY 203 KC 12-26-00 4541.40 4341.40 1 567296 10141 SAR£4EIIH ERY4 203 UK 09--22-414 175.30 175.54 1 579640 10101 SA441;4 ',2t4Rt4 ERTO 243 1010 12-29-96 168.20 168.20 1 57 48 10111 SA14C4 Ito"ERTO 203 UNC 12-"-98 274.76 274.76 1 5444206 14141 SAIKKIM"ERID 203'14140 03-11-99 92.00 92.00 1 HEALTH SERVICES VRITE-OFF REPORT DATEIN47 Jul 2003 PACE 87 DEIITOR........ CLIEIITII... IIA!!E..e.,..e,....i...i..,...e. DS8 ST Cl DT-48910 PI-ASSIGN....e. PRIN COL LST FAY. TOTAL DAL..... CNT 642789 10141 SANCHEI,ISRAEL 243 WIC 0524-99 2864.05 2664«.05 1 SANCREI,18RAEL 1' 780339 10141 SANCHEItU RY 203 BAA 02-27-03 622.83 622.93 1 SAN OM NARY E 602847 14101 SAICMI Y II WEL 203 UK 06-08`99 19082.82 10082.92 1 649412 10101 8ANC0Ei,MY I#ANIIEL 203 UK 07-04-" 113.00 113.00 1 669567 10141 SANDERSJILLIE 203 UK 48-0-$0 13.66 13.66 1 SANDMBILLIE J 763197 24103 SAI3DERS,CIRTIS 203 DEC 0810-02 1353.29 1.353.24 1 663435 14101 SANKRStaw 243 DEC 06-27-44 3361.59 3361.59 1 SANDERS,DANES F 575819 10101 BANDI11II0,DAVID 203 VKC 1iw27-48 1212.93 1212.83 1 SAUIS00,DAVID A 379463 14141 9AiIDt84N,DAVID 203 '0110 1229-99 346.39 346,39 1 SANDISONYBAVID A 5%332 14101 SA ISIINYDAitIII 203 VIK 05-04-99 2630.32 2634.32 1 SANDISOMINVID A 1'56763 10101 SAIIW ULtVANESSA 203 WIC 06-24-02 27.50 27.50 1 614417 10111 SAITAM,STEVE 203 D£C 47-"-99 182.34 182.34 1 SANTABA.STEVE N 614627 10111 SANTANArSTEVE 243 DEC 07-09-99 10.80 10.80 1 SANTANA:STEVE 0 6130259 10111 $AOTANA,STEVE 203 DEC II-U-00 72.60 72.64 1 SANTANA,STEVE N 694664 10111 SABTANA.STEVE 203 DEC 11-09-50 277.40 277.04 1 SANTANA,STEVE N M583 14111 SANTMA.STEVE 203 DEC 41-16-01 267.40 267.00 1 SANTANA,STEVE N 695441 10111 SA0TANA,STEVE 203 DEC 01-16"01 133.00 133.04 1 SANTAWSTEVE N 685646 10111 SANTANA,STEVE 203 DEC 01-16-01 320.94 320.94 1 SANTANA:STEVE N 68 162 10111 SANTANA+STEVE 203 KC 01-16-01 307.16 347.16 1 SANTAIIASTEVE N 684M 10111 SANTAOA,STEVE 203 DEC 01-16-01 2670.64 26748.64 1 SANTAIIA,STEVE N 697176 10111 SANTANA:STEVE 243 DEC 01-17-41 1619.01 161.8.01 1 SANTANA,STEVE 0 697271 10111 SAIITANAMEVE 243 DEC 41-11-41 332.12 332.12 1 SANTAWSTEVE N 697501 10111 SANTAIIA,STEVE 243 DEC 01-17-42 531.80 551.84 1 SANTAMSIEVE N 6$7572 14111 SANTANA.STEVE 243 DEC 01-17-01 204.90 204.94 1 SANTANA,STEVE N 692995 10141 SANTANAISTEVE 203 DEC 02'22-01 I57.55 157,35 1 SANTANA:STEVE N 766234 10103 SANTIA40,ALVARADO 243 BAN 08-21-42 1258.69 121$.69 1 SANTIAMALVARADO V 392Ebi 10101 SANTIBANEZiNANVEL 203 WIC 01-31-99 1683.80 1693.84 1 SANTIBA0EIMOVEL C 712966 10199 SANTILLANsIMUEL 201 ACC 49-13-01 36.20 36.20 1 SANTILLAN,CECILIA 719681 10149 SAOTILLAN:IIANvEL 201 ACC 09-21-01 75.50 75.3D I SANTILLAN,CECILIA HEALTH SERVICES WRITE-OFF REPORT OATE101 Jul 2003 PACE: spa DEBTOR........ CLIEN9... MWE.......................... 44Hx ST Co 0I ASSIGN PI-A88ICK...... PRIM CO. LOT PAY. TOTAL 3AL....< CMT 707701 10199 SANTO&FRANCISCO H 24€ ACC 06-27-0€ 38.0 36.00 1 737413 1818€ SANTOS,ISABELLE EUNICE 203 DEC 05-29-03 170.99 170.99 1 $83730 14101 8ANTOolimPa 203 UK 02-04-" 13778.14 15778.94 1 386509 10101 SA 464ESUS 203 U14C 02-1,F" €41.00 141.40 1 706935 10199 SARGINS01 JULIE 201 AGC 06-•20-01 85.00 85.40 1 MILLEMAILEY A 567590 10241 SATCHERt31ARRY 203 UNC 01-21-94 42'4.55 3A.fis 10-11.01 392.94 1 571460 10101 SAT SKWY 243 UNC 10-27-98 478.76 475.76 1 571116 €0141 SATCRERIMARRY 203 UK 10-27-19 107.34 107.30 1 371882 10101 SATMERMARRY 203 UNC 10-27-98 191.30 191.30 1 575521 10141 SATCHERMARRY 243 UNC 11-17.98 147.36 €97.33 1 358399 14101 SAMILATORYA 2203 UNC 06-18-93 149.73 149.75 1 YOUNCrIASHAYM A 593292 10141 SAUSEBO,VIR6INiA 203 UK 04-05"99 198.00 198.04 € SAUSEDMIRGIVIA J 610101 14101 SAUSE00:VIRGINIA 203 UNC 0709-" 253.45 233.45 1 SAUSEDMIRCIVIA ,1 533434 10101 SAVAGE48"IE 203 UK 02-41-99 +6050.14 6054.14 1 SAVASE40111E L SUS78 10101 SAVACl1400 @IE 203 UNC 02-144-99 151132 161.52 1 SAMEtJO NTE L 386027 €0101 SAVAGE.JO3INIE 203 UK 02-12-99 2€27.65 2127.65 1 SAVAGE,JUNNIE L 7555248 14101 SAYEDIABDULLAN 203 DEC 06-24w42 415.40 250.00 01-06-03 165.00 1 C14 31R NASSIR MANED 592013 14141 SCHICK t CATHERINE 203 UNC 03-3149 1185.97 1€83.97 1 SCHIMCATHERINE L 602995 10101 SCHICK CATHERINE 203 UNC 06-48-99 489.57 4329.57 1 SCHICK,CATHERINE L 603064 14101 SCHICK XATHER IKE 203 UNC 46-48-99 637.84 631.84 1 SCHIMCATHERINE L 644130 10101 SCHlIC83CATHERINEE 203 UNC 46-11-99 1982.35 1992.35 1 5C43IMCATHERINE L 603016 10101 SCHIli0LE41l3ASOH H 203 UNC 06-08-49 132.1.32 1521.32 1 SCHINDLER'JASON N 561071 10141 SCHMALEySUTAHNE 203 QK 07-09-98 92.00 92.00 1 SCHNALErSi4IANNE E 561686 10101 9CHNALERSU1ANNE 243 UNC 07-09-" 197.00 197.04 1 SCHNALEMIANNE E 576752 14141 SCHHAL4.SUTANNE 203 #ITEC 12.41-98 643.51 643.51 1 SCHMALE AUTAN4€E E. 579481 1410€ SCHMALEMIAMME 203 UNC 12-29"98 7%.10 796.10 1 S3i4313ALE;AUTANHE E 588795 10101 SCHNU M OVIANNE 203 UHC 03-11-99 170.48 170.48 1 SCHMA€.E.SUTANNE E 141532 10141 SC0#ITIDERRIICK �y 203 UNC 03"26-42 16260.46 €6260.06 1 SC0ITt0ERRICK 0 625268 10101 SCOTT.8AII0Y L 203 UNC 10-18x99 131.55 131.55 1 63444 10101 SCOTMANOY L 203 IUIC 01.013.00 858.42 858.42 1 719423 10199 S1LL34EMLYM 201 ACC 09.27.01 81.00 #1.00 1 SELL&JEARLYN L 71%70 10199 SELL&JEARLYN 201 ACC 04-27-01 65.40 65.40 1 SELLS.JEARLYN L 7€9736 10199 SELL&JEARLYN 201 ACC 09-27-01 17.70 17.70 € HEALTH SERVICES VR1TE-OFF REPORT OATE<07 Jul 2M PAGE{ 69 DEBTOR........ CLIENT*... 144E.............!...!,,..>s.. ON ST CD 07-ASSSIM P11-ASSIGN...... PRIX COL LRT PAY. TOTAL BAL.t..f CHT SELLS,JEARLYN L 7220190 10199 SELLS,JEARL" 201 ACC 09-27-01 50,00 50,80 1 SELL'S,MRLYb1 L 720443 10144 SEL€.8rJEARLY14 201 ACC 40-27-01 83.00 93.00 € SELL&JEARLYII L 720463 10199 SELL&JEARLY14 241 ACC "-27-01 17.70 17,70 1 SELLS,JEARLYN L 720816 10194 SELL6,4EARLYN 201 ACC 04`27-01 61.00 61.00 1 SELLS,JEARLYN L 741496 10101 SENMIKE11T 243 WRC 03-26-42 610.00 64.04 05-07-43 614.04 1 748792 10141 SETCHELL,CAT'HY 203 BAN 05-16-02 582.50 250.00 €1-22-02 332.50 1 557625 10101 SHEPPARD,DONALO 203 WK 06.30-98 1051.00 105.00 1 SHI PPARDrDONALD L 371328 10101 SHEPPARO,ONALD 203 "C 10-27-99 248,20 246.2€ 1 571352 10101 EHEPPAROJONALD 203 UNC 10-27-48 266.00 266.00 1 EHEPPARD>OOIIALD L 575443 €0141 8HEPPARBrDONALD 203 UNC 11-17`99 71,00 71.08 1 MIEPPARD,DONALD L 5743" 14101 SHEPPARDID11HALD 20311110 12-29-99 268.80 268.90 1 SHEPPARDr ONALD L 588414 10141 SHEPPAWOOHALD 203 1111C 03-11-99 30.00 300.08 1 BREPPARD OVAL D L $92471 10101 SHEPPAROrD4WO 203 W1C 04-05-99 WOO 90.00 1 S1IEPPAiRD,MALD L 642074 15101 SHIEi.DB,CHRISTOPHE 243 11110 03-17-00 25.08 25.00 € SHIELO&CHRISTOPHE P 639940 10101 SHIRES:JASON 203 11110 03-10-04 25.00 23.00 1 $71423 10101 SHIVELYrPAl1ELA 203 UK 1027-49 34.90 34,80 1 SHIVEMPAWELA J 575492 10101 SHIVELYrPAMELA 203 WIC 11-17-98 603,88 603.90 1 SHIVELY.PANELA J 575929 10101 SHIVEMPAMELA 203 UNC 11-17-#19 445.08 445,08 1 SHIVELYrPANELA J 576105 10101 SMEMPAMELA 203111£ 11-17-48 92.08 49.00 1 SHIVELY,PAHELA J 576237 10101 EHIVELY,PAl1ELA 203 UK 11-17-99 240.96 240.96 1 SHI VEM PAl1ELA J 602749 14101 SH11LA, BRENDA 203 W1C 06-•08-94 4711.46 4711.96 1 5622119 11#141 SIM WINDER 203 WIC 07-09-48 10.90 10.88 1 SIW111,RAJI3iOER N 666635 10€01 EIFFORIfNICOLE L 203 UNC 07-17-0 6924.21 6924.27 1 542164 14101 4A SILVA:i� RY 203 DEC 03-31-94 4705.00 4705.00 € SILVAI AAR C 702110 10141 SILVEYrRWRT 203 UNC 0010-01 621.50 621.50 1 SILVEYMBERT P 726532 1414'9 SIHMMvJEFFBEY 241 ACC 11-08-01 11,87 31.07 1 SI1 NON8:JEFFREY J 571414 18141 SINNONSISTEVE 203 11140 10-2744 238.54 238.30 1 SI1H1#1l18ATEVE R 571619 10101 S I311 NSP STEVE 203 WC 10-27-48 410.50 410.34 1 SIM1ii91 ATEVE R 604218 11#181 SI14 MSTEVE 203 WK 06-11-94 374.20 370.20 1 E1141M,STEVE R HEALTH SERVICES i RITE-OFF REPORT 4ATE:07 Jul 2003 PAGE, 90 KITH......t. CLIENT#.z, NOE......t..,taa.<..:........ UK ST CO DT-ASSIGN P*-ASSIGN...... PRIM COL LOT PAY. TOTAL DAL..... CNT $57543 #8101 SINS,MTER JR. 203 {IRC 09-21-48 253.00 233.00 1 567587 total SIM ESTER JR. 203 UNC 09-21-98 12.50 12.64 1 597111 10101 SIMCKSTER JR. 203 UNC 05-04µg' 2562.90 2552.90 1 617573 10101 SINSrNIKKI 203 UK 08-24-99 3375.59 3376.59 1 5+1$864 14101 SI14C&MMINKR 203 DEC 05-17-99 1115.76 1995.76 1 787320 11101 SINGS:9IR 243 UNC 05--21-03 487.15 487.15 1 KAUR41Y 735322 10141 SINGLETOMMIARAE 201 ACC 41-25-02 85.00 85.00 1 SINGLETON►aE7ARAE P 626405 10101 SKINK IILtEY 203 Otte 10-25-49 25.40 25.04 1 SWERIMILEY L 620361 10101 SKINVERMLLtAN E 203 t3EC 49-10°99 2580.04 2580.0 1 632755 10141 SLATERMNASAY 203 UNC 01-04-00 451.60 451.60 1 SLATER.1tA0l1I J 556872 14101 SLATE#tMNOSEY 203 UNC 06-10-48 380.61 380.61 1 S€.ATEMAONt J 561373 14141 SLATERMNOSEY 203 UNC 07-04-98 211.00 211.40 1 SLATER►N ORI J 586438 10101 SLAY.DAVID 203 UNC 02~19-94 54".34 3404.30 1 SLAYrDAYID ALLEN JR 6011.28 14141 BLAMA9ID 243 UNC 05.24-91 3454.31 3654.31 1 SLAYr$AUID A 601406 10101 SLAYMVID 203 'UNC 05-24-94 312,34 312.30 1 SLAMA13ID A 602005 total SLAYIUVID 243 UNC 05"24-99 12.30 12.34 1 SLAYrt3AUID A 54'4129 Mot S31ITNTAMMA 243 UNC 04-20-" 5042.93 6002.13 1 RI9E1LL14W" 760058 total SOITN.BETTY 203 U14C 07-11-02 196.80 154.00 02-11-43 46.84 1 SMITMETTY J 641437 10111 S41ITE1r84MA 203 BAN 43-17-00 5117.64 6417.64 1 559904 10101 SNITHrIRYAN 203 UNC 06-54-18 244.94 249.90 1 SAIT0r11YAN K 5615138 total SAITHI1RYAN 243 UNC 07-09-9$ 352.50 3322.54 1 SKITHINYAN K 561816 10101 SMITH44YAN 203 UNC 07.04-98 54.00 54.00 1 St1lTttrDRYAN K $62842 10101 O91MIRYAN 203 WK 07-21-9$ 241.4$ 249.44 1 SHITt1:$RYAN K 583571 10101 SttIMIRYAN 243 WIC 0204-49 7215.08 7215.09 1 SKIT&IRYAN K 379423 14101 S11ITtCBRISTI 203 UNC 12-24--9$ 112.40 112.44 1 ONITHiCHRISTt J 594436 total Sttt'I#1XMISTI 203 UMC 43-22-44 116.122 116.12 1 SRIT&CHRISTI J 596943 10101 PITH.CHRISTt 203 UNC 05^04-91 762.29 762.29 1 MITR.CNRISTt J 773142 14101 SMITH:C1RRISTOPHE 203 UNC 01-07-03 147.42 147.42 1 511412 total SMITH.CURTIS 503 UNC 1447-98 746.50 746.50 1 SHITRIOM1 A 4 57152$ 10101 S31MCURTIS 203 UNC 10-27.98 356.44 356.44 1 S11ITH118M NIDA R 705121 10141 K11ITHrOAM 203 U11C 06-12-41 27213.42 2728.42 1 5922657 10141 SNIMELTONETTE 203 UK 04-45-44 24211.21 24291.27 1 WEALTH SERVICES #RITE-0F REPORT DATE107 Jul 2003 yl�yrPAM'. 91 CLIENT*- M'y♦gyp �ypy� �/ �1 j�� jwp�M, ♦�,a;� $ �iag� } }�/' �}°r[ t yF �` DEDTOR<i{9<i i i CLIENT* i i NA141r<.f..►.i f►9 i...........9.■ DSK 51 C1 11T-AMIGN PI-ASSIGN...... PAIN COL LOT PAY. TOTAL AL L..... CN{ 631563 10101 SHITM:ERIC 203 WC 01-04_00 14.24 €4.24 1 603854 10101 S€IT#fMENDOLYN 203 UK 06-0$'99 16.19 16.19 1 SMITHrCsi€E NLYN J 560009 €0101 SNITHs.1AY S 203 UK 06-24-91 287.73 287.73 1 560036 10141 SOITRrJiY SS203 VVC 06-24-98 642.39 642.39 1 SMITWAY S 561824 14151 SMIT14 AY S 203 UNC 07-09 9$ 168.00 169.00 1 SMITH*JAY 5 562363 10101 ONITH14AY as 243 UNC 07-21-914 173.00 173.00 1 SNITH,JAY O 571347 10141 SM I T&JAY S 203 UNC 10-27-98 151►80 151.80 1 SMITHVJAY S 579€25 10101 SMITH*WIA 203 41410 12-29-98 1478.25 1079.23 1 603435 10241 SNITR44ARIA 243 UK 06-08-99 324.60 324.60 1 702660 10101 SKITHMAIA 203 UNC 05-10-01 4381.40 4301140 1 596816 10101 ,SMITMELDA 203 UNC 03-04-99 1319.53 1519.53 1 5969$2 14101 UITMANDALL S 203 UNC 05-04-99 16533.17 18533.17 1 584547 10101 SNIT11.RICHARD EMENE 203 ImC 02-04-99 62.40 62.00 1 SMIT&R1CMA13D E 584640 10101 SM I T&RI�C1€HARD E411:ENE 203 UNC 02-0499 124.00 124.00 1 5141111:RICHARI E 617342 10101 S141T&RICHARD EUGENE 2.03 U4IC 08-24-99 91140 41.00 € SMIT&RICMARD E 578432 1.0101 "tTRIS"19L€'Y 203 me 12-15-98 1136134 1134.80 1 SNITHtSHIRLEY Y 579428 10101 S141T41r$MIRLEY 203 UNC 12-29-98 32.00 32.00 1 SAIT44:8MIRLEY Y 379494 10101 SNITt4MIRLEY 203 UNC 12--29.98 +14.14$ 4$.80 1 SNIT&SMIRLEY Y 397723 10101 SKITHtSTEWN 203 UK 05-04-99 5016,82 5016.82 1 "ITHISTEVEN R 784126 14101 SAIT14r11ILLIE 203 UNC 04-22-03 2209.34 2209.34 1 SWITU"VILL1E E 706730 14}101 SMITM.IIILLIE E 263 UNC U-20-01 6940.31 6940.31 1 630270 10141 SOLARI*GARY 203 BAN 12-27-49 9114.44 918.40 1 585681 10101 SI1Lumo fJANES UNC 02-12-99 132.60 132.60 1 SOL019€N1:JAMES v 647032 14111 SOSSANA&LELAN M 201 ACC 04-19-00 93.00 93.00 1 740768 14101 SOTELMNAIILES 203 UNC 03-2t-02 1727.50 1727.30 1 SOTELMMARLES V 723249 10101 SUMANDRES 203 UNC 10-11.01 417.60 477.60 1 744104 10101 SOMANORES 203 0410 04-12-02 3434.77 3434.77 1 761072 14101 SOTOrANDRES 203 w 07-24-02 548.50 548.50 1 747314 101" SUPYRECTO4 2'01 ACC 06-27--01 04.00 $4.00 1 SOT'OINECTOR N 618491 10101 S4tA€NtSMONDRA AN 203 UNC 08-24-9'4 4620.52 4620.52 1 RANKIIIr4 yla MIS 10101 SPE44CEr&AIL 203 UNC 03-11-99 422.14 4222.14 1 $47511 10101 SPRIN11LEr$COTT 243 WC 04-13-0 1:$1$.77 €141$.77 1 SPRINKLMOTT R 618434 14€11 ST. OWAMSA V 201 ACC 014-24-99 66.00 66.00 1 351€709 14201 STACY MAN RALE 203 0110 06-24-98 227.00 227.00 1 559896 10101 STACYIRYAN BALE 203 UNC 06-24-98 €10.04 1€0.00 1 HEALTH SERVICES NRITE-OFF REPORT DATE107 Jul 2003 PASEI 92 DEBTOR........ CLIENT*... IM.......................... DSK ST GD OT-ASSISN PN-ASSICit...... PRI* COL LST PAY. TOTAL BAL..... CHT 561319 10t01 STACYtRYAN I#ALE 203 w 07-•09-91 338.50 338.54 € 563072 10101 STALLfIERNARO 203 UNC 07-21.99 838.07 938.07 1 STALL&MARO W 567136 10103 STALLMMARD 203 UNC 09-21-93 727.50 727.50 € STALL.BERNARO it 561488 10101 STALL.BERNARD 203 L31C 09-21-91 80.00 80.00 1 STALL:BERNARD B 578144 10101 STALLMRNARD 203 UNC €2.11-11 2226.00 226.00 € STALWERNARD N 549133 lobo STALL.MARD 203 WC 05-17-99 1023.04 1023.04 1 STALL#SERNARO Y 594200 10301 STANLEMEITH 203 UNC 04-20-" €03.00 105.00 1 601603 t0€01 STANLEY'KEITH 203 UNG 05-24-99 92.40 92.00 € 601622 10101 STANLEY:KEITH 203 UK 05-24'94 361,00 368.00 1 385093 € tal STARKS-UILSON COOK: SHELLIE 203 UNC 02-12-99 1577.92 1377.92 1 732953 €0199 STEALHARMCK 201 AGC 41-04402 67.00 67.44 1 567123 10101 STELLiMAIE RUTH 203 UNC 09-21-9R 190.40 620.40 10-€1-42 210.04 1 712750 10199 STEPM,JMA 201 ACC 09-13-01 35.00 35.00 1 STEPRE1€S:3T1MA L 554495 €0101 STEPMEMEMIE 203 UNG 06.11-98 224.62 284.62 1 STEPNEY MCCIE EIVARD 513623 10141 STEPNEYrREGSIE 203 UNC 02-44-" 560.50 360.30 € STEPNEY.RESSIE EDIIARD 624085 total STEPNEYrREME 203 UK 10-06-99 823.93 123.93 1 697623 14101 STETTERINAYA 203 UNG 03-221-01 33.50 33.50 1 568145 10101 STEVENS,LYLE 203 UK 09-23-98 2192.17 2892.17 1 STEWA.LYLE E 592335 10101 STILVELUNICOLE 203 W 03--31-99 253+9.55 2534.55 1 STILVELLMCOLE K 559817 €0101 STILBELL..RON 203 BAN U-24-96 427.50 427.50 1 STIUELL.KAITLYN A 561014 10101 ST I LVELU RON 203 BAN 07-W" 1351.50 135.50 1 STILVELLMITLYN A 573308 10,101 ST11.t1ELL+R€A 203 BAN 10--28-99 211.05 211.05 1 ST1LKLI.MITLYN A 561292 101DI STILNEL1s411NALD 203 w 07-09-88 629.46 629.41 1 ST IELL,90NALD A 559447 10101 STtNNETTIJARES 243 UNC 06-24-98 10.00 80.00 1 STINNETTr.€At1ES 1 562020 10141 STINNETT,JM 203 UNC 07-09-91 211.40 211.04 € STINNETT,JARES B 620744 10101 STIVERMARGARET 203 UNC 01.10-99 19107.64 19107.84 1 STIVERMARCARET A 674326 10101 STJOHN,JUDITM 203 UNC 01-01-0 19218 19k71 1 611567 10101 STOKES:KENNETH 203 UK 08-24-9`9 1008.51 1008.61 1 596146 14101 STONE.ALFREO DURELL 203 UNC 05-04-99 184.60 184.60 1 STALD 0 596135 10101 STONE&FIED OVAELL 203 W 05-04.99 243.48 +243.91 1 STOWE I ALFRED D 663718 30101 STONERrJUDITH 203 UNC 061-27-00 14.6:6 14.66 1 SSTONER,JUDITH L 571456 10t01 SUAREIMI9 203 UNC 12-15-98 211.00 211.00 1 5111622 1010€ SUAREUMS 203 UNC 12-t5-98 212.30 212.30 1 571326 10101 SUAREUVIS 203 UNC 121548 40.80 40.80 1 HEALTH SERVICE$ VRITE-1#f9' REPORT OATE107 Jul 2003 PACEIt93 KITH.......s CLIE*T1#... RA31E.ii.9...9...k..9kk.9...Yk. R9R ST CR OT-ASSIGM WASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CRT SMITH 4RIALEY Y 639114 10101 SUAREt+LUIS 203 UNC 03-10-0 6261.92 6261.92 1 573952 10101 SUERSTEOTtELVA 14 203 UNC 11-17-98 392.66 532.36 1 599040 10101 SUEROTEOTrELVA 0 203 UNC 05-17-" 2147.14 1147.14 1 399395 10111 SUIT,PETER 201 ACC 05-17.99 80.00 80.00 1 SUIT:PETER L 623441 10111 SUIT,PETER 201 ACC 10-86-94 80900 80.00 1 SUITrPETER L 640941 10111 SUIT,PETER 201 ACC 03-17-00 40.00 80.00 1 SUIT,PETER L 655623 10111 SUIT:PETER 201 ACC WIV-00 80.08 88.00 1 SUIT,PETER L 6742011 10111 SUIT,PETER 201 ACC 18-20-00 00.00 80.00 1 SUIT,FETER L 683011 18111 SUIT,PETER 201 ACC 12-26-00 85.00 85.00 1 SUITtPETER L 645206 10101 SULLIVA&LONEEN 203 UNC 04-11-00 110.36 110.56 1 571342 10101 SULLIVAN r TANNY 203 U11C 10-27-98 177.80 177.00 1 SULLIVACTANNY N 379743 10101 SUNNERSrROSLYN 203 UNC 12-°24-98 432.70 452.70 1 RAYF RO smRSOROSLYN R 5184625 10101 SWKRSsR11SLYN 203 VIK 03.11-99 464.64 464.64 1 RAYF R0 SVONERStR4kYN R 909130 14101 SWERSrROSLYN 203 UNC 03-11.99 376.09 376.09 1 RAYS $WW0fROSLYN R 604735 10101 SUNNERSIROSLYN 203 WK 06»11.49 183.71 183.79 1 RAYFOR4 SUNNERSiRt18LYN R 605001 10101 SMR$tRWYN 203 UIC 06-11-" 279.00 279.00 1 RAYP'M BLINKRSrAOSLYN R 603012 10181 SUNNERStROBLYN 203 UNC 153.. 195.25 1 RAYPORB SVMIB,RQBLYN R 64$4111 18101 BUTTONrXATHERINE 203 U11C 04-21-00 27.40 27.00 1 SUTTBN,XATHERINE S 648704 10181 SVO8OU'RUTH 203 UNC 04-14-00 28300.21 2830.21 1 SVOSMA*RUTH A 717047 10101 SUAINJAVIO MICHAEL 283 UNC 04-14-01 1393.70 1393.70 1 628254 10101 S11AWCHARLENE 203 URC 89-10-99 3510.55 3510.35 1 670303 10141 SllWItPATRYN 203 UNC 08-09-00 16.20 16.20 1 SISCGoETHAN 393004 10141 SWEAIIErCURLEY 203 UNC 04-03-99 1464.40 1464.40 1 606132 10101 SUINAK*ELIZA8ETH 203 We 06-11°99 2594.28 2399.28 1 SKINACELIZARETH R 735350 10101 SYESSrEARNESTUE 203 UNC 01-29-02 396.28 3%.20 1 712623 18194 SYNA6MoJANES 201 ACC 09-13-01 67.00 67.00 1 SYNAWGVErJULIA A 713599 101" SYNAWCUEtARES 201 ACC 09-13-01 31.60 31.60 1 SYS1A&BO1€,JULIA A 735321 10194 SYNA1GOVE.JANES 201 ACC 01-25--02 41.10 41.10 1 SYNAGOGUErJULIA A 111699` 10199 SYMCUCVEtJULIA 281 ACC 04.30-01 92.40 92.00 1 $YNAMUEiJVLIA A 717376 10199 SYNA001UEiJUL1A 201 ACC 09-14.01 11.00 11.08 1 SYNAGOGUE,JULIA A HEALTH SERVICES VRIT OFF REPORT BATEI07 Jul 2003 PAGE; 94 8E#TOR..r..... CLIE#T#.>x 14611E:..>*....t,x,.......>.,... U99 ST CO DT-ASSIGN PR-A 810...... PRIM COL LST PAY. TOTAL DAL.x... W 717511 10194 SYI4WGVE„1ULIA 201 ACC09-14-01 41.00 41.00 1 SY#AGU4UE,3VLIA A 573479 10101 TA941CCAMMIE # 203 DEC 11-11-98 598.52 590.52 1 391032 113101 TA 3#,A11#IE 9 203 DEC 03-22-99 499.20 499.20 1 391972 10101 TAM*A14#IE R 203 DEC 03-31-99 116.38 146.38 1 6121130 10141 TAI #I,AISEA 203 UK 09-10-99 7794.01 7794.01 1 TAIWI,AISEA L 605346 10101 TALLl4A# MELLEY 203 UK 06-11.94 436.0 436.00 1 MAYEIELI3,#ELLENY A 611664 10101 TALL11A14,811IELEY 203 WK 09-24-" 133.00 135,00 1 WFIEL1,8E LEM A 617971 10101 TALLM&S14IEL.EY 203 WK 09-24-11 303.13 305.12 1 WAYFIEMSELLERY A 541735 10101 TASI#1ALOLE 203 UK 05-W'fid 143.4+6 143.46 1 TASINI,ELIJAM 6 716496 10101 TATE►ANDREA LEE 203 we 09-14-01 423.00 425.00 1 641392 18101 TATR43,RUTHIE J 203 U11C 03`17-00 21.00 21.00 1 575746 10101 TATMALORD 203 UNC 11""11'9# 71.00 20.00 01-07-49 39.00 1 649111 11 141 TATMAL11f Al 203 WK 04.10-00 721.25 205.84 02-05-03 515.41 1 693520 10101 TATMAL444RD 203 U#C 19`24--80 1524.20 83.66 09-05-82 1440.54 1 713541 10101 TATUCALMOR0 203 UNC 12-04°01 25.84 25.94 1 781556 10101 TATMAL1##R13 203 UNC 03.20-03 2039.59 2039.54 1 610622 10101 TAY#OCALFREb 243 w 07-01-94 15.75 15.73 ' 1 618342 10141 TAYLOR,IRE4E 903 U14C 07.09-fit 4463.33 4443.33 1 6461134 10181 TAYLOR,#ICE 283 DEC 01-17-01 31.7.14 317.14 1 T#YLORMCK R 57984+1 10101 TAYL 119x011611 203 UNC 12629-9# 271.32 277.32 1 TAYLOR:ONAR 33 593333 10101 TAYL#1t►ONAR 203 U#C 02-04-94 92x00 92.00 1 TAY 3Ft ONAR B 383556 10101 TAYLORMAR 203 W 02.04-49 6611.33 6611.33 1 TAYLOR,4#AR 1; 593730 10101 TAYLORIO AR 203 WK 04-20-99 436.22 436.22 1 TAYL1 MW 4 544613 10141 TAYLORMAR 203 UK 04-20-99 131.00 135.00 1 TAYLUMNAR 1 631322 10101 TEAL,JOHM DAVID 203 U14C 4t-04-00 14294.29 14290.29 1 319#91 10101 TERR1U1E9x1Z K N 203 UNC 03-11-99 16144.94 16144.94 1 572003 1.0101 TERRYJA1119Y 903 UNC 10-27"99 290199 290.99 1 654329 10101 T#1WAS, VILLIE 203 WC 04-24-80 lus,46 1329.46 1 872916 101141 T11U#AS,LARRY 203 UNC 10 27-98 145.00 €45.00 1 THOWAS,LAR'RY it 9 576766 t0101 T3141l4A3,LA19RY 203 U11C 12-01M9# 273.09 213.09 1 THOMS,LARRY JR C 578941 10101 THOW,LARRY 203 U41C 12-24-99 224.04 284.04 1 T14014A9,L11RRY JR G 31'9347 1#183 THONAS,LARRY 203 U#C 122i-va 94.00 94.00 1 IRMLARRY JR G 632629 10101 THOW.1my 20.3 U#C 01-04-40 3#02.13 3902.13 1 TWOMSILARRY JR G 623939 18101 THWAS'tUDERT 203 UK 10-46-94 17.50 11.54 1 665903 10101 T*M"O tAKIRA 203 RAN 07"-1040 2359.16 2354.16 1 THONMUCAMIRA C 514053 10101 T11#31t1'#0CCENEVA 203 WK 03-04.94 3122.74 3122.14 1 HEALTH SERVICES 41RITE-OFF REPORT DATE1.07 Jul 2003 2AOE1 95 DESTOR........ CLIENT#... MK....x..................... ON ST CD IT-45910 1t11-AS8IC44...... Fill COL LST PAY. TOTAL DAL..... CRT 617680 1010€ T41D OR,LE014 203 DEC 08-14-" "86,36 €92<26 01-10-03 9494.10 3 773516 10101 THOWSON,LE014 203 DEC 12-04-02 156.10 156.70 1 794460 10101 THOWM,LEOM 203 KC 0411-03 3502.07 3502.01 1 711315 10101 TH0WSI AWTE 203 DEC I1-19-02 143.00 143.00 1 T3IMr1 RONTE L 631474 1010€ THOWSONAILVIA 203 URC 01-04.00 2083.93 2083.95 1 THOPMAILVIA 14 649703 10101 TH01180RrVIKE14T 203 w 04-18-00 2039.13 2039.13 1 THONSO4441WENT E 871381 10101 TICAS,LI11A 203 UNC 10-27-90 487.80 457.30 1 682955 10101 TICASrLIMA 203 UK 1,9-H-00 2123.50 2123.50 1 757355 €0101 T00AR,MRIA A 203 UK Ott-24-02 32144.62 32144.62 1 711758 1414'9 TOGWIRI,NARC1 201 ACC 08-30-01 13.51 13.51 1 TOWLI14ItItARCI A 610429 10101 TOLSWANY L 203 Imc 07-0949 67.26 43.88 04-25-02 23.35 1 350122 total TOMMIrAM 203 IAC 03-10-94 7$.62 70.62 1 358952 10101 TONW1 40 203 KC OS-24-94 13323.13 13€;191.13 1 358"? 14101 TOlIl441,AM 203 DEC 05-74'-94 1#6,59 146.59 1 354006 10101 TOMMItAUA 203 DEC W24.94 ".47 98.47 1 359231 10101 TOVJ I:AM 203 DEC W24-94 57.00 57.00 1 359251 10101 TOMA49140 rA0 203 DEC 05-H-14 91.20 11.20 € 359280 10101 T011AI l tAM 203 DEC 05-24-94 200.33 200.33 1 359344 1#€101 TOmwcltAOA 203 KC 05-24-94 244.11 244.11 1 359402 10101 TOrAWl tA11A 203 DEC 05-2444 19 .01 1938.01 1 359431 10101 TOl4A14l AUA 203 DEC 0524-94 46130 461.30 1 359001 10101 TORAWIsAUA, 203 DEC 05-24-94 156.87 156.87 1 363771 10101 TMKIrAl1A 203 DEC 07-14-94 4339.66 4339.66 1 7446% 1040# TOWILLAS:AOERI 203 UHC 04-12•-02 2383.00 2303.00 1 716657 10199 T &ELIAS COLLARN 201 A£C 09-14-01 50.50 58.50 1 6ALLARWELIAS 0 743544 10.101 TOARMUDRIELA 203 UK 04-€2-02 198.043 190.00 1 540733 10101 TORRE8iWITIA 203 UK 03-17-99 59933.72 39933.72 1 $66786 10101 TORRES,SILVIA 203 UHC 09-51-98 348.00 398.00 1 CRUIrR€&UEL 591336 10101 TRINMErPAULA 203 W 05-04-99 31€3.35 3113.35 1 TZS845 10199 TRUSULLARECORY 201 ACC 11-00-01 86.00 86.00 1 TRUIOLL,CRECORY A 126339 10194 TRU1114ULLARECORY 201 ACC 11-00-01 $6.00 86.00 1 TRUR$ULLMECORY A 741312 10194 TRUHIIEILL.ORECORY 201 ACC 03.26-02 25.00 25.00 1 TTI1#HH11LLrCRMRY A 744032 10199 TTl##140i1LL44ECORY 201 ACC 04-12-02 33.00 33.00 1 TRUNRULLIORECORY A 745226 10199 TA"WrORECORY 201 ACC 04-17-02 33.00 33.00 1 TRU€#Mur6REWRY A 745443 10149 TRWHILL'GREGORY Z01 ACC 04-17-02 33.00 33.00 1 TRWOLL AREGORY A 7+45445 €4:199 TRUH$ML31OR€CORY 201 ACC 04-30-02 33.00 33.00 1 TR09$KLtCRE.C#19Y A 584437 10101 T#CCIARELLWAKS 203 41140 02-04-99 €35.98 05-1829 135.98 1 TUCCIMELLIrTRACI L 594544 10101 TUF118:8ARA 203 UK 04-20-99 194.50 170.50 03-06-03 20.00 1 TQF1%4t$ARA L 620530 10101 7VFI 1OTSARA 203 UK 09-1141.99 5545.24 18.60 5526.64 1 HEALTH SERVICES VRITE-W REPORT DATE'.07 Just 2403 WEI 96 DE4TUR........ CLIE3+ #.t x 3±IA#IE.t x,..x,..x..x,..x,...,.x. OS31 ST Cl IT-ASSIGN PN-ASSIG#...... MIN CO. LST PAY, TOTAL DAL..... CRT �} �-r+ /�4 p TUU IM OMA L r3aY+iG5 101$1 SUNNI 3AIM M UK 04-14-03 1484.00 1810.00 1 599906 10141 T08ALES.MUS 203 oc 05-17-99 21.50 21,50 1 T3N3ALf33MADALUPE N 777150 10101 T3N3GP31l10ITr5VKHAI 203 OEC 01-24-03 3116.50 3116.50 1 556949 10101 TI}w AlE AHm 203 UK 031-10.98 25.00 25.00 1 T#1 M,AARAl M L $57596 10101 TUMtADlIAl1M 203 0310 46-11-41 23.04 23.00 1 T1N3lIESrA$1 MAN L 572406 10101 TURNEMEORIC E 203 ONC 10-2748 29.66 28.68 1 755526 14101 TURVEtfrD33N&D 203 VIC 04-24-02 197411.67 13740,61 I 638939 14101 TUR33ERrJASDN 203 VIC 03-10-40 5297.56 5291.56 1 658037 10101 TURREltMLLIAN 203 0RC 06-08-40 16.00 16.0 1 TURNUMLLIAN R 779366 10141 TURNERMLLIAN C 203 UNC 01-30-03 7654,41 7654.41 1 741559 14141 TMIK,JMI E 203 UK 03-26-42 4494.81 4994.81 1 596499 10141 T#NMM,AI.AI 203 URC 05--44-99 4437.41 4437.41 1 357360 10101 T34EETMOARY 203 DEC U-10-49 4464.34 464.50 1 MUMMY J 599322 10101 TKETEMARY 203 DEC 05-3799 298,00 298.00 1 TKETE4,CARY J 601163 10101 TVEETEN,QARY 203 DEC 03-24--94 772.16 772.16 1 W ETES GARY J 714429 30101 VULDEMKILD 203 DEC 09-27.01 2393.42 2193.02 1 UGAMDA131L4 D 329671 10111 URNER419TORI,JA 93 ACC 139-09-93 2419.29 2275.09 10-14-02 344.29 1 735075 131101 UMILLAIDERTA 203 1K 01-23-02 2493.00 2495.00 1 6101163 10101 VARUTIMARINA 203 at 07-09-99 1559.95 1559.95 1 31R3111TIA.KARIM L 599691 14101 €iTL3Y f DE3RI33 A 243 4130 03-17-9# 943.44 943.44 1 615033 10141 OTLzY,DEl3IS A 203 3NIC 49-11-99 3414.60 3414.60 1 596794 10141 VALAZC4,3NICHOLA6 203 UNC 05-0449 140350 140.50 1 YtLAZCOtJVLIA 776716 14101 YALD,NARTI# 203 UNC 01-1703 14620.03 14620.03 1 571452 10101 VALDIVIA,RA3 1 203 UNC 10`27-98 302,14 23.40 03-1599 277.510 1 VAIDIVIAMMON F 589409 10141 VALUVIAr311 MON 203 VIC 03-11~99 202.00 15.44 06-08-99 197.40 1 VALDIVIA,RAMN 3" 664325 10101 VALDIVIAr31A3OV 203 UK 06-29-00 6640 66.34 1 VAL4IfIlA RAND F #►65014 10101 VALDIM-Am 243 # 06»20-40 139.50 138.50 1 VALDIVIA,43AM F 472207 10141 VALDIVIIlr3 11761 203 3N3C 09-•09-40 69'1..50 6951.54 3 VALDIVIAMMON F 672299 14303 VAL.DIVIArRAI 203 gut 09-08-04 81.64 91.60 1 VALDIVIArRA14IN3 F 6723531 14101 VALDIVICRAWN 203 UK 09-°08.00 384.00 584.40 1 VAUIVIArR4t3'1 N F 672367 10101 VALIMAxRA!ON 203 w 09-01-00 23.50 23.50 1 VALDIVIAMM 3' 672609 30101 VALOWIMA6' N 203 UK 09-48.44 339,50 339.54 1 VALDIVIAINA61411F 672954 14141 VALDIVIAMM 203 UNC 09-08-0 1366.54 1366.50 1 VALDIVICRAMON F HEALTH SERVICES WRITE-OFF REPORT BATEZ07 Jul 2003 PAGEx 97 4E8TOR........ CLIEi1T11l., OAK..........+}...,..l+Y.+++t 49K ST C4 4T-A811ICX PN ASSIGN...... PRIX COL LST PAY. TOTAL 'DAL..... CRT 651924 10101 VALEKIAtJUSEP14 203 8AN 0-03-04 1129.74 1129.74 1 7555911 14101 VALENTIKEYS`t'ELLA K 203 1N1C 06-14-02 313!10 Who OZ-07-03 92.10 1 6647#8 10111 VALLA1t RE$ttt8 201 ACC 46-28-00 80.00 80.00 1 VALLAMRESt0€1RIS E 643621 tU101 VANCEt14ATTREW R 203 UK 03-3040 440.80 440.20 1 VANCEtNATTRE# R 067167 10101 VANRACNACKVAAMIVAN 203 We 09-21-98 234.30 234.50 1 575718 iQ101 VANRACWICK.IIANIVAN 203 W1C 11-17-98 64.99 64.89 1 575793 10101 VAMRAC11ACMANIVAN 203 UNC 11-11-18 36.30 36.80 1 078869 10101 VAMACHACKINARIVAN 203 VK 11-11-98 11.10 17.10 1 576091 10101 VAI1WACMACKtNANTVAN 203 1180 1111-98 211.00 211.00 1 579483 10101 VAN11AC11ACK UNTVAN 203 1111`0 12-29-98 312.20 012.20 1 588496 10101 VAN4ACNACKt11ANIVAN 203 We 02-14-4'9 117.50 117.80 1 605484 10101 VANRACNAMNARIVAN 203 we 06-1191 '4'2.00 92.00 1 699951 10101 VARMIMN C 203 UNC 04-25-01 1074.00 1074.50 1 581891 10101 VAS#UEItNARIA 203 UNC 01-20-99 126.50 126.50 1 382129 10101 VASKItMARIA 203 0NC 01-20-99 173.00 113.00 1 582249 11110t VASO1WEItI4Ai1IA 203 UK 01-20-99 264.39 264.39 1 589303 10101 VA1;IM 111 IA 203 WK 03-11"99 209+00 209.00 1 516330 10101 VASWEIINARIA 203 UNC 05-04-99 72.00 72.00 1 596764 10101 VASOKIMRIA 203 WC W04-99 341.50 347.50 1 606473 10101 VA$KIINARIA 203 VIC 06-1149 5206.69 5206.69 1 399197 10101 VAtiG11NIJAMS 203 UNC 05-17.99 1774.311 1774.34 1 59681+1 14101 VELAARIM 203 UNC 05-04-99 1614.00 1610.00 1 $54246 10101 VELAICII►NIC111.AS 203 WK 02-04-" 1403.10 1403.10 1 VELAIC1 AICULAS P 598702 10101 VELMUE14ENJAMIN 2.03 UNC 05-1;7-" 4665.24 4645,24 1 539271 10101 VELAAttB#E1140J 41E 203 UNC 03-11-99 4050.67 4050.67 1 VELAI1111EITE001E 376022 10101 VELEWOSEFINA 003 f1Nti 11-1?-98 22.00 22.00 1 617123 10101 VELEItVANESSA 203 UNC 04-24-99 6279".36 6279.36 1 73'1592 10101 VERAYCESAR 203 VIK 02-27'42 41583+25 47583.25 1 748.891 10101 VEIEAUtItAI 203 KC 05-16-02 7615.76 7613.76 1 741264 10101 VICKERMAR LLE 0 203 UNC 03-26-02 9033.14 9033.14 1 344076 10101 VICKEWRICHARD 203 UNC 44-20-99 15162488 13762+88 1 691652 10101 VILLAFAN11810R0 203 VNC 0201-01 190.00 194.00 1 VILLAFAMUL1ANA S 685989 10101 VIR0E11tT1N'1VAS 0 203 0110 01-16-01 8884.26 8854.26 1 641203 10101 VIMMVIO ET JUANITA 203 1NiC 43-17-00 "1.71 991.77 1 558747 10101 VUM KIVAL1tALONTTINA 203 UK 0114-98 719.A1 719.81 1 665952 10101 VA41 EMILFOR0 A 203 1N11C 07-10.00 1812.42 1812.42 1 599975 14141 VATTMEN V 203 UK 03-"11-19 323.50 323.50 1 610187 14101 VALKER.LAV1111CY 203 UNC 01-01.-99 4165.78 4165.78 1 VAL10E14.LAVQNCY T 389630 10141 VAL tLILLIAN Y 203 IN1C 03-1199 11883.16 11663.16 1 735941 lot" 4161 K£It t TMMS 201 ACC 02-27-02 20-99 20.89 1 VALKE10Ii1V1AS L 703781 10199 VALTERSrKATNY 201 ACC 05-17-01 41,00 +45.00 1 VALTERMATHY A 703914 1.0199 VALTERMATIIY 201 ACC 05-17.01 43+00 43.00 1 NALTEARMT11Y A 703924 10199 VALTERStKATRY 201 ACC 05-17-01 51.30 51.30 1 HALTER ATO A 711312 10199 VALTERMATIIY 201 ACC 08-30-01 61.50 67+50 1 HEALTH SERVICES IOIITI-OFF REPORT DATEM 4u1 2043 PAM: 98 KITH........ CLIEN ... AN....... IN T C1 OT-A91 ASST i..... PUN Col. LST PAY. TOTAL DAL..... CMT 715770 10199 YALTERSIXATRY 201 ACC 01-13-01 43,00 43.40 1 VALTER8.4ATRY A 71.8398 10199 WALTER8xRAT11Y 201 ACC 49-14-01 45.04 45.00 1 11ALTERB,MTRY A 725836 10199 11ALTIRMATRY 201 ACC 11-x08-01 92.40 92.40 1 VALTERfsr1iATRY A 723721 10199 VALTERMATRY 201 ACC 11-20-01 88.84 88.80 1 11ALTERSIMTRY A 732298 10199 11ALTER&.IEATRY 201 ACC 01-04- 671.4 17.10 1 VALTERSINATHY A 735415 14149 VALTE11MATHY 201 ACC 01-25.02 92.40 92.40 1 688180 10101 "000,108 2031410 01-17-01 2683.14 2683.14 1 672413 14141 11ALT"#111 OLA114 PHILLIP 203 VK 49-U-00 1028.04 1428.04 1 645796 10141 VA11Dt.1m 243 UNC 04-17-04 ,2648.79 2648.79 1 1#A110r5Y31 -RAY R 634474 14101 fVARDIDIA��ME 203 1�C 41-05-00 2808.47 2808.47 1 MRDTDIA1E L 557521 14111 YARDEEI.l105 201 ACC 06"10-9879.00 79.00 1 1IARKLL,OUS S 603138 10111 VARDELUGUS 201 ACC 06-08--99 97.76 97.76 1 VARDELL Iwo 0 690930 10111 VAR11ELL'Us 241 ACC 02-07-01 $2.50 82.510 1 VARDELL,06 S 579D37 10101. RARMCRrJOHll A 203 WK 12.29-98 768.54 768.50 1 618421 10101 11 MK;JOHN A 203 WIC 08-2499 2478.08 2478.08 1 724837 10199 VA81#I1GT'41 SKNISE 241 ACC 10-31-01 12.00 12.00 1 631174 10101 VANINGTONICIE400Y 203 WK 03-10.04 3189.44 3189.44 1 664831 14101 41A INCTON+R0KRT 2031TRC 06-28-00 11.20 11.20 1 I(A1 HUMT00,110BERT L 301960 10199 DAT500,001 0 201 ACC 05.10-01 78.00 78.00 1 VAT110Rs0#M D R 702364 10199 VATS"'DWA D 201 ACC 05-10-01 19.00 19.00 1 I#ATB£R INALD R 72A316 10!99 YAT1 INALD 201. ACC 11.04-41 98.00 98.00 1 VAT8€1Rx1R111ALD R 726548 10199 VATSONtIO11ALD 201 ACC 11-08-01 98.04 96.00 1 WATSMIDONALD R 623948 14101 DAT800AC#i tE 203 v#C 10-06-" 24.10 24.14 1 VAISM14ACXIE R 610445 14101 11ATT5xJODi E 203 UK 47-09-99 17688.310 17688.50 1 5335537 10101 VEAVEMODERT 203 UNC 02-12-^99 1194.90 1194.90 1 WAVEMOVERT T 580554 14101 NEAVE11,18SERT 243 WIC 02.12-99 557.40 557.40 1 VEAVEMO11ERT T 590839 10101 iMEMBIEAT 203 V*c 03-22.9'7 330.50 334.30 1 VEAVERtMERT T 591152 10101 VEA0ERMOERT 243 UK 43-22-" 108.50 108.50 1 MEAYER.ROBERT T 593026 14101 WEAUF.Rw110BERT 203 WIC 04-40-" 92.00 92.00 1 VEAVEMORERT T 594967 14101 i€€AVEMONERT 203 UK 04-20-39 444.72 444.72 1 MEAVER.#t IERT T 9EALTH SERVICES ITE-OFF WORT DATE107 Jul 2003 PAW 99 TOR........ CLIENT4... MANE....................<.. .. 4SK ST Co OT-ASSICH 231-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT $14187 total NEAVEM.Ro33ERT 203 Imc 04-20~9t 103.722 105.72 1 VEAVEM.RO T T 598667 total VEA9ER."VE9T 203 SMC 05-17-19 3281.81 3251.81 1 VEAVER:ROBERT T 519166 14241 VEAVERrROSERT 203 UNC 05-17-19 262.€16 262.00 1 VEAVEM4 MT T 644145 30101 ME*VER,ROKRT 203 UMC 05-17-99 556.00 556.00 1 MEAVERROSERT T 600482 14101 VEAVERMBERT 283 VIK 05-17-91 211.00 221.04 1 VEAVERtIMAT T 684834 total NEAVERABERT 203 UNC 08-17-R9 170.00 170.00 1 VEAVER."BEMT T 604125 total VEA9ERrROSERT 203 UNC 06-11-99 33'96.32 3316.32 1 VEAVER.ROSERT T 610219 total VESIrTARA 283 wC 07-01-99 3364,36 3360.36 1 NE"ITARA N 741082 14101 VES R, ALICE 203 11EC 4326-02 1349.48 1349.48 1 518743 10111 VEVtALICE 203 KC 83-2229 58x48 58.48 1 632211 total VEISTERtALEX 203 $NIC 01-04-00 627x38 627.38 1 6UI74 1010$ VELKEMt4AMIEL V 203 DEC 01-04-00 1176.13 187+6.13 1 654101 10101 VESCUTT,COLLIN 243 WK "-00 17.09 17.08 1 VESCOTTrCULLIS P 539150 total V ST,KEVIN 203 UNC 46-24-18 175.14 1251.44 07-18-02 49.66 1 VEST,KEVIN H 583356 total VEST,K#VIN 203 UK 02-44-99 214.50 274.50 1 KST}KEVIN 0 583519 total KST:KEVIN 203 Ut 02-44-19 135.80 155.80 1 VESTIKEVIN 0 583687 10101 VESTrKEVIN 283 UNC 02-04-" 80.00 80.08 1 VESTr1fVI3i 0 888432 total VEST:KEVIN 203 UNC 03-11-19 654.17 654=17 1 VEST,,KEVIN D 606440 total VRART80,11ENNIS 203 UNC 06-11-91 2401.84 2401.84 1 WARTaNANNI3 L 731280 total IMITErPRANK SAWL 203 UNC 12-28-01 426.54 426.58 1 594814 total VNITErNA O 203 UNC 04-20-14 581.18 581.10 1 652333 total VRITENEWAUSTIN JR 203 UNC o5-03-00 17.90 37.40 1 730878 10101 VHITFIELD LANEISNA 203 UNC 03-06-03 10300 103.00 1 SEYlR#RE33AURIANA C 581272 10101 111NA IRIAN 203 UNC 01-20-99 170.80 170.40 1 VIENAN IVRIAN i 585272 10101 VIEMNN> IAN 203 UNC 02-1E-99 142.10 142.10 1 VIENANlt 1910 4 588113 total VIENAlR4RIA9 203 UIC 03-11-91 212.53 212.83 1 VIEMAN&BRIAN J 581214 10141 V ENAWYNAIAN 203 €3KC 03-11-19 135.00 135.00 1 VIEKWISRIAM J 605032 10101 VIEMMiNIAN 203 INK 06.11-99 1%1.64 1961.64 1 V1EI4WIMIAN 4 606554 14101 VILKERSOWINIERLY 203 UNC 211.00 211.00 1 VILKESOfKINKILY " 514911 10101 VILKIN813N#RDNICA 203 UNC 04-24-41 151.2.50 1512.50 1 VILKiINN04408N10 A 559311 10101 VILLIANSvE0VAR4 203 UNC 06-18-98 121.80 121.80 1 HEALTH SERVICES VRITEw31PP REPORT DATE:07 Jul 2003 PACE; 100 CLIENT#..E NAME..;E..1...E.,1E.{l..{;i.Y. 091 ST CD OT•ABSIGN PII-ASSICN...... PRIM COL LST PAY. TOTAL BAC...... CKT VILL1AMEDVARD L. 632781 10101 YILLIAM4EFFREY ROBERT 203 31NC 01-04-0 72740.21 72740.28 1 576853 10311 VILLIANSINATHAN ESI ACC 12-01-94 35.77 33.77 1 14ILLIAM&NATHAN C 712575 tolot #11.1IANstRODERT 203 UNC 0-0-01 3694.51 3696151 1 VILLIARMOBERT L 734176 10191 VILLIAN87R0i3E4tT 201 ACC 01-23-02 46.00 86.00 1 VILLIA tRo ERT E 735330 101" VILLIANSrR08i»RT 201 ACC 01-25-42 86.00 85.40 1 VILLIA ,RMT E 731605 10101 VILLIt4NSrSYLVESTER 203 UNC 12-28-01 2044.14 2044.14 1 773487 10101 VILLIAMSrTREKIA 203 UNCC 11-21-02 1424.43 1424{43 1 VILLIAN&TREXIA 0 775748 10103 VILLIARS:TAEK1A 203 UNC 01-17-03 2044.49 2046.89 1 341LLIAMS,TREKIA 0 581915 total 14ILLIANSONtURRELL DEMYNE 203 UNC 01-20-99 110.00 110.44 1 584886 10141 WILLIS,1012Y 991 DEC 03#11-99 92.00 12.04 1 VILLISJOUY J 542329 10101 VILLIBt8088Y 999 DEC 03-31'19 114.00 110.00 1 NILLI{9r81IBBY J 593177 total VILLIMOBBY 999 DEC 04-03-19 384.00 394.00 1 VILLISr8081tY J 594922 total UILL19,8088Y 999 DEC 06-11.99 113.00 143.00 1 VILLIMOBBY J 605417 14101 It1LLI6r8DBBY 949 DEC 45-11-19 1743.90 1745.94 1 liILLISr�CBB1` ? 4504150 10101 VIL1,164108Y 999 KC 06-11-94 92.40 92.00 1 UILLIS►83348'( J 620028 total VILLIMOBBY 919 DEC 09-10-''99 154.60 454.60 1 VILLIS,0011Y J 632000 total VILLIMINDY LOUISE 203 UNC 01-04-00 5280.75 5280.74 1 733443 10191 VILLISt3tR ORY TYRONE 203 UNC 01-04-02 2568.13 2348.43 1 4530891 total NILLISSSAWEL 203 DEC 05--tt-00 2483.36 2995.36 1 711914 10101 VILLSONtHARM N 203 WC 09-14-01 5309.21 5309.28 1 583331 19101 VILSONICARL HENRY JR 203 UNC 02-04-99 301.40 301.40 1 U3730 10101, VILl$31MARL. HENRY JR 203 UNC 02-04-99 18.10 18.14 1 584348 total VILSONiCARL HENRY JR 2203 UNC 03"11-" 710.02 719.02 1 599001 total VIL80Rt1 &IE 203 UNC 05-°17-99 39142.46 3542.86 1 WILSONMAGIE 8 534M total 14ILM,TMY 203 UK 02-04-99 139.30 139.331 1 694162 10101 11INNINARY A 203 3180 07-09-11 4501.10 4504.10 1 316727 10101 DINSTOMEDRIC 8 203 UIIC 05-04-19 8516.00 8516.00 1 679100 101:01 ii3CKNER,3+IILLIAN 203 UNC 10-220-40 24,65 14.65 1 VQCKIER VILL€Ail J 714099 lot" VONACMENNIS 201 ACC 09-13.04 35.00 35.00 1 125304 101" 3tOWKrDERMIS 201 ACC t0-31-01 12.00 3.00 11-28-91 9.00 4 VIMACK,TYLER 737886 10199 C€011ACKt0ENNIS tat ACC 02µ27•02 45.00 85.90 1 737904 10199 VONACKtDEtN1IS 201 ACC 02:.27-02 50.23 50.25 1 744290 101" VOMACMENNIS 201 ACC 04-12.02 48.40 18.00 1 744565 10199 3N'i41ACK,DENNIS 201 ACC 04-12-02 337.00 35.00 1 5311219 10111 VREMMIAR 201 ACC 01-20-99 666.05 384.04 12-03-41 282,45 1 WRENtBRIAN S 553660 10101 11RIC11Tr114BBY RAY 203 UNC 06-10-98 391,00 391.00 1 HEALTH SERVICES ITE-°OFF REPORT DATEk07 Jul 2003 PACE: lot DEBTOR......bA CLIENTII... 04ME............s..l.b...,A... DSS ST CD OT-ASSIGN P#-AS8149...... PILIN COL LST PAY. TOTAL DAL..... CMT 556916 total VRIGHT,3012Y RAY 203 UNC 06-10-9A 589.50 587.50 1 537179 10101 VR14HT#Uksy'RAY 203 UNC 06-10-98 161.00 168.00 € 624071 14111 #1RIC##T.IREK 201 ACC 14-06-94` 10.00 80.00 t 624134 141.11 I MMYtIRENE 241 ACC 10-06"99 74.44 70.00 1 MRICKT r TREK N 699127 10101 NRIGHT'JOANNE 203 UNC 04-25-01 236.74 236.70 1 IRIGHT,ZACNAAY 5 617717 14101 VRI€HTIKE9IN 203 UNC 41`24-99 23.42 23.62 1 VAIC#1T.#1EVIN J 779640 141:41 URIC#ITILISA 203 UNC 02`14-03 321.00 321.00 1 578187 10101 WRICHTIRICHARO 203 UNC 12-15"41 211.04 211.00 1 178923 total VRIGHTtRICNAAD 203 UNC IE.-21-94 75.84 71.54 1 055162 10101 NYATTIRICHARD 203 UNC 05.19-00 18.40 18.90 l VYATT,RICItARD A 562021 10101 YANC,t t VIM 203 UNC 07-1#9••91 615.74 685.70 1 582145 14101 YANGIM NIM 203 VIIC 01-20-" 436.70 436.74 1 583819 total YANG,$" VIN 203 UK 02-04-" 211.70 281.70 1 59107 total YAN6:S#14 #illi 203 UNC 03-11-99 M.70 223.70 1 546954 total YARISHO NIR 203 WK 05.44-" 212.50 282.504 1 612573 total YA$RAR*mm 203 WK 07-22-" 14.26 14.26 1 728216 10194 Y1#WICLEM 201 ACC 11-20.01 91.04 98.44 1 YOW&E# 0 648'123 14101 Yo t&s my Z03 €NiC 04-11-0 18.93 18.93 t Y#1t .Ji1Y A 731249 total IA# AtALF`INSO 203 UNC 46-24#02 66.94 64.04 1 542112 total 1APIEWU0480 203 UNC 03-31-9'I 381.65 387.65 1 ZAPIEN,MRIA T 594123 10101 ZAPIEN.ALFUN80 203 W 04-20-99 217.50 217.30 1 ZAPIEN,#ARIA T 5'11993 14101 ZAPIENIMMIA 203 UNC 03-31.99 616.30 616.50 1 ZAPIIrNr##AItIA T 711237 total ZARATEtAI#A 203 UNC Wwol 1274.50 1276.50 1 639361 10101 ZA#IATEt#AW)EL 203 UNC 03-10-00 5450.45 30.40 44-10-41 5420.45 1 ZARATEvMEL I1 560135 total ZAY"ALAvyOLANDA 203 UNC 06-24-98 3244.46 3244.46 1 593051 10101 ZAVALAsYOLANDA 203 UNC 04.03-99 111.22 111.22 1 774755 10101 ZELLEAStAICROLAS 3 DEC 02-19.03 1368.74 1368.79 1 ZELLEAStNIC1OLAS P 743720 10101 IELLER&t KROLA5 P 4 DEC 04-12-02 4300.92 123.30 43-07.03 4171.22 1 584219 total ZUCiiAr. ITii 203 UNC 02-04-99 58.00 58.40 1. ZUC#(At,Nl1ITM A 38424E total ZuCHAIJUDITN 203 WK 02-04-99 60.00 64.04 1 ZUCHAtMITK A 384443 10101 ZUCHA40IT#1 203 UNC 02-04-99 45.40 45.00 1 IUCNAIJUDITH A 584444 total ZVC## IJQD1TR 203 WK 02-04-" 61.00 61.00 1 luCHAIJUSITN A 4222433.51 30641.19 4192073.323820