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MINUTES - 08172004 - C85
•:I�l ly TO: BOARD OF SUPERVISORS �;" ,< -. �_ , CONTRA COSTAM'.-.ice- =• - FROM: John Sweeten, County Administrator COUNTY DATE: SUBJECT: Discharge from Accountability SPECIFIC'REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATION(St: 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. BACKCROUNDIREASON(S) 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 $2,443,227.10 CONTINUED ON ATTACHMENT: YES SIGNATURE: (,V, 4,-RECOMMENDATION OF COUNTY ADMINISTRATOR_REC MM NDA ON F ARD COMMITTEE _J.APPROVE !OTHER '� SIGNATURE(S�j-- ACTION OF Bt ON._ 0 S f �' 3-G7bt' APPROVED AS RECOMMENDED ,-OTHER VOTE OF SUPERVISORS UNANIMOUS(ABSENT 57"e. gt7l/E I HEREBY CERTIFY THAT THIS IS A } 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. Confect: i ATTESTED, C- 11��aq_ 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 BY DEPUTY HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 1 DEBTOR. . .. . . . . CLIENT#.. . NAME. . . . . . . . . .. . ... . . . . . .. . .. . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . .. PRIN COL LST PAY. TOTAL BAL. . . . . "750787 10111 ABBS,SHELLEY A 54 ACC 06-10-02 85.00 85.00 695439 10111 ABDELLA,ABDELFETAH 54 ACC 03-21-Oi 262.50 262.50 687585 10111 ABDIANI,JOELEENA 54 ACC Oi-17-01 375.47 375.47 ASDIANI,HAFIZ 732849 10111 ABDULLAEVA,ULFAT 54 ACC O1-04-02 4536.54 4536.54 737839 10111 ABRIA,HELEN 54 ACC 02-27-02 122.40 122.40 804694 10101 ACEVEDO,MARIA 54 UNC 12-16-03 556.00 556.00 707656 10111 ACEVEZ,GONZALO 54 ACC 06-27-01 317.00 317.00 746807 10101 ACOSTA,AMBER L 203 UNC 04-30-02 659.69 659.69 708234 10-11 ACOSTA,DAVID 54 ACC 06-27-01 58".00 581.00 796226 10101 ACOSTA,JOHN D 203 UNC 10-06-03 938.55 938.55 746318 10111 ACOSTA,JOSE 54 ACC 04-30-02 237.54 237.54 685954 10111 ACOSTA,MARIA 54 ACC O1-16-01 466.00 466.00 771728 10101 ACOSTA,MORENA 203 UNC 11-21-02 372.49 372.49 LEON,HECTOR JR 798554 10101 ACOSTA,RENZO 203 UNC 10-29-03 927.00 927.00 ACOSTA,RENZO M 704508 10101 ACOSTA,TONI MARIE 203 UNC 05-22-01 103.00 103.00 NEUBAUER,TONI MARIE 689590 10111 ACUNA,JESUS 54 ACC 01-17-01 449.20 449.20 777708 10101 ADAIR,JERRY E 203 BAN 01-28-03 1598.61 100.00 01-14-04 1498.61 575913 10101 ADAME,JOSE L 203 UNC 11-17-98 1484.79 1484.79 797163 10101 ADAMS,LORRONOCET 203 UNC 10-29-03 196.66 196.66 762703 10101 ADAMS,RENEE A 203 UNC 08-08-02 253.15 253.15 687358 10101 AGUTAR,MARIA E 203 UNC 01-17-01 472.54 472.54 680205 10111 AGUIERRE,ANGELICA 54 ACC 11-08-00 197.00 197.00 781020 10101 AGUILA,MARIA 203 UNC 03-06-03 954.87 954.87 772777 10101 AGUILAR,CARMEN 54 UNC 11-26-02 884.90 884.90 810224 10101 AGUILAR,IRMA 203 UNC 02-18-04 482.00 482.00 819786 10101 AGUILAR,IRMA 203 UNC 06-15-04 24.00 24.00 781456 10101 AGUILAR,JESUS 203 UNC 03-14-03 910.00 910.00 707994 10111 AGUILAR,JOSE 54 ACC 06-27-01 230.50 230.50 801.658 10101 AGUILAR,JOSE LUIS 203 UNC 10-30-03 1083.47 1083.47 579427 10101 AGUILAR,MARIA D 203 UNC 12-29-98 133.00 23.80 03-12-04 109.20 696284 10111 AGUILERA,FIDEL 54 ACC 03-21-01 92.00 92-00 696071 10111 AGUILERA,JESUS 54 ACC 03-21-01 1296.50 1296.50 687750 10111 AGUILERA,MARIA T 54 ACC 01-17-01 505.50 505.50 740673 10111 AGUILERA,RODRIGO 54 ACC 03-26-02 173.00 173.00 715609 10111 AGUIRRE,ANA I 54 ACC 09-13-01 109.00 109.00 741418 10111 AGUIRRE,FABIAN 201 ACC 03-26-02 245.00 245.00 699558 10111 AGUIRRE,GERARDO 54 ACC 04-25-01 420.61 420.61 676154 10111 AGUIRRE,MURIEL 54 ACC 09-27-00 31.41 31.41 AGJIRRE,MURIEL E 686820 10111 AHMAD,IQSAL 54 ACC 01-17-01 997.50 997.50 SHEHEEN,MASARAT 693635 10111 AHMADI,TOORPEKAI 54 ACC 02-27-01 313.00 313.00 MASHRIQI,ABDULRAHMA M 689538 10111 AHKADI,ZAHIR 54 ACC 01-17-01 548.32 548.32 AHMADI,MARJAN 773704 10101 AIELLO,ANTHONY 203 UNC 12-05-02 98.00 98.00 AIELLO,ANTHONY M 797875 10101 AINSWORTH,REID G 203 UNC 10-29-03 667.00 667.00 688932 10iii AKHTAR,SALEEM 54 ACC 01-17-01 874.30 874.30 682438 10111 ALAJJI,NAGI 54 ACC 12-15-00 299.50 299.50 sC NIT COSTA COUNTY aEIVED ....:::.... HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 2 DEBTOR. . . . . .. . CLIENT4. . . NAME. _ _ _ . . . . . . . . . . . ... .. DSK ST CD DT-ASSIGN PN ASSIGN. . . .. . PRIN COL LST PAY. IOTA BAL. . . . 746958 10111 ALAS,ALHXANDER 54 ACC 04-30-02 199.00 10.50 02-24-03 188.50 686852 l0ill ALBA,ALEJANDRA V 54 ACC 01-17-01 1046.00 1046.00 676193 10111 ALBARRAN,JOSE 54 ACC 09-27-00 462.50 462.50 AL•BARRAN,JOSE L 695382 10111 ALBERTO,ISRAEL 54 ACC 03-21-01 328.00 328.00 ALBERTO OLIVA,ISRAEL 711167 10111 ALBO,GRACE LUPE 201 ACC 08-30-01 145.00 50.00 06-28-02 95.00 792149 10101 ALCALA,GONZALO 203 UNC 08-12-03 3645.98 3645.98 739127 10111 ALCANTAR,JOSE G 54 ACC 02-27-02 85.00 85.00 684804 10111 ALCANTAR,MARIO 54 ACC 01-16-01 109.00 109.00 693466 10111 ALDANA,ELVIRA 54 ACC 02-22-01 1138.85 1138.85 762772 10111 ALEJANDRE,ALEJANDRO 54 ACC 08-08-02 159.10 159.10 722932 i0iil ALEMAN,GERMAN 54 ACC 10-15-01 172.80 111.00 07-17-02 61.80 799383 10101 ALEXANDER,GREGORY CORNEL 203 UNC 10-30-03 226.00 226.00 746576 10101 ALI,JAFAAR 203 UNC 04-30-02 1534.80 1534.80 688359 10101 ALI,SAIF 203 UNC O1-17-01 215.00 215.00 696094 loill ALIBADANI,ZJIR 54 ACC 03-21-01 577.50 577.50 693355 10111 ALJAMAL,AHED 54 ACC 02-22-01 645.50 645.50 684291 10111 ALLAJJ1,ZAMZAM 54 ACC 01-16-01 640.22 640.22 722510 10101 ALLEN,JEARRED 203 UNC 10-15-01 899.46 899.46 693049 10101 ALLEN,LEE K 203 UNC 02-22-01 729.40 729.40 702326 10111 ALOFAKI,KATHLEEN 201 ACC 05-10-01 377.39 377.39 731277 10101 ALONSO,CLAUDIO 203 UNC 12-28-01 2801.20 2801.20 803481 10101 ALSUP,JENNIFER M 203 UNC 12-04-03 1001.00 20.00 01-22-04 981.00 726792 10101 ALVARADO, GLORIA 203 -INC 11-08-01 968.61 426.00 09-16-03 542.61 ALVARADO,GLORIA M 557683 10111 ALVARADO,ALMA D 203 UNC 06-10-98 214.02 214,02 562118 10111 ALVARADO,ALMA D 203 UNC 07-09-98 174.00 174.00 RUIZ,ALMA DELIA 674675 10111 ALVARAJO,BENITO 54 ACC 09-18-00 548.50 548.50 700946 10111 ALVARADO,GUADALUPE 201 ACC 04-26-01 725.92 725.92 752903 10101 ALVARADO,JAIME 203 UNC 06-10-02 1803.39 1803.39 804037 10101 ALVARADO,JAIME 203 UNC 12-08-03 72.00 72.00 746927 10111 ALVARADO,JOSE C 54 ACC 04-30-02 226.00 226.00 734825 10111 ALVARADO,JOSE MANUEL 54 ACC 01-25-02 207.00 207.00 738037 10111 ALVARADO,MANUEL 201 ACC 02-27-02 108.00 108.00 772496 10101 ALVARADO,MARIA MENDOZA 203 UNC 11-25-02 9832.10 9832.10 743381 10111 ALVARADO,RAUL 54 ACC 04-12-02 150.00 150.00 ALVARADO,MARTIN 748832 10111 ALVARADO,ULISSE 54 ACC 05-16-02 85.00 85,00 755272 10111 ALVARADO,ULISSES 54 ACC 06-24-02 173.00 173.00 670455 10111 ALVAREZ,FABIAN 54 ACC 08-09-00 278.00 278.00 '726217 10111 ALVAREZ,ISMAEL S4 ACC 11-08-01 1833.41 20.00 11-27-01 1813.41 573056 -0101 ALVAREZ,JESUS 203 UNC 10-28-98 343.00 343.00 684111 10101 ALVAREZ,JESUS 203 UNC 01-16-01 100.50 100.50 763658 10111 ALVAREZ,JESUS 203 ACC 06-08-02 308.50 308.50 ALVAREZ,ALEJANDRA 753940 10111 ALVAREZ,JORGE 54 ACC 06-10-02 226.00 226.00 734612 10111 ALVAREZ,MARIA 201 ACC 01-25-02 585.50 585.50 795628 10101 ALVAREZ,MARIA E 203 UNC 09-24-03 526.00 526.00 706906 10111 ALVAREZ,MARILU 201 ACC 06-20-01 87.00 87.00 683215 10111 ALVAREZ,SALVADOR 54 ACC 12-26-00 653.00 653.00 723721 10111 AMADOR,MARIA 201 ACC 10-15-01 155.00 155.00 702569 10111 AMARAL,YENI 54 ACC 05-10-01 758.00 758.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 3 DEBTOR. . . . . . .. CLIENT4.. . NAME. . . . . .. . .. . . . . . . . . . .. .. . . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL BAL.. . . . 756839 10111 AMATO,TALIFOLAU 54 ACC 06-24-02 82.00 32.00 06-26-02 50.00 759675 10111 AMAYA,KATHY A 201 ACC 07-11-02 79.00 79.00 WASHINGTON,GRACIE K 789203 10101 AMAYA,MANUEL 203 UNC 06-26-03 210.00 210.00 768564 10101 AMAYA,VILMA 203 UNC 10-04 02 1092.80 1092.80 741514 10101 ANAYA,VILMA E 203 UNC 03-26-02 736.50 736.50 804136 10101 AMES,SONIA 203 UNC 12-08-03 776.00 776.00 GIBSON,SONIA 794711 10101 AM:ORES,IAN 203 UNC 09-17-03 285.00 285.00 739246 10111 AMRU,SANJAY DANIEL 54 ACC 02-27-02 92.00 92.00 696703 10111 ANACLETO,MARIA 54 ACC 03-21-01 1375.04 1375.04 696413 1011" ANAYA,MARIA 201 ACC 03-21 01 250.50 250.50 814972 10102. ANDERSON,BILLY 203 UNC 04-13-04 86.30 86.30 ANDERSON,BILLY J 752444 10111 ANDERSON,DAVEY 54 ACC 06-10-02 145.00 145.00 741454 10101 ANDERSON,SALLY M 203 UNC 03-26-02 1026.00 300.00 02-17-04 726.00 686281 10111 ANDRADE,JUAN 54 ACC 01-16-01 881.00 881.00 678221 10111 ANDRADE,MARIA 201 ACC 10-12-00 543.42 543.42 797972 10101 ANDREWS,LISA M 203 UNC 10-29-03 3758.81 3758.81 688624 10111 ANGUTANO,GUADALUPE 201 ACC 01-17-01 231.00 231.00 747200 10111 ANTOLIN,MIGUEL 54 ACC 04-30-02 98.50 98.50 ANTOLIN,LEONARDO 744093 10111 ANTONIO,ROCIO 54 ACC 04-12-02 85-00 85-00 AVINA,FRANCISCO 748777 10111 ANUMBA,PATRICIA 54 ACC 05-16-02 112.00 112.00 695945 10111 ANYANWU,JUSTINA 54 ACC 03-21-01 812.21 812.21 702793 10111 APOLO,YAKY 54 ACC OS-10-01 245.77 09-11-02 245.77 796395 10101 ARAMBULA,PATRICK 203 UNC 10-06-03 318.85 318.85 786145 10101 ARANGUIZ,MARTFA 54 UNC 05-09-03 1379.26 1379.26 743838 10111 ARAUJO,ELOY 54 ACC 04-12-02 327.00 327.00 CAMACHO,MARICELA 747302 10111 ARAUJO,FRANCISCO 54 ACC 04-30-02 73.00 73.00 ARAUJO,FRANCISCO L 693470 10111 ARBIZA,EVELYN 54 ACC 02-22-01 377.00 377.00 708006 10111 ARCEO,SALVADOR 54 ACC 06-27-01 338.00 338.00 706474 10111 ARCIGA,FRANCISCA 201 ACC 06-18-01 460.16 460.16 810249 10101 ARCINIEGA,LADONNA LU 203 UNC 02-18-04 115.96 115.96 701091 10111 ARECHIGA,MARIA B 201 ACC 04-26-01 443.00 443.00 758146 10101 AREE,MOHAMMAD 54 UNC 06-24-02 437.00 437.00 AREE,RATTAYA 680420 10111 ARELLANO,MAGDALENO 54 ACC 11-08-00 363.50 363.50 749205 10111 ARELLANO,VIDAL 54 ACC 05-16-02 112.00 112.00 739357 10111 AREVALO,OLIVIA 54 ACC 02-27-02 6319.82 6319.82 AREVALO,JANESSA 757658 10111 ARIAS,CARMEN 201 ACC 06-24-02 50.00 50.00 804462 10101 ARIAS,JOSENICOLA 203 UNC 12-16-03 1893.38 1893.38 687672 10111 ARIAS,MARIA 54 ACC 01-17-01 583.10 583.10 ARIAS,MARIA L 753339 10111 ARIAS,SUSANA 54 ACC 06-10-02 67.00 67.00 753951 10111 ARIAS,SUSANA 54 ACC 06-10-02 94.50 94.50 777088 10101 ARICKSON, CHARLEY 203 UNC 01-23-03 145.00 145.00 701142 10111 ARIZA,REMEDIOS 201 ACC 04-26-01 273.80 273.80 688568 10111 ARMENTA,LUIS 54 ACC 01-17-01 823.18 823.18 ARMENTA,SAMANTHA HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 4 DEBTOR. ... ... . CLIENT#. . . NAME. .... .. . . .. . . .. . .... . . .. . . DSK ST CD DT-ASSIGN PN-ASSIGN. . ... . PRIN COL LST PAY. TOTAL BAL.. .. . 689696 10111 ARNOLD,DENISE 201 ACC 01-17-01, 405.00 405.00 BARTLETT,ELIZABETH 775875 10101 ARRIAGA,BERTHA 203 UNC 01-10-03 265.00 265.00 '175908 10101 ARRIAGA,BERTHA 203 UNC 01-10-03 327.00 327.00 683178 10111 ARRIAGA,GUADALUPE G 201 ACC 12-26-00 163.50 163.50 687439 10111 ATHERTON,DEBBIE 54 ACC 01-17-01 295.00 295.00 MOORE,CANDACE D 700752 10111 ATKINSON,DEBORAH 54 ACC 04-26-01 25.05 25.05 ATKINSON,DEBORAH L 702555 10i11 ATWOOD,CHARLES 54 ACC 05-10-01 660.03 660.03 ATWOOD,LAINE 765957 I0111 AVALOS,ALEJANDRO S4 ACC 08-21-02 216.00 216.00 776277 10101 AVALOS,ALEJANDRO 54 UNC O1-10-03 1530.50 1530.50 686250 10111 AVALOS,BERTHA 54 ACC 01-16-01 305.00 305.00 AVALOS,DANIEL 702664 10111 AVALOS,FERNANDO 54 ACC 05-10-01 282.00 282.00 688010 101i1 AVILA,ESMERALDA 201 ACC O1-17-01 1095.33 1095,33 700113 10111 AVILA,ESTEBAN 54 ACC 04-25-01 221.00 221.00 AVILA,ESTEBAN M 719414 10101 AVILA,FELIPE 54 UNC 09-27-01 639.30 200.00 06-03-03 439.30 746473 10111 AVILA,GERN:AN S4 ACC 04-30-02 146.84 146.84 696646 10101 AVILES,RHONDA L 203 UNC 03-21-01 16055.81 16055.81 737752 10101 AVILES,RHONDA L 203 UNC 02-27-02 654.53 654.53 767484 10101 AVILES,RHONDA L 203 UNC 08-29-02 226.00 226.00 696123 10111 AVINA,JUANCARLOS 54 ACC 03-21-01 243.00 243.00 AVINA,JUAN D 687168 10111 AYALA,EVANGELINA 54 ACC 01-17-01 305.50 305.50 746442 10111 AYALA,FABIAN 54 ACC 04-30-02 217.50 217.50 812285 10101 AYBAR,DOMINGO 203 UNC 03-12-04 642.00 642.00 695927 10111 AYERS,TIFFANY 54 ACC 03-21-01 85.00 85.00 AYERS,TIFFANY A 737948 10111 AZAMAR,ELIZABETH 54 ACC 02-27-02 55.00 55.00 758611 10111 AZIZI,NAZAKAT 54 ACC 06-26-02 98.00 98.00 688196 10111 BACA,MANUEL 201 ACC 01-17-01 259.00 259.00 791723 10101 BAILEY,LEEANN 203 UNC 08-07-03 117.20 117.20 734545 10101 BAJER,WANDA E 203 DEC 01-25-02 1473.36 1473.36 735021 10101 BAKER,RAYMOND 203 UNC O1-25-02 708.00 708.00 BAKER,DYLAN 733039 10111 BALDERAS,DANIEL 54 ACC 01-04-02 209.42 150.00 05-24-02 59.42 BAUTISTA,MARIA G 805184 10101 BALL,ROBERT 203 UNC 12-30-03 167.99 167.99 778285 10101 BANAGAN,JOE 203 UNC 01-30-03 98.00 98.00 556422 10111 BANAGAN,THERESA 203 UNC 06-10-98 1797.00 438.00 04-09-04 1359.00 606573 10111 BANAGAN,THERESA 203 UNC 06-11-99 109.50 35.00 11-29-99 74.50 608328 10111 BANAGAN,THERESA 203 UNC 06-28-99 128.65 128.65 675439 10111 BANAGAN,THERESA 203 UNC 09-18-00 141.00 141.00 696001 10111 BANAGAN,THERESA 203 UNC 03-21-01 151.50 151.50 688950 10101 BANDA,PLACIDO 203 UNC 01-17-01 85.00 85.00 818660 10101 BANKSTON,SHARON 203 UNC 05-25-04 306.50 306.50 688318 10111 BANOS,MARIA 54 ACC 01-17-01 607.50 607.50 BANOS,MARIA C 669305 10111 SANUA,JULIET 54 ACC 08-09-00 386.50 386.50 BANUA,JULIET B 690895 10111 BANUELOS,GERARDO 54 ACC 02-07-01 314.56 314.56 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 5 DEBTOR. . . .. .. . CLIENTV. - NAME. ... . .. . . .... . . .. . . .. . . .. . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL BAL.. . . . 7991668 10101 BAN,JELOS,PETRA I 203 UNC 10-30-03 1715.87 1715.87 819799 10101 BAPTISTE,ETHEL 203 UNC 06-15-04 97.50 97.50 BAPTISTE,ETHEL V 816445 10101 BAPTISTE,ETHEL V 203 UNC 04-27-04 929.89 929.89 708527 10111 BARAHONA,OSMAN 54 ACC 06-27-01 532.05 532.05 746577 10111 BARAJAS,ANGELICA M 54 ACC 04-30-02 1429.35 1429.35 BARAJAS,JOSE 746623 10111 BARAJAS,CECILIA 54 ACC 04-30-02 27.50 27.50 692941 10111 BARAJAS,SAMLEL 54 ACC 02-22-01 326.00 326.00 685317 20111 BARBA,JOSEPH 54 ACC 01-16-01 35.00 35.00 BARBA,JOSEPH J 761686 10111 BAR13A,LAURA 54 ACC 07-24-02 103.00 103.00 CAN.ACHO,ALBERTO 767036 10111 BARSA,LAURA 54 ACC 08-29-02 103.00 203.00 682333 10111 BARBOSA,VICTOR 54 ACC 12-15-00 161.38 161.38 697759 10111 BARNES,ELLIS 201 ACC 03-28-01 80.00 80.00 769082 10111 BARNES,SCOTT E 54 ACC 10-07-02 93.76 93.76 739375 10111 BARNESS,MOSHE 54 ACC 02-27-02 112.00 112.00 BARNESS,SHIRIYAH 788243 10101 BARNETTE,MICHAEL STEVEN 203 UNC 06-11-03 30.00 30.00 702083 10111 BARNHOUSE,MICHAEL 54 ACC 05-10-01 284.00 284.00 BARNHOUSE,TRAVIS 667042 10111 BARRAGAN,YESENIA 54 ACC 07-24-00 281.50 281.50 741104 10111 BARRERA,DOLORES 54 ACC 03-26-02 1404.30 1404.30 774834 10101 BARRERA,GRISELDA 54 UNC 01-06-03 1547.00 1547.00 680762 10111 BARRERA,SUSAN 54 ACC 11-08-00 355.50 355.50 BARRERA,SUSAN S 786106 10101 BARRETO,ALVARO H 25 UNC 05-09-03 687.24 687.24 797789 10101 BARRETO,ALVARO H 203 UNC 10-29-03 44400.86 44400.86 700240 10111 BARRIOS,JOSE LUIS 201 ACC 04-25-01 407.00 407.00 756594 10101 BARRON,MECHELLE 203 UNC 06-26-02 222.00 222.00 739351 10111 BATES,ALFRED 54 ACC 02-27-02 85.00 85.00 BATES,ALFRED L 791449 10101 BATIESTE,KENNETH 203 UNC 07-3"-03 220.50 220.50 BATIESTE,KENNETH E 796265 10101 SAUTISTA,AGUSTIN 203 UNC 10-06-03 479.63 479.63 BAUTISTA,MIGUEL 696248 10111 BAXTER,BARBARA 54 ACC 03-21-01 815.61 815.61 BAXTER,BARBARA N 732548 10101 13EAR,LAURA A 203 UNC 01-04-02 1706.50 9.00 1-697.50 708584 10101 BECKER,MACKLANE WILLIAM 203 UNC 06-27-01 921.50 921.50 686479 10111 BEDOLLA,ELIUD 54 ACC 01-16-01 702.50 702.50 BEDOLLA,DANIEL 700708 10101 BEDOLLA,ELIUD 54 UNC 04-26-01 355.93 355.93 792131 10101 BEDOLLA,FLORIDETH 54 UNC 08-12-03 572.00 572.00 783027 10101 BELLAKDAR,HOUSSINE 203 UNC 04-11-03 110.00 110.00 748455 10111 BELLO,LETICIA 54 ACC 05-16-02 137.40 137.40 CFAVEZ-BELLO,CHRISTIAN M 604747 10101 BEN ZAHRA,MERYEM 203 UNC 12-16-03 2493.00 2493.00 738325 10101 BENJAMIN,MICHAEL A 203 UNC 02-27-02 297.27 297.27 688211 10111 BERNARD,SARAH 54 ACC 01-17-01 505.05 505.05 BERNARD,SARAH D 702632 10111 BERNUI,ELSA 54 ACC 05-10-01 458.05 458.05 687893 101-11 BERONILLA,CHARISSE 54 ACC 01-17-01 279.03 279.03 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 6 DEBTOR. . .. . .. . CLIENTO. . . NAME. . . . . . . . . . . . . . . . . . . .. . .. . . DSK ST CD DT-ASSIGN PN-ASSIGN.. . .. . PRIN COL LST PAY. TOTAL DAL.. ... MATUNDAN,MARC B 758590 20101 BETZ,PAULA S 203 UNC 06-26-02 140.00 140.00 772827 10101 BETZ,PAULA S 203 UNC 11-26 02 98.00 98.00 669383 10^11 BIBI,KSATIJA 54 ACC 08-09-00 285.70 285.70 746794 10111 BIBI,RAHIMAN 54 ACC 04-30-02 426.68 426.68 777016 10101 BIEBER,DONA'LD 203 UNC 01-23-03 18254.09 18254.09 715613 10101 BIGBEE,MICHAEL E 203 UNC 09-13-01 502.80 502.80 783450 10101 BIRK,TRISH 203 UNC 04-18-03 345.00 345.00 BIRK,CHRISTINE E 701024 10111 BIRRUETE,VIRGINIA 54 ACC 04-26-01 163.26 163.26 762885 10111, BLACK,SC 54 ACC 08-08-02 55.13 55.13 751383 10111 BLAIN,MEGHAN 54 ACC 06-10-02 98.00 98.00 734880 1010" BLAKE,VERNARDO 203 UNC O1-25-02 1514.75 1514.75 687291 10111 BLANCO,FATIMA 54 ACC 01-17-01 331.00 331.00 689365 10111 BOSEDILLA,MANUEL 54 ACC 01-17-01 475.35 475.35 BOBEDILLA,MANUEL H 695257 10101 BOCKOVER,JOHN S 203 UNC 03-21-01 1296.19 1296.19 763001 10111 BOLAPIOS,ELIZABETH 54 ACC 08-08-02 94.00 94.00 781074 10101 BCLIO,JOEL 203 UNC 03-06-03 172.40 172.40 778402 10101 BONILLA,CARLOS ESTRADA 203 DEC 01-30-03 150.55 150.55 791297 10112 SONILLA,CARLOS ESTRADA 203 DEC 07-31-03 505.45 505.45 758842 10111 BONILLA,MYRNA 3 ACC 06-26-02 27.50 27.50 684274 loll^ BORGES,GERALOO 54 ACC 01-16-01 110.00 110.00 750349 10111 B0WMAN,DAVID 54 ACC 06-10-02 1021.51 1021.51 BOWMAN,SUSAN R 749954 10101 BOWMAN,TINA RENAE 203 UNC 06-10-02 79.00 79.00 811093 10101 BOXLEY,BETTY J 203 UNC 02-27-04 5950.60 5950.60 816395 10101 BOYCE,MARK 203 UNC 04-27-04 221.00 221-00 BOYCE,MARK P 806759 10101 BOYLE,ROSERT 203 UNC 01-14-04 1361.50 1361.50 BOYLE,ROBERT W 742454 10101 BOYS-SCDORIS,SUSAN 203 UNC 03-26-02 513.60 12-09-03 513.60 SCDORIS,SUSAN C 807829 10101 BRAND,JOSEPH 203 UNC 01-26-04 2244.60 2244.60 BRAND,JOSEPH M 693109 10111 BRANDAO,ANA 54 ACC 02-22-01 463.50 463.50 809110 10101 BRANTLEY,NATHANIEL 203 UNC 01-28-04 124.00 124.00 BRANTLEY,NATHANIEL T 805354 10101 BRASLEY,CLIFFORD 203 UNC 12-30-03 271.35 271.35 BRASLEY,CLIFFORD E 684091 10111 BRAVO,JUN R 201 ACC 01-16-01 324.20 324.20 666601 10111 BRAV0,LORENA 54 ACC 07-17-00 1116.10 1116.10 758936 10211 BRAVO,SALVADOR 54 ACC 06-26-02 243.87 243.87 791305 ^0101 BRIDGMAN,KRAIG 203 UNC 07-31-03 2989.32 2989.32 798352 10101 SRIDGMAN,KRAIG 203 UNC 10-29-03 2186.00 2186.00 802532 10101 BRIDGMAN,KRAIG 203 UNC 11-13-03 1503.20 1503.20 685003 10111 BRINSTON,EDWARD 54 ACC 01-16-01 61.00 61.00 BRINSTON,EDWARD C 788258 10101 BROADNAX,REGINALD 203 UNC 06-11-03 15.00 15.00 701127 ^0111 BROOKS,RICHARD 54 ACC 04-26-01 465.50 465.50 BROOKS,RICHARD E 738424 10111 BROWN,BEVERLY L 201 ACC 02-27-02 98.00 98.00 742168 10101 BROWN,DARRELL 203 UNC 03-26-02 894.37 894,37 796031 10101 BROWN,DAVID 203 UNC 10-06-03 596.00 596.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 7 DEBTOR. ... .. . . CLIENT4. . . NAME. .... . .. _ . . .. . . . .. . .. .. DSK ST CD DT-ASSIGN PN-ASSIGN.. . . . . PRIN COL LST PAY. TOTAL BAL. .. . . 797229 10101 BROWN,JOHN WILLARD 203 UNC 10-29-03 658.38 658.38 660647 10111 BROWN,SYBIL 54 ACC 11-08-00 66.98 66.96 BROWN,SYBIL D 811554 10101 BROWN,WILBERT 203 UNC 03-08-04 1578.88 1578.88 793850 10101 BRUCE,DONALD 203 UNC 09-09-03 118.00 118.00 811403 10101 BRYANT,PATRICIA LAVERNE 203 UNC 02-27-04 869.26 869.26 684859 10111 BUMALA,PHILLIP 54 ACC 01-16-01 325.70 100.00 02-28-01 225.70 BUMALA,CHRISTIAN A 737755 10-11 BURTON,ARTHUR L 54 ACC 02-27-02 84.00 84.00 701078 10101 BUSCEMI,STEPHEN PAUL 203 UNC 04-26-01 166.97 166.97 685008 10111 BUSSEY,DEJA N 54 ACC 01-16-01 90.92 90.92 817159 10101 BUTLER,ALLYSON 203 UNC 05-10-04 511.94 511.94 BUTLER,ALLYSON R 695971 10111 BUTTERFIELD,DEBBIE L 9 ACC 03-21-01 479.47 479.47 680190 10111 BYAM,CHEVELLE FRENE 201 ACC 11-08-00 60.50 60.50 CLYMER,CHEVELLE FRENE 738046 10111 BYE,MELISSA S4 ACC 02-27-02 85.00 85.00 697062 10111 CABABANTI,NATALICIO 54 ACC 03-21-01 570.50 570.50 702854 10111 CABALLERO,AMALIA 54 ACC 05-10-01 393.50 393.50 PEREZ,EDITH 699234 10111 CABELLO,EDDIE 54 ACC 04-25-01 710.50 710.50 CABELLO,CHRISTIAN A 742337 10111 CABRERA,BARTOLO 201 ACC 03-26-02 85.00 85.00 738759 10111 CABRERA,ERNESTO 54 ACC 02-27-02 77.00 77.00 747271 10111 CABRERA,HUGO 54 ACC 04-30-02 97.00 50.00 04-29-03 47.00 701984 101-1 CABRERA,LEANDRO 54 ACC 05-10-01 89.00 89.00 794886 10101 CABRERA,OSCAR 54 UNC 09-18-03 575.35 575.35 CABRERA,VICTOR J 792681 10101 CABRERA,OSCAR N 54 UNC 08-19-03 1401.80 1401.80 603771 10101 CABRERA,PATRICIA L 54 UNC 06-08-99 2439.32 2439.32 7B3110 10101 CACEREZ,MARGARITA 54 UNC 04-11-03 1306.00 1306.00 676473 10111 CALDERON,GILLERMO 54 ACC 09-27-00 582.46 582.46 685617 10111 CALDERON,ROSA 54 ACC 01-16-01 390.60 390.60 CALDERON,ROSA L 743310 10111 CALOWELL,JOHNNIE 54 ACC 04-12-02 98.00 98.00 CALDWELL,uOHNNIE C 737797 10101 CALIZ,MARIA 54 UNC 02-27-02 1510.25 1510.25 748641 10111 CALLAHAN,GABRIELLE 54 ACC 05-16-02 176.25 176.25 785076 10101 CALLINS,KEYOKOR ALFEIAR 203 UNC 04-29-03 230.80 100.00 02-13-04 130.80 793165 10101 CALVO,MANUEL F 203 UNC 08-28-03 476.78 476.78 737949 10101 CAMACHO,CELIA 54 UNC 02-27-02 1361.00 1361.00 392309 10111 CAMACHO,HERMILA 203 UNC 04-12-95 137.54 50.00 04-17-02 87.54 6B7516 10111 CAMACHO,JOSE 54 ACC 01-17-01 353.50 353.50 700937 10-11 CAMACHO,MARY 54 ACC 04-26-01 522.68 522.68 797239 10101 CAMACHO,RAMON 203 UNC 10-29-03 2134.88 2134.88 716457 10101 CAMARENA,JESUS 203 UNC 09-14-01 1997.87 1997.87 761534 10;01 CAMARENA,JESUS 203 UNC 07-24-02 451.86 451.86 793806 10101 CAMARENA,JESUS 2C3 UNC 09-09-03 1075.63 1075.63 727029 10101 CAMBERO,AIDE 201 UNC 11-08-01 4513.14 4513.14 700668 10111 CAMPBELL,CH.ANEL 54 ACC 04-26-01 135.20 100.00 04-24-02 35.20 CAMPBELL,CHANEL C 680110 10111 CAMPOS,DAVID 54 ACC 11-08-00 413.00 413.00 670594 10111 CAMPOS,GUADALUPE 54 ACC 08-09-00 494.00 494.00 802901 10101 CAMPOS,MARIA D 203 UNC 11-18-03 2105.00 2105.00 HEALTH SERVICES WRITE-OFF REPORT DA7E:06 Jul 2004 PAGE: 8 DEBTOR. .. ... .. CLIENT#. . . NAME__ ___ _- -- DSK ST CD DT-ASSIGN PN-ASSIGN. . . .. . PRIN COL LST PAY. TOTAL HAL... . . 735847 10111, CAMPOS,MARTIN 54 ACC 01-25-02 252.00 115.00 06-17-02 137.00 CAMPOS,JONATHAN 746593 1011- CAMPOS-TREJO,LOURDES 54 ACC 04-30-02 28.80 28.80 732321 10101 CANADA,MARLENE LOUISE 203 UNC 01-04-02 1286.87 1286.87 706263 10111 CANALES,MANUEL 201 ACC 06-16-01 799.10 799.10 743501 10101, CANIZALES,VICTOR 203 UNC 04-12-02 3174.29 50.00 06-25-03 3124.29 CANIZALES,MARIA G 802816 10101 CANIZALES,VICTOR 203 UNC 11-18-03 1133.51 1133.51 CANIZALES,VICTOR H 717953 10101 CANIZALES,VICTOR H 203 UNC 09-14-01 6262.46 6262.46 678264 10111 CANSADA,JOEL 54 ACC 10-12-00 252.95 252.95 810104 10101 CARAVETTA,TIMOTHY C 203 UNC 02-18-04 168.00 168.00 748824 10111 CARDENAS,BLANCA 201 ACC 05-16-02 147.39 147.39 743976 1,0101 CARDENAS,FIDELA 203 UNC 04-12-02 434.00 434.00 758318 10111 CARDENAS,LIBIA 54 ACC 06-24-02 98.00 98.00 VAZQUEZ,ANTHONY 763398 10111 CAREY,HENRY 54 ACC 08-08-02 231.33 231.33 699064 10111 CARPO,NELDA 54 ACC 04-25-01 483.00 483.00 CARPO,NELDA A 683019 10111 CARRASCO,FRANCISCO 54 ACC 12-26-00 607.32 607.32 CARRASCO,BLANCA A 735705 10111 CARRERA,GUSTAVO 54 ACC 01-25-02 2569.00 2569.00 763980 10111 CARRERA,NOEMI 54 ACC 08-08-02 1075.51 1075.51 745843 10111 CARRIE,REYNARD L 201 ACC 04-30-02 98.00 98.00 683139 10111 CARRILLO,ADRIANA 201 ACC 12-26-00 428.91 428.91 804135 10101 CARRILLO,GABRIEL 54 UNC 12-08-03 1308.85 1308.85 688295 10111 CARRILLO,JUAN 201 ACC 01-17-01 500.00 500.00 CARRILLO RIOS,ALAN 735482 10111 CARRILLO,JUAN 201 ACC 01-25-02 219.38 219.38 696973 10101 CARTER,VONETTA K 203 BAN 03-21-01 1345.52 1345.52 802420 10101 CARTHER.N,CAROL A 203 UNC 11-13-03 833.50 833.50 806333 10101 CARUSO,MARK 203 UNC 01-09-04 828.00 828.00 680480 10111 CASAS,ALEJANDRO 54 ACC 11-08-00 447.28 447.28 702683 10111 CASTANEDA,ACENCION 201 ACC 05-10-01 404.50 404.50 774961 10101 CASTANEDA,ANDREA 203 UNC 01-06-03 114.00 114.00 784037 10101 CASTANEDA,ANDREA 203 UNC 04-29-03 842.51 842.51 782502 10101 CASTAINEDA,SERNARDO 203 UNC 03-28-03 197.00 65.66 06-18-03 131.34 CASTANEDA, ANA 673112 10111 CASTANEDA,CONSUELO 54 ACC 09-08-00 601.00 601.00 685497 10111 CASTANEDA,MARIA 201 ACC 01-16-01 498.50 498.50 684698 10111 CASTELLON,A.NA 201 ACC 01-16-01 168.00 56.00 07-15-02 112.00 678387 10111 CASTELLOS,ANA 54 ACC 10-12-00 216.50 216.50 ALBERTO,ERICK 801218 10101 CASTENADA,SIMON 203 UNC 10-30-03 1359.21 1359.21 683206 10111 CASTILLO,ISABEL 201 ACC 12-26-00 134.00 134.00 BASILIO,JOSEPH J 796299 10101 CASTILLO,JESUS 203 UNC 10-06-03 2247.59 2247.59 758050 10111 CASTILLO,JOSE 201 ACC 06-24-02 130.50 130.50 786686 10101 CASTILLO,MANUEL 54 UNC 05-16-03 1167.80 1167.80 790586 10101 CASTILLO,MARIA 54 UNC 07-21-03 367.00 50.00 09-22-03 317.00 692957 10111 CASTILLO,SERGIO 54 ACC 02-22-01 186.16 186.16 702577 10111 CASTILLC,TOM 54 ACC 05-10-01 360.46 360.46 CASTILLO,NINA 725742 10111 CASTRO,CESAR 54 ACC 11-08-01 239.59 239.59 HEALTH SERVICES WRITE OFF REPORT DATE:06 Jul 2004 PAGE: 9 DEBTOR. _._.. .. CLIENT#. .- NAME.. . .. . .. ... . . . .. . . . . . ... . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL BAL..... 685653 10111 CASTRC,EDIBERTC 54 ACC 01-16-01 128.70 128.70 613386 10101 CASTRO,JOHN A 203 UNC 07-27-99 3844.54 3844.54 683470 10111 CASTRO,JULIO 54 ACC 12-28-00 768.92 768.92 CASTRO,JULIO C 697074 10111 CASTRO,SERGIO 54 ACC 03-21-01 373.50 373.50 638686 10101 CAZARES,FLORA 54 UNC 03-IO-00 1383.62 580.66 08-28-03 802.96 VARGAS,RAQUEL 785870 10101 CAZARES,FLORA 54 UNC 05-09-03 226.00 226.00 VARGAS,MARIA I 769427 10101 CAZARES,JOSEFINA 203 UNC 10-07-02 397.00 397.00 781805 10101 CAZARES,JOSEFINA 203 UNC 03-20-03 751.50 751.50 682205 10111 CEEN,NIMIL 54 ACC 12-15-00 659.00 659.00 745867 10111 CEJA,EDITH 201 ACC 04-30-02 149.50 149.50 702633 10101 CEJA,MARA ELOISA 203 UNC 05-10-01 85.00 85.00 702803 10101 CEJA,MARIA ELOISA 203 UNC 05-10-01 2027.70 2027.70 763357 10101 CEJA,MARIA ELOISA 203 UNC 08-08-02 318.00 318.00 686678 10111 CEJA,MIGUEL M 201 ACC 01-17-01 885.09 885.09 758275 10I11 CENOBIO,IVAN 54 ACC 06-24-02 67.00 67.00 794610 10101 CEREZO,ROSARIO 203 UNC 09-17-03 644.00 644.00 785808 10101 CERON,13LANCA 203 UNC 05-09-03 651.36 651.36 CADENA,MONSERAT 679202 10111 CERRATO,GLORIA 54 ACC 10-20-00 599.50 599.50 685004 10111 CERVANTES,HECTCR 54 ACC O1-16-01 270.22 270.22 CERVANTES,VIRGINIA 735649 10101 CERVANTES,JENOVEVA 54 UNC 01-25-02 364.00 364.00 768607 10101 CERVANTES,LUZ 203 UNC 10-04-02 363.50 363.50 748657 10111 CERVANTES,MARIA S. 54 ACC OS-16-02 215.00 215.00 665753 10111 CERVANTES,MARTA 54 ACC 07-10-00 475.23 475.23 MEJIA,OSCAR 726036 10111 CESARIO,KARLA 54 ACC 11-08-01 1020.00 300.00 05-06-02 720.00 690842 10111 CHACON,ARTURO 54 ACC 02-07-01 642.49 642.49 682929 10111 CHACON,THERESA 54 ACC 12-26-00 309.20 309.20 CHACON,MARIA 687073 10111 CHAIREZ,NARCISC 54 ACC 01-17-01 403.00 403.00 726008 10101 CHAMAY,EDNNA 54 UNC 11-08-01 811.00 811.00 794540 10101 CHAND,SUSHIL 203 UNC 09-17-03 3048.00 3048.00 684679 10111 CHAVEZ,CRISTINA 54 ACC O1-16-01 367.05 367.05 799291 10101 CHAVEZ,DAISY V 54 UNC 10-30-03 448.50 448.50 735637 10101 CHAVEZ,DANIEL 203 UNC 01-25-02 876.35 876.35 738719 10111 CHAVEZ,ESTHER 54 ACC 02-27-02 35150.66 35150.66 820748 10101 CHAVEZ,JOE 3 203 UNC 06-23-04 45358.84 45358.84 726779 10111 CHAVEZ,JOSE 54 ACC 11-08-01 2079.38 2079.38 CORTEZ,CAROLINA 778283 10101 CHAVEZ,SERGIO 54 UNC 01-30-03 541.67 541.67 CF'_AVEZ,JONATHAN 682288 10111 CHAVEZ,VERONICA 54 ACC 12-15-00 441.50 441.50 686012 10111 CiEATHAM,DEBRA JOY 203 UNC 01-16-01 50.00 50.00 811345 10101 CHENEVERT,VAUGHN C 203 UNC 02-27-04 371.00 371.00 743622 10111 CHER0,ERICA 54 ACC 04-12-02 238.00 238.00 685372 10111 CHEVEZ,LILIAN 201 ACC 01-16-01 144.60 144.60 ANDRADE,CARLOS A 762950 10111 CHILDS,SHAWNEAL Y 54 ACC 08-08-02 94.82 94.82 783954 10101 CHINNAKON,KANJA 54 UNC 04-29-03 1413.40 40.00 07-29-03 1373.40 702552 10111 CHOUDHURY,SALIMA 54 ACC 05-10-01 815.93 815.93 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 10 DEBTOR. .... . .. CLIENT#. . . NAME.. ... . ... . . . . .. ... .. . . . ... DSK ST CD DT-ASSIGN PN-ASSIGN.. . . . . PRIN COL LST PAY. TOTAL BAL. . . . . 798370 10101 CHRISEKE,CHRIS 203 UNC 10-29-03 3042.40 3042.40 751819 10111 CHRISTERNA,ANT 54 ACC 06-10-02 220.57 220.57 748584 10111 CHUKWURAH,DOROTHY 54 ACC 05-16-02 21177.97 21177.97 816465 101011 CIENFUEGOS,GREGORY 203 UNC 04-27-04 196.00 196.00 761613 10111 CIFUENTES,JESUS 54 ACC 07-24-02 118.00 118.00 RODRIGUEZ,MARIANA 797343 10101 CINEROS,SALVADORE 203 UNC 10-29-03 565.26 565.26 735316 10101 CISNERO,VALERIA 203 UNC 01-25-02 1110.00 1110.00 731628 10101 CISNEROS,ADRIANA 54 UNC 12-28-01 476.04 476.04 MENDOZA,FRANCISCO 679168 10111 CISNEROS,CUAHUTEMOC 54 ACC 10-20-00 537.27 537.27 716463 10101 CISNEROS,DANELIA 54 UNC 09-14-01 715.50 715.50 682393 10111 CISNEROS,JULIO 201 ACC 12-15-00 647.88 647.88 690907 10111 CISNEROS,MLANUEL 54 ACC 02-07-01 1073.41 1073.41 756637 10111 CISNEROS,MARTFiA 201 ACC 06-24-02 223.50 60.00 09-18-02 163.50 808955 10101 CISNERCS,RENE 203 UNC 01-28-04 1886.74 100.00 03-26-04 1786.74 CISNERCS,ANDRES 781647 10101 CLARK,VICTORIA 203 UNC 03-20-03 156.99 156.99 743615 10101 CLARK,V11CTORIA M 203 UNC 04-12-02 739.50 125.50 09-04-02 614.00 782783 10101 CLAYTON,MAUREEN 203 UNC 04-07-03 360.16 360.16 JOHNSON,JCSHUA 800736 10101 CLEIVER,RAFAEL 54 UNC 10-30-03 456.60 456.60 819020 10101 CLEMENTS,LARRY 24 UNC 06-08-04 112.00 112.00 CLEMENTS,LARRY R 810727 10101 COBB,MARK 203 UNC 02-27-04 85.00 85.00 COBB,MARK A 725720 10101 COBY,LATRENA A 203 UNC 11-08-01 2366.77 2366.77 743685 10111 COLBY,TIMOTHY 54 ACC 04-12-02 B5.00 85.00 692959 10111 COLE,CIACHI 54 ACC 02-22-01 1454.27 1454.27 697622 10111 COLLINS,RYAN 54 ACC 03-28-01 263.00 263.00 689417 10111 COMPAGLIA,FRANK 54 ACC 01-17-01 5532.06 5532.06 767275 10111 COMPAGLIA,FRANK 54 ACC 08-29-02 1653.10 1653.10 801134 10101 COMPTON,SHAUNEEN M 203 UNC 10-30-03 933.50 933.50 751338 10111 CONCEPCION,ARTEMIO 54 ACC 06-10-02 61.00 61.00 775569 10101 CONCEPCION,JENNIFER 54 UNC 01-10-03 909.00 909.00 726959 10101 CONTRERAS,CARLOTA 54 UNC I1-08-01 2594.90 2594.90 699136 10101 CONTRERAS,EFREM Z 203 UNC 04-25-01 79.00 79.00 699297 10111 CONTRERAS,MARIBEL 54 ACC 04-25-01 902.00 902.00 704429 10111 CONTRERAS,SALOMON 54 ACC 05-22-01 646.00 646.00 CONTRERAS,JACQUELINE 697578 10111 CONTRERRAS,PABLO 54 ACC 03-28-01 157.00 157.00 679264 10111 COOPER,CRUSETTA 54 ACC 10-20-00 214.80 114.80 01-19-01 100.00 LEE,RAYUAN C 696558 10111 CORDOVA,BEATRIZ 54 ACC 03-21-01 1298.50 1298.50 757807 10101 CORIA,MARIA 203 UNC 06-24-02 182.00 182.00 CORIA,MARIA G 689473 10111 CORNEJ0,2ARBARA 54 ACC 01-17-01 418.50 418.50 702806 10111 CORNEJO,BENJAMIN 54 ACC 05-10-01 1020.65 1020.65 689552 10111 CORNELIO,JOSE 54 ACC 01-17-01 706.00 706.00 684278 10111 CORONA,MARTIN 54 ACC 01-16-01 669.04 669.04 744535 10111 CORONA,VALENTINO 54 ACC 04-12-02 112.00 112.00 751486 10101 CORRAL,DULCE 203 UNC 06-10-02 917.SO 917.50 682484 10111 CORREA,HERMINIA 54 ACC 12-15-00 352.00 352.00 CORREA,MIGUEL A HEALTH SERVICES WRITE OFF REPORT DATE:06 Jul 2004 PAGE: 11 DEBTOR. . . . . . .. CLIENT#. . . NAME. . . . ... . ... .. .. . . . . .. .. . .. DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL SAL. . .. . 798079 10101 CORREA,LETICIA M 203 UNC 10-29-03 924.00 924.00 792157 10101 CORTES,AGUSTIN 54 UNC 08-12-03 543.55 543.55 807647 10101 CORTES,ROSERTO 203 UNC 01-26-04 2074.50 2074.50 731654 10111 CORTEZ,JAIME 54 ACC 12-28-01 228.41 228.41 810861 10101 COSIO,CARMEN 203 UNC 02-27-04 3855.11 3855.11 688369 loi11 COSSIO,EFRAIN 54 ACC 01-17-01 957.99 957.99 800663 10101 COSTA,MICHELLE L 203 UNC 10-30-03 1262.40 1262.40 751282 10111 COSTACURTA,IVAN 54 ACC 06-10-02 78.00 78.00 675318 10111 COSTANZA,CHERYL 54 ACC 09-18-00 77.28 77.28 COSTANZA,CHERYL A 750357 10101 COSTELLO,MIKE 54 UNC 06-10-02 226.00 226.00 COSTELLO,JACOB 723896 10-101 COTTON,GREG 203 UNC 1-0 15 Ol 97.00 97.00 693849 10111 COVARRUBIAS,LETICIA 54 ACC 02-27-01 461.70 461.70 783400 10101 COX,DARLENE 203 UNC 04-18-03 53".20 531.20 797803 10101 COX,JAMES 203 UNC 10-29-03 226.00 226.06 C/OF PUBLIC GAURDIAN OFFICE 813064 10101 CREW,JAMES E 203 UNC 03-22-04 733.25 733.25 817123 i01G1 CRUA,WALTER 203 UNC 05-10-04 121.08 121.08 CRUA,WALTER G 669925 10,111 CRUZ,ALBERTO 54 ACC 08-09-00 623.97 623.97 750975 10111 CRUZ,FLAVIO 54 ACC 06-10-02 145.00 145.00 700030 10101 CRUZ,JUANA L 54 UNC 04-25-01 1931.50 1931.50 745132 10111 CRUZ,LUCIA G 201 ACC 04-17-02 228.85 228.85 756952 10111 CRUZ,NARIA 54 ACC 06-24-02 117.68 117.68 727012 10111 CRUZ,MARICELA 54 ACC 11-08-01 1864.50 75.00 06-24-02 1789.50 699864 10101 CRUZ,MARY 203 UNC 04-25-01 370.70 50.00 320.70 697648 10111 CUELLAR,JESUS 201 ACC 03-28-01 401.86 401.86 625304 10101 CUEVAS,JORGE E 54 UNC 10-18-99 1816.00 100.00 10-30-03 1716.00 691606 10111 CULLISON,PAMELA 54 ACC 02-07-01 367.92 367.92 CULLISON,KATRINA 687535 10111 CUMI,ANGEL 201 ACC 01-17-01 336.00 336.00 667539 10111 CUNNINGHAM,ALPHONSO 54 ACC 07-24-00 920.30 920.30 810952 10101 CUNNINGHAM,LORITA N 203 UNC 02-27-04 1012.00 1012.00 778020 10101 CURREY,AUTUMN D 203 UNC 01-29-03 474.00 474.00 773791 10101 CZARNECKI,RYSZARD 203 UNC 12-05-02 740.50 740.50 801329 10101 CZARNECKI,RYSZARD 203 UNC 10-30-03 1067.09 1067.09 687368 10111 DA SILVA,ROBSON 54 ACC 01-17-01 236.76 236.76 699973 10111 DABNEY,CHRISTINE 54 ACC 04-25-01 1235.81 1235.81 783990 10101 DANIELS,BERNADETTE 203 UNC 04-29-03 717.30 717.30 DANIELSCOLEMAN,ESSIE BERNADETT 798269 10101 DANIELS,BERNADETTE 203 UNC 10-29-03 80.60 80,60 DANIELSCOLEMAN,ESSIE BERNADETT 703549 10111 DANIELS,JOSELITO 54 ACC 05-17-01 248.40 248.40 DANIELS,MALAYSIA T 803626 10101 DANIO,BRENDA 203 UNC 12-04-03 30.00 30.00 DANIO,BRENDA L 704066 10111 DA0U,MAZEN 54 ACC 05-22-01 12016.23 2239.50 05-22-02 9776.73 C/O LULWA DAOU 737988 101-11 DASILVA,RICHARD 54 ACC 02-27-02 BS.Oo 85.00 DASILVA,RICHARD N 731884 10111 DAVID,MARY ANN S 54 ACC 01-04-02 232.50 232.50 APODACA,VETEANGE T 690972 10111 DAVIS,ANNETTE 54 ACC 02-07-01 80.00 80.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 12 DEBTOR-- -- CLIENT#_ NAME__ . . . . . . . . . . .. . DSK ST CD DT-ASSIGN PN-ASSIGN... . . . PRIN COL LST PAY. TOTAL SAL. . . . 682581 10111 DAVIS,DARCELLE 201 ACC 12-15-00 135.00 135.00 DAVIS,JACK H 665925 10111 DAVIS,ESPERANZA 54 ACC 07-10-00 275.50 275.50 805164 10101 DAVIS,IMANI 203 UNC 12-30-03 126.05 126.05 DAVIS,IMANI H 803942 10101 DAVIS,LORENA 203 UNC 12-08-03 5406.80 5406.80 820089 10101 DAVIS,MARCUS MARLON 203 UNC 06-15-04 294.92 294.92 722247 10101 DAVIS,MARLON D 203 UNC 10-15-01 400.00 400.00 6976-1 10111 DAVIS,SHEMYA 54 ACC 03-28-01 781.50 781.50 690977 10111 DAVIS,TANYA 54 ACC 02-07-01 85.00 85.00 DAVIS,TANYA M 745283 10101 DAVIS,TATAMA A 203 UNC 04-17-02 131.63 131.68 691802 10111 DE FINO,MARUJA 54 ACC 02-07-01 304.60 304.60 699906 10111 DE LA CRUZ,ADRIANA 54 ACC 04-25-01 538.12 538.12 DE LA CRUZ,ADRIANA G 747069 10111 DECENA,NICHOLAS 54 ACC 04-30-02 72.02 72.02 DECENA,THERESA B 685360 10111 DECHAMPS,SHARRON 54 ACC 01-16-01 466.85 466.85 STARKEY,JASON R 800095 10101 DEGROFT,JESSICA L 203 UNC 10-30-03 1068.34 1068.34 574494 10101 DEGROOT,CINDY C 203 UNC 11-05-98 944.71 944.71 734533 10101 DEGROOT,CINDY C 203 UNC 01-25-02 636.27 638.27 795089 10101 DEIKE,ELMINA 203 UNC 09-18-03 512.64 512.64 820096 10101 DEIKE,ELMINA 203 UNC 06-15-04 153.72 153.72 777081 10101 DEJESUS,RIGOBERTO 203 UNC 01-23-03 502.00 502.00 690926 10101 DELACRUZ,JUAN C 203 UNC 02-07-01 559.50 559.50 811107 10101 DELCOMB,DIANE D 203 UNC 02-27-04 216.40 218.40 682495 10,111 DELEON,MARY 54 ACC 12-15-00 169.60 169.60 757153 10111 DELEON,SANDRA 54 ACC 06-24-02 7122.14 7122.14 7142S5 10101 DELGADO,ALMA 203 UNC 09-13-01 672.00 672.00 762203 10101 DELGADO,ALMA 203 UNC 08-08-02 568.90 568.90 787088 10101 DELGADO,GERONIMO 203 UNC 05-23-03 19.20 19.20 781051 10101 DELGADO,GUADALUPE 203 UNC 03-06-03 104.20 104.20 785485 lolal DELGADO,JOSE 203 UNC 05-09-03 395.21 395.21 DELGADO,URIEL 557386 10111 DELGAD0,JOSE A 203 UNC 06-10-98 375.88 120.00 05-28-02 255.88 743845 10101 DELGADO,JOSE A 203 UNC 04-12-02 1009.02 1009.02 793586 10101 DELGADO,MARIA 203 UNC 09-05-03 520.00 520.00 685564 10111 DELGADO,MARTIN 54 ACC 01-16-01 711.00 711.00 DEDIOS,NATALIE 716955 10101 DELGADO,RAYMOND R 203 UNC 09-14-01 797.25 797.25 746155 10101 DELGADOILLO,JAVIER 203 UNC 04-30-02 502.46 502.46 712732 10101 DELRIO,ANJELITA 203 UNC 09-13-01 166.48 166.48 690828 10111 DELRIO,JEANETTE 201 ACC 02-07-01 266.10 266.10 DELRIC,ALEXA 696827 10111 DEOL,PARAMJIT 54 ACC 03-21-01 460.71 460.71 DEOL,SJJATA 797757 10101 DEPATIE,KENNETH W 203 UNC 10-29-03 9794.71 9794.71 731019 10101 DEROSE,CHRISTINE M 203 BAN 12-28-01 4293.89 4293.89 810698 10101 DEVANEY,HEATHER MARIE 203 UNC 02-27-04 1180.49 1180.49 676403 10111 DEVIA,PETER 54 ACC 09-27-00 384.50 384.50 DEVIA,CAROL A 715552 10111 DEWSBURY,JERUD 54 ACC 09-13-01 85.00 85.00 678213 10111 DIAZ,ALICIA 201 ACC 10-12-00 6428.12 6428.12 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 13 DEBTOR. . ... . . . CLIENT#. . . NAME. . . . . . . .. . . . . .. . . . . . . . . . . . DSK ST CD DT-ASSIGN PN-ASSIGN.... .. PRIN COL LST PAY- TOTAL BAL.. ... 760,110 lolll DIAZ,ALICIA 201 ACC 07-11-02 376.50 376.50 686995 I0111 DIAZ,ANGEL OANI 201 ACC 01-17-01 245.00 245.00 LAZARO,LIDIA 799597 10101 DIAZ,ANTONIO 203 UNC 10-30-03 740.00 740.00 785439 10101 DIAZ,DIONICIO JR 203 UNC 05-09-03 466.08 466.08 756036 10101 DIAZ,GENOVEVA 203 UNC 06-24-02 291.50 291.50 707189 10111 DIAZ,JUAN 54 ACC 06-20-01 395.00 395.00 682347 10111 DIAZ,LUIS 54 ACC 12-15-00 257.00 257.00 757434 10111 DIAZ,_UIS 54 ACC 06-24-02 178.10 178.10 791874 10101 DIAZ,MARIA 203 UNC 08-07-03 253.05 253.05 785424 10101 DIAZ,MARIA C 203 UNC 05-09-03 899.00 899.00 712708 10101 DIAZ,MIGUEL 203 UNC 09-13-01 377.00 377.00 DIAZ,CATALINA 670423 10111 DIAZ,PATRICIA 54 ACC 08-09-00 80.00 80.00 DIAZ,MARTIN 796363 10101 DIAZ,ROSARI0 203 UNC 10-06-03 226.00 226.00 703792 10111 DIAZ,SANTIAGO 54 ACC 05-17-01 727.00 727.00 DIAZ,SANTIAGO C 780845 10101 DIAZ,VERONICA 203 UNC 03-06-03 562.59 562.59 697607 10111 DODGE,KENNETH 54 ACC 03-28-01 89.55 89.55 811237 10101 DOE,JOHN 203 UNC 02-27-04 43.71 43.71 779154 10101 DOLORES,ROSA 203 UNC 02-14-03 249.00 249.00 DOLORES,ESMERALDA 683606 10111 DOMINGUEZ,ABEL 201 ACC 12-28-00 696.40 696.40 680234 10101 DOMINGUEZ,EVA 203 UNC 11-08-00 1424.50 1424.50 690848 10101 DOMINGUEZ,JOSE 203 UNC 02-07-01 611.00 611.00 793648 10101 DONIS,SCARLET 203 UNC 09-05-03 109.80 109.80 DONIS,JOHNNY F 794840 10101 DORANTES PRIETO,JESUS 203 UNC 09-18-03 243.32 243.32 DORANTES,JESUS D 696204 10111 DORMOS,MARIA 54 ACC 03-21-01 332.00 332.00 743519 10111 DOUGLAS,STEVEN 54 ACC 04-12-02 85.00 85.00 DOUGLAS,STEVEN A 798086 10101 DOWNS,JOHN L 203 UNC 10-29-03 44.64 44.64 704256 10111 DOYLE,JOE 54 ACC 05-22-01 85.00 85.00 DOYLE,DANIELA M 800348 10101 DROLLINGER,ROBIN 203 UNC 10-30-03 44.50 44.50 DROLLINGER,ROBIN L 803714 10101 DUCASSE,DENIS 203 UNC 12-04-03 1651.15 1651.15 586480 10101 DUKES,TIMOTHY 54 UNC 02-19-99 2895.63 2895.63 789128 10101 D'UMANIG,JUANA L 54 UNC 06-26-03 1106.68 1106.68 806660 10101 DUNCAN,MARC ANTONIO 203 UNC 01-14-04 38.40 38.40 734494 10101 BURAN,VERONICA 54 UNC 01-25-02 449.00 449.00 802536 10101 DURDEN,JEFFERY A 203 UNC 11-13-03 267.16 267.16 735884 10101 DURHAM,SEAN ROBERT 203 UNC 01-25-02 650.21 650.21 754034 10111 DZULCHABLE,RODRIGO 54 ACC 06-10-02 164.00 164.00 689044 10111 EARL,SEAN 54 ACC 01-17-01 452.91 452.91 BOMBERG,DARREN 719587 10101 EBERLING,JOHNNY 203 UNC 09-27-01 54.60 54.60 EBERLING,JOHNNY D 798308 10101 ECONOMU,JUSTIN D 203 UNC 10-29-03 3873.74 3873.74 752147 10111 EINY,TAMAR 54 ACC 06-10-02 135.72 135.72 705995 10111 ELISZONDO,BEATRIZ 54 ACC 06-14-01 614.50 614.50 693219 10111 ELIZONDO,MONICA 54 ACC 02-22-01 139.00 139.00 HEALTH SERVICES WRIT:-OFF REPORT DATE:06 Jul 2004 PAGE: 14 DEBTOR. .. .. .. . CLIENT4_ NAME.. .. . .. . .. . .. ... ... . ... . . . DSK ST CD DT-ASSIGN PN-ASSIGN. . .. .. PRIN COL LST PAY. TOTAL BAL. .. . . 799437 10101 ELLIS,ROBERT 203 DEC 10-30-03 5221.018 5221.08 796336 10101 ELY,LANDEN 203 UNC 10-06-03 251.60 251.60 814859 10101 ENCOMIENDA,MICHELLE 203 UNC 04-13-04 536.00 536.00 774870 10101 ENRIGHT,GARY 203 UNC 01-06-03 4969.58 4969.58 ENRIGHT,GARY L 814377 10101 ENRIGHT,GARY 203 UNC 04-OS-04 297.00 287.00 ENRIGHT,GARY L 704517 10111 ENSMINGER,JEFFREY 54 ACC 05-22-01 98.00 98.00 ENSMINGER,JEFFREY B 788287 10101 EROSTICO,MERCEDES 203 UNC 06-11-03 116.41 116.41 723063 10101 ESCALERA,CAROL 203 UNC 10-15-01 3388.55 3388.55 754556 i01ol ESCARENO, DONACIANO 203 UNC 06-10-02 69.50 69.50 713148 10101 ESCOBAR,DIANNA 203 UNC 09-13-01 389.00 389.00 763587 10101 ESCOBAR,LUCIA 203 UNC 08-08-02 112.00 122.00 790818 iolol ESCOBEDO,AMPARO 203 UNC 07-29-03 118.74 118.74 716799 10111 ESCOBEDO,CLAUDIA 54 ACC 09-14-01 5407.24 5407.24 753911 10111 ESCOSEDO,CLAUDIA 54 ACC 06-10-02 271.00 271.00 753930 10111 ESCOBEDO,CLAUDIA 54 ACC 06-10-02 113.00 113.00 754069 10111 ESCOBEDO,CLAUDIA 54 ACC 06-10-02 27.50 27.50 690675 10111 ESPARZA,IRMA 54 RCC 02-07-01 268.50 268.50 776199 10101 ESPARZA,PATRICIA 203 UNC 01-10-03 580.50 580.50 RODRIGUEZ,SELENE 790868 10101 ESPERANZA,ISLAS 54 UNC 07-29-03 1131.65 1131.65 ISLAS,ESPERANZA 682203 10111 ESPINOSA,LOURDES 54 ACC 12-15-00 4187.24 4187.24 718511 10101 ESPINOZA,ALEJANDRA 203 UNC 09-14-01 177.50 177.50 728023 1010'_ ESPINOZA,ALMA 203 UNC 11-20-01 559.60 559.80 773859 1010= ESPINOZA,ALMA L 203 UNC 12-05-02 612.50 612.50 777186 10101 ESPINOZA,ARIANA 203 UNC 01-24-03 191.20 80.00 04-22-03 111.20 773752 10201 ESPINOZA,EDGAR 54 UNC 12-05-02 370.25 150.00 08-05-03 220.25 723226 10201 ESPINOZA,M.ARGARITA 203 UNC 10-15-01 98.00 98.00 790362 10101 ESPINOZA,MARGARITA 203 UNC 07-21-03 2428.54 2428.54 704560 10111 ESPINOZA,SANTIAGO 203 UNC 05-22-01 419.50 419.50 ESPINOZA,ANA B 705809 10111 ESPINOZA,SANTIAGO 203 UNC 06-14-01 851.04 851.04 ESPINOZA,JESUS 712678 10101 ESPINOZA,SANTIAGO 203 UNC 09-13-01 103.00 103.00 ESPINOZA,LOREN-A 799861 10101 ESPINOZA,SA.NTIAGO 203 UNC 10-30-03 186.94 186.94 ESPINOZA,ANA B 784627 1.o101 ESQUIVEL,BEATRIZ 203 UNC 04-29-03 2998.77 30.00 08-01-03 2968.77 684710 10111 ESQUIVEL,CARMEN 201 ACC 01-16-01 352.50 352.50 701144 10111 ESQUIVEL,ROGELIO 54 ACC 04-26--01 434.50 434.50 ESQUIVEL,ROGELIO T 697791 10111 ESQUIVEL,SERGIO 201 ACC 03-28-01 372.94 372.94 680463 1.0111 ES^_ENSON,L:ENNY 54 ACC 11-08-00 1090.80 I090.B0 696968 10111 ESTRADA,EUSEVIO 54 ACC 03-21-01 479.35 479.35 ESTRADA,DENISE 670253 101.11 ESTRADA,YOLANDA 54 ACC 08-09-00 227.38 1_71.00 12-14-00 56.38 769691 10111 ESTRELLA,CHARLES LEROY 201 ACC 10-07-02 98.00 98.00 813882 10101 ESTUPINAN,JUAN V 203 UNC 03-30-04 563.61 563.61 645739 10111 EVANS,DEGANJARA DAVE 203 UNC 04-17-00 185.04 185.04 745013 10111 EVANS,DEGANJARA DAVE 203 UNC 04-17-02 1239.80 1239.80 682254 10111 EVERS,WYNETTE DESRAY 201 ACC 12-15-00 175.00 175.00 _- HEALTH SERVICES WRITE OFF REPORT DATE:06 Jul 2004 PAGE: 15 DEBTOR... .. . . . CLIENT#• . • NAME. .... . ... ........ . .. . . . ... DSK ST CD DT ASSIGN PN-ASSIGN. .. . . . PRIN COL LST PAY. TOTAL BAL. . ... 803399 10101 FABILA,MARIO 54 UNC 12-04-03 926.00 926.00 762193 10101 FALVON,MARCOS V 203 UNC 08-08-02 372.50 300.00 02-11-03 72.50 802379 10101 FARAHAT,SAYED 54 UNC 11-13-03 1631.50 1631.50 790893 10101 FARIAS,CARLOS 203 UNC 07-29-03 695.80 695.80 715207 10101 FELDMAN,SARAH IRENE 203 UNC 09-13-01 1319.19 1319.19 801820 10101 FELDMAN,SARAH IRENE 203 UNC 10-30-03 129.00 129.00 775627 10101 FELICITAS,MARIA 203 UNC 01-10-03 244.00 244.00 MENDOZA,CYNTHIA G 799595 10101 FENWICK,ROBERT 203 UNC 10-30-03 226.00 226.00 FENWIC{,ROBERT L 756831 20111 FERNANDES,ANDREA 201 ACC 06-24-02 85.15 85.15 786768 10101 FERNANDEZ,CECILIA 203 UNC 05-16-03 2444.50 1444.50 718256 10101 FERNANDEZ,JOHN 54 UNC 09-14-01 600.71 600.71 699401 10111 FERNANDEZ,LEANORO 54 ACC 04-25-01 992.00 992.00 765507 10101 FERNANDEZ,MARIA T 203 UNC 08-21-02 3421.40 3421.40 781620 10101 FERY,COREAS 203 UNC 03-20-03 74.41 74.41 716956 10101 FEUTAKI,LUSEANE 203 UNC 09-14-01 246.87 100.00 10-29-03 146.87 TAIMANI,AINISE H 745352 101ii FIEFIA,SIONE SR. 54 ACC 04-17-02 145.00 100.00 07-12-02 45.00 FIEFIA,SIONE JR. K 620422 10101 FIELDS,ROBERT 203 UNC 09-10-99 5248.36 5248.36 744028 101ii FIFITA,AMELIA 54 ACC 04-12-02 1169.00 1169.00 600'130 10101 FIGUEROA,ANTONIO 203 UNC 10-30-03 498.56 498.56 779111 10101 FIGUEROA,CARMEN 203 UNC 02-14-03 73.00 73.00 FIGUEROA,CARMEN 572848 10101 FIGUEROA,FRANCISCO 203 UNC 10-28-98 523.21 523.21 572939 10101 FIGUEROA,FRANCISCO 203 UNC 10-28-98 176.23 176.23 755439 10111 FIGUEROA,JOSE 201 ACC 06-24-02 174.00 174.00 756117 20111 FIGUEROA,MANUEL 201 ACC 06-24-02 109.00 109.00 777913 10101 FIGUEROA,RAUL 203 UNC 01-29-03 277.48 277.48 CASTILLO,ARELY N 804790 10101 FILOTEO,JENNY L 54 UNC 12-16-03 145.00 145.00 672647 10111 FINLEY,KIMBERLY 54 ACC 09-08-00 80.00 80.00 F'INL EY,KIMBERLY T 789890 10101 FINLEY,MICHAEL J 203 UNC 07-10-03 4930.91 4343.12 02-23-04 587.79 713844 10111 FISIIAHI,MANULUA 54 ACC 09-13-01 61.00 61.00 FISIIAHI,ARLINGTON 717171 10111 FISIIAHI,MANULUA 54 ACC 09-14-01 26879.13 26879.13 779116 10101 FISSE,MARK FRANCIS 203 UNC 02-14-03 816.70 816.70 714500 10101 FLORES,ARTURO 203 UNC 09-13-01 410.80 410.60 776083 10101 FLORES,ARTURO 203 UNC O1-10-03 84.50 84.50 745876 10101 FLORES,CARLOS 203 UNC 04-30-02 614.51 614.51 802743 10101 FLORES,CESAR 203 UNC 11-18-03 906.15 906.15 783464 10101 FLORES,ELIZABETH 203 UNC 04-18-03 1658.47 1658.47 755768 10111 FLORES,FRANCISCA 54 ACC 06-24-02 120.00 120.00 687903 10111 FLORES,JORGE 54 ACC 01-17-01 235.00 235.00 672710 10111 FLORES,LUIS 54 ACC 09-08-00 686.00 686.00 FLORES,BRIANA E 686071 10111 FLORES,MARIA 54 ACC 01-16-01 1183.00 1183.00 755263 i0iii FLORES,MARISOL 54 ACC 06-24-02 15450.51 15450.51 684642 20111 FLORES,MERCEDES 54 ACC 01-16-01 495.82 30.00 01-19-01 465.82 793239 10101 FLORES,PEDRO 203 UNC 08-28-03 238.00 238.00 813113 10101 FLORES,PEDRO 203 UNC 03-22-04 309.50 309.50 680569 10111 FLORES,RAFAEL 54 ACC 11-08-00 60.00 30.00 08-22-02 30.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 16 DEBTCR. .. . .. .. CLIENT#. . . NAME. . . . . .. . . . .. ... . . . .. . . . .. . DSK ST CD DT-ASSIGN PN-ASSIGN.. . .. . PRIN CCL LST PAY. TOTAL SAL.. ... 561986 10101 FLORES,REGINALDA 54 UNC 07-09-98 132.00 132.00 732240 10111 FLORES,ROBERTA 54 ACC 01-04-02 117.50 20.00 03-26-02 97.50 CORRALEJO,ROBERT P 703611 10111 FLORES,VICTORIA 54 ACC OS-17-01 273.80 273.80 DIAZFLORES,FRANCISCO A 700148 10101 FONSECA,MARIA 203 UNC 04-25-01 225.50 225.50 FONSECA,MARIA D 789856 10101 FORD,DAISY 203 UNC 07-10-03 678.29 678.29 746767 10111 FORREST,ANTHONY 54 ACC 04-30-02 91.83 91.83 FORREST,KIMBERLY A 761498 10111 FOSTER,TONYA 54 ACC 07-24-02 23B.10 238.10 798558 10101 FOULGER,MELVIN 203 UNC 10-29-03 413.52 413.52 FOULGER,MELVIN S 669616 10111 FOWLER,ROMI 54 ACC 08-09-00 1600.50 1600.50 FOWLER,CHANTELL L 756575 10111 FRACAPANE,BLAISE 54 ACC 06-24-02 113.40 113.40 739595 10111 FRANCE,TIFFANY 1 ACC 02-27-02 85.00 85.00 741404 10101 FRANKLIN,WILLIE 203 UNC 03-26-02 109.00 109.00 FRANKLIN,WILLIE R 799003 10101 FREDRICK,SHAWN 203 UNC 10-30-03 124.00 124.00 FREDRICK,SHAWN A 782587 10101 FRISON,JOHN CLINTON 203 UNC 03-28-03 583.74 583.74 763014 10101 FRYAR,BOBBY 203 UNC 08-08-02 116.92 118.92 FRYAR,BOBBY H 765740 10,101 FUENTES,AVELINA 54 UNC 08-21-02 15447.83 15447.83 714439 10101 FULLER,BOBBY J 203 UNC 09-13-01 4778.35 4778.35 676082 10111 FUNAKI,LILIANI 54 ACC 09-27-00 538.20 538.20 FUNAKI,LILIANI F 787446 10101 FUNAKI,SEMISI 54 UNC 05-29-03 1445.80 1445.80 FUNAKI,LILIANI F 788156 10101 GAINES,MANUEL F 203 UNC 06-11-03 516.49 516.49 669394 10111 GAITAN,ORLANDO 93 ACC 08-09-00 497.20 497.20 735024 10111 GALAN,HILDA 54 ACC 01-25-02 245.50 245.50 699112 10111 GALINDO,ISRAEL 201 ACC 04-25-01 403.00 403.00 797038 10101 GALLARDO,JAIME 203 UNC 10-29-03 519.50 519.50 GALLARDO,BRYAN 723954 10101 GALLARDO,JOSE 203 UNC 10-15-01 175.00 175.00 750512 10101 GALLARDO,JOSE 203 UNC 06-10-02 1901.50 1901.50 775857 1-0101 GALLARDO,JOSE 203 UNC 01-10-03 983.40 983.40 779817 10101 GALLARDO,JOSE 203 UNC 02-21-03 158.40 158.40 GALLARDO,MARIA 774791 10101 GALLARDO,JUAN P 203 UNC 01-06-03 295.00 295.00 805144 10101 GALLARDO,LUZ 203 UNC 12-30-03 2388.00 2386.00 816150 10101 GALLARDO,LUZ 203 UNC 04-27-04 226.00 226.00 GALLARDO,YAZIL G 803893 10101 GALLEGOS,LUZ 203 UNC 12-08-03 490.76 490.76 670670 10iii GALLEGOS,ZULEMA 54 ACC 08-09-00 184.00 184.00 ROMAN,SHEILA 716677 10101 GALLIEN,SHONTELE 203 UNC 09-14-01 125.50 125.50 803966 10101 GALLOSA,MARIA E 203 UNC 12-08-03 550.00 550.00 751729 i0111 GALVAN,ERCIDES 201 ACC 06-10-02 81.00 81.00 688249 10111 GALVAN,MAYRA 54 ACC 01-17-01 907.50 907.50 750754 10111 GALVAN,MYRIAM 54 ACC 06-10-02 112.00 112.00 749991 10111 GALVAN,NORA Y 54 ACC 06-10-02 2205.90 2205.90 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 17 DEBTOR. . . . ... . CLIENT#. . . NAME. . . .. . . .. .. . . . . ... . . .. . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL SAL. . . . . 771440 10i01 GALVAN,ROBERTO 203 UNC 11-19-02 161.48 161.48 726107 10101 GAMA,ARMANDO 203 UNC 11-08-01 849.83 849.83 GAMA,ANGELICA 716585 10111 GAMA,LUZ S4 ACC 09-14-01 4161.99 4161.99 GAMA,LUZ D 711104 10101 GAMARRA,VERONICA 203 UNC 08-30-01 179.00 179.00 793320 10101 GAMERO,ROXANA 203 UNC 08-28-03 232.00 232.00 558257 10101 GAMEZ,ROSALBA 54 UNC 06-18-98 5046.80 5046.80 734979 10111 GAN,NAM 54 ACC 01-25-02 40754.98 40754.98 GAN,NAM C 704092 10111 GARCHA,BHAGAN 54 ACC 05-22-01 580.50 580.50 704459 10111 GARCHA,PIARA 54 ACC 05-22-01 782.24 782.24 751074 10111 GARCIA, SYLVIA 54 ACC 06-10-02 112.00 112.00 781601 10101 GARCIA,ADRIAN 203 UNC 03-20-03 345.50 345.50 744698 10111 GARCIA,ALEJANDRA 54 ACC 04-12-02 282.80 203.60 02-03-03 79.20 ABZUN,KENNY 765427 10101 GARCIA,ALEJANDRO 203 UNC 05-09-03 534.73 534.73 811127 10101 GARCIA,ALEJANDRO 203 UNC 02-27-04 1285.19 1285.19 713525 10101 GARCIA,AMPARO 54 UNC 09-13-01 1136.99 1136.99 751032 10101 GARCIA,ANA 203 UNC 06-10-02 360.50 360.50 749834 10111 GARCIA,ANA MARIA 54 ACC 06-10-02 203.00 203.00 761048 10111 GARCIA,ANA MARIA 54 ACC 07-24-02 20.00 20.00 741461 10111 GARCIA,ANGEL 54 ACC 03-26-02 91.00 91.00 745905 10101 GARCIA,ANGEL 203 UNC 04-30-02 151.70 151.70 768628 10101 GARCIA,ANGEL 203 UNC 10-04-02 100.00 30.00 10-23-02 70.00 750531 10111 GARCIA,ANTON7A 54 ACC 06-10-02 185.00 185.00 781855 10101 GARCIA,ANTONIO 203 UNC 03-20-03 85.00 85.00 735484 10101 GARCIA,ARMANDO 203 UNC 01-25-02 380.10 380.10 700182 10111 GARCIA,CONRADO 54 ACC 04-25-01 408.65 408.65 685753 10111 GARCIA,CYNTHIA 54 ACC 01-16-01 85.00 85.00 GARCIA,CYNTHIA D 693233 10111 GARCIA,ELSA J 54 ACC 02-22-01 227.99 227.99 GOMEZ,MARCO A 684364 10111 GARCIA,ESPERANZA 54 ACC 01-16-01 193.00 193.00 781,809 10101 GARCIA,FELIX 203 UNC 03-20-03 1132.18 1132.18 788267 10101 GARCIA,FLOR D 203 UNC 06-11-03 13032.32 13032.32 750130 10111 GARCIA,FRANCISCO 201 ACC 06-10-02 112.00 112.00 789858 10101 GARCIA,FRANCISCO 203 UNC 07-10-03 1772.00 1772.00 ROJAS,MARIA L 749840 10111 GARCIA,GRICELDA 54 ACC 06-10-02 6433.50 643.50 741150 10101 GARCIA,GUSTAVO 203 UNC 03-26-02 416.50 416.50 791777 10101 GARCIA,HUMBERTO H 54 UNC 08-07-03 543.80 543.80 718199 10101 GARCIA,JESUS 203 UNC 09-14-01 672.94 672.94 706973 iolil GARCIA,JOSE 201 ACC 06-20-01 255.25 255.25 749813 10101 GARCIA,JOSE 203 UNC 06-10-02 430.50 430.50 751382 10111 GARCIA,JCSE 201 ACC 06-10-02 1386.50 1386.50 784131 10101 GARCIA,JOSE L 203 UNC 04-29-03 4645.69 1645.50 12-03-03 3000.19 GARCIA,CLAUDIA 581692 10101 GARCIA,JOSE LUIS 54 UNC 01-20-99 243.70 243.70 GARCIA,MARGARITA 703931 10111 GARCIA,JUAN 54 ACC 05-17-01 793.49 793.49 793812 10101 GARCIA,JUAN 54 UNC 09-09-03 146.67 146.67 761132 10111 GARCIA,LILIANA 54 ACC 07-24-02 215.50 215.50 773496 10101 GARCIA,MANUEL 54 UNC 12-04-02 1182.50 50.00 11-12-03 1132.50 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: I8 DEBTOR. . . . . . , . CLIENT#. . . NAME_ _ . . . .. . . . . . .. . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . .. PRIN COL LST PAY. TOTAL BAL.... . 793576 10101 GARCIA,MANUEL 54 UNC 09-05-03 1283.80 1283.80 699765 10111 GARCIA,MARCELLA 54 ACC 04-25-01 289.00 289.00 SANCHEZ,CARLOS 688468 10111 GARCIA,MARIA 201 ACC 01-17-01 241.00 241.00 750551 10111 GARCIA,PAUL 54 ACC 06-10-02 121.45 121.45 771991 1011' GARCIA,PAUL 54 ACC 11-22-02 193.10 193.10 706783 1011", GARCIA,RAFAEL 54 ACC 06-20-01 512.70 512.70 724095 10111 GARCIA,RAFAEL 54 ACC 10-15-01 132.00 132.00 GARCIA,ERICK S 750011 10111 GARCIA,RAMON 54 ACC 06-10-02 85.00 85.00 645800 30111 GARCIA,RAMONA 201 ACC 04-17-00 25.50 25.50 GARCIA,GUADALUPE 686706 10101 GARCIA,ROSALSA 203 UNC 01-17-01 4730.25 4730.25 704465 10111 GARCIA,ROSALBA 54 ACC 05-22-01 233.80 233.80 VACA,CHRISTIAN E 581658 10101 GARCIA,SILVIA 54 UNC 01-20-99 1188.39 1188.39 707129 10111 GARCIA,VICTOR 54 ACC 06-20-01 1087.08 1087.08 GARCIA,LYDIA M 78496C 10101 GARCIALOPEZ,VICENTE 203 UNC 04-29-03 2056.29 2056.29 793854 10101 GARRETT,ERNEST D 203 UNC 09-09-03 1971.55 1971.55 810208 10101 GARRETT,ERNEST D 203 UNC 02-18-04 328.69 328.69 811118 30101 GARRETT,VINCENT 203 UNC 02-27-04 227.10 227.10 GARRETT,VINCENT M 798569 10101 GARROWAY,DAVID 203 UNC 10-29-03 1017.80 1017.80 GARROWAY,DAVID C 692231 10111 GARY,TRACEY S 201 ACC 02-13-01 85.00 85.00 674821 10211 GARZA,ANA 54 ACC 09-18-00 321.59 321.59 747309 10111 GARZA,MARTHA 201 ACC 04-30-02 98.00 98.00 745396 10111 GATICA,HUGO 201 ACC 04-17-02 668.00 668.00 816499 10101 GATISON,DOLPH 203 UNC 04-27-04 121.71 121.71 GATISON,DOLPH J 784397 10101 GAUCI,SAMMY C 203 UNC 04-29-03 2536.02 2536.02 801354 Ioloi GAUCI,SAMMY C 203 UNC 10-30-03 1758.58 1758.58 769075 10111 GAVINO,SOPHIA 54 ACC 10-07-02 85.00 85.00 VELEZ,LILYAUNA F 705973 10111 GAXIOLA,EFRAIN 54 ACC 06-14-01 1323.99 1323.99 GAXIOLA,NAYELY 707080 10111 GAX70LA,MAURO 54 ACC 06-20-01 3389.45 3389.45 695232 10111 GERARDO,CHELSI 54 ACC 03-21-01 98.00 98.00 700855 10111 GERERO,JOSE 54 ACC 04-26-01 283.50 283.50 CABANAS,ESTHEO 815039 IOi01 GERMAINE,GEORGE 203 DEC 04-13-04 660.00 660.00 796068 10101 GIL,GRACIELA 203 UNC 10-06-03 263.00 263.00 746188 102.01 GIL,114ARIANA 203 UNC 04-30-02 400.00 400.00 751500 10301 GILDO,EVA 203 UNC 06-10-02 85.00 85.00 750279 10101 GILDO,RAMON 203 UNC 06-10-02 2722.00 50.00 05-28-03 2672.00 784702 10101 GILDO,RAMON 203 UNC 04-29-03 372.06 372.06 800580 10101 GILDO,RAMON 203 UNC 10-30-03 226.00 226.00 GILDO,EVA F 798690 10101 GIOVANNI,BRUCE 203 UNC 10-29-03 23768.88 23768.88 782581 10101 GIST,CHANNA DENISE 203 UNC 03-28-03 140.61 140.61 801073 10101 GLASPER,ANTIONE 203 UNC 10-30-03 249.20 249.20 GLASPER,ANTIONE L 708093 10111 GOBIR,ADEIR 54 ACC 06-27-01 575.00 575.00 HEALTH SERVICES WRITE OFF REPORT DATE:06 Jul 2004 PAGE: 19 DEBTOR. .. .. . .. CLIENT'.... NAME- - . . . . . . . . . . . . . . .. . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . .. . PRIN COL LST PAY. TOTAL BAL. . ... GOBIR,NIMAH C 755S43 10,101 GODINEZ,EDELMIRA 203 UNC 06-24-02 407.40 407.40 755964 10;01 GODINEZ,EDELMIRA 203 UNC 06-24-02 72.60 72.60 756638 10101 GDDINEZ,EDELMIRA 203 UNC 06-24-02 82.00 82.00 735895 10111 GODINEZ,POLD 54 ACC 01-25-02 78.00 78.00 737734 l0ill GODOS,MARIA 54 ACC 02-27-02 190.00 190.00 MARROQUIN,CARLOS 669273 10111 GODOY,MAYRA 54 ACC 08-09-00 1164.14 1164.14 813350 10101 GOFF,DAVID 203 UNC 03-22-04 145.00 145.00 GOFF,DAVID V 714338 101-01 GOLDSTEIN,EMILY J 203 UNC 09-13-01 1097.48 1097.48 708140 10ill GOMEZ,ALEXANDER 54 ACC 06-27-01 383.00 383.00 GOMEZ,ALEXANDER M 784930 10101 GOMEZ,DANIEL 203 UNC 04-29-03 236.05 236.05 GOMEZ,LORENA 785673 10-01 GOMEZ,ERNESTINA 203 UNC 05-09-03 1982.85 1982.85 688020 10101 GOMEZ,GUILLERMIN 203 UNC 01-17-01 655.83 655.83 782976 10101 GOMEZ,HEATHER 203 UNC 04-I1-03 73.00 73.00 734480 10;01 GOMEZ,HECTOR 203 UNC 01-25-02 1720.50 1720.50 752697 10111 GOMEZ,HECTOR 201 ACC 06-10-02 247.00 247.00 707638 10111 GOMEZ,JOSE 54 ACC 06-27-01 332.50 332.50 708445 10111 GOMEZ,JOSE 54 ACC 06-27-01 685.72 685.72 687239 10111 GOMEZ,LORENA 201 ACC 01-17-01 249.60 249.60 800546 10101 GOMEZ,MARIA 203 UNC 10-30-03 899.60 899,60 745344 10111 GOMEZ,MARTIN 201 ACC 04-17-02 444.80 444.80 711497 10111 GOMEZ,REYNA 201 ACC 08-30-01 214.00 214.00 711413 10111 GOMEZ,STANISLAVO 54 ACC 08-30-01 79.00 60.00 09-04-01 19.00 753190 10111 GONZALES,MARCOS 201 ACC 06-10-02 233-SO 233.50 786800 10101 GONZALEZ,ANA 203 UNC 05-16-03 692.00 692.00 708231 10111 GONZALEZ,ANAMARIA 54 ACC 06-27-01 318.25 318.25 GONZALEZ,JONATHAN M 791292 10101 GONZALEZ,ANGELICA M 203 UNC 07-31-03 451.83 451.83 NAVARRO,AURELIO E 793849 10101 GONZALEZ,ANGELICA M 203 UNC 09-09-03 289.00 289.00 791363 10101 GONZALEZ,DIANA 203 UNC 07-31-03 310.46 200.00 01-22-04 110.46 SILVA,JACQUELINE 662177 10111 GONZALEZ,ERICA 203 UNC 06-20-00 73.50 73.50 708122 10101 GCNZALEZ,ERICA 203 UNC 06-27-01 80.00 80.00 784792 10101 GONZALEZ,FRANCISCO 54 UNC 04-29-03 1271.20 1271.20 773186 10101 GONZALEZ,ISIS 203 UNC 11-27-02 2152.50 2152.50 667470 10111 G0NZALEZ,JOSE 201 ACC 07-24-00 268.14 268,14 707744 10111 GONZALEZ,JOSE 201 ACC 06-27-01 247.50 247.50 784052 10101 GONZALEZ,JOSE LUIS 203 UNC 04-29-03 367.50 367.50 GONZALEZ,MARIA DE J J 782564 10101 GONZALEZ,JUAN ANTONIO 54 UNC 03-28-03 1527.55 1527.55 687915 10111 GONZALEZ,LUCRECIA 54 ACC 01-17-01 265.50 265.50 GONZALES,CRISTIAN 661019 10101 GONZALEZ,MARIA 54 UNC 06-20-00 1633.70 360.00 07-17-03 1273.70 805297 10i01 GONZALEZ,MARIA 203 UNC 12-30-03 1115.44 1115.44 696815 14111 GONZALEZ,MARIA V 54 ACC 03-21-01 464.30 464.30 753965 10101 GONZALEZ,MARIO 54 UNC 06-10-02 8313.77 8313.77 HERNANDEZ,ARACELI 766973 10101 GONZALEZ,MARIO 54 UNC 08-29-02 262.50 262.50 HERNANDEZ,ARACELI HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 20 DEBTOR. . . . . . . . CLIENT#}. . . NAME- - . . . . . . . . - -. . .... DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL BAL. . . . . 779931 10101 GONZALEZ,MARIO 54 UNC 02-21-03 327.00 327.00 GONZALEZ,CYNTHIA D 791412 10101 GONZALEZ,MAURICIO 203 UNC 07-31-03 355.50 355.50 759520 10111 GONZALEZ,MAYDA 54 ACC 07-11-02 242.00 241.00 752433 10111 GONZALEZ,PA2LO 54 ACC 06-10-02 1340.70 1340.70 753067 10111 GONZALEZ,ROBERTO 54 ACC 06-10-02 85.00 85.00 704276 10101 GONZALEZ,ROSA 201 UNC 05-22-01 3893.98 3893.98 692216 10111 GONZALEZ,ROSALBA 201 ACC 02-13-01 204.00 204.00 680351 10111 GOOCH,GEORGIA 54 ACC 11-08-00 73.84 73.84 GOOCH,GEORGIA M. 685095 10111 GORDEN,JANETTE 201 ACC 01-16-01 135.00 135.00 799033 10101 GORDON,DONALD S 203 UNC 10-30-03 493.00 493.00 707883 10111 GRAHAM,DOLOIS 54 ACC 06-27-01 285.00 285.00 GRAHAM,DENISE G 711322 10111 GRPAHAM,GERALDINE 54 ACC 08-30-01 131.00 131.00 MARTIN,SHADAY 704100 10111 GRAHAM,LORETTA L 16 ACC 05-22-01 21931.52 21931.52 752396 10111 GRANADO,DELIA 54 ACC 06-10-02 261.00 261.00 753527 10111 GRANADO,DELIA 54 ACC 06-10-02 20.40 20.40 699462 10111 GRANADOS,MARIA 201 ACC 04-25-01 338.00 338.00 674244 10101 GREEN,ARRINGTON D 203 UNC 09-18-00 1803.19 1839.64 708414 10111 GREEN,DEBRA D 201 ACC 06-27-01 467.15 467.15 811730 10101 GREEN,GEORGE 203 UNC 03-08-04 1759.50 1759.50 687203 10111 GREEN,TYROMME 54 ACC 01-17-01 1084.47 1084.47 GREEN,VERONICA U 752366 10111 GREENSTREET,DANELLE 54 ACC 06-10-02 98.00 98,00 GREENSTREET,CHEYENNE L 811777 10101 GREER,JACQUELINE 203 UNC 03-08-04 112.00 112.00 GREER,JACQUELINE L 788239 10101 GREER,LEON JR. 203 UNC 06-i1-03 51.88 51.88 744277 10111 GREGORY,ROBERT 54 ACC 04-12-02 98.00 98.00 GREGORY,ROBERT C 696507 10101 GRIFsIN,DIANA LILLIE 203 UNC 03-21-01 340.00 340.00 684008 10111 GRIMESN,CHRISTINE 54 ACC 01-16-01 250.00 250.00 JORDAN,LAMECHE 720338 10101 GUARCAS,VICTOR 203 UNC 09-27-01 97.00 97.00 789969 10101 GUARDADO,MARGARITA 203 UNC 07-10-03 568.40 568.40 753093 10111 GUERERRO,AMBER 54 ACC 06-10-02 97.50 97.50 798544 10101 GUERRA,SALVADOR MIGUEL 203 UNC 10-29-03 653.50 653.50 753070 10101 GUERRERO ESPINOZA,MADAY 203 UNC 06-10-02 335.50 335.50 707587 10111 GUERRERO,FERNANDO 201 ACC 06-27-01 392.00 392.00 752434 10111 GUEVARRA,ALBERTO N 201 ACC 06-10-02 65.00 65.00 743613 10111 GUILLEBEAU,ANTHONY 54 ACC 04-12-02 71.90 71.90 GUILLEBEAU,ANTHONY T 689482 10111 GUILLEN,ANTONIA 201 ACC 01-17-01 319.50 319.50 738867 10111 GUILLEN,ARMIDA 201 ACC 02-27-02 293.50 293.50 556406 10111 GUILLEN,JESUS 203 UNC 06-10-98 47.40 47.40 GUILLEN,MARIA L 560961 10111 GUILLEN,JESUS 203 UNC 07-09-98 291.00 291.00 GUILLEN,MARIA L 772666 10101 GUILLEN,MARIA L 203 UNC 11-26-02 2355.50 2355.50 711608 10111 GUILLERMO,SOCORRO 54 ACC 08-30-01 401.00 401.00 GUILLERMO,MARIA S 746097 lolil GUILLORY,SIMON FRANK 54 ACC 04-30-02 60.80 60.80 HEALTH SERVICES WRITE OFF REPORT DATE:06 Jul 2004 PAGE: 21 DEBTOR. . . . . .. . CLIENT#. .. NAME.. . . . . . ... . . . . . . .. . . . . . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . ... PRIN COL LST PAY. TOTAL BAL. . . . . 782803 10101 GUITERREZ,ANDRES 203 UNC 04-07-03 552.02 552.02 797210 10101 GUITERREZ,ELSA 203 UNC 10-29-03 13299.22 13299.22 727896 10112 GUMATAOTAO,ANNA M 203 BAN 11-20-01 574.20 574.20 684538 10111 GUNN,DAiID A 54 ACC 01-16-01 62.00 62.00 669463 10199 GUNTHER,STEVEN PHILLIP 16 ACC 08-09-00 301.89 301.89 758293 10111 GURMEET,KUMAR 54 ACC 06-24-02 85.00 85.00 752419 10101 GUTIERREZ,ADRIANA 203 UNC 06-10-02 454.00 454.00 684941 10101 GUTIERREZ,ANA 18 ACC 01-i6-01 5830.78 5830.78 779972 10101 GUTIERREZ,BEATRIZ 201 UNC 02-21-03 2681.60 2681.60 790782 i0101 GUTIERREZ,CONSUELO 54 UNC 07-29-03 12967.57 12967.57 792158 10101 GUTIERREZ,ELVIA 203 UNC 08--12-03 375.13 375.13 782796 10101 GUTIERREZ,ISAIAS 203 UNC 04-07-03 525.06 525.06 GUTIERREZ,BERTHA 744286 10111 GUTIERREZ,JOSE 54 ACC 04-12-02 123.00 123.00 793846 10101 GUTIERREZ,JOSEFINA 203 UNC 09-09-03 1394.79 1394.79 799449 10101 GUTIERREZ,KAREN 203 BAN 10-30-03 85.00 85.00 720987 10101 GUTIERREZ,KAREN R 203 BAN 09-27-01 963.00 562.25 09-11-03 410.75 673361 10111 GUTIERREZ,MANUEL 201 ACC 09-08-00 467.83 467.83 792166 10101 GUTIERREZ,MARIA 54 UNC 08-12-03 235.00 235.00 760114 10101 GUTIERREZ,MARIA E 203 UNC 07-11-02 3894.65 3894.65 760190 10101 GUTIERREZ,MARIA E 203 UNC 07-11-02 36.50 36.50 761052 10101 GUTIERREZ,MARIA E 203 UNC 07-24-02 21.50 21.50 762393 10101 GUTIERREZ,MARIA E 203 UNC 08-08-02 213.50 213.50 767112 10101 GUTIERREZ,MARIA E 203 UNC 08-29-02 36.50 36.50 787119 10101 GUTIERREZ,MAURA 203 UNC 05-23-03 969.00 969.00 741766 10111 GUTIERREZ,MODESTO 54 ACC 03-26-02 3025.90 3025.90 752037 10111 GUTIERREZ,OSCAR 54 ACC 06-10-02 78.80 78.80 759755 10111 GUTIERREZ,STEPHANIE 54 ACC 07-11-02 46.40 46.40 GUTIERREZ,STEPHANIE M 806158 10101 GUZMAN,BARBARA 203 UNC 01-09-04 635.00 635.00 723082 10101 GUZMAN,FERNANDA G 203 UNC 10-15-01 1188.43 1188.43 738995 10111 GUZMAN,FREDRICO 54 ACC 02 27-02 123.00 123.00 784184 10101 GUZMAN,ISIS 203 UNC 04-29-03 881.70 881.70 GUZMAN,ISIS 805516 10101 GUZMAN,LUCILA 203 UNC 12-31-03 499.54 499.54 793142 10101 GUZMAN,ROCIO 54 UNC 08-28-03 1483.20 1483.20 751970 10111 G-OZMAN,RUBY 54 ACC 06-10-02 96.40 96.40 752331 10111 GWIN,JAMIE 201 ACC 06-10-02 94.00 94.00 759927 10111 HACKETT,BRENDA ANTRESE 201 ACC 07-11-02 51.84 51.84 814010 10101 HAIGHT,MICHAEL 203 UNC 03-30-04 1139.36 1139.36 753075 10111 HAIR,NICOLE 54 ACC 06-10-02 90.35 90,35 752109 10111 HALE,JAMES 54 ACC 06-10-02 85.00 85.00 HALES,JAMES 685913 10111 HAMILTON,KENDELL 54 ACC 01-16-01 262.00 262.00 700725 10111 HAMILTON,XIM 54 ACC 04-26-01 638.76 638.76 BAKER,KIMA 804690 10101 HANKS,JOHN 203 UNC 12-16-03 145.00 145.00 HANKS,JOHN C 737893 10111 HANSEN,MICHAEL 54 ACC 02-27-02 98.00 98.00 702892 10111 HARDEN,NATALIE 201 ACC 05-10-01 240.67 240.67 798958 10101 HARDIN,JAMBS F 203 UNC 10-30-03 2040.76 2040.76 741291 10111 HARO,VICTOR A 54 ACC 03-26-02 10720.20 10720.20 695802 10101 HARRIS,PRISCILLA A 203 UNC 03-21-01 369.80 369.80 791079 10101 HARRISON,AL C 203 UNC 07-30-03 112.00 15.00 04-01-04 97.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PACE: 22 DEBTOR... .. .. . CLIENT4. . . NAME_ . .. . . . . . . . .. . . ... .. . . . DSK ST CD DT-ASSIGN PN-ASSIGN.... . . PRIN COL LST PAY. TOTAL, BAL. . ... 672263 10111 HART,KAREN R03ERTA 201 ACC 09-06-00 33.45 33.45 799652 10101 HARTWELL,GREG A 203 UNC 10-30-03 789.40 789.40 777046 10101 HARVEY,DONALD 203 UNC 01-23-03 98.00 98.00 HARVEY,DONALD E 741425 10101 HAUX,KEITH 203 UNC 03-26-02 269.00 269.00 HAUX,KEITH A 8110207 10101, HArAKINS,M.ARVIN 203 UNC 02-18-04 438.29 438.29 HAWKINS,MARVIN E 751430 10101 HAYNES,DONALD RAY 203 DEC 06-10-02 85.00 85.00 802490 10101 HAYS,HUGH 203 UNC 11-13-03 476.65 476.65 745949 10111 HEARD,LYDELL 54 ACC 04-30-02 98.00 98.00 666235 10111 HELEPIKO,AINISE 54 ACC 07-17-00 442.26 442.26 674375 10111 HENDERSON,JAMES 54 ACC 09-18-00 27.80 27.80 HENDERSON,JAMES A 815449 20101 HENDERSON,LINDA 203 UNC 04-20-04 145.00 145.00 753998 10111 HENDERSON,ROBERT 54 ACC 06-10-02 98.00 98,00 767165 10101 HENDERSON,TYRONE 203 UNC 08-29-02 330.50 330.50 772366 20101 HENDRICKS,DENISE 203 UNC 11-25-02 718.84 718.84 800555 10101 HENKEL,MICHAEL L 203 UNC 10-30-03 577.40 577.40 818520 10101 HERBERT,TRACY L 203 UNC 05-25-04 1544.90 1544.90 691140 10111 HEREDIA,ALMA S4 ACC 02-07-01 105.00 105.00 755304 101,11 HEREDIA,MARISOL 54 ACC 06-24-02 210.76 210.76 759470 lol=l HERNANDEZ,ADOLFO 54 ACC 07-11-02 B5.00 85.00 666349 10111 HERNANDEZ,AMELIA 201 ACC 07-17-00 982.25 982.25 782943 10101 HERNANDEZ,ANGELICA 203 UNC 04-11-03 140.61 140.61 724954 10111 HERNANDEZ,ANJELES 54 ACC 10-31-01 148.78 148.78 759589 10101 HERNANDEZ,ARTURO 203 UNC 07-11-02 595.55 595.55 719638 10111 HERNANDEZ,CARMEN 54 ACC 09-27-01 1405.50 100.00 03-13-02 1305.50 HERNANDEZ,RAMIRO 695693 10101 HERNANDEZ,DIANA E 203 UNC 03-21-01 57696.84 57696.84 755411 10111 HERNANDEZ,DORA 54 ACC 06-24-02 145.00 145.00 759778 10111 HERNAND£Z,ELIDIA 54 ACC 07-11-02 353.00 353.00 794846 10101 HERNANDEZ,ERIC 203 UNC 09-18-03 241.00 241.00 693864 10111 HERNANDEZ,ESPERANZA 201 ACC 02-27-01 315.80 315.80 765405 10101 HERNANDEZ,ESPERANZA 203 UNC 05-09-03 964.51 984.51 695654 10111 HERNANDEZ,EVELYN 54 ACC 03-21-01 373.83 373.83 801610 10101 HERNANDEZ,FERNANDO 203 UNC 10-30-03 680.62 680.62 735100 loloi HERNANDEZ,FRANCISCO 203 UNC 01-25-02 1378.00 450.00 01-24-03 928.00 813245 10101 HERNANDEZ,FRANCISCO 203 UNC 03-22-04 1263.18 1263.18 769 999 10101 HERNANDEZ,GLORIA 203 UNC 10-07-02 1426.51 1426.51 784177 10101 HERNANDEZ,GLORIA 203 UNC 04-29-03 85.00 85.00 784380 10101 HERNANDEZ,GLORIA 203 UNC 04-29-03 85.00 85.00 693634 10101 HERNANDEZ,GUADALUPE 203 UNC 02-27-01 876.00 613.00 03-15-02 263.00 VALDEZ,YAEL 737987 10101 HERNANDEZ,GUILLERMO 203 UNC 02-27-02 570.10 200.00 03-15-04 370.10 738278 10101 HERNANDEZ,HECTOR 203 UNC 02-27-02 112.00 112.00 746091 10101 HERNANDEZ,HUGO 203 UNC 04-30-02 342.50 342.50 B23055 10101 HERNANDEZ,ISMAEL 203 UNC 03-22-04 1032.20 1032.20 793520 10101 HERNANDEZ,JACOBO 203 UNC 09-05-03 168.44 168.44 693027 10111 HER_'3ANDEZ,JUANA 54 ACC 02-22-01 269.80 269.80 HERNANDEZ,MANUEL 693192 10111 HERNANDEZ,JUANA 54 ACC 02-22-01 286.30 286.30 696509 10111 HERNANDEZ,LEOBARDO 201 ACC 03-21-01 170.00 170.00 756906 10111 HERNANDEZ,LILIANA 54 ACC 06-24-02 142.60 142.60 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 23 DEBTOR. .. . . . .. CLIENT#. .. NAME. . . . . . . .. .. . ....... ... . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. .. . . . PRIN COL LST PAY. TOTAL BAL. . .. . SOSA,DERIAN 739544 10iii HERNANDEZ,LORENA 201 ACC 02-27-02 124.00 124.00 755898 10101 HERNANDEZ,LOURDES Y 203 UNC 06-24-02 389.50 389.50 749951 10111 HERNANDEZ,LUCY 54 ACC 06-10-02 226.00 226.00 727178 10111 HERNANDEZ,LUIS M 201 ACC 11-08-01 717.07 717.07 659727 10101 HERNANDEZ,LUZ 54 UNC 06-20-00 495.00 495.00 HERNANDEZ,LUZ M 678450 10111 HERNANDEZ,MARIA 54 ACC 10-12-00 146.00 146.00 775545 10101 HERNANDEZ,MARIA J 203 UNC 01-10-03 4986.50 4986.50 777149 10101 HERNANDEZ,MARIA R 203 UNC G1-24-03 1509.78 1509.78 756857 10111 HERNANDEZ,K:ARTHA 54 ACC 06-24-02 98.00 98.00 755714 10101 HERNANDEZ,MARTIN 203 UNC 06-24-02 268.83 268.83 689399 10111 HERNANDEZ,MIGUEL 201 ACC 01-17-01 267.00 200.00 03-28-01 67.00 755376 10111 FERNANDEZ,MONICA 54 ACC 06-24-02 184.00 184.00 755752 10111. HERNANDEZ,RICARDO R 54 ACC 06-24-02 85.00 85.00 739525 10111 HERNANDEZ,SONIA 54 ACC 02-27-02 439.00 439.00 753129 10111 HERNANDEZ,VERONICA 201 ACC 06-10-02 110.00 110-00 HUERTA,VERONICA 691506 10111 HERNANDEZ,VIOLA 54 ACC 02-07-01 278.00 278.00 ZANDONELLA,LOUIS G 790991 10101 HEROLLE,BRIAN 54 UNC 07-30-03 876.00 876.00 672444 10'11 HERRERA,BELEN 54 ACC 09-38-00 446.00 446.00 758238 10101 HERRERA,CRUZ 203 UNC 06-24-02 173.00 173.00 687181 10111 HERRERA,JOSE 54 ACC 01-17-01 704.60 704.60 704300 10":11 HERRERA,ROSALVA 201 ACC 05-22-01 271.00 271.00 GALLO,ROSALYE 751320 10111 HESS,JOSHUA 54 ACC 06-10-02 652.43 652.43 HESS,TA.MARA E 482042 10101. HIBBARD,ROBERT 203 DEC 01-08-97 649.60 448.17 02-03-04 201.43 693185 10111 HILDABRAND,JEFFREY 54 ACC 02-22-01 1898.50 1898.50 769125 10111 HILL,HENRY 54 ACC 10-07-02 98.00 98,00 756961 1G111 HILL,KASSY 54 ACC 06-24-02 85.00 85.00 MCKINSEY,JONATHAN 735414 10i01 HILL,MELINDA ANN 203 UNC 01-25-02 1638.50 1638.50 751394 10111 HILL,NATOSHA 54 ACC 06-10-02 21.00 21.00 751572 10111 HILL,TANA 54 ACC 06-10-02 85.00 85.00 HILL,TANA L 751376 10111 HILT,DARPHINE 54 ACC 06-10-02 98.00 98.00 731832 10111 HINOJOSA,GREGORIO 201 ACC 01-04-02 599.10 599.10 726456 10111 HODEL,WILLIAM 54 ACC 11-08-01 89.00 89,00 749962 10111 HCFFARTH,CHRISTINA 54 ACC 06-10-02 98.00 98.00 HOFFARTH,CHRISTINA M 794932 10101 HOFFMAN,DANIEL LEROY 203 UNC 09-18-03 2684.57 2684.57 750193 10111 HOLAMEITONGA,EITA 54 ACC 06-10-02 250.00 50.00 03-31-03 200.00 817233 10141 HOLMES,ARZETTA 203 UNC 05-10-04 139.00 139.00 797760 10101 HOLMES,FRANK S 203 UNC 10-29-03 2365.43 2365.43 816365 10101 HOLTZCLAW,STEVEN 203 UNC 04-27-04 264.76 264.76 HOLTZCLAW,STEVEN E 813076 10101 HOOKS,JESSE A 203 DEC 03-22-04 584.00 584.00 750647 10111 HOOPER,KENNETH J 54 ACC 06-10-02 422.50 422,50 713370 10111 HOTTINGER,APRIL 54 ACC 09-13-01 248.00 248.00 HOTTINGER,APRIL E 813898 10101 HOWARD,CLIFTON 203 UNC 03-30-04 743.10 743.10 HCWARD,CLIFTON E HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 24 DEBTOR. ... . .. . CLIENT#. . . NAME. . . .. ... . . .. .. . . .. .. . .. . .. DSK ST CD DT-ASSIGN PN-ASSIGN. ... . . PRIN COL LST PAY. TOTAL SAL. .. .. 777645 10112 HUDDLESTON,DAVID R 203 UNC 01-28-03 1035.00 25.00 04-13-04 1010.00 680295 10111 HUDSON,KELLI 54 ACC 11-08-00 228.00 228.00 HUDSON,KELLI L 794853 10101 HUERTA,ALMA R 203 UNC 09-18-03 1219.00 1219.00 786187 10101 HUERTA,CARINA S 203 UNC 05-09-03 50.50 50.50 721169 10111 HUGHES,EDWARD 54 ACC 09-27-01 75.14 75.14 HUGHES,EDWARD J 793730 10101 HUGHES,MONICA L 203 UNC 09-09-03 823.34 823.34 688937 10111 HURDLE,SHAWNA 201 ACC 01-17-01 95.00 28.00 02-06-01 67.00 798678 10101 HURLEY,MIARCUS 203 UNC 10-29-03 720.21 720.21 HURLEY,MARCUS J 800002 10101 HUTSON,MONIQUE SHIRELL 203 UNC 10-30-03 4460.58 4460.58 778208 10101 ISANEZ,GLORIA 203 UNC 01-30-03 212.50 60.00 01-09-04 152.50 660617 10101 IBANEZ,IRMA M 54 UNC 06-20-00 895.84 895.84 727873 10101 ISARRA,ANGELICA 203 UNC 11-20-01 119.24 60.00 01-23-02 59.24 773205 10101 IBARRA,ANGELICA 203 UNC 11-27-02 300.40 300.40 690935 loill IBARRA,MARGARITA 201 ACC 02-07-01 265.50 265.50 766265 10101 ISARRA,MARIBEL 54 UNC 08-21-02 6878.95 6878.95 753541 10111 IBARRA,NICOLASA 54 ACC 06-10-02 98.00 98.00 713390 10111 IBARRA-CARDENAS,GERALDO 54 ACC 09-13-01 15070.42 15070.42 800639 10101 ILIFF,CHRISTY RAE 203 UNC 10-30-03 15564.89 15564.89 738238 10111 IRAHETA,REYNALDO 54 ACC 02-27-02 90.00 90.00 IRAHETA,REYNALDO J 687470 10111 IRRA,MIGUEL 54 ACC 01-17-01 105.56 105.56 IRRA,YADIRA N 759404 10111 ISAIS,JOSE 54 ACC 07-1_-02 1402.20 1402.20 684843 i0i11 ISLAS,JUAN 54 ACC 01-16-01 80.00 80.00 ISLAS,JUAN R 684784 10111 ISLEY,DAWN 54 ACC 01-16-01 90.95 90.95 751960 10111 JABLONSKI,GREG 54 ACC 06-10-02 777.66 777.66 JABLONSKI,MARIA 719519 10101 JACKSON,CARLTON N 203 UNC 09-27-01 661.44 661.44 793612 10101 JACKSON,JANICE 203 UNC 09-05-03 257.00 257.00 817150 10101 JACKSON,SIMS 203 UNC 05-10-04 147.00 147-00 775210 10101 JACOBS,ANDRE 203 UNC 01-07-03 98.00 98.00 757502 10111 JAIME,JESUS 54 ACC 06-24-02 592.45 592.45 JAIME,LILIANA 683451 10111 JALOMO,RAMON 54 ACC 1-2-28-00 717.55 717.55 814051 10101 JAMES,ROBERT 203 UNC 03-30-04 297.80 297.80 752C45 10111 JANDRES,MIRIAN A 54 ACC 06-10-02 772.82 772.82 731154 10111 JANEO,ADELAIDA 54 ACC I2-28-01 321.00 321.00 813286 10101 JARAMILLO,ADDIE 203 UNC 03-22-04 839.37 839.37 782922 10101 JARQUIN,JORGINA S4 UNC 04-07-03 1482.60 1482.60 687072 10111 u'ENNINGS,MARCIA 54 ACC O1-17-01 325.90 325.90 DU-NCAN,ROBERT K 815322 10101 7ENSEN,RONALD 203 UNC 04-20-04 562.00 562.00 JENSEN,RONALD W 750760 16111 JIJAOA,BULFRANC 54 ACC 06-10-02 70.50 70.50 751515 10111 JIJADA,EDUARDO 54 ACC 06-10-02 145.00 145,00 673558 10111 JIMENEZ,SRAULIO 54 ACC 09-08-00 317.82 317.82 748242 10111 JIMENEZ,BRENDA 54 ACC 05-16-02 606.50 606.50 ZANA,JOYCELYN 668850 10,111 JIMENEZ,GABRIELA 54 ACC 08-09-00 505.50 505.50 797915 10101 JIMENEZ,IRENE 203 UNC 10-29--03 400.50 400.50 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 25 DEBTOR. ... .. . . CLIENT#. . . NAME. . . . . . . . ... ..... .. . . . . . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIM COL LST PAY. TOTAL BAL.. . . . JIMENEZ,JOSE 802903 10101 JIMENEZ,JETZABEL 201 UNC 11-18-03 1238.99 1238.99 750137 10111 JIMENEZ,JOSE 201 ACC 06-10-02 211.46 211.46 750380 10111 JIMENEZ,JOSE 54 ACC 06-10-02 65.00 65.00 746572 10111 J7MENEZ,JUAN 203 UNC 04-30-02 396.50 396.50 RUIZ,ALEJANDRA 691065 10101 JIMENEZ,LUIS 54 UNC 02-07-01 642.95 642.95 750777 10101 JIMENEZ,MARCOS 203 UNC 06-10-02 346.00 346.00 688700 10111 JIRON,JORGE 54 ACC 01-17-01 330.30 330.30 745272 10101 JOHN,RASHIDAN 203 UNC 04-17-02 921.00 921.00 750957 10111 JOHNSON,BILLIE 54 ACC 06-10-02 85.00 85,00 JOHNSON,BILLIE J 750567 10101 JOHNSON,BOB 203 UNC 06-10-02 145.00 40.00 08-30-02 105.00 585697 10101 JOHNSON,CHRISTINE 203 BAN 02-12-99 357.00 357.00 807755 10101 JOHNSON,INEZ 203 UNC 01-26-04 808.70 808.70 804610 10101 JOHNSON,NAPOLLIAN 203 UNC 12-16-03 1953.50 1953.50 799096 10101 JOHNSON,OTIS C 203 UNC 10-30-03 1483.40 1483.40 778286 10101 JOHNSON,TINA 203 UNC 01-30-03 73-00 73.00 758618 10101 JONES,GEORGE K 203 UNC 06-26-02 1332.35 1332.35 667323 10111 JONES,M H 203 DEC 07-24-00 112.84 112.84 667449 10111 JONES,M H 203 DEC 07-24-00 238.18 238.18 674374 10111 JONES,M H 203 DEC 09-18-00 184.78 184.78 674592 10111 JONES,M H 203 DEC 09-18-00 261.00 261.00 674647 10111 JONES,M H 203 DEC 09-18-00 2287.60 2287.60 674653 10111 JONES,M H 203 DEC 09-18-00 521.50 521.50 674659 loll- JONES,M H 203 DEC 09-18-00 822.00 822.00 675060 10111 JONES,M H 203 DEC 09-18-00 124.00 124.00 702032 10111 JONES,M H 203 DEC 05-10-01 173.00 173.00 702226 10111 JONES,M H 203 DEC 05-10-01 431.19 431.19 793557 10101 JONES,SUSAN 203 UNC 09-05-03 383.40 383.40 800670 10101 JONES,TEPHINY Y 203 UNC 10-30-03 8139.57 8139.57 716838 10101 JORDAN,ALEXANDRA D 203 UNC 09-14-01 173.00 173.00 799455 10101 JORDAN,JAI M 203 UNC 10-30-03 294.35 294.35 C/O:DIABLO VALLEY RANCH 692150 10111 JOSEPH,HOWARD 54 ACC 02-13-01 178.12 178.12 599385 10101 JOVEL,RAUL 203 UNC 05-17-99 3381.10 2850.00 05-01-03 531.10 OCHOA,RAUL J 728077 10101 JOVEL,RAUL 203 UNC 11-20-01 39890.45 39890.45 675159 10111 KADLEC,MICHEAL 201 ACC 09-18-00 50.00 50.00 KADLEC,MARY K 800969 10101 KAHLON,HERJINDE 203 UNC 10-30-03 715.00 715.00 749965 10101 KAMARA,FATU 54 UNC 06-10-02 498.50 498.50 740871 10101 KANU,JANET 54 UNC 03-26-02 730.50 37.40 05-12-03 693.10 750812 10111 KARAN,RICKNAUTH 201 ACC 06-10-02 71.50 71.50 737768 10111 KATANANI,KAMEL 54 ACC 02-27-02 197.92 197.92 812962 10101 KAUR,RUPDEEP 203 UNC 03-22-04 1552.83 1552.83 676423 10111 KAZEMI,MOHSEN 54 ACC 09-27-00 520.00 520.00 KAZEMI,FROGH 811201 10101 KEARNES,RICHARD 203 UNC 02-27-04 294.90 294,90 KEARNES,RICHARD W 748981 10111 KEARNES,RICHARD JR. 54 ACC 05-16-02 25.00 25.00 805498 10101 KELLER,DEBRA 203 UNC 12-31-03 168.64 168.64 KELLER,DEBRA A 751213 10111 KHAMPHASONG,KNAMALAA 54 ACC 06-10-02 156.00 156.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 26 DEBTOR. .. . . . . . CLIENT#. . . NAME... . . . . . . .. ... .. .. ... . .. . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . .. PRIN COL LST PAY. TOTAL BAL. ... . 685160 10111 KILLIAN,DENIRO 54 ACC 01-16-01 93.20 93.20 750272 10101 KIMOTO,RICHARD S 203 UNC 06-10-02 990.58 990.58 801279 10101 KING,MAURICE 203 UNC 10-30-03 1779.30 1779.30 798415 10101 KINSEY,WAYNE O 203 UNC 10-29-03 1012.80 1012.80 814414 10101 KISSINGER,SPARON 203 BAN 04-05-04 13702.34 13702.34 799186 10101 KLEIN,RICHARD RAYMOND 203 UNC 10-30-03 226.00 226.00 KLEIN,RICHARD R 695496 10101 KNIGHT,SHERRY L 203 UNC 03-21-01 94.00 94.00 790329 10101 KNIPE,LAURA 203 UNC 07-21-03 79.41 79.41 797818 10101 KOKA,TEVITA 203 UNC 10-29-03 6611.04 6611.04 KOKA,MELE 783527 10101 KRAUS,AMY M 203 UNC 05-09-03 700.50 700.50 800637 10101 KRAUS,AMY M 203 UNC 10-30-03 570.50 570.50 WILSON,ALLISON N 750577 10111 KRAVCHUK,ANATOLIY 54 ACC 06-10-02 180.00 180.00 682116 10111 KRUG,RUTH 54 ACC 12-15-00 62.40 62.40 751661 10111 KUJAWA,MARK 54 ACC 06-10-02 145.00 145.00 750255 10111 KULA,K£LEMETE 54 ACC 06-10-02 13904.50 13904.50 KULA,TOIATA 751053 10111. KULA,TOIATA 54 ACC 06-10-02 461.00 461.00 751700 10111 KULA,TOIATA 54 ACC 06-10-02 166.50 166.50 805132 10101 LABRADA,BERTHA H 203 UNC 12-30-03 1297.70 1297.70 73B718 10111 LABRADO,KELLY 54 ACC 02-27-02 85.00 85.00 LABRADO,KELLY J 789313 10101 LAGUNA,CONSUELO 203 UNC 06-26-03 727.30 727.30 699231 10111 LAHHWINDER,KAHLON 54 ACC 04-25-01 1230.36 1230.36 781581 10101 LAINEZ,ISABEL 203 UNC 03-20-03 1021.00 1021.00 819279 10101 LAKE,THOMAS 24 UNC 06-08-04 145.00 145.00 815536 30101 LAMBERT,ARTHUR L 203 UNC 04-20-04 784.43 784.43 784915 10101 LANDON,JUSTIN 203 UNC 04-29-03 202.99 202.99 LANDON,JUSTIN R 817192 10101 LANDRY,EDWARD 203 UNC 05-10-04 3010.85 3010.85 783399 20101 LARA GIEGO,PEDRO 203 UNC 04-18-03 184.01 184.01 L.ARA GIEGO,PEDRO D 707204 10111 LARA,ELISA 16 ACC 06-20-01 563.20 563.20 762610 10111 LAREZ,ABDON 54 ACC 08-08-02 2931.48 2931.48 766454 10111 LAREZ,ABDON 54 ACC 08-21-02 115.00 115.00 771366 10101 LARSON,MARIA ROSARIO 203 UNC 11-19-02 1206.50 1206.50 739499 10111 LASELL,CURTIS 54 ACC 02-27-02 66.00 66.00 LASELL,CURTIS W 705555 10111 LATAIM.UA,NAU 54 ACC 06-12-01 921.30 921.30 769285 10111 LAVAKEIAHO,SIKUEA 54 ACC 10-07-02 85.24 85.24 BROOKS,SAMUEL C 746858 10111 LAWSON,VERNESSIA 54 ACC 04-30-02 144.15 144.15 BROWN,LEIANI N 692859 1011'_ LAZCANO,FLOR 54 ACC 02-22-01 14582.91 80.00 01-29-02 14502.91 631409 10101 LEAL,MIRTHA 54 UNC 01-04-00 17333.00 17333.00 759752 10111 LEDESMA,SACRAMENTO 54 RCC 07-11-02 95.02 95.02 LEDESMA,SACRAMENTO J 779853 10101 LEDEZMA,GRACIELA 54 UNC 02-21-03 9519.80 9519.80 784899 10101 LEDEZMA,GRACIELA 203 UNC 04-29-03 348.00 34B.00 GONZALEZ,YANIN 799804 10101 LEDEZMA,GRACIELA 203 UNC 10-30-03 703.50 703.50 GONZALEZ,JORGE E HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE_ 27 DEBTOR.. .. . . . . CLIENT4. . . NAME.. . . . . .. . ... . . . . . .. . . . . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. . . . . . PRIN COL LST PAY. TOTAL BAL.. . . . 769269 10101 LEE,LENITA WAYNETTE 203 UNC 10-07-02 1581.40 1581.40 LEE,LENITA W 714779 10111 LEE,NORMA 54 ACC 09-13-01 201.00 201.00 672179 10111 LEIVA,CRISTOBAL 54 ACC 09-08-00 2320.00 2320.00 803373 10101 LENZ,ROBERT 203 DEC 12-04-03 987.49 987.49 LENZ,ROBERT A 776678 10101 LEON,MARTIN 203 UNC 01-17-03 712.00 712.00 699315 10101 LETSU,THEODORA 203 UNC 04-25-01 249.50 166.32 06-26-01 83.18 ATSUTSE,RICHMOND 812267 10101 LEUTY,DON 203 UNC 03-12-04 137.00 137.00 LEUTY,DON D 715611 10111 LEWIS,MICHAEL TODD 201 ACC 09-13-01 15.00 15.00 816305 i0101 LEWIS,ZANA 203 UNC 04-27-04 5.00 5.00 LEWIS,ZANA I 818560 10101 LEWIS,ZANA 24 UNC OS-25-04 5.00 5.00 LEWIS,ZANA I 812229 10101 LINO,ANTONIO 203 UNC 03-12-04 1183.79 1183.79 749188 10111 LIU,TOAKASE 54 ACC 05-16-02 94.00 94.00 715362 10111 LOEHNIG,JOE 54 ACC 09-13-C1 145.00 145.00 LOEHNIIG,DERRICK 685285 10111 LOMBERA,ILDA 54 ACC 01-16-01 293.03 293.03 BIRRUETA,LAURIEL 678097 10111 LONG,ROBERT 54 ACC 10-12-00 359.60 359.60 LONG,CLAUDIA 779839 10101 LONGORIA,HESIQUEA 201 ACC 02-21-03 3290.80 3290.80 761427 10101 LONGORIA,JUANA 203 UNC 07-24-02 190.00 190.00 706807 i0111 LOPEZ,ALEJANDRO 201 ACC 06-20-01 112.00 112.00 732723 10111 LOPEZ,ALFREDO 54 ACC 01-04-02 695.00 695.00 657873 10199 LOPEZ,ALVARO 18 ACC 06-09-00 565.74 11-18-03 565.74 LOPEZ,ALVARO H 667734 10199 LOPEZ,ALVARO 18 ACC 07-24-00 343.03 343.03 LOPEZ,ALVARO H 676126 10199 LO2EZ,ALVAR0 18 ACC 09-27-00 144.50 144.50 LOPEZ,ALVARO H 707961 20111 LOPEZ,ANA 54 ACC 06-27-01 285.00 285.00 708192 10111 LOPEZ,ANA 54 ACC 06-27-01 169.60 169.60 SUCHITE,ALEJANDRA 796312 10101 LOPEZ,ARTURO 203 UNC 10-06-03 3582.07 3582.07 748490 10111 LOPEZ,CARLOS 54 ACC 05-16-02 594.28 10.00 08-13-02 584.28 793530 10101 LOPEZ,CARLOS 203 UNC 09-05-03 764-59 764,59 691460 10111 LOPEZ,ELSA 54 ACC 02-07-01 639.00 639.00 744746 10111 LOPEZ,ERICK 54 ACC 04-12-02 517.50 50.00 05-23-02 467.50 70,001 10111 LOPEZ,EVERARDO 54 ACC 04-26-01 112.00 112.00 LOPEZ,EVERARDO R 715639 10111 LOPEZ,EZEQUIEL 54 ACC 09-13-01 1056.00 1056.00 784640 10101 LOPEZ,ISASEL 203 UNC 04-29-03 1651-00 1651.00 795103 10101 LOPEZ,JOSE 203 UNC 09-18-03 517.24 517.24 799505 10101 LOPEZ,JOSE G 203 UNC 10-30-03 401.11 401.11 776281 10101 LOPEZ,JUANITA C 203 UNC 01-10-03 629.60 629.60 683593 10111 LOPEZ,LETICIA 54 ACC 12-28-00 281.50 281.50 VEGA,SOPHIA M 768943 10101 LOPEZ,LUIS I 203 UNC 10-07-02 1386.50 1386.50 670577 10111 LOPEZ,MANUELA 201 ACC 08-09-00 498.00 498.00 HIPOLITO,OSBALDO HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PACE: 28 DEBTOR. .. . . .. . CLIENT4 _. NAME. .. ... ... . . .. . . . . .... . . . .. DSK ST CD DT-ASSIGN PN-ASSIGN. .. . .. PRIN COL LST PAY. TOTAL SAL. . . . . 673065 1011l LOPEZ,MARIA 201 ACC 09-08-00 456.50 456.50 686880 1011l LOPEZ,MARIA 201 ACC 01-17-01 322.50 322.50 715367 10101 LOPEZ,MARIA 203 UNC 09-13-01 2146.42 2146.42 716201 10111 LOPEZ,MARIA 54 ACC 09-13-01 103.00 103.00 739553 10111 LOPEZ,MARIA 201 ACC 02-27-02 541.17 541.17 738821 10111 LOPEZ,MARIA C 54 ACC 02-27-02 2147.56 2147.56 776100 10101 LOPEZ,MARIA R 54 UNC 01-10-03 654.13 654.13 706026 10111 LOPEZ,MARIA TRIM 54 ACC 06-14-01 492.19 492.19 674946 10111 LOPEZ,MAURICIO 54 ACC 09-18-00 233.00 233.00 LOPEZ,MILAGROS M 675147 10111 LOPEZ,MOISES 54 ACC 09-18-00 233.00 50.00 10-30-00 183.00 668949 10111 LOPEZ,NELY 201 ACC 08-09-00 5795.25 5795.25 682902 10111 LOPEZ,PALOMA 54 ACC 12-26-00 158.50 158.50 ANAYA,VALERIA 810213 10101 LOPEZ,RAFAEL ARTURO 203 UNC 02-18-04 584.48 584.48 8164BO 10101 LOPEZ,RAFAEL ARTURO 203 UNC 04-27-04 171.20 171.20 772644 10101 LOPEZ,REYNA I 201 UNC 11-26-02 1361.50 20.00 12-03-02 1341.50 724965 10131 LOPEZ,ROBERTO 54 ACC 10-31-01 1598.67 1598.67 732748 10111 LCPEZ-3UZMAN,SANTA M 54 ACC 01-04-02 787.62 787.62 773820 10101 LOPEZBRACAMOTES,ERMALINDA 54 UNC 12-05-02 1183.00 1183.00 LOPEZBRACAMOTES,JANET 7155315 10111 LOPOSSA,KENNETH 54 ACC 09-13-01 135.00 135.00 692926 10111 LOTAKOON,DIANA 54 ACC 02-22-01 927.50 927.50 TANG,WILLIAM 798687 10101 LOUIS,IRA 2033 UNC 10-29-03 145.00 145.00 783143 10101 LOUNSBURY,NOEL 203 UNC 04-11-03 98.00 98.00 LOUNS8URY,NOEL V 715885 10111 LOZA,ARTURO 54 ACC 09-13-01 390.00 390.00 LOZA,RAFAEL 720181 10111 LOZANO,FELIPE 54 ACC 09-27-01 112.88 41.00 07-19-02 71.88 RODRIGUEZ,PEDRO 793485 10101 LOZANO,GREGORIO 203 UNC 09-05-03 161.00 161.00 MARTINEZ,MARGARITA 801609 10101 LOZANO,GREGORIO 203 UNC 10-30-03 120.00 120.00 MARTINEZ,MARGARITA 716215 10111 LUCAS,CARLOS 54 ACC 09-13-01 979.37 979.37 810382 10101 LUCAS,WILLIAM 203 UNC 02-18-04 145.00 145.00 LUCAS,WILLIAM W 816036 10,101 LUCKEY,ALLIE 203 DEC 04-27-04 1194.96 1194.96 LUCKEY,ALLIE E 726809 10101 LUNA,EDGAR 203 UNC 11-08-01 1936.88 1936.88 623100 10199 LUNDHOLM,WILLIAM CHARLES 203 DEC 09-27-99 444.20 444.20 757399 10111 MACAPINLAC,JOSEFINA 201 ACC 06-24-02 150.50 150.50 677948 10111 MACEDO,DOMINGO 54 ACC 10-12-00 87.00 87.00 MACEDO,DOMINGO O 668733 10111 M.ACHADO,CARMEN 54 RCC 08-09-00 2110.50 2110.50 MACHADO,CARMEN K 688227 10111 MACHAD0,EDWARD 54 ACC 01-17-01 400.50 25.00 06-22-01 375.50 MACHADO,HUN'T'ER 798727 10101 MACIAS,MARDONIO 203 UNC 10-29-03 466.00 466.00 6B8556 10111 MADERIOUS,DONALD 201 ACC 01-17-01 479.00 479.00 667509 10111 MADRIGAL,RAFAEL 54 ACC 07-24-00 384.30 384.30 665603 10101 MAGALLON,LUIS SR. 18 ACC 07-10-00 98.00 98.00 718014 10111 MAGALLON,MARIA G 54 ACC 09-14-01 1719.50 1719.50 HEALTF SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 29 DEBTOR. . .. . . . . CLIENT#. . . NAME. . . ... . . ... .. . .. .. . .. . .. . . DSK ST CD DT-ASSIGN PN-ASSIGN. .. ... PRIN COL LST PAY. TOTAL BAL.... . 696144 10111 MAGANA,JESUS 54 ACC 03-21-01 859.63 859.63 758252 10101 MAGANA,JOSE 201 UNC 06-24-02 2998.64 2998.64 778186 10101 MAGOS,ARNOLDO 203 UNC 01-30-03 892.30 892.30 667351 10111 MALACA,AARON 54 ACC 07-24-00 595.60 595.60 MALACCA,AARON S 757470 10101 MALDONADO,ANGELES 24B UNC 06-24-02 228.00 228.00 800319 10101 MALDONADO,ANGELES 243 UNC 10-30-03 226.00 226.00 683103 10111 MALDONADO,JUAN 54 ACC 12-26-00 297.50 297.50 MALDONADO,YURENI C 809814 10101 MALLATT,MICHAEL 203 UNC 02-12-04 1044.99 1044.99 KALLATT,MICHAEL J 800631 10101 MALMASSARI,JEFFREY 203 UNC 10-30-03 1171.04 1171.04 MALMASSARI,JEFFREY D 686755 10111 M.ALTBIE,CHARLOTTE I 54 ACC 01-17-01 127.00 35.00 05-06-02 92.00 797881 10101 MANER,CLIFFORD 203 UNC 10-29-03 12052.73 12052.73 805669 10101 MANUEL,ANGELIQUE N 203 UNC 12-31-03 472.00 472.00 758300 10111 MANUPULE,TEVITA 54 ACC 06-24-02 145.00 145.00 781032 10101 MANZANO,JOANNA 54 UNC 03-06-03 1776.90 1776.90 669278 10101 MARCUS,SARA 203 UNC 08-09-00 18057.77 40.00 05-29-03 18017.77 AKA; CHILDRESS,SARA 718275 10101 M.ARCUS,SHERRELLE F 203 UNC 09-14-01 226.40 226.40 668666 10111 MARIN,ANGELES 54 ACC 08-09-00 515.09 515.09 815131 10101 MARQUEZ,ELOD1A 203 UNC 04-13-04 247.00 50.00 06-09-04 197.00 789875 10101 MARQUEZ,NORMA# 203 UNC 07-10-03 205.30 100.00 11-04-03 105.30 745012 10111 MARRON,JESUS 54 ACC 04-17-02 433.50 433.50 691085 10111 M4RSHALL,PARIS 54 ACC 02-07-01 370.50 75.00 04-19-01 295.50 806800 10101 MARTANEU,CHERRY 203 UNC 01-14-04 52.80 52.80 7B5829 10101 MLARTELL,ROBERT 203 UNC 05-09-03 4501.35 4501.35 MARTELL,TERRIE R 810180 i0101 MARTELL,ROBERT 203 UNC 02-18-04 120.19 120.19 MARTELL,ROBERT H 745020 10111 MARTINEZ,ALFREDO 54 ACC 04-17-02 144.20 144.20 756180 10111 MARTINEZ,ANA 201 ACC 06-24-02 85.00 85.00 676926 10111 MLkRTINEZ,BEVIANA 54 ACC 09-27-00 463.00 463.00 MARTINSZ,DILLON N 683452 10111 MARTINEZ,BLANCA 201 ACC 12-28-00 92.00 92.00 '746671 10111 MARTINEZ,DAVID 201 ACC 04-30-02 157.00 157.00 692937 10101 MARTINEZ,EDUARDO 24 ACC 02-22-01 168.00 168.00 667266 10111 MARTINEZ,EMMA 54 ACC 07-24-00 1123.39 1123.39 668744 10111 MARTINEZ,GERARDO 54 ACC 08-09-00 259.60 259.60 MARTINEZ,GERARDO N 695565 10111 MARTINEZ,IVAN 18 ACC 03-21-01 157.00 157.00 702194 10111 MARTINEZ,JOSE LUIS 54 ACC 05-10-01 278.50 278.50 GUTIERREZ,MARISOL 705770 10111 MARTINEZ,JUANA 54 ACC 06-14-01 518.00 518.00 790477 10101 MARTINEZ,JUVENTINA 54 UNC 07-21-03 1841.40 1841.40 784063 10101 MARTINEZ,LORENA I 203 UNC 04-29-03 875.25 875.25 696794 10111 MARTINEZ,MARIA 201 ACC 03-21-01 251.36 251.36 760678 10111 MARTINEZ,MAYRA 54 ACC 07-24-02 173.00 173.00 688604 10111 MARTINEZ,RAM.ONA 54 ACC 01-17-01 3068.66 3068.66 785018 10101 MARTINEZ,ROXANA 54 UNC 04-29-03 257.50 257.50 MONTENEGRO,DANIELA 622940 10111 MARTINEZ,TERESA 54 ACC 09-27-99 269.99 245.00 07-29-03 24.99 674856 10111 MASALU,BLANDINA 54 ACC 09-18-00 2750.00 2750.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 30 DEBTOR... .. .. CLIENT?. . . NAME. . ... . . . . . . . ST CD DT-ASSIGN PN-ASSIGN. .. . .. PRIN COL LST PAY. TOTAL BAL. . . . . 745133 10111 MASON,JAMILA 54 ACC 04-17-02 98.00 98.00 MASON,JAMILA R 744341 10111 MASON,MALCOM D 54 ACC 04-12-02 822.50 822.50 793969 10101 MASON,WILLIAM 203 UNC 09-09-03 215.00 215.00 MASON,WILLIAM M 675054 10111 MASTERSON,SHANNON 54 ACC 09-18-00 45.00 45.00 MASTERSON,KETURAH N 682325 10111 MATA,HERMILA 54 ACC 12-15-00 320.50 320.50 733531, 10111 MATA,MARIA 54 ACC 01-04-02 376.00 376.00 MORENO MRTA,GRISELDA L 605372 10101 MATHENY,RICHARD E 203 UNIC 06-11-99 873.91 873.91 592079 10101 MATHENY,RICK 203 UNC 03-31-99 1581.50 113.99 06-30-04 1467.51 593706 10101 MATTHEWS,KIMBERLEY M 203 UNC 04-20-99 3998.91 3998.91 706931 10111 MAUS,CHRISTA J 54 ACC 06-20-01 259.50 259.50 575855 10101 MAXWELL,RALPH F 203 UNC 11-17-98 378.60 378.60 732428 10211 MAY,PAUL 54 ACC 01-04-02 50.00 50.00 722237 10101 MAYA,DENSI 203 UNC 10-15-01 37.00 37.00 672700 10111 MAYA,ESMERALDA 54 ACC 09-08-00 450.50 450.50 725702 1,0111 MAYO,PEDRO 201 ACC 11-08-01 317.50 317.50 VALENCIA,ROSAISELA 725827 10111 MAYO,PEDRO 201 ACC 11-08-01 400.00 400.00 VALENCIA,JESSICA 735802 10101 MAYS,TIMOTHY WAYNE 203 UNC 01-25-02 111.10 111.10 756751 10111 MAZUMDER,ROKEYA 54 ACC 06-24-02 85.00 85.00 757032 10111 MAZUMDER,SA.MSUN 54 ACC 06-24-02 44.50 44.50 688679 10111 MAZZA,THOMAS 54 ACC 01-17-01 410.94 410.94 811,837 10101 MBUH,FLORENCE M 203 UNC 03-08-04 5028.32 10.00 03-12-04 5018.32 738880 10111 MBUTHIA,CATHRENE 54 ACC 02-27-02 92.00 92.00 MBUTHIA,CATHRENE W 816678 10101 MCCANDLESS,GREG 203 UNC 04-27-04 19.00 19.00 MCCANDLESS,GREG L 686196 10,111 MCCLANAHAM,VINCENT 54 ACC 01-16-01 782.17 782.17 MCCLANAHAM,VINCENT E 738519 10111 MCCLENDON,WILLIE 54 ACC 02-27-02 85.00 85-00 806476 10101 MCCLENDON,WILLIE 203 UNC 01-14-04 120.93 120.93 683008 10111 MCCOY,JEANETTE 54 ACC 12-26-00 116.00 116.00 MCCOY,SKYLIT C 718115 10101 MCCOY,NORMA 54 UNC 09-14-01 990.84 990.84 FIELDS,PRINCESS M 699600 10111 MCC--AY,ALICE 54 ACC 04-25-01 884.30 884.30 780457 10101 MCCULLOUGH,ANNETTE MARIE 203 UNC 02-27-03 1576.74 1576.74 739309 10111 MCDONALD,STACY 54 ACC 02-27-02 85.00 85.00 MCDONALD,STACY N 814933 10101 MCFARLAND,WENDY 203 UNC 04-13-04 264.06 264.06 817122 10101 MCGINNIS,PATTI L 203 DEC 05-10-04 273.00 273.00 784914 10101 MCGUILL,KARLA 203 UNC 04-29-03 2416.06 2416.06 MCGUILL,KARLA A 691116 10111 MCINTOSH,BEVERLY 54 ACC 02-07-01 80.00 80.00 MCINTOSH,BEVERLY J 805152 10101 MCINTOSH,KAREN 203 UNC 12-30-03 775.42 682.27 02-06-04 93.15 814946 10101 MCKAY,JOHN M 203 UNC 04-13-04 226.30 226.30 811062 10101 MCKINLEY,BRENDA J 203 UNC 02-27-04 114.32 114.32 700866 10199 MCLAUGHLIN,CHRISTINE MARIE 9 ACC 04-26-01 120.00 120.00 700960 10199 MCLAUGHLIN,CHRISTINE MARIE 9 ACC 04-26-01 443.50 443.50 - _ HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 31 DEBTOR...... . . CLIENT.`-{. . . NAME. . . . . . . . . .. .. .. . .. . . . . ... . DSK ST CD DT-ASSIGN PN-ASSIGN.. . . . . PRIN COL LST PAY. TOTAL BAL. . . .. 682317 10199 MCLAURIN,RALPH 203 UVC 12-15-00 474.57 474.57 808861 10101 MEDINA,JULIAN JOSEPH 203 UNC 01-28-04 226.50 226.50 799501 10101 MEDINA,MARIA 203 UNC 10-30-03 871.20 871.20 756066 10111 MEDINA,NORMA E 54 ACC 06-24-02 135.00 50.00 07-05-02 85.00 758947 10101 MEDINA,ROGELIO 203 UNC 06-26-02 292.50 292.50 756085 10112 MEDLOCK,AYOKA 54 ACC 06-24-02 85.00 85.00 758479 10111 MEDNOZA,MARCO 54 ACC 06-26-02 80.00 80.00 794723 10101 MEJIA,AZUCENA 203 UNC 09-17-03 822.00 822.00 756793 10111 MEJIA,PAULA 54 ACC 06-24-02 8512.46 8512.46 759920 10111 MEJIA,RAMONA 201 ACC 07-11-02 200.40 200.40 811128 10101 MEJIA,RODRIGO 203 UNC 02-27-04 184.46 184.46 MEJIA,RODRIGO R 688398 10111 MELANSON,JASON 54 ACC 01-17-01 466.44 466.44 MELANSON,AMY 755499 10111 MENAGE,NATASHIA 54 ACC 06-24-02 27.50 27.50 7842033 10101 MENDES,PAULA JEAN 203 UNC 04-29-03 357.65 357.65 717208 10101 MENDEZ,LORENA 54 UNC 09-14-01 15389.60 15369.60 786782 10101 MENDEZ,NOELIA 54 UNC 05-16-03 276.00 53.99 08-05-03 222.01 MENDEZ,JOSE A 721199 10lil MENDEZ,SALVADOR 201 ACC 08-30-01 145.00 145.00 6856G3 Kill MENDEZ,VICTOR 201 ACC 01-16-01 289.50 289.50 702395 10111 MENDOZA,AUROA 54 ACC 05-10-01 60.80 60.80 TORRES,BERTA 693512 10111 MENDOZA,DAVID 54 ACC 02-22-01 118.64 118,64 776048 10101 MENDOZA,GRISELDA 203 UNC 01-10-03 1123.50 1123.50 782843 10101 MENDOZA,JESSE 203 UNC 04-07-03 595.70 595.70 MENDOZA,JESSE A 769024 10111 MENDOZA,JUAN 54 ACC 10-07-02 1343.51 1343.51 MENDOZA,JUAN C 617179 10101 MENDOZA,MARIA L 203 UNC GS-24-99 190.00 190.00 650427 10101 MENDOZA,NORMA P 54 UNC 04-28-00 2225.86 331.50 05-23-02 1894.36 791333 10101 ME.RCADO,YADIRA 203 UNC 07-31-03 1933.80 1933.80 798174 10101 MESERAULL,NANCY L 203 UNC 10-29-03 825.00 825.00 797048 10101 MEZA,ANGEL1_CA 203 UNC 10-29-02 2390.00 2390.00 801511 10101 MICHEL,MARICELA 203 UNC 10-30-03 841.90 841.90 803620 10101 MICKLE,BARRY 203 DEC 12-04-03 1937.00 1937.00 MICKLE,BARRY E 802919 10101 MIDDLETON, PATRICIA 203 UNC 11-18-03 70C.00 700.00 760703 10111 MILLER,CAITYN 54 ACC 07-24-02 226.00 226.00 803923 10101 MILLER,CYRENA 203 UNC 12-08-03 1009.43 1009.43 MILLER,CYRENA L 807365 10101 MILLER,CYRENA 203 UNC 01-21-04 535.20 535.20 MILLER,CYRENA L 799533 10101 MILLER,JOKAY 203 BAN 10-30-03 145.00 145.00 801816 10101 MILLER,JUSTIN 203 UNC 10-30-03 765.00 765.00 MILLER,JUSTIN S 795652 10101 MILLER,SUSAN A 203 UNC 09-24-03 2106.03 2106.03 738152 10111 MILLS,KIMIE 54 ACC 02-27-02 50.00 50.00 MILLS,KIMIE C 801403 10101 MINEROHERNANDEZ,CENIDA 203 UNC 10-30-03 3031.34 3031.34 746502 10111 MIRANDA,FRANCISCO 54 ACC 04-30-02 1685.84 1685.84 MIRANDA,VERONICA 799201 10101 MIX,DENNIS GERARD JR 203 UNC 10-30-03 6867.18 6867.18 793895 10101 MOBINI,AKBAR 203 UNC 09-09-03 336.00 336.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 32 DEBTOR. .. .... . CLIENT#_ NAME.. .. . .. . . .. . . . . . . . .. ... . . . DSK ST CD DT-ASSIGN PN-ASSIGN.. .... PRIN COL LST PAY. TOTAL BAL... . . MOBINI,ARSHIA K 790427 10101 MOBINI,A"AR K 203 UNC 07-21-03 840.50 840.50 680348 10111 MOII.AMMED,SITTELBENA 54 ACC 11-08-00 75.36 75.36 MOHAMMED,SITTELSENA Y 779811 10101 MOLINA,MARTHA 203 UNC 02-21-03 82.99 82,99 817160 10101 MOLINAR,ROSERT 203 UNC 05-10-04 739.70 739.70 722862 10111 MONDRAGON,MERCEDES 54 ACC 10-15-01 280.00 280.00 672506 10111 MONROY,ANTONIO 54 ACC 09-08-00 176.92 176.92 MIRANDA,SALVADOR 699487 10111 MONSOD,MARIA 54 ACC 04-25-01 231.28 231.28 MONSOD,JASMINE 702351 10111 MONTALVO,FRA-NCISCA 201 ACC 05-10-01 115.00 115.00 743623 10101 MONTALVO,LAURA 54 UNC 04-12-02 1119.50 409.40 04-22-03 710.10 759986 10111 MONTANO,JUAN 54 ACC 07-11-02 1630.91 1630.91 MONTANC,JUAN N 693696 10111 MONTANO,MARIA 54 ACC 02-27-01 297.65 297.65 VALDEZ,VERONICA 721854 10111 MONTANO,MARISOL 54 ACC 10-15-01 263.00 283.00 MONTANO,WEEKO 761384 10111 MONTEROSA,ROSARIO 201 ACC 07-24-02 85.00 85.00 688637 10111 MONTERROSA,ANA 201 ACC 01-17-01 1019.00 1019.00 743885 10111 MONTES,ROLANDO 54 ACC 04-12-02 251.93 251.93 783044 10101 MONTGOMERY,CASANAIL LOVELLE 203 UNC 04-11-03 219.50 219.50 791015 10112 MONTGOMERY,JOHN 203 DEC 07-30-03 1248.80 1248.80 MONTGOMERY,JOHN R 705758 10111 MONTOYA,ELADIO 201 ACC 06-14-01 112.00 112.00 713804 10101 MONTOYA,GENEAIVE A 203 UNC 09-13-01 225.11 20.00 11-14-01 205.11 745034 10111 MOORE,AUBREY L 201 ACC 04-17-02 95.50 95.50 809870 10101 MOORE,BILLY 203 UNC 02-12-04 139.00 139.00 667471 10111 MOCRE,JAMES A 201 ACC 07-24-00 69.00 89.00 813896 10101 MOORE,MARY 203 DEC 03-30-04 40.65 40.65 MOCRE,MARY L 667729 10121 MORA,CARLOS 201 ACC 07-24-00 470.32 470.32 738324 10111 MORA,EDUARDC A 201 ACC 02-27-02 875.00 875.00 682570 10111 MORA,MARIA 201 ACC 12-15-00 1422.65 1422.65 810132 10i01 MORADO,JOSE 203 UNC 02-18-04 1210.00 1210.00 756796 10101 MORALES,ELIUD 203 UNC 06-24-02 253.50 253.50 MURRIETA,JOSE G 714056 10111 MORALES,ESTANIS 54 ACC 09-13-01 133.00 133.00 683060 10111 MORALES,GABRIEL J 201 ACC 12-26-00 298.50 298.50 759869 10111 MORALES,GONZALO 201 ACC 07-11-02 116.15 40.00 10-10-02 76.15 664667 10111 MORALES,JOSE 54 ACC 01-16-01 297.41 297.41 697086 10111 MORALES,MAGDALENO 201 ACC 03-21-01 199.00 199.00 805122 10101 MORALES,MARIA 54 UNC 12-30-03 1190.90 1190.90 680164 10111 MORALES,MORENA 54 ACC 11-08-00 2074.50 2074.50 MORALES,MORENA E 691162 10111 MORALES,SALOMON 54 ACC 02-07-01 1108.38 1108.38 746688 10111 MORAN,CARLOS 201 ACC 04-30-02 1391.86 1391.66 BARAJAS,MARIA 805716 10101 MORANDIN,STACY 203 UNC 12-31-03 493.00 493.00 MORANDIN,CAITLYN F 818120 10101 MORANDIN,STACY 203 UNC 05-25-04 304.00 304.00 HELMS,JORDAN 794060 10101 MORENO,JOSEFINA 203 UNC 09-09-03 772.00 772,00 HEALTH SERVICES WRITE OFF REPORT DATE:06 Jul 2004 PAGE: 33 DEBTOR. .. . . .. . CLIENT#. . . NAME. . . . .. ..... ..... .... .. . . .. DSK ST CD DT-ASSIGN PN-ASSIGN. .... . PRIN COL LST PAY. TOTAL PAL. ... . 772024 10111 MORENO,MIGUEL N 54 ACC 11-22-02 98.00 98.00 670364 10111 MORENO,SERGIO D 18 ACC 08-09-00 24239.08 319.50 03-26-02 23919.58 MORENO,ALMA 685056 10111 MOR0,ARRON 54 ACC 01-16-01 270.93 270.93 MORO,MARIA 793242 10101- MORRIS,LISA H 203 BAN 08-28-03 293.70 293.70 687286 10111 MORRIS-JAMES,ARMISTA 54 ACC 01-17-01 164.16 164.16 JAMES,ARMISTA I 730770 10101 MORRISON,JAMES 203 UNC 12-28-01 1327.10 1327.10 743332 I011l MOSELEY,GREG 54 ACC 04-12-02 89.60 89.60 MOSELEY,GREG D 797168 10101 MOSQUEDO,JAIME D 203 UNC 10-29-03 335.80 335.80 674458 lolil MOULTON,KIMBERLEY 54 ACC 09-18-00 490.00 490.00 MOULTON,JOSHUA D 699215 10101 MUELLER,DARRYL JEROME 203 UNC 04-25-01 94.60 94.60 MUELLER,DARRYL J 760144 10101 MUF?AMMAD,LOWANA 203 UNC 07-11-02 1414.25 1414.25 810721 10101 MULL,DAVID 203 UNC 02-27-04 1717.06 1717.06 697413 lolil MUNGIA,MARIA 54 ACC 03-28-01 119.50 119.50 727031 10111 MUNOZ,GERARDO 201 ACC 11-08-01 764.76 764.76 672946 10111 MURILLO,CECILIA 201 ACC 09-08-00 224.20 224.20 699481 16111 MURILLO,TERESA 201 ACC 04-25-01 180.50 180.50 CAMARENA,JUAN F 777134 10101 MURRAY,VICTOR 203 UNC 01-24-03 165.60 165.60 782888 10101 MURRILLO,GUADALUPE 203 UNC 04-07-03 680.40 680.40 JUAREZ,ELVIA 667557 10111 MUSA,LINDA 54 ACC 07-24-00 211.00 211.00 SCOTT,DEVIN JR J 703581 10111 NAJERA,MARIA 54 ACC 05-17-01 68.00 68.00 807371 10101 NALEVANKO,BECKY 203 UNC 01-21-04 22.80 22.80 716170 20112 NASH,GAYLE 203 UNC 09-13-01 1417.36 1417.36 NASH,GAYLE M 798168 10101 NASH,GAYLE M 203 UNC 10-29-03 528.87 528.87 700220 20121 NASIRUDDIN,MOHAMMAD 54 ACC 04-25-01 455.43 455.43 NASIRUDDIN,SURRIYA 734796 10101 NASSR,NAGI 203 UNC 01-25-02 935.50 935.50 764132 10101 NAVARRETE,CARLOS 203 UNC 08-08-02 123.00 123.00 723558 10111 NAVARRO,IGNACIC 54 ACC 10-15-01 112.00 112.00 697757 10101 NAVARRO,KARINA 203 UNC 03-28-01 193.00 193.00 772969 10101 NAVARRO,KARINA 203 UNC 11-26-02 136.50 136.50 NAVARRO,MARCOS A 772044 10101 NAVARRO,LUIS 203 UNC 11-22-02 98.00 98.00 796077 10101 NAVARRO,LUIS 203 UNC 10-06-03 272.50 272.50 BARTNESS,SERGIO 715473 10111 NAVARRO,MARCOS 54 ACC 09-13-01 2408.88 2408.88 773555 10101 NAVARR0,MARCOS 203 UNC 12-04-02 85.00 85.00 NAVARRO,AZUCENA G 794809 10101 NAVARRO,MARIA 203 UNC 09-18-03 645.00 645.00 773413 10101 NAVARRO,MERCEDES 54 UNC 12-04-02 1713.21 1713.21 682922 10111 NAVARRO,TERESA 54 ACC 12-26-00 204.00 204.00 715799 10101 NAVARRT'E,INES 203 UNC 09-13-01 182.77 182,77 689243 10111 NEGRET3,ELIZABETH 54 ACC 01-17-01 834.78 834,78 722396 10111 NEGRETE,MARiA 54 ACC 10-15-01 551.50 551.50 751013 10111 NEGRETE,M.ARIA 54 ACC 06-10-02 606.00 606.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PACE: 34 DEBTOR. .. . .. .. CLIENT#. .. NAME. . . .. . . . . . . . . . . . . . . . ... .. . DSK ST CD DT-ASSIGN PN-ASSIGN.. . . . . PRIM COL LST PAY, TOTAL BAL.. . . NEGRETE,MARIA G 688271 10111 NELIDA,WENCEZ 54 ACC 01-17-01 316.00 316.00 815637 10101 NELSON,GARY 203 UNC 04-20-04 127.90 127.90 787396 10"101 NELSON,LEMECH LURELL 203 UNC 05-29-03 85.00 85.00 805192 10101 NELSON,MYCHAI, D 203 UNC 12-30-03 821.99 821.99 806254 10101 NELSON,SHARON DENISE 203 UNC 01-09-04 883.00 883.00 746489 10111 NERO,TINA 54 ACC 04-30-02 50.00 50.00 NERO,TINA M 585320 10101 NEWMAN,TONY A 203 UNC 02-12-99 165.00 165.00 667537 10111 NGUYEN,CAO S4 ACC 07-24-00 2560.10 2560.10 696618 101-11 NGUYEN,PHOUNG 54 ACC 03-21-01 738.00 738.00 NGUYEN,PHOUNG T 735956 10111 NIAZI,NAGIB S4 ACC 01-25-02 351.35 200.00 08-05-02 151.35 NIAZI,ELLIS 746349 10111 NICKS,LATOYA 54 ACC 04-30-02 82.00 82.00 NICKS,LATOYA S 697862 10111 NICOLAS,VICTOR M 54 ACC 03-28-01 476.00 476.00 814050 10101 NIEMEIER,MICHAEL 203 DEC 03-30-04 289.87 289.87 676449 10101 NIGO,FRANCISCA 54 UNC 09-27-00 740.60 740.60 NIGO,FRANCISCA F 795125 10101 NOBLE,TONI 203 UNC 09-18-03 98.00 98.00 670375 10111 NOCHAIMYY,RYMA 54 ACC 08-09-00 253.00 253.00 795200 10101 NORBERT,TANASHA 203 UNC 09-18-03 107.75 107.75 743594 10111 NUNGARAY,ROSALBA 54 ACC 04-12-02 109.50 109.50 655015 10101 OAKLEY,TAMMY TERESA 203 UNC 05-19-00 1279.69 797.65 06-16-03 482.04 801288 10101 OBRYAN,J011NEY 203 UNC 10-30-03 227.13 227.13 OBRYAN,JOHNEY F 687744 10111 OCHOA,ALEJANDRO 201 ACC 01-17-01 921.50 921.50 672240 iciii OCHOA,ANTONIA 54 ACC 09-08-00 312.50 312.50 756369 10101 OCHOA,BERTHA 201 UNC 06-24-02 319.80 319.80 711748 10101 OCHOA,DANIEL ANTONIO 203 UNC 08-30-01 1-286.40 1286.40 756442 10111 OCHOA,ELVIRA 54 ACC 06-24-02 283.34 35.00 10-25-02 248.34 752912 i0ill OCN_OA,GRACIELA S4 ACC 06-10-02 140.00 140.00 778395 10101 OCHOA,IGNACIO 54 UNC 01-30-03 1143.15 1143.15 685019 10111 OCHOA,J0SE 201 ACC 01-16-01 606.24 606.24 633121 10101 OCHOA,JOSEFINA 54 UNC 01-04-00 1719.80 1719.80 685977 10111 OCHOA,MARIA 201 ACC 01-16-01 92.00 92.00 706340 10111 OCHOA,`4ARIA 201 ACC 06-18-01 464.50 464.50 RON;ERO,MARIA C 711717 101011 OCONNELL,MAUREEN 203 UNC 08-30-01 2441.45 2441.45 OCONNELL,CELESTE G 780920 10101 ODDONE,CYNDI L 203 BART 03-06-03 455.48 455.48 807319 10101 ODEN,CATHY 203 UNC 01-21-04 766.52 766.52 ODEN,CATHY L 605043 10101 ODEN,HENRY 203 BAN 06-11-99 80.00 40.00 11-24-03 40.00 C/O:PIONEER CREDIT&DEBT SERVIC 782785 10101 ODEN,HENRY 203 BAN 04-07-03 1208.50 1208.50 C/O:PIONEER CREDIT&DEBT SERVIC 801283 10101 OLGUIN,OFELIA 54 UNC 10-30-03 803.00 803.00 OLGUIN,APOLINAR 685421 10111 OLIVA,CASIMIRO LIRA 201 ACC 01-16-01 417.78 240.00 11-19-01 177.78 LIRA,CASIMIRO 697761 10111 OLVERA,CESAR 201 ACC 03-28-01 506.31 506.31 734478 10101 OMIDI,MONTAHA 203 UNC 01-25-02 650.50 650.50 _ _ HEALTH SERVICES WRITE-OFF REPORT DATE..-06 Jul 2004 PAGE: 35 DEBTOR_ . . . . . . CLIENT#• .. NAME. .. . . . .. . . . . . . . ..... . .. .. . DSK ST CD DT-ASSIGN PN-ASSIGN. . . ... PRIN COL LST PAY. TOTAL BAL. .. .. 802968 10101 ONIFADE,FELICIA E 203 JNC 11-18-03 733.20 733.20 810260 1010" ONYEAGUCHA,EMEKA 203 UNC 02-18-04 1579.00 1579.00 742266 10101 ORBE,MARLENE 203 UNC 03-26-02 110.00 110.00 773841 10101 ORBE,MARLENE 203 UNC 12-05-02 156.00 156.00 683557 10111 ORDAZ,GUADALUPE 54 ACC 12-28-00 207.00 207.00 PAREDES,LUIS 727508 10111 ORDAZ,MARIA 54 ACC 11-08-01 1215.16 1215.16 741886 10111 ORDONEZ,DIANA 54 ACC 03-26-02 203.00 203.00 722134 10101 ORDONEZ,JUANA 203 UNC 10-15-01 93.10 93.10 707748 10111 ORELLANA,SARAI 54 ACC 06-27-01 364.00 364.00 VARGAS-CORTES,HILEL I 699168 10111 OROZCO,ESPERANZA 201 ACC 04-25-01 427.50 427.50 747040 i0111 OROZCO,RAFAEL 54 ACC 04-30-02 296.50 296.50 704532 10111 ORTEGA,FERNANDO 54 ACC 05-22-01 169.50 169.50 693150 10111 ORTEGA,JESUS 54 ACC 02-22-01 545.00 545.00 765406 10101 ORTIZ,ANTONIA 203 UNC 08-21-02 1370.00 200.00 01-06-03 1170.00 BLAS,ALFREDO 774879 10101 ORTIZ,ANTONIA 203 UNC 01-06-03 661.00 661.00 SLAS,ALFREDO 695724 10101 ORTIZ,OSCAR ESCOBAR 203 UNC 03-21-01 242.07 242.07 552257 14101 ORTIZ,SONIA 54 UNC 06-08-98 1147.50 825.00 10-09-03 322.50 C/C LUIS LOPEZ 784705 14101 OSAFO-MENSAH,FREDDIE 203 DEC 04-29-03 21279.34 950.00 05-10-04 20329.34 OSAFOMENSAH,FREDDIE E 797924 10101 OSAFO-MENSAH,FREDDIE 203 DEC 10-29-03 39978.23 39978.23 OSAFOMENSAH,FREDDIE E 665348 10111 OSTELAND,JOSEPH SR 54 ACC 07-10-00 524.40 524.40 OSTERLUND,JOSEPH 741785 10111 OSTRIA,HUGO 54 ACC 03-26-02 648.28 648.28 774874 10101 OSUAGWJ,MAGZY 54 UNC 01-06-03 438.50 438.50 OSUAG[,FJ,ANN 734809 10111 OSUNA,CYNTHIA 54 ACC 01-25-02 851.04 851.04 ARREDONDO,LUIS F 781726 10101 OUZZANI,FATIMA 54 UNC 03-20-03 408.50 408.50 OUAZANI,FATIMA 704202 10111 OVERSTREET,DOUGLAS 54 ACC 05-22-01 1268.50 1268.50 711431 10111 OVERVOLD,TODD 54 ACC 08-30-01 408.67 409,67 OVERVOLD,VVICTOR-TA 691381 10111 OWENS,8ARBRA 54 ACC 02-07-01 89.00 89.00 GORDON,DANTE J 697474 10111 OZBEY,TINA 54 ACC 03-28-01 254.50 254.50 693271 10111 PACHECHO,ADRIANNE 54 ACC 02-22-01 4887.00 487.00 746741 10111 PACHECO,PATRCIA 54 ACC 04-30-02 145.00 145.00 ROSALES,ALMA K 665637 10111 PADILLA,ERNESTO 201 ACC 07-10-00 15363.39 15363.39 711227 10111 PADILLA,JAVIER 201 ACC 08-30-01 557.40 557.40 695600 10111 PADILLA,LORENA M 54 ACC 03-21-01 1474.94 1474.94 672509 10199 PADILLA,RAMON 1 ACC 09-08-00 203.24 203.24 687639 10199 PADILLA,RAMON 1 ACC 01-17-01 136.87 136.87 757103 10111 PADILLA,RAMON 1 ACC 06-24-02 79.43 79.43 746439 10111 PAKALANI,FILINGA 54 ACC 04-30-02 29.50 29.50 697673 10111 PALACIOS,ESTELA 54 ACC 03-28-01 725.04 725.00 646886 10101 PALACIOS,LETICIA 203 UNC 04-18-00 914.90 02-20-03 914.90 723679 10101 PALMORE,YVONNE A 203 UNC 10-15-01 541.92 541.92 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PACE: 36 DEBTOR.. .. . .. . CLIENT#.. _ NAME.... ... .. . . . .. . . . . . . . . . . . . DSK ST CD DT-ASSIGN PN-ASSIGN..... . PRIN COL LST PAY. TOTAL BAL_ .. . . 801039 10101 PANADO,FRANCIS P 203 UNC 10-30-03 568.50 568.50 676079 10111 PANTAGUA,LUIS 201 ACC 09-27-00 471.13 471.13 683641 10111 PARDO,ORALIA 54 ACC 12-28-00 727.00 727.00 745001 Iolll PAREDES,HERMAN 54 ACC 04-17-02 32.00 32.00 669098 10199 PARKS,JANELLE LOUISE 4 ACC 08-09-00 672.80 672.80 767126 lolll PARRA,CELINA 201 ACC 08-29-02 124.00 124.00 756351 10111 PARRA,RAUL• 54 ACC 06-24-02 158.00 158.00 702781 lolll PARRA,ROSALINDA 54 ACC 05-10-01 426.98 426.98 SANTANA,DAN I EL 693519 10111 PASHOVA,SVILANKA 54 ACC 02-22-01 i09i.00 1091.00 745155 loll' PASSANISI,DIANNA 54 ACC 04-17-02 50.00 50.00 685627 10199 PATO,DANIELLE S 16 ACC 01-16-01 211.52 39.00 OS-19-04 172.52 558773 10101 PATO,MARK ALVY 203 UNC 06-18-98 590.30 590.30 771678 10101 PATTERSON,CONNIE 54 UNC 11-21-02 402.46 402.46 PATTERSON,TERRY J 743344 10111 PATTON,AUTUMN 54 ACC 04-12-02 33.95 33.95 723065 10101 PATTON,WILLIAM BERNARD 203 UNC i0-15-01 725.04 725.04 679115 10111 PAYSINGER,ROSALIND 54 ACC 10-20-00 54.60 54.60 PAYSINGER,ROSALIND K 779B29 10101 PEARSON,LANCE 203 UNC 02-21-03 2147.05 2147.05 PEARSON,LANCE E 703510 10111 PELAYO,EVELIA 54 ACC 05-17-01 436.59 436.59 780973 10101 PELLETIER,CLAUDE 203 UNC 03-06-03 401.00 401.00 PELLETIER,CLAUDE A 707160 lolll PENA,MANUEL 54 ACC 06-20-01 297.00 297.00 PENA,MARISOL 738319 10111 PENA,MARCELO 54 ACC 02-27-02 10383.20 10383.20 805330 10101 PENCE,AARON T 203 UNC 12-30-03 890.55 855.55 04-12-04 35.00 699045 10111 PERALTA,EFREN 54 ACC 04-25-01 1468.41 1468.41 706902 loill PEREZ,ALFREDO 54 ACC 06-20-01 297.00 297.00 PEREZ,YOLANDA 686942 l0121 PEREZ,ANA 201 ACC 01-17-01 675.75 675.75 PEREZ,CHRISTIAN 771776 10101 PEREZ,EFRAIN L 54 UNC 11-21-02 658.50 658.50 737740 10111 PEREZ,EVER 54 ACC 02-27-02 1488.35 1486.35 669186 10111 PEREZ,FACUNDO 54 ACC OB-09-00 276.00 276.00 MARTINEZ,ERICA 684057 10101 PEREZ,JOAQUIN 203 UNC 01-16-01 513.50 513.50 689074 10111 PEREZ,JOSE 201 ACC 01-17-01 690.99 690.99 693430 lolll PEREZ,JOSE 201 ACC 02-22-01 526.27 526.27 707115 lolll PEREZ,JUAN 54 ACC 06-20-01 1010.50 1010.50 PEREZ,IRMA 784139 10101 PEREZ,JUAN 203 UNC 04-29-03 569.61 569,61 738789 10111 PEREZ,MARC0 54 ACC 02-27-02 855.00 855.00 PEREZ,MARCO A 675166 10111 PEREZ,MARIA 54 ACC 09-18-00 807.22 807.22 756555 10111 PEREZ,MICHAEL 54 ACC 06-24-02 103.00 103.00 674900 1011" PEREZ,MIGUEL 54 ACC 09-18-00 233.50 233.50 706615 10111 PEREZ,ORLANDO 54 ACC 06-20-01 313.50 313.50 688374 10111 PEREZ,SALVADOR 201 ACC 01-17-01 923.01 923.01 810745 10101 PERKINS,ALBERT 203 UNC 02-27-04 3833.50 3833.50 PERKINS,ALBERT L 801034 10101 PERKINS,ALBERT L 203 UNC 10-30-03 1089.73 1089.73 778358 10101 PERKTNS,CHUCK JAMES 203 UNC 01-30-03 1335.99 1335.99 _. __ HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 37 DEBTOR. . . . . .. . CLIENT#. . . NAME.. . . . . . . .. .. . .. . ... ... ... . DSK ST CD DT ASSIGN PN-ASSIGN. . .. . . PRIN COL LST PAY. TOTAL BAL.. .. . 819051 20101 PERKINS,CHUCK JAMES 203 UNC 06-08-04 167.14 167-14 794001 10101 PERRY,WILLIAM R 203 UNC 09-09-03 97.01 97.01 707081 10111 PERVEEN,FARZANA 54 ACC 06-20-01 298.70 298.70 755593 10111 PESSOA,IRENE 54 ACC 06-24-02 220.70 220.70 811357 10201 PHILLIPS,DEBRA 203 UNC 02-27-04 300.10 300.10 811925 10101 PICKENS,MARVIN 203 UNC 03-08-04 96.00 98.00' PICKENS,MARVIN D 811003 10101 PIEARSON,GREGORY 203 UNC 02-27-04 10593.56 10593.56 PIEARSON,GREGORY D 741094 10101 PIEDRAS,ARTURO 203 UNC 03-26-02 118.00 118.00 PIEDRAS,ARTURO N 665205 10111 PIFER,SHERI RENEE 54 ACC 07-10-00 56.18 56.18 PIFER,SHERI R 782630 10101 PIMENTEL,MARIA 203 UNC 03-28-03 112.00 112.00 JUAREZ,CHRISTIAN 787467 10101 PIMENTEL,MARIA 203 UNC 05-29-03 1667.50 1667.50 688458 10111 PINA,JOSEMANUEL 54 ACC 01-17-01 546.62 546.62 PINA,ORLANDO M 620281 10111 PINA,VERONICA 54 ACC 09-10-99 1311.2E 1311.25 640503 10111 PINA,VERONICA 54 ACC 03-17-00 246.40 246.40 708387 10111 PINEDA,WULFRANO 54 ACC 06-27-01 92.00 92.00 PINEDA,JUAQUIN C 687945 10121 PINGER,JOSIAH 54 ACC 01-17-01 972.00 972.00 DE RIDDER,KIMBERLY A 796167 10101 PINION,NANCY JO 203 UNC 10-06-03 337.52 337.52 735523 10111 PINTO,ALBERT0 201 ACC 01-25-02 1088.90 1088.90 PINTO,LETICIA 73BO97 10111 PIPKIN,LATASHA 54 ACC 02-27-02 85.00 85.00 PIPKIN,ASIA 687679 10111 PIZARRO,MAYTE 54 ACC 01-17-01 929.77 929.77 812189 10101 POLLARD,KENNETH WAYNE 203 L`NC 03-12-04 1050.70 1050.70 665339 10111 PONCE,ALBINO 54 ACC 07-10-00 1377.91 1377.91 PONCE,ALVINO 665527 10111 PONCE,MARIA 54 ACC 07-10-00 267.20 267.20 PONCE,ELIZABETH 706956 10111 PCRTILLO,JUANA 201 ACC 06-20-01 940.10 940.10 731860 10101 PCSADAS,GAMARIEL 93B UNC 01-04-02 98.00 98.00 POSADAS,GAMARIEL S 815043 10101 POSADAS,GAMARIEL 203 UNC 04-13-04 285.85 285.85 POSADAS,GAMARIEL S 680533 i0111 POWELL,RUTHIE 54 ACC 11-08-00 80.00 80.00 787109 10101 PRESCOTT,FONTONELLE MILLIS 203 UNC 05-23-03 1468.50 1468.50 796342 10201 PRESCOTT,FONTONELLE MILLIS 203 UNC 20-06-03 362.00 362.00 797368 10101 PRESCOTT,FONTONELLE MILLIS 203 UNC 10-29-03 85.00 85.00 708501 10111 PRESLEY JACKSON,PATRICK 54 ACC 06-27-01 298.08 298.08 PRESLEY JACKSON,MARIE 740991 10101 PRINCE,DAVID M 203 UNC 03-26-02 3259.33 3259.33 796906 10101 PUCCINELLI,CAROL A 203 UNC 10-29-03 1862.40 1862.40 811066 10101 PUTAI,PAUL 203 UNC 02-27-04 979.08 979.08 PUTAI,PAUL R 683012 10111 PURDY,RHONDA 54 ACC 12-26-00 99.00 99.00 PURDY,RHONDA L 683533 10111 QUESADA,LILIANA 54 ACC 12-28-00 545.91 545,91 756423 10i11 QUEZADA,ADRIAN 201 ACC 06-24-02 170.93 20.00 10-21-02 150.93 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 38 DEBTOR........ CLIENT#..'. .. NAME.- .. . . . . . . . . . . . . . . . . .. . . DSK ST CD DT-ASSIGN PN-ASSIGN. . ... . PRIN COL LST PAY, TOTAL BAL. . . . . 761224 10111 QUEZADA,ADRIAN 201 ACC 07-24-02 240.40 240.40 693842 10111 QUINTEROS,DULCE 54 ACC 02-27-01 411.00 411.00 742464 bill QUIRARTE,MARTIN A 54 ACC 03-26-02 361.40 361.40 699675 lolll QUIROZ,JAIME 54 ACC 04-25-01 410.54 410.54 741924 10111 RADILLA,JOSEFINA 54 ACC 03-26-02 685.80 685.80 RADILLA,DIANA 798331 10101 RAFAAT,AMIN 203 UNC 10-29-03 14596.58 14596.56 RAFAAT,AMIN N 7332".6 10101 RAFAEL,FELIPE 54 UNC 01-04-02 2538.20 2538.20 687746 lolll RAMIREZ,ALFREDO 201 ACC O1-17-01 212.50 212.50 668808 10111 RAMIREZ,BERTHA 54 ACC 08-09-00 586.74 588.74 685030 10111 RAMIREZ,BERTHA 54 ACC 01-16-01 499.00 499.00 RAMIREZ,JAIR A 674893 loill RAMIREZ,CARLOS 54 ACC 09-18-00 1155.50 1155.50 RAMIREZ,YESENIA Y 705571 16111 RAMIREZ,DELMY 54 ACC 06-12-01 413.50 413.50 692189 10iol RAMIREZ,EVERISTO 203 UNC 02-13-01 2112.13 2112.13 735140 10101 RAMIREZ,FABIOLA 203 UNC O1-25-02 85.00 85.00 768520 10101 RAMIREZ,FABIOLA 203 UNC 10-04-02 67.00 67.00 750103 10111 RAMIREZ,FLOR 201 ACC 06-10-02 98.00 98.00 678188 16101 RAMIREZ,HENRY 54 UNC 10-12-00 2626.41 2626.41 RAMIREZ,NORMA C 685072 10111 RAMIREZ,JORGE 54 ACC 01-16-01 805.02 805.02 677968 10111 RAMIREZ,LUIS 54 ACC 10-12-00 515.50 515.50 742292 10101 RAMIREZ,MARCO ANTONIO 203 UNC 03-26-02 269.00 269.00 688531 10111 RAMIREZ,MARIA 54 ACC 01-17-01 1200.00 1200.00 691621 10111 RAMIREZ,MARIA 54 ACC 02-07-01 868.10 60.00 09-26-02 808.10 705938 10111 RAMIREZ,MARIA 54 ACC 06-14-01 565.78 565.78 711640 10111 RAMIREZ,MARIA 54 ACC 08-30-01 225.10 225.10 RAMIREZ,MARIA L 732935 1011" RAMIREZ,PROFIRIO 54 RCC 01-04-02 226.00 226.00 695618 10111 RAMIREZ,ROBERTO 201 ACC 03-21-01 1161.60 1161.60 670231 10111 RAMIREZ,RUBEN 54 ACC 08-09-00 575.95 575.95 801685 10101 RAMIREZ,RUBERTO 203 UNC 10-30-03 1923.80 1923.80 678127 10111 RAMIRO,MUHELO 54 ACC 10-12-00 416.08 416.08 MUHELO,RAMIRO 797212 10101 RAMOS,SAIDA 203 UNC 10-29-03 992.78 992.78 797051 10101 RAMSEY,KAREN 203 DEC 10-29-03 611.31 611.31 735179 10111 RATHGEB,CRISTIAN 54 ACC 01-25-02 267.50 267.50 767153 10101 RATHGEB,CRISTIAN 54 UNC 08-29-02 471.89 471.59 743512 10111 RAYGOZA,LINO 54 ACC 04-12-02 12047.29 100.00 05-23-02 11947.29 708575 10111 REA,ANNAMAREE 54 ACC 06-27-01 308.36 308.36 REA,RYAN C 697017 10111 REARDCN,LESLIE 54 ACC 03-21-01 346.69 346.89 REARDON,KATHERINE A 782992 10101 REBELL•O,STEVEN 203 UNC 04-11-03 286.00 286,00 782914 10101 REICHARDT,THACIANA 203 UNC 04-07-03 457.00 457.00 744030 10101 REID,ROBERT 203 UNC 04-12-02 2726.74 2726.74 588947 10101 REISBECK,JOHNATHAN EDWARD 54 UNC 03-11-99 751.88 751.88 REISBECK,,7OHNATHAN E 767189 10111 RENDALL,VICTORIA 54 ACC 08-29-02 2197.50 2197.50 RENDALL,MELISSA A 703640 10111 RENDON,AMPARO 54 ACC 05-17-01 415.80 415.80 714607 10101 RENTERIA,ARTEMIO 203 UNC 09-13-01 315.50 315.50 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 39 DEBTOR. . . . . . .. CLIENT#. . . NAME. . . .. .. . . .. .. . . . .. ... .. .. . DSK ST CD DT ASSIGN PN-ASSIGN.. ... . PRIN COL LST PAY. TOTAL BAL. . ... 767090 10101 RENTERIA,ARTEMIO 203 UNC 08-29-02 2200.63 2200.63 688306 loill RENTERIA,JOSE 201 ACC 01-17-01 1271.15 1271.15 682829 10111 REYES,ANGELICA 201 ACC 12-26-00 976.30 976.30 740706 10101 REYES,DAYAMI 54 UNC 03-26-02 1929.90 350.00 07-08-03 1579.90 700992 10111 REYES,FEDERICO 54 ACC 04-26-01 236.60 236.60 REYES,FEDERICO A 811080 10,101 REYES,FRANCISCO 203 UNC 02-27-04 297.20 297.20 777068 10101 REYES,JOSE 54 UNC 01-23-03 863.40 863.40 743281 10111 REYES,MARIA V 201 ACC 04-12-02 727.00 727.00 695432 10111 REYES,NETZAHUALC 54 ACC 03-21-01 261.38 261.38 GUTIERREZ,MARIA A 666504 10111 REYES,OSCAR 54 ACC 07-17-00 262.20 50.00 08-14-00 212.20 743523 10111 REYES,RAMON 54 ACC 04-12-02 85.00 85.00 743334 101ii RHYES,WENDY 54 ACC 04-12-02 112.00 112.00 767120 10111 REYES,YADIRA 54 ACC 08-29-02 63.00 63.00 743888 10111 REYNOLDS,GAYLA 54 ACC 04-12-02 88.80 88,80 REYNOLDS,GAYLA A 758626 10101 REYNOSO,MACDALENA 203 UNC 06-26-02 1308.50 120.00 01-07-03 1188.50 793222 10101 RHINEHART,JASON 203 UNC 08-28-03 246.30 246.30 RHINEHART,JASON D 720714 10101 RHODES,ISAIAH 203 UNC 09-27-01 57.40 57.40 716294 10111 RICCIARDI,MATHEW 54 ACC 09-14-01 4173.04 4173.04 RICCIARDI,SANDRA M 816626 10101 RICE,AARON K 203 UNC 04-27-04 513.62 513.62 817917 10101 RICE,AARON K 203 UNC 05-25-04 55.20 55.20 725059 loill RICHARD,KENNETH 54 ACC 10-31-01 33.80 33.80 789679 10101 RICHARDSON,TERESA 203 UNC 07-10-03 155.21 155.21 606082 10101 RIDGE,ROBERT 54 UNC 06-11-99 4552.59 4552.59 RIDGE,DEBRA L 744533 10ii1 RILEY,JAMES 54 ACC 04-12-02 71.72 71.72 RILEY,JAMES P 799290 10101 RILEY,JOSEPH P 203 UNC 10-30-03 1564.46 1564.46 738247 10111 RIOS,LEOBARDO 54 ACC 02-27-02 78.50 78.50 691421 10111 RIVERA,ARTFUR 54 RCC 02-07-01 260.00 260.00 RIVERA,PATRICK P 744145 10111 RIVERA,ENRIQUE 54 ACC 04-12-02 145.00 145.00 732302 10101 RIVERA,ESPERANZA 203 UNC 01-04-02 79.00 79.00 758815 10101 RIVERA,ESPERANZA 203 UNC 06-26-02 98.00 98.00 775120 10101 RIVERA,ESPERANZA 203 UNC 01-07-03 138.00 138.00 776132 10101 RIVERA,ESPERANZA 203 UNC 01-10-03 944.00 944.00 787279 10101 RIVERA,ESPERANZA 203 UNC 05-29-03 112.00 112.00 772634 10101 RIZZUTO,MICHAEL FRANCIS 203 UNC 11-26-02 2036.57 2036.57 815567 10101 RIZZUTO,MIKE 203 UNC 04-20-04 110.00 110.00 RIZZUTO,MIKE F 684995 10111 ROBERSON,FREDERICK JAMAR 201 ACC 01-15-01 414.76 414.76 801821 10101 ROBERSON,KEYSHA 203 UNC 10-30-03 1527.50 1527.50 ROBERSON,KEYSHA Y 791917 10101 ROBERTS,BRENDAN P 203 UNC 08-07-03 295.00 295.00 796270 10101 ROBERTSON,GEORGIA 203 UNC 10-06-03 207.00 207.00 DONNELLY,SAMANTHA 802473 10101 ROBERTSON,LARRY 203 UNC 11-13-03 193.00 193.00 ROBERTSON,LARRY D 790848 i0loi ROBINSON,NORMA 203 UNC 07-29-03 692.98 692.98 ROBINSON,NORMJI L HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 40 DEBTOR... . . .. . CLIENT4. . . NAME. . .. .. . .. . . . . .. . .. . . .. . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. .. . .. PRIN COL LST PAY. TOTAL HAL. .. .. 817074 10101 ROBINSON,NORMA 203 UNC 05-10-04 563.20 563.20 ROB INSON,NORMA L 518019 10101 ROBINSON,SINDI 203 UNC 05-25-04 490.15 06-09-04 490.15 817260 10101 ROSINSON,STEVEN ANTHONY 203 UNC 05-10-04 3837.43 3837.43 717113 10101 ROBLES,FELIPE 201 UNC 09-14-01 1187.82 1187.82 706081 10101 ROCHA,JULIE 203 UNC 06-14-01 253.00 253.00 7'78267 10101 RODGERS,RONALD 203 UNC 01-30-03 50.50 50.50 683703 10111 RODRIGUEZ,ALEJANDRO 54 ACC 12-28-00 339.00 339.00 801017 10101 RODRIGUEZ,ANJELICA MARIA 203 BAN 10-30-03 296.00 296.00 761599 10101 RODRIGUEZ,ARELI 203 UNC 07-24-02 917.00 50.00 03-27-03 867.00 7659B5 10101 RODRIGUEZ,ARELI 203 UNC 08-21-02 491.00 50.00 02-28-03 441.00 745819 10111 RODRIGUEZ,CHRISTIE 54 ACC 04-30-02 249.60 249.60 746237 10111 RODRIGUEZ,DANIEL 54 ACC 04-30-02 61.00 61.00 RODRIGUEZ,DANIEL A 717179 10101 RODRIGUEZ,EDUARDO 54 UNC 09-14-01 679.81 679.81 772811 10101 RODRIGUEZ,GILBERTO 54 UNC 11-26-02 778.95 20.00 07-08-03 758.95 745915 10111 RODRIGUEZ,GUADALUPE 201 ACC 04-30-02 7703.25 7703.25 676806 10111 RODRIGUEZ,IRENE 54 ACC 09-27-00 959.30 959.30 768839 10111 RODRIGUEZ,IRNLA 54 ACC 10-07-02 136.42 136.42 RODRIGUEZ,JESUS 781447 10101 RODRIGUEZ,JOSE 54 UNC 03-14-03 7415.73 7415.73 700309 10111 RODRIGUEZ,JUAN 54 ACC 04-25-01 341.02 341.02 691224 10111 RODRIGUEZ,LAURA 201 ACC 02-07-01 266.50 266.50 665195 10111 RODRIGUEZ,MARIA 201 ACC 07-10-00 389.30 389.30 685902 10111 RODRIGUEZ,MARIA 54 ACC 01-16-01 550.50 550.50 RODRIGUEZ,RICARDO A 686099 10111 RODRIGUEZ,MARIA L 201 ACC 01-16-01 1222.50 1222.50 6732B3 10111 RODRIGUEZ,PEDRO 201 ACC 09-08-00 210.50 210.50 RODRIGUEZ-SANCHEZ,MIGUEL 746122 10111 RODRIGUEZ,RICARDO 54 ACC 04-30-02 67.00 67.00 702666 10111 RODRIGUEZ,RICHARD 54 RCC 05-10-01 72.93 72.93 746130 10111 RODRIGUEZ,VALENTIN 201 ACC 04-30-02 400.50 400.50 744510 10101 RODRIGUEZ,XOC.HITL G 54 UNC 04-12-02 331.00 331.00 745984 10111 ROJAS,MARILENA 201 ACC 04-30-02 77.40 77.40 697577 10111 ROJAS,REBECCA 203 UNC 03-28-01 468.50 468.50 713711 10101 ROJAS,RE13ECCA 203 UNC 09-13-01 212.80 212.80 726544 10111 ROJO,CABRIELA 54 ACC 11-08-01 1785.50 1785.50 686286 10111 ROM.AN,LUCIA 54 ACC 01-16-01 428.50 428.50 723753 10111 ROMAN,NOELLE 54 ACC 10-15-01 9B.00 98.00 ROMAN,NOELLE Y 686471 10111 ROMAN,ROSARIO 201 ACC 01-16-01 1046.39 1046.39 806766 10101 ROMAN,ROSENDO 203 UNC 01-14-04 430.8B 430.88 695643 10111 ROMERO,FRANCISCO 54 ACC 03-21-01 604.49 604.49 784668 10101 ROMERO,GLENDA 54 UNC 04-29-03 320.00 160.00 12-15-03 160.00 761254 10101 ROMERO,GRISELDA 54 UNC 07-24-02 1706.00 110.00 05-14-03 1596.00 684412 10111 ROMERO,GUADALUPE 54 ACC 01-16-01 510.92 510.92 717686 10101 ROMERO,IGNACIO 203 UNC 09-14-01 1282.70 1282.70 756410 10101 ROMERO,IGNACIO 203 UNC 06-24-02 263.00 263.00 726282 l0ill ROMERO,JULIO 54 ACC 11-08-01 20BB_02 2088.02 814008 10101 ROMERO,KRISTINE G 203 UNC 03-30-04 585.00 585.00 697480 10111 ROMERO,LUIS 54 ACC 03-28-01 986.93 986.93 ROMERO,NURIA 690923 10111 ROMERO,MARVIN S 6 RCC 02-07-01 85.00 B5.00 765902 10111 ROMO,MANUEL 201 ACC 08-21-02 922.85 922.65 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PACE: 41 DEBTOR. . ... . . . CLIENT#. .. NAME. . . . .. ... . . ... ... .. ..... .. DSK ST CD DT ASSIGN PN-ASSIGN.. .. . . PRIN COL LST PAY. TOTAL BAL.. .. . VILLALBA,GUADALUPE M 743757 10111 ROSALES,DOLORES 54 ACC 04-12-02 297.00 297.00 NUNEZ,ARMANDO 673298 10111 ROSALES,ESMERALDA 54 ACC 09-08-00 452.30 452.30 697597 10111 ROSALES,MARIA 54 ACC 03-28-01 537.00 537.00 ROSALES,ISRAEL P 700502 i0ill ROSALES,MARIO 54 ACC 04-25-01 1433.18 1433.18 ROSALES,BELEN M 699796 lolll ROSALES,ROCIO 54 ACC C4-25-01 495.00 495.00 AUSTIN,ARMANDO A 807732 10101 ROSS,ROBERT 203 UNC 01-26-04 180.00 180.00 ROSS,ROBERT H 744683 10111 ROTOLO,CATHERINE 54 ACC 04-12-02 61.10 61.10 ROTOLO,CATHERINE E 787946 10101 ROUNTREE,JAY 203 UNC 06-06-03 97.00 97.00 ROUNTREE,JAY J 746490 10101 RUANO,MONICA 54 UNC 04-30-02 1664.00 1664.00 801622 10101 RUDY,BARBARA 203 UNC 10-30-03 168.93 168.93 RUDY,BARBARA R 693053 loili RUELAS,YESENIA 54 ACC 02-22-01 5361.41 93.64 5267.77 800254 lolol RUGGIRELLO,HEATHER 203 UNC 10-30-03 2152.41 2152.41 693663 10101 RUIZ,ALEJANDRA 203 UNC 02-27-01 98.00 98.00 JIMENEZ,MAYRA 781797 10101 RUIZ,CARMEN 203 UNC 03-20-03 557.00 557.00 HERNANDEZ,EMILIO 746449 10111 RUIZ,EVA 54 AGC 04-30-02 240.40 130.00 10-01-02 110.40 686399 bili RUIZ,GUADALUPE 54 ACC 01-16-01 92.00 92.00 RUIZ,ISAAC A 801010 10101 RUIZ,JORGE 54 UNC 10-30-03 145.35 145.35 748258 10101 RUIZ,MARGARITA 203 UNC 05-16-02 368.93 368.93 776146 10101 RUIZ,MARGARITA 203 UNC 01-10-03 85.00 85.00 TRUJILLO,JOSE Y 631583 10101 RUIZ,MARIO 54 UNC 01-04-00 2481.66 50.00 05-15-03 2431.66 RUIZ,MARTINA 746409 10101 RUIZ,RUBEN 201 UNC 04-30-02 241.60 88.00 04-04-03 153.60 702609 i0ill RUVALCAVA,YURITZI 201 ACC 05-10-01 502.41 502.41 757858 10111 SAADZOI,HOMA 54 ACC 06-24-02 145.00 145.00 761305 10111 SAELEE,FARM 201 ACC 07-24-02 97.50 97.50 689196 10111 SAETERN,LAIIAN 201 ACC 01-17-01 150.00 150.00 695393 10111 SAEYANG,MUEYCHIO 54 ACC 03-21-01 77.00 77.00 703701 10111 SALAS,ENRIQUE 54 ACC 05-17-01 431.50 431.50 683692 10"11 SALAS,MARTIN 54 ACC 12-28-00 185.03 185.03 691607 10111 SALAZAR,2ERTHA 54 ACC 02-07-01 873.80 873.80 691260 10111 SALAZAR,DANIEL 54 ACC 02-07-01 753.50 753.50 722649 10111 SALAZAR,PEDRO 54 ACC 10-15-01 7537.68 7537.68 803584 10101 SALAZAR,RAFAEL 203 UNC 12-04-03 527.00 527.00 685814 10111 SALAZAR,YOLANDA 54 ACC 01-16-01 755.11 755.11 815492 10iol SALIDO,DAWN 203 DEC 04-20-04 984.00 984.00 653465 l0ill SALINAS,CARLOS 54 ACC 05-11-00 1193.34 1193.34 815364 10101 SALINAS,CLEO 203 UNC 04-20-04 280.48 280.48 SALINAS,CLEO G 816551 10101 SANBORN,JOHN 203 UNC 04-27-04 139.00 139.00 SANBORN,JOHN J 683416 10ill SANCHEZ,AMELIA 201 ACC 12-28-00 432.00 432.00 H ALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 42 DEBTOR. . .. .. .. CLIENT#. . . NAME. . . . . . .. . . .. . . . . . . . . . . . .. . DSK ST CD DT-ASSIGN PN-ASSIGN. ..... PRIN COL LST PAY. TOTAL BAL. . . . . 728403 10101 SANCHEZ,BENIGNO 203 UNC 11-20-01 286.60 286.60 717908 10111 SANCHEZ,FRANCISCO 201 ACC 09-14-01 14885.84 14885.84 753012 10111 SANCHEZ,FRANCISCO L 201 ACC 06-10-02 165.08 165.08 753385 10111 SANCHEZ,HECTOR 54 ACC 06-10-02 139.00 139.00 668835 10111 SANCHEZ,ISSAC 54 ACC 08-09-00 412.27 4'2.27 699539 10111 SANCHEZ,JOSE L 201 ACC 04-25-01 85.00 85.00 761368 10101 SANCHEZ,JOVITA 203 UNC 07-24-02 1240.55 1240.55 699858 1C111 SANCHEZ,JUAN 54 ACC 04-25-01 378.50 378.50 SANCHEZ,SANDRA E 778054 '0101 SANCHEZ,JUA_NA 203 UNC 01-29-03 556.50 130.00 09-02-03 426.50 752081 i01G1 SANCHEZ,LETICIA 54 UNC 06-10-02 25297.09 25297.09 753366 l0ill SANCHF.Z,LILIANA 54 ACC 06-10-02 67.00 67.00 687316 10111 SANCHEZ,LOURDES 54 ACC 01-17-01 656.00 656.00 SANCHEZ,GABRIELA 731959 10101 SANCHEZ,MARTIN JOSEPH 203 UNC 01-04-02 145.00 145.00 668065 10101 SANCHEZ,MICHAEL 54 UNC 01-17-01 2328.27 2328.27 748088 10111 SANCHEZ,PETER 54 ACC 05-16-02 99.50 99.50 738756 10111 SANCHEZ,TERESA 54 ACC 02-27-02 178.50 178.50 682578 10111 SANCHEZ,TOMAS 54 ACC 12-15-00 660.50 660.50 SANCHEZ,JOSEFINA I 756252 10111 SANCHF.Z,WALTER 54 ACC 06-24-02 79.00 79.00 707594 10111 SANDOVAL,CRISTINA 54 ACC 06-27-01 357.00 357.00 765800 10101 SANDOVAL,FELIPE 54 UNC 08-21-02 359.00 359.00 SANDOVAL,FELIPE R 761453 10101 SANDOVAL,GABRIELA 203 UNC 07-24-02 1024.00 1-024.00 781664 10101 SANDOVAL,GABRIELA 203 UNC 03-20-03 354.36 354.36 755654 i0101 SANDOVAL,GERARDO 203 UNC 06-24-02 145.00 145.00 670560 1G111 SANDOVAL,MARIA 54 ACC 08-09-00 4283.34 4283.34 702252 1017.1 SANDOVAL,MONICA 54 ACC 05-10-01 281.00 281.00 SANDOVAL,CIANA S 685247 1G111 SANDOVAL,SARA 54 ACC 01-16-01 276.00 276.00 715309 1.0111 SANTAMARIA,JOSE D 54 ACC 09-13-01 35443.95 35443.95 696999 10101 SANTANA,ALEJO 203 :INC 03-21-01 325.32 325.32 696588 10111 SANTANA,ANNA 201 ACC 03-21-01 371.00 371.00 SANTANA,JOSE L 731464 10111 SANTOS,ANABEL 54 ACC 12-28-01 104.00 50.00 08-13-02 54.00 SANTOS,ANABEL M 757458 10111 SANTOS,AURORA 54 ACC 06-24-02 98.00 98.00 705523 10111 SANTOS,FRANC7S 54 RCC 06-12-01 442.50 442.50 SANTOS,ALLYSON 695363 10111 SANTOS,JULIA 54 ACC 03-21-01 432.00 432.00 SANTOS,GERARDO 672435 10111 SANTOS,MARIE 54 ACC 09-OB-00 178.55 178.55 SANTOS,MARIE A 816258 10101 SAPIEL,FORREST 203 UNC 04-27-04 112.00 112.00 700021 10111 SARAWARY,SHAH 54 ACC 04-25-01 560.84 560.84 SARAWARY,KARIMA 813978 10201 SARGENT,FREDDIE D 203 UNC 03-30-04 79.00 79.00 702799 10111 SARWARY,FERDOUS 54 ACC 05-10-01 819.89 819.89 SARWARY,FERDOUS S 806727 10101 SATTLER,JENNIFER 203 UNC 01-14-04 3051.42 3051.42 SATTLER,JENNIFER A 797839 10101 SAUCEDO,JOSE L 203 UNC 10-29-03 8948.33 8949.33 665290 10'11 SAUCEDO,OMAR 54 ACC 07-10-00 678.40 678.40 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 43 DEBTOR... .. . .. . CLIENT#.. . NAME. . .. .. . ..... . . .. . . . . . . . . . . DSK ST CD DT-ASSIGN PN-ASSIGN. .. . . . PRIN COL LST PAY. TOTAL BAL. . ._ . 800177 10101 SAUCER,ANTWUAN 203 UNC 10-30-03 11893.99 11893.99 695940 10111 SAUDERS,MONICA 54 ACC 03-21-01 1034.80 1034.80 HOLLOWAY,IMANI 685751 10111 SAYEDI,MASOOD 54 ACC 01-16-01 113.00 113.00 SAYEDI,FARAH 808995 10101 SCAHILL,MIKE 203 UNC 01-28-04 686.00 686.00 702426 10111 SCARBROUGH,LATOYA 201 ACC 05-10-01 61.00 61.00 786789 10101 SCHELL,TIMOTHY L 203 UNC 05-16-03 49.32 49.32 692983 10111 SCHIATTINO,DIGNA 54 ACC 02-22-01 910.52 910.52 695225 10111 SCHILLING,LELA 54 ACC 03-21-01 357.50 357.50 SCHILLING,SHAWN JR W 805535 10101 SCHLAEGEL,RENEE 203 UNC 12-31-03 1023.72 1023.72 SCHLAEGEL,RENEE S 801232 10101 SEN,INDAR 203 UNC 10-30-03 549.20 549.20 624183 10101 SEPULVEDA,SOFIA 203 UNC 10-06-99 2644.32 2644.32 SEPULVEDA,CESAR 708072 10111 SEPULVEDA,SOFIA 203 UNC 06-27-01 601.00 601.00 755687 10101 SEPULVEDA,SOFIA 203 UNC 06-24-02 154.50 154.50 802754 10101 SERNA,TOM S 203 UNC 11-18-03 5.00 5.00 793929 10101 SERRANO,EPIFANIO 203 UNC 09-09-03 112.00 112.00 674823 10111 SERRANO,MIGUEL 54 ACC 09-18-00 476.50 476.50 SERRANO,ANGELICA S 816541 10101 SHEA,BRYAN 203 UNC 04-27-04 669.38 669.38 SHEA,BRYAN C 680318 10111 SHELTON,CLAUDIA 54 ACC 11-08-00 80.85 80.85 SHELTON,CLA-CDIA J 814420 10101 SHEPHERD,RICHARD 203 UNC 04-05-04 207.00 207.00 685734 10111 SHISHANI,AIMAN 54 ACC 01-16-01 195.85 195.85 669460 10111 SHIVERS,CORINNA 54 ACC 08-09-00 117.68 117.68 STSNSON,COREY J 799139 10101 SHRESTHA,HEMANTI KUMARI 203 UNC 10-30-03 10917.37 10917.37 B1B537 10101 SHURR,BETTY L 203 DEC 05-25-04 26563.98 26563.98 688863 10111 SIERRA,ALVARO P 54 ACC 01-17-01 960.00 960.00 685B02 10111 SIGMAN,MICHAEL 54 ACC 01-16-01 652.50 652.50 700136 10111 SILVA,EDUARD0 54 ACC 04-25-01 933.40 933.40 670246 10111 SILVA,FEDERICO 201 ACC 08-09-00 393.81 393.81 787989 10101 SILVA,FELIPE 203 UNC 06-06-03 6572.07 6572.07 SILVA,MARTHA 683422 10111 SILVA,LOURDES 54 ACC 12-28-00 545.50 545.50 802924 10101 SILVA,MARIA 201 UNC 11-18-03 295.00 295.00 687023 10111 SILVEY,JOHN 54 ACC 01-17-01 91.3.33 913.33 808842 1010, SIMON,JAMES T 203 UNC 01-28-04 55.60 55.60 805735 10101 SIMS,LESHICQUA 203 UNC 12-31-03 305.00 305.00 712890 10111 SINGH,BALWINDER 54 ACC 08-30-01 584.93 584.93 699143 10111 SINGH,HARDEEP 54 ACC 04-25-01 371.00 371.00 732851 10101 SINGH,SWINI)ER 54 UNC 01-04-02 3016.28 3016.26 695979 10111 SISK,RICHARD 54 ACC 03-21-01 98.00 98,00 SISK,RICHARD A 778282 10101 SIU,MARK 203 UNC 01-30-03 98.00 98,00 SIU,SIONE A 785622 10101 SKJERDAL,DAN 203 UNC 05-09-03 139.00 139.00 SKJERDAL,DAN L 567409 10101 SMALLS,JANET MARIE 203 UNC 09-21-98 295.90 295,90 MILLER,ROXANNE C HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 44 DEBTOR. . ... .. . CLIENT#- . . NAME. . . . . . . . . . .. .. . .. . . .. . ... . DSK ST CD DT-ASSIGN PN-ASSIGN.... . . PRIN COL LST PAY. TOTAL SAL. . . . . 717415 10101 SMIT_-I,DEMETRIUS 54 UNC 09-14-01 1203.41 1203.41 691419 10199 SMITH,DENEISF SUE 16 ACC 02-07-01 6978.58 6978.58 797834 10101 SMITH,EARL C 203 UNC 10-29-03 55984.79 55984.79 C/O SONYA SMITH 804530 10101 SMITH,JOEL 203 UNC 12-16-03 1790.00 1790.00 BRADFORDSMITH,ALICIA D 771442 10101 SMITH,NATASHA NICOLE 203 UNC I1-19-02 147.50 147.50 800856 10101 SMITH,NATASHA NICOLE 203 UNC 10-30-03 67.00 67.00 805210 10201 SMITH,RITA A 203 UNC 12-30-03 710.98 710.98 804703 10101 SNYDER,THJMAS E 203 UNC 12-16-03 2509.71 2509.71 707255 10101 SOLIS,DULCE 54 UNC 06-20-01 610.71 610.71 SOLIS,DULCE M 706691 10111 SOLIS,GUADALUPE 54 ACC 06-20-01 474.50 474.50 693508 10111 SOLTERO,ALBERTO 54 ACC 02-22-01 65.00 65.00 808398 10101 SOMMER,GERRI A 203 UNC 01-27-04 637.00 637.00 781467 10101 SCRIA,FABIOLA 203 UNC 03-14-03 207.00 207.00 ROBLES,VIRIDIANA G 748043 10101 SORIA,GILBERT 203 UNC 05-16-02 227.00 227.00 69,836 10111 SORIA,LINDA 201 ACC 02-07-01 260.51 260.51 608341 10i01 SORIANO,GLORIBEL 54 UNC 06-28-99 1180.50 500.00 10-01-02 680.50 685729 10111 SOSA,DANTE 54 ACC 01-16-01 161.00 161.00 SOSA,DANTE 801119 10101 SOSA,JOSE 203 UNC 10-30-03 1119.00 1119.00 699731 10111 SOSA,ZUL.MA G 201 ACC 04-25-01 352.22 352.22 748867 20101 SOTO,JAVIER 54 UNC 05-16-02 958.61 958.61 SOTO,GUADALUPE 754444 10101 SOTO,JAVIER 54 UNC 06-10-02 174.00 174.00 782507 10101 SPOON,GUY N 203 UNC 03-28-03 438.00 438.00 717437 10101 SPOSITO,APRIL MARIE 203 UNC 09-14-01 97.00 97.00 SPOSITO,APRIL M 800620 10101 STEENMAN,RICHARD 203 UNC 10-30-03 145.00 145.00 667600 10111 STEPEK,DEBORAH 54 ACC 07-24-00 112.33 53.00 10-11-00 59.33 EASTER,DEBORAH 816288 10101 STEWARD,ROCKY 203 UNC 04-27-04 501.80 501.80 672214 10111 STEWART,NORDIA 54 ACC 09-08-00 388.24 388.24 STEWART,NORDIA N 794972 10112 STOFFEL,ARTHUR P 203 DEC 09-18-03 9305.81 9305.81 699534 10111 STRIPLIN,DARREN 54 ACC 04-25-01 353.30 353.30 687345 10101 STRODA,MICHAEL 203 UNC 01-17-01 3180.15 3180.15 814623 10101 STROUD,DANIEL 203 UNC 04-13-04 796.85 796.85 STROUD,DANIEL B 817934 10101 STROUD,DEBORAH 203 UNC 05-25-04 236.40 236.40 STROUD,DEBORAH J 696745 10ill SUAREZ,ANTONIO 54 ACC 03-21-Oi 464.63 464.63 SUAREZ,DAVID 733330 10101 SUAREZ,CESAR 54 UNC 01-04-02 1652.50 700.00 03-25-03 952.50 744474 10111 SUAREZ,ERNESTO 54 ACC 04-12-02 14288.47 14288.47 SUAREZ,ANASEL 696S19 10111 SUAREZ,JULIETA 201 ACC 03-21-01 325.00 325.00 SUAREZ,JOSE G 799589 10101 SUMANDAL,CYNTF:IA A 203 UNC 10-30-03 2515.72 2S1S.72 814023 10101 SUNDERLIN,AVON E 203 UNC 03-30-04 13.25 13.25 808259 10101 SWANSON,DERON J 203 BAN 01-27-04 115.04 115.04 797949 10101 TAFENGATOTO,MELE F 54 UNC 10-29-03 476.50 476.50 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 20.04 PAGE: 45 DEBTOR. .... . . . CLIENT#. . . NAME.. . . . . . . . . ... .. . . . . . . ... .. DSK ST CD DT-ASSIGN PN-ASSIGN.. - ... PRIN COL LST PAY. TOTAL BAL.. . .. 695305 10111 TAFU,HELENA 54 ACC 03-21-01 572.00 572.00 741529 101_.1 TALAMANTES,AMANDA 201 ACC 03-26-02 165.50 20.00 05-24-02 145-50 676537 10111 TAMAYO,JAVIER 54 ACC 09-27-00 1431.00 1431.00 755217 10111 TAMAYO,JCSE 54 ACC 06-24-02 98.00 98.00 TAMAYO,EM:LY S 702463 i0iii TANG,XIAO 54 ACC 05-10-01 397.90 397.90 TANG,XIAO Y 796358 10101 TANGITAU,SALOTE 203 UNC 10-06-03 1393.95 1393.95 691717 101-11 TANGUILEG,ROBERT 54 ACC 02-07-01 402.60 402.60 TANGUILEG,ALEX 757615 10111 TAPIA,HORACIO 201 ACC 06-24-02 145.00 145.00 733510 10111 TATAFU,EMELINE 54 ACC 01-04-02 695.59 50.00 04-12-02 645.59 571972 10101 TATM.AN,MALCOLM 203 UNC 10-27-98 379.08 379.08 TATMAN,MALCOLM V 683567 10111 TAYLOR,ABIGAIL 54 ACC 12-28-00 190.50 190.50 705490 10101 TELLEZ,MARIA P 201 UNC 06-12-01 372.13 372.13 702494 10101 TENORIO,SUSANA 203 UNC 05-10-01 78.00 78.00 683028 10111 TEODORO,VICTOR 54 ACC 12-26-00 85.00 85.00 TEODORC,VICTOR P 697465 10111 THOMAS,LANCE 54 ACC 03-28-01 1117.00 1117.00 THOMAS,LANCE M 808541 10101 THOMAS,NIDIA D 203 UNC 01-27-04 89.00 89.00 758307 10121 THOMASON,SHANNON 54 ACC 06-24-02 79.50 79.50 594985 10_.01 THOMPSCN,BRENDA 203 UNC 04-20-99 395.30 395.30 695461 10111 THOMPSON,TIFFANY 54 ACC 03-21-01 1327.00 1327.00 688124 10111 THULIN,KIRSTEN 201 ACC 01-17-01 16529.97 16529.97 810107 10101 THURNER,TAMI 203 UNC 02-I8-04 794.40 794.40 717383 10101 TIDWELL,SHANNON Y 203 UNC 09-14-01 254.50 254.50 724869 10101 TIERNEY,TIMOTHY EUGENE 203 UNC 10-31-01 286.83 286.83 668944 10111 TILLMAN,BRENDA 54 ACC 08-09-00 164.24 164.24 TILLMA_N. ,MAYA 805260 10101 TIMBERLAKE,JAKE 203 UNC 12-30-03 16.00 16.00 TIMBERLAKE,JAKE L 750032 10111 TINAJERO,JOSE 54 ACC 06-10-02 246.40 246.40 700044 10111 TINLEY,CHRISTINE MARIE 201 ACC 04-25-01 380.00 380.00 687219 loll-, TIRADO,FRANCISCO 54 ACC O1-17-01 138.32 138.32 818488 10101 TISCARENO,YOLANDA 203 UNC 05-25-04 36.40 36.40 769310 10101 TCBAR,14AIMUNDA 54 UNC 10-07-02 1893.90 1893,90 682842 10111 TODD,DAVID 54 ACC 12-26-00 291.65 291.65 TODD,AMY 669343 10111 TOLEDO,JOSE 54 ACC 08-09-00 216.74 185.00 04-16-02 31.74 TOLEDO,JOSE L 704241 10111 TOOSHINA,VALENTINA 54 ACC 05-22-01 466.00 466.00 797063 10101 TORRES,ARACELI 203 UNC 10-29-03 305.00 305.00 711102 10111 TORRES,CARLOS J 201 ACC 08-30-01 254.00 254.00 685887 10111 TORRES,CARMEN 54 ACC Oi-16-01 323.10 323.10 RODRIGUEZ,ISSAC 693387 101;1 TORRES,JUANA 54 ACC 02-22-01 595.32 595.32 778132 10101 TORRES,MANL'ELA 203 UNC 01-30-03 357.00 357.00 802471 10101 TORRES,MANUELA 203 UNC 11-13-03 116.00 116.00 801266 10101 TORRES,NELSON 203 UNC 10-30-03 572.28 572.28 799292 10101 TORRES,ROMUAL•DO 203 DEC 10-30-03 1242.00 1242.00 683594 10111 TORRES,SAUL 54 ACC 12-28-00 459.69 459.69 690787 10iii TORREZ,SYLVIA 54 ACC 02-07-01 374.50 374.50 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 46 DEBTOR.. . . .. . . CLIENT#_ NAME. . . . .. . . . . .... . . . .. . . . . .. . DSK ST CD DT-ASSIGN PN-ASSIGN... . . . PRIN COL LST PAY. TOTAL DAL... . . CRUZ,ADRIAN 690853 10111 TOSHEVA,MARGARITA 54 ACC 02-07-01 1405.00 1405.00 TASHEVA,MARGARITA 806620 10101 TOWERS,AL 203 UNC O1-14-04 157.38 157.38 733273 10101 TRAIL,JOSEPH 203 UNC 01-04-02 208.00 208.00 TRAIL,JOSEPH D 796201 10101 TRAMIEL,KENDRAA 203 UNC 10-06-03 317.50 317.50 WILLIAMS,NIGERIA M 753157 10111 TREJO,SANTIAGO 54 ACC 06-10-02 238.00 238.00 668996 10111 TRINDLE,MARY LYNN 54 ACC 08-09-00 117.50 117.50 METTER,TIFFANY L 679160 10111 TRUJILLO,SANDRA 54 ACC 10-20-00 163.00 163.00 683191 10111 TUAKALAU,MELEONI 54 RCC 12-26-00 378.76 378.76 571712 10111 TUCKER,ROBERT C 201 ACC 10-27-98 623.90 623.90 746875 10111 TUER,JAMES 54 ACC 04-30-02 98.00 98.00 705601 10121 TULLOS,ANGELA 54 ACC 06-12-01 273.00 273.00 TULLOS,LEILA ANN M 811004 10101 TURNER,ELIZADETH 203 UNC 02-27-04 204.91 204.91 TURNER,ELIZABETH R 797673 10101 TURNER,MARKEAUS 203 UNC 10-29-03 813.08 813.08 TURNER,MARKEAUS 0 806735 10101 TURNER,MARKEAUS 203 UNC O1-14-04 430.92 430.92 TURNER,MARKEAUS 0 601518 10199 TURNER,MARKEAUS OMARI 203 UNC 05-24-99 110.00 110.00 806538 10101 TURNER,ROBERT 203 UNC 01-14-04 214.15 214.15 TURNER,ROBERT L 744088 10101 TUUNGAFASI,UATESONI 203 UNC 04-12-02 522.10 521.10 781081 10101 URIOSTEGUI,MARIA 54 UNC 03-06-03 12899.42 12899.42 URIOSTEGUI,MARIA D 734957 10101 URTUSUASTEGUI,ROSA 54 UNC 01-25-02 2190.00 2190.00 URTUSUASTEGUI,ROSA G 778151 10101 USI,EMILIA 203 UNC 01-30-03 1432.02 1432.02 687834 10111 VALASGUEZ,MARIA 54 ACC 01-17-01 444.50 444.50 801393 10101 VALDEZ,ANA 203 UNC 10-30-03 434.00 434.00 675058 10101 VALDIVIA,JOSE A 54 UNC 09-18-00 31,84.19 950.00 09-18-03 2234.19 772391 10101 VALDIVIA,JOSE A 54 UNC 11-25-02 324.07 100.00 01-30-03 224.07 708210 10111 VALENCIA,CONCEPCION 54 ACC 06-27-01 241.00 241.D0 VALENCIA,CONCEPCION G 798146 10101 VALENCIA,GREG J 203 UNC 10-29-03 5150.58 5150.58 699282 10101 VALENCIA,MINERVA 54 UNC 04-25-01 517.00 517.00 AVILA,JUAN 684954 10111 VALENCIA,SERGIO 54 ACC 01-16-01 1339.02 1339.02 VALENCIA,MANUEL B 615086 10101 VALENCIA,SILVIA SERAFIN 203 UNC 08-11-99 655.22 655.22 768687 10101 VALENZJELA,FRANCISCO 203 UNC 10-07-02 67.00 67.00 VALENZJELA,RAMON C 768767 10101 VALENZUELA,FRANCISCO 203 UNC 10-07-02 738.00 738.00 VALENZUELA,RAMON C 738341 10101 VALIENTE,MARLENY 203 UNC 02-27-02 364.50 364.50 VALIENTE,DANNY 800800 10101 VALINE,KEITH 203 UNC 10-30-03 1961.03 1961.03 686125 10111 VALLADARES,MARIA 54 ACC O1-16-01 757.00 757.00 VALLADARES,MARIA R 744329 10101 VALLADARES,MARTHA 203 UNC 04-12-02 1102.41 1102.41 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 47 DEBTOR. ... . . . . CLIENT#_ NAME. ... .. . .... ... ... .. .. .. .. . DSK ST CD DT-ASSIGN PN-ASSIGN... . . PRIN COL LST PAY, TOTAL BAL. ._. _ VALLADARES,MARTHA A 699601 10111 VALLE,HUGO 54 ACC 04-25-01 317.50 317.50 693720 16111 VALLEJO,MARBELLA 54 ACC 02-27-01 709.00 709.00 AGUILAR,ERIKA 682953 10111 VALLES,GUILLERMO 54 ACC 12-26-00 1256.50 1256.50 VALLES,GUILLERMO E 670669 10111 VALLES,MARIA 54 ACC 08-09-00 1194.29 1194.29 761550 lolll VALLES,RICARDO 54 ACC 07-24-02 98.00 98.00 738816 10111 VANZZINI,GUADALUPE 54 ACC 02-27-02 1143.84 1143.84 766179 10111 VANZZIZI,GUADALUPE 54 ACC 08-21-02 85.00 85.00 699934 10111 VARELA,,MARTA 201 ACC 04-25-01 281.00 281.00 688272 10111 VARGAS,ALFREDO 54 ACC 01-17-01 340.00 340.00 VARGAS,GLORIA 699920 lolll VARGAS,ANGELICA 201 ACC 04-25-01 742.20 742.20 782546 10101 VARGAS,GUADALUPE M 54 UNC 03-28-03 1107.90 100.00 08-04-03 1007.90 743676 10111 VARGAS,JESUS SR. 54 ACC 04-12-02 1026.37 2026,37 VARGAS,JESUS 683584 10111 VARGAS,LORENA 54 ACC 12-28-00 888.49 888.49 739133 10101 VARGAS,RAMON 203 UNC 02-27-02 422.68 422.68 684917 lol=l VARGAS,SALVADOR 201 ACC 01-16-01 11,84.00 1184.00 7951=5 10101 VARGAS,SERGIO 203 UNC 09-18-03 356.35 356.35 691537 10101 VARGAS,SISMAI S 24B ACC 02-07-01 736.40 736.40 695950 l0ill VARGAS,SOCORRO 201 ACC 03-21-01 572.50 572.50 805119 10101 VASCEZ,JAVIER 203 UNC 12-30-03 658.00 658.00 571781 10101 VASCONCELLES,JOHN W 203 UNC 10-27-98 1330.69 1330.69 718131 10101 VASQUEZ,ALFREDO 203 UNC 09-14-01 2216.22 2216.22 771766 10101 VASQUEZ,ALFREDO 203 UNC 11-21-02 2517.52 2517.52 669260 iolll VASQUEZ,CARMEN 54 ACC 08-09-00 92.00 92.00 691672 10101 VASQUEZ,DAVID 203 UNC 02-07-01 665.50 665.50 641727 10101 VASQUEZ,FEDERICO 203 UNC 03-17-00 2098.10 2098.10 747029 10101 VASQUEZ,FEDERICO 203 UNC 04-30-02 299.00 299.00 691701 10111 VASQUEZ,FIDEL A 201 ACC 02-07-01 688.96 668.96 693325 10111 VASQUEZ,MARIA 201 ACC 02-22-01 451.00 451.00 724864 10101 VASQUEZ,MARIA 203 UNC 10-31-01 2358.68 2358.68 724966 10101 VASQUEZ,MARIA 203 UNC 10-31-01 133.60 133.60 VASQUEZ,DAVID 756926 10111 VASQUEZ,PATRICIA 54 ACC 06-24-02 112.00 112.00 SILVA,PATRICIA 703514 101111 VASQUEZ,SUSAN A 201 ACC 05-17-01 98.00 96.00 778257 10101 VAZQUEZ,ALFREDO 203 UNC 01-30-03 145.00 145.00 686048 10111 VAZQUEZ,MAIRA 54 ACC 01-16-Oi 975.38 975.38 813998 10101 VAZQUEZ,RUBY 203 UNC 03-30-04 20102.01 20102.01 797830 10101 VEAL,DARRELL 203 UNC 10-29-03 31.50 31.50 VEAL,DARRELL A 682944 10111 VEHEKITE,SINA 54 ACC 12-26-00 561.10 561.10 6+05832 10111 VELASCO,BLANCA L 54 ACC 06-11-99 862.00 862.00 768781 10101 VELASQUEZ,ALEJANDRO 203 UNC 10-07-02 653.90 653.90 768808 10101 VELASQUEZ,ALEJANDRO 203 UNC 10-07-02 122.60 122.60 789316 10101 VELASQUEZ,JUAN 203 UNC 06-26-03 1036.88 25.00 07-28-03 loil.88 686065 10111 VELASQUEZ,PATRICIA 54 ACC 01-16-01 221.72 221.72 695813 loill VELASQUEZ,RENE 201 ACC 03-21-01 1262.20 1262.20 VELASQUEZ,MONICA Y 669231 10111 VELAZQUEZ,RUFINA 54 ACC 08-09-00 680.00 680.00 674826 l0ill VENEGAS,RODOLFO 54 ACC 09-18-00 215.14 215.14 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 48 DEBTOR. . .. . .. . CLIENT#. . . NAME. . .. . . . .. . . . . . . . . .. . .. .. . . DSK ST CD DT-ASSIGN PN-ASSIGN. .. . . . PRIM COL LST PAY. TOTAL BAL.. . .. 688579 10111 VENEGAS,TIMOTEA 54 ACC 01-17-01 90.00 21.87 68.13 773601 10i01 VERA,C-OTBERTO 203 UNC 12-05-02 816.45 816.45 784820 10101 VERA,CUTBERTO 203 UNC 04-29-03 226.00 226.00 796240 10101 VERA,CUTBERTO A 203 UNC 10-06-03 697.49 697.49 699880 10111 VERDUSCO,JOEL 54 ACC 04-25-01 182.00 182.00 687387 10101 VERHOECK, jEFF 203 UNC 01-17-01 986.04 100.00 08-05-03 886.04 802426 10101 VICARS,BOBBY MAC 203 UNC 11-13-03 2006.31 2006.31 798938 10101 VIEL,MARY 203 UNC 10-30-03 70.35 70.35 VIEL,MARY .i 612073 10101 VIGIL,DEBRA 203 UNC 07-22-99 135.00 135.00 654855 10111 VIGIL,MARK 203 UNC 05-19-00 225.74 225.74 VIGIL,CHELSEA N 739438 10101 VILLA,MARTIN 203 UNC 02-27-02 400.50 400.50 VILLA,CONSUELO 582224 1011-01 VILLAFAN,CARMEN 203 UNC 01-20-99 204.20 03-05-04 204.20 720401 10101 VILLAFUERTE,MARIA D 54 UNC 09-27-01 866.00 866.00 803983 10101 VILLALOBOS,CLEMENTINA 203 UNC 12-06-03 543.92 543.92 759885 10101 VILLALOBOS,IVETTE 203 UNC 07-11-02 465.70 465.70 650419 loioi VILLALOBOS,SUSANA 54 UNC 04-28-00 597.34 597.34 VILLALOBOS,SUSANA G 799236 10101 VILLANUEVA,CECILIA 203 UNC 10-30-03 1685.05 1685.05 678990 10,111 VILLAREAL,JORGE 54 ACC 10-20-00 184.50 184.50 781094 10101 VILLASENOR,ADRIAN 203 UNC 03-06-03 328.50 328.50 702409 10111 VILLEGAS,ISABEL 54 RCC 05-10-01 1307.00 1307.00 696245 10311 VILLEGAS,MARILOU 54 ACC 03-21-01 241.00 241.00 MAYORQUIN,RACHEL 731314 50101 VIRRUETA,ELVIA 203 UNC 12-28-01 270.50 270.50 684398 10111 VOGL,JENNIFER 54 ACC 01-16-01 80.00 80.00 ROBINSON,SITYANNE 812172 10-01 WADE,IRINA A 203 UNC 03-12-04 1243.13 1243.13 819564 10101 WAGNER,SHERRY LOUISE 203 UNC 06-08-04 1841.94 1841.94 758101 10101 WAHEDY,MOHAMMED 54 UNC 06-24-02 447.00 447.00 WAHEDY,MOHAMMED A 617940 10101 WALDREP,JEFF 54 UNC 08-24-99 562.01 562.01 WALDREP,LAURA A 815547 10101 WALKER,DENNIS 203 UNC 04-20-04 20.10 20.10 WALKER,DENNIS E 799393 10101 WALKER,ROBERT S 203 UNC 10-30-03 3640.84 3640.84 818103 10101 WALKER,ROSERT S 203 UNC 05-25-04 514.00 514.00 761566 10101 WALLACE,RONNIE D 203 UNC 07-24-02 2057.78 2057.78 774972 10101 WAREN,SHANNON 203 UNC 01-06-03 415.50 415.50 WAREN,SHANNON L 683473 10111 WARREN,CHRISTIA 54 ACC 12-28-00 395.50 395.50 LACY,WALTER S 693844 10111 WASSMANN,THERESA 54 ACC 02-27-01 392.66 392.66 TELLEZ,CAITLYNN M 693659 10111 WATSON,LOUIS 54 ACC 02-27-01 482.70 462.70 814355 10101 WATTS,BRENDA J 203 UNC 04-05-04 719.53 719.53 685260 10151 WEAVER,DOROTHY 54 ACC 01-16-01 145.64 111.00 03-02-01 34.64 WEAVER,DOROTHY M 764167 10111 WEBB,TERESA 54 ACC 08-08-02 240.12 240.12 772066 10112 WEBER,GAYLE B 203 UNC 11-22-02 509.50 509.50 799489 10501 WEBER,GAYLE B 203 UNC 10-30-03 1382.26 1382.26 809850 10101 WEBER,GAYLE B 203 UNC 02-12-04 226.00 226.00 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 49 DEBTOR.. . . . . . . CLIENT#- NAME. . . . . . . . . . . . . . . .... .. .. . . . DSK ST CD DT-ASSIGN PN-ASSIGN... . . . PRIN COL LST PAY_ TOTAL SAL. .. . . 758763 10111 WEIR,BILL 54 ACC 06-26-02 145.00 145.00 801617 10101 WESTBY,JACK 203 UNC 10-30-03 154.42 154.42 745325 10111 WHITE,EARL 54 ACC 04-17-02 145.00 100,00 06-19-02 45.00 WHITE,EARL R 743671 lolil WIJESlNGHE,RUBY 54 ACC 04-12-02 98.00 98.00 760781 10101 WILLIAMS,BILLY REED 203 UNC 07-24-02 2126.00 2126.00 769577 10111 WILLIAMS,DAVID GREGORY 54 ACC 10-07-02 80.40 80.40 691626 i01'l WILLIAMS,EARNESTINE 54 ACC 02-07-01 124.00 60.00 08-21-03 64.00 712739 10101 WILLIAMS,JOEL 203 UNC 09-13-01 165.82 165.82 800645 10101 WILLIAMS,RAY 203 UNC 10-30-03 664.19 664.19 WILLIAMS,RAY D 704510 10111 WILLIAMS,SHAWN 54 ACC 05-22-01 699.87 699.87 WILLIXMS,SHAWN V 711201 10101 WILLIAMSON,JASON 93B UNC 08-30-01 98.00 98.00 810186 10102 WILSON,AMY 203 UNC 02-18-04 1618.89 i6i8.89 WILSON,SREANNA M 818325 10101 WILSON,ANDREW 203 UNC 05-25-04 144.00 144.00 672288 10111 WILSON,CHRISTOPHE C SR 54 ACC 09-08-00 172.00 172.00 785989 10101 WILSON,DIANE 203 UNC 05-09-03 911.65 911.65 807060 salol WILSON,KEITH 203 UNC 01-16-04 2434.49 2434.49 616207 10101 WILSON,ROBERT CHARLES 203 UNC 04-27-04 226.00 226.00 704174 110111 WILSON,TODD 54 ACC 05-22-01 52.43 52.43 WILSON,TODD K 743492 10111 WINDOM,NATASHA 54 ACC 04-12-02 85.00 85.00 762310 10111 WITTWER,JAMES 54 ACC 08-08-02 860.50 860.50 696,131 10111 WOJTAS,TERESA S4 ACC 03-21-01 1004.00 1004.00 797819 10101 WONDIMGEZAHU,KEBEBUSH 203 UNC 10-29-03 1276.40 1276.40 744048 20111 WOODS,SARAH 54 ACC 04-12-02 185.00 185.00 777025 10112 WOOLLEY,DAVID 203 DEC 01-23-03 1531.24 1531.24 WOOLLEY,DAVID A 779725 10101 WRIGHT,CANDACE NICHOLE 203 UNC 02-19-03 1335.10 1335.10 697490 10111 WRIGHT,CHRISTOPPE 54 ACC 03-28-01 99.87 99.87 WRIGHT,CHRISTOPHE L 685466 10111 WRIGHT,MATT 54 ACC 01-16-01 276.00 276.00 WRIGHT,LYSA L 708146 10111 WRIGHT,TONIA 54 ACC 06-27-01 243.54 243.54 WRIGHT,VINCENT B 807271 10101 WRIGHTWALKER,SHARON 203 UNC 01-21-04 3631.68 3631.68 673156 10199 YAMBAO,BENJAMIN RAMOS 15 ACC 09-08-00 557.31 557.31 YAMBAO, BENJAMIN 725103 loill YERENA,ROCIO 201 ACC 10-31-01 261.50 261.50 813169 10101 YOUNS,RODA 203 UNC 03-22-04 581.40 581.40 711625 10111 YUUSEFF,ANGEL 54 ACC 08-30-01 397.50 397.50 785747 10101 ZAJLER,HENRICK 203 UNC 05-09-03 184.00 184.00 701088 10101 ZAMBRANO,MARIA J 203 UNC 04-26-01 2118.00 2118.00 737832 10101 ZAMORA,JULIO JR. 203 UNC 02-27-02 543.00 543.00 688673 10111 ZAPATAESTRADA,LAURA 54 ACC 01-17-01 393.19 393.19 686184 10111 ZARAGOZA,GUADALUPE 201 ACC 01-16-01 340.50 340.50 738949 10111 ZARATA,ZET 54 ACC 02-27-02 482.50 482.50 707689 10111 ZARATE,ARMIDA 201 ACC 06-27-01 615.50 615.50 683558 10111 ZARATE,JORGE 201 ACC 12-28-00 260.71 260.71 779713 10101 ZARR,RICHARD 203 UNC 02-19-03 132.00 132.00 ZARR,RICHARD L 772368 10101 ZAYAGO,GREGORIO 201 UNC 11-25-02 1853.82 1853.82 HEALTH SERVICES WRITE-OFF REPORT DATE:06 Jul 2004 PAGE: 50 DEBTOR. . . .... . CLIENT4. . . NAME.... . . . . . . . . . . . . .... ... .. . DSK ST CD DT-ASSIGN PN-ASSIGN. . . ... PRIN COL LST PAY. TOTAL BAL.. . . . 737851 10101 ZAZUETA,JOSE L 203 UNC 02-27-02 1156.44 1056.44 10-03-02 100.00 799477 i0101 ZAZUETA,JUAN B 203 UNC 10-30-03 1761.65 1761.65 735166 10111 ZELETE,DESTA 54 ACC 01-25-02 153.12 153.12 798254 10101 ZERMENO,JUAN 203 UNC 10-29-03 1123.19 1123.19 691631 10111 ZUNIGA,JOSE M 201 ACC 02-07-01 1013.22 1013.22 730713 10201 ZUNIGA,ROBERTO FRAIRE 203 UNC 12-28-01 145.00 145.00 *** 2476404.23 33223.58 2443227.10