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Home My WebLink AboutMINUTES - 11142000 - C195 TO: BOARD OF SUPERVISORS Contra FROM: Phil Batchelor, County Administrator Costa By: Gary Brown, Director ' Office of Revenue Collection •r.V _ County !SATE: October 17, 2000 SUBJECT: Discharge from Accountability SPECIFIC REOUEST(S')'bR RECOMMENDATION(S)i BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION AUTHORIZE the discharge from accountability for certain Health Services accounts. REASONS FOR RECOMMENDATION The Office of Revenue Collection has attempted collection on these accounts and has assigned them to a third-party collection agency where appropriate. It is uneconomical to pursue further collection action on these accounts inasmuch as the debtors are deceased, bankrupted and/or have no assets, or the statutes of limitations has expired. Based on the inability of these patients to pay for the needed medical services they received, the Health Services Department should classify these accounts as "Charity Care" pursuant to its Hospital Charity Care Policy. Approval of the recommended action will allow accounts in the amount of $619,206.62 to be written off and purged from the files of active accounts on the collection computer system. 9001*1111WIiIS 901 ATTACHMENT: .L.YES SIONATURE: _L... ECqAMMINDATION OF COUNTY ADMINISTRATOR RECOMMRNDATION OF BOARD COMMITTEE } PPROVE OTHER SIQNAT RES: ACTION OF BOARD O APPROVEO AS ANCOMMENCID -$*ifiR VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE UNANIMOUS(ABSENT c y' 1�1 �'.+ AND CORRECT COPY OF AN ACTION TAKEN AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN. CC: Office of Revenue Collection, Gary Brown ATTESTEDLC-14-1 .r Auditor-Controller, .hack Cooper PHIL BATCHELOR,CLERK OF THE BOARD OF CAO Attn: Sara Hoffman SUPERVISORS AND COUNTY ADMINISTRATOR Health Services, Pat Godley BY M382 (10188) r �" � 'DEPUTY :SORT DEBTOR BY 1 BY 14 BY 2 BREAK-ON 1 2 10 23 14 TOTAL 15 TOTAL 16 13 TOTAL TOTAL-SAO. TOTAL CNT H€ADI (=, "U" HEALTH SERVICES URITE-OFF REPORT 'L' DATE.'DL' PAGE;'PL'° iP HEALTH SERVICES WRITE-OFF REPORT DATEs16 Oct 2000 PAGUE; I DEBTOR.,.. CLIENT#-. RARE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL...., CNT 15363 10193 MARTINEZ, JOSE 203 ACC 03-27-86 60.32 60.32 1 !MARTINEZ, CIPRIANA 17117 10199 MAJOR, VICKI 203 ACC 05-15-86 53.50 53.50 1 MAJOR, VICKI J 17386 10199 WASCOVICH,JAMES 203 ACC 05-15-86 430.44 430.44 1 YASCOVICH, JAMES R 19941 10199 MARTINEZ, JOSE 203 ACC 08-07-86 233.45 11-06-85 233.45 1 MARTINEZ, CIPRIANA 20355 10199 STRAND, MARK 203 ACC 08-07-86 304.07 02-08-85 304.07 1 STRAND, MARK S 21180 10199 MARTINEZ, JOSE 203 ACC 08-28-86 932.40 932.40 1 MARTINEZ, CIPRIANA 1801 10199 MARTINSOR,SHEILA 203 ACC 10-29-86 64.32 60.32 1 MARTINSON,SHEILA 23342 10199 MARTINEZ,JOSE 203 ACC 10-30-86 505.43 505.43 1 HARTINEZ,CIPRIANA 23348 10199 MARTINEI,JOSE 203 AGC 10-30-86 267.10 267.10 i MARTINEZ,JUANA 32580 10199 MARTINSON,SH€TLA 203 ACC 01-15-87 62.50 62.50 1 MARTINSUN,KYLE R 36234 10199 STRAITEN,ERNESTINE 203 ACC 02-05-87 46.00 46.00 1 STRAITEN,DARNELL L 39147 10199 STRAITEN,DARKELL 203 ACC 02-19-87 102.50 102.50 1 STRAITEN,DARNELL L 39122 10199 STRAND,MARK 203 ACC 03-26-87 79.50 79.50 1 39313 10199 HUSSEY,TIM 203 ACC 04-02-87 64.50 64,50 1 39316 10199 HUSSEY,TIM 203 ACC 04-02-87 64.50 64.50 1 39319 10199 HUSSEY,TIM 203 ACC 04-02-87 64.50 64.50 1 46332 10199 YRIGHT,IR€NE 203 ACC 04-02-87 112.62 04-01-87 112.62 1 47140 10199 HUSSEY,TIM 203 ACC 06-18-87 204.50 204.50 1 47141 10199 HUSSEY,TIM 203 ACC 06-€8-87 505,70 505.70 1 49383 10199 INGRAM,LAWRENCE 203 ACC 07-09-87 164.10 164.10 1 INGRAM,BARBARA J 62731 10199 HUSSEY,TIM E 2203 ACC 10-08-87 136.50 136.50 1 62732 10199 HUSSEY,TIN E 203 ACC 10-08-87 94.00 12-05-86 ?9.00 I 63961 14194 ADAMS,KIRK K 203 ACC 12-22-87 82.80 82.80 1 68664 10199 LARKIN,MICHAEL T 203 ACC 02-04-88 214.14 214.14 1 70763 10199 MACK,DAVID AND ANN 203 ACC 02-18-88 2250.00 1315.00 08-21-95 935.00 1 RACK,ANN 72103 10199 MAR#UOIT,DENISE 203 ACC 03-10-88 104.00 104.00 1 MAR#UOIT,DENISE 72104 10199 MAR@UOIT,DENISE 203 ACC 03-10-88 122.00 122.00 1 MAROUOIT,DENISE 73055 10189 MAROUDIT,DERISE 203 ACC 03-17-88 1€9.50 149.50 1 MAROU€1IT,DENISE 37017 10199 MARKIEL,ZBIGNIEW 203 ACC 06-23-88 974.40 03-22-88 974.40 i MARKIEL,ZBIGNIEV 88405 10199 HOOKS:DANA 203 ACC 07-14-88 177.94 177.94 1 HOOKS,DANA R 89106 10199 BROTHERS,ANTHONY 203 ACC 07-21-88 326.14 326.14 1 1.5 HEALTH SERVICES VRITE-OFF REPORT DATE•16 Oct 2000 PAGE! 2 DEBTOR.... CLIENT#.,. NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CRT BROTHERS,ANTHONY D 89164 10199 GONIAL€Z,RAFAEL 203 ACC 07-21-88 210.00 210.00 1 CONZALEZ,RAFAEL 908% 10199 NOBBS,MICHAEL 233 ACC 08-04-88 €15.50 115.50 € HOBBS,KARL€EN 97696 10199 MCALLISTERrARDEAK 203 AGC 09-09-88 69.50 €9.50 1 MCALLISTER,ARDEAN 101941 10199 FRANKLIN,HAROLD 203 RCC 12-14-88 319.10 319.70 1 FRANKLIN,HAROLD L 107154 10199 BALL,GARY 203 ACC 02-02-89 318,55 378.55 1 BALL,GARY Y 109884 10199 MARTIN€Z,JOS£PHE 203 ACC 02-14-89 85.30 85.30 1 MARTINEZ,FRIEDA J 111160 10199 MILL€R,JOHN 203 ACC 02-20-89 524.50 524.50 1 NILLER,JOHN E 112033 10199 FINDLEY,JOHN 203 ACC 02-27-89 306.00 10-24-88 306.00 1 FINDLEY,MARIA E 112943 10194 STOKES,BRENDA 203 ACC 03-03-89 37.00 03-13-88 37.00 1 STOKES,BRENDA S 116651 10199 NITCH€LL,LIONEL 203 ACC 04-07-89 161.00 50,00 05-21-99 €12.00 I MITCH€LL,LIONEL C 118337 10199 MITCHELL,LIONEL 203 ACC 04-25-89 64.00 64.00 1 MITCH£LL,LIGN€L C 122406 13199 BALL,GARY 203 ACC 05-30-89 322.64 322.64 1 BALL,GARY Y 122676 10199 TAYLOR,ALTIE 203 ACC 05-30-89 45.00 01-04-89 45.00 1 TAYLOR,ALTIE J 122373 10199 THOMAS,ANGELA 203 ACC 05-30-89 37.00 01-04-89 37.00 1 THOMAS,AMGELA D 123487 10199 LOP€Z,REYNALDA 203 ACC 06-06-89 215.00 215.00 1 LOPEZ,H£CTOR E 123152 10199 LOP£Z,SILVIA 203 ACC 06-06-89 226.50 226.50 1 LOPEZ,SILVIA 127737 10199 BAUGH,VICKI 203 ACG 07-17-89 67.40 67.40 1 8E€RMAN,HALLEY E 129380 10199 NCALLIST£R,ARDEAN 233 ACC 08-07-89 225.00 25.00 1 MCALLISTER,ARDEAN J 132494 10199 SUNNER,JAC$UELINE 203 ACC 09-05-89 56.50 06-28-89 56.50 1 SUMNER,JAC#UELINE M 132501 10149 SVANER,JACBUELINE 203 ACC 04-05-89 255.00 06-28-89 255.00 1 SUNNER,JACOUELINE M 133873 10199 UNPINGC0,FRANK 203 ACC 09-18-89 251.50 226.00 02-11-98 25.50 1 UNPINGCO,RACHEL M 136636 10199 ANISETO,HAROLD 203 ACC 10-16-89 2€9.88 219.88 1 137827 10199 JUAREZ,JOHN 203 ACC 10-23-89 79.02 01-10-89 79.02 1 €38993 10199 BLOUNT,NELSON 203 ACC 10-31-89 526.50 01-12-89 525.50 1 BLOUNT,NELSON L 139015 10199 FLORES,CHRISTINA 203 ACC 10-31-89 1164.64 1044.64 11-06-98 120.00 1 FLOR€S,JENNIFER B 140456 10194 V€LTMAN,SUSAN 203 ACC 11-06-89 480.02 03-06-89 480.02 1 VELTMAN,SU54N L 142076 10199 SLOUNT,N£LSON 203 ACC 11-20-89 57.00 11.00 1 HEALTH SERVICES HRITE-OFF REPORT DATE;16 Oct 2004 FAUGE, 3 DEBTOR.... CLIENT#.., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PR€N COL LST PAY. TOTAL BAL..... CRF BLOUNT,N£LSON L 142855 10199 GARDN£R,JOHN 203 AGC 11-27-89 176.30 25.04 10-03-90 151.34 1 GARDNER,JOH11 R 142926 10199 KELLOGG,LOR€A 203 ACC 11-27-89 321.58 321.58 1 KELLOGG,LORIA A 142508 10199 MCELROY,JULIE 203 ACC 11-27-89 132.00 132.00 1 SIDHU,SARAH G 142951 10199 MCELFOY,JULIE 203 ACC 11-27-89 134.90 134.?0 1 S1DHU,5ARAH G 144122 10199 SUTO,RIGOBERTO 203 ACC 12-11-89 114.54 100.00 12-02-91 14.50 1 SOTO,ANAELISA 144860 10199 SOTO,RIGORBERTO 203 ACC 12-11-89 96.50 9L+.5G 1 SOTO,ANAELISA A 144898 10199 SOTO,RIGORBERTO 203 ACC 12-11-89 90.50 12.52 10-15-91 77.95 1 SOTO,ANAELISA A 146716 10199 F€NDLEY,JDHW 233 ACC 12-24-89 71.50 71.50 1 FINDLEY,MARIA E 146769 1009 MORAN,RORY 203 ACC 12-24-89 250.90 74.20 08-05-98 176.70 1 MORAN,MARINA L 147426 10199 MARTINEI,AIDA 203 ACC 01-02-90 101.55 101.55 1 MARI1NEI,RAMON 148369 10199 MARTINEI,ROBERTO 203 ACG 01-09-90 66.04 66.00 1 NARTIN£I,ROBERTO A 148382 10199 MARTMEI,ROB£RTO 203 ACC 01-09-90 66.00 66.00 1 MARTINEI,ROB£RTO A 148395 10199 MARTINEI,ROBERTO 203 ACC 01-09-90 105.23 105.20 1 NARTINEI,ROBERTO A 148408 10199 MARTINEI,ROBERTO 203 ACC 01-09-90 3205.78 3205.78 1 MARTINEI,ROB£RTO A 149132 10199 MARTINEZ.ROBERTO 203 AGC 01-16-90 76.20 76.20 1 MARTINU MBERTO A 149903 10199 DORTON,RACHEL 2203 AGC 01-2240 174.10 174.10 1 150114 10199 VERDUICO,FERMIN 203 ACC 01-22-90 2375.85 2106.95 11-13-49 268.90 1 VERD'JICO.LEUN€CIA 153298 10199 CLEUIS,VANESSA 203 ACC 02-05-90 77.40 77.00 1 CLEWIS,VANESSA H 153581 10199 CLEVIS,VANESSA 203 ACC 02-05-90 26.00 04-24-89 26.00 1 CLEVIS,VANESP,A H 153594 10199 CLEUIS,VANESSA 203 ACC 02-05-90 94.00 94.00 1 CLEVIS,VANESSA H 153606 IOM CLEVIS,VAN£SSA 203 AGC 02-05-90 108.00 11-17-89 108.00 I CLEWIS,VANESSA H 153461 10199 MARRIKER,ELISABETH A 203 ACC 02-05-90 450.04 450.04 1 MARINER,ELISABETH A 156106 10199 TNORNTCN,PEMY 203 ACC 02-12-90 1577.40 1325.20 04-01-97 252.20 1 THORNTON,PENNY A 158679 10199 MARTINEI,RAUL 233 AGC 02-20-90 373.70 12-20-89 373.70 1 MARTINEI,RAUL A 158788 10199 THCRNTON,PENNY 203 ACC 02-20-90 79.30 31.50 04-26-90 41.80 1 THORNTOk,61MON 5 162653 10199 KEAP,PATRICIA 203 ACC 03-12-90 88.72 88.72 1 KEN?tPATRICIA A HEALTH SERVICES YRITE-OFF REPORT DATE:16 Oct 2000 PACE.' 4 DEBTOR.,.. CLIENT#-. VANE........3................. DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..-.. CHT 162666 10199 KENP,PATRICIA 203 ACC 03-12-90 450.60 450.60 1 KENP,PATRICIA A 163776 10199 JENSEN,JAC$U€LINE 203 ACC 03-20-90 127.00 127.00 1 JENSEN,ANANDA J 166465 10149 LOV€DAY,RAYNOND 203 ACC 04-09-90 280.00 280.00 1 167418 10199 NAY.IAVIER 203 ACC 04-1640 509.97 02-08-90 509.97 1 NAY,XAVIER P 170460 10199 CLEVIS,VANESSA 203 ACC 04-30-90 189.00 189.00 1 CL€VIS,LATISA 170387 10199 NOORE-PEGGY 203 ACC 04-30-90 161.01 124.00 06-10-92 37.08 1 NOORE,BRADLEY 171646 10199 JENSEN,JACQU£LINE 203 ACC 03-07-40 313.98 02-27-90 313.91 1 JENSEN,JAC$UELIKE R 115531 10199 BROOKS,STACEY 203 ACC 06-04-90 66.00 66.00 1 BROOKS,STACEY A 175381 10199 FOUTCH,CHRISTINE 203 ACC 06-04-90 140.40 75.00 06-10-97 65.40 1 FOUTCH,CHRISTINE D 181791 10199 RATSON,CHARLES 203 ACC 07-23-90 641.78 648.78 1 NATSON:CHARLES A 113636 10199 AGUILAR,JAVIER 203 ACC 08-06-90 524.65 60.00 05-20-98 464.65 AGUILAR,ELISA 185743 10199 NACIAS,NANU€L 203 ACC 08-20-90 2322.70 562.00 12-15-93 1760.70 1 NACIAS,CUADALUPE 185853 10199 NCCLAIN,NDRISSA 203 ACG 09-20-90 324.75 324.75 1 NCCLAIN,NORISSA A 186933 10149 BAILEY,RICHARD 203 ACC 08-27-90 102.44 13.50 06-25-91 81.94 1 BAILEY,TINOTHY E 186769 10199 DOtIER,YOLANDA 203 ACC 08-27-90 287.95 287.85 1 186752 10199 NARTINEI,JESU6 203 ACC 08-2740 109.08 109.08 1 187074 10199 IIESKE,LAURIE 203 ACC 08-27-90 200.50 120.00 06-19-92 80.50 1 197593 10149 COOK,LENIS 203 ACC 11-09-90 101.00 101.00 1 COOK,LEWIS G 199583 10199 GOTT,PAUL 203 ACC 12-06-90 95.96 95.96 1 GOTT-PAUL A 199661 10199 THONPSON,EDVARD 203 ACC 12-0640 72.00 72.00 1 THONPSON,EDHARD L 201967 10199 FISIIANI,JOCELEEN 203 ACC 12-27-90 99.00 94.00 1 FISIIAHI,HELENA V 202018 10199 VALLE,NARIA 203 ACC 12-27-90 192.35 1.92.35 1 VALLE,ALFREDO 1 202720 10199 ANBROS€,DAVID 203 ACC 01-0341 156.00 156.00 1 ANBROM DAVID L 202789 10199 BARTLETT,DIANE 203 ACC 01-03-91 101.00 101.00 1 BARTLET7,0090Y J 202546 10199 BATCH€LOR,SEAN 203 ACC 01-03-91 132.00 132.00 1 BATCHELCR,SEAN A 202705 18149 BENCE,JOHN 203 ACC 01-03-91 111.60 111.60 1 SENCE-JOHN R 202615 18199 BROVHrWILLIE 203 ACC 01-03-91 97.75 97.75 1 BRUVN,WILLIE J 202533 €0191 CISNEROS,CARLOS 203 ACC 01-03-91 49.00 49.00 1 CISNERGS,CARLOS J HEALTH SERVICES WRITE-OFF REPORT DATEu16 Dtt 2000 PAGE• 5 DEBTOR.... CLIENT#... MAKE.......................... DSK ST CD DT-ASSIGN PR-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CNN, 202772 10199 COUTEE,DERWIN 203 ACC 01-03-91 €00.45 100.45 1 COUTEE,DERVIN J 202675 10194 DOZIER,YOLANDA 203 ACC 01-03-91 79.04 74.00 1 202609 10199 GARCIA,LUZ 203 ACC 01-03-91 115.04 115.00 1 GARCI.A MMSERTO 202656 10199 GARDNER.JOHN 203 ACC 01-03-91 117.50 25.00 10-05-92 92.60 1 CARONER„JOHN R 202557 10199 GEORGE,DDNALD 203 ACC 01-034€ 102.30 102.30 1 GEORGEtDMNALD J 202545 10199 GUSStJAMES 203 ACC 0€-03-91 338.50 338.50 1 GUSWAMES A 202506 10194 HAVILI,ISI 203 ACC 01-03-91 6853.88 6853.88 1 HAVILIrISI T 202794 10149 HAVILIrISILELI 203 ACC 01-03-91 219.50 219.50 1 HAVILI.LESIELI 202702 10199 HA.VILI,LESiELI 203 ACC 01-03-91 117.50 117.50 1 HAVILItELIZAB€TH E 202738 10€99 MARTINEZ,MARIA 203 ACC 01-03-91 120.20 20.00 10-22-91 100.20 1 HyRNAI#DEI,JOSE A 203520 10199 JOHNSONtLEVORN 203 ACC 4€-09-9€ 348.04 348.00 1 JOHNSON,LEVORK A 203722 10199 JOHNSON,NELYIN 203 ACC 01-09-91 369.80 369.80 1 JOHNSOM MELVIN L 203703 10199 JOSHAN,FARADIBA 203 ACC 01-09-91 96.00 96.00 1 203502 10199 KINGtDAVID 203 ACC 01-09-91 47.50 47.50 1 KING,DENISE R 203538 10199 KVERNES,ALLEN 203 ACC 01-09-91 66.00 66.00 1 KVERNES,RIAN L 203647 10199 KVERNES,ALLEN 203 ACC 01-09-91 46.04 46.00 1 KVERNEStRIAN L 203514 10199 LANGONAMERLE-ALEIA 203 ACC 01-09-91 90.50 90.50 1 203664 10199 MATEO,YILLIAM, JR. 203 ACC 01-09-91 248.00 10.00 03-24-41 238.04 1 203630 10199 MAYORGA,JENNY 203 ACC 01-09-71 167.35 €12.50 03-21-97 54.85 1 MAYORGA,JOSE C 203622 10199 "ILLERtJOHN 203 AGC 01-09-91 202.64 202.64 1 MILLERrJOHN E 203394 10199 SIDNEY,KRISTINE 203 ACC 01-09-91 87.60 87.60 1 KERR,KRISTINE C 204475 10199 DONIAN,JANET 203 ACC 01-17-91 296.58 2'16.58 1 DOMIAN,KEITH W 204459 10199 X TERRY DECA 203 ACG 01-17-91 208.14 208.14 1 DECARLO,TERRY JR R 2,04492 10199 JR,TERRY D€CA 203 ACC 01-17-91 73.65 73.65 1 DECARLO,TERRYJR R 204452 10194 MOOR€MNALD 203 ACC 01-17-91 2344.45 2344.45 1 MOORE,MELINDA A 204455 10199 MOORE,MELINDA 203 ACG 01-17-91 515.60 515.60 1 MOOR€tNICHOLE M 205349 10199 ANDERSON,PAR 203 ACC 01-24-91 199.14 66.00 08-20-91 133.14 1 ANDERSM PAUL D 205107 10199 DELONG,VIRGINIA 203 ACC 01-24-91 40.35 40.35 1 DELONG,VIRGINIA L f f dJ HEALTH SERVICES VRITE-OFF REPORT BATE<16 Oct 2000 PAGE: 6 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN FN-ASSIGN...... PRIM COL LST PAY, TOTAL FAL.,... CAT 205439 10199 FAGAN,OOM 203 ACC 01-24-91 458.96 455,96 1 FAGAN,PAHELA M 205162 10€99 FAGON,DOM 203 ACC 01-24-91 711.20 711.207 1 FAGAN,PAMELA M 205567 10199 GREE#AVAY,MICHAEL 203 ACC 01-24-91 289.46 289.46 1 PERRY,MICHAEL A 235546 10199 HULL,ELEMA 203 ACC 01-24-91 13.20 13.20 1 HULL,BRUCE N 205247 10194 LEAKS,ALMA 203 ACC 01-24-91 137.20 137.20 1 LEAKS,ALNA L 205341 10194 MATA,FERNANDE 203 ACC 01-24-91 69.00 69.00 1 SANG-NEI,ROSA 205188 10199 RCCALLISTER,TONYA 203 ACG 01-24-91 103.00 103.00 1 SICKLER,GENNA L 205185 10199 NIDDLETON,CASSIE 203 ACG 01-24-91 109.90 109.50 1 MIDDLETONrCASSIE E 205732 €0199 MOLLIOUE,SHEILA 203 ACC 01-24-91 134.00 134,00 1 MOLLIBUE,SHELLA S 205460 €0199 SMITH,EVELYN 203 ACC 01-24-91 103.00 103.00 1 SAITH,EVELYN L 205581 10199 STRALEY,LINDA 203 ACC 01-24-91 103.00 103.00 1 STRALEY,LIMDA K 205465 10199 SUBIASrJUAM 203 ACC 01-24-91 67.00 67.00 1 SUBIASrJUAN C 205398 10199 TOSOMI,SUSAMA 243 ACC 01-2441 97.20 4.00 02-18-94 53.20 1 TOSONI,SUSANA J 205666 10199 3URNER,ALAN 203 ACC 01-24-91 103.00 103.00 1 TURMERrALAN R 205407 10199 TUTTLErDEDDRAH SUE 203 ACC 01-24-91 411.00 411.00 1 VAGGONER,DE80RAH S 205330 10199 YHIT£rGARY 203 ACC 01-24-91 66.00 66.00 1 VHIT£rGARY A 205636 10199 WHITE,GARY 203 ACC 01-24-91 173.42 173.42 1 VRITE,JULIE A 205660 10199 WHITE,GARY 203 ACC 01-24-91 66.00 66.00 1 VRITE,GARY A 205717 10199 NILLIS,VINCENT 203 ACC 01-24-91 154.00 154.00 1 VILLIS,STEPHAMIE M 205321 10199 YATESrDARLEME 203 ACC 01-24-91 66.60 66.60 i 205260 10199 YBARRArMARIA 203 ACC 01-24-91 103.00 103.00 1 YSARRA,MARIA S 205276 10199 IIESNE,LAURIE 203 ACC 01-24-91 198.00 10.00 03-09-92 188.00 1 206361 10199 CAMPUS,HORACIO 203 ACC 01-29-91 499.80 60.00 06-23-95 439.80 1 CAMPOSrELIDA 206284 10199 HARRITT,DELBERT 203 ACC 01-29-91 275.64 275.64 1 206324 10199 STOKESrRON 203 ACC 01-29-91 121.00 121.011 1 206274 10199 TINDLEY,TONY 203 ACC 01-29-91 90.00 90.00 1 TINDLEY,TONY A 206306 10199 VRAY,JEMNIFER 203 ACC 01-29-91 126.50 126.50 1 VARNER,KRISTINA M 207390 10199 APARICIO„JOSE 203 ACC 02-06-91 743.04 493.04 04-28-97 250.00 1 APARICIOrJOSE L HEALTH SERVICES VRITE-OFF REPORT DATE•16 Oct GOOD PAGE.' 7 DEBTOR.... CLIENT#.., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM CDL LST PAC. TOTAL SAL..... CNT 207203 10199 AVILA,ESTELA 203 ACC 02-06-91 55.50 55.50 1 207462 10199 SARAJAS,ANTONIO 203 ACC 02-06-91 176.70 176.70 1 BARAJAS,MARIA S 201557 10199 BARTLETT,OIANE 203 ACC 02-06-91 213.50 213.50 1 CURRENT,JOHN D 207316 10199 BELL,CRYSTAL 203 ACC 02-0641 110.50 110.54 1 SELL,CRYSTAL A 207302 10199 BENCE,JOHN 203 ACC 02-06-91 267.00 267.00 1 BENCE,JOHN R 207599 10199 BEHCE,JOHN 243 ACC 02-06-91 266.00 266.00 1 BENCE,JOHN R 207925 10149 BLANKENSHIP,DARLENE 203 ACC 02-06-91 249.00 249.00 1 BLANK£14SHIP,DARLEN£ M 207346 10199 BRONM,CHARLES 203 ACC 02-06-91 288.54 288.54 1 BRUN,CHARLES E 207707 10199 BROHN,CHARLES 203 ACC 02-06-91 339.50 339.50 1 SROYN,CHARLES E 207650 10199 CARLSON,KIM 203 ACC 02-06-91 103.50 10,00 09-10-96 93.50 1 CARLSON,KIM N 207793 10199 CISNEROS,CARLOS 203 ACC 02-06-91 89.00 89.00 1 CISNEROS,CARLOS J 207375 10199 COUTEE,DERHIN 243 ACC 02-06.91 66.00 66.00 1 COUTE£,DERNIN J 207321 1Oi99 COX,VILLIAM 203 ACC 02-06-91 323.14 40.14 03-26-91 283.00 1 COLVILLIAM H 207224 14199 CUNNINGHAH,RICHARD 203 ACC 02-06-91 2€9.00 25.00 05-24-91 €94.00 1 CUNNINGHAM,RICHARD L 207807 10199 OAVIDSON,S£ANM 203 ACC 02-0641 256.04 140.00 06-19-97 116.40 1 DAVIDSON,SEANM E 247749 10199 DEH,JOE 207 AGC 02-06-91 81.00 81.00 1 DEN,JOE E 247194 10199 DOBBS,BRIAN 203 ACC 02-06-9€ 103.00 103.00 1 DOBBS,BRIAN A 207454 10199 DOMINGUM MARIA 203 ACC 02-06-91 395.10 395.10 1 207762 10199 DORADO,OFELIA 203 ACC 02-06-91 129.05 94.00 09-13-93 45.05 1 207233 €4199 EHLER,THOMAS 203 ACC 02-06-91 €18.40 118.40 1 EHLER,THOMAS L 207717 10199 EHLER,THOMAS 203 ACC 02-06-91 456.90 456.80 1 EHLER,THOMAS L 207504 10199 FENRICK,LISA 203 ACC 02-06-91 562.54 562.54 1 FENNICK,LISA A 207764 10199 FRAIIER,VILLIAM 203 ACC 02-0641 414.50 414.50 1 FRAZIER,#ILLIAM H 207313 10199 GARCIA,DIANA 203 ACC 02-06-91 543.00 543.00 1 GARCIA,DIANA L 207349 10199 GARCIA,DIANA 203 ACC 02-06-91 108.95 108.95 1 GARCIA,DIANA L 207457 10199 GARCIA,DIANA 203 ACC 02-06-91 66.00 66.00 1 GARCIA,DIANA L 207725 10199 GARCIAYDIANA 203 ACC 02-06-91 284.50 284.50 1 GARCIA,DIANA L 207791 €0199 GONIALEL DONATO 203 ACC 02-06-91 46.00 46.00 1 HEALTH SERVICES 11RITE-OFF REPORT DATE116 Oct 2000 PAGE,* 8 DEBTOR.... CLIENT#... NAME.......................... DSK S€ CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT GONZALEZ,ESNERITA L 207254 10199 GONZALEZ,JESUS 203 ACC 02-06-91 108.00 108,00 i GONIALEI,FASIAN 207500 10194 GRACIDA,JUAN 203 ACC 02-06-91 256.40 236.40 1 GRACIDA,JUAN L 207369 10199 GUIN€U,JOSE 203 ACC 02-06-91 259.08 25?.08 1 GUINTU,AOELAIDA L 201585 10199 HANBLIN,TOKI 203 ACC 02-06-91 114.50 114.50 1 HANBLIN,WILL G 207468 10149 HAVILI,JOHN 243 ACC 02-06-91 61.00 61.00 1 HAVILI,SINI K 207651 10199 HELMANTOLER,NANCI 203 ACC 02-06-91 96,95 96.45 1 HELMAN€OLER,ARBER R 207239 10149 JOHNSON,RAY 203 ACC 02-06-91 326.00 326.00 1 JOHNSON,RAY D 207863 10199 JOHNSTON,NARK 203 ACC 02-06-91 467.48 467.48 1 JOHN5TON,MARK D 207743 14199 JOSMAN,NAJAIDULLA 203 ACC 02-06-91 70.80 7030 1 JOSHAK,SORAIA 2107782 10199 NEIFERT,DANIEL 203 ACC 02-06-91 243.14 243.14 1 KEIFER€,DANIEL L 207675 10199 KILLINCER,JOYCE 203 ACC 02-06-91 376.54 376.54 1 SANDS,ROBERT J 207678 10199 LEE,SHIRLEY 203 AGC 02-06-91 161.50 161.50 1 LEE,SHIRLEY A 207594 10199 NAR$UEI,ADRIANA 203 ACC 02-06-91 175.80 175,00 1 207916 10199 MARTINEI,ALBERT 203 ACC 02-06-91 210.50 210.50 1 207661 10199 MCINTOSH,CECIL 203 ACC 02-06-91 91.80 ?1.80 1 NCINTOSH,CECIL 8 207347 10194 NILNE,ELSIE 203 ACC 02-06-91 126.30 126,30 1 NILNE,ELSIE R 207402 10149 MIRANDA,LORENA 203 ACC 02-0643 66.40 66.00 1 MIRODA,LOREKA K 201577 10199 SPERL,PATRICIA 203 RCC 02-0641 381.50 381.50 1 SFERL,FA€RICIA 5 207242 10199 VAZBUEI,NAMUEL 203 AGC 02-06-41 224.04 224.04 1 VAZBUEI,NANIEL A 207994 10199 VAZ@UEZ,MANUEL 203 ACC 02.06-91 121.10 121.10 1 VAZOUEZ,MANUEL A 208653 10199 BEALE,DORTHEY 203 ACC 02-12-91 103.00 103.00 1 BEALE,DORTHEY J 208560 10199 BLACK,JOYCE 203 ACC 02-12-91 138.24 131,24 1 BLACK„JOYCE K 208638 10199 CANFTON,REGINA 203 ACC 02-12-91 133.6.5 133.65 1 CAMPTON,REGINA A 208565 10199 COMPAD,TARRY 203 ACC 02-12-91 277,60 277.60 1 208763 10199 DELTESSANDRO,STEVEN 203 ACC 02-12-91 133.25 133125 1 208513 10199 FISIIAHI,JOC€LEEN 203 ACC 02-1241 79.90 19.90 I FISIIAHI,HELENA V 209496 10199 FRANKS,MARTEL 203 ACC D2-12-91 3166.97 3166.97 1 208733 10199 GREENdOOD,DIANE 203 ACC 02-12-91 477.50 435.00 03-12-98 42,50 1 TUFTS,JASON HEALTH SERVICES NRITE-OFF REPORT DATE>16 Oct 2000 PAGE: 9 DEBTOR.... CLIENTi , NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CRT 208515 10199 HAMILTO&DAVID 203 ACC 02-12-91 375.50 375.50 1 HAMILTOMAVID L 208610 14199 HARRITT,DELBERT 203 ACC 02-12-91 107.80 107.80 1 HARRITT.JASON R 248548 10199 H£LMANTOLER,NANCI 203 ACC 02-12-91 80.10 80.10 i HELMAIITOLER,NANCI K 208701 10199 JOSHAN,NAJAIDULLA 203 ACC 02-12-91 66.00 66.00 1 JOSHAN,SORAIA 208775 14199 STOKES,RON 203 ACC 02-12-91 109.00 104.00 1 208553 14199 VAI4UEI,MANUEL 203 ACC 02-12-91 89.50 84.50 1 VAHUEI,MANUEL A 208553 10199 NALBRUCK,ARNOLD 203 ACC 02-12-91 381.50 381.50 € 208722 10199 NALBRUCK,ARNOLD 203 ACC 02-12-91 109.00 109.00 1 208546 10199 NARREN,JEFFREY 243 RCC 02-12-91 90.00 90.010 1 NARREN,JEFFREY L 209636 10199 STATI,DARLA 203 ACC 02-22-91 230.85 230.85 € STATI,DARLA J 209658 10199 THOMAS,ANGELA 203 RCC 02-22-91 261.00 261.40 1 THOMAS,ANGELA D 209590 10194 URAY,JENNIFER 203 ACC 02-22-91 113.00 113.00 1 VARNER,KRISTINA M 210074 10199 HENDERSON,STEVEN 203 ACC 42-26-91 462.95 462.95 1 HENDERSON,STEVEN C 210078 10199 HENDERSON.STEVEN 203 ACC 02-26-91 404.28 404.28 1 HENDERSON,STEVEN C 210136 10199 JENKINS,KELLY 203 ACC 02-26-91 224.54 224.50 1 JENKINS,KELLY A 210103 10199 MARTIN,RHONDA 203 ACC 02-26-91 46.00 46.00 1 MARTIN,RHONDA E 210072 10194 MCGHEE,HELGA 203 ACC 42-26-91 81.92 81.92 1 MCGHEE,HELGA M 210086 14199 VELAS#UEI,JESUS 203 RCC 02-26-91 593.84 593.84 1 210894 14199 KEARNS,SEOUDYAH 203 ACC 03-05-91 66.00 66.00 1 KEARNS,ALEXANDRA N 210819 10199 VANN,COLLEEN 203 ACC 03-05-91 181.00 1631.00 1 VANN,COLLEEN R 211600 10199 CASILLASNAVARRO,ROBERT 203 ACC 03-12-91 840.50 840.50 1 CAS€LLAS,ANA 8 211665 10199 CASTRO,LYNNE 203 ACC 03-12-91 113.70 113.70 1 GASTRO,BLAKE B 211564 10199 DUKES,MARCUS 203 ACC 03-12-91 210.86 210.86 1 DUKES,MARCUS E 211639 10199 FREEDING,CECILIA 203 ACC 03-12-91 254.54 254.50 1 FREEDING,CECILIA G 211654 14199 GONEZ,ENRI9UE 203 ACC 03-12-91 108.70 10.00 03-28-91 19.70 1 GOMEZ,ROSA 211504 10199 HASSELL,CHINA 203 ACC 03-12-91 285.00 288.00 1 HASSELL,CHINA M 2€1641 10199 STATZ,DARLA 243 ACC 03-12-91 115.20 115.20 1 STATZ,DARLA J 211669 10199 TURNER,ALAN 203 ACC 03-12-91 251.54 251.54 1 TURNER,ALAN R HEALTH SERVICES KRITE-OFF REPORT DATE116 Oct 2000 PAGE; 10 DEBTOR.... CLIENT!... NAME.......................... D8K ST CD DT-ASSIGN Pit-ASSIGK ..... PRIM COL LST PAY. TOTAL SAL..... CHT 212633 10199 BALLERSTEIN,DENISE 243 ACC 03-20-91 62.00 03-16-91 62.00 1 KING,KYLE U 212736 10199 GR£ENANAY,MICHAEL 203 ACC 03-20-91 686.20 03-16-91 666.24 1 PERRY,MICHAEL A 212572 10199 KAN,MICHAEL 243 ACC 03-20-91 253.54 43-16-91 253.50 1 KAN:MICHAEL R 212593 10199 MEJIA,JOSEFA 203 ACC 03-20-91 65.20 03-16-91 65.20 1 MEJIA,NANCY 212646 10199 VELASOUEZ,RADAMES 203 ACC 03-20-91 71.45 03-16-91 71.45 1 212720 10199 VONJURGENS,MIMER 203 ACC 03-20-91 462.60 03-16-91 462.60 1 VONJURGENS,MIMER H 212618 10199 UETCH,DOUGLAS 203 ACC 03-20-91 66.80 03-16-91 66.80 1 VETCH,DOUGLAS A 212719 10199 UHITE,GARY 203 ACC 03-2041 390.50 03-16-91 394.50 I UNITE:JULIE A 213392 €0199 BLACK:JOYCE 203 ACC 03-26-91 69.76 69.76 1 SLACKiJOYCE K 213524 10199 CYR,MARIA 203 ACC 03-26-91 109.00 109.00 1 CYR,MARIA M 213487 10199 DANT,JAMES 203 ACC 03-26-91 89.00 89.00 1 DANT,RANONA 213334 10199 DAVIDSON,BETTY 203 ACC 03-26-91 199.70 80.00 10-20-93 119.70 1 DAVIDSON,BETTY J 213397 10199 EMMONS,ARLO 203 ACC 03-26-91 275.55 275.35 1 EMMONS,ARLD L 213367 10199 FEGTER,GARY 203 ACC 03-26-91 59.00 59.00 € FECTER.6UENLYM R 213407 10199 GOMEZ,ENRIOVE 203 ACC 03-26-91 496.20 25.00 04-22-91 471,20 1 GOMEI,ROSA 213469 10199 HARPER,DERRICK 203 ACC 03-26-91 319.38 319.58 1 E13457 14199 HARRISrMATTIE 203 ACC 03-2641 206.50 246.54 1 HARRIS,MATTIE B 213411 10199 HENDERSON,DELILAH 203 ACC 03-26-91 71.40 71.40 1 HENBERSON,DAMIELLE M 213323 10199 HEYDARI.MAIIIAH 203 ACC 03-26-91 250.00 250.00 1 213393 10199 HILL,TERRY P03 ACC 03-26-91 86.40 86.40 1 HILL,TERRY G 213532 10199 KEARMEY,JASON E03 ACC 03-26-91 307.00 3417.00 1 KEARNEY,JASON M 213349 10199 KNUDTSON,CARI 203 ACC 03-26-91 169.50 189.00 1 TURNER,GERALDIN£ 213359 10199 KNUDTSON,CARI 203 ACC 03-26-91 2070.46 2070.46 1 KNUDTSON,CAR1 L 213418 10199 KNUDTSON,CARI 203 ACC 03-26-91 139.95 139.95 1 XWDTSON,CARi L 213318 10199 VEISS,RDMALD 203 ACC 03-26-91 44.00 3.00 05-28-93 41.00 1 215139 10199 ALLEM,LARRY 203 ACC 44-03-91 281.50 281.50 1 ALLEN,LARRY E 214868 10199 ALVARM ALICIA 203 ACC 04-03-91 123.00 123.00 1 ALVAREZ-ADALB€RTO P 214945 10199 AMADO,JAY 203 ACC 04-03-91 11€.30 111.50 1 214700 10199 8£RGINI.DIANE 203 ACC 44-03-91 92.80 92.80 1 HEALTH SERVICES WRITE-OFF REPORT DATEw16 Oct 2400 PAGE: I1 DEBTOR.... CLIENT4... WANE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CKT BERGINI,DIANE 0 214789 10199 BOOKERNELSH,CHERYL 203 ACC 44-03-91 46.40 46.00 1 BOOKERVELSH,CHERYL L 214843 10199 BOOKERN£LSH,CHERYL 243 ACC 04-03-91 124.05 124.05 1 BOOKERNELSH,CHERYL L 214585 10199 CACHO:JOSE 203 ACC 04-03-91 72.00 72.00 CACHO,JOSE E 215076 10199 CALKINS,KATHLEEN 203 ACC 04-03-91 148.50 148.50 1 CALKINS,KATHLEEN M 214539 10199 CARR,D£VON 203 ACC 04-03-91 233.30 233.50 1 CARR,RACHEL B 214878 10199 CARR,RACHEL 203 ACC 04-03-91 66.00 66.00 1 CARR,RACHEL B 214653 14199 CASTRO,LYNNE 203 ACC 04-43-91 135.94 138.94 1 CASTRO,ANGELA 215182 10199 CRABILL:VINCENT 203 ACC 04-03-91 103.04 103.00 1 CRABILL,VINCENT L 214651 10199 D€1NCAN,LANRENCE 203 ACC 04-03-91 81.00 81.00 1 DURCAN,LAIIRENCE P 2.14768 10199 EVENSON,S£AN 243 ACC 04-03-91 90.40 90.40 1 214967 10199 EVENSON,SEAN 203 ACC 04-03-91 544.00 504.00 1 214614 10199 GIBSON,REGINALD 243 ACC 04-03-91 93.90 93.90 1 GIBSON,REGINALD N 214923 10199 GONZAGA,KRISTY 203 ACC 04-03-91 280.70 280.70 1 GONZAGA,KRISTY L 214978 10199 GONIALEI,DONATO 203 ACG 04-03-91 12.04 12.00 1 GONZALEZ,MERITA L 214708 10199 GONZALEZ,JESUS 203 ACC 04-03-91 118.00 118.00 1 GONIALEZ,DIANA 214582 10199 GREEN,VARREN 203 ACC 04-03-91 426.28 426.28 1 GREEN,NARR£N F 214545 10199 GUSS,JAM£S 203 ACC 04-0341 297.50 297.50 1 GOSS,JAMES A 214769 10199 HARTVELL,ALYIN 203 AGC 04-03-91 92.40 92.40 1 213101 10199 HERNANDEZ,ANNA 203 ACC 04-03-91 1229.40 1229.40 1 HERNANDEZ,ANNA M 215425 10199 HILL,RANDY 203 ACG 04-03-91 103.70 103.70 1 HILL,RANDY C 214482 10199 HILL MNOTHY 203 ACC 04-03-91 91.48 91.48 1 HILLMNOTHY R 215140 10199 JONES,MICHELLE 203 ACC 04-03-91 281.75 281.75 1 JONES,MICHELLE 0 215167 10199 JOSHAN,NAJAIDULLA 243 ACC 04-03-91 596.80 596.80 1 JOSHAN,SORAIA 214638 10199 KARSTEN,RICHARD 203 ACC 04-03-91 167.54 167.54 1 KARSTEN,RICHARD A 214483 14199 KVERNES,RITA 243 ACG 04-03-91 416.04 416.04 1 KYERNES,ALLEN L 214900 10199 LENIMATHY 203 ACC 04-03-41 449.50 449.50 1 LEVIMATHY J 214909 10194 MARTINEZ,RAFAEL 203 ACC 04-03-91 54.00 2.50 06-0347 51,54 1 NARTIREZ,AN;ELICA HEALTH SERVICES WRITE-OFF REPORT DATE=16 Oct 2000 PACE! 12 DEBTOR.... CLIENT#.., NAME.......................... DSK ST CD DT-ASSIGN PK-ASSIGN...... PRIM COL LST PAY. TOTAL BAL...., CCT 215196 10149 MCCRARY,DONALD 203 ACC 04-03-91 114.54 1€4.50 1 214640 10199 MEIER„#AMIE 203 ACC 04-03-91 111.54 t€I.50 1 KEIER,STEVEN D 215090 10194 REIER,STEVEN 243 ACC 04-03-91 119.94 114.40 1 MEIER,JAMIE D 214707 10199 MEJIA,JOSEFA 203 ACC 04-03-91 2212.40 2212.00 1 214933 10199 KORALES,NILLIAP 203 ACC 04-03-91 106.00 106.00 t 214677 10199 SMITH,EVELYN 203 ACC 04-03-91 64.00 64.00 1 SMITH,EVELYN L 214641 10199 SPERL,PATRICIA 203 ACC 04-03-91 100.00 100.00 1 SPERL,PATRICIA 8 214754 14199 THOMPSW EDWARD 203 ACC 04-03-91 254.20 254.20 1 THUrPSONrEDWARD L 214951 10149 VALLE,ALFREDO 203 ACC 04-0341 300.40 120.00 02-01-94 180.00 1 VALLE,MARIA D 214639 14199 VONJURGENS,MINOR 203 ACC 04-03-91 138.10 13$.10 1 VONJURGENS,MINER H 214959 10199 WILBURN,GRACE 203 ACC 04-03-91 448.220 325.56 02-11-98 122.64 1 VILBURN,GRACE D 216102 10199 AMADO,JAY 203 ACC 04-1241 176.50 176.50 1 216146 10199 ANDERSON,MARIA 203 ACC 04-12-71 79.00 74.00 1 216490 10194 AYRIS,MARr 203 ACC 04-12-91 101.00 101.00 1 AYRISrMARK A 216147 10199 BATCHELOR,SEAN 203 ACC 44-12-91 332.88 332.98 1 BATCHELUR,SEAN A 216247 10199 SENNETT,MARY 203 ACC 04-12-91 73.50 73.50 1 BENNETT,MARY E 216248 10199 BENNETT,MARY 203 ACC 04-12-91 106.90 €06.90 1 BEHNETT,NARY E 216291 10199 BOOKERVELSH,CHERYL 203 ACC D4-12-91 66.00 66.00 1 BOOKERNELSH,CHERYL L 2146331 10194 BDUKERNELSH,CHERYL 203 ACC 04-12-91 68.05 68.05 1 BOOKERVELSHrCHERYL L 216034 10199 BRONN,SHEILA 203 ACG 04-12-91 147.30 147.50 1 BROW,BRANDON G 216100 10199 BROW SHEILA 203 ACC 04-12-91 86.60 86.60 1 BROWN,MICHAEL K 216123 10147 BROVK,SHEILA 203 ACC 04-12-91 €24.60 124.60 1 BRDW BRANDON G 216134 14179 SROM SHEILA 203 ACC 04-12-91 89.04 89.00 1 BRUM MICHAEL K 216214 10199 BROW SHEILA 203 ACG 04-12-91 75.30 75.30 1 BRUN,MICHAEL K 216234 10199 BROW SHEILA 203 ACC 04-12-91 84.30 84.30 1 BRDVN,BRANDON G 216445 10149 BROYN,SHEILA 203 ACC 04-12-91 75.60 75.60 1 BROMN,BRANDON G 216352 10194 BUTL£R,COUNT 243 ACC 04-12-91 70.80 70.80 1 BUTLER,COUNT 8 216514 10194 CARIGLIO,TROY 203 ACC 04-12-91 67.00 67.00 1 CARIGLIO,TROY D 216535 10199 CARIGLIOrTROY 203 ACC 04-12-91 66.00 6 .00 1 HEALTH SERVICES VRITE-OFF REPORT DATEs16 uct 2000 PALE; 13 DEBTOR.... CLIENT#- NAME.......................... DSK ST CD DT-ASSIGN FW-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CCT CARIGLIOrTROY D 216557 10199 CARLSON,KIM 203 ACC 04-12-91 470.10 470.10 1 CARLSON-LAUREN M 216433 10199 CHRISTIAN,THOMAS 203 ACC 04-12-91 66.00 66.00 1 CHRISTIAN,MONTACU£ M 216076 10199 COKER,CHARLEEN 203 ACC 04-12-91 103.00 303.00 1 CANNON,ASHLEY R 216041 10199 COUTEErDERVIN 203 ACC 04-12-91 66.00 66.00 1 COUTEE JERVIN J 216174 10199 DUARTE,EVERARDO 203 ACC 04-12-91 73.60 73.60 1 DVARTE,MANUELA 216136 10199 LEMON,NEAL 203 ACC 04-12-91 400.34 400.34 1 LEMONrNEAL R 216158 10199 LENON,N£AL 203 ACC 04-12-91 79.20 79.20 1 LEMOM,NEAL R 216522 10199 LUKErA$UAH 203 ACG 04-12-91 435.80 435.80 1 LUKE,CLEOPATR C 216543 10199 LUKE,AIIUAH 203 ACC 04-12-91 108.90 109.90 1 LUKE,CLEOPATR C 216565 10199 LUKE,AIUAH 203 ACC 04-12-91 126.90 126.80 1 LUKE,CLEOPATR C 216221 10199 MACMILLAN,ELIZABETH 203 ACC 04-12-91 242.55 242.55 1 MACMILLAN,ELIIABETH M 216241 10199 MADRID,ADELE 203 ACC 04-12-91 127.50 127.50 1 MADRIDrADELE D 216441 €0199 MARTINEI,DAVID 203 ACC 04-12-91 115.60 115.60 € MARTINEZ,ALBERT J 216139 10,199 MAYHEN,ROREE 203 ACC 04-12-91 89.00 89.00 1 MAYHEV,ROREE 1 216262 10199 MCAUSLAND,JOHN 203 ACC 04-1241 89.50 89.50 1 MCAUSLAND,CHRISTINA R 216109 10199 VONJURGENSYNINER 203 ACC 04-1E-91 81.00 81.00 1 VWURGENS,MINER H 216293 10199 VILLIAMSrSANDRA 203 ACC 04-12-91 37.00 3.7.00 1 VILLIANSrSANDRA V 217380 10199 KEIFERT,DANIEL 203 ACC 04-22-91 69.00 69.00 1 KEIFERTsDANIEL L 217383 10199 MANOA,LESIELI 203 ACC 04-22-91 66.00 1.33 03-04-96 64.67 1 MANOA,AMELIA F 217364 €0159 MANUPULE,GLORIA 203 ACC 04-22-91 69.30 69.30 1 MANUPULE,KALI M 217368 10199 MANUPULE,CLORIA 203 ACC 04-22-91 123.50 123.50 1 MANUPULE,KALI M 217433 10199 MAKUPOLE,GLORIA 203 ACC 04-22-91 90.00 90.00 1 MANUPULE,KALI N 217458 10199 MARTIN,RHONDA 203 ACC 04-22-91 736.54 73b.54 I MARTIN,RHONDA E 217397 10199 SOLAJAMMY 203 ACC 04-22-91 74.00 74.00 1 SOLAsTAMMY L 217377 10199 VELASC04AMES 203 ACC 04-22-91 79.00 79.00 1 VELASCO,JAMES K 217416 10119 NETCH,LAURI£ 203 ACC 04-22-91 266.6b 266.66 € t�S HEALTH SERVICES VRITE-OFF REPORT DAM 16 Oct 2000 PAGE; 14 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PH-ASSIGN...... FRIM COQ. LST PAY. TOTAL BAL..... CXT UETCH,DOUCLAS A 217360 10199 HHITE,CARY 203 ACC 04-22-91 335.93 335.93 € NHITE,JULIE A 217374 10199 NHITE,CARY 203 ACC 04-22-91 66.00 66.00 1 941TE,JULIE A 217740 10199 ALLEN,LARRY 203 ACC 04-23-91 51145 8€,45 € ALLEN,LARRY E 217667 10199 BARAJAS,MARIA 203 ACC 04-23-91 547.00 547.00 1 BARAJAS,NARIA S 217682 10199 BARAJAS,MARIA 203 ACC 04-23-91 965.43 965.43 1 BARAJAS,HARIA S 217700 10199 BARAJAS,MARIA 203 ACC 04-23-91 3328.67 3328.67 1 BARAJAS,MARIA S 217928 10199 BARRETT,ROSLYN 203 ACC 04-23-91 550.08 550.08 1 BARRETT,LAKEISHA N 217786 10199 BASSETT,KAROL 203 ACC 04-23-91 81.35 81.35 1 ATNATER,JILL M 217886 10199 CAMPOS,ESMERALDA 203 ACC. 04-23-91 621.90 30.00 05-09-91 39€.90 1 CAMPOS,ESMERALDA M 218073 10199 COKYVILLIAM 203 ACC 04-23-91 138.60 138.80 1 COX,VILLIAM D 217748 10199 DUENAS,MAGELION 203 ACG 04-23-91 274.50 274.50 1 DUENAS,SANDRA M 217742 10199 GARCIA,CATHY 203 ACC 04-23-91 104.57 104.57 1 GARCIA,CATHY M 217726 10199 CIBSON,RECINALD 203 ACC 04-23-91 103.00 103.00 1 GIBSON,RECINALD D 217940 10199 JONES,ARDELL 203 ACC 04-23-91 109.10 109.10 1 JONES,KATHLEEN 217713 10199 K£ARNS,SEOUOYAH 203 ACC 04-23-91 66.00 66.00 1 KEARNSrALEXANDRA N 217976 10199 KEARNS,SEOUDYAH 203 ACC 04-23-91 62.50 62.50 1 KEARNS,ALEXANDRA N 218026 10199 MEDINA,ROSA 203 ACC 04-23-91 146.15 146.15 1 MEDINA,ROSA M 217988 14199 MENDEIrLUIS 203 ACC 04-23-91 95.20 °5.20 1 MENyEI,HARIA D 217970 10199 MOINZADEH,MOHARMAD 203 ACC 04-23-91 325.16 325.16 1 217932 10199 THOMPSON,BEN 203 ACC 04-23-91 157.20 157.20 1 217969 10199 VALLE,MARIA 203 ACC 04-23-91 89.00 89.00 1 VALLE,CHR€STOPHE 218044 10199 VANNsCOLLEEN 203 ACC 04-23-91 90.40 90.40 1 DUHART,TINIA 217800 10199 WYTHErJOH% 203 ACC 04-23-91 298.81 298.81 1 VYTHE,JOHN V 219417 10199 BALLERSTEIN:DENISE 203 ACC 05-02-91 104.00 144.00 1 KING,TYLER E 219428 10199 BALLERSTEIN,DENISE 203 ACC 05-02-91 103.00 103,00 1 KINC,TYLER E 219265 10199 CALUSTRE,DOMINGO 203 ACC 05-02-91 152.50 152.50 1 CALUSTRE,LE01tORA C 211228 10199 CARDDYA,GEROMIMO 203 ACC 05-0241 122.50 122.50 1 N€ALTH SERVICES VRITE-OFF REPORT OATE•16 Oct 2000 PAGE: 15 DEBTOR.... CLIENT#... MANE.......................... DSK ST CD 0T-ASSIGN PN-ASSIGN...... FRIM COL LST PAY. TOTAL BAL.,... CRT CARLOZA,JULIANA 219381 10199 FIFITA,AMA 203 ACC 05-02-91 206.30 206.30 1 FIFITA,ANNA F 219407 10199 FRAMCO,DAVID 203 ACC 05-02-91 188.40 188.40 1 FRANCO,E8THER 219271 10199 GUZMAN}BEN 2203 ACC 05-02-91 137.50 137.50 1 LOPEZ,EVAN 219343 10199 GUZNAN,BEN 203 ACC 05-02-91 92.30 92.30 1 LOPEZ,MDR}HA A 219406 10199 JINENEZ,ROSA 203 ACC 05-02-91 977.32 477.32 1 219198 10199 NALVEAUX,FRANK 203 ACC 05-02-91 309.20 38.00 05-01-95 271.20 1 NALVEAUX,FRANN A 2219334 10199 NILLER,JOSN 203 ACC 05-02-91 388.65 388.65 1 NILLER,JOHN E 219459 10199 NORRIS,BERNAOETTE 203 ACC 05-0241 481.44 40.00 05-11-94 441.44 1 NORRIS,B€RNADETTE N 218993 10199 SNITH,JESSE 203 ACC 05-022-91 132.00 132,00 1 219263 10199 TORRES,NOPMA 203 ACC 05-02-91 81.00 811.00 1 TORRES,NORNA E 219278 10199 VELASSIUEZ,JE5US 203 ACC 05-02-91 121.00 121.00 1 219095 10199 VIGIL,NARCIA 203 ACC 05-02-91 144.85 144.85 € NACHAOO,NALIA S 219184 10199 VOMJURGENS,NIMOR 203 ACC 05-02-91 151.80 151.80 1 VONJURGERS,MINER H 219099 10199 WHEELER,RAYMOND 203 ACC 05-02-91 116.40 116.40 1 VHEELER,RAYNONO C 21,9258 10199 ONITE,CARILLA 1203 ACC 05-02-91 335.50 335.50 1 WHITE,CANILLA R 220390 10199 ABDULLAH,ABDUSAL€H 203 ACC 05-08-91 317.10 317.10 1 ABDULLAH,ANAL S 220222 10199 ALSTON,ANANDA 203 ACC 05-08-91 221.90 221.90 1 ALSTON:KENNEDY T 220134 10199 ANDERSON,OONALD 203 ACC 05-08-91 281.00 28€.00 1 220202 10199 BELL,LAVERNE 203 ACC 05-08-91 438.68 438.68 1 BELL,LAVERME R 220321 10199 BURKS,CHRISTIME 203 ACC 05-08-91 12.69 12,69 1 BURKS,JOHN v 220225 110199 BYIAS,KEMNETH 203 ACC 05-08-91 57.50 57.50 1 BYIAS,KENNETH R 220281 10199 CAMPBELL,ERIC 203 ACC 05-0841 195.22 195.22 1 CARPRELL,ERIC L 220510 10199 COELMII,HEIDI 203 ACC 05-08-91 119.50 119.50 1 CO€LHO,THERESA K 220179 10199 COX,RQSIE 203 ACC 05-08-91 23.00 23.00 1 COX,ROSI£ A 220516 10199 COX,ROSIE 203 ACC 05-08-91 83.00 83.00 1 COX,ROSI€ A 220126 10199 FALCO,CYMTHIA 203 ACC 05-08-91 201.00 201.00 1 FALCO,CYNTHIA N 220141 10199 FALCO,CYNTHIA 203 ACC 05-08-91 738.94 738.94 1 FALCO,CYNTHIA N 220158 10199 FALCO,CYNTHIA 203 ACC 05-08-91 2241.229 2241.29 1 HEALTH SERVICES VRITE-OFF REPORT DATE=16 Oct 2000 PAGE: 16 DEBTOR.... CLIE13,., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL. LST PAY. TOTAL BAL..... CRT FALCOrCYNTHIA M 220404 10199 FALCD,CYNTH€A 203 ACC 05-08-91 €227.50 127.50 1 FALCO,CYNTHIA M 220197 10199 HAMPTON.ALISSA 203 ACC 05-08-91 486.70 486.70 1 HARPTON.ALISSA D 220380 10149 HAMPTON.ALISSA 203 ACC 05-08-91 1582.01 1582.01 1 HAMPTON t AL ISSA 0 220455 10199 HEYOARI:MAIZIAH 203 ACC 05-08-91 66.00 56.40 1 220146 10199 HUERTA,FERNANDO 203 ACC 05-08-91 278.00 278.00 1 220305 10199 KEARNS,SESUOYAH 203 ACC 05-08-91 39.00 39.00 i KEARNS:A'LEXANDRA N 2220316 10199 KEARNS,SE4UOYAH 203 ACC 05-00-91 182.30 182.30 1 KEA"OrSEHOYAH J 220378 10199 LUKE.CLEOPATR 203 RCC 05-08-91 158.70 158.70 1 LUKE,CLEOPATR C 220488 10199 SMITH,MICHELLE 203 ACC 05-08-91 176.70 176.70 1 SMITH+MICHELLE H 22020€ 10I99 SMITH*MICHELLE HELENE 203 ACC 05-08-91 38.50 38.50 1 SMITHrRICHELLE H 220209 €0€99 SMITH.RANDY 203 ACC 05-08-91 256.00 255.00 1 SMITH,RANDY E 220312 10199 STICKMANJENISE 203 ACC 05-08-91 73.20 73.20 1 STICKMAH.DENISE R 220356 10199 THOMAS:LILLY 203 ACC 05-0841 105.78 105.78 1 THCMAS,LILLY B 221701 10199 AHMAD:ADIBA 203 ACC 05-15-91 102.40 142.40 1 221552 10199 ARCE.ANNA 2203 ACC 05-15-91 102.40 102.44 1 ARCE>SERGIO 221654 10199 SALLERSTEINJENISE 203 ACC 05-15-41 103.00 103.00 1 SPHAIDT:NICOLE R 221511 10199 BENCEIJOHN 203 ACC 05-15-91 103.00 103.00 1 BENCE*JOHN R 221808 10€99 COELHOrHEIDI 203 ACC 05-15-91 99.00 99.00 1 COELHU,THERESA M 221599 10199 DYKES,RAYMOND 203 ACC 05-15-91 203.45 67.77 08-30-99 135.68 1 DYKES>RAYMOND E 221697 10199 ENRIBUEItNARIO Z03 ACC 05-15-91 196.60 95.75 11-12-98 100.65 1 221626 10199 FLORES,JAVIER 203 ACC 05-15-91 123.48 123.48 1 221506 10199 GIBBS,JMELIA 203 ACC 05-15-91 208.00 208.00 1 GIBBS,JMELIA A 221633 10199 GONIALEZ.DONATO 203 ACC 05-15-91 150.00 150.00 1 O NZALEItESNERITA L 221684 10199 HUERTA,FERMANDO 203 ACC 05-15-91 314.55 314.55 1 221783 10199 JERMANON.ANTHONY 203 ACC 05-15-91 227.15 227.15 1 JERMANOC ANTHONY R 221481 10199 JIMENEZ:ROSA 203 ACC 05-15-91 104.60 104.60 1 221529 10199 KEIFERT,DANIEL 203 ACC 05-15-91 72.45 72.45 1 KEIFERT,DANIEL L 221776 10199 KEIFERT,DANIEL 203 ACC 05-15-91 266.54 266.54 1 KEIFERT,DANIEL L 221329 10199 LISBY.RONNIE 203 ACC 05-15-91 439.24 439.24 1 221693 1009 LOPEZ{CONNIE 203 ACC 05-15-91 19.17 19117 1 !t r+ HEALTH SERVICES NRITE-OFF REPORT fl;� DATE.16 Oct 2000 PAGE• 17 DEBTOR.... CLIENT#.., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY, TOTAL BAL..... CRT LOPEZ,JOS€ G 221483 14199 MEDINA,ROSA 203 AGC 05-15-91 59.40 59.00 1 NEDIMA,R05A M 221678 10199 SMITH,KATHLE€N 203 ACC 05-15-91 164.32 164.32 1 221760 10199 SMITH,KATHLEEN 203 AGC 05-15-91 51100 51.00 1 SIMOM,ATIYA S 221636 10199 SR,GARY UNITE 203 ACC 05-15-91 97.00 9.'.00 1 WHITE,GARY A 221659 10199 SR,GARY UNITE 203 ACC 05-15-91 66.00 66.00 1 VRITErGARY A 221388 10199 THOMAS,NARSDEN 203 ACC 05-15-91 123.92 123.92 1 THOMAS,MAR$DEN G 221421 10199 VALLE,NARIA 203 RCC 05-15-91 89.40 89.00 i VALLE,ALEJAIIDRA 221704 10199 VHITE,DENNIS 203 ACC 05-15-91 72.24 72.24 1 VNITE,DENNIS C 222358 10199 BARKWELL,DERISE 203 ACC 05-21-91 63.00 63.00 1 WEST,ELISHA R 222465 10199 LOPCZ,CONKIf 203 ACS 05-21-91 166,25 166.25 1 LOPEZ,JOSE S 222419 10199 MARTINEZ,ZAARUCK 203 AGC 05-21-91 113.00 113.00 1 MAATINE7,1AARUCK A 222446 10199 NORIARTY,TRISHA 203 ACC 05-21-9I 263.00 263.04 1 MORIARTY,IRISHA E 222366 10199 SMITH,KATHLEEN 203 ACC 05-21-91 59.00 59.00 1 223672 10199 ADAMS:CHARLES 203 ACC 05-29-91 104.00 104.00 1 ADAMS,DEIDRA L 223793 10199 ADANS,CHARLES 203 ACC 05-2941 237.03 237.03 1 ADANS,CHARLES 5 223526 10199 ALLDREDSE,ALVIN 203 ACC 05-29-91 66.00 66.00 1 ALLDREDSE,MATTHEN J 223858 10199 ARELLANO,DEIIPSON 203 ACC 05-2941 314.60 314,60 1 ARELLANO,DE4PSON A 223601 10199 BATCHELOR,SEAN 203 ACC 05-29-91 181.90 181.90 1 BATCHELOR,SEAN A 223690 10199 BRADFORD,ANTONE 203 ACC 05-29-91 281.86 281.86 1 BRADFDRD,ANTRONE .LEVELLE 223788 10199 BRADFORD,HENDY 203 ACC 05-29-91 66.00 66.00 1 GUSTAVSON,ERIC P 223714 10199 COELHO,HEIDI 203 ACG 05-29-91 39.00 39.00 1 COELHO,THERESA M 223430 10199 CORSETTI,RICHARD 203 ACC 05-29-91 600.00 225.00 08-20-92 315.00 1 CORSETTI,LISA M 223591 10199 DORADO,OFELIA 203 ACC 05-29-91 94.05 94.05 1 223436 14199 DOUCLASS,DAVID 203 ACC 05-29-91 178.30 178.30 1 DOUCLASS,DA'VID N 223510 10199 ELMORE,JEANA 203 ACC 05-29.91 247.75 247.75 1 ELMORE,SHAWN € 223779 10199 FARIAS:RAMON 203 ACC 05-29-91 41.08 41.08 1 FARIAS,ALICIA 223790 10199 FARIAS,RAMON 203 ACC 05-29-91 43.49 45.49 1 FARIAS,ALICIA HEALTH SERVICES HRIT£MDFF REPORT DATE:16 Oct 20010 PAGE: 18 DEBTOR.... CLIENT#... NAME.......................... DSK SS CD DT-ASSIGK PN-ASSIGN...... PRIM CDL LST PAY. TOTAL BAL..... CHI 223815 10199 FORD,ARMA 203 ACC 05-29-91 86,00 86,00 1 FORK+ARRA L 223557 10199 GONIALEI,ESIERITA 203 ACC 05-29-91 916.00 916.40 1 GONIALEI,CLARIVEL G 223715 10199 GONIAL£I,JESUS 203 ACC 05-29-91 118.00 118.00 1 223459 10199 GONZALEI,PEDRO 203 ACC 05-29-91 67,50 67.50 1 223658 10199 HAMPTON,ALISSA 203 ACC 05-29-91 932.70 10.00 11-19-92 922,70 1 HAMPTON,ALISSA D 223759 10199 HARTVELL,ALVIN 203 ACG 05-29-91 353.30 333.30 1 223879 10199 HEDERT,LINDA 203 ACC 05-29-91 432.00 432.00 1 HEBERT,LINDA K 223782 10199 HEYDARI,MAIZIAH 203 ACC 05-29-91 45.00 45.00 1 223811 10199 IV€RSON:JAMES 203 ACC 05-29-91 270.95 270.95 1 IVERSON.JAIIES D 223869 10199 JOHNSON+MICHAEL 203 ACC 05-29-91 141.86 141.86 1 223796 10199 JONES,ALICE 203 ACC 05-29-91 24.50 24.30 1 JONES,ALIC€ K 223471 10199 LOCK,GEORG€ 203 ACG 05-29-91 5€0.61 510,61 1 LOCKfG£ORGE P 223655 10199 MCINTOSH,CECIL 203 ACC 05-29-91 188.20 188.20 1 MCINTOSH,CECIL B 223646 10199 M€IEP„JAMIE 203 ACC 05-29-91 81.00 81.00 1 HEIR{JAMES A 223685 10199 MILLER,JOHN 203 ACC 05-29-91 103.00 103.00 1 MILLER,JOHN E 223861 10199 NILLER,JOHN 203 ACC 05-29-9€ 1260.32 1260,32 1 MILLER,JOHN E 223781 10199 MONTGOMERY,PAULA 203 ACC 05-29-91 50.90 60.90 1 MONTGONERY,PAULA N 223538 10199 VELASIUEZ,NARY 203 ACC 05-29-91 874.10 874.10 1 V€LASO;JEZrMARY E 224812 10199 ALEXANDER,CATHERINE 203 ACC 06-04-91 175.00 175.00 € 224729 10199 AVILA,ESTELA 203 ACC 06-04-91 204.50 204.50 1 224476 10199 BARAJASrNARIA 203 ACC 06-04-91 1424.15 1424.13 1 BARAJAS,ALEJANARD 224573 10199 BEALEtDORTHEY 103 ACC 06-04-91 812.70 812.70 1 BEALE,DORTHEY J 224561 101$9 BROW MICHAEL 203 ACC 06-04-91 115.00 €€5.00 1 BROW SHEILA D 224608 10199 SRDVN,MICHAEL 203 ACC 06-04-91 116.00 €25.00 € BRONM,SHEILA D 224792 10199 BROW NICHAEL 203 ACC 06-04-91 213.50 213.50 1 BROWN,SHEILA D 224808 10199 BROHK,MICHAEL 203 ACC 06-04-91 453.50 453.50 1 BROW SHEILA D 224640 10199 BUELLtJENA 203 ACC 06-0441 129.80 129.80 1 VIGILrCH£LSEA 224803 10199 BUELL„#ENA 203 ACC 06-04-91 141.00 141.00 1 VIGIL,CH£LSEA 224738 10199 CALDERUCOD,K£KNETH 203 ACC 06-04-91 257.50 257.50 1 CALDERNOOD,K€fiN€TH J 224575 1019? CHAVALIER,NARGARET 203 ACC 06-04-91 €96.24 198.24 1 HEALTH SERVICES URITE-OFF REPORT DATEeIb Oct 2000 PAU; 19 DEBTOR.... CLIENT#... WE.......................... DSK ST C0 DT-ASSIGN WASSIGN...... PRIM COL LST PAY. TOTAL DAL.,... CNT CHE'VALIER,HARGARET L 224309 10199 CREERrPETTRE 203 ACC 06-04-91 247.70 247.70 1 CREER,PETTRE E 224462 10199 ESDUIRELrIRENE 203 ACC 06-04-9€ 103.00 103.00 1 ESOUISEL.IRENE S 224690 10199 FALCO,CYNTHIA 243 RCC 46-04-91 52.00 52.00 1 FALCO,CYNTHIA N 224807 14199 GARCIA,4IANA 203 AGC 06-04-91 213.30 213.1120 1 GARCIA,DIANA L 224423 10199 GONZAGA,KRISTY 203 ACC 06-04-91 240.00 244.00 1 GONZAGA,KRISTY L 224517 10199 GONZAGA,KRISTY 203 ACC 06-04-91 2005.98 2005.96 1 GONIAGA,XRISTY L 224766 10199 GONZAGA,KRISTY 203 ACC 06-04-91 190.70 €90.70 1 GONZAGA,KRISTY L 224780 10199 GONZAGA,KRISTY 203 ACC 06-04-91 145.70 145.70 I GONZAGA,KRISTY L 224589 14199 HENDERSON,STELLEEM 203 ACC 06-04-91 365.00 25.00 01-14-94 340.00 1 HENDERSON,STELLEEN E 224691 10149 HESSrTHONAS 203 ACG 06-04-91 33.00 35.00 1 HESS,THONAS C 224515 10199 IRVIN,JASON 203 ACC 06-04-91 69.00 69.00 1 224789 10199 JACK,SON,GREGORY 203 ACC 06-04-91 429.30 429.30 1 224464 10199 JOSHAN,FARADIDA 203 ACC 06-04-91 1313.70 1313.70 1 224714 10199 JOSHAN,FARADIBA 203 ACC 06-04-91 725.50 725.50 1 224718 10199 JOSHAN,FARADIBA 203 ACC 06-04-91 101.00 101.00 1 224814 10199 JOSHAN,FARADIBA 203 ACC 06-0441 184.00 184.00 1 224340 10199 JOSHAN,FARADIBA 203 ACC 06-04-91 288.49 288.49 1 224481 10199 LOPEZ,CONNIE 203 ACC 06-04-91 117.08 117.08 1 LOPEZrJOSE G 224539 10199 LOPEZ40SE 203 RCC 06-04-91 21.44 21.44 1 LOPEi,JOSE 1 224678 10199 LUKE,CLEOPATR 203 ACC 06-04-91 533.50 533.50 1 LUKE,CLEOPATR C 224582 10199 NAMUPULErGLORIA 203 ACC 06-04-91 €18.00 118.04 1 NAMUPULErKALI N 224458 10149 NARTINJONNY 203 ACC 06-04-91 137.22 137.22 1 !TART IN r TONNY L 224567 10199 NOYALrDAVID 203 ACC 06-04-91 66.00 66.00 1 NOYALrDAVID S 224665 10199 NOYAL,DAVID 203 ACC 06-04-91 473.50 473.50 1 NOYAL,DAVID S 224529 1+0199 STILLINGS,DAVE 203 ACC 06-04-91 168.50 :68.50 1 STILLINCS,PAN 224820 10199 TURNERrEDWARD 203 ACC 06-04-91 232.70 2322.70 1 224773 10199 ONITEJENNIS 203 ACC 06-04-91 373,42 373.42 1 URITErDEMNIS C 224484 10199 RHITErGARY 203 ACC 06-04-91 €36.70 13€.70 1 WHITE,JULIE A 226173 10199 AH1IAD,ADIDA 203 ACC 46-13-91 €48.62 188.62 1 226085 10199 ALLOREDGE,ALYIN 203 ACC 06-13-91 46.00 46.00 1 ALLOREDGE,NATTHER J HEALTH SERVICES WRITE-OFF REPORT DATE:16 Oct 2000 PAGE: 20 DEBTOR.... CLIENT#- NAME.......................... DSR ST CD DT-ASSIGN PN-ASSIGN...... PR€N COL LSF PAY. TOTAL BAL..... CNT 226030 10199 ALSTON40LIETTE 203 AGC 06-13-91 104.30 104.50 1 225778 10199 BALLERSTE€N.DEMISE 203 ACC 06-1341 59.00 KING,KYLE W 225979 10199 BALLERSTEIN,DENISE 203 ACC 06-13-91 157.00 €57.00 1 KING,KYLE W 226027 €0199 RALLERSTE M DENISE 203 ACC 06-13-91 103.00 103.00 1 KING,KYLE W 226092 10199 84LLERSTEIN.DENIS£ 203 ACC 06-13-91 104.00 104.00 1 KING,KYLE W 225844 10199 SATCHELOR,SEAN 203 ACC 06-13-91 212.00 212.00 1 BATCHELOR:SEAN A 2.25848 10199 BREAUX,ANGELA 203 ACC 06-13-91 303.50 303.50 1 BREAJX=DAVIT# G 226100 10199 BREWER,DAVID 203 ACC 06-13-91 379.00 379.00 1 BREWER,DAVID C 226154 10199 BROWN,SHEILA 203 ACC 06-13-91 33.00 33.00 1 BROWN+BRANDON G 225940 101.99 811£LL,JENA 203 ACC 06-13-91 125.00 125.00 1 VIGIL,CHELSEA 226169 10199 COLLOR,LASHAWMDA 203 ACC 06-13-91 420.50 420.50 1 COLLOR,LASHA#NDA R 22625€ 10194 DILLEY,CHARLES 203 ACC 06-13-91 106.00 106.00 1 DILLEY,JESSICA L 225926 10199 DITMARS,TRACY 203 ACC 06-13-91 66.00 66.00 1 DITMARSfSHAY M 226152 10199 DITMARS,TRACY 203 ACC 06-1341 66.00 66.00 1 OITMARS,SHAY M 226122 10199 GARCIA,DIANA 203 ACC 06-13-91 71.80 71.80 1 GARCIA,D€ANA J 225860 10199 GERARDO,MARCO 203 ACC 06-1341 103.00 103.00 1 226217 101" HAMBLIN,GOROON 203 ACC 06-13-91 110.40 110.40 1 HAMBLIN,WILL G 226019 10199 HULL,BRUCE 203 ACC 06-13-41 59.00 59,00 1 HULL,ELENA M 225774 10199 HULL,EL£NA 203 ACC 06-13-91 66.00 66.00 1 HULL,ELENA M 225923 10199 HULL,ELENA 203 ACC 06-13-91 311.61 311.61 1 HULL,ELENA M 226211 10149 HUNTER,AMELIA 203 ACC 06-13-91 25.00 25.00 1 HUNTER,AMEL€A 0 225973 10199 JOSHM FARAD€8A 203 ACC 06-13-9€ 66.00 66.00 1 225823 10199 JOSHAN,NAJAISULLA 203 ACC 06-13-91 66.00 66.00 1 JOSHAN,SORAIA 226135 10199 KINDER.TIKOTHY 203 ACC 06-13-91 551.48 551.48 1 KINDER,TIMOTHY R 226055 10199 KING.DENISE 203 ACC 06-13-91 59.00 59.00 1 KING,KYLE k 226049 10199 SNITH,W€LL€AM 203 ACC 06-13-91 212.20 212.20 1 SMITH,NILLIAM 5 225941 10199 TERRAZAS,PATRICIA 203 ACC 06-13-91 76.20 76.20 1 225753 10199 TOLIVER,JUANITA 203 ACC 06-13-91 946.30 484.41 08-16-99 461.89 1 226013 10191 TURK,CHARL£S 203 ACC 06-13-91 118.00 118.00 1 HEALTH SERVICES WRITE-OFF REPORT DAT£;16 Oct 2004 PAs?; 21 DEBTOR.... CLIENT#... MANE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL.,... CXT 225921, 14199 VEBB,NARY 243 ACC 06-1341 419.54 4:9.50 1 HEBB,NARY L 226137 10€99 VOODARD,STANLEY 203 ACC 06-13-91 447.94 447.94 1 VOODARD,STANLEY 9 225922 10199 YATES,DARLENE 203 ACC 06-€3-91 600.00 600.00 1 226102 10199 ZAIDI,PATRICIA 203 ACC 06-13-91 341.64 341.64 1 ZAIDI,COVRTNEY R 226836 10199 AGBABIAKA,OLASHENI 203 ACC 06-18-91 192.86 192.86 1 ACBABIAKA,OLASHENI S 226765 10199 ALEXANDERsCATHERINE 203 ACC 46-18-91 784.95 784.95 1 ?26726 10199 AYRIS,NARK 203 ACC 06-18-91 165.20 165.20 1 AYRIS,NARY A 226681 10194' BALLERSTEIN:DENISE 203 ACC 06-18-91 92.40 92.40 1 KING.DENISE R 226678 10199 BIGGS,DANIEL 203 ACC 06-18-91 30.50 30.50 1 BIGGS,DANIEL E 226385 10199 81GLER,LIANNE 203 ACC 06-18-91 401.00 401.00 1 BIGLER,LIANNE L 226973 10199 BOOKERYELSH,CHERYL 203 ACC 06-18-91 €68.00 €68.00 1 BOOKERVELSH,CHERYL L 226766 10199 BREVER,DAVID 203 ACC 06-18-91 466.50 466.50 1 BREWER,DAVID C 226718 10199 CHAVEZ,LADISSLAO 203 ACC 06-1841 182.50 182.50 1 226698 10199 DORADO,OFELIA 203 ACC 06-1841 19.04 19.00 1 226792 10199 FONSECA,FLIGONO 203 ACC 06-18-91 345.50 345.50 1 FONBECA,GIJADELUPE A 226694 10199 GEORGE,DONALD 203 ACC 06-18-91 465.36 465.36 1 GEORGE,DONALD J 226856 10199 GRA4AII,PENNY 203 ACC 06-18-91 40.80 40,80 1 GRANA&BRITTANY R 226689 10199 HARBLIM,GORBON 203 ACC 06-18-91 3902.74 3902.74 1 HANSLIN,TOMI L 226950 10199 HUNT,RONALD 203 ACC 46-18-91 395.00 395.00 1 226968 10199 KING,DAVID 203 ACC 06-18-91 197.07 197.07 1 KING,DENISE R 226845 10199 LEIF,ROBERT 203 ACC 06-18-9€ 109.00 109.00 I LEIF,ROSERT N 226886 10199 LEIF,ROBERT 203 ACG 06-18-91 66.04 66.40 1 LEIF,ROBERT N 226838 10199 LEOMARDO,CARLOS 203 ACC 06-18-91 671.04 671.04 1 LEONARDO,DIANA E 226945 10199 LOPEZ,ESTELA 203 ACC 06-18-91 68.55 68.55 1 LOPEZ„JOSE 226757 10199 LOPEZ,JOSE 203 ACC 06-18-91 128.00 128.00 1 226924 10199 LOPEZ,JOSE 203 ACC 06-18-91 255.75 231.75 1 226683 10199 LOZANU,PHILIP 203 ACC 06-1841 €88.04 188.00 1 LOZANO,PHILIP E 226755 10199 NIRANDA,HARCEI. 203 ACC 06-1841 222.90 222.90 1 MIRANDA,LGRENA N 226843 10199 NIRAMDA,NARCEL 203 ACC 06-18-91 129.80 129.80 1 NIRANDA,LORENA N 228194 10199 ADANS,CR.ARLES 203 ACC 06-26-9€ 154.50 154.50 1 HEALTH SERVICES YRITE-OFF REPORT DATE:16 Ott 2000 PAW 22 DEBTOR.... CLIENTt... WE..................x....... DSK S1 CD DT-ASSIGN P#-ASSI6H...... PRIM COL LST PAY. TOTAL BAL..... CNS ADAHS,CHARLES S 228165 10199 ATKINSON,CINDY 203 AGC 06-26-91 123.70 123.70 1 ATKINSON,CINDY E 228372 10199 BRADFORD,NENDY 103 ACC 06-26-91 66.00 66.00 1 GUSTAVSON,ERIC P 228018 10199 CALDERVOOD,KENNETH 203 ACC 06-26-91 124.08 124.08 1 CALDERVMD,KENNETH J 228223 10194 CASILLASNAVARRO,ROBERT 203 ACC 06-26-91 66.00 66.00 1 CASILLAS,ANA B 228064 10199 CHAVEZ,LADISLAO 203 AGC 06-26-91 66.00 66.00 1 228103 10199 DAVIS,ALAN 203 ACC 06-26-91 123.70 04-27-93 123.70 1 DAVIS,ALAN H 228269 10199 ENCINAS,CONNIE 203 ACC 06-26-91 309.77 349.77 1 ENCINAS,COHNIE S 22809€ 10199 FEGTER,GARY 203 ACC 06-26-91 992.50 992.50 1 FEGTER,GN£NLYN R 228120 10199 FONSECA,FLIGONO 203 ACC 06-2641 221.60 221.60 1 FONSECA,GUADELUPE A 228286 10199 GxARUA,NICHAEL 243 ACC 06-26-91 81.00 81.00 1 GARCIA,HICHAEL A 228167 10199 GEORGE,LEROY 203 ACC 06-26-91 66.00 66.00 1 GEORGE,LEROY N 228020 10199 GONZAGA,KRISTY 203 ACC 06-26-91 57.48 57.48 1 GONZAGA,KRISTY L 228196 10199 GRAHANrPENRY 203 ACC 06-26-91 19.80 19.80 1 GRAHAN,BR I TTANY R 228151 10199 HUNSAKERrKAREN 203 ACC 06-26-91 135.50 135.50 1 HUNSAKER,KAREN N 228025 10199 JONESrLISA 203 ACC 06-26-91 83.65 83.65 1 SAHUELB,JALISA J 228030 10199 KETZ£NBERG,VILLIAH 203 ACC 06-26-91 115.50 115.50 1 KETZENBERG,VILLIAN R 228249 10199 KILCORS£,JOHN 203 ACC 06-26-91 59.00 59.00 1 228274 10199 KILCORSErJOHN 203 ACC 06-26-91 103.00 103.00 1 228107 10199 LIPSTON,D£NIS£ 203 ACC 06-26-91 103.00 103.00 1 LIPSTON,DENISE N 228189 10199 SNITHrJACKI£ 203 RCC 06-26-91 107.50 €07.30 1 SNITH,JACKIE J 228375 10199 SNITH,RAY 203 ACC 06-26-91 174.62 174.62 € SNITH,RAY A 228034 10199 50LiSrRUBEN SR 203 ACC 06-26-91 147.60 147.60 1 SOLISrRUBEN 228098 10199 THOHAS,ANGELA 203 ACC 06-26-91 738.10 738.10 1 THONAS,ANGELA D 228304 10199 BALLACE,KINBERLY 203 ACC 06-26-91 166.50 166.50 1 WILLAC£,KINBERLY A 228297 10199 NEBB,CORVIN 203 ACC 06-26-91 103.00 103.00 1 NEBB,HARY L 228361 10199 WEBB,CORVIN 203 ACC 06-26-91 103.00 103.00 1 VEBB,NARY L 228354 10199 YANEZ,ROSARIO 203 ACC 06-26-91 690.50 690.50 1 YA*EZ,ROSARID C HEALTH SERVICES NRITE-Off REPORT Ol~1 - DATE416 Oct 2000 PAGE; 23 DEBTOR.... CLIENT#... NAME.......................... DSK ST CO OT-ASSIGN PN-ASSIGN...,.. PRIM COL LST PAY. TOTAL BAt.,... CNT 230222 10199 ALLDREDGE,CHARLOTTE 203 ACC 07-03-41 175.00 175.00 1 ALLDREDGE,ALVIN t 230340 10199 ARCHULETA,RICHARD 203 ACC 07-03-91 388.65 388.65 1 ARCHULETA,RICHARO J 230402 10199 BUTLER,RALPH 203 ACC 07-03-91 106.30 €06.30 1 230702 10199 CALVO,CHRISTOPHE 203 ACC 07-03-91 86.20 86.20 1 HRRINGTON,CHRISTOPHE D 230496 10199 CARPTON,REGINA 203 ACG 07-03-91 128,00 128.00 € CANPTOArR£GINA A 230656 10199 CLOUGH,RONALD 203 ACC 07-03-91 231.75 60.00 07-27-44 17€.75 1 CLOUGH,RONALD S 230647 10199 DONANAY,CURTIS 203 ACC 07-03-91 66.00 66<00 1 DUNANAYrASHLEY 230662 10199 DUNANAY,CURTIS 203 ACC 07-03-91 98.70 98.70 1 DUNANAY:ASHLEY 230292 10199 FRANKS,NARTEL 203 ACC 07-03-91 266.00 266.00 1 230384 10199 CORDON,PERCY 203 ACG 07-03-91 167.05 167.05 1 GORDON,PERCY D 230434 10199 HUBER,JINNIE R 203 ACC 07-0341 721.30 721.30 € HUSER,JINNIE R 230453 10199 HUBER,JINNIE R 203 ACG 07-03-91 110.00 35.00 08-29-94 75.00 1 HUBER,JINNIE R 230475 10199 H'JBER,JINNIE R 203 ACC 07-03-91 302.10 115.00 04-20-94 187.10 1 HUDER,JINNIE R 230355 10199 HUBER,JINNIE R 203 ACC 07-03-91 256.50 256.50 1 HUBER,JINNIE R 230344 10199 HUTCHINSON.STEVEN 203 ACC 07-03-91 620.50 620.50 1 HUTCHINSON,STEVEN R 230225 10199 JOSE,EDVARD 203 ACC 07-03-91 284.05 284.05 1 JOSE,EDVARD L 230306 10199 JOSErED41ARD 203 ACC 07-03-91 108.88 108.88 1 JOSE,EDVARD L 230360 10199 JOSHAN,NAJAIBULLA 203 ACC 07-03-91 503.40 503.40 1 JOSHAN,SORAIA 230445 10199 JOSHAN,NAM BULLA 203 ACC 07-03-91 84.30 84.30 1 JOSHAN,SORAIA 230229 10199 LAPIERRE,GEORGE 203 ACC 07-03-41 117.10 117.10 1 LAPIERRE,G€ORGE L 230528 10149 LUKE,CLEOPATR 203 ACC 07-03-91 46.00 46.00 1 LUKE,CLEOPATR C 230245 10199 MCGHEE,HELGA 203 ACC 07-03-91 63.50 63.50 1 MCGHEE,HELGA N 230780 10199 SIONEY,KRISTINE 203 ACC 07-03-91 311.00 311.00 1 KERR,KRISTIN£ C 230254 10199 STONE,ROBERT 203 ACC 07-03-91 622.22 622.22 € STONE,ROBERT E 230329 10199 TORRES,CARLOS 203 ACC 07-03-91 116.30 116.30 1 TORRES,CHELSEA N 232919 10199 BA'LLERSTEIN,DENISE 203 ACC 07-10-91 59.00 59.00 1 SCHMIDT,NICOLE R 233042 10149 CALD£RNOOMENMETH 203 ACC 07-1041 47.00 47.+00 1 CALDERNOOD,KENMETH J HEALTH SERVICES VRITE-OFF REPORT DATE;16 Oct 2000 PAGE: 24 DEBTOR.... CLIENT#... NAME.......................... DSK ST CB DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... Clic' 233061 10199 CONTRERAS,PEDRO 203 ACC 07-10-91 56.00 56.00 1 CONTRERAS,PEDRO F 232908 10199 JOKES,DUANE 203 ACC 07-10-91 33.60 33.60 1 JONES,SONJA K 232938 10199 KEARKEY:JASON 203 ACC 07-10-91 66.00 66.00 1 KEARNEY,JASON K 232970 10199 KEARNEY,JASON 203 ACC 07-10-91 260.33 260.33 It KEARNEY,JASON M 232997 10199 KEARKEYtJASON 203 ACC 07-10-91 325,90 325.90 1 KEARNEY,JASON K 233002 10199 KEARKEY,JASUN 203 ACC 07-10-91 59.00 59.00 1 KEARNEY,JASON M 233046 10199 LOPEZ,JOSE 203 ACC 07-10-91 176.70 176.70 1 LOPEZ,NARiCELA A 233676 10199 BALLERSTEIN,DENISE 203 ACC 07-16-91 101.00 101,00 1 KING,KYLE Y 233818 10199 DISMUKE,ERIC 203 ACC 07-16-91 757.00 253.66 07-1145 503.34 1 DISMUKE,KRISTA M 233643 10199 HARRELL,DESBIE 203 ACC 07-16-91 635.50 635,50 € HARRELL,DEBBIE K 233794 10199 HARRELL,DEBBIE 203 ACC 07-16-91 158.00 158.00 € HARRELL,DEBBIE K 233807 10199 HARRELL,DEBBIE 203 ACC 07-16-91 27.00 27.00 1 HARRELL,DEBBIE K 233836 10199 HARRIS,RICHARD 203 ACC 07-16-91 105.00 €05.00 1 HARRIS,RICHARD C 233857 10199 HAVILI,LESIELI 203 ACC 07-16-91 223.40 223.40 1 233713 10199 HEINBRUCH,IARRY 203 ACC 07-16-91 521.50 521.50 1 HEINBRUCH,TAKNY L 233805 10199 HENDERSON,DELILAH 203 ACC 07-1641 158.70 158.70 1 HENDERSON,CLIF>:ORD 233905 10199 HEYDARI,NAiZIAH 203 ACC 07-16-91 238.00 238.00 1 233635 10199 JENKINS,KELLY 203 ACC 07-16-91 869.00 869.00 1 JENKINS,KELLY A 233854 10199 JE9KINS#KELLY 203 ACC 07-16-91 66.00 66.00 1 JENKINS,KELLY A 233922 10199 JENKINS,KELLY 203 AGC 07-€6-91 59.00 59.00 1 JENKINS,KELLY A 233642 10199 JOHNSON,NICHELE 203 ACC 07-16-91 273.50 273.50 1 JOHNSON,KICHELE L 233975 10199 JOHNSON,KICHELE 203 ACC 07-16-91 81,00 81.00 1 JOHNSON,KICHELE L 233655 10199 JONES:KATHLEEN 203 ACC 07-16-9£ 38.50 38.50 1 233659 10199 JOSSHAN,NAJAIBULLA 203 ACC 07-16-91 196.50 196.50 1 JOSHAN,SOLAIKAN 233739 10199 KESSINGER,CAROL 203 ACC 07-16-91 277.00 271.00 1 KESSINGER,CAROL A 233846 10199 KESSINGER,CAROL 203 ACC 07-16-91 66.00 66.00 1 KESSINGERTCAROL A 233796 10199 KING,DAVID 203 ACC 07-16-91 81.00 81.00 1 KING,KYLE 1i 233118 10199 KORTUM,BRIAN 203 ACC 07-16-91 1,03.00 103.00 1 HEALTH SERVICES NRITE-OFF REPORT DATE;16 Ott 2000 PAGE; 25 DEBTOR.... CLIENT4... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PR€N CDL LST PAY. TOTAL BAL..... CNT KORTUM,BRIAN F 233786 10199 LAPIERRE,GEORGE 203 ACC 07-16-91 103.00 103.00 1 LAPIERRE,GEORGE L 233606 10199 LEAKS,ALRA 203 ACC 07-16-91 193.80 195.80 1 LEAKS,ALMA L 233940 10199 LEAKS,ALKA 203 ACC 07-16-91 72.20 72.20 1 LEAKS,ALNA L 233819 10199 LEIF,ROSERT 203 ACC 07-16-91 394.28 394.28 1 LEIF,ROBERT Y 233829 10199 LE€F,ROBERT 203 ACC 07-16-91 319.00 319.00 1 LE€F,ROBERT N 233993 10199 LEPPO,LOR€ 203 ACC 07-16-91 154.00 154.00 1 LEPPO,KYLE L 233685 10199 LONG,KAREN 203 ACC 07-16-91 132.35 132.35 1 LONG,KAREN S 233833 10199 LOPEZ,JOSE 203 ACC 07-16-91 121.00 121.00 1 LOPEZ,JOSE G 233667 14199 MARTINEI,ESPERANZA 203 ACG 07-16-91 $0.40 80.40 1 MARTINEI,H£CTOR N 233658 10199 NARTINEZAECTOR 203 ACC 07-16-91 55.20 55.20 1 NARTINEI,HECTOR M 233678 10199 VU,CH€NH 203 ACC 07-16-91 71.45 71.45 1 233785 10199 VU,CHINH 203 ACC 07-16-91 464.47 464.47 1 233708 10199 VILEY,ROBERT 203 ACC 07-16-91 148.91 148.91 1 VILEY,ROBERT L 233692 10199 NOODARD,STANLEY 203 ACC 07-16-91 153.08 153.08 1 YOODARD,STANLEY N 235158 10199 ANCUTANO,ESTHER 203 ACC 07-24-91 263.00 118.00 05-12-93 145.00 1 235500 10199 ARC AIRA,JOCELYN 203 ACC 07-24-91 309.50 309.50 1 ARCAINA„IOCELYN D 235030 10199 ASHLEY,NARCUS 203 ACC 07-24-91 204.65 204.65 1 ASHLiY,NARCVS P 235039 10199 AZ€MY,MOHAMMAD 203 ACC 07-24-91 64.90 20.00 08-15-91 44,90 1 AZIMY,MOHAMMAD F 235279 10199 BLACK,JOYCE 203 ACC 07-24-91 97.68 97.68 1 BLACK,JOYCE M 235306 10199 BLADE,SABRINA 203 ACC 07-24-91 66.00 66.00 1 BLADE,SABR€NA J 235031 10199 BROOKS,DWAYNE 203 ACC 07-24-91 106.36 106.36 1 BROOKS,DVAYNE N 233409 10199 BROiIit,LINDA 203 ACC 07-24-91 72.50 72.50 1 235482 10199 BURKETT,KATHLEEN 203 ACC 07-24-91 66.00 6640 1 SURKETT,CRYSTAL S 235082 10199 CLERENT,OLETHA 203 ACC 07-24-91 55.60 55.60 1 CLEM£NT,OLETHA L 235601 10199 COOPER,ALBERT 203 ACC 07-24-91 118.00 118.00 1 235445 10199 CRAFT,JEANIE 203 ACC 07-24-91 278,44 278.44 1 CRAFT,JEANIE A 235581 10199 DAV€S,TIM 203 ACC 07-24-91 572.10 572.10 1 DAVIS,TIN F 235068 10199 EHLER,TNONAS 203 ACC 07-24-91 39.60 39.60 1 EHLER,THUMAS L HEALTH SERVICES WRITE-OFF REPORT DATEr16 Oct, 2000 PAGE, 26 DEBTOR.... CLIENT#... MAN.......................... DSK ST CD DT-ASSIGN PN-ASSIGN.,..., PRIM COL. LST PAY, TOTAL DAL.,... CRT 235340 €0199 ENRIOUEI,NARIO 203 ACC 07-24-91 59.00 59.00 1 235170 10199 ESOUIBEL,IRENE 203 ACC 07-24-91 113.80 113.80 1 ESBUIBEL,IR£ME S 235230 10I99 FONS£CA,FLIGOMO 203 ACC 07-24-91 59.00 59.00 1 FONSECA,GUADELUPE A 235089 10199 GENTRY:ROBERT 203 ACC 07-24-9€ 2357.87 2357.87 1 235300 10199 GOMZALEI,JESUS 203 ACC 07-24-91 103.00 103.00 1 GONZALEI,FABIAN J 235325 10199 GONZAL£Z,JESUS 203 ACC 07-24-91 103.00 103.00 1 GOMZALEZ,DIANA B 235216 10199 GRAHAN,PATRICIA 203 ACC 07-24-91 355.50 855.50 1 GRAHAN,PATRICIA A 235377 10199 GUIMTU,JOS£ 203 ACC 07-24-91 370.00 370.00 1 GUINTU,ADELAIDA L 235283 10199 HARRELL,8OB 203 ACC 07-24-91 2026,30 2026,30 1 HARR£LL,DEBBIE K 235544 10199 HENDERSON,CLIFFORD 203 ACC 07-24-91 667.00 667.00 1 235399 10199 HULL,ELEMA 203 ACC 07-24-91 11.80 11.80 1 HULL,BRUCE H 235476 10199 HULL,ELENA 203 ACC 07-24-91 11.80 11.80 1 HULL,BRUCE H 235372 10199 HUNSAKER,KAR£M 203 ACC 07-24-41 4255.78 4235.78 1 HUNSAKER,KAREN N 235323 10199 JACKSON,GREGORY 203 ACC 07-24-91 71.20 7€.20 1 235146 10199 LAPIERRE,GEORGE 203 ACC 07-24-91 137.12 137.12 1 LAPIERRE,GEORGE L 235374 10199 LAPIERRE,GEDRGE 203 ACC 07-24-91 139.50 139.50 1 LAPIERRE,GEORGE L 235368 10199 MACCASKIE,EDWIN 203 ACC 07-24-91 105.30 105.30 1 MACCASKIE,E06IN J 235442 10199 NACK,VICTORIA 203 ACC 07-24-91 351.10 25.00 01-07-93 326.10 1 MACK,VICTORIA C 235145 10199 MALCUIT.NOMICA 203 ACC 07-24-91 588.80 210.00 11-30-95 378.80 1 235033 10199 NITCH£LL,DERRICK 203 ACC 07-24-91 207.62 207.62 1 NITCHELL,DERRICK A 235386 10199 SKITH,KATHLEEM 203 ACC 07-24-91 68.00 68.00 1 SIMON,ATIYA S 235430 10199 STEVEMS,CHARLE5 203 ACC 07-24-91 117.10 117.10 1 STEVENS,CHARLES E 235610 10199 TURNER,ALAM 203 ACC 07-24-91 103.00 10.00 09-09-91 93.00 1 TURNER,ALAN R 235603 10199 VAMN,COLLEEN 203 ACC 07-24-91 99.08 99,08 1 VAMN,COLLEEN R 236387 1009 ANBROSE,DAVIO 203 ACC 01-29-91 81.00 81.00 1 ANBROSE,OAVID L 236150 10199 AYRIS,NARK 203 ACC 07-29-91 99.00 °9.00 1 AYRIS,MARK A 236267 10199 BARRON,MARIBEL 203 ACC 07-29-91 73,00 73.00 1 GONIALEZ,EDGAR 236258 10199 SAUTISTA,ELISA 203 ACC 07-29-91 304.98 304.98 1 BAUTISTA,EVAMGELIMA V 236355 10199 BEAL,RONALD 203 ACC 07-29-91 88.86 88.86 1 HEALTH SERVICES VRITE-OFF REPORT '- DATE;16 Oct 2034 PAGE; 27 DEBTOR.... CLIENT#.., NAME.......................... DSK ST CD DT-ASSIGM PK-ASSIGN...... PRIM COL LST PAY. TOTAL DAL-- CNT BEAL,HEL£N E 236215 10199 BENNETT,PATTY 233 ACC 07-29-91 46.04 46.00 1 BENNETT,PATTY L 236151 14199 BIGGS,DANIEL 203 ACC 07-29-91 324.45 324.45 1 BIGGS,DANIEL E 236302 10199 BIGGS,DANIEL 203 ACC 07-29-91 59.00 59.00 1 BIGGS,DANIEL E 236358 10199 BONVIE,HENRY 203 ACC 07-29-91 448.17 408.17 1 DONV'IE,HENRY R 236223 10199 BRIBANT,NATTHEH 203 ACC 07-29-91 231.80 231.80 1 BRIDANT,HATTHEV N 236329 10199 CARDOZA,JESUS 203 ACC 07-29-91 238.50 238.54 1 CARDOZA,LIDIA C 236398 10199 CORREWULIO 203 ACC 07-29-9€ 425.97 425.97 1 236279 10199 CORREA,LUCIA 203 ACC 07-29-91 221.84 221.80 1 CORREArNARLON 236263 14199 EMMONS,ARLO 203 ACC 07-29-91 118.60 118.66 1 EMMONS,ARLD L 236157 10199 FISIIAHI,JOCELEEN 203 ACC 07-29-91 38.50 38.50 1 FISIIAHI,JOCELEEN B 236185 10199 GARLAND,RICHARD 203 ACC 07-29-91 81.00 81.40 1 GARLAND,RHUNDA S 236231 10199 GEORGE,DONALD 243 ACC 07-29-91 349.40 88.04 10-22-91 26€.40 1 GEORGE:DONALD J 236219 10199 GRAYSONtPAUL 203 ACC 07-29-91 66.00 66.00 1 GRAYSDN,PAUL A 236376 €0199 GRAYSOM,PAUL 203 ACC 07-29-91 70.70 70,70 1 GRAYSON,PAUL A 236194 10€99 GREEN,CATHRYN 203 ACC 07-29-91 275.15 275,15 1 GREENrCATHRYN N 236404 10199 GUSTAVSON,ER€C 203 ACC 07-29-91 81.50 81.50 1 GUSTAVSON,ERIC R 236260 10199 HEIHBRUCH,TAMMY 203 ACC 07-29-91 130.00 130.00 1 HEIMDRUCH,TANNY L 236135 10199 HOFF,CHARLES 203 ACC 07-29-91 656.54 636.54 1 HOFF,CHARLES H 236264 10199 HOFF,CHARLES 203 AGC 07-29-91 66.00 66.00 1 HOFF,CHARLES N 236195 10199 JOHNSON,TIHOTHY 203 ACC 07-29-91 110.00 110.00 1 JOHNSON,CINDY L 236155 10199 MORAN,GUILLERNO 203 ACC 07.29-91 189.39 50.00 14-17-91 139.39 1 HORAN,HARIA C 238219 10199 ALBERG,NICHAEL 203 ACC 08-14-91 368.00 28.00 06-19-98 340.00 1 ALBERGtNICHAEL D 2238249 10€99 ALLDREDGE,ALVIN 203 ACC 08-14-91 93.00 93.00 1 ALLDREDGE,CHARLOTTE G 23033 10199 BABINO,HILLIE 203 ACC 08-14-91 82.04 75.00 12-20-9€ 7.04 1 BABINO,IDELLA N 238258 10199 BALLERSTEIN,DAVID 203 ACC 08-14-91 103.00 103.00 1 KING,TYLER E 238270 10199 BONVIEtHENRY 203 ACC 08-14-91 165.50 165.50 1 BONVIErHENRY R HEALTH SERVICES HRIT€-OFF REPORT DATEs16 Oct 2000 PAGE: 28 DEBTOR..,. CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSICK...... PRI* COL LST PAY. TOTAL DAL..... CNT 238059 10199 BOYES,THEODORA 203 ACC 08-14-91 181.34 181.34 1 BOYES,THEDDORA F 238203 10199 COLLACD,ANGELD 203 AGC 08-14-91 66.40 66.00 1 COLLACO,ANGELD A 238055 10199 COLLINSSMALL,BARDARA 203 ACC 08-14-91 231.00 231.00 1 COLLINSSMALL,BARBARA f 238183 10199 COLLINSSMALi,BARBARA 203 ACC 08-14-91 66.00 66.00 1 COLLINSSMALL,BARBARA F 238226 10199 COLLINSSNALL,BARBARA 203 ACC 08-14-91 154.00 154.00 1 COLLINSSNALL,BARBARA F 238321 10199 COLLINSSNALL,BARBARA 203 ACC 08-14-91 2935.81 2935.81 1 COLLINSSNALL,BARBARA F 238271 10199 ESTRADA,BENJAMIN 203 ACC 08-14-91 324.00 324.00 1 ESTRAW ALEXANDER 238112 10199 FERGUSDN,ROBERT 203 ACC 08-14-91 54.00 54.00 1 F€RGUSCN,CHANIIRA N 238041 10199 FLEMINGS,EVA 203 ACC 08-14-91 240.35 240.55 1 FLEMINGS,EVA M 238134 10199 GARCIA,CLAUDIA 203 ACC 08-14-91 111.40 €11.40 1 238016 10199 GOMEZ,ROSA 203 ACC 08-14-91 230.00 230.00 1 BALCAZAR,ROSA 238236 10199 GOMEI,ROSA 203 ACC 09-14-91 296.50 296.50 1 SALCAZAR,RDSA 238323 10199 GONEZ,ROSA 203 ACC 08-14-91 377.50 371.54 1 BALCAZAR,RDSA 238284 14199 GRAYSON,PAUL 203 ACC 08-14-91 66.30 66.80 1 GRAYSON,PAUL A 238147 10199 HAMBLIN,GORDON 203 ACC 08-14-91 89.68 89.68 1 HANDLIN,TONI L 238198 10199 HAMBLIN,GORDON 203 AGC 08-14-91 397.00 397,00 1 HAMBLIN,TONI L 238070 10199 HARRIS,MARY 203 ACC 08-14-91 490.80 490.80 1 HARRIS,CHRISTINE M 238246 10199 JONES,MICHELLE 203 ACC 08-14-91 356.90 356.90 1 JONES,MICHELLE D 238324 10194 ,IONES,HICHELLE 203 ACC 08-14-91 412.12 412.12 1 JONESdU CHELLE B 238481 10199 JONES,TANNY 203 ACC 08-14-91 118.55 118.55 1 JETTOM,RICKY II N 238032 10199 KARU,ROK 203 ACC 08-14-91 124.50 124.50 1 238169 10199 K£LLY,GREGORY 203 ACC 08-14-91 1263.25 1263.25 1 KELLY,CIKDY M 238206 10199 KELLY,GREGORY 203 ACC 08-14-91 103.00 103.00 1 KELLY,CINDY M 238136 10199 KIM,YOUNGBAE 203 ACC 08-14-91 3695.36 3695.36 1 238204 10199 KIM,YDUNGBAE 203 ACC 08-14-91 98.00 98.04 1 2380.83 10199 KIM,YOUNGBAE 203 ACC 08-14-91 332.28 332.28 1 238317 10199 KIM,YOUNGBAE 203 ACC 08-14-91 175.00 175.00 1 238054 10199 LEIF,ROBERT 203 ACC 08-14-91 109.00 109.00 1 LEIF,ROBERT R 238124 10199 LEONARD,MICHELLE 203 ACC 08-14-91 219.80 219.80 1 239148 10199 LEONARD,MICHELLE 203 ACC 08-14-91 68.60 68.60 1 HEALTH SERVICES VRITE-OFF REPORT DATEs16 Oct 2000 PAGE; 29 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CMT 238154 €0199 MARSHALL,MICHAEL 203 ACC 08-14-91 127.80 127.80 1 238€17 10199 NARTIM MONDA 203 ACC 08-14-91 945.50 945.50 1 MARTIN,RHORDA E 238044 10199 MARTINEZ,IRMA 203 ACC 08-14-91 37.00 37.00 1 MARTINEZ,NORMA S 238211 10199 MARTINEZ,MARIA 203 ACC 08-€4-91 304.50 304.50 1 HERNANDEZ,JOSE A 238007 10€99 NATA,ROSA 203 ACC 08-14-91 224.30 22.4.50 1 MATA,ROSA K 238307 10199 REILICKE,CARL 203 ACC 08-14-91 100.00 100.00 1 MEILICKE,CARL H 238210 10199 MENDOZA,RAFAEL 203 ACC 08-1441 544.00 544.00 1 MENDOZA,RAFAEL L 238066 10199 MITCHELL,DERRICK 233 ACC 08-14-91 133.60 133.60 1 MITCHELL,DERRICK A 238190 10199 STEVART:DE94OND 203 ACC 08-14-91 1670.48 1670.48 1 LEONARD,NICHELLE 239155 10199 ALLDREDGE,ALVIN 203 ACC 08-21-91 149.00 149.00 1 ALLOR£DCE,CHARLOTTE G 239494 10199 ARCHULETA,RICHARD 203 ACC 08-21-91 623.48 623.48 1 ARCHULETA,RICHARD J 239403 10199 BANALES,JAVIER 203 ACC 08-21-91 66.00 66.00 1 BANALES,JAVIER M 239302 10199 BELCHER,MARY 203 ACC 08-21-91 318.45 318.45 1 BELCHER,MARY E 239348 10199 B£LCHER,MARY 203 ACC 08-21-91 66.00 66,00 1 BELCHER,MARY E 239372 10199 BELL,CRYSTAL 203 ACC 08-21-9/ 81.00 81.00 1 BELL,CRYSTAL A 239463 10199 COLLACD,ANCELO 203 ACC 08-21-91 59.20 59.70 1 COLLAM ANGELO A 239318 10199 DIAZ,DANIEL 203 ACC 08-21-91 69.00 69.00 1 239411 10199 DUARTE,EVERADO 203 ACC 08-21-91 240.10 240.10 1 DUARTE,JOANNA 239239 10199 GILL,MISHAN 203 ACC 08-21-91 77.60 77.60 1 GILL,NISHAR S 239231 10199 HARRELL,DEBBIE 203 ACC 08-2€-91 771.18 771.18 1 HARRELL,ROBERT E 239130 10199 IVERSON,JAMES 203 ACC 08-21-91 138.20 138.20 1 IVERSOM,JAMES D 239214 10199 KELLY,GREGORY 203 ACC 08-21-91 143.00 143.00 1 KELLYICINDY M 239192 10199 KIM,YOUNGBAE 203 ACC 08-21-91 €806.40 1806.40 1 239137 10199 MOORE,DONALD 203 ACC 08-21-91 916.50 916.50 1 M00RE,MELINOA A 239342 10199 NHITE,JULIE 203 ACC 08-21-91 113.50 113.50 1 FRANCIS,JENNIFER 239341 10199 WHITE MLLIE 203 ACC 08-21-91 895.00 310.00 11-03-93 585.00 1 239425 €0199 NHITE,NILLIE 203 ACC 08-21-91 89.00 89,00 1 WHITE MLLIE LEE 240136 10199 ABDULLAH,ABOU 203 ACC 08-28-91 3324.45 3324.45 1 ABDULLAH,MIRIAM HEALTH SERVICES WRITE-OFF REPORT OATEs16 Oct 2000 PAGE: 31 DEBTOR.... CLIENT#... WAKE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CKT 240544 10199 JONES,ERIC 203 ACC 08-28-91 272.00 272.00 1 JOKE&,ERIC L 244575 10119 JONES,ERIC 203 ACC 08-28-91 250.00 250.00 1 JOKES,ERIC L 240639 10199 JON€S,ERIC 203 ACC 08-28-91 625.04 625.04 1 JONES,€RIC L 240629 10199 JONESS,NICH£LL€ 203 ACC 08-28-91 &1.42 81.92 1 JONES,MICKELLE B 240333 10199 KEIFERT,DAKIEL 203 ACC 08-28-91 103.00 04-06-94 103.00 1 KEIFERT,DANIEL L 240212 10199 KELLY,GREGORY 203 ACC 08-28-91 119.41 119.41 1 KELLY,BRENDA L 240129 10199 KELLY,KERINDA 203 ACC 08-28-91 103.00 103.00 1 SHAV,KYL£ A 240108 10199 KELLY,KERIKDA 203 ACC 08-28-91 49.00 49.00 1 SHAV,KYLE A 240174 10199 KILGORE,D£ANNA 203 ACC 08-28-11 59.00 59.00 1 KILGDRE,DEANKA L 240086 10199 KINDER,TINOTHY 203 ACC 08-28-914 499.36 499.36 1 KINDER,TINOTHY R 240133 10199 KINDER,TINGTHY 203 ACC 08-28-91 274.40 274.40 1 KINDER,TIMOTHY R 240240 10194 KINDER,TIMOTHY 203 ACC 08-28-91 114.12 114.12 1 KINDER,TIMOTHY R 240464 10199 LOCKE,DAVE 203 ACC 08-28-71 56.00 56=00 1 LOCKE,ARBER R 240731 10194 LOKG,KAREN 203 ACC 08-28-91 112.00 112.00 1 LONE.::JENNA R 240123 10199 NALCUIT,NONICA 203 ACC 08-28-9/ 36.00 336.00 1 NALCUIT,NONICA R 240417 10191 NANOA,LESIELI 203 ACC 08-28-91 104.00 104.00 1 NAKOA,AKELIA F 240290 10149 NA&$,ANTHONY 203 ACC 08-28-91 196.04 196.04 1 MASS.ANTHONY G 240481 10199 N;,CLANAHANrSTEVE 203 ACC 08-28-91 103.00 103.00 i MCCLANAHAN,STEPHANIE L 240588 10199 MCDONELL,ANITA 203 ACC 08-28-11 81.30 81.30 1 MUCKLL,ANITA V 240631 10199 HEIER,JANiE 203 ACC 08-2841 79.00 79.00 1 NEIER,JARES A 240578 10191 KOHANNADI,AHKAD 203 ACC 08-2841 110.80 110.80 1 NOHAMNADI,AMAD H 240433 10194 NOORE,ANDERSON 203 ACC 08-28-91 68.24 68.24 1 240372 10194 MOSTAC€RG,JORGE 203 ACC 08-28-91 61.00 50.00 12-06-11 11.00 1 MOSTAC£RG,ROGER E 240723 10199 NOSTACER54ORGE 203 ACG 08-28-91 103.50 103.50 1 NOSTACEBO.ROGER E 240246 10199 THOMPSON,BEN 203 ACC 08-28-91 107.00 107.00 1 240579 10199 YHITE,JULIE 203 ACC 08-28-91 88.00 88.00 1 W41TE,BENJhN1K J 240624 10199 WILLIAMS,JEVEL 203 ACC 08-28-11 67.20 67.?0 1 WILLiAMS,JEAEL T HEALTH SERVICES WRITE-OFF REPORT DATEs16 Oct. 2000 PAGE: 32 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD OT-ASSIGN PK-ASSIGN...... PRIM COL LST PAY. TOTAL BAL...., CNT 241258 10199 COOPER,ALBERT 203 ACC 09-04-91 103.00 103.40 1 241341 10199 DAVIDSON,B£TTY 203 ACC 09-04-91 46.20 46,20 1 DAVIDSON,BETTY J 241435 14199 DUARTE,EVERARDO 203 ACC 09-04-91 175.85 175.85 1 DUARTE,MAN'JELA 241117 10199 DUNCAN:&ENE 203 ACC 09-04-91 66.00 66.00 1 DUMCAK,GENE S 241322 10199 FANCHER,JULI€ 2203 ACG 09-04-91 1489.44 1489.40 1 FANCH£R,JULI£ A 241357 10199 F£RDINAW FAITH 203 ACC 09-04-91 144.30 14.90 03-25-97 124.40 i FEROINAND,FAITH L 241168 10199 FRANCO,DAVID 203 ACC 09-04-91 255.80 10-10-91 255.80 1 FRANCO,ESTHER 241218 10199 FRITTS,LINDA 103 ACC 09-04-91 391.80 391.80 1 FRITTS,STEVEN J 241315 10199 GALVAN,ARMULFO 203 ACC 49-04-91 357.90 3.12 02-18-94 354.78 1 GALVAN,ARNULFO HERNANDEZ 241393 10199 GILL,NISHAN 203 ACC 09-04-91 59.00 59.00 1 GILL,NISHAN S 241286 10199 KILGORE,DEANNA 203 ACC 09-04-91 818.10 818.10 1 KILGORE,DEANNA L 241303 10194 HEIER,STEVEN 203 ACC 09-0441 213.50 213.50 1 HEIER,JAMI£ D 241132 10149 H€LTOM,MELODY 203 ACC 09-04-91 540.25 340,25 1 MELTON,IS£LODY Y 241132 10199 RELTOK,MELODY 203 ACC 09-04-91 1085.00 1085.00 1 MELTOK,MELODY Y 2413022 10194 WATTS,£RNESTIN£ 203 ACC 09-04-91 45.60 45.60 1 242177 10199 ALLYN,KEYIN 203 ACC 09-10-91 291.79 291.79 1 ALLYH,KEVIN P 242251 10,499 BERMUDEZ,EDGAR 203 ACC 09-10-91 461.20 111.00 14-26-92 350.20 1 BERMUDMEDEAR F 242169 10M CABRERA,FRANCISCO 203 ACC 09-10-41 284.00 284.00 1 242351 €0199 FERDINAND,FAITH 203 ACC 09-10-91 365.70 365.70 1 FERDINAND,FAITH L 242162 1019, GILL,NISHAM 203 ACC 09-10-91 416.00 416.00 1 GIL2,KISHAN S 242084 10199 HAMBLIK,GORDON 203 ACC 09-10-91 2762.30 2762.30 1 HAHBLIN,TONI L 242265 10199 HENDERSOK,C:IFFORD 203 ACC 09-10-91 164.50 164.50 1 HENDERSON MRIELLE M 242223 10199 HILL,HORRIS 203 ACC 09-10-91 25.40 25.40 1 HILL,FRANCES J 242249 10199 HILL,HORRIS 203 ACC 09-10-91 71.20 71.20 1 HILL,FRANCES J 242164 10199 IRVIN,JASON 203 ACC 09-10-91 244.07 244.07 1 242178 10199 JON3ES,TERRY 203 ACC 09-10-91 103.00 103.00 1 JON€S,TERRY L 242317 10199 KARU,RON 203 ACC 09-10-91 284.44 284.04 1 242362 10199 KLIGERMAK,GREGORY 103 ACC 04-10-91 117.70 117.70 1 242114 10199 MCMILLANTREZISE,DRUANKE 203 ACC 09-10-91 159.00 159.40 1 242339 10199 MOORE,MICHAEL 203 ACC 09-10-91 140.12 140.12 1 HEALTH SERVICES WRITE-OFF REPORT DATE;16 Oct 2000 PASEz 33 DEBTOR.... CLI€NT#... MAKE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN....., PRIM COL LST PAY. TOTAL BAL..... CNT NUORE,NICHAEL D 242146 10199 SPAVNrMILAGROS 203 ACC 09-10-91 2586.15 2586,15 1 RUSSELL,ANN M 2.42335 10149 VINDERLY{JUDY 203 ACC 09-1041 71.10 71.10 1 MINDERLY„JUDY R 242174 10199 ZUSCHI#,JACK 203 ACC 04-10-91 133.48 133.48 1 ZUSCHIN,JACK E 243436 10199 ABELLA,NAC 203 ACC 09-19-91 760.00 650.00 08-10-95 110.00 1 ABELLA,CLARITA 243391 10199 ALLYN,KEVIN 203 ACC 09-19-91 136.00 136.00 1 ALLYN,KEVIN P 243349 10199 BARRETT,JOHM 203 ACC 09-19-91 1066.70 168.70 07-17-97 898.00 1 BARRETT,DIONNE € 243227 10199 BROOKS,D119YNE 203 ACC 09-19-91 733.10 733.10 1 BROOKS,DVAYME K 243209 10199 CASTRO,LYNNE 203 ACC 09-19-91 2214.80 2214.80 1 CASTRO,LYMNE C 043493 10199 DUNZVEILER,DAMN 203 ACC 09-19-91 103.57 103.57 1 JONES,DAWN D 243311 10199 FAROLARCANO,JUDITH 203 ACC 09-19-91 73.00 73.00 1 FAM#ULARCANO,JUDITH 0 243214 10199 GUSTAVSON,ERIC 203 ACC 09-i9-91 66.00 66.00 1 GUSTAVSUN,ERIC P 243271 10199 HANDLIN,GORDON 203 ACC 09-19-41 201.14 201.14 1 HANSLINiMILL G 243369 10199 HANOLIN,GORDON 203 ACC 09-19-91 103.00 103.00 1 HAMBLIK4ILL G 243357 10199 HANDLINYGORDON 203 ACC 09-19-91 156.40 156.40 1 HANBLIM,NILL G 243418 10199 HERNANDEZ,FELIPE 203 ACC 09-19-91 69.40 20.00 11-15-91 49.40 1 243291 10199 HILL,TIIIOTHY 203 ACC 09-19-91 649.40 649.40 1 HILL,TINOTHY R 243328 10199 IRVIN,JASON 203 ACC 09-19-91 66.00 66.00 1 243319 10199 JOHNSON,ANTAR 203 ACC 09-19-91 1722.50 172.50 1 JOHNSON,ANTAR C 2243224 10199 NALCUIT,NONICA 203 ACC 09-19-91 24.20 24.20 1 NALCUIT,Ii€AICA R 243314 10199 NAKVPUL€,KALI 203 ACC 09-19-91 713.50 713.50 1 NANUPULE,GLORIA F 243482 10199 MAMUPULE,KALI 203 ACC 09-19-91 317.00 317.01 1 RAKUPULE,GLORIA F 243260 10199 NARTINEZ,DAVID 203 ACC 09-19-91 194.80 144.80 I KARTINUJAVID D 243408 10199 MCHILLANTREZISE,DRUAMNE 203 ACC 09-19-91 119.00 119.00 1 243396 10199 MENDOZA,RAFAEL 203 ACC 09-19-91 378.95 378.45 1 READOZA,RAFAEL L 243289 10199 TILLIS,DERRICK 203 ACC 09-19-91 46.00 46.00 1 TILLIS,DERRICK L 243299 10199 YALKER,BILLY 203 ACC 09-19-91 619.50 619.50 1 WALKER,BILLY D 244711 10199 ALLDREDGE,ALVIN 203 ACC 10-02-91 628.70 628.70 1 ALLDR€DGE,CHARLOTTE G HEALTH SERVICES WRITE-OFF REPORT DATE!16 Ott, 2000 PACE= 34 DEBTOR.... CLI€NT4... NAME.......................... D5K ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL.,... CNT 245412 10199 ANCAR,URBAIN 203 ACC 14-02-91 72.04 72.66 1 ANCAR,URBAIN J 244926 10199 BALL,CHRISTOPHE 203 ACC 10-02-91 273.45 273.05 1 BALL,CHRISTOPHE J 244975 10149 BEASLEY,TIESHA 203 ACC 14-02-91 243.74 243.74 1 BEASLEY,TIESHA M 244114 10199 CABRERA,FRANCISCO 203 ACC 10-02-91 217.44 217.4CF 1 244837 10199 CABRERA,FRANCISCO 203 ACC 10-02-91 86.90 86.90 1 245429 10199 CONSTESTABILE,ST€VEN 203 ACC 10-02-91 1915.49 1913.49 1 245124 10149 CONSTESTABILE,STEVEN 243 ACC 10-02-91 102.80 1022.84 1 244856 14199 CONTRERAS,TER€SA 203 AGC 10-02-91 59.00 59.04 1 CONTRERAS,TERESA T 244829 10199 CREER,EDWARD 203 ACC 10-02-91 177.24 177.26 1 CREER,EDWARD L 244782 14199 DAVIS,DANA 203 ACC 10-02-91 135.00 135.00 1 CARLSON,DANA L 244822 10199 DAVIS,MARK 203 ACC 10-02-91 500.57 500.57 1 DAVIS,MARK S 244915 10199 DAVIS,MARK 203 ACC 14-42-91 213.10 213.10 1 DAVIS,MARK S 245107 10199 DIAZ,LUIS 203 ACC 10-82-91 79.00 79.00 1 DIAZ,LUIS A 245136 14199 DIA7,LUIS 203 ACC 10-02-91 84.35 84.55 1 DIAZ,LUIS A 245015 1019? DUNAWAY,CURTIS 203 ACC 10-0241 66.04 66.00 1 OUNAWAY,ASHLEY 244885 10199 DUNZW€ILER,DAWN 203 ACC 10-0241 81.00 81.00 1 JONES,DAWN 0 245149 10199 FONSECA,FLIGONO 203 ACC 10-0241 11.40 11.40 1 FONSECA,GUADELUPE A 244911 14199 GILL,JAGROOP 203 ACC 10-02-91 134.44 130.64 1 GILL:PARRINDER 244849 10199 JALIL,FERIAL 203 ACC 10-02-91 111.50 111.54 1 245042 10199 JOHNSON,JOHN 203 ACC 10-02-91 368.15 368.15 1 JOHNSON,JOHN JR. H 244810 10199 JOHNSW RONELL 243 ACC 10-02-91 81.57 81.57 1 JOHNSON,RONELL L 245121 10199 JONES,DUANE 203 ACC 10-0241 374.40 374.00 1 JONES,SONJA M 244900 10199 JOSHAN,NAJAIBULLA 203 ACC 10-02-91 250.90 254.90 1 JOSHAN,SSORAIA 244960 10199 JOSHAN,NAJAIBULLA 203 ACC 10-02-91 168.30 168.30 1 JOSHAN,SORAIA 245147 10199 KEARNS,SEOUOYAH 203 ACC 10-02-91 94.00 44.00 1 KEARNS,ALEXANDRA N 244841 10199 LACAYO,ADRIANNA 203 ACC 10-02-91 168.84 130.40 08-27-92 38,60 1 LACAYO,ADRIANNA M 244924 10199 LANGONA,NERLE-ALEXA 203 ACC 10-02-91 197.54 197.50 1 244902 10199 LUCKETT,ROBERT 203 ACC 10-02-91 343.60 343.60 1 LUCKETT,ELAIKE 245071 10199 LUKE,CLEOPATR 203 ACC 10-02-91 65.40 65.40 1 LUK.E,CLEOPATR C HEALTH SERVICES NRIT.E-TIFF REPORTl DATEa16 Oct 2000 PAGE; 35 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN P#-ASSIGN...... PRIM COL LST PAY. TOTAL BAL...., CNT 244781 10199 MARTINEI,FELIPE 203 ACC 10-02-91 78.00 78.04 1 244958 10199 MELTON,ERNESTINE 203 ACC 10-02-91 57.27 57.27 1 MELTON,ERNESTINE W 245099 10199 MILLER,FRANK 203 ACC 10-02-91 112.60 1.12.60 1 245073 10199 SOLIS,RUB€N SR 203 ACC 10-02-91 206.50 206.50 1 SOLIS,RUBEN 245019 10199 SVECKER,ALAN 203 AGC 10-02-91 66.00 66.00 1 SSECKER,ALAN C 243143 10199 VILLIAMS,NILLIE 203 ACC 10-02-91 120.04 120.00 1 VILLIAMS,YILLIE A 247065 10199 ARANTES,BOBBY 203 ACC 10-1$41 74.40 74.40 1 ARANTE&,BOBBY A 246769 10199 ARCNULETA,RICHARD 203 ACC 10-15-91 189.40 189.40 1 ARCHUL€TA,RICHARD J 246913 10199 AVINGTON,HARRY 203 ACC 10-15-91 70.00 70.00 1 AVINGTON,HARRY N 247203 10199 BAILEY,KEYIN 203 ACC 10-15-91 117.00 117.04 1 BAILEY,KEVIN D 247186 10199 BALLERSTEIN,DAVID 203 ACC 10-13-91 59.00 59.00 1 KING,TYLER E 247017 10199 BATCHELOR,MICHELE 203 ACC 10-15-91 274.60 274.60 1 BATCHELOR,MICHELE R 247725 10149 BEDNAR,RICHARD 203 ACC 10-15-91 110.50 110.50 1 BEONAR,RICHARD N 247750 10199 BEDNAR,RICHARD 203 ACC 10-15-91 89.00 89.00 € DEDNAR,RICHARD N 247107 10194 BERMUDEZ,EDGAR 203 ACC 10-1541 70.00 70.04 1 BERMUDEI,EDGAR F 247283 10199 BIGGS,DANIEL 203 ACC 10-15-91 100.00 €00.00 € BIGGS,DANIEL E 247042 €0199 BLACK,JOYCE 203 ACC 10-15-91 75.00 55.00 1 BLACK„JOYCE M 247057 10199 DUTLER,RALPH 203 ACC 10-15-91 339.00 339.00 1 247651 10199 CABRERA,FRANCISCO 203 AGC 10-15-91 63.00 63.00 1 246888 10199 CARD£NAS,JOS€ 203 ACC 10-15-91 109.00 109.00 1 CARD£NAS,JOSE G 247508 10199 CHAIN,CLIFTON 203 RCC 10-15-91 79.00 79,00 1 CHAIN,CLIFTON H 246745 10199 CHAVEZ,JUAN 203 ACG 10-15-91 388.50 388.50 1 CHAVEZ,KANCA 247414 10199 COELHO,H€IDI 203 ACC 10-15-91 66.00 66.00 1 COELHO,THERESA M 247344 10199 CR€ER,EDNARD 203 ACC 10-15-91 422.60 422.60 1 CREER,EDNARD L 246864 10199 DALPORTO,FRANK 203 ACC 10-15-91 103.00 103,00 1 DALPDRTO,FRANK A 247088 10199 DIAZ,LUIS 203 AGC 10-15-91 63.00 63.00 1 DIAZ,LUIS A 247343 €0199 DIAZ,LUIS 203 ACC 10-15-91 46.00 46.00 1 DIAI,LUIS A 246881 10199 DORAFSHA,SHIVA 203 ACC 10-15-91 314.42 314.42 1 DORAFSHA,SHIVA E HEALTH SERVICES VRITE-OFF REPORT DATE;16 Oct 2004 FADE. 36 DEBTOR.... CLIENT4... NAME.......................... DSK ST CD BT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CHT 247406 14199 £STUPINAM,NARCELINO 203 ACC 10-1541 63.00 20.30 05-12-98 42.70 1 ESTUPINAMtBEATRIZ E 246733 10199 FANCHER,JULIE 203 ACC 10-1541 103.76 105.76 1 FANCHER,JULIE A 247279 10195 FARIAS,RAMON 203 ACC 10-13-41 25.05 25.05 1 FARIAS,ALICIA 247016 10199 FERDINAND,FAITH 203 ACC 10-15-91 56.30 36.30 i FERDINAND,FAITH L 247119 10149 FERDINAND,FAITH 203 ACC 10-15-91 65.10 65.10 1 FERDINAND,FAITH L 247527 10199 FERDINAND,FAITH 103 ACC 10-15-41 226.08 226.08 1 FERDINAND,FAITH L 247616 10199 FERDINAND,FAITH 203 ACC 10-13-91 379.02 379.02 1 FERDIMAND,FAITH L 247637 10199 GAFFNEY,MELISSA 203 ACC 14-15-91 303.20 304.02 08-01-97 144.1E I WILDER,TIFFANY M 247457 10199 GILL,JACROOP 203 ACC 10-15-91 346.90 546.40 1 GILL,PARNINDER 246944 10194 GODFREY,DARRYL 203 ACC 10-1541 66.00 66.40 1 GODFREY,DARRYL N 247541 10199 GRACIDA,JUAN 203 ACC 10-13-41 66.00 66.00 GRACIDA,JUAN L 247738 10199 GRACIDA,JUAN 203 ACC 10-15-91 247.60 247.60 1 GRACIDA,JUAN L 247613 10149 GUITIERREI,6AVID 11 203 ACC 10-15-41 206.02 206.02 1 247816 10199 GUITIERREZ,DAVID 11 203 ACC 10-1541 66.00 66.00 1 247506 10€99 HARMAN,RICHARD 203 ACC 10-13-91 358.04 358.00 1 HARNAN,KATHLEEN L 246766 10199 HARRIS,MARY 203 ACC 10-15-91 103.00 103.00 1 HARRIS,MARY H 247662 10199 HARTMAN,EDDIE 203 ACC 10-13-41 4215.20 423.20 1 HARTNAN,EDDIE A 247158 10199 HARTIELL,THONAS 203 ACC 10-15-91 227.60 227.60 1 HARTZELL,JASON A 246983 10199 HERMANDEZ,FELIPE 203 ACC 10-15-41 73.40 73.40 1 246867 10149 HUTCHINSON,STEVEN 203 ACC 10-15-9i 7068.61 7068.6€ 1 HUTCHINSON,STEVEN R 247152 10,499 IRANNANDrOLENDA 203 ACC 10-15-41 431.10 431.10 1 IRANMAHD,KAMBIZ K 247680 14194 IRANMAHD,GLENDA 203 ACC 10-15-91 676.64 676.64 1 1RANMA4D,KARRIZ K 246874 10199 JOHNSON.IRIS 203 ACC 10-15-91 2964.17 2964.17 1 JOHNSIIN,IRIS Y 246830 10159 JOHNSONMICHAEL 203 ACC 10-15-91 93.00 93.00 1 247643 10199 JONES,DUANE 203 ACC €0-15-91 284.50 284.50 1 JONES,SONJA M 246884 €0199 JONES,KATHLEEN 203 ACC 10-15-41 424.97 424.97 1 246875 10199 JOSMAKrMAJA1DULLA 203 ACC 10-13-91 169.40 169.40 1 JOSHAN,SOR'.A1A 246841 14199 KELLY,GREGORY 203 ACC €0-15-91 397.74 347.74 1 KELLY,CINDY M 247114 10199 KI'f,YOUMG$AE 203 ACC €0-15-91 119.16 119.16 1 HEALTH SERVICES WRITE-OFF REPORT f DATE:i6 Oct 2000 PAGE: 37 DEBTOR.... CLIENT#... MANE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY, TOTAL DAL..... CRT 247349 10199 KIM,YOUMGBAE 203 ACC 10-15-91 124.65 124.65 1 247300 10191 KLICERMAN,GRE'CORY 203 ACC 10-1541 406.45 406.45 1 247302 10199 KLIGERMAN,CRECORY 203 ACC 10-15-91 100.2E 120.28 1 247238 10199 LARA,EVAMCELINA 203 ACC 10-1541 274,50 274.50 1 247222 10199 LEIF,ROBERT 203 ACC 10-15-41 563.52 563.52 1 LEIF,ROBERT M 247270 10199 LEIF,RDBERT 203 ACC 10-15-91 132.95 €32.95 1 LEiF,ROB£RT V 247536 10199 LOPE.,ESTELA 203 ACC 10-15-91 99.50 99.50 1 LOPE?,JOS€ 247169 10199 MECHLINCtDONALD 203 ACC 10-15-91 291.14 291.14 1 MECHLIMG,DONALD A 247572 10199 REI£R,STE`+EN 203 ACC 10-15-91 151.5E 151.51 1 MEIER,STE14EM 0 247771 10199 MEJIA,COMSUELO 203 ACC 10-15-91 103.10 103.10 1 24758E 10199 MEDIA„JOS€ 203 ACC 10-15-91 636.00 636.00 MEJIA,JOSEFA 247231 10199 MILLER,JOHN 203 ACC 10-15-91 233.07 233.07 1 MILLER,JOHN E 247522 10199 MOSLEY,CHARLES 203 ACC 10-15-91 121.80 121.80 1 MOSLEY,CHARLES E 247488 10199 MOSTACERO,JORGE 203 ACC 10-15-91 109.00 70.00 03-20-92 39.00 1 MOSTACERO,RUGER E 247709 10199 SPANN,NILAGROS 203 ACC 10-15-91 143.60 143.60 1 RUSSELL,ANN M 247723 10199 SPAWN,MILAGROS 203 ACC 10-15-91 29.00 29.00 1 RUSSELL,ANN M 247072 10199 THOMAS,MARSDEM 203 ACC 10-1541 310.45 310.45 1 THONAS,NARSDEM G 247401 10199 THOMPSON,BEN 203 ACC 10-15-91 55.20 55.20 1 246300 10199 TILLIS,JACKIE 203 ACC 10-15-91 14.00 14.00 1 TILLIS,JACKIE R 247513 10199 TILLIS,JACKIE 203 ACC 10-15-91 105.20 105.20 1 TILLIS,JACKIE R 247458 10199 TRELUT,CAROL 203 ACC 10-15-91 111.40 10.00 12-27-91 101.44 1 TRELUT,CAROL A 247329 10199 TRIPP,NARRI 203 ACC 10-15-91 130.08 130.08 1 TRIPP,MARKI L 247379 10199 VIME,EARLE 203 RCC 10-15-91 135.55 135.35 1 VIME.EARLE E 248617 10199 AMCHOMDO,VICTOR 203 ACC 10-21-91 310.70 100.00 03-05-93 210.70 1 248640 10199 ARELLANO,DENPSON 203 ACG 10-21-91 269.20 269.20 1 ARELLANO,OEMPSSOM A 248465 10199 ASHLEY.MARCUS 203 RCC 10-21-91 91.35 91.35 1 ASHLEY,MARC+3S P 248500 10199 BAKER,STEPHEM 243 ACG 10-21-91 3092.49 3092.49 1 BAKER,NATHAN R 248576 10199 BELCHER,MARY 203 ACC 10-21-91 66.00 66.00 1 BELCHER,NARY E 243570 10199 BRIDAMTMATTHEM 203 RCC 10-21-91 161.50 161.50 1 BRIDANT,MATTHEN M 248533 10199 COLLINS,CHRISTIME 203 RCC 10-21-91 115.00 115.00 i HEALTH SERVICES VRITE-OFF REPORT DATE:16 Oct. 2000 PAGE; 38 DEBTOR.... CLIENT#,.. NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN....., PRIM CO€. LST PAY. TOTAL SAL.,... CXT COLLINS,CHRISTINE A 249602 14199 COLLINS,CHRISTINE 243 ACC 10-21-91 89.00 89.00 1 COLLINS,CHRISTINE A 248491 14199 CRUI,ANCEL 203 ACC 10-21-91 114.80 114.80 1 248621 10199 FIFITA,ANA 203 ACC 10-21-91 2€0.50 210.50 1 FIFITA,VAKAUTAPOL T 248614 10199 FISIIAHI,JOCELEEN 203 ACC 10-2€-91 137.00 €37.00 1 F€SI€AHI,JOCELEEN B 248571 10199 CONEI,ROSA 203 ACC 10-21-91 48.00 48.00 1 BALCAZAR,ROSA 248310 10199 GUSTAFSON,GUY 203 ACC 10-21-91 66.00 66.00 1 GUSTAFSON,ANIER L 248581 10199 GUINAN,HEN 203 AGC 10-21-91 383.32 393.32 1 LOPEZ,EVAN 248601 10€99 GUINAN,BEN 203 ACC 10-21-91 184.50 184.54 1 LOPEI,EVAN 248509 10199 HALBE,REGENA 203 ACC 10-21-91 2493.50 2493.54 1 HALBE,REGENA D 248564 10199 HUDSON,TRACI 203 ACC 10-21-91 2027.10 2027.10 1 HUDSON,TRACI D 248437 10199 JOSHAN,NAJAIDULLA 203 ACC 10-21-91 92.30 92.50 1 JOSHAN,SOLAINAN 248542 14199 LEt3t1,FELIX 203 ACC 10-21-91 109.00 109.00 1 248476 10€99 LOPEZ„30SE 203 ACC 10-21-91 49.60 49.60 1 LOPEI,JOSE G 249561 10199 ARRIAGA,JUDY ANN 203 ACC 10-24-91 169.70 169.70 I ARRIAGA,PABLO 249655 10199 ARRIAA,JUDY ANN 203 ACC 10-24-91 443.30 140.00 10-03-96 303.50 1 ARRIAGA,PABLO 249424 10199 BRAKE,SHEILA 203 ACC 10-24-9€ 250.30 250.30 I VOOLERY,SHEILA 0 249489 10199 CARDOZA,JESUS 203 ACC 10-24-91 127.50 €27.50 1 CARDOIA,LIDIA C 249545 14199 CARDOZA,JESUS 203 ACC 10-24-91 77.40 77.04 1 249533 10199 CORCORAN,JAMES 203 ACC 10-24-91 124.37 124.57 1 CORCORA3i,JANES N 249607 10199 DIAZ,DANIEL 203 ACC 10-24-91 36.00 36.00 1 249351 10199 GILL,JAGROOP 203 ACC 10-24-91 94.50 94.50 1 GILL,PARMINDER 249523 10199 GUTIERREI,SALVADOR 203 ACC 10-24-91 294.60 140.00 11-09-95 €54.00 I GUTIERREI,SALVADOR A 249469 10199 HEINBRUCH,TANMY 203 ACC 10-24-91 179.50 179.50 1 HEIABRUCH,TANNY L 249492 10199 KING,DEAISE 203 ACC 10-24-91 66.00 66.00 1 SCHHIDT410LE R 249669 10199 LAMOTHE,STEPHANIE 203 ACC 10-24-91 156.00 156.44 1 249456 10199 LEDESSKA,DANIEL 203 ACC 10-24-91 624.20 624.20 € LEDESHA,CAROLINA 249656 10199 LESSLEYrJARESS 203 ACC 10-24-91 269.70 268.70 1 249557 10199 MARTINEI,DAVID 203 ACC 10-24-91 128.00 125.00 1 HARTINEI,DAVID D 249431 10199 NOROSCHOK,APRIL 203 ACC 10-24-91 €52.61 152.61 1 p HEALTH SERVICES RRITE-OFF REPORT DAT£;16 Oct 2040 PAGE; 39 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRI# COL LST PAY. TOTAL SAL..... CRT MOROSCHOK,APRIL L 249462 10199 VASBUEZ,JOSE 203 ACC 10-24-91 127.90 101.50 12-17-96 26.40 i VASOUEZ,JOS£ A 2496315 10199 VERBERA,ELISID 203 ACC 10-24-91 153.40 153.00 1 249440 10199 WH1T#EY,KATHERINE 243 ACC 10-24-91 75.00 75.40 1 VHITNEY,KYLE J 249587 10199 YHITNEY,KATHERINE 203 ACC 10-24-91 94.50 94.50 1 WHITNEY,KYLE J 249349 10199 OILLIAMS,DNAYNE 203 ACC 10-24-91 69.40 69.00 1 WILLIAMS,DVAYNE L 250170 10199 BOYES,LEANDRO 203 ACC 10-29-91 64.00 64.00 1 MYE'S,THEDDDRA F 250333 10149 DARBY,STACEY 203 ACC 10-29-91 124.30 120.00 1 DARBY,STACEY A 250238 10199 DELAPP,GEOFF 203 ACC 10-29-9i 93.50 93,50 1 DELAPP,&EOF€ L 250231 10199 DUNCAN,LAWRENCE 203 ACC 10-29-91 103.00 103.00 1 DU#CA#,LAWRENCE P 250144 10199 HARVISDN,MATTHEN 203 ACC 10-2941 2219.95 .219.95 1 250149 10199 HARVI$ON,MATTH€W 203 ACC 10-29-91 235.00 235.00 1 250178 10199 HESS,THOMAS 203 ACC 10-29-91 109,00 109.00 1 HESS,RDSALINE L 250111 10199 JOHNSOM,1RIS 203 ACC 10-29-91 214.60 214.60 I JOHNSON,IRIS N 254317 10199 KUHL,GEORGE 203 ACC 10-29-91 16.20 16.24 1 Kr3HL,GEORGE W 250133 14199 LEO#,FELIX 203 ACC 10-29-91 70.00 70.00 1 230104 10199 LIAS,BRENDA 203 ACC 10-29-91 105.50 105.50 1 250056 10199 MARTINEZ,RAKIRD 203 ACC 10-29-91 146.00 146.00 1 MARTI#EZ,CERARDO 250064 10199 MCCLANAHAN,STEVE 203 ACC 10-29-91 59.40 69.40 1 MCCLANAHAN,STEPHANIE L 250819 10199 ALVAREZ, JENNIFER 203 ACC 11-05-91 452.68 452.68 1 ALVAREZ,JENNIFER 250748 10199 AYRIS,MARK 203 ACC 11-05-91 109.55 109.55 1 AYRIS,MARK A 250761 10199 B£SHEARS,DANNY 203 ACC 11-05-91 143.23 143.23 1 BESHEARS,BEVERLY A 250902 10199 BESHEARB,DANNY 203 ACC 11-05-91 225.70 225.70 1 BESHEARS,BEVERLY A 250843 10199 BORICHEVSKY,SHARON 203 ACC 11-05-91 148.30 145.54 1 BDRICHEVSKY,SHARO# J 250156 10199 BROOAS MAYNE 203 ACC 11-05-91 585.20 585.20 1 BROUS,DVAY#E M 250906 10199 BUSTANANTE,RALPH 203 ACC 11-05-91 283.50 263.50 1 BUSTANANTE,CANDACE K 250762 10199 CAMPOS,£SMERALDA 203 ACC 11-05-91 144.00 41,90 02-06-97 96.10 1 CAMPOS,ESMERALDA M 250794 14199 CORMEJOrNARID 203 ACC 11-05-91 92.00 92.00 1 CORNEJD,MARIA E 250771 10199 DUBRI,BHAIRO 203 ACC 11-05-91 150.00 150.00 1 DUBRI,KU89I HEALTH SERVICES WRITE-OFF REPORT DATEs16 Oct 2440 PAGE: 40 DEBTOR,... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM C11L LSI PAY, TOTAL SAL..... CNT 250924 IOIg9 FERDINANDrFAITH 203 ACC 1€-05-91 551.00 551.00 1 FERDINAND,FAITH L 250808 €0199 FONSECA.FLIGONO 243 ACC 11-05-91 567.00 567.00 1 FONSECAMADELUPE A 250746 14199 HORSTNANN,JANiCE 203 ACC 11-05-91 99.57 ¢9.57 1 HORSTMANNEJANICE L 250332 10199 JACKiONJONYA 203 ACC 11-05-91 126.00 126.00 1 JACKSON;TONYA L 250744 10199 JOHNSON.MARK 203 ACG 11-05-91 125.20 1225.20 1 JOHNSON.SABRINA R 250784 10199 S41THIKATHLEEN 203 AGC 11-05-91 80.08 80.08 1 250809 10199 YAW COLLEEN 203 ACC 11-05-91 113.50 1€3.50 1 VANN.COLLEEN R 250785 10199 WHITNEY:JAMES 203 ACC 11-05-91 487.00 487.00 1 WHITNEy.FRANCES J 251813 101917 ADAMS,CHARLES 203 ACC €1-14-91 66.00 66.00 1 ADAMS.DE€DRA L 251770 10199 BIGGS,DANIEL 203 ACC 11-14-91 103.00 103.00 1 BIGGS,DANIEL E 251964 10199 BIGGS,DANIEL 203 ACC 11-14-91 78.15 78.15 1 BIGGS,DANIEL E 251123 10199 DIIARTE.EVERARDO 203 ACG 11-14-91 211.00 50.00 05-01-92 €61.00 1 D1IARTE.MAKUELA 251940 10199 HARVEY,PHILIP 203 ACC 11-14-91 104.00 109.00 1 HARVEY,PHILIr D 251678 10199 LEGC.ARTH4IR 203 ACC 11-14-91 169.86 169.86 1 LEGO,ARTHJR E 251691 10199 MEREDITH:NANCY 203 ACC 11-14-91 222.73 222.73 1 NEREDITH.NARCY C 251997 10149 M£REDITH.NANCY 203 ACC 11-14-91 92.75, 92.75 1 NEREDITH,NANCY C 251811 10194 MODREJERESA 203 ACC 11-14-91 59.00 59.00 1 GONZALES,ANTHOMY F 251702 10199 SOMMONS:HASSAN 203 ACC 11-14-91 305.40 305.40 1 SOMMONS+HASSAN R 251831 10199 SOMMONS.HASSAN 203 ACC 11-14-91 424,10 424.10 1 SONNONS.HASSAN R 251675 10199 SPINELLA,LAURIE 203 ACC I1-14-91 308.55 308.55 1 SaINELLA.LAURIE F 251756 10199 WARING.J4ILIE 203 ACC 11-14--91 2978.58 2978.58 1 251927 10199 WEB8.JAMES 203 ACC 11-14-91 92.80 92.80 1 251698 10199 YANEZ:ROSARIO 203 ACC 11-14-91 188.00 188.00 1 YANEZ.ROSARIO C 251916 10199 YANEZ,ROSARIO 203 ACC 11-14-91 511.00 511.00 1 YANEZ.ROSARIO C 252707 10199 AR€AS.FRANCISCO 203 RCC 11-21-9f 70.00 70.00 1 ARIAS,FRANCISCO G 252688 10199 BAHOS:JUAN 203 ACC 11-21-91 429.05 429.05 1 BANDS MILLERMO 232673 10199 BUTLERtRALPH 203 ACC 11-21-91 125.00 125.00 1 2552761 10199 CONNOR,JAMES 203 ACC 11-21-91 131.00 1311.00 1 CONNOR.JAMES G HEALTH SERVICES URITE-OFF REPORT DATE;16 Oct 2000 PAGE; 41 DEBTOR.... CLIENT#... MANE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL ?AL..... CHT 252741 18199 HANNON JAMMIE 203 ACC 11-21-91 573.04 573.00 1 HANKONtTANNIE N 252714 10199 JOHNSONtCOY€ 203 ACC 11-21-91 236.98 236.98 1 JOHNSONICOY£. J 252717 10199 VARGAStJESUS 203 ACC 11-21-91 91.60 91.50 1 VARCASrANCELITA 252721 10199 VIGIU KARCIA 203 ACC 11-21-91 96.80 96.60 1 NACHAWMALIA S 253529 10199 ADAMStCHARLES 203 ACC 12-02-91 80.00 80.00 1 ADAMSrDEIDRA L 253498 10199 CABRERArFRANCISCO 203 ACC 12-02-91 65.29 66.29 1 253507 10199 CORREA+JULIO 293 ACC 12-02-91 41.00 41.00 1 253450 10199 HAGANStJOHNNIE 293 ACC 12-02-9'1 70.00 70.00 1 HAGANSrJOHNN€E L 253448 10199 HARTVELLtALYIN 293 ACC 12-02-91 338.03 338.03 1 253458 10,699 NAFOErIAKOPO 293 ACC 12-02-91 63.00 63.00 1 25346; 10199 NCCLANAHAN}STEVE 293 ACC 12-02-91 1704.75 1704.75 1 NCCLANAHANtCARLA J 253474 10199 NCCLANAHANtSTEV£ 203 ACC 12-02-91 647.50 647.50 1 NCCLANANANtCARLA J 253370 10199 NOODYrJOHNNY 203 ACC 12-02-91 109.00 109.00 1 NOODYrJOHNNY D 253585 10199 STRAGNANt TAMARA L 293 ACC 12-02-91 280.00 70.90 02-96-97 210.00 1 PORTERrCERISSA L 253392 10199 TREASEtDEVIN 203 ACC 12-02-91 328.95 328.95 1 TR£ASErDEVIN N 233489 10199 YANEZrJORCE 203 ACC 12-02-91 147.39 147.59 1 YANEZtROSARIO C 254245 10194 GILLtJAGROOP 293 ACC 12-05-91 53.00 53.00 1 GILLtROBBY 254221 10199 HANNON JAMNIE 203 ACC 12-05-91 219.00 2!9.00 1 HAHNONJANNIE N 254192 10199 JONESrANTOINETTE 203 ACC 12-05-91 35.00 35.00 1 JONEStANTOINETTE L 254241 19199 JONEStANTOINETTE 203 ACC 12-05-91 229.88 229.88 1 JONEStANTCINETTE L 254257 10199 SNITHtJARRDD 293 ACC 12-05-91 300.10 300.10 1 SHITHrJARR'JD S 234742 19199 ANAYAtNIGU£L 203 ACC 12-10-91 115.04 115.00 1 255248 19199 BAKER.STEPHEN 203 ACC 12-10-91 633.70 633.70 1 BAK£RtSTEPHEN P 235133 10199 BOLLOM 40SEPH 203 ACC 12-10-91 88.75 88.75 1 BOLLON 40SEPH C 254797 10199 BRO0 4ASNINE 203 ACC 12-10-91 98.00 98.00 1 254877 19199 CABRAL,MARLENE 203 ACC 12-10-91 126.00 126.00 1 FRENCHtCHARLOTT£ A 255193 10199 GHANEYtELIZABETH 293 ACC 12-10-91 428.10 428.10 1 CHANEYr£LIZABETH D 254939 1019' COLLINSSTDAWN 203 ACC 12-10-91 537.17 337.57 1 COLLINSrDAVI Y 255015 10199 COLLINStDANN 203 ACC 12-10-91 80.70 80.70 1 COLLINStDAAN Y HEALTH SERVICES NRITE-OFF REPORT DATE116 Oct 2004 PAGE; 42 DEBTOR.... CLIENT#.., MAKE.......................... DSK ST CD DT-ASSIGN PM-ASSIGN...... PRIM COQ. LST PAY. TOTAL DAL..... CNT 255258 14199 COOLEY,LISA 243 ACC 12-10-91 296.34 286.34 1 COOLEY,LISA M 254663 10199 CORREA,JULIO 243 ACC 12-10-91 77.48 77.08 1 253261 14199 DEV,JOE 243 ACC 12-14-91 109.44 109.04 I DEH,JOE E 254983 14199 DODGE,STEVEN 243 ACC 12-10-91 116.40 1€6.40 1 DODSE,STEVEN E 254770 10199 DOMIAN4ANET 203 ACC 12-10-91 109.30 109.30 1 DOMIAN,KEITH W 254714 14199 ELLIS,CYNTHIA 203 ACC 12-10-91 123.90 123.90 1 ELLIS,EARL S 255226 10199 FLENINGS,EVA 203 ACC 12-1041 336.45 336.45 1 FLERINGS,EVA M 255036 10199 FONSECA,fLIG0N0 243 ACC 12-10-91 79.70 79.70 1 FONSECA.GUADELUPE A 254756 101" GARCIA,AVELARDO 203 ACC 12-10-91 70.44 70.00 1 GARCIA,AVELARDO T 254915 10199 GARCIA,AVELARDO 203 ACC 12-10-91 309.10 349.10 1 GARCIA,AVELARDO T 255441 14194 GARCIA,AVELARDO 243 ACC 12-10-91 191.40 €?1.40 1 GARCIA,AVELARDO T 255084 10199 GARCIA,AVELARDO 203 ACC 12-10-91 109.00 109.00 1 GARCIA,AVELARDO T 254706 10199 GEORGE,DONALD 203 ACC 12-10-91 175.40 175.40 1 GEORGE,EL€ZABETH J 254938 14199 GILL,JAGROOP 243 ACC 12-10-91 2073.63 2073.63 1 GILL,PARAINDER 254962 10199 GILL,JAGROOP 203 ACC 12-10-91 700.95 744.95 1 GILL,ROMINA 235138 10199 GILL,JAGROOP 203 ACC 12-10-41 63.00 63.00 1 GILL,PARMINDER 255256 14199 GILL,JAGROO? 203 ACC 12-10-91 146.04 146.00 1 GILL,ROEBY 254764 10199 GONIALEZ,ROBERTO 203 ACC 12-10-91 197.05 197.05 1 254784 10199 HALE,NANCY 243 ACC 12-10-91 236.00 24.60 41-28-92 211.40 1 NARD,STEPHANIE C 254949 10199 HEIMBRUCH,TANNY 203 ACC 12-10-91 90.40 94,00 1 HEINDRJCH,TA111a't L 254993 10199 IRANNAND,GLENDA 203 ACC 12-10-91 75.75 15.75 1 IRANNAHL,GLENDA K 255181 10199 JENNINGS,THOMAS 203 ACC 12-10-91 €72.85 172.85 1 JENNiNGS,TH?MAS E 254728 14199 JIMENEZ,ROSA 203 ACC 12-10-91 381.50 391.54 1 JIMENEI,ROSA K 235493 14199 JINENEI,ROSA 243 ACC 12-10-91 117.67 117.67 1 JIMENEI,R1'54 !4 254643 10199 JOS€,DONALD 203 ACC 12-10-91 116.80 116.80 1 JOSE,HKALD R 255012 10199 JOSE,DONALD 243 ACC 12-10-91 91.40 81.40 1 JOSE,DO#ALD R 254710 10199 KETZENBERG,BILL 203 ACC 12-10-91 269.40 269.40 1 KETZENDERG,BILL R HEALTH SERVICES URITE-OFF REPORT DATE16 Oct 2000 PAGE, 43 DEBTOR.... CLIENT#... WE.......................... DSK 8T CD DT-ASSIGM WASSIGR...... PRIM CDL LST PAY. TOTAL $#L...., CRT 254837 10199 KRUSE,RONALD 203 ACC 12-1041 2774.88 2774.88 1 KRUSE,RUNAL9 L 255091 10199 LEE,4ANES 203 ACC 12-10-91 234.50 234.80 1 LEE,JAMES L 254894 14199 LEFFLER,BE`,1ERLY 203 ACC 12-10-91 410.60 410.60 1 254898 10199 MALCUIT,MONICA 203 ACC 12-10-91 94.15 44.15 1 C/O CRAWORD M1IMICA 254736 10199 MANUPUL€M111 203 ACC 12-1041 40.00 94.00 1 MANUPULE,GLORIA F 255192 10149 MANUFUL€,KALI 203 ACC 12-10-91 95.00 95.00 1 MANUPULE,GLORIA F 255'23? 10194 ROODY.JONNNY 203 ACC 12-1441 109.00 104.00 1 MOODY,JOHNNY D 2549I3 10199 HOUR€,HARLD 243 ACC 12-10-91 245.10 245.10 1 MODRE,MARLO D 255021 10199 SP€ECH,SHASHA 203 ACC 12-10-91 66.00 66.00 1 SPEECH,SHASHA L 254891 10199 STACK,ROBERT 203 ACC 12-10-91 247.45 247.45 1 STACK,ROBERT A 254751 10199 BRINDLE, ROSA 243 ACC 12-10-91 3587.24 390.08 09-27-9t 3197.29 1 ROBERSON,ROSA L 254965 10199 NESLEY,SAM 283 ACC 12-10-91 235.43 235.43 1 254715 18149 ZAVALA,MILADY 203 ACC 12-10-91 379.00 379.00 1 ZAVALA,MILADY D 256453 18199 ACOSTA,VICTOR 203 ACC 12-18-91 62.00 25.00 02-27-92 37.00 1 ACOSTA,RUSA 2562+1 10199 ALLDREDGE.ALVIN 203 ACC 12-18-91 5279.27 5279.27 1 ALLDR€DGE,CHARLOTTE G 256315 10199 ANDERSON,MARIA 203 ACC 12-1841 380.73 380.73 1 256183 18199 AYRIS,MARK 203 ACC 12-18-41 87.00 28.00 04-18-94 59.00 1 AYRIS,MARK A 256214 10199 BALL,KATHLEEN 203 ACC 12-18-91 380.06 380.06 1 236224 14199 BARRON,MARIBEL 203 ACC 12-18-91 57.00 57.00 1 256352 14199 BROSSOIT,LAVR€NCE 203 ACC 12-18-91 359.50 359.30 1 $ROSSOIT,LAVRENCE D 256123 10199 CAMACHD,MARIA 203 ACC 12-18-91 72.05 72.05 1 CAMACHO,MARIA 5 256312 18199 CRABAUGH,RO$ERT 203 ACC 12-18-91 727.50 727.50 1 CRABAUM ERRICA L 256321 10199 DASNEY,DOROTHY 203 ACC 12-18-41 610.80 80.00 02-18-92 530.80 1 256340 10199 DUNBAR,CATHRYN 203 ACC 12-18-91 103.08 103.00 1 DVNBAR,TERA L 256495 10199 DUNBAR MTHRYN 203 ACC 12-18-91 146.80 106.80 1 DUMBAR,TERA L 256563 10199 DUMBAR,CATHRYN 203 ACC 12-18-91 113.80 113.80 1 DUMBAR,TERA L 256370 10199 F€LIX,AKELIA 203 ACC 12-18-91 381.00 381.00 1 FELIZ,AMGELIA C 256119 10199 GRAHAM,PATRICIA 203 ACC 12-18-91 505.70 505.70 1. GRAHAM,PATRICIA A 256132 10199 HAMMON,TAMMIE 203 ACC 12-18-91 649.45 649.95 1 HAMMONJAMMIE M HEALTH SERVICES WRITE-OFF REPORT DATE116 Oct 2044 PACE: 44 DEBTOR.... CLI£NT#... KANE.......................... DSK ST C4 DT-ASSIGN PH-ASSIGN...... PRI# COL LST PAY. TOTAL BAL...., CRT 256488 14149 HENDERSON,CLIFFORD 203 ACC 12-18-91 94.44 90.04 1 HENDERSON,DANIELLE N 256297 10199 HULL,BRUCE 203 ACC 12-18-91 13.24 13.20 1 HVLL,B"CE H 256473 10199 JOHNS€ONrPETER 243 ACC 12-18-91 50.44 50.04 1 JOHNS€ON,NADELYN H 256493 10199 JONESrANTOINETTE 243 ACC 12-18-91 103.00 103.00 1 JONES,ANTOINETTE L 256376 14199 KEARKS,SE4IUDYAH 243 ACC 12-1841 103.04 103.00 1 KEARNS,ALEXANDRA N 255158 10199 KETZENBERC,BILL 243 ACC 12-18-91 111.30 11€.30 1 KETZENBER^a,BILL R 256199 10199 KE€ZENBERG,BILL 203 ACC 12-18-91 1516.27 1515.27 1 K£TIENBERGJILL R 256382 10199 LANG€HE,STEPHANIE 203 ACC 12-1841 298.94 2°8.94 1 DAVIS,BRANDON 256254 10199 LATCHNAK:FRANCIS 203 ACC 12-18-91 92.00 92.00 1 LA€CHNAN,FRANCIS P 256537 10199 LOPEZ,ROSALIND 203 AGC 12-18-91 72.54 72.50 1 256551 10199 NALCUIT,NIDNICA 203 RCC 12-1841 72.00 72.40 1 NALCUIT,NONICA R 256511 10199 MALVEAUX.RITA 203 ACC 12-18-91 81.00 20.04 04-15-92 51.00 1 HALVEAUX,FRANK A 236579 10199 NOUCSIONE 203 ACC 12-18-91 96.00 96.40 1 NANOA,STEVEN 0 256288 10199 VAR&ASrJESUS 203 ACC 12-18-91 85.70 85.70 1 VARGAS,ANGELITA 256519 10199 ZANBRANO,RANOK 243 ACC 12-18-91 131.00 54.00 05-26-93 101.04 1 ZANBRANO,ROBERTO 257353 10199 ALCALA,CARLOS 203 ACC 12-26-91 127.60 127.60 1 ALCALArCARLOS F 257990 10199 ALCALA,CARLOS 203 ACC 12-26-91 69.20 59.20 1 ALCALA,CARLOS F 257687 14199 AVILES,GILBERTO 203 ACG 12-26-91 63.45 65.45 1 AVILES,GILBERTO J 257393 10199 BOYES,THEDDDRA 203 ACC 12-26-91 79.00 79.40 1 B+OYES,THEODORA F 257904 10199 BOYES,THEODORA 203 ACC 12-26-91 119.40 119.40 1 BOYES,€HEODORA F 257971 10199 BRANDI:DENISE 203 ACC 12-26-91 732.30 732.50 1 BRANDI,DENISE H 257713 10199 CABRERA,FRANCISCO 243 ACC 12-26-91 €24.50 124.50 1 257839 14199 CABRERA,FRANCISCO 203 ACC 12-26-91 133.50 13.3.50 1 237319 10199 CASILLASNAVARRO,ROB£RT 203 ACC 12-26-91 2632.95 2632.95 1 CASILLASrANA B 257383 10199 CRABAUGH,ROSERT 243 ACC €2-26-91 110.00 110.40 1 CRABAUGH,ERRICA L 257744 10149 CRAWFORB,ELIZABETH 203 ACC 12-26-91 301.20 301.20 1 CRANFORD,ELIZABETH H 257719 10199 DAVIDSON,BETTY 203 ACC €2-26-91 71.20 71.24 1 DAVIDSON,BETTY J 257236 €0199 DOUGLASS50AVID 203 ACC 12-26-91 432.10 432.10 1 z!, HEALTH SERVICES MRITE-DEF REPORT DATEs16 Oct 2000 PAGE: 45 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM CDL LST PAY. TOTAL BAL..... CKT DOUGLASS,DAVID W 257253 10199 DOUGLASS,DAVID 203 ACC 12-26-91 55.62 55.62 1 DOUGLASS,DAVID N 257311 10199 DOUGLASS,DAVID 203 ACC 12-26-91 164.30 164.30 € DOUGLASS,DAVID W 257314 10199 DOUGLASS,DAVID E03 ACC 12-26-91 70.80 76.80 1 DOUGLASS,DAVID W 257641 10199 DOUGLASS�DAY€D 203 ACC 12-26-91 109.00 109.00 1 DOUGLASS,DAVID N 257888 10199 DOUGLASS,DAVID 203 ACC 12-26-91 77.80 77.80 1 DOUGLASS,DAVID N 257918 10199 DOUGLASS,DAYID 203 ACC 12-26-91 179.40 179.40 1 DOUGLASS,DAVID N 257977 10199 DURR118HAIR0 203 ACC 12-26-91 830.20 830.20 1 DUBRI,KUSNI 237483 10199 ESPARZA,CARNEN 203 ACC 12-26-91 107.99 50.00 03-13-97 57.99 1 ESPARZA,JORGE 257461 10199 FONTENOT,LOIS 203 ACC 12-26-91 93.50 93.50 1 FDNT£NOT,LOI5 A 257589 10199 FONTENOT,LOIS 203 AGC 12-26-91 285.80 285.80 1 FONTENOT,LOIS A 257708 10199 FOSTER,DAVID 2003 ACC 12-26-91 203.10 203.10 1 FOSTER,ROSE M 257883 10199 GERALD,VERNA 203 ACC 12-26-91 1627.60 900.00 06-25-98 727.60 1 GERALD,VERNA D 257970 10199 GILL,JAGROOP 203 ACC 12-26-91 53.00 53.00 1 GILL,ROMINA 257214 10199 GUINTU,JOSE 203 ACC 12-26-91 1585.18 1585.18 1 GUINTU,ADELAIDA L 257386 10199 GUINTU,JOSE 203 ACC €2-26-91 81.20 8€.20 1 GUINTU,ADELAIDA L 257778 10199 HARMAN,RICHARD 203 ACC 12-26-91 235.00 235.00 1 HARMAN,KATHLEEN L 257674 10199 HARRIS,$ARY 203 ACC 12-26-91 586.00 586.00 1 HARRIS,CHRISTINE M 257480 10199 HERNANDEZ,FRANCISCA 203 ACC €2-26-91 137.30 137.50 1 HERMANDEZ,FRANCISCA A 257991 10199 JENNINGS,THOMAS 203 ACC 12-26-91 103.00 103.00 1 JENNINGS,TNOMAS E 257276 10199 JOHNSTON,PETER 203 ACC 12-26-91 118.00 118.00 1 JOHNSTON,MADELYN A 257984 10199 JOSHAN,FARADIBA 203 ACC 12-26-91 123.00 123.40 1 NONTANEI,ALICIA 258002 10199 JOSHAN,NAJAIBULLA 203 ACC 12-26-91 142.37 142.37 1 JOSHAN,SDRAIA 257395 10199 LEAKS,ALMA 203 ACC 12-26-91 154.60 154.60 1 LEAKS,ALMA L 257657 10199 MARTINEZ,RAUL 203 ACC 12-26-91 90.50 90.50 1 257464 10149 MCMILLAN,BETH 203 ACC 12-26-91 163.00 163.40 1 MCMILLAN,BETH A 257938 10199 MEIER,STEVEN 203 ACC €2-26-91 779.30 719.50 1 MEIER,JAMIE D i5, 11-1-11-04 HEALTH SERVICES NRITE--OFF REPORT OATE!16 Oct 2400 PACE: 46 DEBTOR.... CLIENT4... NAME.......................... DSK ST CO DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CNT 251240 10199 NEJIA,JOSEFA 203 ACC 12-26-91 69.16 69.16 I NEJIA,NANCY J 257525 10199 NEJIA„JOS€FA 203 ACC 12-26-91 70.00 70.00 1 NE,JIA.NANCY J 257587 10199 NEJIA,JOSEFA 203 ACC 12-26-91 190.80 140.80 € NEJIA:NANCY J 257667 10199 N:JIA,JOSEFA 203 ACC I2-26-91 85.50 85.50 1 NEJIA,NANCY J 257836 10199 NELLO,DON 2203 ACC 12-26-91 252.00 5.00 11-10-92 247.00 1 NELLO,NANCY A 257628 10199 NOCLINWAYANI 203 ACC 12-26-91 316.00 316.00 1 NOCLING,GARY 257342 10199 NOJICA,RICARDO 203 RCC €2-2641 171.35 171.35 1 NOJICA,MARIO 257703 10199 NOJICA,RICARDO 203 ACC 12-26-91 70.00 70.00 € NOJICA,NARIO 257756 10199 NORALES,RALPH 203 ACC 12-2641 81.50 8€.50 1 NORALES,RALPH T 257863 10199 NORALES,RALPH 203 ACC 12-26-91 44.00 44,00 1 NORALES,RALPH T 257794 10199 SORIA,ANTHONY 203 ACC 12-26-91 65.45 30.00 04-15-42 35.45 1 SORIA,ANTHON N 257775 10199 VALENCIA,ADOLFO 203 ACC 12-26-91 194.20 194.24 1 2257617 10199 VEBB,CORVIN 203 ACC 12-2641 1167.48 1€67.48 1 BEBMARY L 2573522 10199 MEBB,CORVIN 203 ACC 12-26-91 319.10 319.10 1 WEBB,NARY L 257910 10199 NHITNEY:JAMES 203 ACC 12-26-91 79.00 79.00 1 NHITNEY,KYLE J 257511 10199 WRIGHT,NICHELLE 203 ACC 12-26-91 38.50 38.50 1 NRIGHT,NICHELLE L 257481 10199 WRIGHT,PATRICIA 203 ACC 12-26-91 221.50 221.50 1 ORIGHT,PATRICIA L 258616 10199 ABELLA,NAC 203 ACC 01-06-92 252.70 25.00 04-22-92 227.70 1 ABELLA,CLARITA 258663 10199 ABRANS,KATHLEEN 203 ACC 01-06-92 203.50 203.50 1 ABRANS,KATHLEEN M 258692 10199 ACOSTA,VICTOR 203 ACC 01-06-92 227.34 227.34 I ACOSTA,ROSA 258494 10199 ANDERSOC OTIS 203 ACC 01-06-92 76.00 76.00 1 ANDERSON,OTIS J 258496 10199 AVILA,NICAELA 203 ACC 01-06-92 100.50 100.50 1 258500 10199 BACAIRODINIRO 203 ACC 01-06-92 432.54 432.54 1 BACA,RODIJIIRO C 258693 10199 BAKER,ALBERT 203 ACC 01-06-92 78.70 18.70 1 BAKERTALBERT E 258542 10199 BREIIER,CATHY 203 ACC 01-06-92 66.00 66.00 1 BREVER,ROCHANDA D 258142 10199 BR£31ER,CATHY 203 ACC 01-06-92 111.50 111.50 1 BREVER,ROCHANDA D 258533 10197 CABRERA,ALFCIA 203 ACC 01-06-92 66.00 66.00 1 CABRERA,ALICIA E HEALTH SERVICES VRITE-OFF REPORT DATE:16 Oct 2000 PAGE: 47 DEBTOR.... CLIENT#- NAME.......................... DSK ST CD DT-ASSIGN PH-ASSIGN...... PRIM COL L57 PAY. TOTAL RAL..... CRT 258509 10199 CABRERA,JESSE 203 ACC 01-06-92 97.80 97.80 1 258550 10199 COLLINS,CHRISTINE 203 ACC 01-06-92 314.10 314.10 1 COLLINS,CHRISTIME A 258606 10199 COLLOR,LASHANNDA 203 ACC 01-06-92 90.30 90.50 1 COLLOR,LASHAIINDA R 258578 10199 DESOUZA,AUDREY 203 ACC 01-06-92 447.50 447.50 1 SANFiLIPPO,AUDREY M 258754 10199 DORSEY,HICHAEL 203 ACC 01-06-92 138.86 138.86 1 DOR,9EYYNICHAEL D 258642 10199 DOZIER,YOLANDA 203 ACC 01-06-92 149.66 149.66 1 258630 10199 EHL€R,THOHAS 203 ACC 0I-06-92 19.80 19.80 1 EHLER,THOMAS L 258620 10199 ENISGUICHARD 203 ACC 01-0642 554.00 554.00 1 ENISON,RICHARD L 258515 10199 EVANS,ROB£RT 203 ACC 01-06-92 331.52 331.52 i EVANS,ROBERT E 258587 10199 GARCIA,PABLO 203 ACC 01-06-92 70.00 70.00 i 258545 10199 GUEST,DORAL£E 203 ACC 01-06-92 131.44 131.44 1 GUESs,DORALEE D ?58608 10199 HERNANDEI,GABRIEL 203 ACC 0106-92 63.00 63.00 1 H,E,RNANDETrROCIO 258736 10199 HERNANDEZ,GABRIEL 203 ACC 01-06-92 132.55 132.35 i HERMANDEZ,RUCIC 258637 10199 HIPOLITO„JOS€ 203 ACC 01-06-92 278.83 278.83 1 258662 10199 HOLLING540RTH,TISHA 203 ACC 01-06-92 907.60 907.60 1 HOLLINGSNORTH,TiSHA R 258491 10199 JACKSON,TONYA 203 ACC 01-06-92 178.00 178.00 1 JACKSON,TONYA L 258705 10199 JEMSEN,L£E 203 ACC 01-06-92 408.39 408.39 I JEMSEM,LEE R 258539 10199 JOHNSON,IRIS 203 ACC 01-06-92 79.00 79.00 1 JOHNSON,IRIS v 258559 10199 LASHAGNAY,LkNE 203 ACC 01-06-92 117.60 117.60 1 LASHAGNAY,LANE J 258625 10199 LASTRAP,TRACY 203 ACC 01-06-92 77.00 77.00 1 258749 10199 LASTRAP,TRACY 203 ACC 01-06-92 70.00 70.00 1 258671 10199 L£AKS,ALMA 203 ACC 01-06-92 326.08 326.08 1 LEAKS,ALMA L 258703 10199 LESH,ROBERT 203 ACC 01-06-92 134.50 134.50 1 LESH,R08£RT B 258690 10199 LOP£I,FRANCISC4 203 ACG 01-06-92 275.00 275.00 1 LOPEI,MICAELA 258503 10199 MILLETTE,LATICIA 203 ACC 01-06-92 658.50 658.50 1 MILLETTE,LATICIA F 258541 10199 MILLETTE,LATICIA 203 ACC 01-06-92 161.00 161.00 1 MILLETTE,LATICIA F 258535 10199 MOR£NO,LUIS 203 ACC 01-06-92 83.10 83.10 1 258629 10199 SPANGL€R,BINA 203 ACC 01-06-92 93.00 93.00 1 258573 10199 STIN50NrDAVID 203 ACC 01-06-92 260.25 260.25 1 8TINSW DAVID D 258688 10199 VARGAS,ARMANDO 203 ACC 01-06-92 101.83 181.83 1 258487 10191 VASHINGTON,JOHNNIE 203 ACC 01-06-92 244.08 244.08 1 HEALTH SERVICES NRITE-OFF REPORT OATE;16 Oct 2000 PAGE: 48 DEBTOR.... CLIENT#... HANE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN....., PRIM COL LST PAY. TOTAL BAL.,... CNT NASHINCTON,JOHNNIE D 258702 10199 NNITE MLLIE 203 ACC 01-06-92 237.50 257.50 1 HHITEMLLI£ L 259628 10199 ALEXANDER:CYNTHIA 203 ACC 0I-13-92 163.70 163.70 1 ALEXANDER,GYNTHIA D 259453 10199 AYRIS,MARK 203 ACC 01-13-92 109.00 109.00 1 AYRIS,MARK A 259612 10199 BAHRI,REIA 203 ACC 01-13-92 95.20 95.20 1 RICKETT,CHERI K 259439 10199 SALITI,FAIELAHM 203 ACC 01-13-92 139.60 139.60 1 259780 10199 SARNES,NICHOLAS 203 ACC 01-13-92 2246.50 246.50 1 BARN£S,NICHOLAS R 259571 10199 BRIDANT,NATTHEN 203 ACC 01-13-92 87.45 87.45 1 BRIDANS,HATTHEV M 259456 10199 BRUN£Y,BAM11 203 ACC 01-13-92 2014.00 2014.000 1 BRUN£Y,BAMBI L 259532 10199 DRAP£R,SHELLY 203 ACC 01-13-92 66.00 66.00 1 SNITH,AMANDA R 259704 €0199 DRAPERTSHELLY 203 ACC 01-1342 88.00 88.00 1 8MITH,AMANDA R 259483 10199 DUBRI,BHAIRO 203 ACC 01-13-92 163.75 163.75 1 DUBRI,KUSMI 259570 10199 OUBRI,BHAIRO 2003 ACC 01-13-92 125.10 €25.10 1 DUBRIPHUSNI 259738 10199 FL£THCH£R,PAMELA 203 ACC 01-13-92 101.45 10€.45 1 GIBSON,CHRISTOPHE G 239688 10199 CONZALEI,MARIA 203 ACC 01-13-92 86.00 86.00 1 GGVZALEI,NARIA C 259620 10199 GONZALEZ,ROBERTO 203 ACC 01-1342 131.50 131.50 1 GOIEZALEZ,ROBERTO C 259650 10199 GONIALEZ,ROBERTO 203 ACC 01-13-92 66.00 66.00 1 CONIALEI,ROSERTO C 259710 10199 HANLIN,NORMAN 203 ACC 01-13-92 166.00 166.00 1 HANUMORMAN H 259399 10199 HANSEN ME 203 ACC 01-13-92 220.60 220.60 1 HANSEN,SUE E 259455 10199 HANSEN,SUE 203 ACC 01-13-92 271.60 271.60 1 HANSEN,SUE E 259756 10199 HANSENTSU£ 203 ACC 01-13-92 109.00 109.00 1 HANSEN,SUE E 239595 10199 HARDIN,TIMOTHY 203 ACC 01-13-92 2673.20 2673.20 1 HARDIN,MITIIE D 259684 10199 HARVEYTKATHERIN£ 203 ACC 01-13-92 .64.28 64.28 1 HARVEY,KATH£RIN£ E 259679 10194 HIPOLITO,JOSE 203 ACC 01-13-92 367.45 367.45 1 259525 10199 HULTEEN,LOVINA 203 ACC 01-13-92 83.00 83.00 € HULTEEN,LOVINA N 259815 10199 JENSEN,LEE 203 ACG 01-13-92 67.45 67.45 1 JENSEN,LEE R 239422 10199 JOSHAN,NAJAIBULLA 203 ACC 01-13-92 293.00 293.00 1 JOSHAN,SOLAINAN 239560 10199 KIRBY,JIM 203 ACC 01-13-92 111.15 111.15 1 o- l' HEALTH SERVICES URITE-OFF REPORT DATE;16 Oct, 2000 PAGE; 49 DEBTOR.... CLIEN9... NAME.......................... 0911 ST CO DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CRT KIRBY,ELIZABETH A 299489 10199 LAVAUtMILANDA 203 ACC 01-13-92 89.00 89.00 1 GARRY,BRIANA 259804 10199 LOPEZ,JOSE 203 ACC 01-13-92 159.64 159.64 1 LOPEZ.JOSE G 259420 10199 LUDRICKSJONY 203 ACC 01-13-92 109.00 109.00 1 LUDRICKSJONY E 259770 10199 MACHADMERNARDO 203 ACC 01-13-92 81.20 61.20 1 MACHADOTCON5UELO 259528 10199 MALCUIT,KOKICA 203 ACC 01-13-92 155.35 155.35 1 MALCU M MONICA R 259481 10199 XCAUSLAND,JOHN 203 ACC 01-13-92 454.74 454.74 1 MCAUSLAND,CHRISTINA R 259508 10199 NONANED,ZAHARAA 203 ACC 01-13-92 282.50 282.30 1 259562 10199 NOHAMNED.LORETTA 203 ACC 01-13-92 303.00 303.00 1 VAS4UEMUCH€LLE D 259499 10199 MORENO.LUIS 203 ACC 01-13-92 70.00 70.00 1 259716 10199 MORENO.NILTZA 283 ACC 01-13-92 174.00 10.00 04-01-92 164.00 1 MORENO,NILTZA 0 259647 10199 TUFUNGAYP€LENAISE 203 ACC 01-1342 674.30 674.50 1 259786 10199 VALLACE.KIMBERLY 203 ACC 01-1342 104.50 104.50 1 11ALLAC€,KIMBERLY A 260326 10199 ADAMS,CHARLES 203 ACG 01-14-92 59.00 59.00 1 ADAHS.DEIDRA L 260101 10199 ALLISON.P€TER 203 ACC 01-14-92 92.40 92.40 1 ALLISONJAMMY M 260150 10199 ALNAVI,Mkl 203 ACC 01-14-92 128.40 128.40 1 ALWAVI.FARIS H 260031 10199 BAEZA,JUANA 203 ACC 01-14-92 344.15 344.15 1 TAVAREMEIDI J 260028 10199 BESHEARS,PRISCILLA 203 ACC 01-14-92 71.08 71.00 1 BESHEARS,PRISCILLA G 260031 10199 BIGGS.DANIEL 203 ACC 01-14-92 307.90 307.90 1 BIGGSrDANIEL E 260081 10199 BRITT,JOHNNY 203 ACC 01-14-92 147.40 147.40 1 260307 10199 CELAYA.FELII 203 ACC 01-1442 109.00 109.00 1 C€LAYA,ALICE L 260130 10199 COLLINS,CHRISTINE 203 AGC 01-14-92 84.00 84.00 1 COLLINSrCHRI&TINE A 260316 10199 COLLINS,TANNY 203 RCC 01-14-92 109.00 109.00 1 COLLINS,CHRISTOPHE M 260148 10199 CORDOVA.NARIA 203 ACC 01-14-92 212.80 212.80 1 CORDOVA.MARIA E 260194 10199 CORDOVA.MARIA 203 ACC 01-14-92 200.29 200.29 1 CORDOVA:MARIA E 260242 10199 CURRIERtTANARA 203 ACC 01-14-92 92.15 92.15 1 TERRILL.DANI£L C 260181 10199 DANIELS.DAMITA 203 ACC 01-14-92 69.10 10.00 03-26-92 59.10 1 SPENCER:DE SEAN G 260041 10199 DUBRIYBHAIRO 203 ACC 01-14-92 67.80 67.80 1 DUBR1rKU9NI 260324 10197 DUBRI,8HAIR0 203 ACC 01-14-92 93.50 93.50 1 HEALTH SERVICES WRITE-OFF REPORT SAT€:18 Oct 2000 PAGE: 50 DEBTOR.... CLIENTS€... MANE.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CNT DUBRI ASK! 260128 10199 DURAN,ABRAHAN 243 ACC 01-14-92 305.50 100.00 06-09-92 205.50 i DURANtABRAR0 R 260003 10199 FEAGIN,NICHA€L 203 AGC 01-14-92 2395.92 2395.82 1 FEAGIN,CAHDICE N 260294 10199 FERGUSONtCHANDRA 203 ACC 01-14-92 115.60 115.60 FERGOSON,CHANDRA x 260236 10199 FONSECA,BARBARA 203 ACC 01-14-92 108.50 108.50 1 FONSECA,BARBARA E 260134 10199 GARNERAENAN 203 ACC 01-14-92 280.75 250.75 1 CARWER,RENAN V 259992 10199 GONIALES,DANIEL 203 ACC 01-14-92 134.00 134.00 1 GOVIALEStDANIEL G 260089 10199 GUNIALES,DANIEL 203 ACC 01-14-92 885.92 665.92 1 GONZALES,DAMIEL G 260125 10199 GRAYSON,PAUL 203 ACC 01-14-92 1166.88 1166.86 1 GRAYSONtPAUL A 260074 10199 CUINTU,ADELAIDA 203 ACC 01-14-92 44.50 44.50 1 GUINTUtNICHAEL L 260179 14199 HAL€,JAMICE 203 ACC 01-14-92 84.30 84.30 1 HAYWES,KARIO D 260252 10199 HALE,JANICE 203 ACC 01-14-92 70.80 70.80 1 HAYNES,MARIO D 260018 10199 HAYNES,NARIO 243 ACC 01-14-92 79.00 79.00 1 HAYMES,NARIO D 259997 10199 HERMAN#1EI,JANE 203 ACC 01-14-92 301.50 301.50 1 HERNANDEZ,JANE A 260327 10199 HOWARD,VIRGINIA 203 ACC 01-14-92 78.00 78.00 1 HONARD,VIRCINIA L 284301 14199 itILCORSE,JDHN 203 ACC 01-14-92 240.40 240.00 1 260,277 10199 KONARIIADEH,ANIR 203 ACC 01-14-92 171.00 171.00 1 KOHARIIADEH,KHA"O 260286 14199 LAVAUtHILANDA 203 ACC 01-14-92 2067.18 2067.18 1 GARRY,BRIANA 260082 10199 LINK AVIV 203 ACC 01-14-92 1463.75 607.20 08-15-95 856.55 1 LINW,SEAN K 260210 10199 LOP€I,NARIAM 203 ACC 01-14-92 10.64 10.84 I THOMPSOC RANDOLPH J 260217 10199 LOPEI,NARIAN 203 ACC 01-14-92 3240.66 3240.66 1 THOMPSON,RANDOLPH J 260056 10199 HENDEI,BENJANIN 203 ACC 01-14-92 170.00 170.00 1 HENDE2,MATTHEN J 260315 14199 MOR€NO,SANCHEZ 203 ACC 01-14-92 2147.99 2147.99 1 MOREND,SANCHEI A 260173 10199 STRINGER,DORA 243 ACC 01-14-92 144.00 144.04 1 STRIHGER,DORA L 260318 10199 TREAT,KATHY 203 ACC 01-14-92 263.65 263.65 i TREAT,NATHAN D 260045 10199 VALDIYIA,RANIRD 203 ACC 01-14-92 276.05 276.05 1 VALDIVIAINARIA J 260132 10199 ViLLAFAC ANDRES 203 ACC 41-14-92 256.90 256.90 1 VILLAFAC ANDRES A HEALTH SERVICES NRITE-OFF REPORT DATE.16 Oct. 2000 PAGE: 31 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 262510 10199 ABIULLARYABDU 203 ACC 02-03-92 66.00 66.00 1 ABOULLAII,NADIR 262628 10199 AGUILAR,JAVIER 283 ACC 02-03-92 66.00 66.00 1 AGUILARrALBERTO G 262650 10199 AGUILAR,JAVIER 203 ACC 02-03-92 €66.50 166.30 1 AGUILAR,ALBERTO G 262592 10199 ANDERS0,0TIS 203 ACC 02-03-92 187.00 187.00 1 ANDERSONrOTIS J 262742 10199 ATI,JENMIFER 203 AGC 02-03-92 103.00 103.00 1 ATI,JENNIFER L 262362 10199 BADDIE,DELTHIA 203 ACC 02-03-92 88.80 98.80 1 BADDIE,DELTHIA L 262290 10199 BARGHI,POURANDOKH 203 ACC 02-03-92 90.70 40,10 1 262394 10199 BARGHIrPOURANDOKH 203 ACC 02-03-92 129.00 129.00 1 262323 10199 BELCN£R,MARY 203 ACC 02-03-92 206.00 206.00 1 BELCHER,MARY E 262116 10199 BENITES,MARTIN 203 ACC 02-03-92 322.50 322.50 1 BENITEMARTIN C 262563 10199 BLACK,JOYCE 203 ACC 02-03-92 104.37 104.37 1 BLACK,JOYCE M 262363 14199 BRIDANT,MATTHEN 203 ACC 02-03-92 97,60 97.60 1 BRIDANT,NATTHEH M 262720 10199 CABRERA,JESSE 203 ACC 02-03-92 70.00 70.00 € 262752 10199 CACLE,THUMAS 203 ACC 02-0342 62.60 82.60 1 CAGLE,THOMAS N 262469 10199 CAIN,CANDY 203 ACC 02-03-92 95.00 95.00 1 CAIM,CANDY R 262674 10199 CAMPBELL,JENNIFER 203 ACC 02-03-92 467.00 467.00 1 CAMPBELL,JENNIFER K 262086 10199 CAMPOS,HORACIO 203 ACC 02-0342 31.20 51.20 1 CAMPOSrELIDA 262537 10199 CHAVEI,LADISLAO 203 ACC 02-03-92 66.00 66.00 1 262734 10199 CHAVEI,LADI&LAO 203 ACC 02-03-92 66.00 66.00 1 262729 10199 CONANT,LOIS 203 ACC 02-03-92 103.00 103.00 1 VILLIS,LOIS P 262547 10199 DELACRUZ,ANELIA 203 ACC 02-0342 175.00 175.00 1 DEL.ACRUI,ANELIA M 262713 10199 DELACRUI,ANEL€A 203 ACC 02-03-92 129.88 129.88 1 DELACRVI,AMELIA M 262120 10199 DIAMOSERTO 203 ACG 02-03-92 952.50 952.50 1 DIAI,CARMEN 262607 10199 DOUGHTY,LOREE 203 ACC 02-03-92 36.50 38.50 1 DOUGHTY,LOREE L 262672 10199 OUBRI,BHAIRO 203 ACC 02-03-92 146.50 146.50 1 DUBRI,KUSMI 262532 10199 FELIX,ANGELIA 203 ACC 02-0342 46.00 46.00 1 FELII,ANGELIA C 262702 10199 FELII,ANGELIA 203 ACC 02-03-92 102.90 102.90 1 FELII,ANGELIA C 262443 10199 FIRKINS,RICHARD 203 ACC 02-03-92 66.00 66.00 1 FIRKINS90ARIELLE A 262089 10199 FRANK,SUIETTE 203 ACC 02-03-92 670.40 670.40 1 HEALTH SERVICES VRITE-OFF REPORT DATE;16 Oct 2604 PAGE: 52 DEBTOR.... CLIENT#... NAME.......................... BSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CRT FRAM,SUZETTE M 262568 10199 GONZALEZ,JOSE 243 ACC 02-03-92 67.54 67.50 1 GONZALEZ,KERELIA 262665 10199 GONZALEZ,JOSE 203 AGC 02-03-92 159.00 159.0E 1 GONZALEZ,MERELIA 262172 10199 GUINTU,JOSE 203 ACC 02-03-92 290.16 290.16 1 GUINTU,ABELAIDA L 242399 10199 GUIMTU,JOSE 203 ACC 02-0342 63.32 63.32 1 GUINTU,ADELAIDA L 262108 10199 GUTIERREZISALVADOR 203 ACC 02-03-92 404.00 404.00 1 GVTIERREZ,SALVADOR A 262441 10199 GUZKAN,BEN 203 ACC 02-03-92 147.00 147.00 1 LOPEZ,EVAN 262174 10199 HALSE,REGENA 203 ACC 02-03-92 453.90 455.90 1 HALBE.REGENA D 262625 10199 HALL,FREDRICK 203 ACC 02-03-92 610.91 6€0.91 1 HALL,FREDRICR N 262066 10199 HARVEY,MIRANDA 203 ACC 02-0342 66.00 66.00 1 WILLIAMS,BRITTNEY J 262140 10199 HARVEY,KIRANDA 203 ACC 02-03-92 87.00 87.00 1 YILLIANStORITTNEY J 262705 10199 HULTEEN,LOVINA 203 ACC 02-03-92 115.00 115.00 1 HVLTEEK,LOVINA K 262552 €0199 IBARRA,MARICELA 203 ACC 02-03-92 55.00 55.00 1 IBARRA,NARICELA G 262699 10199 INVENTOR,PABLO 203 ACC 02-03-92 331.00 331.00 1 INVENTOR,PABLO F 262719 10199 JOHNSON,IRIS 203 ACC 02-03-92 347.20 347.20 1 JOHNSON,IRIS N 262119 10199 JOHNSON,VERNESSA 203 ACC 02-03-92 268.78 268.78 1 JOHNSON,VERNESSA J 262610 10199 JOHNSUN,VERNESSA 203 ACC 02-03-92 152.45 152.45 1 JOHNSON,VERNESSA J 262353 10199 JONES,NICHAEL 203 ACC 02-03-92 109.40 109.00 1 JON£S,DOLORES J 262260 10199 KELLEY,FRANKLIN 103 ACC 02-03-92 74.00 74.00 1 K£LLEY,FRANKLIN M 262103 10199 KONARIZADEH,ANIR 203 ACC 02-03-92 51.00 51.00 1 KONARIZADEH,KHAKNO 262350 10199 KRUSE,RONALD 203 ACC 02-03-92 20.00 20.00 1 KRUSE,RONALD L 262320 10199 LANE,JESSE 203 ACC 02-03-92 383.60 383.60 1 LANE,VARILLA 262466 10199 LASTIRI,ELIZABETH 203 ACC 02-03-92 76.00 76.00 1 LASTIRI,ELIZABETH A 262300 14199 LAVAU,KILANDA 203 ACC 02-03-92 102.00 102.00 1 GARRY,BRIANA 262521 14199 LEDESW ARMANDO 203 ACC 02-03-92 182.55 78.25 05-18-98 104.30 1 LEDESMA GUTIERREZ,NICHAEL 262573 10199 LEON,ANNIE 203 ACC 02-03-92 156.00 156.00 1 LEON,kNXIE E 262252 10199 MARAVILLA,GERARDO 203 ACC 02-0342 34€.00 341.00 1 HEALTH SERVICES URI TE-OFF REPORT DAT£x16 Oct 2000 PAGV 33 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY, TOTAL DAL..... CNT MARAVILLA,GERARDO A 262313 10199 MARBLESTONE,LARRY 243 ACC 02-03-92 285.49 285.49 1 MARHLESTONE,LINDA H 262114 10199 HARBUEZ,NARCELLO 203 ACC 02-0342 593,00 593.00 € 262631 10199 MATTHEVS,MIKE 203 ACC 02-03-92 132.80 132.80 1 262633 10199 MATTHEVS,MIKE 203 ACC 02-03-92 462.15 452.15 1 262339 10199 M£JIA,JOSEFA 203 ACC 02-03-92 574.70 674.?0 1 262735 10199 MENDONZA41TONIO 203 ACC 02-03-92 185.00 50.00 10-25-99 135.00 1 VALENCIA,MARIA O 262467 10199 MILLETTE,LATICIA 203 ACC 02-03-92 94.50 94.50 1 MILLETTE,LATICIA F ?62102 10199 MOLLIGUEIGENE 203 AGC 02-03-92 116.50 116.50 1 MOLLIOUE,&ENE L 262048 10199 STJEAN,NICHELE 203 ACC 02-03-92 221.30 221.50 £ CAMPOS,MICHELE E 262332 10199 STJEAN,MICHELE 203 ACC 02-03-92 176.50 176.50 1 CANF05,NICHELE E 262384 10199 STJEAN,MICH£LE 203 ACC 02-03-92 147.30 147.54 1 CAMP05,MICHELE E 262398 20199 STJEAN,MICHELE 203 ACC 02-03-92 236.50 236.50 1 CAMPOS,MICHELE E 262586 10199 STRONG,SANDRA 203 ACC 02-03-92 144.50 34.00 06-08-99 90.50 i STRIING,SANDRA D 262122 10199 WELLS,LARRY 203 ACC 02-03-92 362.30 362.50 1 VELLS,LARRY R 252167 10199 YHITE,JOHNATHAN 203 ACC 02-03-92 164.30 70.00 03-20-92 94.30 € WH1TE,JOHNATHAN C 262163 10199 WHITNEY,JAM£S 203 ACC 02-03-92 109,00 109.00 i 4,41TNEY,FRANCES J 262291 10199 i1ILLIAMS,ANTHONY 203 ACC 02-03-92 277.45 277.45 1 NILLIAMS,ANTHONY J 262109 10199 VILLIAMS,SANDRA 203 ACC 02-03-92 191.50 19€.30 1 NILLIAMS,SANDRA N 262229 10199 VILLIAMS,WILLIE 203 ACC 02-03-92 279.00 279.00 i VILLIAMS,MILLIE A 262257 10199 WILLIAMS-8YAWLESLIE 203 ACC 02-03-92 303.40 303.40 1 OILLIANS,LESLIE A 262280 10199 VILLIAM€-BYARS,LESLIE 203 ACC 02-03-92 68.00 68.00 i NILLIANS,LESLIE A 262639 10199 NILSON,JON 203 ACC 02-03-92 263.95 263.95 1 WILSON,JON E 262106 10199 NOODNARD,DA1tIEL 203 ACC 02-03-92 249.00 249.00 1 WOODNAPD,DANIEL J 263089 10199 ALFEREZ,PAULO 203 ACC 02-05-92 112.80 112.80 1 2631.05 10199 ALFEREZ,PAULD 203 ACC 02-05-92 137.00 157.00 1 263078 10199 CORTEZ,MARIA 203 ACC 02-05-92 63.00 63.00 1 CORTEZ,MARIA L 253120 10199 CRANE►SAMMI£ 203 ACC 02-05-92 193.00 £93.00 1 263039 10199 OAVIS,JOHN 203 ACC 02-05-92 196.25 196.25 1 DAVIS,JOHN A 263059 10199 FELIL DEANNA 203 RCC 02-05-92 103.50 103.50 € F£LIi,DEANMA L HEALTH SERVICES WRITE-OFF REPORT DATE:16 Oct. 2000 PAGE{ 54 DEBTOR.... CLIENTI... MAKE.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... UT 263046 10199 FERDINOD,FAITH 203 ACC 02-05-92 16€.00 1614.00 1 FERDINAND,FAITH L 263051 10199 FERDINAND,FAITH 203 ACC 02-03-92 91,70 91.70 1 FERDINAND,FAITH L 263053 10€99 FERDINAND,FAITH 203 ACC 02-05-92 309.10 309.10 1 FERDINAND,FAITH L 263050 10199 FRIAS,PEDRO 203 ACC 02-05-92 636.50 636.50 1 SORIANO,PEDRO S 263109 10199 CILL4ACROOP 203 ACC 02-0142 1208.50 1208.50 1 GILL,PARRINDER 263069 10199 JENSEN,JAC4UELINE 203 ACC 02-05-92 118.60 118.60 1 JENSEN,JACRUELINE R 263076 10199 LARSON,HOMICA 203 ACC 02-05-92 445.23 445.23 1 LARSONINORICA R 263094 10149 LONC,ARVESTER 203 ACC 02-05-92 69.36 69.36 1 LON1r,ARVESTER L 263081 10199 NUINNEY,HILLIAN 203 ACC 02-0542 €32.00 132.00 1 263084 10199 MCKINNEY,NILLIAM 203 ACC 02-0542 101.50 101.50 1 263096 10199 MCKINNEY,WILLIAM 203 ACC 02-05-92 89.50 89.50 1 263062 10199 8TONE,DONALD 203 ACC 02-05-92 109.00 109.00 i STONE,DONALD H 264313 10199 BALLINGER,JENNIfER 2203 ACC 02-11-92 €20.32 120.32 1 BALLINGER,JENNIFER D 264057 10199 BANALES,JAVIER 203 ACC 02-1142 70.00 70.00 € BANALES,JAVIER N 264349 10199 BARTLETT,GAYLE 293 ACC 02-11-92 262.06 2262.06 1 BARTLETT,RODERT 263969 10199 BELCHER-NARY 203 ACC 02-€1-92 708.00 708.00 1 BELCHER,NARY E 264142 10199 BENSON,ROBERT 203 ACC 02-11-92 142.30 142.50 1 BENSON,ROBERT N 2642£7 10199 BENSON,ROBERT 203 ACC 02-11-92 53.00 53.00 1 BENSON,ROBERT N 264152 €0199 BFTZ,D£NNIE 203 ACC 02-11-92 22224.50 9.00 10-20-92 215.50 1 BEM CONNIE J 263990 10199 BLACK,JOYCE 203 ACC 02-11-92 417.30 417.30 1 SLACK,JOYCE N 264370 10199 BONNERITO,CHARLES 203 ACC 02-11-92 110.29 110.29 € BONNERITO,CHARLES J 2263937 10199 BVRNS,DAVID 203 ACC 02-11-92 87.00 87.00 1 BVRNSrDAVID N 264226 10199 CAGLE,THONAS 203 ACC 02-11-92 75.60 75.60 1 CAGLE,THONAS N 263965 10199 CARDOIA,JESVS 203 ACC 02-11-92 2212.51 2212.51 1 CARDOM LIDIA C 264174 10199 CERO,DEBRA 203 ACC 02-11-92 597.16 228.16 04-21-49 369.00 1 CERO,RICK 264114 10199 CHAVEi,JOE 203 ACC 02-11-92 73.80 73.80 1 264278 10199 CHAVEZ,JOE 203 ACC 02-1142 324.25 324.251 263911 10199 CONE,RANDY 203 ACC 02-11-92 70.00 70.00 1 HANKINS,JESSICA M 264065 10199 CORNEJO-NARIO 203 ACC 02-11-92 181.26 181.26 1 HEALTH SERVICES URITE-OFF REPORT DATE;16 Oct 2000 FACE: 55 DEBTOR.... CLIENT*... NAME.......................... DSK ST CO DT-ASSIGN PN-ASSIGN...... PRIX COL LST PAY. TOTAL BAL..... CRT CORNEJO,HARIA E 264215 10149 CRAWFORD,ROGER 203 ACC 02-11-92 224.10 224.10 i CRAVFORD,ROGER L 264180 10199 CROCKER,JENN€FER 203 ACG 02-11-42 111.50 111.10 1 CROCKER,PEDRO 263885 10194 DABNEY,DOROTHY 203 ACC 02-11-92 150.00 154.00 1 263864 10199 DAVIS,JACBUELINE 203 ACC 02-11-92 2273.00 273.00 1 DAVIS,JACIOELINE K 263904 10194 DAVIS,JACAUELINE 203 ACC 02-11-92 99.30 49.50 1 DAVIS,JACGUELINE M 263928 10194 DESOT0,TONI 203 ACC 02-11-92 143.00 143.00 1 OVALLE,TONI 263359 10199 OESOTOJONI 203 ACC 02-11-92 109.00 109.00 1 OVALLE.TONI 263903 10199 DESOTO,TONI 203 ACC 02-11-92 160.55 160.55 1 OVALLE=TONI 263410 10194 DESOTO,TONI 203 ACC 02-11-92 962.00 962.00 1 OVALLE,TONI 264187 10199 DESOT0,TDNI 203 ACG 02-11-92 849.50 849.50 1 OVALLE,TONI 263820 10199 DESOUZA,AUDREY 203 ACC 02-11-92 50.00 50.04 1 SANFILIPPO,AUDREY N 263860 10194 OUIIRI,BHAIRO 203 ACC 02-11-92 740.20 740.24 1 DUBRI MSKI 263981 10184 DUNKIN,SHIRLEY 203 ACC 02-11-92 459.50 200.00 12-11-92 259.50 1 DUNKIN,SHIRLEY J 254355 10149 ESTRADA,SALVADOR 203 ACC 02-1€-92 114.60 114.60 1 264008 10199 FARRELL,ROBERT 203 ACC 02-11-92 388.00 388.00 1 FARRELL,JILL M 263444 10199 FELIX,DEANNA 203 ACC 02-11-92 420.50 420.50 1 FELII,DEANNA L 263918 10199 FLORES,SALVADOR 203 ACC 02-1€-92 81.00 8€.00 1 FLORES,ISRAEL 263919 10149 FRANCO,KARIA 203 ACC 02-11-92 130.50 130.50 1 FRANCO,KARIA 5 264113 10194 FRANCO,MARIA 203 ACC 02-1142 70.00 70.00 1 FRANCO,MARIA S 2640.37 10199 FULP,ROBERT 203 ACC 02-1€-92 295.20 295.20 1 FULP,RDBERT G 263962 10199 GARCIA,GONZALD 203 ACC 02-11-92 263.50 263.50 1 GARCIA,YOLANDA 263850 10194 CARCIA,MRGARITO 203 ACC 02-11-92 70.00 70.00 1 GARCIA,BRIAN H 263823 10199 GATTI,DEBRA 203 ACC 02-11-92 79.00 74.00 1 GATTI,DEBRA A 263847 10199 GATTI,D£BRA 203 ACC 02-11-92 74.00 74.00 1 GATTI,DEBRA A 263920 10194 GATT1,DESRA 203 ACC 02-11-42 150.50 150.50 € GATTI,DESRA A 263992 10194 GATTI,DEBRA 203 ACC 02-11-92 110.00 110.00 1 GATTI,DEBRA A 264100 10199 GATTI,DEDRA 203 ACC 02-11-92 66.00 66.00 1 HEALTH SERVICES WRITE-OFF REPORT DATEFI6 Oct 2000 PAGE: 56 DEBTOR.... CLIENU.- NAME.......................... DSK ST CD DT-ASSIGN PR-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CRT GATTI,DEBRA A 264122 10199 GATTI,DEBRA 203 ACC 02-11-92 2323.70 2323.70 1 GATTI,DEBRA A 264156 10199 GATTI,DEBRA 203 ACC 02-1142 401.00 401.00 1 GATTI,DEBRA A 264164 10199 GATTI,DEBRA 203 ACC 02-11-92 66.00 66,00 1 GATTI,DEBRA A 264232 10199 GATTI,DEBRA 203 AGC 02-11-92 66.00 66.00 1 GATTI,DEBRA A 264248 10199 GATTI,DEBRA 203 ACC 02-11-92 59.00 59.00 1 CATTIrDEBRA A 254136 10199 GILL,JAGROOP 203 ACC 02-11-92 189.00 189.00 1 GILLrPARRINDER 263826 10199 HERNANOEZ,ALBERTO 203 ACC 02-11-92 494.50 494.50 1 HERRANDEZrROSA 264240 10199 HILL,CRYSTAL 203 AGC 02-11-92 320.46 320.46 1 HILLrCRYSTAL S 264260 €0199 HILL,CRYSTAL 203 ACC 02-11-92 130.00 130.00 1 HILL,CRYSTAL S 264335 10199 HILL,CRYSTAL 203 ACC 02-1142 39.00 39.00 1 HILL,CRYSTAL 6 263924 10199 HIPOLITD,JOSE 203 ACC 02-11-92 101.50 101.50 1 263959 10199 HULL,ELENA 203 ACG 02-11-92 66.00 66.00 1 HULL,ELENA M 263863 10199 INVENTOR,PABLO 203 AcG 02-11-92 50.00 50.00 1 INVENTOR-PABLO P 264075 10199 JOHNSTONrPETER 203 ACC 02-11-92 72.50 722.50 1 JOHNSTOHrBYLE E 264268 10199 JOHNSTON,PETER 203 ACC 02-11-92 65.50 65.50 1 JOHNSTON,MADELYN M 264031 10199 JORVINA,DAVID 203 ACC 02-11-92 1220.89 120.89 1 JORVIM,DAVIO F 263888 10199 KHUHALO,MILDRED 203 ACC 02-11-92 125.29 10.29 03-1243 115.00 1 KHUNAL0,01LORED T 264035 10199 KIDUUKA,SARAH 203 ACC 02-11-92 81.68 81.68 1 KIDUUKA,SARAH V 264293 10199 KING,GIA 203 ACC 02-11-92 155.50 155.50 1 PEREZ,DAVID R 254301 10199 LESH,ROBERT 203 ACC 02-11-92 6883.17 6883.17 1 LESH,ROBERT B 264011 10199 LUKE-CLEOPATRA 203 ACC 02-11-92 97.60 97.60 1 LUEE,CLEOPATRA C 264192 10199 MALCOLM LINDA 203 AGC 02.11-92 116.08 116.08 1 MALCOLM,LINDA E 264003 10199 MARTIN,THOMAS 203 ACC 02-11-92 103.00 103.00 1 RARTIN,BEAN K 263895 10199 MARTINEZ,JOSEPH SR 203 ACC 02-1142 88.00 88.00 1 MARTINEZ,JOSEPH B 263916 10199 RAYS,KANDIE 203 ACC 02-11-92 96.00 96.00 1 NORTON,NARiYAH C 2264014 10199 ACDONALD,STEVEN 203 AGC 02-1€-92 91.80 ?1.80 1 MCDONALD,JARED M HEALTH SERVICES WRITE-OFF REPORT DAT£;16 Oct 2000 PAG£z 57 DEBTOR.... CLIENT#... NAME.......................... DSK ST CO DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CMT 264209 10199 REACHER-RENEE 203 ACC 02-11-92 424.10 424.10 1 MACRE&R£MEE D 264247 10199 REACHEMANE€ 203 ACC 02-11-92 79.85 79.85 1 N£ACHEA,RENEE M 263887 10199 NOMTGONERY,PAULA 203 ACC 02-11-42 105.00 105.00 1 MONTCONERY,PAULA N 264325 10199 NOREMO,SANCHEZ 203 ACC 02-11-92 269.85 259.85 1 MOREWSANCMEZ A 264360 10199 SMITH,DAVID 203 ACC 02-1142 253.00 253.00 1 SMITH,AMANDA R 264106 10199 SOAR£S,K£NN£TH 203 ACC 02-11-92 191.10 191.10 1 ROBINSON,KERRIE 264111 10199 SPERRY,KAREN 203 ACC 02-11-92 201.21 201.21 1 264266 10199 STOME,MONALD 203 ACC 02-1142 487.95 487.95 1 STONE,DONALD H 264345 10199 TORRES,C£LIA 203 ACC 02-t1-92 70.00 70.00 1 TORR£6,MAN3£L H 264160 10199 URIARTE,NAZARIO 203 AGC 02-11-92 132.50 132.50 1 URIARTE,NARIA 264299 10199 VILLIAM D£LOR£S 203 ACC 02-11-92 25.00 25.00 1 MILLIANS,DELORES 9 265699 10199 ALDRICH,ROBERT 203 ACC 02-21-92 167.87 20.00 04-03-92 147.87 1 ALDRICH,ROBERT A 265608 10199 AL£JANDRE,RANON 203 ACC 02-21-92 64.30 64.30 1 AL£JANDRE.RANOM N 265632 10199 ALSTON,JULIETTE 203 ACC 02-21-92 104.00 109.00 1 265843 10199 AYRI&,NARK 203 ACC 02-21-92 195.50 195.50 I AYRIS,NARK A 265906 10199 BILL£CI,DEBORAH 203 ACC 02-21-92 77.60 77.60 1 BILLECI,DEDDRAM J 265610 10199 BONG,MANI£L 203 ACC 02-21-92 73.60 73.60 1 BONG,DANIEL C 265660 10199 00*G,DANIEL 203 ACC 02-21-92 165.00 165.00 1 BONG DANIEL C 265690 10199 BON6,DANI£L 203 ACC 02-21-92 175.40 175.40 1 RU MAM EL C 265866 10199 BRODBECK,DOREN£ 203 ACC 02-21-92 99.20 99.20 1 BRODBECK,DORERE C 265811 10199 BROOKS,MMAYNE 203 ACC 02-21-92 302.00 302.00 1 BROUS I OVAYME M 265839 10199 CARLSON,CHRISTIAN 203 ACC 02-21-92 109.00 109.00 1 CARLSON.CHRISTIAN N 265841 1019€ CARLSON,CHRISTIAN 203 ACC 02-2142 380.00 380.00 1 CARLSON,CHRISTIAN M 265693 10199 CERYANTES,ROSA 203 ACC 02-21-92 152.00 152.00 1 CERVANTES,RMSA K 265957 10199 CORTEZ,NARIA 203 ACC 02-21-92 163.87 163.87 1 CORTM MARIA L 265749 10199 COX,G£ORGE 203 ACC 02-21-92 250.20 250.20 1 COX,GEORGE A 265625 10199 DESOTO,IONI 203 ACC 02-21-92 119.00 119.00 I OVALLE,IONI HEALTH SERVICES WRITE-OFF REPORT DATE116 Oct 2400 PAGE; 58 DEBTOR.... CLIENT$,., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIX COL LST PAY. TOTAL BAL...., CHT 265410 14199 DODSON,LARRY 203 ACC 02-21-92 73.60 73.64 1 DODSON,LARRY N 265607 10199 EDNARDS,PAUL 203 ACC 02-21-92 87.00 87.00 1 265654 10€49 FONSECA,FLIGONO 203 ACC 02-21-92 172.5€ 172.51 1 FONSECA,SUADELUPE A 265626 10199 FOSTER>CRYSTAL 203 ACC 02-21-42 70.00 70.00 1 FOSTER,CRYSTAL E 265767 10199 GARCIA,REBERIAN 203 ACC 02-21-92 64$,63 649.63 1 GARCIA,TERESA 265872 10199 HAAG,RICHARD 203 ACC 02-21-92 133.00 133.00 1 HAAG•RICHARD L 265699 10199 HQUARD,VIRCINIA 203 ACC 02-2142 140.00 140.00 1 HOVARD,VIRGINIA L 265667 10199 JOHNSON,TINOTHY 203 ACC 02-21-92 297.00 297.00 1 JOHNSON,TINOTHY N 265880 10€99 KEARKS,SE4UOYAH 203 ACC 02-21-92 134.55 134.55 1 KEARNS,ALEZANDRA N 265831 10199 KELTEE,KEVIN 203 RCC 02-21-92 501.40 501.40 1 K£LTEE,DONNA 265631 10199 KENDELL,RICHARD 203 ACC 02-21-92 173.70 173.70 1 265681 10199 KENDELL,RICHARD 203 ACC 02-21-92 89.00 25.00 04-01-92 64.00 1 265864 10199 KENDELL,RICHARD 203 ACC 02-21-92 194.00 124.00 1 265827 10199 KIBUUKA,SARAH 203 ACC 02-21-92 510.00 510.00 1 KIBUUKA,SARAH V 265759 10199 KING,GIA 203 ACC 02-21-92 229.15 229.15 1 PEREZ,DAVID R 265844 10199 NARDIS,ROSALYN 203 ACC 02-21-92 389.00 389.00 1 NARDIMOSALYN C 265685 10199 NAYS,KAHDIE 203 ACC 02-2€42 231.50 231.50 1 NORTON,MARIYAH C 265611 10€99 MCCLANAHAN,STEVE 283 ACC 02-21-92 103.00 103.00 1 MCCLANAHAN,STEPHANIE L 265860 10199 MEILICKErCARL 203 ACC 02-21-92 $7.96 87.91 1 MEILICKE,CARL H 265624 10199 NELTOK,NELODY 203 ACC 02-21-92 174.00 174.00 1 NELTON,NELODY Y 265616 10199 MOKDRA400 410ENTE 203 ACC 02-21-92 219.50 219.50 1 MONORAGON,JAVIER C 265873 10199 TARIN,JORGE 203 ACC 02-21-92 241.35 241.35 1 TARIN,GUADALUPE C 265615 10199 TURK,CHARLES 203 ACC 02-21-92 124.00 124.00 1 TURK,CHARLES F 265984 10199 TUTTL£,DEBORAH SUE 203 ACC 02-21-92 €99.03 198.03 1 TUTTLE,DEBORAH S 265664 10199 VASOUM MARIA 203 AGC 42-21-92 171.50 171.50 1 ORTII,LUIS 265951 10199 VASOUEZ,MARIA 203 ACC 02-21-92 215.25 215.25 1 ORTIZ,LUIS 265659 10199 VASBUEZ,NARIA 203 ACC 02-21-92 70.+00 70.00 1 ORTIZ,LUIS 265862 10199 VASBUEZ,NARIA 203 ACC 02-21-92 70.00 70.00 1 ORTIi,LUIS HEALTH SERVICES HRITE-OFF REPORT DATE:16 Oct 2000 PAGE: 39 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN FN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT 265615 10199 HHITNEY,KATHERINE 203 ACC 02-21-9Z 59.00 59.04 1 NH€TNEY,KYLE J 267023 10199 ANDERSCN,ARTHUR 203 ACC 03-05-92 70.40 70.40 1 ANDERSON,ARTHUR A 266921 10199 KAMTOMONICE 203 ACC 03-05-92 465.06 465.06 1 266960 10199 CABRERA,FRANCISCO 203 ACC 03-05-92 63.00 63.40 1 .266983 10199 CLENIS,VANESSA 203 ACC 03-05-92 19.10 14.10 1 CLEVIS,VANESSA H 266975 10199 DEViLLAfLDRENZC 203 ACC 03-05-92 145.00 145.00 1 DEVILLA,LAURICE G 266918 10199 FERDINAND,FAITH 203 ACC 03-0542 318.16 318.16 1 FERDINANDJAITH L 267061 10199 FERDINAND,FAITH 203 RCC 03-05-92 108.36 108.36 1 FERDINAND,FAITH L 266990 10199 FOHLER,HUEY 203 ACC 03-05-92 196.70 196.70 1 FOHLER,HUEY 0 266910 10199 FRANCE:DANIEL 203 ACC 03-05-92 81.00 81.00 i FRANCE,DANIEL V 266935 10199 HASSELL,CHINA 203 ACC 03-05-92 971.40 971.40 1 HASSELL,CH€NA M 266980 10199 HUMPNREY.GORDON 203 ACC 03-05-92 484.00 13.20 06-08-94 470.84 1 HUMPHREY,CHARENA D 266998 10199 JILES,JAMES 203 ACC 03-05-92 79.90 79.90 i JILES,JAMES H 267089 10199 JILES,JAMES 203 AGC 03-05-92 84.00 84.40 1 JILES,JARE5 N 267018 10199 JONES,BETTY 203 ACC 03-05-92 54.70 54.70 1 JONES,BETTY L 267066 10199 JOSHAN,NAJAIDULLA 203 ACC 03-05-92 70.00 70.00 1 JOSHAN,SOLAIMAN 267087 10199 JOSHAN,NAJAIBULLA 283 ACC 03-05-92 70.00 70.00 1 JOSHAN,SOLAIMAM 266943 10199 L£AKS,ALMA 203 ACC 03-05-92 222.30 2211.3D 1 LEAKS,ALMA L 266966 10199 MARTIN,THOMAS 203 ACC 03-05-92 448.20 448.20 1 MARTIN,SEAN K 266911 14199 SMITH,MIGHELL£ 203 ACC 03-05-92 238.20 238.20 1 SM€TWANDY E 267022 10199 SONNONS,HA8SAN 203 ACC 03-0542 18.80 05-21-99 18.80 1 SOMNONS,HASSAN R 267086 10199 SONNONS,HASSAN 203 ACC 03-05-92 170.74 170.74 1 SOMMONS,HASSAN R 268071 10199 ALCALA,CARLOS 283 ACC 03-12-92 85.00 85.08 1 ALCALA,CARLOS F 268125 10199 ALCALA,CARLDS 203 ACC 03-12-92 121.20 121.20 1 ALCALA,CARLOS F 268433 10199 APODACA,KIGUEL 203 ACC 03-12-92 2770.42 2770.42 1 APODACA,MIGUEL A 267997 10199 BREVER,DEVAYNE 203 ACC 03-12-92 109.00 109.00 1 268093 10199 CAMPBELL,ERIC 283 ACC 03-12-92 70.00 10.00 1 CAMPRELL.ERIC L 260000 1019" CHAVEZ,LADISLAD 203 ACC 03-12-92 83.00 83.00 1 17 ilk HEALTH SERVICES WRITE-OFF REPORT DATV 16 Oct 2004 PAGE: 60 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CHT 267988 10199 CHOMOPOLIS,JASDM 243 ACC 03-12-92 124.00 124.06 1 268127 14199 GREEN:JON# 203 ACC 03-12-92 570.80 570.80 1 GRE£N,JOHN W 268478 10199 GUTONSKIrMICHELLE 243 ACC 03-12-92 €09.00 149.00 € GUTOWSKI,MICMELLE E 268498 10199 GUTOWSKI,MICHELLE 203 ACC 03-12-92 109.40 149.60 1 GUTOHSKIrMICHELLE E 268043 10197 HILLrJOHNNIE 203 ACC 03-12-92 132.90 132.90 1 268866 10199 MORTW MICHELLE 203 ACC 43-12-92 488.44 488.00 1 268116 14199 KIRSY,JIM 203 ACC 03-12-92 125.34 125.34 1 KIRM ELIZABETH A 268052 10199 KIRBY,STEPHEN 203 ACC 03-1E42 148.80 148.80 € KIRBY,STEPHEN C 267999 10199 LACHEN11YER MITH 203 ACC 03-12-92 211.00 211.00 1 LACHENMYER,TAMMIE L 268187 10199 LALLEY,BECKY 203 ACC 03-12-92 424.72 424.72 1 LALLEY,BECKY L 268166 10199 MALCUIT,MONICA 2283 ACC 03-12-92 65.56 63.56 1 MALCUIT,MONICA R 268169 14199 MARTINE24OH11 203 RCC 03-12-92 317.80 317.80 1 NARTINEZ,JOHN H 268047 10199 AIRANDArMARC£L 203 ACC 03-12-92 1508.00 1508.00 1 MIRANDA,LORENA M 268190 10199 MOONEY,JEFFREY 203 ACC 03-12-92 93.40 93.00 1 MOONEY,JEFFREY L 268072 10199 MORALES,RICHARD 203 ACC 03-12-92 87.00 87,00 1 NORALES,RICHARD M 268170 10199 SOAREMENNETH SR 203 ACC 03-12-92 144.80 144.80 1 SOARES,KENNETH JR E 268076 10199 STEFFANUS,KAREN 203 ACC 03-12-92 198.00 198.00 1 STEFFANVS,KAREN E 268018 14199 SUTTOMEANNA 203 ACC 43-12-92 39.00 39.00 1 SUTTON,DEANNA L 268069 10199 TORRES,CELIA 203 ACC 03-12-92 87.00 87.00 1 TORRES,DAMIEL H 268199 10199 URIGHT,MICHELLE 203 ACG 03-12-92 94.45 94.45 1 ROBINSON,DARIEL 268422 10199 ALEXANDER,CYNTHIA 203 ACC 03-13-92 87.50 87.50 1 PARADIS,LAURENCE 268500 10199 AMUTANOMTHER 283 AGC 03-13-92 66.30 66.50 1 ANGUTANOrANA G 268508 10199 ANGUTANOrESTHER 203 ACC 03-13-92 68.10 6.00 04-02-92 62.10 1 ANGUTANMERONICA P 268360 10199 BEASLEY,TIESMA 203 ACC 03-13-92 183.20 €83.20 1 SEASL£Y,TIESHA M 268444 10199 SERRY,81EVEN 203 ACC 03-13-92 195.50 195.50 1 SERRY,STEVE B 268340 10199 CARMONA,8USANA 203 ACC 03-13-92 79.00 79.00 1 CARMONA,SUSANA R 268387 10199 COKIRMONDA 203 ACC 03-13-92 107.20 107.20 1 COK,RHONDA E 268442 10199 CRAWFORD,ROGER 203 RCC 03-1342 229.99 229.99 1 HEALTH SERVICES NRITE-OFF REPORT DATE;16 Oct 2000 PAGE. 61 DEBTOR., CLIENTB.., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CNT CRANFORD,ROGER L 268497 10199 CROUCH,PATRICE 203 ACC 03-13-92 155.87 155.87 1 CROUCH,PATRICE L 268455 10199 DIAI,ROBERT0 203 ACC 03-13-92 70.00 70.00 1 DIAI,CARMEN 268353 10199 JOHNBON,IRIS 203 ACC 03-13-92 266.70 266.70 1 JOHNSONIIRIS Y 268432 10191 LALLEY,BECXY 203 ACC 03-13-92 175.96 175.96 1 LALLEYJECKY L 268350 10199 LE,MANH 203 ACC 03-13-42 281.50 281.50 1 HVYNH,THITAM 268334 10199 LEVIS,LANI 203 ACC 03-13-92 y0.00 70.00 1 LEMIS,LANI L 268335 10199 LUNA,HENRIETTA 203 ACC 03-13-92 100.00 100.00 1 LUNA,HENRIETTA A 268341 10199 MOHAMMED,LORETTA 203 ACC 03-1342 488.20 488.20 1 VAS9UEZ,JOSEPH J 268413 10199 STONE,DONALD 203 ACC 03-13-92 74.45 74,45 1 STONEJONALD H 268481 10199 TERRONESrGUILLERNO 203 ACC 03-13-92 103.00 103.00 € TERRONES,DAISY P 268382 10199 41LEY:ROBERT 203 ACC 03-13-42 63.00 63.00 1 WILEY,ROBERT L 268487 10199 VILLIS,JEFFERY 203 ACC 03-13-42 132.97 132.97 14 VILLIS,JEFFERY R 269139 10€99 AGUIRRE,4UAN 203 ACC 03-18-92 3161.10 1340.00 05-16-97 1821.10 AGUIRRE,MARGARITA 269297 10194 AGUtRRE,JUAN 203 ACC 03-18-92 1194.45 741.00 10-20-44 453.45 1 AGUIRRErCESAR 269330 10199 ANGUiAND,ESTH£R 203 ACC 03-18-92 69.20 69.20 1 ANGUTANO,ANA G 269361 10199 ANGUTANO,ESTHER 203 ACC 03-18-92 85.50 95.50 1 ANGUTANO,VERONICA P 269362 10199 APODACA,MIGUEL 203 ACC 03-1842 194.00 194.00 1 APODACA,K14VEL A 269305 10199 ARMSTRONG,ROB£RT 203 ACC 03-18-92 314.50 314.50 1 269449 10194 BENDA,JAMES 203 ACC 03-18-92 329.50 329.50 1 BENDA,JAMES R 264465 10149 BENDA,JAMES 203 ACC 03-18-92 146.30 148.30 1 BENDA,JARES R 269071 10199 BETTSiVERLINDA 203 ACC 03-18-92 75.20 75.20 1 BETTS,YERLINDA L 269145 101939 BONG,DANIEL 203 ACC 03-18-92 63.00 63.00 1 SONG,DANIEL C 269215 10199 BONG,DANIEL 2203 ACC 03-18-92 478.49 418.44 1 BDNG,DANIEL C 269,063 10199 80NG+DANIEL 293 ACC 03-18-92 70.00 70.00 € BONG,DANIEL C 269432 10199 BONGrDANIEL 203 ACC 03-1842 134.00 134.00 1 BONG,DAHIEL C 2269304 10199 BONGE,ROBERT 203 ACC 03-18-92 521.70 521.70 1 BONGE,RDBERT N 6e5 HEALTH SERVICES VRITE-OFF REPORT DATE;16 Oct. 2000 PAGE; 62 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 269322 20199 BONGE,ROBERT 203 ACC 03-18-92 126.40 125.40 1 BONGE,ROBERT K 269090 10199 BROiIN,06MINE 243 ACC 03-18-92 365.50 365.50 1 2693€5 10199 BUSBYJANARA 203 ACC 03-18-92 €09.00 109.00 1 BUSBYtTAMARA A 269100 10199 CASTANEDA,JESUS 203 ACC 03-18-92 70.00 70.00 1 269175 10199 CASTAN£DA,J£SUS 243 ACC 03-18-92 133.50 133.50 1 269082 1019' COLLACO,ANGELO 203 ACC 03-18-92 293.98 243.90 1 COLLACII,ANGELO A 259058 10199 COOK,DEBRA 203 ACC 03-19-92 124.00 15.00 05-12-42 109.00 1 STAMAS,CRISTLE A 269281 10199 COUNTZ,RASHELE 203 ACC 03-1842 133.40 133.40 € COUNTZAASHELE L 2693€8 10199 DELACRUI,LUIS 203 ACC 03-18-92 243.00 243.00 1 269103 10€99 DEVORE,80881 203 ACC 03-18-92 161.50 161.50 1 DEVORE,SAHUEL V 259117 10199 DIAL-MONJE,AVRORA 203 ACC 03-18-92 251.90 251.90 1 DIAZ,AURORA 269127 €0199 DOUGLAMANDRA 203 ACC 03-18-92 158.74 158.74 1 DOUCLAMANDRA A 269239 10199 DOUCLAMANDRA 203 ACC 03-18-92 77.00 77.00 1 DOUGLAS,SANDRA A 269118 10199 FIFITA,ANA 203 ACC 03-18-92 1646.99 1646.99 1 FIFITA,VAKAUTAPOL T 269440 10199 FISIIAHI,JOCELEEN 203 ACC 03-18-92 243.00 243.00 1 F1511AN WOCELEEN 8 269129 101.99 FRITTStSTEVEN 203 ACC 03-18-92 119.00 119.00 1 FRITTStSTEVEN J 2691€4 10199 FULP,ROBERT 203 ACC 03-18-92 563.65 563.65 1 FULP,ROBERT G 269120 10199 GARCIA,PABLO 203 ACC 03-18-92 239.82 139.82 1 269131 10144 GARCIA,PABLO 203 ACC 03-18-92 3503.10 3503.10 1 269200 10199 CARCIA,PABLO 203 ACC 03-18-92 70.00 70.00 1 269254 10199 GARCIAtPABLO 203 ACC 03-18-92 102.00 102.00 1 269169 10199 GARCIA,SAMUEL 203 ACC 03-18-92 620.92 620.92 1 259337 10199 GARNER,CHRISTOPHE 203 ACC 03-18-92 439.00 439.00 1 GARNER,CHRISTOPHE D 261144 10194 HARRITT*JASON 203 ACC 03-19-92 345.10 345.10 1 HARRITT,JASON R 269279 10199 HILL,MORRIS 503 ACC 03-18-92 21.35 21.35 1 HILLtFRANCES J 269186 10199 HIP0LITO,JOSE 203 ACC 03-18-92 529.35 529.35 1 269180 10199 JONEStROSIE 203 ACC 03-18-92 151.90 151.80 1 JONES MSIE M 269234 10199 KEYS,TINA 203 RCC 03-18-92 207.40 207.40 1 KEYS,TINA J 269415 10199 KEYS,TINA 203 ACC 03-18-92 303.50 303.50 1 KEYS,TINA J 269348 10199 LACHENMYER,KEITH 203 ACC 03-18-92 128.60 128.60 1 LACHENMYERtKEITH E 269259 10199 LANCE,JEANNA 203 ACC 03-18-92 350.30 350.38 1 HERNANDEI,STACEY R HEALTH SERVICES WRITE-OFF REPORT DATESI6 Oct 2000 PAGE* 63 DEBTOR.... CLIENT!... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN..,... FRIM COL LST PAY. TOTAL $AL..... CHT 26916: 10199 LEE,DALE 203 ACC 03-18-92 69.30 69.30 1 LEE,DALE H 269484 10199 NACRILLAN,ELIZABETH 203 ACC 03-18-92 206.00 206.00 1 NACRILLAN,ELIZABETH 14 269+093 10199 NALVEAVI,2 203 ACC 03-18-92 211.00 211.00 1 NALVEAUx,FRANK A 269190 10199 MARSHALL,MICHAEL 203 ACC 03-18-92 495.04 495.04 1 NARSHALLiMICHAEL L 269141 10199 NARTIN,LELANO 203 ACC 03-18-92 116.50 116.50 1 HARTIN,LELAND D 269422 10199 NARTIN,LELANO 203 ACC 03-18-92 87.36 87.36 1 RARTIN,LELAND D 269467 10199 RECHAR,VILLIAN 203 ACC 03-18-92 70.00 70.00 1 NECHAR,VILLIAR D 269347 10199 NORALES,ARACEL 203 ACC 03-18-92 1363.40 1363.60 1 269436 10199 NORAL£S,ARACEL 203 ACC 03-18-92 94.50 94.50 1 259143 10199 SORIANO,PEDRG 203 AGC 03-18-92 174.90 174.90 1 SORIANO,PEDRO S 269296 10199 SPEECH,SHASHA 203 ACC 03-18-92 480.73 480.73 1 SPEECH,SHASHA L 269442 10199 STINSON,DAVID 203 ACC 03-18-92 79.30 79.00 1 ST€NSON,DAVID D 269088 10199 VALENCIA,NARIA 203 ACC 03-18-92 166.40 166.40 1 VALENCIA,EDELNIRA 269366 10199 VALENCIA,NARIA 203 ACC 03-18-92 123.00 04-23-99 123.00 1 VALENCIA,RARIA 0 269201 10199 VALLACE,LENMIE 203 ACC 03-18-92 131.50 131.50 1 NCRATH,TAMARA L 269301 10191 VATERS,LAIIRENCE 203 ACC 03-18-92 290.40 290.60 1 YATERS,LAHRENCE E 270107 10199 NACK,VICTORIA 203 RCC 03-2342 60.20 60.20 1 NACK,VICTORIA C 270105 10199 TURNER,EARL 203 ACC 03-2542 539.64 60.00 05-2642 479.64 1 TURNER,EARL L 270099 10199 VALLACE,TRINA 203 ACC 03-25-92 72.50 72.50 1 ANOREN,NICHAEL A 271109 10199 CARP€O,NARITZA 203 ACC 04-03-92 1293.21 1293.21 I CARPIO,NARITZA J 271158 10199 CARPID,NARITZA 203 ACC 04-03-92 23.00 23.00 1 CARPID,NARITZA J 271035 10199 CHILTON,RONNIE 203 ACC 04-03-92 109.00 109.00 1 CHILTON,RONNIE L 271074 10194 CREREANS,CLARENCE 203 ACC 04-03-92 42.00 42.00 1 271247 10199 CRYINGYIND,RICHARD 203 ACC 04-03-92 69.00 69.00 1 271184 10199 ELLIOTT,KYLE 203 ACC 04-03-92 109.00 109.00 1 SELTON,NICHA£L A 271034 10199 GOBINEZ,AN&£L 203 ACC 04-03-92 76.00 76.00 1 271152 10199 GODINEZ,ANGEL 203 ACG 04-03-92 70.00 70.00 1 271084 10199 GONEZ,CECILIA 203 ACC 04-03-92 163.00 163.04 1 GONEZ,CECILIA R 271068 10199 HANILTON,P£NNY 203 RCC 04-03-92 91.50 91.50 1 NORRIS,TANIKA L HEALTH SERVICES HRITE-OFF REPORT DATE:16 Oct, 2000 PAGE: 64 DEBTOR.... CLIENT4... WE... ...................... DSK ST CD OT-ASSIGN PN-ASSIGN....., PRIM COL LST PAY. TOTAL BAL..... CRT 271171 10199 HERNANDEZ,BRAD 203 ACC 04-03-92 73.50 73.50 1 HERNANDEZ,ANDREN V 271093 10199 HOLLIRGSHEAD,KARL 203 ACC 04-03-92 92.20 92.20 1 HOLLINGSHEAD,KARL J 271208 10199 HUMPHREY,GORDON 203 ACC 04-03-92 63.00 63.00 1 HUMPHREY,CHARENA D 271059 10199 ISARRAIGARCIA,JESUS 203 ACC 04-03-92 116.20 116.20 1 PERDOMO,BLANCA E 211181 10199 JAC€tSON,OOREEN 203 ACC 04-03-92 842.50 842.50 1 JACKSON,DOREEN E 271130 10199 JOHNSON11RIS 203 ACC 04-0342 483.50 483.50 1 JOHNSON,IRIS A 271011 10199 LE,MAXH 203 ACC 04-03-92 37.00 37.00 1 HUYNH,THITAM 271067 €0199 LEAKS,ALMA 203 ACG 04-03-92 168.00 168.00 € LEAKS,ALMA L 271180 10199 LINDSEY,LE&SIE 203 ACC 04-03-92 213.40 213.40 1 LINDSEY,LESSIE M 211020 10197 LIZARDE,LOURDES 203 AGC 04-03-92 423.50 423.50 1 270931 10199 MARBLESTONE,LARRY 203 ACC 04-03-92 122.50 122.50 1 MARIILESTONE,NICOLE M 270943 10199 MOHAMED,ZAHARAA 203 ACC 04-03-92 386.50 386.50 1 271069 10199 SNIPES,1ANELLA 203 ACC 04-03-92 234.93 234.93 1 SNIPES,TANELLA R 271149 10199 SOLIS:MIGUEL 203 ACC 04-03-92 90.40 50.00 07-15-92 40.40 1 SOLIS,SOCORRO 0 271037 10199 VAUGHN,DAVID 203 ACC 04-03-92 254.50 254.50 1 VAUGHN,JOYE E 271115 10199 VAUGHN,DAVID 203 ACC 04-03-92 78.00 78.00 1 VAUGHN,JOYE E 271016 10199 YHITE,JOE 203 ACC 04-03-92 491.50 491.50 1 1€HITE,JOE L 270966 10199 VILLIANS,SHARON 203 ACC 04-03-92 369.70 369.70 1 VILLIAMS,SHARON R 271042 10199 ZAVALA,NILADY 203 AGC 04-03-92 137.50 137.50 1 IAVALA,MILADY D 212137 10199 ACORD,ROBERTA 203 RCC 04-14-92 23.34 23.34 1 ACORD,ROBERTA J 272180 10199 ACORD,ROBERTA 203 ACC 04-14-92 23.34 23.34 1 ACORD,ROBERTA J 272255 10199 ACORD,ROBERTA 203 ACC 04-14-92 23.30 23.30 1 ACORD,ROBERTA J 272268 10199 ACORD,ROBERTA 203 ACC 04-14-92 23.34 23.34 € ACORD:ROBERTA J 272309 10199 ACORD,ROBERTA 203 ACC 04-14-92 23.34 23.34 1 ACCRD,ROBERTA J 272401 10199 ACORD,ROBERTA 203 ACC 04-14-92 23.34 23.34 1 ACORD,ROSERTA J 272117 10199 ADAMS,CHARLES 203 ACC 04-14-92 316.00 316.00 1 ADAN$,CHARLES 5 272157 10199 AGBOMABINON,TAOFIK 203 ACC 04-14-92 137.50 137.50 1 ACBOMABINON,TONY HEALTH S£FVICES URITE-OFF REPORT DATE:16 Oct 2000 PASS; 65 DEBTOR.... CLIENT#... NAME.......................... DSX ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CNT 272083 10€99 AND£RSON409 203 ACC 04-14-92 155.00 10.00 06-09-92 145.00 1 ANDERSON.JON E 272232 10199 ANOERSON,PAUL 203 ACC 04-14-92 379.50 25.00 09-26-95 354.50 1 ANDERSON,PAUL A 272094 10199 ANDERSON,TAMARA 203 ACC 04-14-92 46.20 46.20 1 ANDERSON,TAMARA L 272310 10€99 ANDRADE,LISA 203 ACC 04-14-92 132.30 132.30 1 ANDRADE.LISA L 272101 10199 ANGUTANO,ESTHER 203 ACC 04-1442 51.60 51.60 1 ANGUTANO,ERMANUEL 272365 10199 ANGUTANO,ESTHER 203 ACC 04-14-92 73.15 73.15 1 ANGUTANO,ANA G 272413 10€99 ANGUTANO,ESTH£R 203 ACC 04-14-92 81.40 81.40 1 ANGUTANO,ANA G 272235 10199 ARIAIU ,CHARLEEH 203 ACC 04-14-92 109.00 109.00 1 272234 10199 AUTREY,CARDLYN 203 ACC 04-€4-92 54.24 54.24 1 AUTREY,CAROLYN N 272578 10199 AYERS,MARK 203 ACC 04-14-92 109.00 109.00 1 AYRIS,MARK A 272512 10199 BAKER,ALSERT 203 ACC 04-14-92 73.00 73.00 1 BAKER,ALBERT E 272384 10199 BLANTON,BONICE 203 ACC 04-14-92 83.00 83.00 1 BLANTON,CLOTTE 272208 10199 BRAY,KEYIN 203 ACC 04-14-92 40.00 40.00 1 BRAY,BONNIE S 272222 10199 BRITT,JOHNNY 203 ACC 04-14-92 148.40 148.40 1 272104 10€99 CABREW ALICIA 203 ACC 04-14-92 268.00 268.00 1 CABRERA,ALICIA E 272343 10199 CABRERA,FRANCISCO 203 ACC 04-14-92 82.00 82.00 1 272400 10199 CABRERA:FRANCISCO 203 ACC 04-14-92 123.60 123.60 1 272203 10199 CAKEBREAO,THOMAS 203 ACC 04-14-92 249.04 249.00 1 CANEBREAD,THOMAS R 272227 10199 CARDENAS,MARIA 203 ACC 04-14-92 110.50 110.50 1 CARDENAS,MARIA L 272409 10199 CHARL£S,JOHN 203 ACC 04-14-92 99.70 49.70 1 CHARLES,JOHN W 272415 10199 CHILTON,RONNIE 203 ACC 04-14-92 97.82 97.82 1 CHILTON,RONNIE L 272453 10199 CHILTON,RONNIE 203 ACC 04-14-92 137.18 137.18 1 CHILTON,RONNIE L 272302 10€99 COLE,TROY 203 ACC 04-14-92 160.78 160.78 1 COLE,TROY L 272238 10199 COLLINS,CHRISTINE 203 ACC 04-14-92 87.00 87.00 1 COLLINS,CHRISTINE A 272572 10199 COSSEL,WILBERT 203 RCC 04-14-92 89.26 89.26 1 COSSEL,ANESA A 272410 10199 COUNTI MSHELE 203 ACC 04-14-92 123.60 123.60 1 COUNM RASHELE L 272431 10199 COX,GEORG£ 203 ACC 04-14-92 109.00 104.00 1 COX,GEORGE A 272450 10199 CUNNINGHAM,RICHARD 203 ACC 04-14-92 131.70 131.70 1 CUNNINGRAM,JESSICA L �V=ops HEALTH SERVICES VRITE-OFF REPORT DATE:16 Oct 2000 PAGE: 66 DEBTOR.... CLIENT#.,. NAME.......................... DSU ST CD DT-ASSIGN FN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 272145 10199 DESOMPMELA 203 ACC 04-14-92 87.80 87.80 1 DESOTO,PAMELA V 272090 10199 DEVORE JOBBI 203 ACC 04-1442 91.30 91.30 1 DEVORE,SANUEL 9 272219 1014`9 DIAZ:JULIA 203 ACC 04-14-92 109.00 109.00 1 DIAIrJULIA S 272301 10199 DIAZ,JULIA 203 ACC 04-14-92 65.45 65.45 1 DIAI,JULIA S 272516 10199 DIAZ,NARIB 203 ACC 04-1442 423.50 423.50 1 DIAZ,AURORA 272473 10199 DIAZ-MONJE+AURORA 203 ACC 04-14-92 322.40 322.40 1 DIAZ,AURORA 272122 10199 DBRAFSHA,SHIVA 203 ACC 04-14-92 64.00 64.00 1 DORAFSHA,SHIVA E 272184 10199 DRAP£R,SHELLY 203 ACC 04-14-92 66.00 66.00 1 SNITH,ANANDA R 272319 10199 DRAPER,SHELLY 203 ACC 04-14-92 72.00 72.00 1 SNITHtAMANDA R 272377 10199 ELLIOTtKYL£ 203 ACC 04-14-92 109.00 109.00 1 S£XTON,NICHAEL A 272245 10199 FELIX,ANGELIA 203 ACC 04-14-92 2213.26 2213.26 1 FELIX,ANGELIA C 272149 10199 FISIIAHI,JDCELEEN 203 ACC 04-14-92 96.00 46.00 1 FISIIAHI,JOCELEEN B 272097 10199 FLORES,SALVADOR 203 ACC 04-14-92 70.00 70.00 1 FLORM ISRAEL 272538 10199 GAINES,CHANU 203 ACC 04-14-92 225.23 225.23 1 272124 10199 GARCIA,GERARDO 203 ACC 04-14-92 351.24 351.24 1 272352 10199 GARCIAtGERARDO 203 ACC 04-14-92 74.10 74.10 1 272206 10199 GARCIAtGONIALO 203 ACC 04-14-92 115.50 115.50 i GARCIA,YOLANDA 272316 10199 GARCIA,GONIALO 203 ACC 04-14-92 142.00 142.00 1 GARCIA,YDLANDA 272375 10199 GARCIA,LUIS 203 ACC 04-14-92 37.00 37.00 1 272429 10199 GARCIA,SANU£L 203 ACC 04-14-92 748.90 748.90 1 272539 10199 GARCIA,SANUEL 203 ACC 04-14-92 70.00 70.00 1 272278 10199 GETTING,SCDTT 283 ACC 04-14-92 1306.50 1506.50 1 GETTING,SCOTT E 272271 10199 JACOBO,BEATRICE 203 ACC 04-14-92 673.00 80.04 10-01-92 593.00 1 GWIN,JUANITA N 272430 10199 JOVANOVICH,CATHY 203 ACC 04-1442 118.30 118.50 1 JOVANOVICH,FALECYA N 272146 10199 LACHENNYER AITH 203 ACC 04-14-92 124.00 124.00 1 LACHE"YER,KEITH E 272105 10199 LACHENNYER,TAWKIE 203 ACC 04-14-92 495.50 495.50 1 LACRENNY£R,UEITR E 272568 10199 NACDONALD,DAWN 203 ACC 04-14-92 275.50 275.50 1 MACOONALD,DAVN N 272596 10199 RAFFUCCI,JULIE 203 AGC 04-14-92 87.00 87.00 1 RAFFUCCI,JULIE A 272646 10199 RAFFUCCI,JULIE 203 ACC 04-14-92 136.79 136.19 1 NAFFUCCI,JULIE A HEALTH SERVICES NRITE-OFF REPORT DAT£:16 Oct 2000 PAGE; 67 DEBTOR.... CLIENT#... MAKE.......................... DSK ST CO OT-ASSIGN PI-ASSIGN...... PRIM COL LST PAY. TOTAL SAL,,... CHT 272595 10199 MARTINEZ,ZAARUCK 203 ACC 04-14-92 370.96 370.86 1 MARTINEZ,ZAARUCK A 272485 10199 MATA,LEDBARDO 203 ACC 04-14-92 438.50 438.50 1 DELALUZ,MARIE 272661 10119 MAYS,DERRICK 203 ACC 04-14-92 170.00 170.00 1 272584 10199 MAYS,KANDIE 203 AGC 04-14-92 346.00 346.00 1 MAYS,KANDIE A 272654 10199 MEJIA,JOSE 203 ACC 04-14-92 87.80 87.80 1 NEJIA,NANCY J 272611 10199 NILLER,TAMARA 203 ACC 04-14-92 117.48 117.48 1 MILL£R,TAMARA N 272638 10199 MITCHELL,RAY 203 ACC 04-14-92 70.00 70.40 1 M€TCHELL,RAY M 272679 10199 MITCHELL,RAY 203 ACC 04-14-92 180.50 180.50 1 NITCHELL,RAY M 272660 10199 MONANED,ZAHARAA 203 ACC 04-14-12 95.00 95.00 1 E72633 10199 NOONEY,JEFFREY 203 ACC 04-14-92 238.50 238.50 1 MOONEY,JEFFREY L 272588 10199 MOR@UECHO,€GNACID 203 ACC 04-14-92 99.80 99.80 1 272389 10191 NOR$U£CHD,IGNACIO 203 ACC 04-14-72 191.10 191.10 1 272614 10199 NOR#UECHO,IGNACIO 203 ACC 04-14-92 178.99 178.99 1 272541 10199 SMITH,RICHARD 203 ACC 04-1442 140,50 140.50 1 SNITH,CARLA A 272093 10199 SOLIS,TOMAS 203 ACC 04-14-92 244.40 244.40 1 SOLIS,TOMAS C 272189 10199 STATZ,DARLA 203 ACC 04-14-92 166.00 166.00 1 STATZ,DARLA J 272161 10199 ST£FFANUS,KAR£N 203 ACC 04-14-12 95.00 95.00 1 STEFFANUS,KAR£N E 272284 10199 TONNZEN,RICHARD 203 ACC 04-14-92 63.00 63.00 1' TONNZEN,RICHARD N 272481 10199 TOWNZEN,RICHARD 203 ACC 04-14-12 386.50 386.50 1 TONNZ£N,RICHARD N 272376 10199 TR£ASE,DEVIN 203 ACC 04-1442 172.20 172.20 1 TREASE,DEVIN N 272416 10199 TUPUOLA,MARIA 203 AGC 04-14-92 476.00 476.00 1 TUPUOLA,MARIA M 213717 10199 ALCALA,CARLOS 203 ACC 04-21-92 103.00 103.00 1 ALCALA,CARLOS F 273611 10199 ANDERSON,PAUL 203 ACC 04-21-92 462.00 462.00 1 ANDERSON,PAUL A 273741 10199 AYRIS.NARK 203 ACC 04-21-92 109.00 109.00 1 AYRIS,MARK A 273545 10199 BARAJAS.OLGA 203 ACC 04-21-92 221.15 221.13 1 BARAJAS.IVAN @ 273622 10199 BARBER,CATHLEEN 203 ACC 04-21-92 74.80 74.80 1 BARBER,CATHLEEN A 273754 10191 BRIDL£Y,EDNARD 203 ACC 04-21-92 127.22 127.22 1 BRINDLEY,KERRI L 273525 10199 BUSBY,TAMARA 203 ACC 04-21-92 70.00 70.00 1 BUSBY►TANARA A 273360 10159 CARDOZA,ESM£RALDA 203 ACC 04-2142 503.50 503.50 1 HEALTH SERVICES NRITE-OFF REPORT DATE'16 Oct 2000 PACE; 68 DEBTOR.... CLIENT*.., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRI* CUL LST PAY. TOTAL SAL..... CHT CARDOIA,ESMERALDA C 273749 10199 CHATMAN,GAYLE 203 ACC 04-21-92 160.20 160.24 1 CHATNAN,GAYL£ M 273414 10199 COFFIN,SALLY 203 ACC 04-21-92 299.00 299.00 1 COFFIN,SALLY M 273318 10199 COL£,TROY 203 ACC 04-21-92 43.40 °3.40 1 COLE,TROY L 273389 €0199 CORRO,JOHN 203 ACC 04-21-92 145.20 145.20 1 CORRO,JOHN JR 273394 10199 CORRO„JOHN JOSEPH 203 ACC 04-21-92 252.90 252.90 1 CORRO,JOHN JR 273431 10199 COVINGTO*.DAVID 203 ACC 04-21-92 72.30 72.30 1 273480 10199 CROCKETT,LISA 203 ACC 04-21-92 266.00 266,00 1 CROCK£TT,LISA M 273649 10199 DEVIA,JANICE 203 ACC 04-21-92 126.00 126.00 1 PHILLIPS,JANICE 273402 10199 DURAN,ABRAHAM 243 ACC 04-21-92 74.40 74.40 1 DURAN,ABRAHAN R 273675 10199 EHLER,THOMAS 203 ACC 04-21-92 3191.61 3191.61 1 EHLER,THOMAS L 273474 10199 FERDINAND,FAITH 203 ACC 04-21-92 518.94 518.94 1 FERDINAND,FAITH L 273456 10199 F€ANO,KIMBERIY 203 ACC 04-21-92 75.70 75.70 1 FIANO,KIMBERLY S 273689 10199 FIAND,KIMBERLY 203 ACC 04-21-92 584.35 584.35 € FIANO,KIMBERLY S 273705 10199 FULP,ROBERT 203 ACC 04-21-92 286.00 286.00 1 FULP,ROBERT G 273734 10199 GAINES,BRENDA 203 ACC 04-21-92 70.50 70.50 € GAINES,CNAMIJ 273739 10199 GARCIArGERARDJ 203 ACC 04-21-92 255.77 255.77 1 273328 10199 GARCIA,LUIS 203 ACC 04-21-92 125.19 125.14 1 273463 10199 GEORGE MNALD 203 ACC 04-2142 39.20 39.20 1 GEORCE,DONALD J 273511 10199 GIACHETTI,ANN 203 RCC 04-21-92 129.70 129.70 1 GIACHETTI,ANK M 273573 10199 GIACHETTI,ANN 203 ACC 04-21-92 385.50 385.50 1 GIACHETTI,ANN M 273625 10199 CLADNEY,CHRISTOPHE 203 ACC 04-2142 109.00 109.00 1 273326 10199 GOHIALES,DANIEL 203 ACC 04-21-92 160.00 160.00 1 GONIALES,DARIEL G 273610 10199 GONZAL£5,DANIEL 203 ACC 04-21-92 87.50 87.50 1 GUNIALEMANIEL G 273309 10199 GONIALEI,MARIA 203 ACC 04-21-92 93.50 93.50 1 GONIALEI,MARIA C 273762 10199 HUNTER:MICHELLE 203 ACC 04-21-92 125.50 125.50 1 HUNTER,CHARL£S JR R 273496 10199 JOHNSON,MICHELE 203 ACC 04-2142 536.95 536.95 1 JOHNSON,MICHELLE L 273781 10199 KDO*SrGERALD 203 ACC 04-21-92 82.45 82.45 1 KDONS,GERALD S 273548 10199 LALLI,SURINDER 203 ACC 04-21-92 144.00 144.00 1 HEALTH SERVICES URITE-OFF REPORT OATEs16 Oct 2000 ME; 69 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN.,.... PRIM COL LST PAY. TOTAL DAL..... CRT LALLI,SURINDER 5 273566 10199 LAUI,SURINDER 203 ACC 04-2142 296.00 296.00 1 LALLI,SURINDER S 273584 10199 LAUI,SURIKDER 203 ACC 04-21-92 134.26 134.26 1 LALLI,SURINDER S 273325 10199 LINDSEY,LEBSIE 203 AGC 04-21-92 496.00 496.00 1 LINDS£Y,LESSIE M 2273332 10199 LIZARDE,LOURDES 203 ACC 04-21-92 63.00 63.00 1 273331 10199 LUKE,CLEOPATRA 203 ACC 04-21-92 50.00 50.00 1 LUKE,CLEDPATRA C 273627 10199 MACDOMALD,DAWN 203 ACC 04-21-92 2763.27 2763.27 1 MACDONALD,DANM N 273618 10199 HARTIN,LELAND 203 ACC 04-21-92 109.00 109,00 1 MARTIN,LELAND D 273467 10199 MAYN£W,ROREE 203 ACC 04-21-92 228.80 228.80 1 MAYHEW,ROREE 1 273397 10199 MEJIA40SE 203 ACC 04-2142 116,00 116.00 1 MEJIA,KANCY J 273719 10199 MITCHAM,SHEILA 203 ACC 04-21-92 54.00 54.00 1 NITCHAM,SH£ILA A 273444 10199 MOHAMEMAHARAA 203 ACC 04-2142 83.50 83.50 1 273398 10199 MOKDRAGOK,YICENTE 203 ACC 04-21-92 583.27 583.27 1 MOKDRAGON,JAVIER C 273442 10194 €ORR£S,JORG£ 203 ACC 04-21-92 63.00 63.00 1 TORRES,GIOVANKA 273553 10199 TORRE5,JORGE 203 AGC 04-21-92 70.00 70.00 1 €ORRES,GIOVAKNA 273304 10199 TURNER,DAMA 203 ACC 04-21-92 95.00 95.00 i DAKIELS,DANA A 273455 10199 VILLIAMS,SHAROK 203 ACC 04-21-92 249.00 2249.00 1 HILLIAMS,SHARON R 273601 10199 VILSON4ON 203 ACC 04-21-92 154.00 154.00 1 VILSON,JDM E 273699 10199 VOODUARD,DANI£L 203 ACC 04-21-92 373.67 373.67 1 NOODNARF,DANIEL J 273765 10199 YAKEZ,JORGE 203 ACC 04-21-92 489.22 489.22 1 YAKEI,ROSARIO 273624 10199 ZACCARDI,DEBRA 203 ACC 04-21-92 109.00 109.00 1 ZACCARDI,DEBRA L 275124 10199 ALEJANDRE,RAMON 203 ACC 05-06-92 79.00 79.00 1 ALEJANDRE,RAMON N 274856 10199 ALLISON,PETER 203 ACC 05-06-92 46.20 46,20 1 ALLISON,TAMMY M 274899 10199 ANDERSON&AUL 203 ACC 05-06-92 116.50 116.50 1 ANDERSON,PAUL A 275179 10199 ATZ,J£NAIFER 203 ACC 05-0642 126.85 126.85 1 ATZ,JENNIFER L 275216 10199 BACA,JARROD 203 ACC 05-06-92 70.00 70.00 1 274877 10199 BA#DY,€IMOTHY 203 ACC 05-06-92 144.00 144.00 1 BANDY,TIMOTHY J 274669 10199 BARRING,JAMES 2203 ACC 05-0642 101.48 101.48 1 BARRING,JANES L HEALTH SERVICES WRITE-Off REPORT OAT£s16 Oct 2000 PAGE.' 70 DEBTOR.... CLIENT#... NAME.......................... OSK ST CO 1ST-ASSIGN PM-ASSIGN...... PRIM COL LST PAY. TOTAL RAL..... CNT 275117 10199 BARRING,JARES E03 ACC 05-06-92 96.00 95.00 1 BARRING,JANES L 274801 €0199 BAY,ROBERT 203 ACC 05-06-92 353.50 353.50 1 BAY,ROBERT L 274959 10199 BAY,ROBERT 203 ACC 05-06-92 171.37 171.37 1 BAY,ROBERT L 274947 10199 BENITES,MARTIN 203 ACC 05-06-92 117.50 117.50 1 BENITES,HARTIN C 274825 10199 BERNAL,SALVADOR 203 ACC 05-06-92 1501.00 1541.00 € BERNAL:ROSA 275048 10199 BOYD,JINNIE 203 ACC 05-06-92 152.30 152.50 1 BOYD,JINMIE L 274796 10199 BRANDI,DENISE 203 ACC 05-06-92 87.00 87.00 1 BURT.BRANDEND N 275011 10199 BRENNAN,RUTH 203 ACC 05-06-92 115.50 115.50 1 BRENNAN,RUTH E 275229 10199 BR£NNAN,RUTH 203 ACC 05-06-92 147.00 147.00 1 BREMNANrRUTH E 275018 10199 BRISENO,VICTORIA 203 ACC 05-06-92 114.00 70.00 08-1€-92 44.00 1 275231 10199 BROOKS,ALAN 203 ACC 03-06-92 298.50 298.50 1 275038 10199 BROOKS,RICHARO 203 ACC 05-06-92 103.60 103.60 1 BROOKS,RICHARD E 274827 10199 BURKE,JENNIF€R 2203 ACC 05-06-92 195.89 €95.89 I BORKE,JENNIF€R N 274956 10199 BURNS,DAVID 203 ACC 05-06-92 63.00 63.00 1 BURNS,OAVID N 275165 10199 CABR£RA,FRANCISCO 203 ACC 05-06-92 144.49 144.49 1 275307 10199 CASLIB,CRISOSTONO 203 ACC 05-06-92 $19.50 504.00 02-25-97 284.50 1 CASLIB,AOELAIDA C 275021 10199 CASTRO,GERARDO 203 ACC 05-06-92 296.57 2%,5i 1 275322 10199 CHANDLERrDERECK 203 ACC 03-06-92 1221.80 121.80 1 274949 10199 CHARLES,JOHN 203 ACC 05-06-92 263.19 253.19 € CHARLES,JOHN Y 275130 10199 CISMEROS,PORFIRIO 203 ACC 05-06-92 93.10 93.10 1 CISMEROS,JESSICA A 275233 10199 CLINE,TANARA 203 ACC 05-06-92 122.95 122.96 1 CLINE,TANARA L 273023 10199 CONSTANTIME,JUDITH 203 ACC 05-0542 274.50 274.50 1 CONSTANTINE,JUDITH H 275320 10199 COVINGTON,DAVID 203 ACC 05-06-92 89.40 89.40 1 274929 10199 CROCKETT,LISA 203 ACC 05-06-92 190.50 00.50 1 CROCKETT,LISA N 275107 10199 CROSS,STEVEN 203 ACC 05-46-92 83.50 83.50 € CROSS,BRITTI€EY A 275315 10199 CROUCH',PATRICE 203 ACC 05-06-92 114.00 114.00 CROUCH,PATRICE L 273187 10199 DABNEY,DDROTHY 203 ACC 05-06-92 39.10 39.10 1 275196 10199 DERI,STEVEM 203 ACC 05-06-92 116.97 116.97 1 DERI,STEVEN P 274977 10199 DINAGGIO,JULAIN 203 ACC 05-06-92 170.50 170.50 1 DINAGGIO,JULAIN L 273032 10199 DIHACGIO,JULAIN 203 ACC 05-06-92 219.70 219.70 1 FEALT€i SERVICES WRITE-u€€ REPORT DAT£•16 Oct 2000 PAGE; 71 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL SAL..... CNT DIHAGGIMULAIN L 275443 10199 D1NAGGID,JULAIN 243 ACC 45-06-92 1923.04 1923.00 1 DIMAGGIO,JULAIN L 275091 10199 DINAGGIU,JULAIN 243 ACC 05-06-92 135.70 135.74 1 DINAGGIO,JULAIN L 275285 10199 DINAGGIO,JULAIN 203 ACC 05-06-92 242.40 242.40 1 DINAGGIO,JOLAIN L 275199 14199 DODDS,JAC4UELINE 203 ACC 05-06-92 107.84 147.80 1 DODDS,JACOUELINE D 275016 10199 DOSS,THONAS 203 ACC 05-46-92 1392.50 3392.50 € DOSS,KRISTEN A 274870 14199 EDYAROS,GARY 203 ACC 05-06-92 70.40 70.00 1 EDWARDS,LARRY A 275103 10199 EDHARDS,GARY 203 ACC 05-06-92 136.20 136.20 1 EDNARDS,LARRY A 274835 10199 ESSUIBEL,ALBERT 203 ACG 05-06-92 445.55 445.55 1 275329 10199 ESSUIBEL,ALBERT 203 ACC 05-06-92 87.00 87.00 1 275283 10199 FERDINAND,FAITH 203 ACC 09-06-92 228190 2228.94 1 FERDINAND,FAITH L 275242 10199 GARCIA,GONZALO 203 ACC 05-06-92 448.00 448.00 1 GARCIA,YOLANDA 275103 10199 GARCIA,IGNACIO 243 ACC 05-06-92 239.32 239.32 1 274991 10199 GARCIA,6 MEL 203 ACC 05-0642 260.30 260.50 1 274926 10199 GEER,COLE 203 ACC 05-06-92 77.80 77.84 1 GEER,COL£ F 274966 1019? GEER,COLE 203 ACC 05-06-92 109.00 €09.04 1 GE£R,COLE F 275052 10199 G£ER,COLE 203 ACC 05-06-92 113.00 113.00 1 GEER,COL£ F 275071 10199 GEER,COLE 203 ACC 05-06-92 268.30 268.30 GEEK}COLE F 275266 1019? GONZAGA,KRISTY 203 ACC 05-06-92 46.28 46.28 1 GONIAGA,KRISTY L 275209 10199 GONZALEZ,NARIA 203 ACC 05-0642 106.00 106.00 1 GONZALEZ,NARIA C 274995 10199 GREEN,NAOMI 203 ACC 05-06-92 70.00 70.00 1 GREEN,NA0MI L 275315 10199 HADLEY,ROSERT 203 ACC 05-06-92 292.44 292.44 1 CID TON1 BULLARD 275137 10199 HARPER,PIERRE 203 ACC 05-06-92 100,00 100.00 1 HARPER,PIERRE L 275100 14199 HENRY,NICOLE 203 ACC 05-06-92 364.50 364.50 1 HENRY,NICOL£ L 275119 10199 HOLNES,CATHY 203 ACC 05-06-92 146.50 146.50 1 HOLNES,CATHY A 275063 10199 HUMPHREY,GORDON 203 ACC 05-06-92 87.04 87.00 1 HUMPHREY,CHARENA D 275343 10199 HUNTER,LESTER 203 ACC 051-06-92 1636.05 1636.05 1 HUNTER,LESTER J 274980 10191 HURLEY,DIAME 203 ACC 05-06-92 332.00 332.00 1 HURLEY,BR€AN J 275173 1009 IRVIN,JA60N 203 ACC 05-46-92 505.27 505.27 1 HEALTH SERVICES VRITE-OFF REPORT DATEiI6 Ott 2000 PAGE: 72 DEBTOR.... CLIENT#- NAME.......................... DSK ST CD DT-ASSIGN Phi-ASSI&N...... PRIM COL LST PAY. TOTAL SAL.,... CHT 275317 10199 IRVIN:JASON 243 ACC 05-0642 281.54 281.50 1 275055 10199 JONES,DUANE 243 ACC 05-0642 193.30 1933.50 1 JONES,SONJA M 275319 10199 KEY,MARTHA 203 ACC 05-06-92 109.00 149.40 1 ZIMPEL,CHERYL J 275039 10199 LARA,EVANGELINA 203 ACC 05-06-92 109.00 109.00 1 BELTRAN,NUBIA ANA 274916 10199 LEAKS,ALMA 203 ACC 05-06-92 163.65 163.85 1 LEAKS,ALMA L 275059 10199 MAIHAND,AHMAD 203 ACC 05-06-92 285.65 293.65 1 MAIYAND,AHNAD W 275160 10199 MAIYAND,AHMAD 203 RCC 05-06-92 142.36 142.36 1 MAIUAND,ARMAD N 274911 10199 MARTIN,EDIiARD 203 ACC 05-06-92 77.60 77.80 1 MARTIN,EDVARD S 214969 10199 MARTIN,LAWRENCE 203 ACC 05-06-92 186.40 186.40 1 MARTIN,LAVRENCE E 275094 10199 MARTIN,LAVRENCE 203 ACC 05-06-92 231.30 231.30 1 MARTIN,LAWRENCE E 275120 10199 MARTIN,LAWRENCE 203 ACC 05-06-92 247.40 247.00 i MARTIN,LAWRIENCE E 275273 10199 NARTIN,LA#RENCE 243 ACC 05-0642 109.00 109.00 1 NARTIN,LAWRENCE E 274996 10199 MARTIN,RHONDA 203 ACC 05-0642 163.40 163.40 1 HANSON,HAILEY B 275163 10199 NARTINEZ,ESPERANZA 203 ACC 03-06-92 63.50 65.54 1 MARTINEZ,HECTOR M 274934 14199 MATA,LEDBARDO 203 ACC 05-06-92 965.00 965.00 1 DELALUZ,MARIE 275228 10199 MONTAND,JOSE 203 ACC 05-06-92 63.00 63.04 1 MONTANO,TRINIDAD 274622 10199 MORGAN,KENNETH 203 ACC 05-06-92 135.40 155.40 1 MORGAN,IIENNETH D 274909 10199 SMALL,GERALD 203 ACC 05-06-92 120.70 124.70 1 SMALL,GERALD K 274913 10199 SMALL,GERALD 203 ACC 05-06-92 125.30 125.30 1 SMALL,GERALD K 275312 10199 SMALL,GERALD 243 ACC 05-06392 92.00 92.00 1 SMALL,GERALD K 275236 10199 SMITH,RONALD 203 ACC 03-06-92 204.11 204,11 1 SMITH,ESTHER R 215257 10199 SMITH,RONALD 203 ACC 05-06-92 300.41 300.01 1 SMITH,ESTNER R 275177 10194 SNITH,AILLIE 203 ACC 05-06-92 126.80 126.84 1 SNITH,WILLIE E 274861 10199 TORRES,LUPE 203 ACC 05-06-92 87.00 87.60 1 274874 14199 TORRES,LUPE 203 ACC 05-06-92 409.70 409.70 1 275097 10199 TORRES,LUPE 203 ACC 05-06-92 512.62 512.62 1 275114 10199 TORRES,LUPE 203 ACC 05-06-92 194.00 194.00 I 274797 10199 TURNER,DANA 203 ACC 05-06-92 96.00 96.00 1 DANIELS,DANA A 275065 10199 VILLAFAN,ANDRES 203 ACC 05-06-92 57.28 57.28 1 HEALTH SERVICES 6RRITE-OFF REPORT rl'J`�� DATEs16 OCt 2000 PAGE: 73 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGK...... PR€N COL LST PAY. TOTAL BAL,.... CHT VILLAFAN,OIEGO 275074 14199 NARDELL,GUS 203 ACC 05-06-92 80.54 80.50 1 WARDELL,GUS 5 274819 10199 NATSON,00NALYN 203 ACC 05-06-42 144.54 144.50 1 SCOTT,DERIK L 275047 10199 WATSOMONALYN 203 ACC 05-06-92 70.00 70.40 1 SCOTT,DERIK L 275144 10199 WATSON,DONALYN 203 ACC 05-06-92 70.00 70.40 1 SCOTT,DERIK L 274848 10199 YBARRA,ALEX 243 ACC 05-06-92 151.72 131.72 1 YBARRA:ENEDINA 276275 10199 COt,ROSIE 203 ACC 05-13-92 13.20 13.20 i COZ,ROSIE A 276148 10199 DEVILLA,LORENZO 203 ACC 05-13-92 46.20 46.20 1 DEVILLA,NORALYN G 276132 10199 FERDINAND,FAITH 203 ACC 05-13-92 282.68 282.68 1 FERDINANDrFAITH L 276311 10199 HAKILTON,PENNY 203 ACC 05-13-92 69.00 69.00 1 NORRIS,TANIKA L 276121 10199 HENRY,NICOLE 203 ACG 45-13-92 400.11 400.11 1 HEKRY,NICOLE L 276,039 10199 HENRY,N€COLE 203 ACC 05-13-92 120.40 120.00 1 HENRY,NICOLEL 24305 10199 IBARRA,JESUS 243 ACC 05-13-92 120.20 120.20 1 PERDONO,BLANCA E 276319 10199 J€MENEZ,NARIA 203 ACC 05-13-92 273.50 273.50 1 276329 10199 JININEZ,NARCIAL 203 ACC 05-13-92 155.00 155.00 1 JINENEZ,MARIA 276185 10199 KONARIZADENrAMIR 203 ACC 05-13-92 117.00 111,00 1 KOMARIZADEH,KHANNO 276194 14199 KOMARIZADEH,ANIR 203 ACC 05-13-92 49.50 49.54 1 KONARIZADEH,KHANMO 276183 10199 LANE,JESSE 243 ACC 05-13-92 175.04 175.40 1 LAKE,VAKILLA 276114 10199 LEDESNA,DANIEL 203 ACC 05-13-92 605.50 645.50 1 LEDESNA,CAROLINA 276,023 10194 LEONARDD,DIANA 203 ACC 45-13-92 109.00 109.00 1 LEONARDO,DIANA E 276205 14199 NACDONALD,DAWN 203 ACC 05-13-92 709.29 709.29 1 NACDONALD,DAWN N 276097 10199 NACNADD.SERNARDO 203 ACC 05-13-92 170.90 170.90 1 MACHADO,CONSUELO 276071 14199 MAESTRETTI,JAMES 203 ACC 05-13-92 70.00 70.00 1 MAESTRETTI,JAMES R 276192 10199 NAF€,AKOSITA 203 ACC 05-13-92 160.50 160.50 1 276318 10199 NANOA,SIOKE 203 ACC 05-13-92 138.10 138.10 1 NANDArANEL€A F 276196 10199 MARTIN,RHONDA 203 ACC 05-13-92 6911.57 6911.57 1 MARTINrRHONDA E 276184 10199 NCCLANAHAN,STEVE 203 ACC 03-13-92 164.50 169.50 1 NCCLANAHAN,STEPHAN€E L 276214 10199 NCCUNE JERESA 203 ACC 05-13-92 132.50 132.50 1 HEALTH SERVICES WRITE-OFF REPORT DATE:€6 Oct 2000 PAGE: 74 DEBTOR.... CLIENT*... MAt1E.......................... 0$R S1 CG 8T-ASSIGM PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CWT MCCUNE,TERESA C 276307 10199 SNITH,JESSE 203 ACC 05-13-92 208.40 208.00 1 276189 10199 SMITH,RICHARD 203 ACC 05-13-92 70.00 70.00 1 SMITH,CARLA A 276208 10199 SORIA,GUSTAVO 203 ACC 05-13-92 75.70 73.70 1 SORIA,GUSTAVO S 276136 10199 STOKES,BRENDA 203 ACC 05-13-92 141.00 141.00 1 STOKES,BRENOA S 276187 10197 STRINGER,GEORGE 203 ACC 05-13-92 84.15 89.15 1 STRINGER,GEORG£ W 276255 10194 WARING,BRIAN 203 ACC 05-13-92 73.90 73.90 1 WARING,BRIAN D 276314 10199 WARING,BRIAN 203 ACC 05-13-92 110.40 110.40 1 YARIti MIAN D 276323 10€99 WARING,BRIAN 203 ACC 05-13-92 244.65 244.65 1 WARING,BRIAN 0 216117 10199 WILLIAMS,OELORES 203 ACC 05-13-92 207.00 207.00 1 WILLIAMS,DELORES M 276296 10199 YBARRA,ALEX 203 ACC 05-13-42 63.00 63.00 € YlARRA,FRANK F 276308 10199 ZACCARDI,DEBRA 203 ACC 05-13-92 70.00 70.00 1 ZACCARDI,DEBRA L 277402 10199 ALWAWI,HANI 203 ACC 05-19-92 226.50 226.50 1 ALWAWI,FARIS H 277005 10199 ANDERSON,PAUL 203 ACC 05-19-42 70.00 70.00 1 ANDERSONtPAUL A 277353 10199 ARCAINA,JOCELYN 203 ACC 05-19-92 741.50 741.50 1 ARCAINA,JOCELYN D 277283 10199 ARROYOS,JOANN 203 ACC 05-19-92 66.00 25.00 10-12-92 41.00 1 ARROYOS,RAUL C 277295 10199 ARROYOS,RAUL 203 ACC 05-19-92 270.55 34.00 09-02-92 236.55 1 A&ROYDS,RAUL C 277307 10199 ARROYOS,RAUL 203 ACC 45-19-92 254.65 254.65 1 ARROYOS-RAUL C 277109 10199 AYRIS,MARK 203 ACC 05-€9-92 109.00 109.00 € AYRIS,KARK A 277385 10199 BEALE,OORTHEY 203 ACC 05-1942 52.50 52.50 1 BEALE,DORTHEY J 277252 101?9 B£CERRA,ROSA 203 ACC 05--19-92 259.90 259.90 1 277328 10199 BECERRA,ROSA 203 ACC 05-19-92 185.00 185,00 1 277042 10199 BREWER,OEWAYNE 203 ACC 05-19-92 70.00 70,00 1 277481 10199 BROOKS,JERRY 203 ACC 05-14-92 299.00 299.00 1 BROOKS,MISTY R 277193 10199 CADIGAN,DANIEL JR. 203 ACC 05-19-92 292.50 2?2.50 1 CADIGARMAI£L T 277424 10199 CAMPBELL,ERIC 203 ACC 05-14-92 83.00 83,00 1 CARPRELL,ERIC L 217209 1.0199 CARDENAS,STEVEN 203 ACC 05-19-92 198.00 198.00 1 CARDENAS,STEVEN M 277002 10199 CARTER,GARY 203 ACC 05-19-92 109.00 109.00 1 CARTER,GARY JR W 277012 10199 CARTER,GARY 203 ACC 05-19-92 124.00 124.00 1 HEALTH SERVICES NRITE-OFF PEPCRTf;'- BATE 16 Oct 2000 PAYE: 75 DEBTOR.... CLIENT#... MAKE.......................... DSK ST CD DT-ASSIGM PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT CARTER,JANET H 277222 10119 CARTER4ARY 203 ACG 05-19-92 97.00 87.00 1 CARTER,GARY JR M 277155 10194 CHARLES,JIIHN 203 ACC 05-19-92 498.95 498.85 1 CHARLES,JOHN Y 277250 10199 CHAVEI,LADISLAO 201 ACC 05-19-92 2674.00 2674.00 1 277400 10199 CHAVEI,LADISLAO 203 ACC 05-19-92 140.00 140.00 1 277410 10149 CLARK,RONALD 203 ACC 05-19-92 2068.95 2068.95 1 CLARK,RONALD A 277239 10199 CLEM,DANEEN 203 ACG 05-19-92 224.50 224.50 . 1 CLEM,DAKEEM R 277100 10199 CLINE,TANARA 203 ACC 05-19-92 97.00 87.00 1 CLIMEtTANARA L 277008 10149 COOPER,MIKE 203 AGC 03-19-92 69.90 69.80 1 COOPER,NICHAEL J 211123 10199 COOPER,THOMAS 203 ACC 05-19-92 185.23 195.23 1 COOPIR,THOMAS F 277241 10194 COPPEDGE,4OHNNY 203 ACC 05-19-92 232.00 232.00 1 COPPEDGE,JOHNNY B 277106 10199 CRAFiFORD,ELIZABETH 203 ACC 05-19-92 659.70 659.70 1 CRAWFORD,ELIIABETH M 277311 10199 DEVILLA,LOR£MIO 203 ACC 05-19-92 3001.00 3001.00 1 DEVILLA,NIIMYN C 277098 10199 DIAI,LAIARO 203 ACC 05-19-42 149.30 149.50 1 DIAI,LAIARC M 277234 1019' DIAI,ROBERTO 203 ACC 05-19-92 206.90 206.90 € DIAZ,CARNEM 277306 10199 DIAZ,ROBERTO 203 ACC 05-19-92 53.00 53.00 1 DIAI,CARMEN 277436 10199 DIAI,ROBERTO 203 ACC 05-19-92 115.00 115,00 1 DIAI,CARREN 277326 10199 ECKSTEIN,GREGORY 203 ACC 05-19-92 460.46 460.46 1 ECKSTEIN,GREGORY A 277193 10199 EMMDNS,ARLO 203 ACC 05-19-92 635.77 635.77 1 EMMDNS,ARLD L 277114 10199 ES@UIVEL,DIANA P 203 ACC 05-1942 3915.48 3915.48 I ESOUIVEL,DIANA PAULETTE 277213 10199 FARAJI,FARIDEH 203 ACC 05-19-92 131.20 131.20 1 277473 10199 FERVICK,LISA 203 ACC 05-19-92 112.00 112.00 1 FEMAICK,LISA A 277144 10199 FLOYD,KEVEN 203 ACC 05-19-92 47.80 47.80 1 FLOYD,TANNY J 277165 10199 FONSECA,FLIGONO 203 ACC 05-19-92 126.29 126.29 1 FONSECA,GUADELUPE A 277495 10199 GARCIA,SAMUEL 203 ACC 05-19-92 77.80 77.80 1 277312 10199 GARNER,JASON 203 ACC 05-19-92 412.34 412.34 1 GARNER,JASON L 277249 10199 GONIALEZ,MARTIN 203 ACC 05-14-92 163.90 125.90 05-28-97 39.10 1 GONIALEZ,ANITA 277451 10199 GRAHAN,PATRICIA 203 ACC 03-19-92 942.00 942.00 1 GRAHARYPATRICIA A 277007 10199 GUTIERREZ,LUCIA 203 ACC 05-19-92 49.00 49.00 1 HEALTH SERVICES 11RITE-OFF REPORT DATE>16 Oct 2000 PACE, 76 DEBTOR..,. CLIENT#... WE.......................... DSK ST CB DT-ASSIGN PN-ASSIGN...... PRIM COL LST FAY. TOTAL BAL.,... CNT CUTIERREZ,LUCIA R 277055 10149 GUTIERREZrLUCIA 203 ACC 05-19-92 97.20 97.20 i GUTIERREZ.LUCIA R 277143 10199 GUTIERREI,LUCIA 203 ACC 05-19-92 166.75 1661?5 GUTIERREZrLUCIA R 277164 10199 GUTIERREZ,LUCIA 203 ACC 05-19-92 220.10 220.10 1 CUTIERREZrLUCIA R 277343 10199 HADLEY:ROBERT 203 ACC 05-19-92 253.50 203.50 1 C/O TONI BULLARD 277077 10199 HARPERtPIERRE 203 ACC 05-19-92 237.20 237.20 1 HARPER,PIERRE L 277072 10199 HVNTER,KICRELLE 203 ACG 05-1942 70.00 74.00 1 HUNTER,CHARLES JR R 277131 10199 JOHN?NC GOVERN 203 ACC 05-19-92 173.70 173.70 1 277463 10149 JOHN,NC GOVERN 203 ACC 05-19-92 109.00 109.00 1 277404 10199 JOHNSW ROSYN 203 ACC 05-19-92 251.38 251.38 1 277227 10199 JONES,JONATHAN 203 ACC 05-19-92 276.05 278.05 1 JONES:DAi1M D 217471 10199 JULIANrROBERT 203 ACC 05-19-92 292.15 292.15 1 JULIANtROBERT C 277117 10199 LASHAGWAY+LANE 203 ACC 05-19-92 71€.80 7€1.80 1 LASNAGNAYtLANE J 277283 10199 LEAKStALRA 203 ACC 05-19-92 €08.70 108.70 1 LEAKS,ALHA i- 277364 10199 LEPPOrLORI 203 ACC 05-19-92 843.70 843.70 1 LEPPOrKYLE L 277078 10199 LOPEZrANTONIA 203 ACC 05-19-92 70.00 10.00 1 277386 10199 NADDOItCHARLES 203 ACC 05-19-92 3719.54 118.78 04-24-95 3640.76 1 277075 €0199 NARAVILLA,GERARDO 203 ACC 05-19-92 70.00 70.00 1 NARAVILLA,DLGA 277335 10199 NARTINrLELAND 203 ACC 05-19-92 110.15 110.35 1 NARTIN,LELAND D 277430 10199 NART1NEZtJOHN 203 ACC 05-19-92 486.05 486.05 1 NARTINEZ,JOHN R 277489 10199 NCLEANrPATRICK 203 ACC 05-19-92 109.00 60.00 12-18-92 49.00 1 277216 10199 NECHANrVILLIAN 203 ACC 05-19-92 208.45 208.45 1 NECHANsVILLIAN D 277370 10199 HEYER,KENNETH 203 ACC 05-1942 124.00 124.00 1 NEYER 40ROTHY R 277405 10199 NEYER.KENNETH 203 ACC 05-19-92 160.00 160.00 1 NEYER JOROTHY R 277201 10199 NONTANOrJOSE 203 ACC 05-19-92 197.50 197.50 1 NONTANO.TRINIOAD 277024 10199 HOODYrKINBERLY 203 ACC 05-19-92 127.00 127.00 1 PALNERrKAYLA N 277447 10199 NOOREtNICHAEL 203 ACC 05-19-92 117.36 117.36 1 NODREXCHAEL D 277508 10199 NOORE XCHAEL 203 ACC 05-19-92 116.20 116.20 1 NOORErNICHAEL D 277059 10199 NORENOrNILTIA 203 ACC 03-1942 110.40 110.40 1 NOREW NILTIA 0 277173 10199 SN1THrKYLE 203 ACC QS-19-92 78.88 78.88 1 HEALIH SERVICES HRITE-OFF REPORT jL=,• �._�.:> DATE>16 Oct 2000 PAGE: 77 DEBTOR.... CLIENU... MAKE.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIH COL LST PAY. TOTAL SAL..... CNT SMITH,LYNDA £ 277025 10€99 SNIPES,TANELLA 203 ACC 05-19-92 241.75 241.75 1 891PES,TAN£LLA R 276995 10199 SORHONOMUSTIN 203 ACC 05-19-92 320.10 320,30 1 SORHONDO,JUSTIN N 276977 10199 THOMPSON,STUART 203 ACC 05-€9-92 210.60 210.60 1 THOMPSON,STUART B 277327 10199 THURMAN,THEODORE 203 AGC 05-19-92 114.70 114.70 1 THURMAN,TH£ODORE W 277470 10199 TORLE,JENELLE 203 ACC 05-19-92 153.80 153.80 1 FRANC£,JENELLE M 277383 10199 VARGAS,EMILIA 203 ACC 05-19-92 59.00 59.00 I GARCIA,JOSE 277393 10199 VARGAMMILIA 203 ACC 05-19-92 104.50 104.50 1 GARC€A:JOSE 277€66 10199 VEIS,GALINA 203 ACC 05-19-92 70.00 20.00 07-07-92 50.00 1 277061 10199 VARING,JULIE 203 ACC 05-19-92 109.00 109.00 1 277325 10199 VILLIAMS,ROBERT 203 ACC 05-19-92 568.93 368.93 1 MINER,MYLES R 276984 10199 VORTMAN,CONNIE 203 ACC 05-1942 89.00 89.00 1 VORTMAMONNIE M 277159 10199 NORTMAN,CONNIE 203 ACC 05-19-92 89.00 89.00 1 VORTMAN,THERESA 277168 10199 YBARRA.ALEX 203 ACC 05-19-92 127.52 127,52 1 YBARRA,ENEDINA 277307 10199 YBARRA,ALEX 203 ACC 05-19-92 38.15 38.15 1 YBARRA.ENEDINA 277070 10199 YERBY,JOAN 203 ACC 05-19-92 81.48 81.48 1 YERBY,JOAN A 279638 10199 ALLRED,BRIGITTE 203 ACC 05-2742 136.00 136.00 1 NILS0iX3AL£XIS A 279570 10199 ANWAKE,JAMES 203 ACC 05-27-92 647.40 5.00 06-23-92 642.40 1 AMNAKE,JAMES V 279950 10199 AND£RSON,MARIA 203 ACC 03-27-92 106.30 106.50 1 280092 10199 ANDERSON,MARIA 203 ACC 05-27-92 150.04 150.04 1 279920 10199 ANDERSON,PA'JL 203 ACC 05-27-92 70.00 MOO 1 ANDERSON,PA'JL A 279833 10199 BAHRI,REIA 203 ACC 05-27-92 104.40 304.40 1 RICKETT,CHERI K 279782 10199 BEALE,CAROLYN 203 ACC 03-27-92 84.80 20.50 12-13-94 64.30 1 279692 10199 80YD,CATHERINE 203 ACC 05-27-92 372.00 372.00 1 00M CATHERINE J 279873 10199 BOYKIN,ELB£RT 203 ACG 05-27-92 434.30 434,30 1 280076 10199 BRIDGES,REN 203 ACC 05-27-92 64.56 64.56 1 BRIDE MEN L 280165 10199 BR€OGES,REN 203 ACC 05-27-92 244.50 244.50 1 BRIDGES,REN L 280035 10199 BROMO£R,ROBERT 203 ACC 05-27-92 249.52 249.52 1 BROUD£R,ROBERT D 279885 10199 BRUN,ANTHONY 203 ACC 05-27-92 175.00 175.00 1 279787 10199 BROMMARRIS 203 ACC 05-27-92 180.98 180.98 1 BROHN,HARRIS L HEALTH SERVICES MRITE-OFF REPORT DA€E;16 Oct 2000 PAGE: 78 DEBTOR.... CLIEN€t... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...,.. PRIM COL LST PAY. TOTAL DAL..... CRT 280102 10199 BURCHFIELD,BRUCE 203 ACC 05-27-92 83.00 83.00 1 BURC!{FIELD,BRUCE A 279886 10199 CABRERA,FRANCISCO 203 ACC 05-27-92 123.60 123.60 1 279993 10194 CAGLE,THOMAS 203 ACC 05-27-92 47.40 47.40 1 CAGLErTHOMAS N 280195 10199 CALDYELL,DOUGLAS 203 ACC 05-27-92 66.00 66.00 1 CALDVELLrOUGLAS R 260046 10191 CAM MILES 203 ACC 05-27-92 73.04 73.04 1 CASS,MILES X 279972 10199 CLEM,DANEEN 203 ACC 05-27-92 272.45 272.95 1 CLEM,DANEEN R 279652 10199 COOPER,MICHAEL 203 ACG 05-2742 290.70 290.70 1 COOPER,MICHAEL J 279830 10199 CORNUELLE40N 203 ACC 05-27-92 643.82 645.82 1 CORNUELLE,DON S 279676 10199 COX'GEORGE 203 ACC 05-27-92 347.50 347.50 1 COX,GEDRGE A 279811 10199 COX,GEORGE 203 ACC 05-27-92 109.00 109.00 1 COXrGEORGE A 279856 10199 COX,GEORGE 203 ACC 05-27-92 109.00 109.00 1 COX,GEORGE A 284124 10199 COX,GEORGE 203 ACC 05-27-92 253.18 253.18 1 COX,CEORGE A 280204 10199 COX,GEDRGE 203 ACC 05-27-92 440.30 4€0.50 1 COX,GEORGE A 279951 10149 CRIST,JI"IE 203 ACC 05-27-92 226.69 226.69 1 CRIST,JI"IE D 280105 10199 DABNEY,RONALD 203 ACC 05-27-42 71.45 71.45 1 DABNEY,RONALD M 279781 10199 DARDEN,XEVIS 203 ACC 05-2742 59.00 59.00 1 DARDEN,KEYIN L 280041 10199 DOSSrTHOMAS 203 ACC 05-27-92 70.00 70.00 1 DOSS,NICHOLAS J 279878 10199 EHLER,THOMAS 203 ACC 05-27-92 109.60 109,60 1 EHLER,THURAS L 280153 10199 FLEMING,DARRYL 203 ACC 05-27-92 94.00 94.00 1 FLEMING,DARRYL D 279792 10199 FRANCIS:MARK 203 ACC 05-27-92 98.80 98.60 1 FRANCIS,JENNIFER 274733 10199 FRANI4,SUZETTE 203 ACC 05-27-92 4019.52 4019,52 1 FRANK,SUZETTE M 279744 10191 FRANK,SUZETTE 203 ACC 05-27-92 67.00 67.00 1 FRANK,SUZETTE M 279846 10199 GARCIAtHICHAEL 203 RCC 05-27-92 297.38 297.38 1 GAPCIA,NICHAEL J 279655 10199 GEERrCOLE 203 ACC 05-27-92 70.00 70.00 1 GEER,COLE F 280074 10199 GEURGE,DONALD 203 ACC 05-27-92 132.26 132.26 i GECRGE,ELIZABETH J 280209 10199 GONIALEI,MARIA 203 ACC 05-27-92 63.40 63.00 1 GONZALEZ,MARIA C 280143 10199 GRANADO,BARBARA 203 ACC 05-27-92 150.70 150.70 1 HEALTH SERVICES iiRITE-OFF REPORT DATE:16 Oct 2000 PAGE; 79 DEBTOR.... CLIENTC.. NAME.......................... OSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CMT GRANAW BARBARA A 279679 €0199 GUINTU,CYNTHIA 203 ACC 05-27-92 89.50 84.50 1 GUINTU,CYNTHIA L 279701 10199 GUINTU,CYNTHIA 203 ACC 05-27-92 422.40 422.00 1 GUINTU,CYNTHIA L 280144 10€99 GUTIERREZ,SALYADOR 203 ACC 05-27-92 656.00 300.00 03-28-96 356.00 1 CUTIERREZYSALVADOR A 280167 10199 HDN,ANDREN 203 ACC 05-2742 163.45 25.00 07-01-92 138.45 1 HOC ANDREN C 279690 10199 HURLEY,DIANE 203 ACC 05-27-92 782.73 782.73 1 HURLEY,BR€AN J 279817 10194 JACKSOM,DENISE 203 ACC 05-27-92 77.00 77.00 1 JACKSON,RONALD E 279729 10199 JOHNSON,TRACY 203 ACC 05-27-92 109.00 109.40 i �y�y JOHNSONEELL,KRISTEN C 280491 10199 JOHNSORIWARREN JR 203 AGC 05-27-92 151.00 151.04 4 JOHNSON,WARREN 279801 10199 JOLLY,MICHEAL 203 ACC 05-27-92 70.00 70.00 i JULLY,MICHEAL B 219916 14199 JOYAROVICHtCATHERINE 203 ACC 05-27-92 70.00 70.00 1 JOYANOVICH,CATHERINE E 280132 10199 JOVANOVICH,CATHERINE 203 ACC 05-27-92 333.56 333.56 1 JOVANOVICHsCATHERINE E 279794 10199 KEADING,KENTON 203 ACC 05-27-92 171.65 171.65 1 KEADING,KENTON W 279753 10199 KELLY,KERINDA 203 ACC 05-2742 130,30 130.50 1 SHAII,KYLE A 280009 10199 LALLEY,DIANNA 203 ACC 05-27-92 191.55 141.55 1 LALLEY,DIANNA R 280158 10199 LAMOTHE,STEPHANIE 203 ACC 05-27-92 89.00 89.00 1 280100 10199 LUNOtROGER 203 ACC 05-27-92 174.42 174.42 1 LUND,ROGER D 280123 10199 MANUPULE,KALI 203 ACC 05-27-92 217.45 217.45 1 MANUPULEtGLORIA F 279881 10199 MARTIN,THOMAS 203 ACC 05-27-92 303.00 303.00 1 MARTIN,SEAN K 280199 10199 MARTINE14OHN 203 ACC 05-27-92 363.00 363.00 1 MARTINEZ,JOHN R 279719 10199 MARTINEZ,NARIA 203 ACC 05-2742 63.00 63.00 1 279946 10199 MARTINEZtTERESA 203 ACC 05-27-92 515.39 5€5.39 1 GONZALEZ,ROSANA 280142 10199 MARTINEZtVERONICA 203 ACG 05-27-92 192.08 192.08 1 MARTIKEZ,YERONICA R 279659 10199 MATA,FERMANDO 203 ACG 05-27-92 83.00 83.00 1 SANCREZ,ROSA 279712 10199 MATA,FERNANDO 203 ACC 05-27-92 59.00 54.00 1 SANCREZ,ROSA 280140 10199 MCKENZIE,LARRY 203 ACC 05-2748 70.00 70.00 1 MCKENZIE,LARRY L 279902 10199 MECHUM,JUNE 203 ACC 05-27-92 242.50 242.50 1 MECHUM,JUNE A 279718 €0199 MENDEZ,CARMEN 203 ACG 05-27-92 186.70 186.70 1 HEALTH SERVICES VRITE-OFF REPORT DATE116 Oct 2000 PAGE, 80 DEBTOR.... CLIENT#..., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL..... CNT 280087 10199 MINOR,ADA 203 ACC 05-27-92 57.30 57.30 1 NINOR,ADA M 279923 10€99 MORBUECHO,iGNACI0 203 ACC 05-27-92 I26.00 126.00 1 279944 10199 NORBUECHO,IGNACIO 203 ACC 03-27-92 215.90 215.94 1 219965 10199 NORWECHO1IGNACI0 203 ACC 05-27-92 206.40 206.00 1 284099 10199 NORIVECHO,IGNACIO 203 ACC 05-27-92 293.00 293.00 1 280200 10199 MOR#UECHO,iGNACI0 203 ACC 05-27-92 €67.50 €61.50 1 2842122 10199 MORQU£CHO,IGNACIO 203 ACC 05-2742 393.68 593.68 1 279696 10199 SMITH,MICHELLE 203 ACC 05-2742 10.30 10.50 1 SMITH,RANDY E 279985 10199 SMITH,MICBELLE 203 ACC 05-27-92 205.64 205.64 1 SMITH,NICHELLE H 279714 10199 S0TO,MACARIA 203 ACC 05-27-92 445.30 50.00 10-12-93 395.30 1 SOTO,NACARIA M 280160 10199 STEVENS,CHARLES 2203 AGC 05-27-92 584.65 384.65 1 STEVENS,CHARLES E 279697 10199 STEVART.SHARLEME 203 ACC 05-2742 316.50 316.50 1 STEHART,SHARLENE M 280038 10199 STRINSER,DORA 203 ACC 05-2742 157.00 €57.00 1 STRINGER,DORA L 280203 10199 STRING£R,GEORGE 203 ACC 05-27-92 80.95 80.95 1 STRINGER,GEORGE V 280113 10€99 TEAGUE,R£GINA 203 ACC 05-2742 98.00 ?8.00 1 TEAGUE,REGINA N 280135 10199 TEAGUE,REGINA 203 ACC 05-27-92 264.50 264.50 1 TEAGUE,REGINA M 279821 10199 VAC.MGM ASSNtFMA 203 ACC 05-2742 30.00 30.00 1 NAY,XAVIER P 280064 10199 VOGEL,RICHARD 203 ACC 05-27-92 81,40 81.40 1 VOGEL,RICHARD A 280189 10199 VOGEL,RICHARD 203 ACC 05-2742 70.00 70.00 1 VOGEL,RICHARD A 279824 10199 VARDELL,GUS 203 ACC 05-2742 53.00 53.00 1 MARDELL,GUS S 279909 10199 HASHINGTON,JOHNNIE 203 ACC 05-27-92 292.50 292.50 VASH€NGTON,JOHNNIE D 279642 10199 VASHINGTON,JOSEPH 203 ACC 03-27-92 83.50 83.50 1 VASHINGTON,JOSEPH L 279611 10199 VEBB,ARTHUR 203 ACC 05-2742 70.04 70.00 1 280193 10199 VENDELL,ALEXINE 203 ACC 05-27-92 231.00 231.00 I HENUELL,ALEXINE H 280085 10199 HHITE,JULIE 203 ACC 05-27-92 87.00, 97.00 1 VRITE,BENJAMIN J 279847 10199 VYATT,BERNETTA 203 ACC 03-27-42 89.00 89.00 1 VYATT,BERNETTA F 280128 10199 YOUNG,RUTH 203 ACC 05-27-92 38.60 38.60 1 YOUNG,RUTH M + 640013.01 20876.39 619206.622249 640013.01 20876.39 619206.622249 HEALTH SERVICES VRITE-OFF REPORT OATE:ih Oct 2040 FACE'• 81 DEBTOR.... CLIENT4.., MME.......................... DSK ST CO OT-ASSIGN FX-A$SiGN...... PRIX COL LST W, TOTAL RAL...., CHT 14451 2249 items listed out. of 2249 items.