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HomeMy WebLinkAboutMINUTES - 02052002 - C88 It.............. COO CONTRA TO: BOARD OF SUPERVISORS COSTA COUNTY FROM: John Sweeten, County Administrator 44 r DATE. January 18, 2002 SUBJECT. Discharge from Accountability SPECIFIC REQUEST(S) OR RECOMMEWAT*N{S}&BACKGROUND AND JUSTIFICATION REC M! ENDATI l ; Authorize the discharge from accountability for certain Health Services'accounts. BACK. RQUI ID I�tEASC3N S I=t R COMMENQATlt S The Office of Revenue Collection has attempted collection on these accounts and has assigned teem 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,',bankrupt and for 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$560,548.61 to be written off and purged from the Mies of active accounts''on the collection computer system. CONTINUED ON ATTACHMENT: „-YES SIGNATURE. .......mz� RECQMNAEI ATItiN OF COUNYTY ADMWIISTRATOR CORA7NrTOI BOARD COMMITTEE -APPROVE' OTHER SIGNATURE#S�: ACTION OF 96AR � a6 APPROVED AS RECOMMENDED OTHER VOTE'OF SUMERVISORS, 1 HEREBY CERTIFY THAT THIS IS A TRU AND ERECT COPY OF AN UNIAN (ASSENT NOES: ACTION TAKEN AND ENTER AYES» '. ABSENT: ABSTAINi. ON MINUTES OF THE BOARD OF SUPERVISORS ON,THE OATIE SWWL Contact: ATTEST MQ2 C) =8%; G'F7-s0 �`1€�RI( OFSUPERVISORS AND COUNTY ADMINISTRATOR cc: O"ke of Revue collocrion,Johnny W.Jefferimn Auditor-GoofrOW Jack Cooper GAO Alto: Sara Hoffman Health Service,PartGodley �^ By. DEPUTY >REALM SERVICES BITE-OFF REPORT DATE=' 7 Jan 2002 PAW 1 0ERTOR........ CLtE0TA... BAOE...............w.......... 008 8T C0 0T-A883 A88IC ...... PRIN COL LST PAY. TOTAL. BAL..... COT 328391 10199 0AU8ATIUSC8EYE2 4 A C 07-27-13 433.30 433.38 1 0ATIUSCHEYEA O 368913 .10199 ESOVEDMERONICA AA A C 08-13-94 L53.00 50.00 05-23-40 105.00 1 399247 101'79' NE A8,9I CEAT` ' 203 ACC 06-14-IS 3128.01 210.00 07-27-00 2918.01 1 NEWAMINCENT L 407776 10199' ACEC0E0A.BA81A 200 ACC W23-95 95 26.50 26.50 1 407190 101" A ANSOULLIA0 5 M A8C 08-23-95 223.00 223.00 1 407519 10199 ADAIMMLLIAN B: 200 ACC 09-43-?S 341.16 349.16 1 407631 10199 AIRRITTOMATHRY0 200 ACC 08«23-95 382,80 180.00 03-21°96 202.60 1 ALSAITTORMTORYK1 447209 10199ANARAUSHELLEY 200 ACC 08-23-95 493.01 493.81 1 AA8AL�0ELLEY R 407E30 10199 A888ITTEL91A E03 ACC 08-23-95 117.30 40,00 05-30-% 017.50 1 407493 101" ANERMEL IA 203 ACC 8-23-95 207.30 107.50 1 40TSIO 10199'' Awl z vE 9IA .203 ACC 08-23-9 135.00 135.00' 1 447370 10199' A INA-14LI 200 ACC 01-23-" 88.E W00 1 ARIKATMARYAN A 407552 I0199 A8I8AT AEI 200 ACC 08423-95 1423.6' 1423.67 1 ABIEAT�1#ABTAt� A' 407228 10190 AR18AT8AA 200 ACC 08-23-95 475.40 475.40 1 ARIAATFAABAA A 407098 101" AAIBAT'AABTAA 200 ACC 08-23-93 744.16 744.16 1 ARIBATiNAB AN A' 07390 10199 8A0 €KA0 8E#f#. A. 200 ACC 08-23-95 1.39.20 139,20 1 BAUGMANT JOSEPH A 407430 10199 REAMENTIS 200 ACC 0 -23-95' 43.08 43.08, 1 A NEA I8 L 407441 10190 REME&KAT0AAIRA 200 ACC 08-23-95 115,00 111100' I 407500 101" 0MA8.TERRY 200 AEC 00°23-95' 30.00 30.00 1 SOLD81TERRY E 407567 10199 800T1Lt80BTA 200 ACC 0 23-95 78.2.5 78.25 1 SHIELOMMENACE 407526 10199 0 BE0'808ALt 200 ACC 01-U-93 157.00 137,00 1 TA8E00MA00I00E A 407394 10190 8AA08E0,TAMI8Y8 200 ACC W2345 235.00 135.00 1 BiNNEWANTRYK 407481' 10199 8 A 0:JOKE 200 AEC 02-23#95, 141.50 141.50 1 0RA90s4E 'IBA 407485 1019 O AY4409GE 200 ACC 09-23-95: 88.00 88.00 1 22AY0,CE1AC t A'°' 407340 101'9 8RUCE,E ' E 200 ACC 08-23-13 233.30 233.30 1 407551 10199 BR 84 1,STOPHE 200 ACC 08-23-95 463,75 965.75 1 407920 10191 SURREILORIN 200 ACC 00$23-95 238.00 138.00 1 407.153 10199 CAHILL,TRAC$£ 203 ACC 0R-23-95 797.00 717.00 1 CARILUTRACIE L 407406 1029 CA Cm01.A'8TE9E 200 ACC 08-21-95 178.51 178.51 1 ABC OLA=CRI 407161 10L99 CAPEMUIZABTR 203 ACC 08-23-95; 88.30 88.50 1 CAPETMUMSETH A 407357 10199 CAPET0,1LITABETA 203 ACC 08923-95 711.00 77.00 1 CAPET0411IA8EIR A HEALTH SERVICES HEITE-OFF REPORT OATET17 Jim 2002 PAGE1 2 E8TOR....... CLIENT#... RARE..... ..... DSS ST CO QT-ASSIGN WASSICII#ik... PRIM COL LOT FAY. TOTAL BAL..... CHT 407173 10199 CEJA4LBRIA 240 ACC 05-23-95 105.00; 80.00 1-04x-00 Moo 1 407935 14199 CEJA.HILOA 200 ACC 08-23-95 26450 26.54 1 407835 10199 C11A9E4NARTA 204 ACC 0823-95 44.21 44&21 1 FLOREMA LDS E 447465 10199 CRESMANIM 200 ACC 00-23-95 145.00" 145.40 1 407483 141'.9 C11 ISMPAVIA 240 ACC 08-23#95 171.00 171.40 ,1 CHRISTY.PA ,.A 1 407112 10194 CICERMA4I8 200 ACC08-23-45 154.54' 150.50 1 CICER&TSACY A 407461 10199 COLEYVALISON 200 ACC 4823-95 285.39 285.39 1 C4LMALI8IIN 407214 10199 C0ST11ERAS,CHR IST INE 203 ACC 08-23-15 73.00 73.00 1 CONTREIIAStCHRISTME S 407954 10199 CUTRERAOXHRISTIVE 203 ACC 08-23-13 861.90 86&90 1 CONTREIIAStCHR IST ME N 407413 10199 CONT WAStRAIGN 200 ACC 08-2345 19,40 M04 I ONTR € LOA 447546 15199 C00RTNEY► EG€ Y 1.t 200 ACC 08-23-95 135.04: 133.80 1 CSSSTNE i i 6iQR C 407342 18199 1�ASCS.A ' T8 203 ACC 08-23-95 574.44 576.44 1 OACSSRBE TH € 407960 10199 DEA ArRAUL 203 ACC 0823-95 263.00 263&00 1 407852 10199 VELM0,AKDRES 204 ACC 09-23-95 53.04 83.00 1 DEtGAMANDRES 407266 101" 0E I TT,,JEIW.IFER 200 ACC' 08".23~95 83&00' 83.00 1 DEV ITT,JEN01 FRE C 408019 141'19 DKINELUDEARM 200 ACC 4823-43 94.00 92.00 1 DRIS8ELLMANSA H 407646 14199 ELL119SWRICNY 203 ACC U-23-91 216.88 216.88 ELLISSSSC8IC8Y H 407355 101'19 ESTRABA.G A8AL0FE 240 ACC 08-23~95 104.00:- 104&00 1 407597 10199 EIA40.NILLIAM 204 ACC 48-23-95 145.50 145.54 1 EIA04�EI1.LIAl1 G 407914 10199 FARArNICHAEL 200 ACC 08-2895 19.40 98.00 ;1 407602 10199 FINDLEYINARIA 200 ACC' OB-23-13 168.00; 168.00 1 FI OLETICHMITINE 407246 10199 FLORESMAL4S 200 ACC 03-23-13 85.00'; 85.00 I 401427 10111 FLUREMARTIN 203 ACC' 0823-95 567.90 567#94 4 FL08ES=84CI4 C 407553 10199 FLORES,808A 203 ACC 06-23-9S 1140.45' 400.04 06-25-90 740.45 1 L02MSES10 447192'' 10199 F8TE88E11MLESLIE 203 ACC 08-23-95 88.04' 88&00 1 FORTE08ERMLESL E N 401227 14199 FOMYRIELL 200 ACC' 08-23-95 77400; 77.40 1 407380 10199 SA8LA80048 E 200 ACC' 08-23-95 121#54' 121.50 1 447384 10499 CAL 1,0H.0RAM 200 Atc 08-23-95 84,40 5440 1 GALLOMWAYNE A 401136 10149 SARCIA.EN IME 200 ACC 08-E3-95 141.50' 141.50 1 FLOREStFARIOLA 407764` ;,10199 SARCIA40SE 204 ACC 0823 95 140#00; 20,40 1804-95 50400 1 SA CIA40 1 L 407255 40199 CASPAME AIBA 200 ACC 08;53-95 73.00' 73.00 HEALTH SERVICESWRITE-OFF REPORT OATEM ion 2002 FADE; 3 0E8I0R.a.s.a.. ELIC M.. 4 7 Cid OT-ASSIGN !k-ASSIGN...... i31I COL LST AY. A AL..... Ci1T 407214 10149 0EME, 0DERT 200 Ace' 08-23-95 " 143.60 143.60 0E8ONEMBERT f 40706 10199 0E0MEMSERT 204 Act 08-23-95 226.E 226.58 0E80REE, SDE T P 407184 10199 0I080 8.RA7TMER 200 Act W2345 MOO 98.00 1 0111104041FATTHER 407318 10149 GONE14NALIA 200 Ace OB-23-93 143.50" 143.50 1 408036 10199 00Iz, EFA 203 Act 08-23-95 158.00 40.00 11-22-46 M00 1 JARUMALFREDD 407862 10149 00RIAL MICAROO 203 Ace; 08-23-95 114.50 184.54 1 GRID ALE a RNA 407224 10199 003L70,LQILNIE 203 Act 04-23-95 251M 251.50 1 00810,1.0 lE 407248 10194 GRIFf IMUSALIND 200 Act, 08-23-95 120.00 120.00 1 0IM&RDSALIND 'F 407167 10199 CHIMALAW 200 Act 08-23-45 100.88,. 100.08 1 408024 10194 HADDOMINFERLY 202 Ace 08%23-95 185.00 133.20 12-21-99 49.80 1 A0l10R,l1108ERLY A' 407464 1€199 MACERM&SMNIUM 203 AER 01-23-95 155.20 155.20 1 MAURNAMNAWN: 407591 10199 MAGERMAN,SMAMMUK 203 Ace 09-13-?s 347.80 347,80 1 407896 10199 11AR '0EOR E 202 Ace 08-23-95 1130.50 1130.50 1 407933 10194 8A1IRE GEORGE 202 A E 08-23-9a 129.60 129,60 1 A NE,ORETA E 407280 10194 1IA SEC TER ER 202 A1C 08-23-95 231.00 231.00 1 HANSENJEARENCE V 400040 10149 ROMMEL 202 ARC' 08-23-45 81.00 01.90 1 AE8�t02AI4A8 447409 10199 HER AROET:AO EL 203 Ace 08-23-95 118.00. 10-27-99 113,00 1 HERAI LABIA 407511 1014" 202 Act. 08-23°95 14718.47 14718.97 1 HERIAMOMME L 407831 1014'1 BER AAOEZ, ESE 202 Act 08-23.45 37.02 37.00 1 RERAA 0E7 ME L 407668 10149 RERA80EI, ARIA 20E Act 09-23-13 100,00 140.0E 1 OERAROEI, AR1A A 407726 10199 HEUER+R0 EAT 20 Act 08-23°95 112.72 110.72 1 407509 101" HUADER&MBEN 203 AE ' 08-23.95 77,00 77.00 1 407165 10149 BILLY0I AR 202 Act 03-21-93 264;99 204,99 RILL, I A ''8 40751.3 1019° R11.L,RAL GIA 202 AEE 08-2345 221.00 221.02 1 407218 101.49 11000, 8ARLIE 202 ACC 08-23#95 279.60 270.60 1 407267 10199 MOSKINS4011M 202 Ace ' 0$-23-95 82,00 02.00 1 407502 10199 908KINSAGM 202 AM 08-23-95 1043.51 1.843.5. 1 447430 10149 1#0 E7,lERA 202 A 082395 144.06 144.06 1 MUMPHREYMENA L 407636 10194 RUNT40YCE B03 AiCC 09-23-95 388.59 302,59 1 808T,JOYRE 11 407717 1 199 KUYNN'TRUNr, 202 ACC 0823-45 344.50 ': 344,50 1 05000,LIM 407326 10194 IMAJARI ' 202 Act 08-23-95 117.60 117.60 1 HEALTH SERVICES WRITE-OFF REPORT 4ATE1.17 Jao 2002 PAGE= 4 DEBTOR......,,`CLIERT4.., HANE..........................,BSN ST C9 OT-ASSIGN PM-ASSIGN......,FRI9 COL LST RAY, TOTAL BAL._.. CMT 108AETA9IN 407179 10199 4AMONLARRY M ACC 08-23-93 430.00 430,40 1 407196 14199 MIEREA811ILI ACC 08-23-98 186.24 186.24 1 A9IE11EA0111L1 L 407383 14199 JENNING64ACOUELINE en AGC 09-23-98 26.50', 26.50 JENNINGSE JACAUELIKE 0 407916 101" 3ETTIMICN 202 Act 08-23-95 497,10 497,10 1 407936 10199 .II NEZ,GABRIEL 202 ACC 08-23-95 119.62 119.62 1 407760. 10199 JOHNSOMMONAS 202 ACC 0-23-95 6810.316810,35 1 OHNSONsTROMAS E 407886 10199 3 O.CATHY 202 ACC 08-23°95 221.93" 221.93 1 O ES.CATHY 407166 :14199 JONES,DENARCO 202 Act 08-23-95 169.60 169.60 I JIVEME ARCH A 408011 14199 JOHL400Y 242 Act 08-23-93 895.55 895.55 1 MOLA A°° 0L.3OBLYN G 407947 18199 AEANAMI RI 202 AC 0-23-93 135.41 135®00 1 AENA4YTL11R1 R 407517 10199 KUHLARACE, 202 ACC 88-23°95 1200,46 1200.46 I CID GRACE'91LLIN S110RT11 407623 14199 AURAMAROEEN 203 ACC U-23-95 263.00: 263.40 1 S11A:912310 407199 10194 1A E1. PAT IC31 582 ACC 88-23-98 187.85 187,80 1 LA EU AT41C9 R 407476` 14199 LAVIVOERMAYME 202 ACC 08-23-98 88.00 88.00 1 447367 10199 LE AS8I411MINIA' 202 AGC 04-23-95 97.00' 97.40 1 LE AS I,9 RSINIA'0 407971 10199 LE GHT13NMERY1 204 AGC 09-23-48 496.00 476.00 1 LEIG13T11MMEM L 407945 10199 LENENA !202 AGC 08-23-98 98,00 9800 1 LEMARA L 447940 10199 LI AAMA TORI0 202 ACC 08-°23-95 70.00 20.90 10-06-90 80.00 1 LIZARDE �� E A 407429 10199 LOPMR130Y 203 AGG 04®.23-95 77.00 77.00 1 407439 10199 NA91609rCLINT 202 ACG' 08-23°95 211.00 211.00 1 9A01SONrCLINT 4 407979 10149 11A K90,NE IN 202 ACC 00-23-95 183A 1.93.04 1 AB RIME-ORE9ENAR N 409767 101.99' NARAIVEIrSALVADOR 202 ACC 08-23-95 147.95 147.85 1 11ARSOEIE ARDLINA 407341 10199 HART10,10RALEE 202 ACC 40-23°°45 77.40 97.00 I 9ARTIR.130E Y 407198 10199 MASUMANTHOMY 242 ACC 3-23- 386.E 346.00 1 8A UMA8T310NT D 407621 14199 BAOSIA.FILI2E 202 ACC 08-23-°90 99,00 q8.00 I NA13SIAt31ELERA 9 407668 10199 9A081AsFILI9E 242 ACC' 4923-90 8243,T3 8243.73 1 940214E J1331R 9 407349 10199 RA1vELL,fvELY9 202 AGC' U-23-95 321.25'; 3211.28 1 RAI�LL.E�ELY31 31 407565 10199 RA SELL-E EM 202 ACC as-23-93 219.30 219.30 1 HEALTH SERVICES KITE-OFF REPORT 8AT8$ 7 Jon 2443 PARE,' 11T4R ....... CLI 'Ifi4... NMB...## $*#1..........L<.#L# 484 8T C8 DT-ASSIGN PN*A851 A#.... PN;N COL LST!FAY. TOTAL CXT 447711 lot" RAIVEWEVELYN $$SS 202 Ace 09-23-11 117.?4 AA4N41x1.�EVELTN R 447694 14199 RAIVEWLAURTE 144 ASC 48-23 64.48 20.0 10-11-95 40.44 1 447889 14199 NA9841r49 1~TN 8192 Ace 08-23-" 226.50 226.50 1 MAYEU11LEVELYN 8, 407682 141" MCCLENDONTFAUL 2112 A -23-95 266.10 246.10 1 447684 141" 4 INT11 11TAA8I€1 242 Ace 48--23-98 138.44 138.44 1 N4INT118N' A8I4 1 441893 lit" NWIA01041clo 242 Ace 4 -23-95 415.04 41340 1 447616; 14199 NENROMEL1910 242 Ace 09-23-15 14.44 124.4€ 1 44719714199 N ADMARLOS 242 Act 01-23-15 13139162 13139.62 1 447874 14199 MONTGOMERY P 0IMA p� 202 ACt 01-23-95 88.44 64144 1 447641 14I99 8 TO '41A 282 Act 48-23-98 372. 4 37244 1 TY3 g8 447782 10199 MTGONERY41AM }y 242 A44 08-23-15 88.44 68.44 : 1 447838 14199 MUTGONERYMANA 242 A44 U-23-15 88#94 88.44 1 #01ITGOMERYMANA 4 447248 141" NOORET g L DIANE242 Ace 411 23-95 349.20 349.24 1 A 2 Ei 447343 1019 4 A T 4 Ace 49-23-95 186.80 146.24 1 FLOREKIOUNOY 447359 14119 242 ACC 48-23- 194.44 196#44 1 447744 10199 NII AFMT1 R1NE': 242 Ace 118-23-" 97.04 97144 1 P1,111 E e 9 447978 141" SUB SAA I 242 Ace 48-23-98 124#40 124144 1 FLOREGSUNNY 447611 14199' MORTIMARIEL 202 A44 09-23-15 274#94 814.94 1 MORTOMMIEL 447966 1.4199 10018111ERECCA 244 A44 08-23-" 382.86 382.86 1 447938 14199 MELS4N.84NNIA 344 A" 08-23-9 1544.14 1.484114 1 NELSO&DWIS A 447683 14I99 NUMOLASIZAVID 240 Ace 09-21-95 433#88 483.E 1 N14 A8�11AI 4 447617 14199 N1F88118vCYNTHIA' 204 A 4 08-23-95 1168.34 1168.334 ' 1 NIED1111441N47 1 447554 14199 441L8aARE4 200 A44 08-23-13 744#19 .744.19 1 447663 14199 NQM,EZIPJ44ETTE 244 A 4 04-23-95' 294. 3 294.83 1 49NEWMETTE A 447661 1819 A#1 #HAAT: 344 Atc 00-23-115 506.34 546.34 1 O"MAW 8 11.ARY P 444418 1419E OCIMAILOU84 8 844 AF4 08-23-15 663.29 63.99 1 447312 14199 4 ANG&KUM 244 ACC 48-23°°95'' 377.0 377182 ' 1 487580 1419 A4118I811. A4 24 ACC 48-23-94' 429.84 429.54 1 48TA411IE 1 1.P AI4lA 407237 1419 FAULtTERRI 200 ACC 48-23 484. 6 454.26 1 REALTH SERVICES „OFF REPORT OATE¢17 Jan 2002 PAGE=':. DEBTOR ....r,. G1IIERT4r.. RAREar..€a.sa ...awr.a.rr.a... ST to T- a I PI-ASSIGN...... I COL L PAY. TOTAL -, T RAO1.,S# 407636 1.0149 PEKDARVIS,ALEI 20o ACG 08-23-15 1109.1E 1109M I Pf"ARYMALEX 407621. l0lqq PENDARVISIALEX 200 Ace 09-23-" 342,17 302.17 1 ER4AR9ISFA€.EI H 447627 10199 PEREIRAs80AHITA' 200 Ace 6~23-93 490.54 490.50 1 PEREIRA,JUANITA 5 407472 10199 RERRY,RHI IR 200 ACC 06-23_43 413.64 413a64 1 RYIPRI I 407646' 10199 TEER 44"IKEE# 200 ACC 08-23-- 4213,15 4213,15 1 PETER MRATHLEEH I 407969 14191 PINEDA411RERTO 200 ACC 00-23-95 330.10 330.14 I PINE6AMLIERTO' 407845 10199' MKIHAP16 4809 200 Age 08-2345= 11047.10 11047.10 1 407163 10199 FUSHISARA 240 Ace 08-23-95 411.35 411.35 1 FUM SARA 447305 10199 RASCA'AOEIA 240 Ace 08-23-95 671.40 671.40 1 407497 101,49 RICHA�gR�RISAN A 208 Ace 08-23-1670.34 270.34 I. R-:ICHARMARORA 447633 10194 RIO&JOSE 200 ACG 09-23-95 405.50 405.00 1 487766 18199 RQUATMANCY 204 ACC 08-23_95 287.76 287.76 1 R05ERT5►RACY A 407890 10149 R8 TSIS RIE 240 ACG -U-95 384.80 384.00 1 tuLLUNIMAIlly 407144 10149 ROORMUMAKEL 200 ACC 08-23-IS 264.00 264.00 1 407482 10199 ROSEDORMORERT 600 Ace 08-23-145 332.00 332.00 1 ROSEBORMOVENT 1. 407424 101.99 RYARIRALTER 200 AGC 08-23°°95 569.50 369.50 1 RYAMAI:TER 407152 10199 SAKLEaaRxx���I; ODA 200 AGC 08-23-43 345'.53 343.33 1 SAI�wba LINDA jj((ER. 407409 10199 64RCHEI=CESAR 200 Ace 01-23-95 335.50 353.50 1 WHEI4ESAR 407420 10199 SAM 9A1: A E1. 6 200 ACE 09-23-95 1560.00 MOM.00 1 SAR009A1.,AE1.IR0 A 407634 10159 SARIA41ROILIC 200 AcG 08-Z-3-95 832.40 832.00 1 SARIA,ANGELITA 407329 101" SATILMNENVILLE 200 Ace 08-23-95 834.34 834.39 1 SATTIEMENVI1 .E H 40742:3 10199 SCANLA&DARREN 200 AGC 04-23-91 299.05 249.55`` 1 SCANLAViDARREN 1. 407586 10194 SCHEMEMMON' 200 ACE 08-23-95 694.'00 694.00 1 SCHEREM DANN L 407470 10169 SEARSIS IARRE 240 ACG 08-23-15 266.22 266„22`., 1 407546 101" SEDAMMARE 200 ACC 8-23-95 305.30 ;,305.50 1 407349 14199 SEDANM ADE 200 ACC -23-4 1292.50 1296.50' 1 407523 10199 S RA rRUAL, 200 Act 08-23-95 308.70 308.70' NIARTIMMOUTO 407703 10149 SER4ELIOMARI 200 ACC 04-23-93 1066.34 1486.34 1 407786 10149 SHANNOMAICHAEL 240 ACC 08-23-93 477.45 477.43 1 407593 10199 SHAW,JILI. 204 ACG 08°23-95 823.00 825.00 1 SLH ,JL.R. 407127 101" SILVA-094RIA 200 ACC 48-23x95 536.90 536.94' 1 HEALTH SERVICES 17E--0E'E REPORT OATE'.17 Jan 20002 PACE.. 7 DER....#%.F C1.IE T#... ..Y.#.#F.#..4..YYi#9Y.4%#, OSK RT C1 OT-AR8I0R X11-ARBICR......; PRIM CO2 28T PAY. TOTAL 861;.#%# CAT 407732, 10199< 8I1.4Aa80LE0A0 200 AGC 08-23-95 262.04 2 2#00 >1 409124 10149 AASLGERg4R200 ACC 08-2t-" 414.00 494.00 ALUR- g x799 448747 101" ARBRILEl9IA 203 ACC 08-29-95 88100 88.00 1 408610:, 10299 AR0ER8WREIRT 200 ACC 08-29°95 396.47 396.47 1 WERSON-ROSENRY1 409020; 10199,; A€? E1.£8IC1101.E 200 ACC 08-29-95 265.00 165.00 ARE1=0IC11.E R 408568 14199 ARIRATINARYAA 200 ACG 48-29^95 287.90 287.90 2 A 1AA7,11ARYA4 A 408702 10199 AWALAARYM 200 ACC 00:29-95 714.30 710.30 1 4119ATIMARYAN A; 408821 10197 0AILE7.8TE9ER 200 ACC 03-29-95 449.65 449.85 1 BAILEY#0IVER 448441 10199 R L0RIN041 RAEL 204 Act 08°29-95 $8.20 88.20 1 8A2.0RIR JRP 0I EL R 408645 10199 R AAAR&IA IRO 200 ACC 08-29-95 5841.54 5941.54 1 408411< 10149 3009,0USTURE 200 Acc 08-29-95 135.00 135.00 1 408537 24199 BROUNIERIC 200 ACC RR-29-9 115.40 t1 .40 I 0R0 01C 11 488924 18199 8R0RE8ARER zoo ACC 48-29-95 241.20 241.20 I REPRAREN 0 408895 101" C R0ERA&TINOT11T 203 ACG 08-29-95 94.65 94.65 1 409956 10194 CARTERrSARY 288 ACC 08-29-95 462.45 462.45 1 CARTERAARY A 408354 1 199AUSEL40R1283 Act 83-2 15 332.811 33Z.00 1 CAUDEW04I ki 408430 18199 CRAPRAR4ELESTE: 204 ACC 04-2f-93 92.E 92a00 f 409078 10299 CHA RA&CELESTE 240 A C 08-29-95 197.60 197.60 1 408894 101" }HARf Yi A g 840 ACC 08-29-95 36.50 6.50 2 CRAR4 Y#fi.� L 448544 101990AVELDANTEL 203 ACC 08-19-195 98.00 98.00 1 448631 1019q ONTRERtA&CHR IST II NE 203 A01ff 09-29-95 147.30 147.30 1 $�, 408923 10194 CO04,80REMA 200 ACC 08-29-93 382.70 382.70 1 COGWORE0 A:.... 408496 10199 CORDEROTEDWARD 200 AGC 08-29-95 76.00 76.04 1 COR0EWE0#1AR4 A 406658 10199 COR0ER0,E0 ARD 200 ACC 08-29-95 79.20 74.20 1 448817 #0199 CBRETI A L 200 AEG 06-29-15 77.00 77.E 1 CORET,REREEE I; 408920 14199 0A7g0ERER 203 AtC 08-29-93: 77.00 77.00 1 :JRgg4 - 409424 10199 DEANDAIRAUL 203 ACG 08-29®95 4840.99 4840,44 1 408584 101.99 0E40C11I4A410 1 203 ACC 08-29°-95 1%.82 146.82 I 4I40C11I0A9I0 408782 101 0ER08EIDOUG.AR No ACC 08-29-95 233.54 233.50 1 4ER0RE%CYRT02A 6 408851 10194 DILLIENUMT,NIMELLE 200 ACG 00-29-13 88.00 88>04 1 RILSDIG eEEL 408149 10111 9 TO'Ca RO 200 ACC 08-H-15 84#24 80.10 1 HEALTH SERVICEI HAITE-OFF RE MT OATE1.17 Daft 2,002 PAW 8 DEBTOR........ WENT*...A... RARE@......................... DSK ST G0 0T-ASSIGN WASSIGN...... PRIM 004 LST PAY. TOTAL RAI..... CRT E6PIN0TAFI11R1AN 403869 101" yip¢ 200 A G 08-2945 5 119.50 119.50 1 OYE,RIRST N 498823 10199 ESPI 2A,Ju' 203 Act 09-29-IS 215.40 40N55 10149, PERNANDE2,SILVESTRE 200 AcG 08-4q-15 253,00 231.00 1 408893 10199 FIGUEROA,FIDEL 203 Act 04-21-95 720.71 720.75 1 7 Ic0ERDA40GEL 408613 10144 URESIANDRE 200 AGt U-29-93 1030.30 1530,55 1 IGRES,ANORAE'S 3 408603 10144 fOLAQLOK0TU1 zoo Act 05.29-45 98.00 98.00 1 40 9 1019 60STERJARIEI 203 AcG 09-24-95 405.01 405.09 1 FOSTER,8 IE1R G: 408609 1019990STER, IKENT 200 Act 08-29-95 05.24 83.24 1 OSIER414CEN'T 408322 10199 ERARCE,GARY 200 Act 03-2?-f3 52.00 52.00 I ERAIZKAYLEY 408967 1019 7ROERUcR, ERRY; 200 Act 06-29-95 735.75 788.75 1 fRNMUCH JERRY R 409128 10194 c GIA40SE 200 AGE 00-29-45 $3.00 85.E GARCWGUADALUPE 408931 10199 SARCIA,MARIO 200 Act 08-29-90' 146.30 146#20 1 408862 10199 W BSON.Av I0 200 AcG 03-29-" 378.55 373.55 1 G150114ANDIIN'E 408586 101.99 GISSON,P` EEORIE 203 AGS 08-29-93 1059190 1036.90 1 405073 101" GI1.I,EQGENE 200 ACC 08-21-95' 749.000 748.00 1 VALLENTYWEip VALERIE R 400433 10199 00NSALI1vELERA 200 Act 06-29-95 121.00 121.00 1 402446 10199 UNZALEbESPERANZA 200 AcG 08-2?-95 134.00 134,00 1 402944 10194 G0RIAtEI';YIROIR A 200 W 00-29-15" 96.55 96.33 1 VEWEOER 408643 10199 GORReFAUL 200 Act 06-29-95: 117.00 117.00 1 GORR,PAVL R 408445 10119 SURRE101EVNIN203 Act 05-°29-95' 543.70 343.70 1 408473 10199 GU.APA490TA . 200 Act 00-29-95' 165.23 163.25 1 408971 101' 060 E„10 EPH 203 AEt W24-95" 138.50 158.50 1 flkDLE,TANYA 8 408643 1019 RACER AP I SHAM 203 Act 08-29"95'' 136.00 136.00 i AGERRAR',SA 409020 10199 NAGERNA&SONNOW 203 Att 6-29-93 337.80 357.80 I HAGERRAINtSHANNON P 409102 10199 RAGEEROWSHANNON 203 Act 0 -29-95' 17.40 97.00< 1 HNERNANtSHAMMON P 406506 10199 MARRIS,HNIELL 202 A c 06-29-75 451.50 451.50 1 IARRIS, ANIEI t 408840 10199 10.1 , RTUNI0 202 Acc 0A-29-95 99.17 99.17 1 1A ,ANT110 0 408864 10199 110RTON,I+AR EN 202 Art 06-29-95' 88,00 88.00 1 408909 10191 HORTOKIVILLIA11 202 ACC 01-24-95 30.00 30.00 1 408727 10191 HOSKINSP-ANK 202 Act 06-29-15 234.01 234.01 1 408492 1019 INKPKREY,DREKA`` 202 Att 001-2145 264.01 264.51 , 1 HIMPHREV4REKA,, HEALTH SERVICES 6181E-OFT~ REPORT UTE;17 Jan 2002 PAGE; BER OR........ MUM.. RA E.E............E 9.,6 E.E.Y,E SX 87 CD TMT-AR81 P R"A88I R.E.... PRIN COL L81 PAY. TOTAL IAL .... EMT 401510 10199 MANS,Al I ZA 203 Act 88-29-916 147.89 28=88 11°93-" 87.08 1 11R8$A117A 408468 10194 JAWZ TIROS 202 Act 49-29-" 12.80 Moo A 1 §$ ,E E 408525 14199 JE 1M,ARIER 808 Act 09-29-95 214.00 214.00 1 AMIKINS VARNER 8 488 3. 10199 I ENE?MARCIAL 202 A E 88-24-9 158.50 158.50 488830 18149 JOHNSON,THONAS 202 Ace 08-P-15 388.90 328.98 1 JOHNSON'THDRAS E 409110 10199 KEL1Y#LAS 4A 202 Ace 88-29-95 7224.11 72 4211 1 488968 18199 KHANo-MOORULLAN 202 Act 8-29-" 135.96 133.84 :1 408628 18199 R 810<8TE9E8 202 Ace 08-89-9R 15540 Q 0*48 11-00-95 105.04 1 40063 18199 LACY11MATUM 208 Act 08-29-93 391.06 391.88 1 ILLE , E1E 40,8362 14199 LA1 ,fi 802 Act 09-2?-9338.04 E15.00 01-08-9 2 .#14 1 488991 18199 LINO NESSILVESTRE 202 AEE 88°29-9 88.90 88.00 1 L ZR8RE8,1Rl4A E 408749 14199 LLAMA IJORGE 202 Act 08-29-98 98.0 98.88 1 1« ARAB„TGE 408754; 10149: OEA 268 AES - - 314.51 . 1 LERAMA 408997 18199; LOM AR1E 208 Atc 09-ZI-95 183.88 183.40 1 408709 10199 MEMANDRA 202 Atc 08-p-15 3172. 9 3172.38 1 448982 112199:« LOPE1,30DRA 212 ACC 88-EV-95 836.08 236.84 1 488927, 18199 LiPEZ,8A8RA 202 ACC 08°29-98 9 .8 955.58 1 488480 19199 LORENSER,LARR 243 Ace 88.29-95 167.30 167.30 1 L R &LA91 9 488797 1 199L$ AI A 1g1 202 Ace 9-9 156.60 186.60 1 LD A.8R1 NER1E 408791 1011? MRTUXARLUS 388 Act 08-2143 128.0 128.80 1 RTUXAMS L 488486 18199 ART1 : 8HUA 808 Act 08-29-98 524.75 $24.73 1 1 €2AR 13 A J 408931 18199 NARTIME?I CAKOS 202 AEE 08-29-95 94.95 94.95 1 ARkINEZC RL 498506 10199 NARTIKI'MRIk, 208 Atc U-29-95 166.80 166.24 1 1 ART ,ALE 408867 10199 KARTMEZYKARIA 882 Ace -89-98 213.7 213.75 1 PARTI11EZ$JUAN 488812 14199 BART EZ,8AE ELL 91 ACE 06-29-9 ' 120.40 120.48 1 4:08533 14199 8ATTIEML8E87'' 20E Ace 68-29-93 88.24 88.24 1 ATT1EMLIE T E 408986 10199 KAYMAROMY 202 Ace 08.29-98' 213,44 213.48 1 RA9AR8��9 L ; 409413 19199 M14LISTE17CRAIG 202 ACC 08-21-93 115.00 133.00 1 408478 18199 8EALLISTER,t RE4 208 Act 09-29-994 480.50 484.50 1 ACALLISTER,900FREY 408783 18199 MCULLBR RIEL81 242 Ace 09-29-93 73.00 73.00 1 9CULIOUG&ELDIND 409671 1€1149 KLENDE1,RICKY; 20a ASE 01-29-95 446.25 446.28 1 HEALTH SERVICES RRIT'E• 'f REPORT BATE=17 Jan 2002 FACE: to DEBTOR........ CLIENT9ffikk RARERk.kN. N.R.k.fN►.ffiRN.kN.RR 098 9T C4 8T-ASSIGN PR-A55ICR...... PRIM COL LST PAY. TOTAL lh.R... CRT SELE�EI,R:ICEI` 448979 10199 MORENDIMARIO 202 AGC 08-29-95 163.26 163.26 1 94RE ,4RCELIA 409109 14199 RR9A,09E8 , 2,00 AcC 09-29-95 367.50 367.50 I 408632 16199 RAY' .N4,R1CRELE 2o4 ACCs 09-29-15 861.75 $61.75 1 L40 RRY'LETICIA C 408995 14199 01EVE5„109E 240 ACC, 08-2 -95 434,82 434.9E 1 RIEE8,5ARA 409052 10199 R1IR,RARER 200 acct 08-29-93 242.60 262,60 RORRNKAREN L 409115 10199 DCHOCCERARVINA 202 ACE 06-29-95 71.16 71.16 1 409878 10149 OLIYERI EL IR OR to ACC 08-29-95 2202.79 2%202.79 1 408882 10199 PA05LLAINUCO 200 ACC08-29-95 18743.74 18748.74 1 448681 10199 PA EBE5,G9 TAVO 204 ACC; 0841-15 966.00 966.40 1 PAEE0E8,DELI A 4089911 14199 PAREVE&USTAVO 200 ACC 04-21-15 353.50 353.50 1 PAREDE5,0E .IA 408526 18199 FERWIAPOLfs 2200 ACC 08-29-95 259.71 25 .71 1 PERAIA,AI#9UD A 408396 10I99 PEREWE8 5 200 ACC 0s-29.95 10889.68 10881.68 1 406530 10199 KREI,PRILLIP 200 ACC as-21-95 11991.28 11991.28 1 PEREI,PBILLIP C 409111 10199 PRI*CE,ANDREA 200 AGG 08-29-11 387.00 387.00 1 PRINCE,AROREA 489684 10199 00E AP,AsROOERTO 200 ACC 08-2945 372.94 372.80 1 QUESAOA,40BERT E 448536 10199 94548A 200 ACC 08-29-95 341.64 301.60 1 RA 4O, ENA L 498899 18199 RA88EY,8RYA8 989 ACC 01-29-95 383.34 393.38 1 RARBE ,CYRTRIA N 408820 14199 RE24,RELOY 200 ACC 08-29-95 361.30' 361.30 1 O.RELOOY 406539 10199 RE EROAMENRY 200 ACE 09°29-95 8531.56'; 6.04 03-26-°96 8525.56 I REYENGAMENRY A 498399 ; 10199 REYE5,LORETA 240 ACC' 08-29-93 316.20 316.98 1 409053 10199 RIC11AR888RP1IA 240 ACC 0 -29^ 5 277,80 277.90 1 RICRAR899R,NIBIA R 498471 19199 RIYAWES1€O 200 ACC 8-E9-95 1576.45 1376,65 1 RI9A8,3E85 E 458968 10199 RORICEWAC LYR 204 ACC 01-2?-95 323.80 323.80 1 408757 10199 RODRIOEI PEIR0 200 ACC 03-2945 412.09; 412.09 1 408730' 10199 R0 0ILL04AR4N 204 AGC 00-2q-" 399.58' 390.54 1 R8RR8ILL&AARRE R 408750 18199 RC€2ALE2400RA0 998 ACC 08-29-95 294.'x. 294.95 1 408822` 10199 > RUS`3OIAR11ER 204 ACC 01-29-11 526.76: 536.76 1 RRR,ARR 1. 448635 101.99 RY K;PKEITH :;294 ACC' 08-29-95 458.60 458.60 1 RYR,BARAARA C 448637 10199 BARET,SARA 200 ACC 08-29-95 507.50; 597.50 1 409375 10199 SAERIRRARYORI 280 ACC 08-29-95 338.39'' 338.38 1 408457 10149 RA"Hi STER I NGG 204 ACC 08-21-15 266.€00 266.00 1 5AWSTERIRO A 403557 10199 SARCREZrART0R0 200 ACC 09-21-95 267.90` 267,90 1 HEALTH SERVICES VAITE-OFF B OAT O#TE: 7 Jan 2002 PAGE: 11 OEST05$......a S S7 CD 437-ASST P SSISO...... PAID 05L LST PAY. TOTAL DAL..... C T 405795 101" SANDERS.IARDARA 200 ACC 03-29-15 3531,50 1 SAAOEO&SAOAA 4 401427< 20299SCOW g2A7EICIA 200 ACC -29-95 314.20 314.24 1 W&AT ICIA L 405693 10199 S SAAFtP 7AICIA 200 AEC -29 93 2242.07 2842.07 I SCHAkFiFATRICIA L 405434 15299 SESAEFi A711IEIA' 200 ASC 09-29-95 567.10 567.10 1 S 11AAFxP TRICIA 40745 10199' SEA0SSKA NE 200 ACC 00.29-13 552.50 552.00 1 405698 10199 SFEO4000 204 Ate 08-29-95 415.00 410.00 1 SSAFFER,ROBB is 409700 10199 S14EPAA0Y SYL 200, ACC 08-29-95 511.95 511.95 1 405507 19199 SOOPrEACC 200 Ace 01-29-95 292.59 292.50 I SHOOP,ERU J 400572 10199 S1L9AxPA1C 200 ACC 05-29-95. 651.75 651.75 1 SIIL9AIPATOICS 409021 10199 OSIS 'NANCY 200 Ace 00-29-95 541.00 541.00 1 SUMERAWY I 410665 10199' ARRAIIJAKID 255 A0C 09-15-95 135.00 135.00 1 410465 10199 A9ASSgSE5515 200 ASC 09-15 5; 576.00 95.55 09-04-96 466.00 1 OSE00ESA►44I LOA 415596 10199 BASS ETIPFASISLA 250 ACC 09-15-95 145.00 145,00 1 SASSETT EASIU C 420666 10199 UNAII.AIC[10LAAS 200 ACC 09-19-95 701.36 701.36 1 8EKA1IRSIC41OL.AS 410-515 10199 OESSIOANOO 200 ACC 0912-' 171.00 171.00 1 SERWA71l0 0 L 410608 10199 SOST'aAOASTEx JEWS 200 Ace 09-15-95 40.50 4€1.50 1 410567 10199 OA IIAL.E&OA 200 ACC 49-13-95%" 104.23 104.23 1 0AI2ALE5�OA 0 410264 1019 CANTREL14DVARD 2 Ace 0 -15-95 135.00 135.00 1 CANTRELL.,EDWARD L 41.0612 10199 CA07'EA40Y 200 A0C 09-18-" 137.00 137.00 1 CARTERtURY A 410442 10199 EAADES$BRJAN 200 Act 04-12-95' 164.00 164.00 1 CRAOUsLANDER 410655 10199 203 A00 09-10_95 94.50 94.50 1 04555, NETS 9 410607 10194 11A9I&OLEO 245 ASC -15-95 101.00 151.00 1 410610 10199 OAOISgSLES 203 Ace 09-15-95 135." 130.90 1 410652 10199 ow'JUAN 200 ACC 09-10-95 332.00 332.00 1 4`10455 10199 0010LASiILLI 203 1400 9-18-95 211.00 211.00 1 DONLAS14ILLIM 0 410533 10199 ECSE9EEAIAtTHERESA 203 AEC 09-18-13 211.00 211.00 1 ECREVE1 IA,ROSE 410450 10199 EDVAROS7 JAKES 200 ACC 09-10-95 256.40 256.40 1 EOAROS" 410597 10199 EDVARD&JAMES 200 ACC 09-11-95 311.20 311.10 1 ESAA054AES L 41.0663 10199 EHLERSJOEL 203 ACC 09 °16®95 146.20 145.20 1 ENLE S�NKL 410303 10199 E I LLINGTOKDEREK 200 ACC 09-18°95 477.90 477.90 1 ELLISTOOxOESE L HEALTH SERVICER`NRITEAFF REPORT 4ATEt1 ion 2002 PAGE** 12 2E0TOR.ss...s. 4 IfRT4sz. RA Es.arias Ras aR.xs..sas.sa.. SK S7 C1 DT-ASSICK P - SS -... RIN tie8 LST M TOTAL 33 ..... UT 410621 10199 EACOLIJUNALD Poe Ace09-18-95 4479.20 4479.20 1 ERCOLI300RRL0 G 410609 14199 ESO48AR,112RRI 204 Ace 09-18-93 624.25 624.25 1 414456 10199 FER4ARREt�SIl,VES7RE 200 AEC 09-18-95 646.69 410628 10199 FROEMLICH1,JERRY 200 Ace 09-18-93 ?00,29 900.24 FROULIER. ERR 410522 14199 F4L4M THOMAS 203 Ace 09-18-95 626.00, 426.00 1 FULME&THOMAS 410656 10199 GONEWDSEFA 243 Ace 01-10-15 106.94 106a94 1 410837 10199 0RE 8A.JA*IER 203 AEC 09-11-93 114.2 GUERRA PA9`I ER 410476 10199 GUIERREIrEMILID 204 Ace 0-1845 86.10 Bi.?Q I TIERREMRILI4 E 41012 10199 NAGERWSHAMM 203 Ace 9-18-93 68.00 68.00 1 HMERNAM rsHANNOW 410457 10199 MARPEWONATHAN 242 Act 09-18°95 341.E 243.50 1 RARER.0S3RATIIAR R 410811 10199 RARRIS0R.3ARR 202 Ace 09-18-95 135.84 135.00 1 RARRIS01#I BARB 414472 10199 8A7 8sTIRFARY 205 ACC; 01-19-93 444.50 444.50 1 410617 10199 RENSONIVILLIAM 204 A :' 09-18-93 215.29 215.24 I 8ER4R'RILIIA4 R 410459 10199 NERNANDMANTOMID 202 ACE' 09-18-95 1714.23 1719.23 1 410619 18199 MERNANDE140SE 202 ACC 01-11-95 134.00 MERrANDEZrP.4RIDEL" 410615 10199 RERR4EMAARIA 282 AC0 49-18-95 204.00 244.00 1 RERNANDEZIMAR1A E 410823 18199 HER 4R4EIM0RIGO 202 ACC' 09-38-95 459.00 459.04 1 410577 ;,20199 +1 ERNOO&ALLEK 242 #C0' 09-18-95 284.00 384.00 1 NERNOOMIALLEN C 410431 20199 I€TRESsAR0ELA 242 ASC 49~18-95 85.44 85.00 1 RIRESrANSE,A L 414427 10€99 MOLNEWARONE 203 ACC` 49-18-95 28.28 28.20 1 MOLNESTAARCINE 410631 €4199 H.C.LNE34ARONE 242 ACC' 07-13-95 88.E 88.44 1 1OLBE .AARRE L 410635 14149 ROL EWA. RE 200 ACC' 09-18-n 276.00 276.00 1 OL ES.AARRRE L 410648 14149 11485AR4,11AR 242 Ace 09-18-15 185.00 105.00 1 410384 10199 RKRES TIfF°ANY 242 AC: 09- 8-95 582.50 532.50 1 HUGHEMIfFAM R 414518 14199 R RSTMIETTA 282 A0C 01-I&M 1219.34 1219.30 1 HURST,SUZIETTA R 410431 24199 JACOPSONsMILLIP 282 Ace 01-19-95 375.54 50.00 11-2€M-95 32 .50 ARBB50R� 58E 414494 30199 jIMENEZIARRANN 202 ACO: 49-18-95 72.E 72.40 1 4!10630 20199 14E1,J8SUE 202 AC0 09-18-95 451.54 401.50 1 410694 18199 JUNKSOMANNE 202 ACE 09-18-95 411.44 491.04 1 4.10682 10199 JOHNS61,911DERT 202 ACE': 09-W95 215.04 215.0 1 410424 101" AME8p1417 9 202 ACC 09-18-95 196s00 196x80 1 REALREALTH SERVICES #RITE-OFF REPORT 4ATEg17 Jan 2042 BRACE= 13 DEBTOR........ CLIENT . , PANE..a...afi...a..aax.sx..rs.. ON ST CO IT-A SI ft- I a.... FRIM COL LSA PAYS TOTAL CNT 410471 10199 JOSEPUERNADETTE gg 202 ACC 09-19-" U1.00 261.00 I E2 .8E13A�T1`E Y 410475 181144 A 0214A2"181 B ims 203 ACC -10M94 43.00 89.00 1 410471 1191 KIWAYNE C AIC 09-14-15 449.85 441.95 1 KI .281010 E 414561 10194 KLINUAMES 202 ACC 09-1943 445.5e445.50 KLINK,JEfFERY 0 410663 IDILARArCATARIAD 20-2 pp ACC -I 111 211.30 I L MA8ITA E 410474 10149 1. 1,,ILAIB C 202 ACC 04-184-95 77.40 77.40 1 410472 1019? LE814.81A0IA 202 ACC 04-1 -94 39 .60 3.00 10-30-94 392.68 1 LE814OARIA 410673= 10199 LI4I444ADA 202 ACC 49-18-95 704.00 704.50 1 410499 101" LYBOMUZZABETH 202 ACC 819-18_a 522.42 322.32 1 LYOWELIIA4ETH 410434' 10119 LYLEYBYLVESTER 242 ACC oq-14-93 239.60 239,60 1 410429' 101" NAMLYWAMNA 202 ACC 09-IM5 221.00 221.E 1 414359 101" MINELL,E4ELY0 m ACC 09-19-95 47.00 47.00 1 410412 10199 NAYO RGAPEDVIK 202 ACC 01-13-15 360.40 360.40 1 410494 10199' CCOME NETS 202 ACC 09-18-9a 10.40 103.40 1 410687 101" KENDEZfi JOSE 242 AU 09.18-90 221.00 221.00 1 4181026' 10149 NDO-M RAMON 242 ACC 84l 18-4 r 106.40 106.00 1 MENDOZA.DANIEL 410674 10199 MORRISMARLES 242 ACC 09-19-95 346.44 446.40 1 MORRIS 40AI .E2 A 414691 10199 MORRISrEUMNE 202 ACC 09-18-95 241.54 201.50 1 410414 184149 WOSLEYYC A LEO 202 Act 01-11-93 49.52 89.32 1 442LM. A LEO ER 410660 14199 NAVASITURIDUAN 200 ACC 09-1843 429.00 429fi 0 1 NANA41 r. f IBULL' 414A24 10M I CELS 4 200 ACC 09-18,45 363.34 363,30 1 NatL'KARRY A 410404 10194 *DGUERAiROURTO' 200 ACC 09-14-95 860.59 460.59 1 410442 10199 0000T4Y14AI 200 ACC 49A0µ94, 20.76 320.76 1 0 0T4YMIL A 414361 10199 4LIMAIELLE 204 ACC 0 -18°°90 016.42 016.42 1 410366 10191 0 02C0TEAEA 240 ACC 09-18-40' 84740.99 0740.09 1 0IC14x ' IA 410580 10195 OROZMEFREN 200 ACC 09-12.90 34930 041.00 : 1 090IC83 CARELIA 41036E 1014 ORTECA,11KE 200 AGC 09-184-98' 046.73 446.73 1 410463 10148 fAuTRICHA00 200 ACC 09-18-95 767.60 767.68 1 A4a4IC34A40 410372 1019 A0AMAAAA 2083 ACC OV-13-95 336.00 336.04 1 41441 1019? PELIfANOREN 204 Act 41.18-96 429.80 429.00 1 LL8I0� 4E0 44 410466 1.0194 POTTEMENNETH' 200 ACC 09-1845 r 438. 0 438.30 1 POTTE94ENNETHID 410664 10149 AE IN I*(AGEIA 200 ACC 09-18-93 272.00 292.00 1 410400 1014 AI A6 4695 200 ANC 01.18-94: 332.43 532.48 1 OI9AS WE E HEALTH BEHICES ,RITE-OFF REPORT WE'.17 Jan 2002 PAGE.' 14 EBT ........ CLIENT#... ,ARE..#..l.R.....►.... DSK ST CO 0 A58I A -ASSIGN...... PAIN COL CST PAYv I'07AL #ALR#.A# C I 410362; 10199 A0 11Ir ARL 200 ACC 09-18°95 325.50 328.10 1 ITI,CL 1 411267 101" 40RADECWEIA m ACC Of-21-15 117.50 117.00 1 A00ILA8,C ELA 411361 10199' AN0HA0 ,CA8NELA:; 200 ACC 09-al-15 108.30 708.50 1 AOILAA, AANELA 411403' 10199' DRA1#2,LAAN LA 200 ACC 09-21-91 58010 380.00 1 AGIIILAS,OAALA 411161; 10199 00YD,SI`2A 200 ACC 01-21-95 135.00 135,100 1 411381' 10199 CIIL S,nJUANA 200 ACC 01-21-93 67.00 67,00 1 NOOREMEADMERMESIk S 411339 10199> CLAY T01t, C9 203 AIDC 0941-95 283.40 93.40 12-12-90 160.00 1 KINDRICKAICHAEL, 411380' 10199` CL INE,JASON 203 Ace 09-21-95 428.50 128.00 01 23^°96 300,00 1 C IN2,JASON C 411IT? 101" COLLIMANAMPA 200 ACC 09-21-98 101.80 107140 1 CO LLINSTI A L 411369 10199' MUMMY 200 ACC 01-21-95: M4.96 65541% 1 MUMMY 411230 113199; tOUINSAAI EEK 200 ACC 07-21-VS WOO 98.00 1 411237 10199 COOPERiLAURA 203 Ace 09-21-13 384.00 384.00 1 CO� TLASBA 411314' 10199'' C0A0IE&DEB€RAN' 200 ACC 09-2145 9815 98.25 I 411404 10199 COWNEWARM 203 Act 04°°21_98 271.30 271.30 1 tORNEWAIRK A 411368 10199' CONI ,MAN 200 ACC OKI-95 107.00 107.00 1 C031tN00�C14AHI 411371' 10199' C RNIMA11A MA 200 ACC 09-21-95 116.80 116.60 1 "144WOA82ST 0 411226 10199 DAVEMPONTiCHRISTINA 203 AGC 09-21,-93, 375.33 376133 1 PAVER POR TICHRISTIM N 411324 101" BATT EK 203 ACC 09-21-" 77.00 77100 1 IIA .OEREN 0 41.1318 10199 0 AN0A,AAK 203 Ate 09-21-93: 49!18 49.98 1 411112 101991, EANANDEZA + 1H 200 ACC 09-21-90 401.50 401.50 " 1 411344 10197 FURGE,44THONY 200 Ace 09-2t-" 234144 254.44 FUME'rANTHOMY II' 411323 10199 GALVA8v0AANCISCO .200 AcG 1940.12 1940.82 1 411.383 10199 UIVANIFFRANCISCO 200 ACC 09-21-95 3307.93 8307#93 1 411224 lot" iGA L MRAC9 203 ACC 09-21-93 163.58 1613.55 1 ATLST1'IACT A 411378 tot99 200 ACC 04-21-90 87.00 87.00 1 411184 10199 GORIALE&JOSE 200 Ace 09-21-95 67#00 67.00 1 GO ALES.SARA 411231 10199 I AR ��1ORCE 203 ACC 09-21°95 467.80 467.00 1 411L93 10199 moollimmax 202 ACC 09-21-98 20.40 200.40 1 31N0A14,8ILT0N 411298 1,0199 STC9L0S 202 ACC 09-21-93 118.30 1.10.30 1 BCANANATCAALOS A 41,1278 10199 11C0NAN02I,lIAAIA 202 ACC 09-21-95 104.00 104100 1 REANANDEZ,,MARIA 411192 tot" MS2,LAURA 202 ACC 09-21.95 180,00 151#00 1 HEALTH SEMES VRITE-OFF REPUT DATE,11 4aa 2002 i MOTOR........ C1.1E8I`4... VANE.........................., K ST to 0I'^A".SI01t 1 -A08 C ...... E8I8 WL LST PAY. TOTAL BAL..... C T 411174 10199 NQUARITIMELE 208 ACC 09-ZI-95 183.00 122.00 1 1 0MI1s11ELE 411188 10199 OUIALLVIS 202 ACC 09-21-13 88.00 88.80 1 HUBNALL,NERDIS 411202 10199 HUGHESSFTIFFANY 202 Ace 09-21-98 321.0 881.00 1 WGREWIFFANY A 41124 c 111199 11ORTAMOCTAVIAKO 202 ACC 09«21°-98 88.00 88.E 1 411207 1.0199 JOHNISO&INEI 202 ACC 09-21-9S 99.20 99.20 1 411280- 10199JOHNW11LY8M 202 ACC 49-21-90 124.05 124.E 1 411354'' 10199.' 1ILAA04ASUM 202 ACC 09-21-4 4"M 468.80 1 K ANC14A ON A 411832' 10199' LAME 8 V0A 202 ACE 09-21-95 137.00 137.00 1 LAE.11 118 � 411158 10199' LOMASYMARIA 202 ACE 09-21-11 1033.00 1055.00 1 411352 10199' LORAMERO MHA 202 ACC 41-21-15 211,40 21140 1 411213 101" N" IVE-MAIARD 202 ACC 119-21-93 172.4E 172.42 1 MATIM LAIARD 0 411214 101" AARTINE1,40EN 89. 202 Ace 49-21-95 97.40 97.00 1 MATIN i,RUDER 411231' 101" V I E€LsEVEL 202 Ace 04'°°21-90 88.00 88,04 1 NAI ELUEVELYN 8 411200 10199' "UNESNEYROD 202 ACC of-al-va 133.00 133.00 1 KCHEMEMOk 0 411182 1119? #CCULL904ANES 202 ACC 09-21-93 84.00 88.04 1 CBLUNJE81 is 41129,9 10199 NICELHARELPENNY ?02 ACC 09.21-98 04.00 88.40 1 MCILRANEYIGREGG JR A 411190 101" NEN IVA8e 08E 202 AEC 09-21-98 77.00 TT.00 1 219A0sA11I11A 411197 10199 MUMMY 242 ACC Q'1-21_15; 838.00 338,00 1 WKEIOARRY E 411221 I0199 NIESSMALEJAVIRID 202 Ace 09-21-95;. 122.70 1u.70 1 411366 10191 NOORETSMI « WE Ace 0-21-9 " 184.78 144.76 1 411376 10197 800 ACG 09-81-90 334,00 334.00 1 1R0CIVI.NEGVV 411272 10199 IfULLIN&MARYET 808 60C 09-21-15 $5.00 88.40 1 MULLINSiKARVEY 411271 10199 ACI-,VAI 800 Act 01-21-ql 400. 2 453.52 1 AG1�AAI 41130E 10199 NAVARKMARIAL 202 #CC 09-21-45 77.00 77.00 1 41118E 1019 IMESras IIA 800 AEE 0 -21-98' 404.40 404.40 1 0NE0.CYNTRIA L 411335 1019 OCOKCRfJAMES 200 &cc of-al-95 400.30 400.50 1 .1AE8 C 411167 10199 OLIVERIVIUBRIA 200 Act 09-21°98 308.58 00.8 1 LIVE11. 0SE1 Ry A 411209 10119 614GRISMINIER 800 ACC 09-21•93. 1844.34 1664. 4 1 MRS 18199 AC090AIM 2.00 ACC 09.29-95 8538.49 3388.49; 1 AC0110,808EVT 8, BEALTK SERVICES RRITE-OFF` REPORT DATE=17 Jm2002 PAGE" '16 DEBTOR........ CLIER78..r ASE ..ra.#r.arr.anr#.trar.rar. D8E -ASSIGN WAS tOR...... FRl# COL LOT RAY. TOTAL BALr�s.r CRT 412277 10199 ALEIARDE.9aLE0 200 ACC 09-28°°93 39.00 39.00 1 412226 10199 WERSENsFRODE zoo ACC: 09^28-93 92.99;, 92.99 1 411933 114199 AHDRADEDC RRELA 200 ACC49-28°-93 201.00 207,00 € 411893 10199 ASH84,AARON 200 ACC 01-21-V5 108.00 108.04 1 ASHRY,SUZANNE L 412119 10199 BAKER48RIS 200 ACC 09-28-93 272.24 VIP 1 412446 10199 BAL I MKI 200 ACC 01-26-95 283.60 233.60 I BALONIAMOKI L 411874 ID399 BEE9, AC8 200 ACC 09-28-93 169.41 169.41 DEAKEY,WX 0 412199 fol" BEKNETT, 1CRAEL 200 AGE' 09-28°93 36.04 36.00 1 SENNETT,N 1,CHAS S MIS 10199 81CKHAN,,KIISM ELL E 204 ACC 09-28-43 101.34'' 101.50 1 BER,TABITRA 412848 381.99 BISCAY NARK 288 ACC' 09-26-93 133.04 153.00 1 818CA7,KA LA K 411989 10199 BLOCA,BARBARA 204 ACC 09-28-93 64.00' 64.88 1 BLOCR.BARMA L 411872 1.0199 SEPT:DEREK 204 ACC' 09y28-93 686.42' 686.42 1 BRIT, DLIE 412013' 10199 0100,€822RD 204 ACC' 09-28-93 1038.74 1038.74 1 BR 120, sRACIA 412129 10199 BDKiAMFELIA 200 ACC 09-266 136.71 136.71 1 BOK7AS,IIFELIA 8 411972 101:99 CAMPO&BERVANDA 200 ACC W29-93 97.60 97.68 1 CAIl8D8. ACKELTH K 412000 10199 CAHCHOLAESTEDE 200 ACC 09-28-93 133.00 128.00 1 CANCHOLMSHARM L 412133 14299 CARLSOR,FRED 200 ACC 01-29-13 10.488 1.:0.46 1 CA LSOK,FRED E 422300 10194 CARUSIDrAMAEL 200 ACC 09_2843 133.00 183.00 1 CARDSO,IIICHAEL 0 411870 10199 CASTILLO LOIS 203 ACB 04 28-43 140.10' 144.00 1 CASTILLO,KIRETA 0 411902 14199 CA72LLO,CUIS 203 ACC 09-28-93 119.x' 119.30 1 CAD7ILLOMIRE9A D 412222 10199 COOPE&LA RA 203 ACC 09-28-98 31187M 31€37.94 1 CODER,LARA 3 412147 10199 DAGSWENNETH 203 ACC' 09-28-93 181.00' 131.40 DAMS,RE ETH 4 412317 101.99 PAGOSAIMMETH 203 ACC 09-2893 372.40` 372.00 1 DA00S,KEEHRETH t 412266 10199 00RAS,AIIT)DIRE 240 ACC "_2943 2219x69` 2279.69 1 412122 10194 FILDNED4CHAEL 200 ACC 09-2893 144.80; 144.80 1 F1LUMMKICHAEL L 412224 10194 FOROECA,CELIA 20 ACC 09-20-98 133.70 133.70 1 811 9E1.4RE DA B 412192 10199 C11bL�80Ktl 2Rt1ER 203 ACC 0949-98 111.41 111.44 1 412234 10199 DI IALE2,I°RAKCIS O 200 AC ' 09-2 93 1302.23 1302.23 1 412487 10199 D0R7ALEI,VIRGINIA 200 ACC' 09-28-48 89.73' 88.73 VERA=EVER 1 412.11.8 10194 COIKARPEKIIID 203 ACC 09-28°43 387.21 387.21 1 412223 14194 C4IRAR,EHED2I3D 203 AC ' 09-29-95 264.00' 269.00 1 HEALTH SERVICES ITE'-:1 0 REPORT OATEg7 Jilt 2802 ME" 17 DEITOR.v....s,* CLIE1174... WE 0611 ST to 11T-60RICR A08100#..... PRIM COL LOT RAT. TOTAL SAL..... CKT 412098 101" ¢,AM TES A i . tg 201 AM ff-28-15 143.00 145.00 1 RARERTIR t R� M 412310 14199 NAWPEKR 242 Ace 49 284R 671.40 671.00 1 HAMPE4ER 411966; 10199 ypyv �y, D 202 Act 28 437.42 437th 1 NE0,48 LD 412093 18194EDRImA ##gg 202 Act 01-23-93 327«00 327.00 1 11E41ir9.738 .4 411971 14199 RERMARBE1,J00E 242 ACC 01-284& uloo 88.00 1 RM t 0SE A 411948 14194' MERNANDEMARM 242 AC -211- 43.40 93,00 1 HERMANOMMARIA, E 411964' 10199 RMA011EI ARIA 202 ACC 09-28-93 1711.00 178.00 1 MR1A 411948' 1014 ' AULDERNA04me 243 Act 44-28-99 4329.77 4329.77 1 13E"WrJAOES 411068 10199'' 1L ,REALL 242 Ace 428-95 15.40 15.40 1 NDLTwKEMLL 8 411909 14199' 4ACA509. 4CEL90- 203 ACC Wes-91 134#44 184.40 1 4ACKS89,44CELT0 11 411378 14199' J81108118fR811ERICR 202 ACC 09-28-93 278.14 270#10 1 J 11R'R0KRIC8 E 412147 10199' XKGJAo WMA 202 ACC 4928-95 1113.22 1113.22 1 R11JA�1A1000A 411920 14149 41 MA R 243 ACC 01-29-15 83.00 U.00 I KMNACKIANNAZINAR R 411908 10199 KHOAMRIMANWHAR 203 ACC 01-28-ft 358.51 358.52 1 RR008ARRIAORA #1AR 8 412033 101" MUM*IXA1`11LEE11 202 ACC 09-28-95 400.51 430.51 1 MCAIMMULMN L 412470 10199 LITT0ER01I 202 ACC of-28-9s 150.64 184.64 1 411414 1819 LVENSE&LARRY 243 ACC 4928-95 59.12 59.12 1 Le M- 4116MILARRY 41209 14199 R RTINE1 4AM IER, 202 ACC 09-29-" 1097#45 1097.45 : 1 411951 14199 HAMELLtEVELYN 202 ACC 01-28-93 720.34 720.34 1 RA1L1.�E9 .1'R'!1 411971 10199 RA3REELL R9EELT0 242 ACC 09°28-95 451.47 481.47 1 AAREELLMEELTR R 412269 10194A1#WENNI 2R E02 Ace 0"$-95 127.74 127.70 1 SANTIAGOJENNIFER, L 411932 10199 MONTUMERY.411AM 242 ACC 01-29-93 30.44 R8.00 1 11R'1C118RT�8t4�1 4 412320 14194 NECOCREkiHILAOID 244 Act o?-28-95 1327.65 1327.45 1 1C E �LL'I 411927 101'19 NELM3114011K 248 ACC 49-28"95 861.75 881.75 1 41.1977 14199 01APAUNAMEL 240 ACC 9-28-95 612.50 612.32 1 01A1�A2�R SEL R 412124 10199 PALAC LUS 408E 204 ACC 04-24-" 544.48 584.45 1 412221 101.99 PAR'StRICHARD 280 ACC 09-28-" 384#80 384.00 1 'ARB'RIC11AR4 411981 10199 RA094811xAAR 240 ACC 49-28-95` 870.20 870.24 1 11ARR1011�AAR11 1# 412139 10191 PARRISMERTJEFFREY 200 Ace 09-20-95 263.00 2651,04 1 HEALTH SERVICES ITE F WORT DATE 17 Ja 2,002 PACE<' 16 DEBTOR#.....,.# CLIE T$..i IS T- - 69E �&Y... MIN 0L LSA' PAT. TOTAL L....> C T 412152 €0199 PAYNEtANNIFER 200 Ace 09�-26-95 316.95 316.95 1 PAYIEiANNIFER V 412279 10199POIRENIKAREN 200 AEE 09-28°95 675.50 675.30 1 PNOEKKAREN 412340' 10199' HFRE8T 1 M NORMAN 200 Act 09-28-95 531.63 531.65 1 412136 T0199` 00E9EOOPL1116 200 AE 0-29-93 431.0 431,00 1 412149 10199 RAMS A 1 R 200 Ace 09-28-" 715.00 785.0 1 R�H08�8A1A 412347 10199 z00 ACE 09-28-95 379.93 379.93 1 RA8H18�8ARA 411937 10199 REYESASE 200 ACE 09-28-95 422.30 422.38 1 412343' 1019# 1108INBOINI SHAW 200 Ace 09°24-95 862.50 862.50 1 R0110804HANNA L 411869 10114' RODRI011 1,JOSE 200 A08 09-20-15 263.85 263.23 1 412096 101" ROBRIGMEZP8I 200 A00 09-20-95 322.00 X28.00 1 fffDfiTWEZ,LfT1QA 411949' 101"' 100#8091,LESLAM 200 Ace 01-28-95 300.00 400.00 1 4[2267 10199' ROSASfJORM 200 Ale09- H1 5 6111.14 455.54 1 412334 18199'' R08HHY018 200 Ate 09-28-91° 636869 636.69 1 ROSSP4U ,9 R 412336' 101" 9416"J TR 200 Ace 09-28-95 235.50 255.50 ROSS F 4ANIS R 412049 10199 R F 200 Act 09-20-91 562.25 362.25 1 411979 10099' OSSA H.IURETR 200 A" 01-20-93' 03.81 100.30 U-28-16 303.65 1 A bEL IAOETHH P 412229 10199 RCHTPBTEFE 200 Ate 0128-95 409.00 X39.00 1 00R8E1P8TE9E 412230 10191 SANCHEZISTEVE 200 Ate 09-26-95' 292.40 292.80 1 �H1E2 ,9T P 412253 10199 SANCHIE1,9TEVE 200 Ace 09-2843 W1,34 4 8521.34 1 ,9 NCH IPBTEVE P' 4122,97 10199 R 11E7Y TE9E 200 Rot 09-21-95' 203.90 283.00 1 412296 10199 SEDAN04IRWISCA 200 AM 0?-28-95 499.00 77.51 0342-96 421.49 1 412304 10199 80PHR.9EDAY OSE 200 Acc 09-28 5 1240.22 1240.32 1 SEPULVEPAXONSVELD 41.1430 10194 SERVELLO F8AR1A 2000 Acc 09-2845 1072.90 1972.90 1 412030 10199 F 11:L 200 Ace 09-21m95' 203. 6 283.90 1 ,9RA8, I1L P 4120€14 10199 61ERMOARL08 m AEE 09°2345 264#90 264.90 1 81ERRAPAR1~00 R 412175 10199 21RP00&0H1RR 200 AE0 09-28-95 262.50 26240 1 8180SON'Li SHANNON R 411954 10199 SINGWPIABAT 200 Ace WWII 204.04 264.50 1 8111PHE 412078 10199 SONNESORIGURISTY 202 Act 09-28.95 46.00 46. 0 1 THIERIAR�tARORA 8 416104 10119 SPOSAHg R,91ER1 200 ACC 10°06-95 40.26 40.26 T 416192 10199 8R00AKERPWKI 200 Ate 10-06-95 197.00 197.00 1 H11.0P H1AHRH18: HEALTH SERVICES IMITE-OFF REPORT GATE-17 Jan 2002 PAGE! # CLIESM}F 0SK ST C0 OT-ASSN ASSI Yi}iii 29I0 COL LST PAY. TOTAL DAL-., CAT 416394 14199 C1€91STIA9xCA0I 9E 240 ACC, 10-06-95 135.00 135.00 LOSS 111 IMBERLY A 416231 10119 CO A0i00S10 200 ACC10-06-95 396.55 f CO A11#011910 416311 10199 OEI AAATE #11ME 204 ACC' 10-06-95 103.50 ' 103.50 0ELA11ATER41CAIE A 416333 14199 fRYIE11F5EA 203 ACC' 10-06-45 202.00 ' 1 Fi#-..IELLFSEA 416061 10199 SACIA}JOSEPH 200 ACC, 10°0645 62.60 02.60 1 416157 10199 GREM JACO LIME: 200 ACC 10-06-93 114.16 110.56 1 ACCS093LAETTE S 416220 10199 WWI 4ILLIA3 203 ACC 10-06-90 69164 69.64 1 9A SEO= ILLI A 416249 10199 IIA SE F0ILLIA9 203 ACC 10-06-95 53.33 53.33 1 OAE ,4I1:l.10A 416190 131.92 11ATFIELO#C111IIMP E 203 me to-0-95 94.00 941,00 1 416325 10199 Hmsojoswu 202 ACC 16-06-" 329.04 329.00 IMS F C11ARLEEA 416262 101" Not-cmWE&CARL 202 ACC 10-06-95 28Y49 29.43 1 416112 10199 111 0I0IKI01A 203 ACC 10-06-95 139.44 13949 1 5909 F T.8F1lI 416295 10199gg�ggg0ygp901IFggI�29I IA 203 ACC 10"06-99 95.04 99#00 1 FF�YA SO F E001 416349 10199 SOSF0A0}1111IAS 203 ACC 10-06-95 119.00 11900 1 HUFFMA11,1RIAN E 416241 I01,99 JOHNSWINEZ 203 ACE 10-06-" 397.02 397.02 1 419099 10199 40M1111T1Y 200 ACC 10-06®95 119.46 119.46 1 :1519171 416144 10199 ,10 9, y1RygOT`HY 240 ACC 10-06-95 247.44 247}44 1 JOES,O199IOTSY 3 416196 1#1199 JUKWO 97 ;202 ACC' 10-06-95 113.04 119.00 1 191LF9107'L 410271 10199 KEEL. ARES 202 ACC 10-06-95 87.70 97}70 1 9EELFA99ES T 416277 10199 XM11WAN 203 ACC 10-06-15 166.40 166.40 1 416254 10199 x1my'RiCkARD 92 ACC 10--06-95 091.33' 391.33 1 416163 10199 LEARY01HO AS 202 ACC 10-06-15 147.15 147.15 1 LEARMHOMAS D 416251 10199 ULLY MSA 202 ACC 14-06-90 140,00 140.00 1 LiLL9FLIA C 416036 10199 UPEWSSEPHIME 203 Ace 10-06-95 244.50' 244.90 1 L999:I� 0SE9I 416206 10199 LO-PEIF OSE019I 203 ACC 14-4695 870.12 970.12 1 LOPEZ F JOSEPH INE .9 416299 10199 LOPEI}AS PHINE ! 203 ACC 10-06-95 1147.36 1147.36 1 LOPFELJOSIEPHINE 9{ 416296 10199 LO EI,DSEPH IME 242 ACC 10-06-95 594.26' 504.26 1 LOPEZ,JOSEPHI HE S 416115 10199 LoutsmLE,ons 203 ACC 10.06-95 ' 102.60? 102.60 1 L001S91L.LEMIS 0 416141 10199 LOUISVILLE,Ms ` 203 ACC 10-06-95 297.00 207.00 1 HEALTH 1ERVICES RIFE'OFF WORT BATEI17 44ft 2482 PACE.'' 84 *i.«.w x b. MAP .w.. ..i. . ,.......�Y i.. DSK 5T DT-ASSI H Pit-ASBR..... P2IR 6 L LST PAY. TOTAL DAL-- UT 416515 1 194 L IS ILLE411R18 243 Act 10-06-95 314.61 514.61 1 L1TL1.E��I 416259 111199 MALENKMIMPOiRIMADER 2102 Acc 10-06-95 95 . 202.QA 1 416086 10149 NASTER&LESUE 202 Atc 10-06-95 10.00 165.84 1 11A2TERiLELIE H 416083 loll? KDAVEANGELA E02 Atc 10-06-IS 651.05 651.05 1 2AKIINY 4161173 1019T NENDEZ6A D 202 Act 10-06-93 504417 84.48 1 E ARE1,9AFAEL 416666 10199! EHKI LISA 202 Acc 10-06-95 823.40 223.E 1 E11EI,LISA 416156 10191 ENORkA IDA 202 W 10x06 140.64 140.64 1 416144 10199 KI 111irT111111A - 202 ACE 10-06-95 361.79 361.79 1 MGM M TH A5 E 416179' 101" ItE4A 202 Acc 10-06-95 12.092.05 1 WWZ,EVA 416164 141" R Ia15 280 AEE 10.06-45 366.50 386,5.3 1 RUNG1,EERHARE 416272 16149 RAVARRON.AURILID 208 ACC 10-06-91 64 . 5 61111.35 1 416075' 111199 R11111k5€R1&DA 2118 A E 10-66-95' 474.58 674.58 1 NOR28TR N IIAH A 416211 101" U xTT A 200 Acc 10-06-93; 509.60 549.60 1 OMUY,TIM L 410,356 151" PA ILLA. AIIIA 200 AEL 10-46-45: 4712.03 47RI03 1 416155 10149 PR ECKA11EN 20$1 A6 10-116-4'5 266.110 266.00 1 MOEM,#HAREM 1= 416134' 14199 PONTI IEEIDAE 200 AEE 10-16-73 320.3 326.50 1 416084 1x199 PRRTER,VILLIA 200 Act 10-66-95 489.76 689.16 1 TER:IIILLIAII 416245 101" PREVET1, Q Acc 10-06-45' 515.50 515.50 1 416136 10149 RIREEAEH 204 AE 10-06-95' 440.60 440.8E 1 RARIRE7rAR1ZEK 416144 10199' R NIREbRIEHARO 200 Act 10-06-" 4254110 425.E 1 RAMIREZ,RICHARD 11 416164 10144 14 AWIDA 200 Acc lo-W"" 1267.66 1267.66 1 ROWA 4 910E O 41AUl 18144 ROJASAW 200 1W 10-06-95 741.44 747.00 1 R0 �Lg11ET0 416270 10194' ROLLI %PAN 200 Act 10-06-" E74.50 274.50 ' 1 ROGER5,0111 A 416361 10149 191141#4 200 AEE to-06-95 303.90 363490 1 416054 14144 IWALCAWHILARIO 200 Atc 10-06-15 1210.10 1210.10 1 a"ALCASAmIL0,110 R 41.61.24 10194 R YALtA' HILA IO 200 A E 10-06-45 200.44 300.89 1 RNALCAWRILAR111 R 416257 10141 RAONEUEA 240 Act 10-06-4 ' 231.47 251.47 1 416333 10149 SHEPHER0,04ARLES 200 ASE 10-05-95 1340.40 1340.40 ' 1 RH11F 0�110L0t0:R H 417439 1419 AYAiL 15 200 Acc 10-13-95 115.00 135.00 1 417862 1019 ANIRRIZ,ELVIA 203 ACE 111115 1111.58 107.50 1 HEALTH SERVUES'RRITE-OFF REPORT 1A7Ef11 Jan 2002 PAGE; at 87 8. ,..... CLIER79.4. ,.. . .�.....'....... ..... S91 ET 0 1T-A S1CR P A1S111 ...... '"IN CUL LST PAY. TOTAL � ��:... CRT 417371 10199 A190E91SO ARE 200 ASC 10-17-15 139.80 139.00 1 417557 lot's AOER.PAUL 200 ACC 10-1793 109.90 109.90 1 AU R,PA91L A 417371 M99 2AL0VIRP91C91I 200 ACC10-17-95 143.00 143.00 1 1AL0RImm 417146 10194 ALDVIN.,VICFI 200 A E' 10-17-95 233.04'' 233.00 1 SALDNIMICK 417472 10194 9 R&ELI A 203 ACC 10-17-95 133.00 133.00 1 417476 10194 BROOKSrUISA 203 ACC 10-11.45 339.00 334x00 1 417512 10199 CRAI -KARRIE 200 ACC 10-17-95 480.50 480.50 1 CRAMNARRIE J 417611 10149 $AYID REE 203 ACC 10-17°^9 80.00 90.01011 DAMERER 417389 10199 W8E91MILL 203 ACC 10M M3 92.00 92.00 1 C18MIARA L 417497 10199 CORMARALIA 200 Act 10-17-93 324.56 324.56 1 417496 10149 19AYVORTHo ESE 202 Act 10-17-" 155.61 155.66 1 417019 10194 HER AROELMARIA 202 ACC' 11-1795 34.00 54.00 1 HE NANDE1, ARIA E 417361 10199 NOTA1110,1MIC0LE 202 Act 10-17°95 575.00: $75.00 1 417443 10199 RUGHEE1i7IFFARY 202 ACC' 10-17-95 131.00 131.910 1 1991CREWIFFARY 0 41741.3 1.0199 211RT,JOYCE 203 ACC; 10-1793 3609.41 3409.41 1 RUN0411M R 417301 10199 JaNKSOMEGAGE 202 ACO' 10-1798 112.90 112.90 1 jumumERGE 417206 10199 JOH,95501,1REZ 203 Ace' 10-17-95 191.90 195.90 1 417471 10199 JUNWODY 202 ACC' 10-17-11 111.00 118.00 1 JUR r 110Y 417311 10199 91ELLYPAROE A 202 ACC;, 10-17-90 177.00 177.00 1 2EL1.1'.ARMA R 41.7542 1 199 9118 LEAK&AL9EKsA R 202 ACC: 10-17-45 181.90 1911.90 1 KIRILENVOiALUSANDR A 417543 10149 LANSE,8990 202 ACC to-17-?3 234.42 234.42 LAR E41M IN 417436 10119 LEE451EAV 202 ACC 10-17-43 131.00 131.00 1 LEE ROIR 417365 10199 LE8R3ER1111A 202 ACC ' 10-17-95 2221.901 221.00 1' LEINMUKA R 417484 10194 LOPMOLANCA 202 Act 10-17-95 1.49.80 199.10 I L9M8LARCA E 417411 101" WEI,91AR1'RA 202 ACC' 10-17-95 110.00 110.00 1 417480 10199 MGALLMSOSELIO 262 ACO 10-17-95 109.20 109.E0 1 417562 101" RAR141: 0MY 202 ACC 190-1795 145.46 145.96 1 RA1I .TIR0T 99 C 417341 10194 HART INEIrEU0L IO 202 ACC 1 17#95 $0.00 80.80 l BART IRETrE9ARCELIVA 417540 10199 11ARTIREITROSA 202 ACC 10-11-15 89141.70 1891.70 1 MAR IREIORO$A 417617 10194 MCCOTIBOUG 202 ACC 10-IMS " 411.30 611.30 1 RCC 9is DY L HEATH SevicEsWRITE-OfP REPORT OATS= 7 4aff 2002 PAGE, 22 #TOR..*.*N¢. UM-. ............ DO-K ST CC DT-ASGIGN PIN-ASSISI...... PRIM CUL LST PAY. TOTAL, BAG..... CXV 417367 14199 HCRODERTSISPRING ASITA 242 ACC lo-IMI 115.00 116.00 1 MCROVERMSPRING A 417413 10199 KROBERTS,PRINS AMTA 202 ACC 14-17-95 648.44 658.40 1 417533 101" SZ IAM451C 4 242 ACC 10-17-95 1002.14 102.14 I 417332 101 ASSAISxPAT° 1CIA: 202 ACC 10.17-95 95.40 98.00 1 SSPIS+PATSICIA 417441' 1019 WDSIANISAYED 242 ACC 10-11-95 321.45 50.54 49°-12-% 271.45 1 417335' 101"' 90,44SISTISA 240 A C 15-17- 5 463.00 03.00 1 417522' 141" " 411Y 240 ACC 1 -17- 5 205,.50 255.50 1 LSI OONEY 0 417527' 14199! KUYUrTAN 2.44 ASC WIT-"`` 314.34 394.30 1 UdE a A 417440 14199 05ISa4A5 204 ACC 14-17-95 400.55 4449.58 1 IORRISJAN IA 417554.. 1019t ONOFREMBERTO 200 ACC 1 -17-95 1039}94 1439.94 1 417594 101 PALOMURY g 200 S 10-17-15 1515.54 1555.54 1 ggg �" LNEAi CAST 1w 417591 14199 PALONARES-MONEL 240 ACC 10-17-" 5992}23 5992.23 1 PAL ROOM 417259 101" 0APSER4HRISTI 240 ACC 10'-17-95 ?9U.82 291.82 1 PASt ISTINE E 417427 101" PA SxALASA 244 A C 10-17-95 53776.79 SUM 1 x 417515 1019 PA 5xALKA M ACC 14-17-95. 7U.13 722.' 1 P&M A1.1S 417351 10199PENWIlKxAMY 204 A1C 10-17-95 53MO? $379.01 1 417455 10199 PE IMASY 200 ACC 10-17-95 1684.75 1554.75 1 FENNINS,CALER 417305 141 9 PIRRY40SEPH 240 ACC €0^17-95 482.40 442.40 1 PERRVIFJOSEPK S 417363 lot?? PoFf'JOSEPH m ACC 14-17 745.53 74845 1 PPxpSEPS S 417365 10199 PSATHERJA I5 245 ACC 10-17-95 9240.34 9244.3 1 417395 101" PS 42rC THIA 554 ACC 14-17-95 1290.73 1290}73 1 At'9�13B'r R�dnGk7 €J 417466 10119 PRIS aCTSTI 544 ACC 10-17-95 3440.95 3440.42 1 PPIS tCYSTgI IA 487317 tote MCINOMBBUD 200 ACC 10-17-95: 343.77 343.77 1 417525 14145 RUTIFWAKS 545 ACC 10-11-13 5521.16 $529}16` 1 PTTIEtPATSICIA A 417544 10199 OICSES MER 544 ACC 10-17-95 642x44 6024} 0 1 AICD=SALLY L: 417347 10149 SI AD'JUMN 244 ACC 14-17#95 1244.52 1244.82 1 SI A64JON S 417391 101" 545.1 244 ACC 10-17-15 315.44 318.44 1 MrVERRY'1. 417644 I4I49 1451 N,ITZ,RACKL 240 KC 10-17-15 271.42 271.42" 1 417579 141" 258LESiCAS4fLASIS 254 ACC WIT-" 345.45 345.44 1 ROBLE&CANDELARIC 417550 15199 5500I4 5I. 00 200 ACC 10-17-95 322.35 322.39 1 HEALTH SERVICES KITE- REPORT DATE47 Jan 8002 PACE 23 DERIOR...#.,.. LI #.., RAM,#..:...........##.,.#,..« DSK R7 C0 0I-ASSIGN RR~A08IGA...... PRIR C04 LSI' PAY. 7177AL OAL...#, CRI 417446 10199 krampoL 200 ACC 171-1745 610.70 610,70 1 417464 10199 ROSERSrPAUL 200 ACC 10-17-95 673,10 673.10 1 ROSERSMI01 ft 41760810199' R07 R8,PA0L 200 nuc 10-17-95 276,90 276#90 " 1 ROGERIME101 0 417386 1199'' 10AR,OA 200 ACE 10-17-98 260#94 50,00 04°09-96 230#99 1 Roastima 417619' lot" ONMIRALTAZAR 200 A1C 10-17-95 288.1? 285.19 1 R ,7± 928 R 417558 101991 $ANA PIEGOrGERAROO 200 ACC 10-17-95 362.10 362118 1 SAMANIESOtGERAM 0 417502 10199' 6H11,LI1tSHA4 204 ACC 10-17-90` 7307,49 7307.49 1 SCHILLINGMARN y 417468' 101 SEVILLAMCEFORA 200 ACO 10-17-93 252.50 252,50 1 4E9IL€, M EF# A C 417434 10199 SHACKELFMANNIE 200 ACC 10-17°95 265.00 265.00 1 MKILFOR&ANKIE 0 417595 0191 SHADOO141WRIE 200 ACC 10'-17-95 971.65 '971.65 1 418917 10144'' A REIAMCHERI 20 ACC 10-304135#00 135.00 1 AR ELAEIrCHERI R 4184 101" ATEMCMARCELLY' 200 ACC 10-3045' 88.00 718.00 ' 1 ATEIO. ATAKIA A 418 101" SROWJAM 200 ACC 10-30-15 104.0# 109.50 1 RII, AE2 A 4197183 10199 ORUIrRI011AEL 200 ACC 10-30-15 338.90 338#90 1 CROMIE44HAEL A 419077 10199' COHIIINC0'rCHANDRA 20 Act 10-30-ts 114.07 219.07 I 418999 20199 7E . R1EI, II40 200 ACC 10-30-95 160.40 160.40 1 FERNANKIPEVERARDO R 414910 101,99 FLORESMIA 200 ASC 10-305 572.00 072.00 1 418878 1 199 GOMAKA p 200 AEC 10-30-95 58.00 92.00 1 COR,RIVER y S 419078 10199 71ALE,RAY 203 Alt 10-371-98' 140#36 165.36 1 11ALEtRAY L 418905 1019 OANI16,00L7A8 202 ACC 10-30-15' 256.50 256,50 mflu RA21A 418873 14199 AURIS' RR 202 ACC 10-30-90 142.I0 142.10 1 HARRISINVARM L 418920 10199 HARTRELLMANNON, 202 AC0 10-30-°80 144.00 148.00 1 RA€1Y'HELL, 038 A 418890 10199 RRAR0,O Ag E 202 ACE 10-30-90 196.40 196.90 1 0AY8r11106AE 41.8928 1019 RepmNotlassy 202 A L 14-30-15 MIX 814.50 1 419056 1.0199 HUM 8rRAVID 202 AEC 10-30-98 116.00 11640 1 41907110199 AUSORfi 3 ELY..4 y 203 A C 10-30-98; 120.00 220.00 1 y ACRUM, M 418876 20199 202 ACC 10-30-94 7509,08 7559.08 1 JAGM1,MATTHER L 419434 101" JOHNSWOEPORAR 202 ASC 10-30-95 384.071 384#50 - 1 419843 1.01.99 MMMEWAYME 202 ACS 10-30-95 517.60 017.50 1 HEALTH SERVICES MITE-OfF REPORT DATE'.17 Jan 84 DERTRR........ ELIENT4... NAME.. ....................... BOX 8T 8 BT-ASSIBN ASSION... PRIN COL LST RAY. TOTAL IAL..... CRT JORMEMAYME N 418883 101" LANGTO&MCHAEL Me AEE - 304.30 30 .30 I 418914 10,191 LA TOMERRI 203 ASE 10-30-43 4691.71 4691.71 1 14VT 04"VERRICK B 419137 t€I94 ,T R4E A C 18:38-4 168.18 148.18 1 LSEANT 8 414009 18199 LOPELALEX 202 ACC 10-10-95 84.08 84.80 1 LOPEZALEX R 414840 18144 LOPEZ41GUEL 202 Ace 1a-30-13 110.0II E I L 4ELFELI IT4 419187 18199 N RT IN MIBEL 208 Act 10-3"3 237..73 . I 4189333. 18149 MCCLENATAANMaEN 8002 Ace -311-95 t23.40 123.48 I NLENA°INAN.RAMANT'RA 41484E 18199 NE AiKyroA4t8 802 Ace 10-30-93 211.00 08-06-01 311.08 1 NR11�T�RAir`18 L 4184% 10199 ggg} ERT&SP I IT 202 ACC 10'30- 119.50 139.50 1 NCR88RRT8# R1 A 419184 L0199 NSI$ LM I 201 10-30-15 211.00 211. 1 NILLB#BAI 1 419883 [8199 NILLS, ARIAN 888 Ace 10-30-13 221.00 2R1.80 1 NILI,R'LATANTA N' 419861 18149 "SA00KO, 208 ACC t -3041 191IM3I . 1 418979 I0199 KACHWNFROCES 200 Ate 1-0-30-93 418.00 41MO 1 BR= R GES ii 41984 181" ACREJAKES ACRE240 Ace 10-30-95 424.26 421. 6 1 #08LE.JANES T 41888E 181" NBLAMA R4 zoo Act 10-30-15 664.80 664.88 1 NBLANt8ARR9 L 418869 18t" t1 ARAT.NER INIR too Ace 10-30-1 : 8614.1: 3618.17 1 418902 18199 OLI E&NEL9IN SR 200 ACC 10-38-9 335.66 533.66 1 418988 1014 FATIROJAIRE 808 AEC 14-38-95; VIM 377.50 1 ATI #811. IA 419843 18149 PENTON:118 800 Act 10-30-9s 4174.87 4174.67 1 419139 10199 RERNIN&L 288 Act 10-38-48 289.00 889.88 I PERKINS 4c JR. B 418898 101" PETRASANTAiMILLIP 884 AM I0-38-48' 357.84 3S7.84 1 419494 IN1" PLAILTE,90VARS 248 Act 10-30-45 49:.87 491.67 1 PLANTEMNARD 418844 18194 RARIREI�IARIA 208 Ate 10-10-15 37'12.84 372.94 1 NIGHTOMMARCIA L 414869 1.8194 RED111,60MARLOTTE 1618 Ace 10-30-98 40.70 418.78 1 REBB Kv CHARLOTTE K 418495 18199 RRBIRSON.NitH L 888 Ace 10-30-95 3733.03 3733.05 1 �38INNIRA . A 419818 18199 AD IN RSR A 800 A-CC lo-W" 15348.47 13345.47 1 .41.9181 18199 ROLZINSKIMBY zoo Ate 10-30-48 381..84 381.84 1 RBLIRBNIETROY. 418986 14149 RBNITI#EARL RRB ACC 18-38-43 616.89 616.88 : 1 RITI#ESL t $ 41983 10149 BALBANA I 20 ACC 18-38^98 297«86 897.86 1 41841E 10119 mmscmaw too Act 10-30-93 88 . 8 882.88 1 MALTH SERMESSITE-OFF REPORT DATE,17 Jait02 PAGE' Cl �} sx @ g g g TOTAL T�-CtR.vosss.e C E a.t NME4.s.a....saar..ss.seas.sase. 104 �.. fiF -ASS GM su� searo�e I L LST PAY. 4 eAL Bit.&e:s T €8975 101" 'SCAMUGMEMETH 200 ACC 10-30-93 .1 aE 41 US# M99 SCAMOIKmEWTH 200 AU 10-30-95 4508.28 4508.18 WOUGNIKEMETH R �gg 41887 10114; � � � 200 ACC 0-30-13 Giav 321.50 1 418816 101" SHIVERSIVEEY too ACC 10-W" 817.12 857.12 419000 18211 $10CPATRICK gg 20 ACC 10-30-93 nesoo 25,.00 S62587.22 2038.42 560548.62 733 t 582387.22 2038.62 56054Ss61 733