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HomeMy WebLinkAboutMINUTES - 06062000 - C118-C121 TO: BOARD OF SUPERVISORS 9? Contra FROM: Phil Batchelor, County Administrator ;f ... Costa By: Gary Brown, Director S. 'S Office of Revenue Collection C��Int�J DATE: June 6, 2000 ""r� SUBJECT: Discharge from Accountability SPECIFIC REQUEST(B)OR RECOMMENDATION(S)i BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION AUTHORIZE the discharge frim 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. 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 $556,652,10 to be written off and purged from the files of active accounts on the collection computer system. CONTINUED ON ATTACHMENT: YES SIGNATURE: R�FCOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMI E APPROVE OTHER SIGNATURES: ACTION OF BOA 0 -.- -_ Ttlri e 6 . 2 CJ 0 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS I HEREBY CERTIFY THAT THIS IS A TRUE ..XX,_UNANIMOUS(ABSENT. 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 ATTESTED__-___ June 6 , 2000 Auditor-Controller's Office, .Tack Cooper PNM.BATCHELOR,CLERK OF THE BOARD OF CAO Attn. : Sara Hoffman Health Services, Pat Godley SUPERVISORS AND COUNTY AI)MINISTRATOR M382 (16/88) BY 'DEPUTY ;SORT DEBTOR BY 14 BY 2 1 2 10 23 14 13 TOTAL TOTAL-DAL TOTAL CMT HEADING "C' HEALTH SERVICES VRIT€-OFF REPORT 'L' DATE,'DL' PAGEr'PL'° tP HEALTH SERVICES NR€TE-OFF REPORT DATE;19 Hay 2000 PAGE: 1 DEBTOR.... CLIENT4... MAH£.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL DAL..... CMT 32453 10199 HAHHONTREE,SHARON 203 ACC 01-08-87 4740 1 NEILSON,SHANMA H 32617 10199 HAHHONTRE£,SHAROM 203 ACC 01-15-87 2.44.50 1 NEILSOM MANNA N 86448 10199 HOOK&DANA 203 ACC 06-16-88 146.50 1 HOOKS.DANA R 102563 10199 INPERIALrROBERT 203 ACC 12-14-88 43.00 1 IMPERIAL,ROBERT C 109538 10199 FROST,KATHY 203 ACC 02-14-89 74.50 1 FROST,KATHY H 109551 10199 FROSTrKATHY 203 ACC 02-14-89 65.50 1 FROSTrKATHY M 109655 10199 FROST,KATHY 203 ACC 02-14-84 74.20 1 FROST,MATHY N 111259 10199 FROSMATHY 203 ACC 02-20-89 61.50 1 FROSMATHY H 138490 10199 FRANK,JULLIETTE 203 AGC 09-05-89 402.22 1 FRANK,JULL€ETTE L 141875 10149 JAHES,BURL 203 ACC 11-20-89 161.10 1 JAHES,BURL L 142608 10199 OEAGO,RICHARD 203 ACC 11-27-89 768,11 1 DEAGO,DAVN J 190731 10149 CUMMINGHAM,DIANNA 203 ACC 09-21-90 456.00 1 192465 10199 COTTON,FRED 203 ACC 10-01-40 556.28 1 COTTOM,FRED T 192498 10199 HANSELL,EOVIN 203 ACC 10-01-90 139.50 1 HANSELL,HAOPUTASI 197559 10199 CUNN€NGHAH,DIANNA 203 ACC 11-09-90 106.00 1 199794 €0199 FANNING,NARTHA 203 ACC 12-06-90 84.00 1 FAMNINGrMARTHA A 199898 10199 HANSELL,HAOPUTAS1 203 ACC 12-06-90 66.00 1 MMSELL,OTTOIII T 202811 10199 BANOMEBORAH 203 ACC 01-03-91 39.00 1 DUKCAH,DEBORAH L 202663 10199 CORDOVA,SILVIA 203 ACC 01-03-91 285.50 1 CORDOVA,PEDRO 202512 10199 GRAFF,HICH£LLE 203 ACC 01-03-91 HMO I GRAFF,HICHELLE L 202792 10199 GRA I;,HICH£LLE 203 ACC 01-03-91 96.50 1 GRAFFrNICHELLE L 202481 10149 GUERRA,JAVIER 203 ACC 01-03-91 238.50 1 GUERRA MRIA D 202652 10149 H€GGS,HICHAEL 203 ACC 01-03-91 110.25 1 HIGGS,HICHAEL A 205629 €0194 SANGE,DEDORAH 203 ACC 01-24-91 84.50 1 BANGE,CHR€STINE N 205518 10199 DANCY,CHRISTINA 203 RCC 01-24-91 128.00 1 DANCY,CHRISTINA A 205650 10199 DANCY,CHRISTINA 203 ACC 01-24-91 2576.41 1 DANCYrCHR€STINA A 205223 10199 GON1ALEi,ELENA 203 ACC 01-24-91 206.20 1 HEALTH SERVICES VRITE-OFF REPORT DATE;i9 May 2000 PAGE• 2 DEBTOR.... CLIENT#... NAKE.......................... D5K 5T CD DT-ASSIGN LST PAY. TOTAL SAL..... 0T GONIALEI,ELENA R 206320 10199 ELMOREtGORDON 203 ACC 01-29-?1 63.25 1. ELMOREtGORDON D 207812 10199 GARCIA,ESPERANIA 203 ACC 02-06-91 65.00 1 GARCIA,RAMON 207710 10199 HIGADERA MBEN 203 ACC 02-06-?i 132.00 1 HIGADERA,ADAM 207681 10199 HDVOE,EVONE 203 ACC 02-06-91 108.00 1 HOWSE,MALIK A 207972 10199 HOVSE,EVONE 203 ACC 02-06-91 351.50 1 HOVSEtMALIK A 288769 10199 GONIALES,JOHN 203 ACC 42-12-91 75.00 1 GONIALES,JOHK H 208709 10199 GRAYtJOSEPHINE 203 ACC 02-12-91 59,00 1 HERMANDEMIEVE 211640 10199 ELMORE,JEARA 203 ACC 03-1241 110.60 1 ELMORE,SHAWN E 213438 10199 D'AMBROSIMUIS 203 ACC 03-26-91 517.00 1 213345 10199 ESPINAL,MIGUEL 203 ACC 03-26-91 367.00 1 ESPINAU SYLVIA C 213303 10199 GREENiJAIME 203 ACC 03-26-91 195.55 1 GREEM,JAIME L 213402 10199 HANSELL,EDNIN 203 ACC 03-26-91 1025.00 1 HANSELL,MAOPUTASI 213461 10199 HANSELL,EDVIN 203 ACG 03-26-91 174.00 1 HAKSELL,MAOPUTASI 213473 10199 HODGE,PAUL 203 ACC 03-26-11 92.16 1 HODGE,PAUL C 214786 10199 CABRAL,RAUL 203 ACC 04-0341 101.00 1 215054 10199 FLOYO,KEVEN 203 ACC 04-03-91 130.50 1 FLOYD,TAMNY J 215081 1019? FLOYD-KEVEN 203 ACC 04-03-91 95.66 1 FLOYD,TAMMY J 214797 10199 HAUSIA,PAEA 203 ACC 04-03-91 46.00 1 HAUSIA,SEINI A 216310 18199 CHISHOLM,BRET 203 ACC 84-12-91 1020.20 1 CHISHOLM,JAMIE K 216582 1019? CORDOVA'SILVIA 203 ACC 04-12-91 71.38 1 CORDOW RICOSERTO 216561 10199 CUMMIMGHAM,DIANNA 203 ACC 04-12-91 66.00 1 216397 10199 DAVIStDARNELLA 203 ACC 04-12-91 494.30 1 216440 10199 LOVEtGENE 203 ACC 04-I2-91 87.50 1 LOVE-MARY L 217747 10199 CORDOVA,MARGARITO 203 ACC 04-23-91 59.00 1 CORDOVAtSILVIA 217789 10199 DUVAL,DAREM S 203 ACC 04-23-91 670.50 1 GOTTSCHALE,KAREM 217939 10199 GLADISH,MICHELLE 203 ACC 04-23-91 86.00 1 GLADISHtASHLEY E 217850 10119 GRAY,JOSEPHINE 203 ACC 04-2341 131.50 1 GRAY,JOSEPHIM€ R 217979 10199 GUTIERREMECURDINB 203 ACC 04-23-91 106.42 1 217951 10199 HAGLOG, MANAE 203 ACC 04-23-91 224.50 1 �f HEALTH SERVICES VRITE-OFF REPORT DATE=€9 NiV 2000 PAGE: 3 DEBTOR.... CLIENT#... NAME.......................... OSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..,.. CMT 215027 10199 HORNSBY, HILTON T JR 203 ACC 04-23-91 148.35 1 HORNSBY,CHAO T 217950 10199 L£11IS,SKIRLEY 203 ACC 04-23-91 66.00 1 JOHNSON,EJEWA C 219363 10199 FARR£LL,DANN 203 ACC 05-02-91 269.30 1 FARRELL,DAVO M 219401 €0199 FARR£LL,DANN 203 ACC 05-02-91 46.00 1 FARRELL,DAVN M 219224 10199 FOUNTAIN,DNAYNE 203 ACC 03-02-91 74,40 1 219340 10199 GALDANEZ,GLORIA 203 ACC 05-02-91 318.00 1 219393 10199 GALDAMEI,GLORIA 203 ACC 05-02-91 56,00 1 219019 10199 LEWIS,SHIRLEY 203 ACC 05-02-91 176.00 1 JOHNSON,EJENVA, C 220191 10199 GARC€A,ANNA 203 ACC 05-08-91 238.10 1 GARCIA:ANNA M 220165 10199 HANPTON,PATRICK 203 ACC 05-0841 110.60 1 HAMPTON,PATRICK 8 221479 10199 OUVAL,DAREN S 203 ACC 05-15-91 242.32 1 6OTTSCRALE,KAREN 2218€0 10199 FARRELL,DAMN 203 ACC 03-15-91 79.00 1 FARRELL,DAWN M 221792 10199 HACEN,ELIZABETH 203 ACC 05-15-91 91.00 1 221768 10199 JAGGER,JOHN 203 ACC 05-15-91 83.35 1 JACCERrJOHN N 223460 10199 EAKER,STEPHEN 203 ACC 05-29-91 46.00 1 SAK£R,NATHAN R 223573 10199 FAULKNER,WILLIAM 203 ACC 05-29-91 346.40 1 FAULKNER MLLIAN K 223704 10199 FAULKNER,VILLIAN 203 ACC 03-29-91 203.33 1 FAULKNER,NILLIAN H 223729 10199 FAULKNER,VILLIAM 203 ACC 05-29-91 1408.95 1 FAULKNERrNILLIAN H 223468 10199 GALLI MCAR 203 ACC 03-29-91 22.30 1 CALLI,LUWALIA 223878 10199 GALLI,OSCAR 203 ACC 03-29-91 139.36 1 GALLI,LURALIA 223762 10199 GUEVARArALAN 203 ACC 05-29-91 66.00 1 GU£VARA,ALAN M 223807 10199 GUEVARA,ALAN 203 ACC 05-29-91 230.00 1 GUEVARA,ALAN N 223509 10199 HQi.AW SHERYL 203 ACC 05-29-91 146.00 1 HOLMAN,SHERYL R 224565 10199 CORDOVAINARGARITO 203 ACC 06-04-41 67.30 1 CORDOYA,SILVIA 224701 10199 GERACI,BRADLEY 203 ACC 06-04-91 109.20 1 CERACI.BRADLEY N 224454 10199 GREEN,K€YIN 203 ACC 06-04-91 69,00 1 GREEN,KEVIN T 224396 10199 HAGEN,ELIZABETH 203 ACC 06-04-91 97.92 1 224647 10199 HAG£N,ELIZABETH 203 ACC 06-04-91 197.50 1 2224847 10199 HOLN£SrCHERRICE 203 ACC 06-04-91 66.00 1 HOLMES,CHANPALE S 224761 10199 LAHR,CHRISTINA 203 ACC 06-04-91 649.37 1 HEALTH SERVICES VRITE-OFF REPORT DAT€=19 May 2000 PAGE: 4 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..... CNT LAHR,CHRISTINA L 225556 10144 CONOVER,EDNARD 203 ACC 06-13-91 £101.60 1 CONOVER,EDNARD R 226083 10199 FERNANDEZ,MIGUEL 203 ACC 06-13-91 203.35 1 FERNANDEZ,MIGUEL N 226220 10199 GROOM,VERNON 203 ACC 06-13-91 87.00 1 GRODN,VERNON E 225773 10199 HASSELMAN,DANIEL 203 ACC 06-13-91 64.00 1 HASSELMAN,DANIEL N 226185 10199 HASSELMAN,DANIEL 203 ACC 06-13-41 401.30 1 HASSELMAN:DANIEL N 226073 10199 HOLKAN,SHERYL 203 ACC 06-1341 324.00 1 HOLMAN,SHERYL R 226121 10199 HOOK,CINDY 203 ACC 06-13-91 31.00 1 226145 10199 LEVIS,SHIRLEY 203 ACC 06-13-91 43.00 1 JOHNSOM,EJ€MNA C 226923 10199 CABRAL,RAUL 203 ACC 06-18-91 1198.30 1 GALVANCABRAL,EUNICE 226740 10194 CONOVER,EDVARD 203 ACC 06-18-91 24.00 1 COHOVER,EDHARD R 226823 10199 CONOVER,EDVARD 203 ACC 06-18-91 1996.35 1 CBNOVER,EDWARD R 226751 10199 GALLI,OSCAR 203 ACC 06-18-91 37.65 1 GALLI,LUNALIA 226919 10199 GAL11,0SCAR 203 ACC 06-18-91 108.15 1 GALLI,LUNALIA 226867 10149 GALVAN,RAUL 203 ACC 06-18-91 306,75 1 226890 10199 GALVAN,RAUL 203 ACC 06-18-91 161.50 1 226812 10199 GEORGE,ANY 203 ACC 06-18-91 367.19 1 GEORGE,ANY M 226821 10199 GEORG€,AMY 203 ACC 06-18-91 37.84 1 GEORGE,AMY M 226797 10199 CONZALEZ,ELENA 203 ACC 06-18-41 162.50 1 GONZALEZ,MARILU 226680 10199 GOSS,JULIE 203 ACC 06-18-91 146.54 1 GOSS,JULIE A 226840 10199 HUNTLEY,DANIEL 203 ACC 06-18-91 483.00 1 HUNTLEY,FRANCISCA 228047 10199 CLEAVER,NILLIAM E 203 ACC 06-26-91 1583.64 1 CLEAVER,NILLIAN E 228100 10199 CONOVER,EDVARD 203 ACC 06-26-91 24.00 1 CONOVER,EDNARD R 228240 10149 ESPINOSA,RAUL 203 ACC 06-26-91 46.00 1 228453 10199 ESPINOSA,RAUL 203 ACC 06-26-91 380.04 1 230359 10199 CHISHOLM,BRET 203 ACC 07-03-91 101.50 1 CHISHOLM,LEE E 230441 10£99 E5PINOSA,RAUL 203 ACC 07-03-91 58.45 1 230529 10199 HAGEN,ELIZABETH 203 ACC 07-03-91 63.00 1 232988 10199 BRINAR,JASON 203 ACC 07-10-91 301.00 1 BRINAR,JASON R 232923 10149 DIAZ,SOCORRO 203 ACC 07-10-91 90.00 1 DIAZ,SOCORRO D 232974 10199 CALL1,0SCAR 203 ACC 07-10-91 14.25 1 HEALTH SERVICES NRITE-OFF REPORT d DATE:19 Nay 2000 PAGE', 5 DEBTOR.... CLIUM., MANE.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL...,, CMT GALL€rLUWALIA 233051 10199 GARC€AtANNA 203 ACC 07-10-91 246.50 1 GARCIA:AMKA N 232929 10199 KENNEDY,DONALD 203 ACC 07-10-91 267.54 1 KENNEDY MNALD R 233654 30199 CORDOVA,NARGARITO 203 ACC 07-16-91 133.18 1 CORDOVA,SILV€A 235045 10199 CR'JZtEMRIOUE 203 ACC 07-24-91 508.00 1 235021 10199 ESCORZA,ALBERTO 203 ACC 07-24-91 3600.52 1 235426 14199 FOSTER,KEV€N 203 ACC 07-24-91 66.00 1 235431 10199 FOSTER,KEVIN 203 ACC 07-24-91 380.98 1 235087 10199 GARCIA,JAVIER 203 ACC 07-24-91 81.00 1 GARCIA,VILLIAN E 235462 10199 GAM AtRANOM 203 ACC 07-24-91 84.60 1 235584 10199 GARCIAtRANON 203 ACC 07-2441 116.00 1 235304 10199 GRAY,ROBERT 203 ACC 07-24-91 94.80 1 GRAY MBERT E 235499 €0199 HORNSBY, HILTON T JR 203 ACC 07-24-91 136.20 1 HORMSBY,HILTONJR 1 235379 10199 KENN£DY,DONALD 203 ACC 07-24-91 237.95 1 KENMEDY,DONALD R 235204 14199 LEVIS,IVORY 203 ACC 07-24-91 7125.53 1 LE1IIS,IVORY L 239195 10199 BROTHERS,ANTHONY 203 ACC 09-14-91 615.35 1 BROTHERS,ANTHONY D 238295 10199 CRUZ,£MRIOUE 203 ACC 08-14-91 189.50 1 238015 10199 FARLEY,SEAM 203 ACC 08-14-91 105.35 1 FARLEY MAK£ A 238263 10199 LOPEZ,FRANCISCO 203 ACC 08-14-91 73.50 1 239362 10199 BR€NAR,JASON 203 ACC 08-21-91 398.31 1 BRIMAR,JASOM R 240655 10199 BROTHERS,ANTHOMY 203 ACC 08-28-91 70.70 1 BROTHERS,ANTHOMY D 240140 10199 FARLEY,SEAN 203 ACC 08-28-91 42.48 1 FARLEY,SHANE A 240310 10199 FARLEY,SEAN 203 ACC 08-28-91 100.23 1 FARLEY,SHANE A 240036 10199 GALVAN,EUNICE 203 ACC 08-28-91 136.50 1 CABRAL,RAUL 241154 10199 ANGULO,ANALIA 203 ACC 09-04-91 223.28 1 ANGULO,ANA D ?41129 10199 CULLISOM,TERESA 203 ACC 09-04-91 103.00 1 CULLISON,T£RESA L 241224 10199 CULLISON,TERfSA 203 ACC 09-04-91 368.38 1 CULLISONJERESA L 241160 10199 ESPINAL,NIGUEL 203 ACC 09-04-91 114.40 1 ESP€NAL,SYLVIA C 241344 10199 GALVAN,EUNICE 203 ACC 09-04-91 118.00 1 CABRAL,RAUL 241422 10199 GRAY,CHARLOTTE 203 ACC 09-04-91 59.00 1 GRAY,CHARLOTT£ A 241174 10199 HORNSBY, HILTON T JR 203 ACC 09-0441 331.00 1 HORNSBY,HILTOMJR T HEALTH SERVICES YRITE-OFF REPORT HATE:19 May 2000 PAGE: 6 DEBTOR.... CLIENT4... NAME.......................... OSK ST CD DT-ASSTGN LST PAY. TOTAL SAL..... CNT 242308 10199 CHISHOLM,BRET 203 ACC 09-10-91 107.00 1 CHISHOLM,LEE E 242200 10199 HEDGESNERNON 203 ACC 09-10-91 136.56 1 HEDGESNERNON V 243302 10199 ESCORM ALBERTO 203 ACC 09-19-91 86.90 1 243208 10199 GRAMNARLOTTE 203 ACC 09-19-91 288.00 1 GRAMNARLOTTE A 243203 10199 GROSSE*LOUIE 203 ACC 09-19-91 77.60 1 GROSSUGUIE J 243348 10199 GROSSE,NENDY 203 ACC 09-19-91 59.00 1 GROSSE,LOUIE J 243448 10199 HAGENtELIIABETH 203 ACC 09-19-91 69.90 1 243282 10199 HENEStVERNON 203 ACC 09-19-91 118.00 1 HEOGEMERNON V 243343 f0I99 NEWITTrUNDA 203 ACC 09-19-91 177.00 1 CLUGSTON.JAMIE L 244957 10199 CHAVARRIA,GASPAR 203 ACC 10-02-91 315.50 1 CHAVARRIAtLUZ M 244723 10199 CLEAVER+KATHRYN 203 ACC 10-02-91 179.40 1 CLEAVERtHILLIAM E 244838 10199 OIAMOCORRO 203 ACC 10-02-91 78.45 1 LOPEI.SOCORRO D 244850 10199 DIAZ,S9CORR0 203 ACC 10-02-91 66.00 1 LOPEI.SOCORRO D 245089 10199 FAGERHAUGH.CANDYCE 203 ACC 10-02-91 59.00 1 FAGERHAUGH,JESSE T 245069 10199 FROST,TAMARA 203 ACC 10-02-91 240.00 1 FROSTtTAMARA N 245085 10199 FROST,TANARA 203 ACC 10-02-91 350.00 1 FROSTtTAMARA N 245ISS 10199 GUIMANtGUSTAVO 203 ACC 10-02-91 333.50 1 244722 10199 HEISER.JILL 203 ACC 10-02-91 294.10 1 HEISER,JILL C 244847 10199 HUMPHREYtJUNIOR 203 ACC 10-02-91 15.80 1 HUMPHREYtJUNIOR D 245004 10199 LOPEI,FRANCISCO 203 ACC 10-02-91 85.50 1 LOPEI,OSCAR F 247029 10199 CHISHOLMtBRET 203 ACC 10-15-91 1694.90 1 CHISHOLN,JAMIE K 247268 10199 CORONADOtAMANDA 203 ACC 10-15-91 120.50 1 VAUMCORONAWKIARA S 247664 10199 FAGERHAUGH,CANDYCE 203 ACC 10-15-91 188.50 1 FAGERHAUGH,JESSE T 247775 10199 GOMEI.SALVADOR 203 ACC 10-15-91 345.45 1 247483 10199 HAGENtELIZASETH 203 ACC 10-15-91 232.90 1 247705 10199 HARDIN,TABITHA 203 ACC 10-15-9i 370.02 1 HARDIN,TABITHA L 247756 10199 HULBERT,SUSAN 203 ACC 10-15-91 218.29 1 HULDERT,SUSAN N 246755 10199 LAHRtCHRISTINA 243 ACC 10-15-91 120.40 1 LAHR.CHRISTINA L 247672 10199 LAHR.CHRISTINA 203 ACC 10-15-91 59.00 1 LAHRtCHRISTINA L �'�,�:% � �, ;+•,5 ...E s HEALTH SERVICES WRITE-OFF REPORT DATE119 May 2000 PAGE; 7 DEBTOR.... CLIENU... WANE.......................... DSK ST CD BT-ASSIGN LST PAY. TOTAL BAL..... CRT 248514 10199 BAKER,STEPHEN 203 ACC 14-21-91 93.50 1 BAKER,NATHAN R 248521 10199 BAKER ATEPHEN 203 ACC 10-21-91 82.85 1 BAKER,NATHAN R 248657 10199 BAKER;STEPHEN 203 ACC 10-21-91 134.30 1 BAKERtNATHAN R 248620 10199 GROSSE,NENDY 203 ACC 10-2141 88.40 1 GROSSE,LOUIE J 248484 10199 HAGEN,ELIZABETH 203 ACC 10-21-91 543.00 € 249579 10199 GREEN,LATRINA 203 ACC 10-24-91 97.30 1 GREEN,LATRINA A 249388 10199 HAGEN,ELIZABETH 203 AGC 10-2441 2350.60 1 249391 10199 NAGEN.ELIZABETH 203 ACC 10-24-91 66.00 1 249407 10199 HACEN.ELIZABETH 203 ACC 10-24-91 161.50 € 249416 10199 HAGEN,ELIZABETH 203 ACC 10-24-91 59.00 1 249479 10199 HAGEN,ELIIABETH 203 ACC 10-24-91 173.40 1 249482 10199 HAGEN,ELIIABETH 203 ACC 10-24-91 109.20 1 249513 10199 HAGEN,ELIZABETH 203 ACC 10-24-91 195.15 1 249539 10199 HAGEN,ELIZAVETH 203 ACC 10-24-91 2€5.00 1 249572 10199 HAGEN,ELIZABETH 203 ACC 10-24-91 169.50 1 249394 10199 HAGEN,ELIZABETH 203 ACC 10-2441 53.90 1 249597 10199 HAGENtELIZABETH 203 ACC 10-24-91 179.50 1 250049 10199 AMMONStROB£RT 203 ACC 10-29-91 70.00 1 AMMONS,ROBERT G 250145 10199 BR€NAR,JASON 203 ACC 10-29-91 200.95 1 BRINAR:JASON R 250136 10199 GOMEZ,SALVAPOR 203 ACC 10-29-91 70,00 1 250124 10199 GREEN,E.ATRINA 203 ACC 10-21-91 42.08 1 GREENtLATR€NA A 251804 10199 CHAVARRIA,GASPAR 203 ACC 11-14-91 80.00 1 CHAVARRIA,LUZ M 252743 10199 BANGE,DEBORAH 203 ACC 11-2141 241.50 1 BANGE,CHRISTINE N 253556 10199 HEVITT,LINDA 203 ACC 12-02-91 489.70 1 HEWITT,LINDA S 254676 10199 BRINARtJASON 203 ACC 12-10-91 262.85 1 BRINARtJASON R 254665 10199 FERNANDES,F£LIX 203 ACC 12-10-91 311.00 1 255110 10199 FRYEtDEBRA 203 ACC 12-10-91 152.00 1 €RYE.DEBRA S 255271 10199 GARRETT,DJUANA 203 ACC 12-10-91 97.00 1 TIGER,DENARCO L 254740 10199 HAGEN,ELIIABETH 203 ACC 12-10-91 335.00 1 255121 10199 HEVITT,LINDA 203 ACC 12-10-91 271.30 1 HEWITT,LINDA S 256405 10199 BRANSON,GORDON 283 ACC 12-18-91 50.00 1 BRANSON,BRAD L 256519 10199 CANNON,NANDA 203 ACC 12-18-91 158.90 1 CANNONtNANDA G 256437 10€99 CHALIL,ANGELINA 203 ACC 12-18-91 887.10 1 256487 10199 CORDOVAtSYLVIA 203 ACC 12-18-91 90.65 1 CORDOVA,MARGARITO 256205 10199 ENZ€ANtELIZABETH 203 ACC 12-18-91 218.€6 1 HEALTH SERVICES VRITE-OFF REPORT DAT£:19 NiV 2000 PACE. 8 DEBTOR.... CLIENT#... KANE.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..... CNT 256157 10199 FARLEY,SEAN 203 ACC 12-18-91 220.60 1 FARLEY,ANTOINETTE N 256258 10199 FARLFY,SEAN 203 ACC 12-18-91 21.80 1 FARLEY,ANTOINETTE N 256153 10199 HARPTON,JERRY 203 ACC 12-18-91 103.50 1 HANPTON,BARBARA 256552 10199 HAMPTON,JERRY 203 ACC 12-18-91 221.00 1 HANPION,BARBARA 257846 10199 CORDOVA,NARGARITO 203 ACC 12-26-91 46.80 1 258009 10199 ENEMARK,KIN 203 ACC 12-26-91 379.00 1 ENEMARK,KIN D 257478 10199 ENIIAN,ELIIABETH 203 ACC 12-26-91 175.00 1 257518 10199 FANNING,NARTHA 203 ACC 12-26-91 622.90 1 FANNING,NARTHA A 257548 10199 FLOR£S,NARGARITA 203 ACC 12-26-91 136.50 1 FLORES,CARI4£N 257470 10199 FRYE,DEBRA 203 ACC 12-26-91 138.59 1 FRYE,DEBRA S 257704 10199 GONEI,ALFONSO 203 ACC 12-26-91 316.50 1 257574 10199 LOPEI,FRANCISCO 203 ACC 12-26-91 86.00 1 LOPEZ ASCAR F 258669 10199 CASTILLO,DONNA 203 ACC 01-06-92 28.92 1 CASTILLO,DONNA N 258681 10199 DANCY,CHRISTINA 203 ACC 01-06-92 313.00 1 DANCY,CHRISTINA A 258548 10199 FLORES,NARGARITA 203 ACC 01-06-92 97.00 1 FLORES,CARMEN 258760 10199 FLORES,NARCARITA 203 ACC 01-06-92 89.00 1 FLORES,CARNEK 258600 10199 FRIiGO,TANERA 203 ACC 01-06-92 225.00 1 FRIGO,TANERA J 258484 10199 GONEI,BLANCA 203 ACC 01-06-92 317.20 1 CONEI,BLANCA L 259563 10199 BAKER,VENUS 203 ACC 01-13-92 81.36 1 BAXER,V€NUS D 259617 10199 FARLEY,SEAN 203 ACC 01-13-92 109.34 1 FARLEY,ANTOINETTE N 259596 10199 GALLEGOS,BARBARA 203 ACC 01-13-92 70.00 1 GALLEGOS,BARBARA J 259722 10199 GALLECOS,BARDARA 203 ACC 01-13-92 258.20 1 GALLEGOS,BARBARA J 259735 10199 GARCIA,CARMELO 203 ACC 01-13-92 25.00 1 GARCIArCRISPINA 259593 10199 GARRISON DENISE 203 ACC 01-1342 204.50 1 GARRISON,DENISE J 239803 10199 GLASPIErNONTAI 203 ACC 01-13-92 70.80 1 GLASPIE,MONTAI R 259437 10199 GODWIN,TABITHA 203 ACC 01-13-92 221.50 1 259652 10199 GONDERHAM HANDY 203 ACC 01-13-92 124.05 1 RICHARD,BRANDY M 259763 10199 GOND€RNAN,BRANDY 203 ACC 01-13-92 266.10 1 RICHARD,BRANDY N 259534 10199 GONIALEI,JUAN 203 ACC 01-13-92 62.00 1 HEALTH SERVICES NRITE-OFF REPORT DATEi19 May 2000 PAGE! 9 DEBTOR.... CLIENT#,,. NAME.......................... OSK ST CO DT-ASSIGN LST PAY. TOTAL BAL..... CNF GONZALEZ,GABINA 259464 10199 GREEN,fRED 203 ACC 01-13-92 7040 1 GREEN,FRED 0 " 260143 10199 DRYANT,4ACKIE 203 ACC 01-14-92 351.80 1 260144 10199 GOOLS8Y,PAMELA 203 ACC 01-14-92 286.00 1 GOOLSBY,PAMELA S 260195 10199 GROSSE,LOUI£ 203 ACC 01-14-92 57.00 1 GROSSEtCHRISTINA 260228 10199 KIM,HYANG 203 ACC 01-14-92 8924.43 1 KIM,YONG 260227 10199 KIM,YONG 203 ACC 01-14-92 66.00 1 262264 10199 ANGULO,ANA 203 ACC 02-03-92 109.40 1 ANGVLO,ANA 0 262063 10199 ARNOLD,JENNIFER 203 ACC 02-03-92 39.00 I ARNOLDrJENNIFER C 262604 10199 BAKER,VENUS 203 ACC 02-03-92 103.00 1 BAKERtVENUS 0 262753 10199 BAKER,VEKUS 203 ACC 02-03-92 15,60 1 BAKER,VENUS D 262112 10199 BICKHAM,ROBERT 203 ACC 02-03-92 164.60 1 26268€ 10199 BROCK,RICHARD 203 ACC 02-03-92 66.00 1 BROCK,TANYA M 262465 10199 CH£RRY,REATHA 283 ACC 02-03-92 72.70 1 CH£RRYrREATHA M 262731 10199 CHISHOLM,1RET 203 ACC 02-03-92 109.00 1 CHISHOLMrLEE E 262389 10199 FANKING,MARTHA 203 ACC 02-03-92 239.45 1 FANNING,KARTHA A 2622239 10199 FRYE,DEBRA 203 ACC 02-03-92 149,91 1 FRYE,DEBRA 5 262194 10199 HULBERT,SUSAN 203 ACC 02-03-92 14€.00 1 HULBERT,SUSAK M 263030 10199 GERNEK,VERA 203 ACC 02-05-92 628.00 1 263047 10199 HALE,MIKE 203 ACC 02-0542 69.40 1 HALE,MIKE L 263058 10199 HALE,MIKE 203 ACC 02-0542 89.20 1 HALE,KIKE L 263061 10I99 HALE*MIKE 203 ACC 02-05-92 80.10 1 HALErMIKE L 263064 10199 HALE,MIKE 203 ACC 02-05-92 70.00 1 HALE,KIKE L 263107 10199 HALE,NIKE 203 ACC 02-05-92 62.60 1 HALE,MIKE L 263815 10199 ADRIANO,RAKIRO 203 ACC 02-1€-92 71.20 1 264052 10199 AHUKADA,GLORIA 203 ACC 02-11-92 67.00 1 AHUMADA,ELODIA G 264202 10199 AVILA,SIMON 203 ACC 02-11-92 138.50 1 AVILA,ISADEL 264068 10199 CAMPBELU SHARON 203 ACC 02-11-92 313.35 1 CAMPBELLrSHAROK F 264079 10199 CLARATY,BIL 203 ACC 02-11-92 383.50 1 CLARATY,PAMELA A 264033 €0199 CLARK,PHYLLIS 203 ACC 02-11-92 €797.60 1 HEALTH SERVICES NRITE-OFF REPORT DATE M Hay 2000 PAGE: 10 DEBTOR.... CLIENT*... WE.......................... OSK ST CO UT-ASSIGN LST PAY. TOTAL SAL..... CWT 264306 10199 CORDOVA,MARGARITO 203 ACC 02-11-42 56.80 1 264103 10199 DEROY,ROBERT 203 ACC 02-11-92 553.65 1 DEROY MBERT N 263839 10199 ELVANI,NABEEL 203 ACC 02-11-92 79.60 1 264121 10199 FARLEY,SEAN 203 ACC 02-11-92 344.62 1 FARLEY,ANTOINETTE M 264143 10199 FARLEY,SEAN 203 ACC 02-11-42 147.39 1 FARLEY,SARAH 264053 10199 GROSSE,LOUIE 203 ACC 02-11-92 70.00 1 GROSSE,CHRISTIWA 263891 10199 HENSON,MICHELLE 203 ACC 02-11-92 8.5.70 1 HEFFELMIREtUTHONY L 263999 10199 HERNANDEZ,JUAN 203 ACC 02-11-92 84.42 1 HERWANDEZ,JUAN M 264022 10199 LOPEZ,LUCIA 203 ACC 02-11-92 70.80 1 LOPEL JORGE 265676 10199 DAVIS,STEPHANIE 203 ACC 02-21-92 768.00 1 DAVIS,STEPHANIE A 265757 10199 DAVIS,STEPHANIE 203 ACC 02-21-92 196.39 1 DAVIS,STEPHAWIE A 265912 10199 ELLENBURG,KIHBERLY 203 ACC 02-21-92 34.27 1 265835 10199 GARCIA,AIDA 203 ACC 02-21-92 125.43 1 GARCIA,AIDA V 265677 10199 GARCIA,FELIPE 203 ACC 02-21-92 17.97 I GARCIA,ALIDA 265809 10199 GARCIA,FELIPE 203 ACC 02-21-92 67.61 € GARCIA,ALIDA 265867 10199 GARCIA,GUILLERWIN 203 ACC 02-21-92 69.50 1 2265863 10199 HOLLEY,ANTHOWY 203 ACC 02-21-92 133.99 1 HOLLEY,ANTHOWY N 267039 10199 CHISHOLM,BRET 203 ACC 03-05-92 46.20 1 CHISHOLM,JAMIE K 267036 10199 CHISHOLM,JAMIE 203 ACC 03-05-92 46.20 1 CHISHOLN,JANIE K 266976 10199 GONZALES,MONICA 203 ACC 03-05-92 104.30 1 GONZALEZ,MOWICA 266967 10199 HIPOLITO,JOSE 203 ACC 03-05-92 279.88 1 HIPOLITO,BELEN 268077 10199 FINERM ALECK 203 ACC 03-12-92 109.00 1 FINEMAN,ALECK M 268157 10199 LOPEZ,JORGE 203 ACC 03-12-92 377.44 1 LOPEZ,LUCIA 269473 10199 BOYCE,DEBORA 203 ACC 03-13-92 105.50 1 BOYCE,DEBORA S 268344 10199 CASTILLO,DONNA 203 ACC 03-13-92 638.20 1 CASTILLO,DONNA M 268465 10199 COOPER,DAVID 203 ACC 03-€3-92 658.60 1 COOPER,DAVID E 268453 10199 GONZALES,MONICA 203 ACC 03-13-92 338.20 1 GONZALEZ,NONICA 268505 10199 JAGGER,JOHN 203 ACC 03-13-92 107.05 1 JAGGER,JOHN N 269243 10€99 DUNCAN,OEBORAN 203 ACC 03-18-92 116.00 1 HEALTH SERVICES VRITE-OFF REPORT DAT£=19 May 2000 PAGE; 1i DEBTOR.... CLIENT#... NAME—........................ DSK ST CO DT-ASSIGN LST PAY. TOTAL DAL..... CNT DUNCAN,DEBORAH L 269290 10199 GUZMAN,GUSTAVO 203 ACC 03-18-92 331.45 1 259285 10199 HERNANDEZ,JESSE 203 ACC 03-18-92 207.50 1 269316 10199 HERNAND£Z,J£SSE 203 ACC 03-18-92 282.00 1 269376 10199 HUDSON,VIRGINIA 203 ACC 03-18-92 70.00 1 HUDSON,EDDIE 270999 10199 EVANS,JAM£S 203 ACC 04-03-92 33.40 1 EVANSrJAMES D 211024 10199 EVANS,JARES 203 ACC 04-03-92 4541.38 1 EVANS,JAMES D 271073 10199 H€DGES,VERNON 203 ACC 04-03-92 109.00 1 HEDGES,VERNON V 272098 10199 ARGULDrANA 203 ACC 04-14-92 70.00 1 ANGULDrANA D 272171 10199 BRANSON,GOROON 203 ACC 04-14-92 70.00 1 BRANSON,BRAD L 272270 10199 BRANSON,GORDON 203 ACC 04-14-92 446.75 1 BRANSON,BRAD L 272341 10199 BRANSON,GORDON 203 RCC 04-14-92 207.00 1 BRANS09,0RAD L 272435 10199 BRANSON,GOROON 203 ACC 04-14-92 286.00 1 BRANSON,BRAD L 272528 10199 BRANSDNrGORDON 203 ACC 04-14-92 2148.30 1 BRANSON;BRAD L 272334 10199 BROW CHANDA 203 ACC 04-14-92 90.56 1 BROHNrCHANDA M 272550 10199 BROUrCHANDA 203 ACC 04-14-92 109.00 1 BROWN,CHANDA M 272201 10199 CANPOS,ERNIE 203 ACC 04-14-92 109.00 1 CAMPOS,NICHEL£ E 272361 10199 CARDENAS,DAVID 203 ACC 04-14-92 846.92 1 272163 10199 ERHART,GLEN 203 ACC 04-14-92 170.10 1 ERHART,GLEN B 272287 10199 FARLEY,SEAN 203 ACC 04-14-92 18.50 1 FARLEY,SARAH 272291 10199 FARLEYrSEAN 203 ACC 04-14-92 26.20 1 FARLEY,ANTOINETTE A 272557 10199 FARLEY,SEAK 203 ACC 04-14-92 18.90 1 FARL£Y,ANTOINETTE M 272329 10199 GALL£GOS,BARBARA 203 ACC 04-14-92 133.00 1 GALLEGOS,ANDREN 272181 10199 GARDNER,TOMMY 203 ACC 04-14-92 244.70 1 GARDNER,VICTORIA A 272257 10199 GUTI€RREZ,CELSO 203 ACC 04-14-92 63.00 1 272297 10199 GUTIERREZ,C€LSO 203 ACC 04-14-92 70.00 1 272501 10199 GUTIERREZ,CELSO 203 ACC 04-14-92 70.00 1 272339 10199 HELN,CHRISTOPHE 203 ACC 04-14-92 73.00 1 272300 10199 HEREDIAiGONZALO 203 RCC 04-14-92 70.00 1 HEREDIWARU£LINE 272279 10199 HEYIIT,LINDA 203 ACC 04-14-92 109.00 1 CLUGSTON,JAMIE L 272160 10199 HDLHESS,CHERRICE 203 ACC 04-14-92 83.80 1 HOLNES,CHAMPAL£ S HEALTH SERVICES VRITE-OFF REPORT DATE:19 May 2000 PAGE; 12 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL RAL...., UT 272183 10199 HOLMESrCHERRICE 203 ACC 04-14-92 221.05 1 HOLMESrCH£RRICE R 272434 10191 HOSMER,BERNARD 203 ACC 04-14-92 104,20 1 HOSMER,BRIAN E 272520 10194 JOHNSON,JOHNNY 203 ACC 04-14-92 243.30 1 JOHNSON,JOHNNY N 272570 10199 JOHNSON,JOHNNY 203 ACC 04-14-92 91.00 1 JOHNSONrJOHNNY N 273682 10199 CORONADO,RAMON 203 ACC 04-21-92 1151.00 1 CORONADOrAMANDA 273733 10199 ELLENBURG,KIMBERLY 203 ACC 04-21-92 344.50 1 213363 10194 0091ALM ELENA 203 ACC 04-21-92 129.50 f GONZALEI,ELENA N 273357 10194 GRAHAM,CYNETHIA 203 ACC 04-21-92 79.00 1 GRAHAMtCYNETHIA S 273575 10194 GRAHAM,CYNETHIA 203 ACC 04-21-92 733.18 1 GRAHAM,CYNETRIA S 273570 10149 HARRIS,VILLIAM 203 ACC 04-21-92 63.00 1 HARR18tNILL1AM H 27372.5 10194 HARRIS,UILLIAM 203 ACC 04-21-92 210.20 1 HARRISrVILLIAM H 273594 10194 HELM,CHRISTOPHE 203 ACC 04-21-92 136.90 1 275013 10199 CRONWELL,SHERRY 203 ACC 05-06-92 88.50 1 CRONVELL,SHERRY M 275126 10199 CRONVELL,SHERRY 203 ACC 03-06-92 109.00 1 CRONVELL,SHERRY M 274896 10199 FARLEY,SEAN 203 ACC 05-46-92 57.00 1 FARLEY,SARAH 274811 10199 GARCIArFELIPE 203 ACC 03-06-92 17.32 1 GARCIArALIDA 275325 10199 GARCIArFELIPE 203 ACC 05-06-92 81.00 1 GARCIA,CARLOS A 274924 10194 GUIMAN,GUSTAVO 203 ACC 05-06-92 720.09 1 275217 10199 HELM,CHRISTOPHE 203 ACC 05-06-92 142.00 1 275142 10199 HORNSBYt HILTON T JR 203 ACC 05-06-92 308.00 1 HORNSBY,HILTONJR T 275113 10199 HUNT,LINDA 203 ACC 05-06-92 190.45 1 HALL,DANTE C 274836 10199 LOUISVILLE,OBIS 203 ACC 03-06-92 176.20 1 LOVISVILLE,CRIS D 275141 10199 LOVAN,PATRICIA 203 ACC 03-06-92 66.56 1 2.76151 10199 CONOVERtSHAYNE 203 ACC 05-13-92 79.50 1 CONOVER,SHAYNE E 275225 10199 HELMrCHRISTOPHE 203 ACC 05-13-92 50.00 1 276157 10199 JOHNSON,INEZ 2203 ACC 05-13-92 158.42 1 277131 10149 BREWER,LUCILLE 203 ACC 05-19-92 400.50 1 277238 10199 DOUPE,NICHAEL 203 ACC 05-19-92 72.00 1 DO'JPE,KAYLA M 277443 10199 DOUPE,NICHAEL 203 ACC 05-19-92 72.00 1 DOUPE,NICHAEL D 277253 10199 GARCIA,FELIPE 203 ACC 05-0-92 14.00 1 GARCIArALIDA 277510 10149 GARCIA,FE`62PE 203 ACC 05-19-92 21.07 1 V. HEALTH SERVICES URITE-OFF REPORT DATE:19 lay 2000 PACE, 13 DEBTOR.... CLIENT$... NAPE.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..... CNT GARCiAtALIDA 277333 10199 HALOG,ANNANAE 203 ACC 05-19-92 108.00 1 HALOGtANNAPAE J 217270 10199 HEREDIA,CONIALO 203 ACC 05-19-92 210.10 1 HEREDIA,PAR€A C 277199 10199 LEVIS,JANES 203 ACC 05-19-92 208.45 1 LEVIS,JAHES J 279649 10199 ANGULO,ANA 203 ACC 05-27-92 83.80 1 ANGULO,ANA 0 219764 10199 CLARK,PHYLL€S 203 ACC 05-27-92 107.00 1 279925 10199 DOUPE,PICHAEL 243 ACC 05-27-92 70.00 1 DOUPE,PICHAEL D 279859 10199 £DWARDS,DEBRA 203 ACC 05-27-92 258.50 1 279961 10199 FARLEY,SEAN 203 ACC 05-27-92 18.90 1 FARLEY,ANTO€NETTE P 279940 10199 FEATHERMARLOS 203 ACC 05-27-92 118.60 1 FEATHERS,CARLDS F 279969 10199 FEATHERS,CARLOS 203 ACC 03-27-92 200.15 1 FEATHERS,CARLOS F 279894 10199 GARCIA;MARGARITA 203 ACC 05-27-92 256.69 1 279647 10199 H€NSON,MICHELLE 203 ACC 05-27-92 124.00 1 HEFFELNIRE,ANTHONY L 219987 10199 HEREDIA MNIALO 203 ACC 03-27-92 328.50 1 HEREDIA,JA@UEL€NE 279741 10199 HERNANDEI,RAOL 203 ACC 05-27-92 298.43 1 279907 10199 HERNANDEI,RAUL 203 ACC 05-2742 14.00 1 280155 10199 HICKS,ALLEN 203 ACC 05-27-92 141.00 1 HICKS,ALLEN J 281373 10199 ANGULO,ANA 2203 ACC 06-04-92 82.30 1 ANGULO,ANA D 281191 10199 AYALA,RUBEN 203 ACC 06-04-92 109.40 1 281247 10199 GREEN,FRED 203 ACC 06-04-92 294.63 1 GREEN:FRED D 281427 10199 HANCOCK,RENIA 203 ACC 06-04-92 93.00 1 281312 10199 HERNANDEI,RAUL 203 ACC 06-04-92 194.00 1 2813$7 10199 HOLLY„JENNIFER 203 ACC 06-04-92 236.00 1 OLSON,RAICHEL N 281383 10199 HOOPER,VILFORD 203 ACC 06-04-92 87.00 1 HOOPER.NILFORD D 281396 10199 HOOPER,YILFORD 203 ACC 06-04-92 87.00 1 HOOPER,UILFORD D 283281 10199 HUCHES,SANDRA 203 ACC 06-04-92 22.€0 1 HUGHES,SANDRA L 282264 10199 BREN£R,LUCILL£ 203 ACC 06-10-92 137.00 1 JOHNSON,SIN J 281952 10199 CASTANEW ASTRID 203 ACC 06-10-92 116.20 1 CASTANEW ASTRID A 281996 10199 D€GCS,CREGORY 203 ACC 06-10-92 160.15 1 282244 10199 DIGGS,CRECORY 203 ACC 06-10-92 115.00 1 282024 10199 EDVARDS,DEBRA 203 ACC 06-10-92 133.10 1 EDNARDS,DEBRA D 282142 10199 EDVARDS,DEBRA 203 ACC 06-10-92 $3.90 1 EDNARDS,DEBRA D HEALTH SERVICES WRITE-OFF REPORT DATE:19 May 2004 PAGE: 14 DEBTOR.... CLIENT#,.. NAME.......................... DSK ST CD DT-ASSIGN LST PAY, TOTAL BAL..... CNT 282145 10199 EDWARDS,DEBRA 203 ACC 06-10-92 149.80 1 EDWARDS,DEBRA D 282173 10199 EDWARDS,DEBRA 203 ACC 06-10-92 85.40 1 EDWARDS,DEBRA D 282117 10199 FR€GO,TANERA 203 ACC 06-10-92 83.05 1 FRIGO,TAMERA J 282116 10199 GETCHMAN,TERENCE ALCIDE 203 ACC 06-10-92 115.00 1 DETCHMAN,TERENCE A 281989 10199 CILLILAND,LYNETTE 203 ACC 06-10-92 130.60 1 282242 10199 DILMOUR,PETEP SR. 203 ACC 06-10-92 328.95 1 GILMOUR.PETER C 282063 #0199 GRAHAM,JUDITH 203 ACC 06-10-92 245.12 1 DRAHAM,JUDITH S 281966 14199 HOSNER,BERNARD 243 ACC 06-10-92 128,50 1 HOSMER,BERNARD A 281986 10199 NUFFRAN,BRIAN 203 ACC 06-10-92 26.04 1 HUFFMAN,BRIAN E 282231 10199 LARES,JOSE 203 ACC 06-10-92 375.10 1 LARES,AKA A 282804 10199 BROTHERS,ANTHONY 203 ACC 06-1642 130.40 1 BROTHERS,ANTHDNY D 282853 14199 EARL,DERRICK 243 ACC 06-16-92 97.60 1 EARL,DERRICK D 283035 10199 EHLERS,NOEL 203 ACC 06-16-92 134.92 # EHLERS,NDEL S 283129 10199 FOY,LYNDA 203 ACC 06-16-92 80.00 1 FOY,LYNDA D 282977 10199 GARID£L,LOUIS 203 ACC 06-16-92 231.8!1 1 CARIDEL,LOVIS R 283074 10199 GARIDEL,LOU€S 203 ACC 06-16-92 73.60 1 GARIDEL,LOUIS R 283013 10199 GLASPIE,MONTAI 243 ACC 06-16-92 99.65 1 GLASPIE,MONTAI R 282971 10199 GUILARDI,MOISE 243 ACC 06-16-92 109.00 1 282974 14199 HAYES,MICHAEL 203 ACC 06-16-92 169.00 1 283072 10199 HAYES,NICHAEL 203 ACC 06-1642 162.70 1 283086 10199 HAYES,MICHA£L 203 ACC 06-16-92 138.34 1 282877 10199 HEREDIA,GONZALD 203 ACC 06-16-92 70.00 1 HERED€A,MARIA C 282963 10199 HERNANDEZ,GLORIA 203 ACC 06-16-92 65.00 1 HERNANDEI,DAVID 282895 10199 HERNANDEI,RAUL 203 ACC 06-16-92 187.00 1 282811 10199 HUGHES,SANDRA 203 ACC 06-16-92 16.60 1 HUGHES,SANDRA L 283245 10199 HUMPHREY,JUNIOR 203 ACC 06-16-92 38,87 1 HUKPHREY,JUNIOR D 282873 10199 KING,CHARLES 203 ACC 06-16-92 261.62 1 K€NG,CHARLES R 232846 10199 LOPEZ,JORGE 203 ACC 06-16-92 125.70 1 LOPEZ,LUCIA 284413 10199 BROWN,ISAAC 203 ACC 06-23-92 2578.48 1 284165 10199 DIAZ,AHARDN 203 ACC 06-23-92 522.70 1 DIAZ,AHARON F HEALTH SERVICES YRITE-OFF REPORT DATE:19 May 2000 PAGE: 15 DEBTOR.... CL€ENT#... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL, SAL..... CUT 284157 10191 DOUPE,MICHAEL 203 ACC 06-23-92 402.30 1 DOUFEtCARLENE K 284022 10199 GONZALES,RANDOLPH 203 AGC 06-23-92 77.25 1 283918 10199 HADLE JANYA 203 ACC 06-23-92 70.00 1 MATCHETTrJACK G 283793 10199 HARTZELL,SHAYN 203 ACC 06-23-92 109.57 1 HARTZELL,SHAMN T 284144 10199 HARTZELL,SHAWK 203 ACC 06-2342 290.00 1 HARTZELLtSHAVK T 284161 10199 HARTIELL:SHAM 203 ACC 06-23-92 78.70 1 HARTZELLrSHAVW T 284172 10199 HILEMAN,VALERIE 203 ACC 06-23-92 471.70 1 284122 10199 LANGSTON,DONALD 203 ACC 06-23-92 132.55 1 LANGSTOMONALD E 285374 10199 BREVER,LUCILLE 203 ACC 07-02-92 342.00 1 BREVER,LUCILLE - 285236 10199 CLARK,ANNA 203 ACC 07-02-92 624.50 1 CLARKrANNA M 285280 10199 CLARK,ANNA 203 ACC 01-02-42 70.00 1 CLARK,ANNA M 283184 10194 DOVELL,SHARON 203 ACC 07-02-92 509.20 1 285564 10199 EARL,DERR€CK 203 ACC 07-02-92 348.99 1 EARL,DERRICK D 285336 10199 GARCIArGLENN 203 ACC 07-0242 89.02 1 285301 10199 GARCIA,MARGARITA 203 ACC 07-02-92 152.60 1 285331 10199 CODWIN,TABITHA 203 ACC 07-02-92 96.00 1 285586 10199 HUNTLEY,DANIEL 203 RCC 07-02-92 72.70 1 HUNTLEY,DANIEL L 286244 10199 DANIELS,KARMA 203 ACC 07-08-92 639.70 1 DAN€ELS,KARMA S 286186 10199 EARLE,RICHARD 203 ACC 07-08-92 112.00 1 €ARLE,RICHARD 0 286047 10194 ESTRELLArCHARLES 203 ACC 07-08-92 260.48 1 286311 10199 FORTENBERM LESLi€ 203 ACC 07-08-92 98.20 1 FORTENBERRY,LESLIE M 285493 10199 GALVANrVINT 203 ACC 07-08-92 375.66 1 GALVAMINT J 286360 10199 GALVANNINT 203 ACC 07-08-92 83.00 1 GA'LVAMINT 3 285984 10199 HOMOLKA,JAMES 203 ACC 07-08-92 87.50 1 HOMOLKAtJAMES S 286002 10199 H"OLKA,JAMES 203 ACC 07-08-92 670.50 1 HOMOLKA,JAMES 8 286014 10199 HOUSE HIDE 203 ACC 07-08-92 2246.50 1 GARDNER,DAVID N 286335 10199 HOUSE.PRIDE 203 ACC 07-08-92 63.00 1 GARDN€R.DAVID N 286386 10194 HUCHESrTYRONE 203 ACC 07-08-92 111.30 1 HUGHES,TYRONE V 286221 10199 HYDE,RUTH 203 ACC 07-08-92 127.10 1 HYDE,RUTH J 287306 10199 BROVN,ISAAC 203 ACC 07-15-92 84.00 1 287254 10199 CHAVARR€A,LUI 203 ACC 07-15-92 353.50 1 HEALTH SERVICES VRITE-OFF REPORT DATE%19 Nagy 2000 PAGE: 16 DEBTOR.... CLIENTL.. NAKE.......................... DSK ST CO OT-ASSIGN LST PAY. TOTAL BAL..... COT CHAVARRIA,LUZ R 287084 10199 DANIELS,PAUL 203 ACC 07-15-92 70.00 1 DANIELS,DAVID P 287077 10199 GARCIA,WARCEE 203 ACC 07-15-92 319.00 1 287167 10199 GARCIAMARCEE 283 ACC 07-15-92 355.50 1 287351 10199 GARCIA,NARCEE 203 ACC 07-15-92 642.00 1 287180 10149 GETCHNAN JERENCE ALCIDE 203 ACC 07-15-92 124.75 1 GETCHNANrTERENCE A 287382 10199 HORNSBY, HILTON T JR 203 ACC 07-15-92 €45.30 1 HORNSSY,CHAD T 287929 10194 AHUNADA MNANDO 203 ACC 07-23-92 46.20 1 AHUNADA,ELODIA G 288098 10199 CROFOOT,RICHARD 203 ACC 07-23-92 80.50 1 CROFOOT,RICHARD R 288423 10199 FOSTER.NART€N 203 ACC 07-23-92 265.50 1 FOSTERfNARTIN A 288271 10199 GERNEN,VERA 203 ACC 07-23-42 41.00 1 288172 10199 GILNORE,NARK 203 ACC 07-23-92 93.00 1 GILRORE,LEE A 288116 10199 GOMM HOLLY 203 ACC 07-23-92 98.35 1 SARRAGAMANESSA 288131 10194 GOSS,JULIE 203 ACC 07-23-92 135.50 1 NOUTONJUDD A 287927 10194 GRAHANtCYNETHIA 203 ACC 07-23-92 70.00 1 GRAHAM,CYNETHIA S 287968 10199 WRAN,GUSTAVO 203 ACC 07-23-92 167.00 1 287923 10199 HUFFrGEORGE 203 ACC 07-23-92 118.50 1 HUFF,KEVIN A 288224 10199 HUFF,GEORGE 203 ACC 07-23-92 372.70 1 HUFFrKEVIN N 287992 10199 HUGHES,SANDRA 203 ACC 07-23-92 202.80 1 HUGHES,SANDRA L 288057 10€99 HUGHES►SANDRA 203 ACC 07-23-92 63.00 1 HUGHES,SANDRA L 288230 10199 HUGHEMANDRA 203 ACC 07-23-92 144.60 1 HUGHES,SANDRA L 288453 10199 HUGHES,SANDRA 203 ACC 07-23-92 18.70 1 HUGHES.SANDRA L 288075 10€99 HUNTERMAROLD 203 ACC 07-23-42 114.89 1 HUNTER,HAROLD C 288175 10199 HUNTERMAROLD 203 ACC 07-23-92 64.88 1 HUNTER,HAROLD C 288306 10199 HUNTER,HAROLD 203 ACC 01-23-92 87.00 1 HUNTER,HAROLD C 289358 10199 CHALIL,ANGELINA 203 ACC 07-29-92 252.95 1 289342 10199 CLARATY,BIL 203 ACC 07-29-92 2974.28 1 CLARAM PAMELA A 289267 10199 DOVELLrSHARON 203 ACC 07-24-92 662.39 1 289522 10199 DURAN,JORGE 203 ACC 07-29-92 430.50 1 DURAMARINA E 289207 10199 GUERNSEY,BILLIE 203 ACC 07-29-92 161.45 1 DAVALL,JENEL M 289140 10199 HUDSON,EDOIE 203 ACC 07-29-42 31.10 1 HEALTH SERVICES VRITE-OFF REPORT DATEs19 May 2000 PAGE: 17 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT—ASSIGN LST PAY. TOTAL SAL..... CRT HUDSQN,EDDIE 289285 10199 HUDSON,EDDIE 203 ACC 07-29-92 189.50 1 HUDSQN,EDDIE 289170 10199 KILCORSE,JQE 203 ACC 07-29-92 115.00 1 KILCORSE,JOE F 291113 10199 DANIELS,KARMA 203 ACC 08-13-92 1032.45 1 DAKIELS,PATRIKA Y 291135 10199 FORSYTHE,LESLEY 203 ACC 08-13-92 249.40 1 FORSYTHE,LESLEY D 291131 10199 FROST,TANARA 203 ACC 08-13-92 134.44 1 FROST,TAMARA N 291224 10199 FROST,TANARA 203 ACC 08-13-92 113.91 1 FROST,TAMARA R 291035 10199 GARCIArGLENN 203 ACC 08-1342 316.50 1 290825 10199 GARCIA,NARCE£ 203 ACC 08-13-92 273.50 1 290900 10199 GILL,ANGELA 203 ACC 01-13-92 133.00 1 GILL,ANGELA L 290920 10199 GILL,ANGELA 203 ACC 08-13-92 180.95 1 GILL,ANGELA L 291107 10199 GILNORE,MARK 203 ACC 08-13-92 730.39 1 GILMORE,LEE A 291109 10199 GUERREROrCANTALICIO 203 ACC 08-13-92 30.00 1 GUERREROrRQSA M 291253 10199 +GUERRERMANTALICIO 203 ACC 08-13-92 164.50 1 GUERRERD,RQSA M 291177 10199 HALL,BARBARA 203 ACC 08-13-92 179.30 1 HALL,BARBARA A 290857 10199 HAYES,ANNA 203 ACC 08-13-92 79.50 1 HAYES,ANNA R 290867 10199 HERSON,MICHELLE 203 ACC 08-13-92 206.45 1 HEFFELMIRE,ANTHQNY L 291155 10199 HERNANDEZ,RICARDO 203 ACC 08-1342 66.00 1 HERNANDEZ,RICARDO E 291295 10199 JOHNSON{MICHAEL 203 ACC 06-13-92 292.00 1 JOHNSON,MICHAEL N 290922 10199 LOPEZ,FRANCISCO 203 ACC 08-13-92 303.30 1 LOPEZ,SOCORRQ D 292269 10199 BROTHERSrANTHONY 203 ACC 08-2142 411.45 1 SROTHERS,ANTHONY D 292217 10199 CLARATY,BIL 203 ACC 06-21-92 189.00 1 CLARATY,PAMELA A 292113 10199 DREILING,MICHAEL 203 ACC 08-21-92 46.68 1 DREILING,MICHAEL A 292137 10199 ENEMARK,KIM 203 ACC 08-21-92 99.00 1 ENEMARK,KIM D 292066 10199 HALL,BARBARA 203 ACC 08-21-92 132.50 1 HALL,BARBARA A 292280 10199 HARATIrMAHMQOD 203 ACC 08-21-92 259.50 1 292211 10199 HERNANDEZ,JOSE LUIS 203 ACC 08-21-92 243.05 1 292126 10199 JQHNSQN,JOHNNY 203 ACC 08-21-92 124.80 1 JOHNSON,JQHNNY N 292287 10199 JQHNSQN,JOHNNY 203 ACC 08-21-92 63.00 1 JQHNSQN,JQHNNY H HEALTH SERVICES VRITE-OFF REPORT DATE;€9 N&V 2000 PAGE: I8 DEBTOR.... CLIENT#.,, NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..... GIT 293092 10199 CATALANO,CHRISTIAN 203 ACC 09-01-92 112.64 1 293137 10199 EARLE,RICHARD 203 ACC 09-01-92 137.00 1 EARLE,RICHARD D 293190 10199 GARCIA,GARY 203 RCC 09-01-92 128.26 1 GARCIA,TAMMI M 293085 10199 GARCIA,MARCEE 203 ACC 09-01-92 63.00 1 292965 €0199 GREEN,JAMES 203 ACC 09-01-92 93.00 1 GREEN,JAMES C 293076 10199 GREEN,JAMES 203 ACC 09-0142 70.00 1 GREEN,JAMES C 293121 10199 KING,VINCENT 203 ACC 09-0142 70.00 1 293103 10199 LEONESIO,MICHAEL 203 ACC 09-01-92 165.00 1 LEONESIO,RICHAEL J 294121 10199 ADRIAND,RA1fIRO 203 ACC 09-10-92 €5.60 1 293676 10199 CARTVRIGHT,MICKEY 203 ACC 09-10-92 671.20 1 CARTWRIGHT,LINDA K 294364 10199 CARTNRIGHTrMICKEY 203 ACC 09-€0-92 €€0.84 1 CARTBRICHT,LINDA K 293783 10199 DANIELS,DANA 203 ACC 09-€0-92 314.30 1 DAN€ELS,DANA A 293877 10199 DOVELL,SHARON 203 ACC 09-1042 150.99 1 293899 10199 DOWELLrSHARON 203 ACC 09-10-92 266.99 1 294363 10199 FORSYTHE,LESLEY D 203 ACC 09-10-92 79.00 1 FORSYTHE,LESLEY D 294067 10199 FROSTrTAMARA 203 ACC 09-10-92 139.00 1 FROST,TAMARA N 294177 10199 FROST,TAMARA 203 ACC 09-10-92 70.00 1 FROST,TAMARA N 294084 10199 GILLIAM,MICNAEL 203 ACC 09-1042 296.52 1 GILLIAN,NICHAEL A 294174 10199 GOSS,JULIE 203 ACC 09-10-92 114.60 1 MOUTON,TODD A 294213 10199 GRISBY,GLEN 203 ACC 09-10-92 13,50 1 GRISBYrGLEN M 293811 10199 GUTIERREIrVIRG€NIA 203 ACC 09-10-92 232.85 1 AGUILAR,HISRAIN 294221 10199 HALABY,DONALD 203 ACC 09-10-92 124.00 1 293887 14199 HARPERrCARY 203 ACC 09-10-92 €96.50 1 NARPER,GARY N 294150 10199 HAUSIA,PAEA 203 ACC 09-10-92 $22.00 1 HAUSIArSIONE M 293931 10199 HOUSE,PRIDE 203 ACC 09-10-92 124.00 1 GARDNER,DAVID N 294127 10199 JACKSON,NILLIE 203 ACC 09-10-92 133.20 1 JACKSON,NILLIE J 293842 10199 LACKLAND,CHRISTOPHE 203 ACC 09-10-92 251.33 1 LACKLAND,CHRISTOPHE C 293661 10199 LAHRrCHRISTINA 203 ACC 09-10-92 118.80 1 LAHR,CHRISTINA L 293976 10199 LOUISVILLE,ORIS 203 ACC 09-10-92 94.00 I LOUISVILLE,4RIS D 294815 10199 CARTER4018 203 ACC 09-15-92 147.00 1 CARTER,DOR€S M HEALTH SERVICES WRITE-OFF REPORT DATE;19 MaV 2000 PAGES 19 DEBTOR.... CLIENT#... NAME'.......................... OSK ST CD DT-ASSIGN LST PAY. TOTAL SAL..... CKT 294933 10199 CARTERJORIS 203 ACC 09-15-92 469.50 1 CARTER,DORIS M 294884 10199 CORREA,STEVEN 203 ACC 09-15-92 363.95 1 CORREA,STEVEN J 294687 10199 GASAWAY,KELLY 203 ACC 09-15-92 4371.93 1 GASAWAY,KELLY J 294831 10199 GASAVAY,KELLY 203 ACC 09-15-92 401.00 1 GASAWAY,KELLY J 294970 10199 GLAOFELTER,BRUCE 203 ACC 09-15-92 72.00 1 GLATFELTER,COREY V 294783 10199 HARRIS,GARY 203 ACC 09-15-92 5114.72 1 294900 10199 HOLMES,CHERRICE 203 ACC 09-15-92 112.00 1 HOLMES,CHERRICE R 294753 10199 LOPEZ,JORGE 203 ACC 09-15-92 229.36 1 LOPEZ,LUCIA 295678 10199 ACOSTA,CARMEN 203 ACC 09-2342 247.00 1 ACOSTA,MORENA C 295419 10199 ERRICO,ANOREA 203 ACC 09-23-92 477.90 1 ERR€CO,ANDREA M 295436 10199 GUT€ERREZ,V€RGINIA 203 ACC 09-23-92 109.00 1 AGUILAR,M€SRA€M 293490 10199 HUMPHREY,JUNIOR 203 ACG 09-23-92 63.00 1 HUMPHREY,JUNIOR D 295400 10199 LOUISVILLE,URIS 203 ACC 09-23-92 106.00 1 LOUISVILLE,ORIS 0 296751 10199 CARTVRIGHT,HICKEY 203 ACC 10-01-92 328.80 1 CARTWRIGHT,LINDA K 296589 10199 CHISHOLM,BRET 203 ACC 10-01-92 301.70 1 CHISHOLN,LEE E 296662 10199 DANIELS,KARMA 203 ACC 10-01-92 2122.93 1 DANIELS,KARMA S 296665 10199 DR£ILIKG,MICHAEL 203 ACC 10-01-92 92.00 1 DREILING,NICHAEL A 296469 10199 EARLE,RICHARD 203 ACC 10-01-92 70.00 1 EARLE,R€CHARD 0 296677 10199 ESTRELLA,CHARLES 203 ACC 10-01-92 146.99 1 296471 10199 GASAWAY,KELLY 203 ACC 10-01-92 78.70 1 GASAVAY,KELLY J 296644 10199 GOBIS,JEROME 203 ACC 10-01-92 115.45 1 GOBIS,JEROME R 296741 10199 GROOM,VERNON 203 ACC 10-01-92 67.80 1 GROOM,VERNON E 296563 10199 HARPER,GARY 203 ACC 10-01-92 222.00 1 HARPER,GARY M 296764 10199 JACKSON,WILLIE 2203 ACC 10-01-92 212.60 1 JACKSON,VILLIE J 297104 10199 ANDERSON,O.C. 203 ACC 10-07-92 42.00 1 297597 10199 CURIEL,MICHELLE 203 ACC 10-07-92 112.00 1 CURIEL,MICHELLE R 297556 10199 DAVIS,NOEL 203 ACC 10-07-92 263.30 1 DAVIS,PHYLLIS M 297094 10199 DYSON,STEPHANIE 203 AGC 10-07-92 204.50 1 DYSON,STEPHANIE R HEALTH SERVICES WRITE-OFF REPORT BATE:19 N&V 2000 PAGE; 20 DEBTOR.,.. CLIENT#... KANE.......................... DSK ST CD 0T-ASSIGN LST PAY. TOTAL RAL.,... CRT 291256 10199 FOREMAMICTOR 203 ACC 10-07-92 €95.75 1 FOREIIAMICTOR N 297141 €0199 GARRISOME1f15E 203 ACC 10-07-92 285.220 € GARRISON,DENI6E J 297275 10199 GODDARD,KIRRERLY 203 ACC 10-07-92 233.80 1 GODDARD,KIMBERLY T 297354 10199 HALL,BARBARA 203 ACC 10-07-92 120.50 1 HALL,BARBARA A 297096 20199 HAM1lOW DANIEL 203 ACC 10-07-92 99.50 1 HAINOND,CHRISTINA 297560 10199 HAUSIA,PAEA 203 ACC 10-07-92 225.50 1 HAUSIA,SIONE N 297213 10199 HERNAND£I,BERHARDINO 203 ACC 10-07-92 250.50 1 297348 10199 LOVAN,PATRICIA 203 ACC 10-07-92 190.42 1 298136 €0199 CARTEMORIS 203 ACC 10-13-92 63.00 1 CARTER,DORIS N 297911 10199 EDNARDS,DEBRA 203 ACC 10-13-92 139.90 1 EDWARDS,DEBRA D 298159 10199 FROST,TAMARA 203 ACC 10-13-92 181.50 1 FROST,TAMARA N 297989 10199 HOSKER,BERNARD 203 ACC 10-13-92 118.50 1 HOSKER,BRIAN E 298187 10199 HOSHER,BERNARD 203 ACC 10-13-92 57.45 1 HOSMER,BRIAN E 298902 10199 BR1NK£R MANE 203 ACC 10-21-92 462.80 1 BRINKER,MELANIE S 298946 10199 DANIELS,KARNA 203 ACC 10-21-92 63.00 1 DANIELS,PATRINA Y 298998 10199 EATON,BETH 203 ACC 10-21-92 123.10 1 EATON,BETH A 298845 10199 ELLIDTT,STEPHANIE 203 ACC 10-21-92 116.50 1 298859 10199 ELLIOTT,STEPHANIE 2203 ACC 10-21-92 171.00 1 299028 10199 EMEMARK«KIM 203 ACC 10-21-92 244.44 1 ENEMARK,KIM D 299105 10199 FARMER,PAT 203 ACC 10-21-92 87.00 1 LUCERO,ROBERT D 298815 10199 FIELDS,RANDY 203 ACC 10-21-92 2416,35 1 FIELDS,RANDY L 299075 10199 GARCIA,ROSARIO 203 ACC 10-21-92 97.00 1 298891 10199 GONEI,JOHN 203 ACC 10-21-92 127.00 1 GOMEI,JOHN B 299083 10199 HERNANDEI,BERNARDINO 203 ACC 10-21-92 97.00 1 299077 10199 JOHNSON,INEZ 203 ACC 10-21-92 158,40 1 299859 10199 EDVARDS,DEBRA 203 ACC 10-27-92 111.00 1 EDNARDS,DEBRA D 299766 10199 FIELDS:RANDY 203 ACC 10-27-92 85.00 1 FIELDS,RANOY L 299517 10199 FLORE6,ISNAEL 203 ACC 10-27-92 434.20 € FLORES,BERTHA 299611 10199 FLORM ISNAEL 203 ACC 10-27-92 25.00 € FLORES,BERTHA 299529 10199 FON&ECA,RJDY 203 ACC 10-27-92 209.93 1 FONSECAMANDA E HEALTH SERVICES WRITE-OFF REPORT L/ DA1E119 Nay 2000 PAGE: 21 DEBTOR.... CLIENT*... HANE.......................... DSK ST CO DT-ASSIGN LST PAY. TOTAL BAL..... CMT 299744 10199 CERNEMERA 203 ACC 10-27-92 182.00 1 299709 10199 HALOG,ANHAMAE 203 ACC 10-27-92 58.50 1 HALOG,ANNANAE J 299506 10199 NOWELL,GLEMN 203 ACC 10-27-92 200.58 1 HOVELL,GLENN A 299546 10199 NUELL,GLEHN 203 ACC 10-27-92 65.00 1 NOVELL.GLENN A 299719 10199 HUDSON,EDDIE 203 ACC 10-27-92 654.30 1 HUDSON,EDDIE 301183 10199 BENNETT,DONALD 203 ACG 11-24`92 93.60 1 REMNETT,DONALD C 301697 10199 CANNON,DANIEL 203 ACC 11-24-92 179.10 1 CAMNON,SANANTHA N 301706 10199 CARNICHAEL,LARRY 203 ACC 11-24-92 1085.65 1 301603 10199 CLARK,PHYLLIS 203 ACC 11-2442 15.00 1 301912 10199 EDHARDS,D£BRA 203 ACC 11-24-92 72.00 1 €DMARDS,DEBRA D 301925 10199 ENARDS,DEBRA 203 ACC 11-24-92 75.70 1 £DVARDS,DEBRA D 301946 20199 £DUARDS,DERRA 203 ACC 11-24-92 103.20 1 EDMARDS,D€BRA D 302070 10199 EDRARDS,D£BRA 203 ACC 11-24-92 146.68 1 EDOARDS,DEBRA D 3022.38 10199 EDMARDS,DEBRA 203 ACC 11-24-92 72.00 1 EDMARDS,DEDRA D 301337 10199 ESTR£LLA,CHARLES 203 ACC 11-24-92 162.43 1 301620 10199 FITZGERALD,HILLIAN 203 ACC 11-24-92 264.70 1 FITZGERALMILLIAM C 301161 10199 FONSECA,RUDY 203 ACC 11-24-92 111.45 1 FONSECA,ANANDA E 301522 10199 GERNEM,VERA 203 ACC 11-24-92 133.00 1 301076 10199 GIANG,NUD1 203 ACC 11-24-92 131,30 1 301162 10199 GIANGINVOI 203 ACC 11-24-92 108.00 1 301264 10199 GIANG,NUOI 203 ACC 11-24-92 82.50 1 3022145 10199 GIAHG,HUOI 203 ACC 11-24-92 102.50 1 301821 10199 GONZALEZ,JUAH 203 ACC 11-24-92 294.50 1 GONZALEZ,GARINA 301854 10199 GOHIALEI,JUAN E03 ACC 11-24-92 133.00 1 GONIAL€I,GADINA 301563 10199 GONZALEI,JUAN 203 ACC 11-2442 491.96 1 GOMZALEZ,GABINA 301576 10199 GUZMAN,GUSTAVO 203 ACG 11-24-92 817.07 1 301342 10199 HALFORD,LISA 203 ACC 11-24-92 72.00 1 NALFORD,LISA D 301569 10199 HARATI,NAKNOOD 203 ACC 11-24-92 72.00 1 301869 10199 HAUSIA,PAEA 203 ACC 11-24-92 81.00 1 HAUSIA,SIONE H 301658 10199 HAYES,JEFFREY 203 ACC 11-24-92 90.20 1 MAYES,JEFFREY C 301723 10199 NAYES,JEFFREY 203 ACC 11-24-92 208.06 1 NAY€S,J£FFREY C 302138 10199 HERMANDEZ,JOHN 203 ACC 11-24-92 186.60 1 301429 10199 HUNPHREY,JUNIOR 203 ACG 11-24-92 16.60 1 HEALTH SERVICES WRITE-OFF REPORT DATE;19 May 2000 PAGE; 22 DERTOR.... CLIENTO... MANE.......................... OSK ST CO OT-ASSION LST PAY. TOTAL DAL..,.. CRT HUMPHREYYJUNIOR D 301642 10199 HYDE,RUTH 203 ACC 11-24-92 239.40 1 HYDE,RUTH J 302097 10194 JAMES,SURL 203 ACC 11-24-92 82.12 1 JAMES,SURL L 302347 10199 JOHNSON,JOHNNY 203 ACC 11-24-92 408.12 1 JOHNSON,JOHNNY N 302679 10199 CHAUVIN,JULIE 203 ACC 12-014? 70.00 1 HELLER,NIKKI L 302743 101" CHERRYrREATHA 203 ACC 12-01-92 63.60 1 CHERRY,REATHA A 302578 10194 FACERHAUGH,CANDYC£ 203 ACC 12-01-92 153.00 1 FACERHAUCH,CANDYCE M 302882 10199 FANIUSH,MICH£LLE 203 ACC 12-01-92 497.05 1 FANDUSH.MICHELLE L 302842 10199 FITICERALMILLIAN 203 ACC 12-01-92 144.68 1 FITICERALD,NILLIAM C 302635 10199 FOR£MAN,VICTRR 203 ACC 12-01-92 152.30 1 FORENAN,VICTOR N 3022620 10199 GARCIA,ROSARIO 203 ACC 12-01-92 804.90 1 302605 10199 GARDIII,HAIOER 203 ACC 12-01-92 244.67 1 CARDIZI,HA€DER M 302968 10199 GAVINS,MICHAEL 203 ACG 12-01-92 183.80 1 GAVINS,MICHAEL L 30276.4 10199 HAMPTQN,MELIA 203 AGC , 12-01-12 332.50 1 HAMPTON,MELDA J 302737 10149 HICKSENGLAND,SHARON 203 ACC 12-01-92 117.00 1 HICKSENGLAND,SHARON L 302639 10199 KELLY,STELLA 203 ACG 12-01-92 511.50 1 KELLY,STELLA L 303471 10194 IRYANT,JACKIE 203 ACC 12-08-92 850.220 1 303602 10194 DAVIS,NOEL 203 ACC 12-08-92 76.70 1 DAVIS,PHYLLIS M 304277 10199 DAVIS:NOEL 203 ACC 12-16-92 356.50 1 DAVIS,PHYLLIS M 304167 10144 EDVARDS,DEIRA 203 ACC 12-1642 79.00 1 EDNARDS,DEIRA D 304385 10199 FARLEY,SEAN 203 ACG 12-16-92 99.40 1 FARLEY,SARAH 304232 10199 CUT€ERREZ,CELSO 203 ACC 12-16-92 79.00 1 304207 10199 HALFORD,LISA 203 ACC 12-1642 386.50 1 HALFURD,LISA O 304243 10199 JOHNSON,EJ£NNA 243 ACC 12-16-92 79.00 1 DRONN,AIHON S 305106 10199 DEALL,DIANE 203 ACC 12-30-92 214.69 1 DE UDIANE L 345331 10199 FROST,TAMARA 203 ACC 12-30-92 137.00 1 FROST,TAMARA N 305234 10199 GARCIAIROSARIO 203 ACC 12-30-92 79.00 1 305231 10149 GUTIERREZ,SECUNDINO 203 ACC 12-30-92 56.10 1 305367 10149 GUTIERREZ,SECUNDINO 203 ACC 12-30-92 453.93 1 305339 10199 HILLESHE M,SUBAN 203 ACC 12-30-92 141.00 1 303710 10189 CARTER,DORIS 203 ACC 01-06-93 240.00 1 HEALTH SERVICES VRITE-OFF REPORT DATE:19 KaV 2000 PAGE: 23 DEBTOR.... CLIENU... *ARE.......................... 085 ST CO OT-ASSIGN LST PAY. TOTAL RAL..... CWT CARTER,OORIS M 305795 10199 CH£RRY,REATHA 203 ACC 01-06-93 ISO M 1 CHERRY,REATHA M 305873 10199 DIXON,RANDY 203 ACC 01-0643 4647.31 1 DIXON,RANOY L 305777 10199 GOMEZ,JOHN 203 ACC 01-06-93 3227.06 1 GOMEZ,JOHN 8 305742 10199 HANCOCK,RENZA 203 ACC 01-0643 328.00 1 305737 10199 HARRIS,GARY 203 ACC 01-06-93 66.30 1 305734 10199 HEREDIA,GONZALO 203 ACC 01-06-93 79.00 1 HEREDIA,GONZALO N 305852 10199 LOPEZ,FRANCISCO 203 ACC 01-06-93 96.50 1 LOPEZ,ROCIO 306805 10€99 ANGULO,ANA 203 ACC 01-2043 92.30 1 ANGULO,ANA 0 306943 10199 CARDENAS,DAVID 203 ACC 01-20-93 600.12 1 CARDENAS,DAVID G 307113 10199 COLON,ANTONIA 2203 ACC 01-20-93 479.00 1 MADERA,CAROL I 307498 10199 CRA4IFORD,MARK 203 ACC 01-2043 569.34 1 CRAVFORD,MARK J 307375 10199 DANIELS,PAUL 203 ACC 01-20-93 2694.37 1 DANI£LS,DANA A 307508 10199 DANIELS,PAUL 203 ACC 01-20-43 1257.10 1 DANIELS,DAVID P 306942 10199 D€XON,RANDY 203 ACC 01-20-93 279.00 1 DIXON,RANDY L 307124 10199 EDUARDS,DEBRA 203 ACC 01-20-93 113.30 1 EDYARDS,OERRA D 30742+4 10194 FAGERHAUGH,CANDYCE 203 ACC 01-20-93 97.50 1 FAGERHAUGH,CANDYCE M 307322 10€91 FLORES,JUAN MANUE 203 ACC 01-20-93 16.00 1 FLORES,ANA MARIA 307354 10199 FLOYD,BILL 203 ACC 01-20-93 99.80 1 FLOYD,RILL L 307355 10199 FLOYD,8ILL 203 ACC 01-20-93 196.50 1 FLOYMILL L 307112 10199 FOSTER,GREGORY 203 ACC 01-20-93 102.00 1 FOSTER,GREGORY R 306772 €0194 GRILLO,SALVATORE 203 ACC 01-20-43 79.00 1 GRILLO,SALVATORE M 306922 10194 GRILLO,SALVATORE 213 ACC 01-20-93 224,20 1 GRILLO,SALVATORE M 307012 10199 GUTIERREZ,SECUNDINO 203 ACC 01-20-93 3040.63 1 306854 10199 HARATI,MAHNOOO 203 ACC 01-20-93 59.00 1 307276 10199 HEDGES,VERNON 203 ACC 01-20-93 299.05 1 HEDGES,VERNON V 307120 10€99 HICKSENCLA110,SHARON 203 ACC 01-20-93 144.00 1 H€CKSENGLAND,SHARON L 306799 10199 HILLESHEIM,SUSAN 203 ACC 01-20-93 172.00 1 307396 10199 HULSEY,KIMRERLY 203 ACC 01-20-93 137.00 1 HULSEY,KIMRERLY J 307016 10199 HULSEY,THCNAS 203 ACC 0€-20-93 299.93 1 HEALTH SERVICES VRITE-OFF REPORT DATE•19 Rig 2000 PAGE: 24 DEBTOR.... CLIENT#... NAM€.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL.,... CN` HULS€YtKINBERLY J 307379 10199 HUMPHREY,JUNIOR 203 ACC 01-20-93 16.60 1 HUMPHREY,JUNIOR D 306770 10199 JOHNSOM,KENNETH 203 ACC 01-20-93 121.00 1 JOHNSON,KENNETH V 306795 10199 JOHNSON,KENNETH 203 AEC 01-2043 12.40 1 JOHNSON,KENNETH V 308340 10199 RESFT€ARS.PRISCILLA 203 ACC 01-28-93 198.20 1 B£SHEARS,PRISCILLA G 308216 10199 COLON,ANTONIA 203 ACC 01-28-93 450.50 1 MADERA,CAROL I 308052 10199 ELLEMBURG,KIMB£RLY 203 ACC 01-28-93 195.99 1 308076 10199 FIELDS,DERISE 203 ACC 01-28-93 139.63 1 FIELDMENIS£ N 308313 10199 FI€LDS,D£MIS£ 203 ACC 01-28-93 138.65 1 FI€LDStDENISE N 308204 10199 FR€EMAN,RICHARD 203 ACC 01-28-93 143.89 1 FREEMAN,RICHARD L 308144 10199 GARCIA,TAMMI 203 ACC 01-28-93 183.00 1 M€TCHUFF,JACOB D 308205 10199 GARCIA,TANNI 203 ACC 01-2843 411.50 1 HITCHOFF,JACOS D 308185 10199 GLOVER,ELAINE 203 ACC 01-28-93 172.32 1 GLOVER,JERENIAH C 308049 10199 CUTIERR£I,SECURDIND 203 ACC 01-28-93 301.20 1 308330 10199 HAU8IA,PAEA 203 ACC 01-28-93 64.00 1 HAUSIAtSIONE M 308136 10199 NEVITT,LINDA 203 ACC 01-2843 82.30 1 HEHITT,LINDA S 308233 10199 KING,VINC€NT 203 ACC 01-2843 86.40 1 308892 10199 RROAN,CHANDA 203 ACC 02-03-93 72.60 1 BROUNtCHANOA M 308743 10199 GARCIA,TAMMI 203 ACC 02-03-93 209.50 1 MITCHOFF,JACOB D 308864 10199 GONEZtANTDKIO 203 ACC 02-03-93 84.10 1 308772 10199 HICKSENGLAND,SHARON 203 ACC 02-0343 632.70 1 HICKS€NGLAND,SHARON L 308815 10199 HICKSENGLAND,SHARON 203 ACC 02-03-93 348.10 1 HICKSENGLAND,SHARON L 308707 10199 JOHNSOH,EJEWWA 203 ACC 02-03-93 114.50 1 JOHNSON,£JENK'A C 308894 10199 JUHNSOM,EJEWNA 203 ACC 02-03-93 183.20 1 JUH#SON,EJEWVA C 309378 10199 DAVEMPORT,LESLIE 203 ACC 02-09-93 95.50 1 DAVENPORT,L€SLIE D 30951.4 10199 OAVIS,NOEL 203 ACC 02-09-93 112.30 1 DAVIS,PHYLLIS M 309634 10199 FIELDS,D£NISE 203 ACC 02-09-93 82.08 1 FIELDS,DENIS£ N 309430 10199 FLORES,JUAN MANUE 203 ACC 02-09-93 213.50 1 FLORES,AKA MARIA 309393 10199 GARCIA,TAMMI 203 ACC 02-09-93 176.00 1 MITCHOFF,JACOB D 'f HEALTH SERVICES VRITE-OFF REPORT DATE'•19 Miy 2000 PAGE, 25 DEBTOR.... CLIENT#... NAME-........ ............... DSK ST CD DT-ASSIGN LST PAY. TOTAL RAL..... CRT 309445 10194 GARCIA,TANMI 203 ACC 02-09-43 997.98 1 MITCHOFF,JACOB 0 309531 10194 GERMEN,VERA 203 ACC 02-119-93 59.20 1 309587 10194 GILLILAND,LYNETTE 243 ACC 02-09-93 93.60 1 GILLILAND,LYNETTE 0 309347 10199 GLOVER,£LAINE 203 ACC 42-0943 163.50 1 GUSTAFSON,BRIANNA L 309450 10199 GLOVER,ELAINE 203 ACC 02-09-93 79.00 1 GUSTAFSON,BRIANNA L 309401 10149 NODGE,PAUL 203 ACC 02-09-93 237.40 1 NOGG€,PAUL C 310471 10194 DAVENPORT,LESLIE 203 ACC 02-18-43 64.00 1 DAVEMPORT,LESLIE D 310488 10199 ECKLUND,ROBIM 203 AGC 02-18-43 34.00 1 ECKLUND,ROBIN R 310532 10194 FOST€RtMARTIN 203 ACC 02-18-93 70.00 1 FOSTER,MARTIN A 311620 10199 ANDERSW O.C. 203 ACC 03-03-93 15.80 € 311401 10199 COLBATH,CANDICE 203 ACC 03-03-93 340.91 1 COLBATH,CANDICE L 311712 10194 COLBATH,CANDICE 203 ACC 03-0343 173.50 1 COLBATH.CANDICE L 311782 10199 CORR£A,STEVEN 203 ACC 03-03-93 521.48 1 CORREA,STEVEN J 311471 10194 COTT016 FRED 203 ACC 03-03-93 183.45 1 COTTON,FR€D T 311628 10199 FAULKNER,GREGORY 203 ACC 03-03-93 30.80 1 FAULKNER,GREGORY M 311301 10199 FOSTER,MARTIN 203 ACC 03-0343 3549.98 1 FOSTERtMART1N A 311832 10199 GASTON,MARK 203 ACC 03-03-93 79.00 1 GASTON,LEAH 0 311681 10149 GAVINS.MICHA£L 203 ACC 03-0343 325.96 1 GAVINS.MICHA£L L 311546 10149 GERMEN,VERA 203 ACC 03-43-43 76.40 1 311847 10199 GILLILAND,LYNETTE 203 ACC 03-0343 89.00 1 GILLiLAND,LYNETTE D 311735 10199 GREEN,FRED 203 ACC 03-03-93 81.20 1 GREEN,FRED 0 311851 10199 HUDSON,VIRGINIA 203 ACC 03-03-43 74.00 1 HUDSON,EDDIE 311671 10199 LOUISVILLE,ORIS 203 ACC 03-43-93 120.80 1 LOUISVILLE,ORIS D 312373 10194 BRANDON„JOHM 203 ACC 03-1043 90.54 1 312508 10199 BRANDON„JOHN 203 ACC 03-10-93 1526.80 1 312449 10194 BROTH€RS,AMTHONY 203 ACC 03-10-93 267.45 1 BROTHERStANTHONY D 312482 10199 FIELDS,DENISE 203 ACC 03-10-43 100.40 1 FI€LOS,DENISE N 312453 10199 FOSTERtGREGORY 203 ACC 03-1043 72.00 1 F€ISTER,GREGORY R 312396 14199 GIBBSIVIC. 203 ACC 03-10-93 79.84 1 312515 10199 GRIGSBY,CHARLES 203 ACC 03-10-93 152.07 1 HEALTH SERVICES NRITE-OFF REPORT DATE;19 MaV 2000 PAGE; 26 DEBTOR.... CLIENT# ,. NAME.......................... OSK ST CD DT-ASSIGN LST FAY. TOTAL SAL..... CHT CRIGSBY.CHARLES A 312410 10199 HERNANDEI,MARGARITA 203 ACC 03-10-93 159,34 1 HERNANDEZ,MARGARITA V 313337 10199 CARTER,DORIS 203 ACC 03-19-93 118.00 1 CARTER,DORIS M 313439 10199 FAST€R,GREGORY 203 ACC 03-18-93 163.80 1 FOSTER,GREGORY R 313387 10199 GARCIArFIDEL 203 AGC 03-18-93 72.00 1 313557 10199 GLOVER,ELAINE 203 ACC 03-18-93 110.20 1 GUSTAFSON,BRIANNA L 313293 10199 GRAY,ALBERT 203 ACC 03-18-93 149.30 1 313485 10199 HOUSLEY,SOPHIA 203 ACC 03-18-93 760.42 1 313548 10199 HOUSLEY,SOPHIA 203 ACC 03-18-93 93.47 1 313381 10199 HUFF,GEORGE 203 ACC 03-18°93 169.00 1 HUFF AVIV M 313236 10199 JOHNASEN„JOYCE 203 ACC 03-18-93 121.30 1 KING,SHANE M 313464 10199 JOHNSON,KENNETH 203 ACG 03-18-93 336.50 1 JOHNSOMENN€TH V 313264 10199 JORDAM,SCOTT 203 ACC 03-18-93 112.00 1 JORDAN,SCOTT G 313265 10199 LACMLAND,LEROY 203 ACC 03-18-93 183.70 1 LAMAND,LEROY C 314267 10199 CARMICHAEL,LARRY 203 ACC 03-23-93 476.90 1 314222 10199 DAVIS,NOEL 203 ACC 03-25-93 86.45 1 DAVIS,PHYLLIS M 314319 10199 D110N,RANDY 203 ACC 03-25-93 136.50 1 DIION,RANDY L 314336 10199 GARCIA,TAMMI 203 ACC 03-25-93 253.00 1 MITCHOFF„JACOB D 314113 10199 GIL,GABRIEL 203 ACC 03-23-93 363.00 1 GIL,LETICIA G 314081 10199 HILL,LAURA 203 ACC 03-25-93 324.00 1 HILL,BRONNYNE P 314088 10199 HILL,LAURA 203 ACC 03-2543 324.95 1 H1LL,LAURA L 314248 10199 HOVELL,CHRISTINA 203 ACC 03-25-93 83.20 1 HOVELL,CHRISTIIIA A 314889 10199 FL€CK,JAKES 203 ACC 03-30-93 111.60 1 FLECK,RANDY J 315043 10199 FLECKrJAMES 203 ACC 03-30-93 83.40 1 FLECK,RANDY J 315200 10199 FRAUSTO,PEDRD 203 ACC 03-30-93 130.45 1 FRAUSTO,PEDRO M 315277 10199 GARCIA,CARMELO 203 ACC 03-30-93 258.50 1 GARCIA,CRISPINA 314885 10199 GONZALEZ,B€RTHA 203 ACC 03-30-93 70.50 1 315134 10199 GREEN,ADRIENN€ 203 ACC 03-30-93 79,00 1 GREEN,ADRIENNE F 314956 10199 GRIGSBY,CHARLES 203 ACC 03-30-93 79.00 1 GRIGSBY,CHARLES A 315176 10199 HERNANDEZ,MARGARITA 203 ACC 03-30-93 62.00 1 HERNAND€Z,MARGARITA V Vo HEALTH SERVICES VRITE-TEFF REPORT DATE:19 May 2000 PAGE; 27 DEBTOR.... CLIENT#,.. MANE.......................... DSK ST CD OT-ASSIGN LST PAY, TOTAL BAL..... CMT 315413 10199 HUGHES,TYRONE 203 ACC 03-30-93 108.40 1 HUCHES,TYRONE N 315174 10199 KOLOFALE,LONI 203 ACC 43-30-93 482.00 1 KOLOFALE,TUIL€PE 315775 10199 FOSTER,GREGORY 203 ACC 44-06-93 7940 1 FOSTER,GREGORY R 315831 10199 FROSTrTANARA 203 ACC 04-06-93 145.60 1 FROST,TANARA N 315856 10199 GARCIA,FIDEL 203 ACC 04-06-93 278.50 1 315737 18199 GONZALEZrOERTHA 203 ACC 04-06-93 235.50 1 315900 14199 GRICSBYrCHARLES 203 ACC 04-06-93 178.20 1 GRIGSBY,CHARLES A 315949 14199 HEATH,DARVIN 203 ACC 04-06-93 144.95 1 HEATH,DARYIN D 315696 10199 HERMANDEZ,NARGARITA 203 ACC 04-06-93 480.63 1 HERNANO£T,NARGARITA V 315745 10199 HOBBS,JEFF£RY 203 ACC 04-06-43 294,40 1 H08194EFFERY N 315778 10199 JOHNSON,NICHAE', 203 ACC 04-06-93 73.13 1 JOHNSOM,NICHAEL N 315715 10199 KNOXrRODNEY 203 ACC 04-06-93 317.50 1 KNOXrJASON S 315743 10199 KNOX,RODNEY 203 ACC 04-06-93 187.00 1 KNOWASON S 315810 10199 KNOX,RODNEY 203 ACC 04-06-93 254.50 1 KNOX,JASON S 315884 10199 KNOXrRODNEY 203 ACC 04-06-93 313.50 1 KNOX,JASON 5 313694 10199 LAHR,CHR€STINA 203 ACC 04-06-93 157.00 1 LAHR,CHRISTINA L 316628 10199 AVALOS,MACARIA 203 ACC 04-14-93 172.00 1 ACOSTA,MORENA C 316619 10199 EDURDS,DEBRA 203 ACC 04-14-93 87.60 1 EDVARDS,DEBRA D 316487 10199 FARLEYrSEAN 203 ACC 0414-93 190.93 1 FARLEY,SHANE A 316627 10199 FROST,TANARA 203 ACC 04-14-93 114.00 1 FROST,TANARA M 316481 10199 GLOVER,ELA€NE 203 ACC 04-1493 72.00 1 GUSTAFSONrBRIANNA L 316573 10149 GODDARD,KINBERLY 203 ACC 0414-43 150.30 1 GODDARDrKIMBERLY T 316398 10199 HAYHURS7,81AMDY 203 ACC 04-14-93 254.00 1 MAYHURST,BRANDY L 316611 10199 HERMANDEZ,MAGCIE 203 ACC 04-14-93 90.00 1 CANPOS,NATALIE H 316616 10199 LARA,SERG€D 203 ACC 04-14-93 689.85 1 317219 10199 GERNENrVERA 203 ACC 0426-93 44.00 1 317265 14199 GERNEN,VERA 203 RCC 04-26-93 90.40 1 317366 10199 GRANT,LOVIS 203 ACC 04-26-93 102.20 1 GRANT,LOUIS T 317718 10199 ELROD,RICK 203 ACC 04-29-93 1106.24 1 ELROD,RICK A REALTH SERVICES NRITE-OFF REPORT DATE:19 HaV 2000 PAGE; 28 DEBTOR.... CLI€NT#... NAME.......................... DSR ST CD OT-ASSIGO LST PAY. TOTAL BAL..... CRT 317846 14189 FAGERNAUGH,CANDYCE 203 ACC 04-29-93 340.00 1 FAG€RHAUGH,CANDYCE M 317816 10198 FARLEY,SEAN 203 ACC 04-29-93 137.00 1 FARL£Y,ANTDIN€TTE M 317660 10194 FLOR€S,JUAN KAVUE 203 ACC 04-29-93 79.44 1 FLORESrANA MARIA 317696 14199 GONIAL€Z>ADRIANA 203 ACC 04-29-93 127.30 1 AKAI, MARIA PL91DA 317717 10199 H€RNANDEZ,JOSE LUIS 203 ACC 44-29-93 657.35 1 317723 14199 HUDSON,VIRGINIA 203 ACC 04-29-93 435.40 1 HUDSON ADDI€ 319483 10149 CLARK,PHYLLIS 203 AGC 05-17-93 15.00 1 318992 14244 COMPTON,MINNIE 203 ACC 05-17-93 41.85 1 CDMPTONtRINNI€ L 319375 10199 CRUZ,ABELARDO .203 ACC 05-17-93 116.63 1 CRUZ,ABELAROD T 319008 10199 CRUt.ARELARDO 203 ACC 05-17-93 1835.34 1 CRUITABELARDO T 319114 10194 DAHLRAN,EVELYN 203 ACC 05-17-93 174,35 1 314177 10199 DAVIS,DARN€LLA 203 ACC 03-1793 14.00 1 DAVIS,DARNELLA G 318909 10149 GARDNER,STEVEN 203 ACC 05-17-93 142.64 1 GARDNER,STEVEN D 319178 10199 GERMEN,VERA 243 ACC 05-17-93 20.30 1 319148 10199 HER€DIA,RARIA 203 ACC 05-17-93 78.00 1 HER€DIA,GONZALO 314236 10199 R€NITT,LINBA 203 ACC 05-1743 198.00 1 HENITT,LINDA S 319657 10199 BROCK,RICK 243 ACC 05-19-93 214.50 1 BROCKrRICK J 319648 10199 BRUNER,DALE 203 ACC 05-19-93 491.40 1 314850 10194 $RUN€R,DALE 203 ACC OS-19-93 129.80 1 DRUNER,CARILLA A 319816 10199 DAHLMAN,EVELYN 203 ACC 05-19-93 424.$7 1 319725 10198 GLOVER,€LAINE 203 ACC 03-19-93 78.00 1 CLOVER,JEREMIAH C 314792 10199 HALOGrANNAMAE 203 ACC 45-18-93 21.80 1 HALOG,ANNAMAE J 319795 14199 HAL4G,ANNAMAE 203 ACC 05-19-93 2.36.44 1 HALOG,ANNANA€ J 319808 10199 HAYHURST,BRANDY 203 ACC 05-19-93 62.00 1 HAYHURSTtORANDY L 319771 14199 H€R€DIA,GONZALD 203 ACC 05-19-93 79.04 1 H€REDIA,4AK€LING 319947 10198 HEUSER,NANCY 203 ACC 05-19-43 3630.74 1 H€US€R,NANCY R 314623 10199 INGRAM,CRAIG 203 ACC 05-19-93 367.50 1 INGRAM,CRAIG D 319767 10198 JOHNSON,EJEW 203 ACC 05-19-83 94.00 1 JOHNSON,EJEVVA C 319368 10199 LOUISVILLE,4RIS 203 ACC 05-19-93 105.50 1 LOVISVILL€,ORIS D 320294 10194 ANDERSOC O.C. 203 ACC 05-21-93 16.52 1 HEALTH SERVICES NRITE-OFF REPORT DATE;19 Mq 2000 PAGE; 29 OERTOR.... CLIENT#... NAME.......................... OSK ST CD 0T-ASSIGN LSI PAY. TOTAL BAL..... CMI 320291 10199 ANDERSON,O.C. 203 ACC 05-21-93 20.30 1 320394 10199 ANDERSONrO.C. 203 ACC 05-21-93 18.72 1 320469 10199 ANDERSW O.C. 243 ACC 05-21-93 24.15 1 320459 10199 ANDERSON,O.C. 203 ACC 05-21-93 15.80 1 320512 10199 ANDERSOM.C. 203 ACC 05-21-93 11.40 1 320345 10199 CARLION,APRIL 203 ACC 05-21-93 107.60 1 CARLTON,RYAM 320454 10199 CARLTON,APRIL 2203 ACC 05-21-93 432.73 1 CARLIOM,RYAN 320426 10199 DAVENPORTtLESLIE 203 ACC 05-21-93 942.20 1 DAVENPORT,LESLIE D 320223 10199 FARLEY,OEVIN 203 ACC 05-2143 62.00 1 FARLEYrDEVIN D 320222 10199 FARLEYrSEAN 203 ACC 05-2143 15.30 1 FARLEY,ANME M 320300 10149 HAMPTON,PATR€CK 203 ACC 05-21-93 300.79 1 HAMPTOMtPATRICK B 320438 10199 HARMANrRICHARD SR 203 ACC 05-21-93 232.00 1 HARMAN,CHERYL A 320262 10199 HERED1ArMARIA 203 ACG 05-21-93 153.00 1 HEREDIA,GONZALO 320396 10199 HEREDIArMARIA 203 ACC 05-21-93 87.60 1 HEREDIA,GONZALD 320483 10199 HEREDIA,MAR€A 203 ACC 05-21-93 196.00 1 HEREDIA,GONZALD 320510 10199 HERNANDEZ,MAGGIE 203 ACC 05-21-93 69.40 1 CAMPOS,NATALIE H 320464 10199 HERNANDEZ,RANDY 203 ACC 05-21-43 87.00 1 HERNANDEZ,SHANE R 320373 10199 HOBBSrJEFFERY 203 ACC 05-21-93 113.220 1 HOBBS,JEFFERY M 320327 10199 H0185 4EFFERY 203 ACC 05-21-93 118.60 1 HOBBS,JEFFERY M 320166 10199 CEJArMARIA 203 ACC 03-26-93 263.30 1 321028 10199 CUNNINGHAM,OIANNA 243 ACC 05-26-93 690.82 1 320828 10194 FARLEY,DEV€N 203 ACC 05-2643 144.32 1 FARLEY,DEVIN D 321041 10199 FISHrDEANNA 203 ACC 05-26-93 3364.61 1 320938 10199 GANDERA,LEO 203 ACC 05-26-93 214.10 1 GANDERArPHILLIP J 321072 10199 GANDERA,LEO 203 ACC 05-26-43 109.00 1 GANDERA&HILLIP J 320848 10199 GLOVER,ELAINE 203 ACC 05-26-93 188.50 1 GUSTAFSON,BR€ANNA L 321003 1019$ GRANTrLOVIS 203 ACC 05-26-93 183.70 1 GRANT,LOUIS T 320942 10199 GRIFFEM,KENT 203 ACC 05-26-43 62.00 1 GRIFFIN,GENEVIEVE I 321140 10199 ANDERSW O.C. 203 ACC 06-04-93 79,00 1 321881 10199 CARLTOMtAPRIL 203 ACC 06-04-93 160.00 1 CARLTOMtRYAN 32.1827 10199 CUMNINGHAH,DIANNA 203 ACC 06-04-93 200.00 1 3219{18 10149 OAVIS,DARNELLA 203 ACC 06-04-93 120.60 1 HEALTH SERVICES HRITE-OFF R£PORI DATE•19 N#V 2004 PAGE: 30 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD OT-ASSIGN LST PAY. TOTAL DAL..... CN€ DAVISrDARNELLA G 321557 10199 DREILING,KICHAEL 203 ACC 06-04-93 72.25 1 DREILING,MICHAEL A 3221946 10199 ECK£RTrJOSEPH 203 ACC 06-04-93 141.25 1 ECKERTrJOSEPH O 321679 10199 FISH MANNA 203 ACC 06-04-93 149.68 1 321684 10199 FISHrDEANNA 203 ACC 06-04-93 109.00 1 321715 14199 FISHrDEANNA 203 ACC 06-04-93 137.20 1 321758 10194 FISHrDEANNA 203 ACC 06-04-93 106.10 1 321816 10199 GARCIA,TANNI 203 ACC 06-44-93 167.00 1 NI€CHOFFrJACUR D 321502 10199 GLASPERrBRIAN 203 ACC 06-04-93 83.80 1 GLASPERrBRIAN D 321728 10194 HERNANDEIrJUAN 243 ACC 06-04-93 1117.45 1 321794 10199 HOBBSrJEFFERY 243 ACC 06-04-93 146.76 1 HOBBSrJ£FFERY N 321861 10199 JACKSONrEU&ENE 203 ACC 06-04-93 126.30 1 JACKSONrEOGENE N 321865 14194 JACOBSOC KARGIE 203 ACC 06-04-93 136.00 1 321512 10199 KEAY=TREVOR 243 ACC 06-04-93 137.44 1 KEAYrSUTANNE C 321522 10199 KILCORSErJOE 243 ACC 06-04-93 142.99 1 KILCORSErJOE P 321812 14199 LENNOXrCHRIS€INE 203 ACC 06-04-93 614.75 1 LENNOXrCHRISTINE N 321900 10199 LOPEIrFRANCISCO 203 ACC 06-04-93 92.50 1 LOPEIrROCIO 322633 10199 CARLTON,APRIL 203 ACC 06-14-93 261.00 1 CARLTONrRYAN 322481 14199 CEJArNARIA 203 ACC 06-14-93 303.20 1 322537 10199 CEJArNARIA 243 ACC 06-14-93 133.40 1 322596 I0194 CEJAMARIA 203 ACC 06-14-93 192.70 1 322626 14199 CEJA,KARIA 203 ACC 06-14-93 19.50 1 322758 10199 CEJAtKARIA 203 ACC 06-14-93 197.50 1 322651 10199 ECKERIrJOSEPH 203 ACC 06-14-93 62.00 1 ECKERTrJOSEPH 0 322578 10199 FARLEYrDEVIN 203 ACC 06-14-93 98.31 1 FARLEYrDEVIN D 322772 10199 FLECKrRANDY 243 ACC 06-14-93 76.00 1 FLECKrRANDY J 322657 10199 GANDERA:LEO 203 ACC 06-14-93 72.00 1 GANDERArPHILLIP J 322659 10199 GARCIArJOSE 203 ACC 06-14-93 62.00 1 322567 10199 GL€ASONrJOHN 243 ACC 06-14-93 148.70 1 GLEASONrJOHN D 322784 14199 GRIFFEMENT 203 ACC 06-14-93 13.50 1 GRIFF1NrGENEVIEVE I 322851 10199 GRIFFEMENT 203 ACC 06-14-93 100.00 1 GRIFFINrGENEVIEVE 1 322517 10199 GUILLORMERRY 203 ACC 06-14-93 531.20 1 GUILLUMERRY L 322788 10199 GUILLORMERRY 243 ACC 06-14-93 198.84 1 GUILLORYrTERRY L HEALTH SERVICES VRITE-OFF REPORT DATE;19 Hiif 2000 PAGE., 31 DEBTOR.... CLIENT#... HAKE.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL SAL..... CHT 322848 14199 HAH,LEONARD 203 ACC 06-14-93 193.78 1 3226$9 10199 HARHAN,RICHARD 203 ACC 06-14-93 116.00 1 HARNAN,RICHARD J 322458 10199 HEFLEY,JOYCE 203 ACC 06-14-93 12.50 1 HEFLEY,JADE L 322428 10194 HENSTRA,TOHI 203 ACC 46-14-93 410.24 1 322620 10199 HENSTRA,TONI 203 ACC 06-14-93 25.00 1 322680 10189 HEREDIA MARIA 203 ACC 06-14-93 248.00 1 HEREDIA,GONIALO 322532 10149 HERNANDEI,HARGARITA 203 ACC 06-14-93 123.94 1 HERHANDEI,HARGARITA V 322696 10199 HERNANDEI,VICENTE 203 ACC 06-14-93 88.00 1 HERHAHDEZ,CABRIELA 322425 10199 JOHNSON,MICHAEL 203 ACC 06-14-93 291.41 1 JOHNSON,HICHAEL L 323580 10199 BRANDON,JOHN 203 ACC 06-18-93 478.80 1 323781 10199 OVINDELL,TRACY 203 ACC 06-18-93 140.00 1 DHINDELL,TRACY L 323456 10199 DMINELL,TRACY 203 ACC 06-18-93 74.00 1 OHINDELL,TRACY L 323640 10199 ELLINGSWRICKY 203 ACC 06-18-93 251.50 1 £LLINGSON,RICKY H 323681 10199 FOSTER,DANIEL 203 ACC 06-18-93 137.32 1 FOSTER,DANIEL V 323656 10199 HADLE„JOSEPH 203 ACC 06-18-93 79.00 1 HAOLE,TANYA D 323406 10199 NAGEN,ELIZABETH 203 ACC 06-1843 63.00 1 323441 14199 HAGEN,ELIIABETH 203 ACC 06-18-93 63.90 1 323443 10199 HAGEN,ELIZABETH 203 ACC 06-18-93 87.00 1 323449 10199 HAGEN,ELIZABETH 203 ACC 06-18-93 345.50 1 323389 10199 HEFLEY,JOYCE 203 ACC 06-18-93 72.00 1 HEFLEY,JADE L 323545 10199 LOPEIrSOCORRO 203 ACC 06-18-93 312.41 1 324210 10199 DHINELL,TRACY 243 ACG 06-22-93 109.40 1 DWINELL,JENNAFER G 324176 10199 ENEIIARK,KIN 243 ACC 06-22-43 91.50 1 ENEHARK,KIH 0 324190 10149 ENENARK,KIN 203 ACC 06-22-93 226,33 1 ENENARMIN D 324213 10199 GARCIA,ANG£LICA 243 ACC 06-2243 4000.00 1 324249 10199 JOHNSON,JOHNNY 203 ACC 06-22-93 215.50 1 JOHNSON,JOHNNY N 325478 10199 ALCORN,BERTHA 203 ACC 07-02-93 77.09 1 ALCOM BERTHA A 325175 10199 ANDERSON,O.C. 203 ACC 07-02-93 32.60 1 325130 10199 A111,1ASEAR 200 ACC 07-02-93 162.83 1 325200 14199 BROHNrCHANDA 203 ACC 07-02-93 196.90 1 BROJJNrCHANDA N 325252 10199 BRUMER,DALE 203 ACC 07-02-93 112.44 1 325340 10199 CARLILE,HATTHEW 200 ACC 07-02-93 150.40 1 325092 10199 CASTANEDA,FRANCISCO 200 RFD 07-02-93 104.20 1 CASTANEDA,FRANCISCO J 325476 10199 CHERRY,ALLEN 200 ACC 07-02-93 148.00 1 HEALTH SERVICES NRI€E-OFF REPORT DATEFI9 May 2000 FACE: 32 DEBTOR.... CLIENT#... NAME.... ..................... DSK ST CD OT-ASSIGN LRT FAY. TOTAL DAL,.... CMT 3252203 10199 CLANCY,DENNIS DOST ACC 07-02-93 146.30 1 CLANCYrDENNIS H 325204 10199 COAKLEY.CATHRYN 203 ACC 07-02-93 324.00 1 325049 10191 CORNELIOrCHARISSE 200 ACC 07-02-93 154.40 1 CORNELID:CHARISSE J 3251322 10199 DEVEYRAJIFFANY 200 ACC 07-02-43 104.00 1 325172 10199 GARCIA,CARLDS 200 ACC 07-0243 116.00 1 323270 10199 CEARINrJERRY 203 ACC 07-02-93 222.94 1 GEARIN►JERRY R 325372 10199 GONIALESrSHERR1E 200 ACC 07-02-93 109.00 1 LUNArSTEV£N R 325212 10199 GRISBYrLAVERNE 200 ACC 07-02-93 131..58 1 325149 10199 HERNANDEMICEN€E 203 ACC 07-0243 193.30 1 HERRANDEMAERIELA 325090 10149 SSOL€,LESLIE 203 ACC 07-02-13 247.80 1 323416 10199 HUGHES,CHRiSTiNA 203 ACC 07-02-93 163.30 1 STIRLINGrDYLAN A 325133 10199 INGRA&RODNEY 203 ACC 07-02-93 228.98 1 iNGRAM ODNEY 0 325238 10199 JACKSON.EUGENE 203 ACC 07-02-93 137.43 1 JACKSON.EUGENE N 325176 10199 J0"SON,JULIE 91 ACC 07-02-93 98.40 1 ORELLANArEDDIE C 325246 10149 KEIFER,RICHARD 203 ACC 07-02-13 774.75 1 KEIFERrRiCHARD G 325220 10199 LOERWOSE 200 ACC 07-02-93 68.00 1 323419 10149 LOPEZrFRANCISCO 203 ACC 07-02-93 83.50 1 LOPEMOCIO 325i18 10199 LORENSENrLARRY 203 ACC 07-02-93 484.40 1 LORENSENrLARRY G 325047 10199 ORT M ELVIA 200 ACC 07-02-93 743.60 1 ORTII,ELVIA V 325344 10199 PENDERGRASS:DUANE 200 ACC 07-022-93 306.20 1 FENDERGRASS,DUANE L 329473 10199 RAWLSrDENNIS 9t ACC 07-02-93 141.16 1 DECKSTROK MANNON D 3232422 10199 REYNOLDMEREK 91 ACC 07-02-93 519.47 1 REYNOLDSrDEREK L 325375 10199 RUIIrMARIA 91 ACC 07-02-93 118.90 1 329435 10199 ABBE:CYNTHIA 200 ACC 07-122-93 464.60 1 ABBE,TARYN D 325454 10199 ACOSTA.SAN JUANA 200 ACC 07-122-93 I53.50 1 MARTIMU rROSA M 326029 101" AGREDANOrLUIZA 200 ACC 07-12-q3 203.00 1 3226163 10199 BARAJASrJDSE 2200 ACC 07-12-93 193.50 1 BARAJASrNUTA D 329927 10199 BOZEMANJEBRA 200 ACC 07-12-93 109.00 1 326015 10149 BROS#SirFRED 2200 ACC 07-12-93 161.50 1 BROWWRED D 326017 10149 CAS€ANEDArMARIA 200 ACC 07-12-93 84.40 1 CAS€ANEDA,MARIA D 326147 10199 CICERO:DAVID 2200 ACC 07-12-93 62.00 1 CICERMASSANDRA L HEALTH SERVICES 4RITE-OFF REPORT DATEx19 KaV 2000 PAGE: 33 DEBTOR.... CLIENT#... RA1€E.......................... DSK ST CO DT-ASSIGN LST PAY. TOTAL SAL..... CNT 326240 10199 CRAWORD,RENEE 204 ACC 07-12-93 162.20 1 CRAWORD,RENE£ R 3260+45 10144 DAV€S,KERRY 200 ACC 07-12-93 377.00 1 DAVISrKERRY L 326051 10144 DAV€S:KERRY 204 ACC 07-12-93 2591.54 1 DAVIS,KERRY L 326073 10194 DAVIS,KERRY 200 ACC 07-12-93 66.00 1 DRVIS:KERRY L 325446 10199 DEGARKMARK 200 ACC 07-12-93 137.00 1 DEGARMNARK A 326210 10199 0118R,ELAO 200 ACC 07-12-93 157.54 1 326038 10199 EASTRSAN,DARCY 41 ACC 07-12-93 417.03 1 PERRY,NALEY G 325973 10199 £CKERTYNILLIAN 200 ACC 07-12-93 143.02 1 ECKERT,VILLIAN 0 326224 10199 ECKERT,VILL€An 200 ACC 07-12-93 195.00 1 ECKERT,VILLIAIS D 325413 10199 ERCLUNDrJASON 200 ACC 07-12-93 137.04 1 ENGLUND,JASON A 325833 10194 EVARSrJOE 200 ACC 07-12-93 306.84 1 EVANSrAE L 326075 10194 GARLAND MEGORY 200 ACC 07-12-93 104.16 1 325905 10€49 GARRETTrDJUARA 203 ACC 07-12-93 12$.50 1 GARRETT,DJUANA R 326022 10199 G€LRORE,LYNDSI 200 ACC 07-12-93 137.00 1 GILRORE,LYNOSI 11 3226141 10149 GONIALES,RANDOLPH 203 ACC 07-12-93 2314.44 1 326216 10194 CONIALEB,RARDOLPH 203 ACC 07-12-93 1173.10 1 326000 10194 CREEN,EURUDGI 200 ACC 07-12-43 109.00 1 GREEN,EURUDGI S 325907 10149 NERNANDEZ,MARGARITA 203 ACC 07-12-93 91.80 1 NERNANDEZ,IIARGARITA V 325984 10199 NOFFARTN,ROSEANK 203 ACC 07-12-93 109.00 1 NOFFARTH MSEARN 11 326165 10194 JAMES,LARRY 203 ACC 07-12-93 735,44 € JANE5,LISA C 326054 10144 LARA,SERGIO 203 ACC 07-12-93 160.70 1 325912 10199 NAGEWARES 91 ACC 07-12-93 7552.19 1 NAGEL,JARES A 326066 10199 NAVARRO,VICENTE 200 ACC 07-12-93 347.70 1 RAVARRMECILIA 326025 I0199 NELSON,JAKES 200 ACC 07-12-93 526.51 1 RELSON,JAKES N 326011 10199 NELSON,STEVEN 200 ACC 07-12-93 264.02 1 326208 10199 OROICO,CELEST€NO 91 ACC 07-12-93 97.50 1 OROICO,CELIA 326004 10199 P£LKEY,CARI 91 ACC 07-12-93 1033.20 1 FELKEY,CARI L 326021 10199 REVELS,LAURIE 91 ACC 07-12-93 72.00 1 A€ZENNAN,CRISTAL L 326878 10199 BARAJAS,RIGOBERTO 200 ACC 07-16-93 76.00 1 BARAJAS,JUAN 326929 10199 BNARBRA,1IARJIT 200 ACC 07-16-93 92.00 1 HEALTH SERVICES VRITE-OFF REPORT {✓ DATE;19 RaV 2000 PAGE: 34 DEBTOR.... CLIENT , NAME.......................... OSK ST CD DT-ASSIGM LST PAY. TOTAL DAL..... CMT 326777 10199 BRAVO,RAFAELA 200 ACC 07-€6-93 79.00 1 326774 10199 BROM ANDRE 200 ACC 07-€6-93 585.45 1 326884 10199 BROM ESTRER 200 ACC 07-16-93 1003.00 1 BRO11MrESTHER C 326773 10199 BROW LAURINDA 244 ACC 07-16-93 95.29 1 BRONN,LAURIMDA L 326751 10199 BRUNE,KAREN 200 ACC 07-16-93 165.68 1 BRUNE,KAREN D 326779 10199 CASE MMES 200 ACC 07-16-93 137.04 1 CASE,JANES F 326966 10199 CHERRY,REATHA 243 ACC 07-16-93 161.60 1 CHERRY,REATHA M 326888 10199 CISMEROSrJUELIO 200 ACC 07-1643 97.00 1 CISNEROSrJUANA H 326793 €0199 EASTMAN,NICK 200 ACC 07-16-93 176.30 1 326921 10199 EASTNAN,NICK 200 ACC 07-16-93 6388.80 1 326770 10199 EGUrKELECHI +200 ACC 07-16-93 161.35 1 326862. 14199 ENRI81lEZ,JOHN 204 ACC 07-16-93 86.20 1 ENRISUE1,1RENDA L 326764 14199 EROSTICO MISTINA 204 ACC 07-16-93 104.44 1 326902 10199 GASSETT,BERNADETTE 200 ACC 07-16-93 137.00 1 GASSETT,BERNADETTE N 326792 10199 GREANEYrJOHN 240 ACC 07-16-93 15.00 1 GREANEYrJOHN J 326922 10199 GREEN,CHRISTOPHE 203 ACC 07-16-93 109.00 1 326944 10199 GREEN,CHRISTOPHE 203 ACC 07-16-93 137.00 1 326978 10199 &REM CHRISTOPHE 203 ACC 07-16-93 137.00 1 326820 10199 HADLE,J08EPH 203 ACC 07-16-93 852.62 1 HADLE JANYA D 326963 10199 INGRAR,CRAIG 203 ACC 07-16-43 604.00 1 INGRAN,CRAIG D 326975 10199 INGRAN,CRAIG 203 ACC 07-16-93 79.00 1 INGRAN,CRAIG D 326930 10199 JAMES,LARRY 203 ACC 07-16-93 589.56 1 JAMES MSA C 326943 10199 JOHNSON,NICHAEL 203 ACC 07-16-93 80.07 1 JOHNSON,NICHAEL L 326738 10199 JR,BONILLA,NANUEL 200 RCC 07-16-93 87.80 1 32.6795 10194 KING,CHARLES 203 ACC 07-16-93 244.00 1 KING,SHANE M 326775 14199 RUII,OSCAR 91 ACC 07-16-93 316.83 1 327644 14199 ANDERSON,O.C. 243 ACC 07-23-93 36.83 1 327880 10199 ANDERSON,O.C. 203 ACC 07-23-93 25.19 1 327617 10149 AUSERT,CHRISTIME 200 ACC 01-23-93 114.26 1 REYNOLDS,NEAL L 327593 10199 BARAJAS,RIGOBERTO 200 ACC 07-23-93 72.00 1 BARAJAS,XOCHIL 327864 10199 BARAJAS,TERESA 203 ACC 07-23-93 76.00 1 NORENO,LVIS 327594 10€99 BENNETT,TED 200 ACC 07-23-93 443.16 1 BENNETT,TED N 327936 10199 BRADLEY,DAVID 200 ACC 07-23-93 126.50 1 BRADLEY,LORTRESIA 0 HEALTH SERVICES VRITE-OFF REPORT DATE;19 Nag 2000 PAGE: 35 DEBTOR.... CLIEKT4... KANE..............<........... DSK ST CD DT-ASSIGN LST PAY, TOTAL BAL..... CMT 327829 10199 BURKSrCREER 200 RFD 07-2343 88.40 1 327626 10199 CERVANTES,FRANCISCO 200 ACC 0723-93 106.220 1 CERVANTESrFRANCISCO J 327654 14199 CLEAVES MADERT 200 ACC 07-23-93 153.86 1 327726 10199 DAVISrMARK 200 ACC 07-23-93 167.00 1 DAVIS,NARK D 327743 10199 DOROTHY,OANIEL 200 RCC 07-23-93 87.40 1 DOROTHY,DAWICL M 327830 14199 EARLYWINE,GEORGE 200 ACC 07-23-93 681.33 1 EARLYHIN£,GEORGE N 3227680 10199 ECK£RTtVILLIAN 240 ACC 07-23-43 963.47 1 £CKERTtVILLIAN D 321690 10199 ENGLISH,RHONDA 200 ACC 07-23-93 284.84 1 ENGLISH,RHONDA L 327645 10199 EVANS,FANNIE 200 ACC 07-23-93 16.10 1 EVAKS,FANHI£ L 327918 10199 EVANS,FARNIE 200 ACC 07-23-93 132.44 1 EVANS,FANNIE L 327768 10199 FAULKNER,GR£GORY 243 ACC 07-23-43 98.80 1 FAULKNERrGR£GORY N 327694 10199 FONSGALOArNAKA 203 ACC 07-23-93 145.80 1 327919 10199 FORTIER,DOUGLAS 200 ACC 07-23-93 159.50 1 327664 10199 GANDLE,DENNIS 200 ACC 07-23-93 137.04 1 GANBLE,DENNIS N 327944 14199 GARFIELMATHERINE 204 ACC 07-23-93 152.14 1 GARFIELMATHERIHE C 327677 10199 GSNZALES,RANDOLPH 203 ACC 07-23-93 154.86 1 327796 10149 GRILLO:SALVATORE 203 ACC 07-23-93 137.44 1 GRILLO,SALVATORE N 327784 10199 GRINES,STANLEY JR 200 ACC 07-23-93 330.35 1 327605 14199 HALOGrAKNANAE 203 ACC 07-23-93 102.00 1 HALOG,AKNANAE J 327621 10199 HOPHRIES,BEN 203 ACC 07-2343 96.99 1 HUNPHRIES,RENATE A 327773 10199 JOKES,DOROTHY 200 AGC 07-23-93 331.74 1 JONES,DOROTHY J 327761 14199 JONES,DDROTHY 200 ACC 07-23-93 40.00 1 JSKES,DOROTHY J 327910 10199 LESLIE,ANTHORY 203 ACC 07-23-93 313.49 1 LESLI£,AKTHO%Y 0 327741 10199 LBUISVILLE,SRIS 203 ACC 07-23-93 265.50 1 LOUISVILLE,ORIS D 3279322 10199 KENZEK,CASSANDRA 200 ACC 07-23-93 341.00 1 327833 10199 NOBLE,JANES 240 ACC 07-23-93 1011.31 1 NOBLE,JAKES T 327599 10199 OROHOJELIPE 200 ACC 07-23-93 343.50 1 327391 10149 ORSZCO,1€ARIA 91 ACC 07-23-93 99.75 1 HEREDIA,NARIBEL 327853 10199 ORSZCO,NARIA 91 ACC 07-23-93 627.40 1 OROZCOriSRRIA E 327763 10149 DREKSJONIE 240 ACC 07-23-93 390.60 1 OVEKS,TONIE C 327646 10199 PALNER,SHERYL 200 ACC 07-23-43 392.40 1 HEALTH SERVICES WRITE-OFF REPORT DATE.19 N&V 2000 PACE; 36 DEBTOR.... CLIENT!... NAME,. -.................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL.,... CRE KINGV'DAVIELLE 327802 10199 PARENTEAU.JE#NITER 200 ACC 07-23-93 256,80 1 PARENTEAU,JENNIFER M 327616 14199 PERE14HORAS 200 ACC 47-23-93 310.50 1 P£RMTHONAS A 328547 10199 ALLEN.BO 240 ACC 07-27-93 144.25 1 328442 10199 ALVARAMEBUARDO 200 ACC 07-27-93 167.50 1 ALVARAM EDUARDO M 328999 10199 ANDERSON.V£RDELL 2 ACC 07-27-93 143.79 1 328404 10199 ANDRADE.MAR€A 200 ACC 07-27-93 60.50 1 ANDRADE.MAR€A N 328235 10199 AUSTIN.JACSUELINE 200 ACC 07-27-93 88.50 1 328487 10199 SALOFF.PAUL 200 ACC 07-27-93 2003.56 1 SALOFF.PAUL N 328500 10199 BEERS,JAYCE 200 ACC 07-27-93 32.60 1 BEERS.JAYCE N 328417 10199 B€LLINGS.ROBB€£ 200 ACC 07-27-93 80.88 1 DILL€NGS,ROBBIE E 328469 10199 BLACK,MNCI 200 ACC 07-27-93 157.00 1 SLACK,NANOI S 328252 10199 BOSKrELIN 200 ACC 07-27-93 93.20 1 BOWELIN N 328434 14199 CHERRY,REATRA 203 ACC 07-27-93 257.04 1 CHERRY,REATHA M 328253 14199 COOKrDEDR€A 200 ACC 07-27-93 134.44 1 COQK.D£DRIA L 328247 10199 CUSTODIDtLAVERN 244 ACG 07-27-93 137.44 1 JAUREGUI.ANDRES A 328446 10199 DARNOLMEVIN 203 ACC 07-27-93 444.13 1 DARNOLI}.t(EVIN M 328246 14199 D£NSBURY,JAUSTIN 244 ACG 07-27-93 176.40 1 DEVSBURY.JANST€N P 328318 10199 DUCK£R,FLORENC£ 200 ACC 07-27-93 99.58 1 DUCKER.FLORENC£ M 321405 10199 ELESUE+EUGENE 200 ACC 07-27-93 125.50 1 ELEGUEEUGENE R 328285 10199 FISHER,NICHOLA 203 ACC 07-27-93 ISMS 1 FISHER.N€CHOLA - 328468 10199 SARCIA.BILLY 200 ACC 07-27-93 306.54 1 SARCIA.BILLY P 328326 10199 GEARIMrJ£RRY 203 ACC 07-27-93 62.00 1 GEARIN:JERRY R 328267 10199 GERNEN.VERA 203 ACC 07-27-93 33.40 1 328410 10199 SIBBS,GENA 200 ACC 07-27-93 137.50 1 GREEN:NUKIESHA S 328482 10199 CLASCOiI:VINCENT 200 ACC 07-27-93 62.00 1 CLASGOMINCENT L 328280 10199 GRAHAM;DAVID 200 ACC 07-27-93 86.00 1 SRAHARIDAVID R 328299 10199 GRILLO.SALVATORE 203 ACC 07-27-93 62.00 1 GR€LLO.SALVATORE M 328202 10199 HERED1ArMARIA 203 ACC 07-27-93 79.00 1 HEREDIA:SONIALO HEALTH SERVICES WRITE-OFF REPORT DATE119 NaV 2000 PAGE: 37 DEBTOR.... CLIENT#... MANE.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..... CRT 328261 10199 HUENERBEINrDIANA 200 ACC 07-27-93 324.08 1 NUENERREINrREI S 3228335 10199 HUENERBEINrDIANA 200 ACC 07-27-93 247.30 1 NUENERBEINrREI S 328423 10199 JACKSONrANTHIINY 283 ACC 07-27-93 142.80 1 328923 10199 JANESxLARRY 203 ACC 07-27-93 72.00 1 JAMES+LISA C 328372 10199 LOUISVILLE,ORIS 203 ACC 07-27-93 64.60 1 LOUISVILLE,ORIS D 328540 14199 LOVISVILLE,CRIS 203 ACC 07-27-93 95.80 € LOUISVILLE,ORIS D 328495 14199 NURRAYrPATRICK 244 ACC 07-27-93 277.13 1 328340 14199 PAD€LLArSERASTIAN 200 ACC 07-27-93 821.35 1 PADILLA,SEBASTIAN E 328385 10199 RAMEYrNAGLINE 9€ ACC 07-2743 104.00 1 RANEY{NAGLINE N 328453 10199 RAMIRMNARCIA 91 ACC 07-27-93 212.50 1 RANIREIrMARCIA L 328477 10119 HILLIAMS ANGELIA 91 ACC 07-27-93 106.80 1 CABLE.JONATHON A 328295 14199 NILLIS:GARY 91 ACC 87-27-93 140.12 1 WILL€SrGARY H 329119 10199 ACOSTA.INDALECID 204 ACC 08-03-93 98.80 1 ACOSTArINDALECIO A 329252 10199 AGUILAR.NORBERTO 200 ACC 08-03-93 98.54 1 329254 10199 ALLENxSTACEY 200 ACC 08-03-93 76.65 1 ALLENxSTACEY D 329033 €0199 ANDERSON.RICHARD 200 ACC 08-03-93 7319.70 1 ANDERSONrJERRY 329037 10199 AIII.BASEAR 280 ACC 08-03-93 369.75 1 328938 14199 AIIIrNASEER 200 ACC 08-03-93 159.12 1 329142 14199 REALL.DIANE 203 ACC 08-03-93 196.98 1 REALLrDIANE L 329127 10199 BERNALrJUAN 200 ACC 08-03-93 325.922 1 3229101 10199 BLACKrTHOMAS 208 ACC 08-03-93 1129.60 1 SLACKrTHOMAS B 329211 10199 CABRERArANDRES 200 ACC 08-03-93 90.20 1 CABRERA.ANDRES O 329098 14199 CANT£RM ENRIBUE 200 ACC 08-03-93 157.40 1 329143 10199 CAPOSSELAMBERT 200 ACC 08-03-93 109.00 1 328932 10194 CARTER-DORIS 203 ACC 08-0343 129.00 1 CARTERrDORIS K 329145 10199 CARTER.DORIS 203 ACC 08-03-93 72.40 1 CARTERrDORIS M 329207 10199 CARTERrDORIS 203 ACC 08-03-93 72.00 1 CARTER.DORIS K 329067 10199 CRANER,NIKE 203 ACC 08-03-93 1413.08 1 329130 €0199 CROCK.£TT.BRYANT 200 ACC 08-03-93 137.00 1 328995 10199 CRUIrJAVIER 2203 ACC 08-03-93 62.04 1 CRUIrNATILDE 328950 14199 DAFFERN.RICHARD 244 ACC 08-03-93 134.90 1 DAFFERN.DARCIE J 321259 10199 DEDUCH.DAVID J 203 ACC 08-03-93 537.10 1 HEALTH SERVICES ARITE-OFF REPORT DATE$19 hay 2000 PAGE: 38 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD 0T-ASSIGN LST PAY, TOTAL DAL...., CRT DIDUCH,DAVID 329233 10199 EASTRAN,NICK 200 ACC 08-03-93 88.36 1 329040 10199 ERICKSEN,PETER 203 ACC 08-03-93 369.85 1 ER€CKSEN,PETER A 329286 10199 FAREUELL,AUSTIN 200 ACC 08-03-93 113.92 1 329174 10199 FEELAN,DENNIS 200 ACC 08-03-93 117.50 1 FEELAN,DENNIS N 328992 10199 FISHER,NICHOLA 203 ACC 08-03-93 168.80 1 329035 10199 FLECK,RANDY 203 ACC 08-03-93 62.00 1 FLECK,RANDY J 328998 10199 FLOOD,EDVARD 203 ACC 08-03-93 63.90 1 FLOOD,EDVARD L 329018 10199 FLOOD,EDVARD 203 ACC 08-03-93 76.00 1 FLOOD,EDVARD L 329180 10199 FLOOD,EDNARD 203 ACC 08-03-93 11.04 1 FLOOD,EDVARD L 328965 10199 FLYNN,PATRICIA 200 ACT 08-03-93 137.00 1 FLYNN,PATRICIA M 329231 10199 GARDIZI,HAIDER 203 ACC 08-03-93 115.73 1 GARDIZI,HAIOER M 329253 10199 0RDNER,TONHY 203 ACC 08-03-93 114.00 1 GARDNER,TONHY L 328943 10199 GARIDAY,JUAN 200 ACC 08-03-93 109.00 1 GARIBAY,JUAN M 329133 10199 GAVINS,NICHAEL 203 ACC 08-03-93 175.16 1 GAVINS,NICHAEL L 328937 10199 GLADISH,NICHELLE 203 ACC 08-03-93 159.00 1 ALESNA,CAITLIN M 329075 10199 CONIALEB,ROGER 200 ACC 08-03-93 8957.43 1 CONIALES,ROGER V 329188 10199 GONIALEI,MANUEL 200 ACC 08-03-93 141.80 1 328914 €0199 GRAVES,TERRELL 203 ACC 08-03-93 211.40 1 GRAVES,TERRELL D 329247 10199 GRAYS,CHANTAY 200 ACC 08-03-93 109.12 1 GRAYS,CHANTAY A 328997 10199 HEREDIA,MIGUEL 203 ACC 08-03-93 4492,99 1 HEREDIA,NIGUEL 1 329176 10199 HOBERT,BETH 203 ACC 08-03-93 301.00 1 HOBERT,BETH A 329234 10199 HORTON,JAMES 280 ACC 08-03-93 280.00 1 HORTON,JAMES A 329039 10199 HUNPHRIES,BEN 203 ACC 08-03-93 347,01 1 HUNPHRIES,RENATE A 329175 10199 JORDAN,SCOTT 203 ACC 08-03-93 72.00 1 JORDAN,SCOTT G 329262 10199 OROICO,CELESTINO 91 ACC 08-03-93 298.40 1 OROICO,CELIA 329011 10199 PINEDA,LUIS 91 ACC 08-03-93 197.20 1 PINEW ELIZABETH C 329167 10199 POLANCO,ROBERTO 91 ACC 08-03-93 392.00 1 POLANCO,ROBERTO A 328939 10199 RADCLIFFE,KARRY 91 ACC 08-03-93 62.00 1 RADCLIFFE,KARRY A 4 HEALTH SERVICES WRITE-OFF REPORT DATEs19 Nov 2000 PAGE; 39 DEBTOR.... CLIEN3,., NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..,.. CNT 329274 10199 RODRIGV€Z,MARIA 91 ACC 08-03-93 547.49 1 RODRIGUEZrHARIA D 329229 10199 SMITH,HOWARD 91 ACC 08-03-93 136.10 1 SHITH,HOWARD J 329227 10194 THOHPSON,L€NDA 91 ACC 08-03-93 143.00 1 THONPSDN,LINDA A 329743 10199 ADRIANC,RAHIRO 203 ACC 08-09-93 122.80 1 329824 10199 ALCORUERTHA 203 ACC 08-09-93 159.50 1 ALCORNrOERTHA A 329753 €0199 BARGMANN,CARL 200 ACC 08-09-93 168.20 1 BARGNANN,CARL 0 329709 10199 BROCK,TAFFY 200 ACC 08-09-93 156.50 1 FRANKLIN,DIONEL N 329766 10199 CARO,NARIA 200 ACC 08-09-93 491.50 1 CARD-RARIA R 329810 10199 DARNOLD,KEVIN 203 ACC 08-09-93 162.00 1 DARNOLD,KEVIN H 329599 10199 DOVELU SHARON 203 ACC 08-09-93 768.76 1 329595 10199 ESTRADA,CARLOS 91 ACC 08-09-93 561.50 1 SCHANEZ,YICKI 329767 10199 ESTRADA,CARLOS 91 ACC 08-09-43 146.26 1 SCHANEZ,VICKI 329821 10199 GALLIEN,DELORES 200 ACC 0E-09-93. 60.68 1 329712 10199 GARCIArCONSALD 203 ACC 08-09-93 116.00 1 329715 10199 GARCIA,GONSALD 203 ACC 08-09-93 348.50 1 329751 10199 GOREZ,HOLLY 203 ACC 08-09-93 71.60 1 BARRAGANrYANESSA 329620 10199 GRIGSBY,BERNARD 203 ACC 08-09-93 109.93 1 GRIGSBY,BERNARD L 329792 10199 GRIMES€Y,FRED€RICK 200 ACC 08-09-43 82.23 1 GRINESEY,FREDERICK P 329779 10199 GUERRERO,CARLOS 200 ACC 08-09-93 171.59 1 329725 10199 HEDGES,VERNON 203 ACC 08-09-93 315.60 1 HEDGES,VERNON V 329731 10199 HERNANDEZ,JUAN 203 ACC 08-09-93 79.00 1 329572 10199 NABHI,STEN 200 ACC 08-09-93 276,50 1 329590 10199 NEVNAN,JOHN 200 ACC 08-09-93 260.65 1 NUMAN r JOHN R 329593 10199 NORDSTRONJAN 200 ACC 08-09-93 579.51 1 NORDSTROHrDAN A 329599 10194 NORDSTROH,DAN 200 ACC 08-09-93 3887.22 1 NDROSTROH,DAN A 329719 10199 NORDSTROH,00 200 ACC 08-09-93 576.37 1 NORDSTROH,DAN A 329627 10199 OCANPOrNARCOS 200 ACC 08-09-13 924.92 1 329701 10199 PADILLA,DEBRA 200 ACC 08-09-93 416.66 1 PADILLA,DEBRA S 329819 10199 PARKER,LARRY 200 ACC 08-09-93 597,50 1 329656 10199 PAYDEN,REGINA 200 ACC 08-09-93 269.50 1 PAYDEN,REGINA M 329633 10199 PEREZ,STEVEN 200 ACC 08-09-93 257.30 € 329621 10199 PERKINS,KATHLEEN 200 ACC 08-09-93 3201.72 1 HEYERrHEATHER A /+✓/ �/" Lam' ' s HEALTH SERVICES 4RITE-OFF REPORT DATE:19 Hag 2000 PAGE: 40 DEBTOR.... CLIENT'#... NAME.......................... DSK ST CD DT-ASSIGM LST PAY. TOTAL BAL..,.. CKT 329661 10199 SCHNEIDERtADAH 91 ACG 08-09-93 79.50 1 329626 10199 SHERMIAN,PARISH 200 ACC 08-09-93 939.03 1 SHERHAM,PARISH K 329579 10199 SILVA,CARHEN 200 ACC 08-09-93 308.48 1 329778 10199 SMIALWENNIFER 91 ACC 08-09-93 25.00 1 SHALWENNIFER L 329817 10199 SNALWENNiFER 91 ACC 08-09-93 80.70 1 SMMALL*J£NMIFER L 330569 10199 ANDERSON,GENE 200 ACC 08-20-93 99.80 1 ANDERSON,GENE A 330346 10199 ARGALIA,ALI 200 ACC 08-20-93 294.74 1 ANGALIAtFATINA 330800 10199 BELU MALIK 200 ACC 08-20-93 161.50 1 BELL,MALIK T 330742 10199 BUZAStJ1HHY 200 ACC 08-20-93 162.00 1 IUTASrJINNY L 330632 10199 CARDOZAt4ACINTO 200 ACC 08-20-93 68.00 1 330760 10199 CORBIM,SUSAN 200 ACC 08-20-93 147.00 1 CORBINrSUSAN C 330787 10199 CRUZ,JOSE 200 ACC 08-20-93 119.40 1 CRUZ,JOSE A 330568 10199 CURTIS,JAHES 200 ACC 08-20-93 388.39 1 CURTISrJAMMES C 330820 10199 DAVIStROMALD 203 ACC 08-20-93 190.54 1 DAVIS,RDMALD N 330701 10€99 DAV€SJOHI 200 ACC 08-2043 107.60 1 GOMM£241THONY L 330592 10199 EDWARDS,OCTAVIA 200 ACC 08-20-93 453.76 1 330662 10199 ERICKSEM,PETER 203 ACC 08-20-93 109.00 I ERICKSEN,PETER A 330666 10199 FANGA,LATAI 200 ACC 08-20-93 145.80 1 330628 10199 FLORESrVENDY 200 ACC 08-20-93 139.50 1 FLORES,VEN1}Y H 330630 10199 GARCIArAMGELICA 91 ACC 08-20-93 1:9.50 1 ZARM LESLIE J 330789 10199 GARCIA,ANGELICA 91 ACC 08-2043 310.00 1 ZARCO,LEBLIE J 330731 10199 GARCIA,NOISES 243 ACC 08-20-93 326.50 1 330633 €0199 GARIBAY,VICTOR 200 ACC 08-20-93 111.00 1 GARIDAY,BRENDA 330782 10199 HEREDIA,NIGUEL 203 ACC 08-20-93 84.00 1 HEREDIA,HIGVEL I 330792 10199 HEREDIA,HIGUEL 203 ACC 08-20-93 274.60 1 HEREDIArHIGUEL I 330557 10199 HOUSTOM,VICTOR 203 ACC 08-20-93 137.00 1 HOUSTON,VICTOR T 330358 10199 HOUSTON,VICTOR 203 ACC 08-20-93 244.90 1 HOUSTON,VICTOR T 330753 10199 LEMIOMS,EDHARD 92 ACC 08-20-93 240.28 1 LENONS,EDRARD L 330738 10199 LOPEWOSE 203 ACC 08-20-93 281.50 1 330714 10199 HUMOZ,DONALD 200 ACC 08-2043 326.85 1 HUMOZ,DONALD L Ile HEALTH SERVICES VRITE-OFF REPORT DATE;19 NiV 2000 PAGE: 41 DEBTOR.... CLIENTB.,. NAME,-..................... 0SK ST CD OT-ASSIGN LST PAY. TOTAL DAL..... CNT 330675 10199 NELSOM.DAVID 200 ACC 08-20-93 407,75 1 MELSON:DAVID R 330576 10199 NULL,DANK 200 ACC 08-20-93 266.00 1 BERLFEIN,DANN F 330570 10199 PARREIRA,IOLANDA 200 ACC 48-20-93 424.00 1 PARREIRMOLANDA S 330608 10199 POWELL,ROBIR 200 ACC 08-20-93 508.50 1 POWELL=COURTNEY A 330693 10199 RAM1REIfMARCIA 71 ACC 08-20-93 206.50 1 RAMIRE2fMARCIA L 330817 10199 THOMAS,JOHN 91 ACC 08-20-93 547.85 1 BRONN,BRANDU L 330685 10194 VASHINGTON,VILLIE 91 ACC 01.20-93 93.90 1 331224 10199 ACOSTA,ANNA 200 ACC 08-25-93 301.31 1 ACOSTA,MORENA C 331229 10199 ANDRADEfMARIA 240 ACC 08-25-93 85.50 1 ANDRADE,IRIIA 331225 10199 ARMIJO,FORREST 200 ACC 08-25-93 436.03 1 ARMIJD,FORREST B 331060 10149 AVALOS,MACARIA 203 ACC 08-25-93 141.10 1 ACOSTA,MORENA C 331237 10197 BEAM,MILTON 200 ACC 08-25-93 153.80 1 BEAN,MILTON L 331221 10199 SENNETT,MICHAEL 200 ACC 08-25-93 85.80 1 BENNETT.MICHAEL L 331031 10€99 BLEV€M5,50 200 ACC 08-25-93 109.20 1 BLEVINMAM D 331258 10199 BOYD,C£ASER 200 ACC 08-25.93 15.80 1 BOYMEASER N 331050 10197 BROMN,LAURIE 200 ACC 08-25-93 81.44 € BROW LAURIE L 331151 10199 BRUMELUSUSAN 200 ACC 08-25-93 96,30 1 JAYNES,SHAVNA M 331261 10199 CAMPfKENNETH 203 ACC 08-25-93 104.00 1 CAMP,K£NNETH A 331259 10149 CASTILLO,DARLENE 200 ACC 48-25-93 €57.00 € CASTILLO,DARLENE 8 331302 10€99 CHAVARRIA,JUAN 200 ACC 08-25-43 122.00 1 CHAVARRIAfJUAN M 331248 10199 COAKLEY.CATHRYN 203 ACC 08-25-93 501.64 1 331222 10199 COLCLEASER,SMARON 200 ACC 09-25-93 142.50 1 COLCLEASER,BHARON D 331455 10199 CRANDELL,ANTHONY 203 ACC 08-25-93 169.90 1 331321 10197 DEVSBURY,JAUSTIN 200 ACC 08-25-93 274.80 1 DEWSBURY,JANSTIN P 331194 10199 EASTER.CLENISE 200 ACC 08-25-93 173.00 1 EASTER,CL£NISE A 331058 10197 ESTEBAN,CARLOS 200 ACC 08-25-73 €37.45 1 ESTEBAN,CARLOS E 331303 10199 FLOW EBVARD 203 ACC 08-25-93 61.10 1 FLOOD,EDNARD L 331208 10199 FOSTER,DAVID 203 ACC 08-25-93 277.00 1 FDSTER,DESIR£E HEALTH SERVICES WRITE-OFF REPORT DATE=19 alas} 2000 PAGE! 42 DEBTOR.... CLIENT#.., NAME.......................... OSK ST CO OT—ASSIGN LST PAY. TOTAL BAL.,.:. CAT 331337 10199 GARCIA,MOISES 203 ACC 05-25-93 52.00 1 33€031 €0199 GILKOUR,PETER 203 ACC 08-25-93 137.60 1 GILMOUR,PETER C 331012 10199 GUTIERRE1 4ORGE 200 ACC 08-25-93 157.00 1 331101 10199 HAMILTON,NYNNrELL 203 ACC 08-2S-93 76.00 1 331102 10199 HENRY,JOSEPH 203 ACC 08-25-93 163.50 1 EDVARDS,LANSA M 331213 10199 HUMPHRIES,THOMAS 203 ACC 08-25-93 109.00 € HUMPHRIESrTHOMAS D 331136 10194 KHOKHAR,MIANMAIHAR 203 ACC 08-25-93 79.00 1 KHOMHAR,MIANMAZHAR 4 331270 10199 LEMONS,EDUARD 92 ACC 08-25-93 137,06 1 LEMONS,EDUARD L 331251 10199 0GOENr5ADER 200 ACC 08-25-93 587.82 1 OGDEN,SABER N 331170 10199 PEARSDNrRONALD 200 ACC 08-25-93 4€7.60 1 PEARSON,RONALD E 331163 €0199 RODRIGUEZ,JOSE 91 ACC 08-25-93 119.00 1 RODRIGUEI,OLIVIA R 331167 10199 RUN@UIST,MIA 200 ACC 08-25-93 279.56 1 RUNBUIST,MIA J 331294 10199 RUNGUIST,MIA 260 ACC 08-25-93 271.60 1 RUMOUIST,RIA J 331772 10199 ALMANIA,RAFAEL 200 A£C 09-01-93 95.00 1 331626 10199 AlUILA,SOL 200 ACC 09-01-93 109.00 1 331717 10199 CANO,MIGUEL 200 ACC 09-01-93 86.40 1 331722 10199 CARROL,DANA 200 ACC 09-01-93 111,90 1 CARROL,ROBERT C 331864 10199 CASTANEDA,MARIA 200 ACC 09-01-93 59.40 1 CASTANEDA,MARIA D 331786 10199 CASTILLO,MARIO 200 ACC 09-01-93 129.00 1 CASTILLO,MARIO G 331595 10199 CLARKrCRAIG 200 ACC 09-01-93 109.00 1 CLARK,CRAIG 4 331662 10199 CLARK,JOE 200 ACC 09-01-93 101.50 1 CLARK,JOE M 331714 10199 CURLEErJOHNNY 200 ACC 09-01-93 142.20 1 331652 10194 DARNOLD,KEVIN 203 ACC 09-01-93 113.00 1 DARNOLDrKEVIN M 331844 10199 DEU8BURY,JAUSTIN 200 ACC 09-01-93 180.66 1 DEVSBURY,JAWSTIN F 331805 10199 GREENrCHRISTOPHE 200 ACC 09-01-93 267.50 1 GREENrCHRISTOPHE S 331850 10194 HALOGrAMNAMAE 203 ACC 09-01-93 247.32 1 HALOGrANNAMAE J 331734 10199 HOOK,CINDY 203 ACC 09-61-93 312.30 1 331733 10199 JONES,DGROTHY 200 ACC 09-01-93 346.94 1 JONES,DOROTHY J 331694 10199 PAYNE,HERNAN 200 ACC 09-01-93 1613.20 1 PAYNE,HERMAM M 331695 10194 PAYNErHERMAN 200 ACC 09-01-93 627.16 1 PAYNErHERMAN M 331825 10199 SMALL,JENNIFER 91 ACC 09-01-93 131.06 1 HEALTH SERVICES VRITE-OFF REPORT DATE'19 by 2000 PAGES 43 DEBTOR.... CLIENTi... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL RAL»..,. CRT SNALLr.1ERNIFER L 332109 10199 ALCALA,ARMANDO 200 ACC 09-10-93 1476.60 1 332219 10199 ANDERSON,GREG 200 ACC 09-1043 95.00 1 ANDERSON:GREG L 338133 10149 ARAGAO,LEDA 2200 ACC 09-10-93 149.00 1 ARAGAO,LEDA E 332217 10194 BEASLEY,SHANE 200 RFD 09-10-93 137.00 1 332106 10199 BECKSTROM,SHANNON 91 ACC 09-10-93 84.00 1 ORTEGA,JOSHUA N 332245 14194 BOMARrCL1NT 200 ACC 09-1043 98.00 1 BONAR,CLINT R 332251 10194 CARCHOLArSTEVE 200 ACC 04-10-93 147.30 1 CANCHOLArSHARON 332137 10199 CICEROrDAVID 200 ACC 09-10-93 62.00 1 CICERO,CASSANDRA L 332181 10199 COULTER,GERALD 200 ACC 09-10-93 156.99 1 COULTER,6ERALD S 332156 10149 DEREN,LEORARD 200 ACC 09-10-93 265.00 1 DEREN,L£ONARD A 332015 10199 DIXON,IMOGENE 200 ACC 09-1043 120.60 1 DIXOR,IMOGENE F 332062 10199 DURANrANA 203 ACC 09-10-93 201.00 1 DURAN,ANA P 332164 10199 EARLYIIINE,GEORGE. JR 200 ACC 09-10-93 591.50 1 EARLYVINE,YVONNE A 332206 10199 ELOREKE,HOPE 200 ACC 09-10-93 137.00 1 POVL£S,ELDON G 332142 10194 FETTERLY,TROY 203 ACC 09-1043 43.20 1 FETTERLY,TROY J 332205 10194 FRAZIER,JAMES 200 ACC 09-10-93 339.10 1 FRAIIER,JAIIES N 332198 10199 FREEMAN,RICHARD 203 ACC 09-10-93 107.78 1 FREEMAN,RICHARD L 332077' 10194 GARCIAYOSCAR 200 ACC 09-1043 133.00 1 CARCIA,OSCAR C 332174 10199 GARIBALSERNARDO 203 ACC 09-10-43 42.20 1 332191 10199 GARIBAY,BERNARDO 203 ACC 09-10-93 72.00 1 GARIBAYrANGELICA 332256 10199 GARIBAY,BERNARDO 203 ACC 09-10-93 86.00 1 GARIBAY,ANGELICA 332165 10199 HALOGrANNAMAE 203 ACC 09-10-'93 298.00 1 HALOG,ANNAHAE J 332183 10199 RAGEL,JAMES 91 ACC 09-10-93 185.250 1 NAUU JAMES A 331984 10199 PARLET7E,LORI 200 ACC 09-10-93 394.40 1 PARLETTE,LOR1 A 332009 10199 PAUUrALAMA 2200 ACC 09-10-93 959.13 1 PAUUrI#IVA H 332126 10199 PAVUrALAMA 200 ACC 09-10-93 2954.13 1 PAUU,MELE V 3322152 10199 PAYNE,HERMAN 200 ACC 09-10-93 356.74 1 PAYNE,HERMAN N 332158 10199 PEARCE,ROBERT 200 ACC 09-10-93 342.04 1 12118 HEALTH SERVICES VRITE-OFF REPORT DATEa19 MaV 2000 PAGE: 44 DEBTOR.... CLIEN3... NAME.......................... OSK ST CO OT-ASSIGN LST PAY. TOTAL AAL.,.,. CNF PEARCE,ROSERT J 332057 101" RODRIGUEZ,JESSE 91 JAL 09-10-93 203.06 1 ROORIGUEZ,JESSE J 332103 10199 RODRIGUEZ,MARIA 91 AGC 09-10-93 42.00 1 RODRIGUEZ,MARIA D 332793 10199 ABELS,MITCHELL 200 ACC 04-15-93 147.50 1 ABELS,PATRICIA E 332770 10199 ALATORRE,RAMAN 200 ACC 09-15-93 152.60 1 332795 10199 ALMANZA,IRMA 200 ACC 09-15-43 343.00 1 332519 10194 AMARAL,SH€LLEY 200 ACC 09-15-93 189.39 1 AMARAL,SHELLEY R 332665 101+19 AMARAL,SHELL€Y 240 ACC 09-15-93 295.10 1 AMARAL,SHELLEY R 332621 10199 ARKO,ROBERT 200 ACC 09-15-93 62.40 1 ARNO,HANNAH J 332674 10199 ASKEN,JANES 200 ACC 09-15-93 454.26 1 ASKEWrJAMES H 332751 10199 B€CKSTROM,SHANNON 91 ACC 09-15-93 150.50 1 ORT€CA,JOSHUA N 332734 10194 BLACK,RANDY 200 ACC 09-15-93 162.00 1 BLAGK,AHY L 332570 10199 BOGER,SHAU 200 ACC 09-15-93 439.06 1 BOGER,SHAVW A 332807 10198 BOGER,SHAiNN 200 ACC 09-15-93 155.25 1 SOGER,SHAYN A 332758 10199 BRASCH,SETTY 200 ACC 09-15-93 136.10 1 BRASCH,BETTY M 332512 10199 CAILLOUET,RUSSELL 203 ACC 09-15-93 1220.60 1 CAILLOUET,RUSSELL T 332514 10199 CAILLOUET,RUSSELL 203 Act 09-15-93 40.60 1 CAILLOUET,RUSSELL T 3322520 10199 CAILLOVET,RUSSELL 203 Act 01-15-93 32.70 1 CAILLOUET,RUSSELL T 332891 10199 CAILLOVET,RUSS€LL 203 ACC 04-15-93 40.60 1 CAILLOUET,RUSSELL 7 332895 10199 CANZONA,PAUL 200 ACC 09-15-93 3029.80 1 CANZONA,PAUL J 332537 10199 CLARK,JOS€PH 203 ACC 09-15-93 72.00 1 332682 10199 CLARK,JOSEPH 2203 Act 09-15-93 541.80 1 332694 10199 CRVI,JUAN 200 ACC 09-13-93 167.00 1 332593 10199 DAVISON,H€RBERT 200 Act 09-15-93 265.60 1 DAVISON,H€RBERT R 332592 10119 D€ANE,CAROLYN 200 ACC 09-15-93 137.00 1 332521 10199 FORTADO,GEORGE 200 ACC 09-15-43 146.55 1 FORTADO,&€OR&E A 332702 10199 FOUNTAIN MAYN€ 203 Act 09-15-93 83.08 1 332760 10119 FRANCO,VIDAL 200 ACC 09-15-13 274.82 1 FRANCO,VIOAL E 3322700 10199 GALLON,GERALD 200 Act 09-15-93 114.00 1 332722 10199 GARCIA,OSCAR 200 ACC 09-15-93 4225.00 1 GARCIA,OSCAR C 332686 10149 GOME1,LUIS 200 Act 09-15-93 112.60 1 GOMEZ,LUIS E HEALTH SERVICES VRITE-OFF REPORT DATE;19 May 2000 PAGE: 45 DEBTOR.... CLIENT*.., NAME.......................... DSK ST CD OT-ASSIGN LST PAY. TOTAL DAL..... CNT 332694 10199 GONIALEI,ROBERT 200 ACC 09-15-93 141.88 1 GONIALEI,ROBERT A 332843 10199 HAMMOND,OANIEL 203 ACC 09-15-93 678.80 1 HAMMOW DANIEL J 332647 10199 HAMMOND,DANIEL 203 ACC 09-15-93 1730.00 1 HAMNOND,LYNN 332603 10199 HARRISrVERNA 203 ACC 09-15-93 183.50 1 MATHENIA,JASNINE I 3322604 10199 HEREDIA,GONIALO 203 ACC 09-15-93 62.00 1 HEREDIA,GONIALO N 332605 10199 HEREOIA,MIGUEL 203 ACC 09-15-93 142.25 € HEREDIA,KIGUEL I 332492 10199 INGRAM,RODNEY 203 ACC 09-15-93 72.00 1 INGRAM,RODNEY O 332496 10199 INGRAM,RODNEY 203 ACC 09-15-93 1907.73 1 INGRAM-RODNEY 0 332572 10199 JACKSON,EUGENE 203 ACC 09-15-93 14.40 1 JACKSON,EVGENE N 332487 10199 LOIA,ARTHUR 91 ACC 09-€543 208.00 1 VALENZUELA,MINERVA 332601 10199 NASILAI.SENITULI 200 AC£ 09-15-93 261.35 1 NASILAI,FAKATAHA 332655 10199 NOLLEY,VILLIE 200 ACC 09-15-93 631.00 1 NOLLEY,WILLIE D 332967 €0199 NOLLEYtVILLIE 200 ACC 09-15-93 410.50 1 NOLLEY,HILLIE D 332636 10199 ODONNELLrROGER 200 ACC 09-15-93 423.97 1 ODONNELL,ROC€R M 3322557 10199 ONEAL,TOMMY 200 ACC 09-15-93 416.90 1 332802 10199 PEREZ,ARCELIA 200 ACC 09-€5-93 233.30 1 332714 10199 PHILLIPS,CHERYL 200 ACC 09-15-93 297.50 1 PHILLIPSrCHERYL A 333346 10199 ABBOTT,MATT 200 ACC 09-23-93 69.08 1 ABBOTT,MATT R 333554 10199 BRUNE,KAREN 200 ACC 09-23-43 240.50 1 BRUNE,KAREN D 333390 10199 CAMP,KENNETH 203 ACC 09-23-93 1022.00 1 CAMP,KENNETH A 333460 10199 CAMP,KENMETH 203 ACC 09-23-93 286.00 1 CAMP,KENNETH A 333493 10199 CAMP,KENNETH 203 ACC 09-23-93 72.00 1 CAMP,KERNETH A 333551 10199 CAMP,KENNETH 203 ACC 09-23-93 4059.60 1 CAMP,KENNETH A 333403 10199 CATALANO,GARY 200 ACC 09-23-93 131.00 1 CATALANO,AMGELO G 333560 10199 CRU7,LISA 200 ACC 09-23-93 569.00 1 CRUI,LISA M 333437 10199 EVANS,JOHN 203 ACt 09-23-93 485.34 1 EVANS,JOHN N 333489 10199 FOUNTAIN,DVAYNE 203 ACC 09-23-93 88.50 1 333348 10199 GARCIA,NOISES 2203 ACC 09-23-93 109.00 1 333404 10199 GARCIA,OSCAR 200 ACC 09-23-93 248.11 1 HEALTH SERVICES MITE-OFF REPORT DATE;19 Koy 2000 PAGE: 46 DEBTOR.... CLIENT#, NAME.......................... DSK ST CD DT-ASSIGN LST PAY. ICTAL BAL..... CN: GARCiAtOSCAR C 333328 10199 GAVINS,NICHA£L 203 ACC 09-23-93 422.32 1 CAV€NSMICHAEL L 333525 10199 CIL,CABRIEL 203 ACC 09-23-43 42,00 1 CIL,LETICIA G 333542 10199 CLASGOWMICENT 200 ACC 09-23-43 24.10 1 GLASGOMINCENT L 333429 10199 GRIEGO,ROCHELLE 200 ACC 0923-93 109.00 1 GRIEGO,RICHARD 333412 10199 HARKINS,FRED 203 ACC 09-23-13 137.00 1 HARKINS,FR£D D 333572 10199 H€ND€RSONrC€ORG€ 203 ACC 09-23-93 180.30 1 HENDERMCGEORCE H 333382 10199 HERNANDEZ,MAGCIE 203 ACC 092343 65.00 1 CAMPOS,NATALIE H 333395 10199 HERNANDEZ,RANDY 203 ACC 09-23-93 171.00 1 HERNANDU MANE R 333467 10199 OLMOS„JOEL 200 ACC 09-23-93 282..26 1 OLMOS,JOEL A 333533 10199 OYEN,ERIC 200 ACC 09-23-93 337.20 1 OHEN,ERIC A 333528 10199 PARRISH,JERRY 200 ACC 09-23-93 496.50 1 333431 10199 PAYNE,JONOTHAN 200 ACC 09-23-93 485.50 1 PAYNE,JONATHAN D 333469 10199 SANDERS,JAIIES 2,00 ACC 09-23-93 691.54 1 333368 10199 SOTO,RANONA 91 ACC 09-2393 137.00 1 333970 10199 ALKAHELI,FARDUSA 200 ACC 09-26-93 158.00 1 333870 10199 ARNO,ROBERT 200 ACC 09-28-93 109.90 1 ARNOMANNAH J 334043 10199 BELLAMYtLARRY 200 ACC 09-28-93 630.35 1 BELLANY,JANIC£ G 333991 10199 BELT,TRUDY 200 ACC 09-28-93 146.50 1 BELT,TRJJDY M 334105 10199 CALVIN,$€REK 200 ACC 09-26-93 425.96 1 CALVIN,DEREK L 334059 10199 CERVANTES,ANTONIO 200 ACC 09-28-93 76.50 1 CERVANTES,LUCIA 334061 10199 CHARRETTE,LARRY 200 ACC 09-28-93 139.60 1 CHARRETTE,LARRY A 333943 10199 CHAVEItALBERTO 200 ACC 09-28-93 634.13 1 CARCIA,ALSERTO 334057 10199 EDUARDS,CODY 200 ACC 09-26-93 334.00 1 EDWARDS,CODY T 333864 10199 ENGLISH,ANTHONY 200 ACC 09-2643 143.00 1 334037 10199 FORSTER,RICK 200 ACC 09-26-93 138.00 1 FORSTER,DONINIC S 333989 10199 GARCIA,ALBERTO 200 ACC 09-28-93 272.07 1 334101 10199 MERHANDE MICENTE 203 ACC 09-26-43 119.00 1 HERNANDEI,GABRIELA 333922 10199 P€REZ,DANA 200 ACC 09-2843 386.00 1 PEREZ,DANA T 333928 10199 REYESINELBER 91 ACC 09-28-93 129.00 1 RODRIGUEZ,RICARDO A HEALTH SERVICES WAITE-OFF REPORT OATE:19 May 2040 PAGE: 47 DEBTOR.... CLIENT#,., NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL DAL..... CHT 334011 10199 SCHRIDT,TOOD 91 ACC 09-28-93 80.00 1 SCHRIDT,TODD HALTER 333992 10199 SILVA,ELOY 91 ACC 09-28-93 80.07 1 334078 10199 STILTNER,KAREN 91 ACC 09-28-93 50.08 1 PLILER,BRITTANY 333998 10199 SWEET,TERRY 91 ACC 09-28-93 117.52 € SWEETrTERRY L 334092 10199 TINNONS,BRIAN 91 ACC 09-28-93 123.20 1 TINNONS,BRIAN C 334453 10199 ANDERSON,RICHARD 200 ACC 10-08-93 338.57 1 ANDERSON,JERRY 334602 10199 ANDERSON,RICHARD 200 ACC 10-08-93 459.59 1 ANDERSON,JERRY 334684 10199 ANDERSON,RICHARD 200 ACC 10-08-93 725.90 1 ANDERSON,JERRY 334589 10199 BRANCH,CAROLYN 200 ACC 10-08-93 171.85 1 BRANCH,CARDLYN D 334549 10199 BRASCH,BETTY 200 ACC 10-08-93 29.40 1 BRASCH,BETTY M 334606 10199 CARTER,DORIS 203 ACC 10-08-93 72.00 1 CARTEWORIS M 334636 10199 CORKELIVS,MICHAEL 203 ACC 10-08-93 140.00 1 CORKELIUS,MICHAEL N 334770 10199 CORKELIUS,HICHAEL 203 ACC 10-08-93 444.20 1 CORNELIUS,NICHAEL V 334780 10199 DAVIS,GLEN 203 ACC 10-08-93 640.00 1 334720 10199 EATON,BETH 203 ACC 10-08-93 227.00 1 EATUN,BETH A 334621 10199 ESCOBEDO,LINDA 200 ACC 10-08-93 135.00 1 ESCUBEDO,DEANNA R 334590 10199 FORTADO,GEORGE 200 ACC 10-08-93 515.87 1 FORTADO,GEORGE A 334596 10199 GARONER,SHARAUNDA 200 ACC 10-08-93 56.40 1 GARONERrSHARAUKDA J 334541 10199 GAVINS,MICHAEL 203 ACC 10-08-93 264.58 1 GAVINSrMICHAEL L 334705 10199 GEROU,CLIFFORD 200 ACC 10-08-93 668.35 1 GEROU,CLIFFORD A 334599 10199 GLASPER,DORIS 240 ACC 10-0843 88.40 1 GLASPER,DDRIS J 334696 10199 GLOVER,NICHAEL 200 ACC 10-0843 280.75 1 GLOVER,HICHAEL A 334449 10149 GODINEI,ANGEL 203 ACC 10-08-93 131.00 1 GODINEZ,BRENDA 334462 10199 GOODNAK,PETER 203 ACC 10-08-43 111.00 1 GOODHAN,PET£R G 334708 10199 GUERRA,EUGENIA 200 ACC 10-08-93 133.00 1 334646 14199 GUILLEN,RICHARD 200 ACC €0-08-93 341.50 1 GUILLEN,RICHARD P 334701 10199 HUDSON,EDDIE 203 ACC 10-08-93 674.96 1 HUDSW EDDIE 334475 10199 INGRAR,CRAIG 203 ACC 10-08-93 74.70 1 INGRAM,CRAIG D HEALTH SERVICES VRITE-OFF REPORT DATE119 Ray 2000 FACE: 48 DEBTOR..,. CLIENT4... WANE.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL DAL..... COT 334566 10199 JACKSOW,EUGENE 203 ACC 10-08-93 127.80 1 JACKSON,EMENE N 334717 10199 KEVIS,STACTE 200 ACC 10-08-93 460.40 1 NEVIS,STACYE M 334544 10199 OYERVIDES,JEFFREY 204 ACC 10-08-93 338,60 1 OYERVIDES,JEFFREY W 334737 10199 PADILLA,SEBASTIAK 200 ACC 10-08-93 484.35 1 FADILLA,SEBASTIAN E 334711 10199 SILVA,CANDICE 91 ACC 10-08-93 25.00 1 SILVA,CANDICE K 335547 10199 ALGER,SEAN 240 ACC 10-13-93 143.00 1 ALGER,SEAN W 335475 10199 ANGELIM NARIO 200 ACC 10-13-93 203.40 1 335382 10199 ANICETO,PURICINA 200 ACC 10-13-93 91.00 1 333360 10199 ARNENTA,JORGE 200 ACC 10-13-93 99.00 1 335539 10199 BLACKER,NARTIN 200 ACC 10-13-93 123.00 1 BLACKER,NART1N G 335506 10199 DRITT,CASSANK 200 ACC 10-13-93 123.04 1 BRITT,CASSANK T 335341 10199 CANErNICHOLAS 200 ACC 10-13-93 111.80 1 CANE,NICHOLAS F 335346 10199 DAVI&,RONALD 203 ACC 10-13-93 272.01 1 DAVIS,RONALD W 335559 10199 DAVIS,ROKALD 203 ACC 10-13-93 140.20 1 DAVIS,ROKALD N 335526 10199 DEBOSE,DRANOON 200 ACC 10-13-93 86.60 1 DE80SE,BRANOON L 335368 10199 ELLIDTT,BETTY 200 ACC 10-13-93 109.00 1 ELLIOTT,BETTY R 335449 10199 GARCIA:OSCAR 200 ACC I0-13-93 211.70 1 CARCIA,OSCAR C 335406 10199 GARRETT,BRENDA 203 ACC 10-13-93 337.00 1 GARRETT,BRENOA F 335352 10199 HARRISON,JOE 203 ACC 10-13-93 30.00 1 HARRISOW,JOE N 335439 10199 HARRISOW,JOE 203 ACC 10-13-93 103.00 1 HARRISON,JOE N 335445 10199 HARRISONxJOE 203 ACC 10-13-93 646.30 1 HARRISON,JOE V 33547E 10199 HARRISOW:JOE 203 ACC 10-13-93 932.00 1 HARRISO*,JOE H 735487 10199 HARRISON,JOE 203 ACC 10-13-93 135.00 1 HARRISON,JOE N 335560 10199 HARRISON:JOE 203 ACC 10-13-93 161.50 1 HARRISON,JOE W 335600 10199 HARRISONIJOE 203 ACC 10-13-93 194.00 i HARRISON,JOE W 335601 10199 HARRISON,JOE 203 ACC 10-13-93 269.00 1 HARRISON,JOE N 335553 10199 HAYDEN,STEVEN 203 ACC 10-13-93 282.75 1 aka HAYDEK,ROBERT 5 333340 10199 HEDGES,VERNON 203 ACC 10-13-93 79.80 1 HEDGES,VERNON V HEALTH SERVICES 4RITE-OFF REPORT DATE=19 NiV 2000 PACE: 49 DEBTOR..,. CLIENT*, MAK.......;.................. DSK ST CO OT-ASSIGN LST PAY. TOTAL BAL..... CNT 335532 10194 HUFF,G£OR0E 203 ACC 10-13-93 204.00 1 HUMMYLENE A 335496 10144 HUNPHREY,1(ENNETH SR 203 ACC 10-13-93 131.00 1 HUNPFIREY,CHERILA 335567 10199 HURPHREY MONETH SR 203 ACC 10-13-93 156,80 1 HUMPHREY,NENNETH JR D 335385 10149 NEVTON,STANLEY 200 ACC 10-13-93 383,36 1 NEOTON,STANLEY A 335425 €0194 OROICO MARIA 91 ACC 10-13-93 12.60 1 OROZCO,NARIA E 335528 14199 PADILLA,SEBASTIAN 2200 ACC 10-13-93 307.50 1 PADILLA,SEBASTIAN E 335424 10189 RIVERA,NARTIN 91 ACC 10-13-83 97.52 1 RIV£RAtNARTIN I 335381 14199 ROB£RTSON,JOSEPH 200 ACC 10-13-93 260.98 1 ROBERTSON,LEIANNE 335438 10€49 IAVALETA,TRINIDAD 91 ACC 10-13-93 1052.00 1 337058 14149 AYALA,DUSTI 260 ACC €0-22-93 147.00 1 AYALAtTRISTIN A 337048 10199 BALOFF,PAUL 200 ACC €0-22-93 509,35 1 BALOFF,PAUL N 336923 10194 BARELA,TERI 91 ACC 10-22-93 152.00 1 VILL€ANS,COREY L 337012 10194 CALHOUN,1tMERLY 260 ACC 10-22-93 121.06 1 CALHOUMINB£RLY J 337489 14149 CATALANO,GARY 200 ACC 10-22-93 103,50 1 CATALANOtANGELO G 337019 10199 CRUItFLAVIA 200 ACC 10-22-43 948.42 1 336871 10149 FLOOG,EDWARO 203 ACC 10-22-93 16.00 1 FLOOD,EDVARD L 337021 10144 GONZAL£S,SOFIA 200 ACC 10-22-93 112.00 1 336920 10199 GONZALEI,RICARDO 203 ACC 10-22-93 f62,00 1 CONIALEItPANELA 336988 10199 G#NIALEI,RICARDO 203 ACC 10-22-43 147.50 1 UNIALEI,PARELA 336372 10199 HAL€,HENRY 203 ACC 10-22-93 113.07 1 HALEtHENRY E 336972 10194 HARNINS,FRED 203 ACC 10-22-93 114.00 1 HARKINS,FRED D 336974 10199 HOVELL,GLENN 203 ACC 10-22-93 82.80 1 HOVELL,GLENN A 336893 10149 INGRANtCRAIG 203 ACC 10-22-93 243.00 1 INGRAR MAIG D 336839 10199 NUNOZ,DONALD 200 ACC 10-22-93 2283.13 1 HUNO2,DONALD L 336968 10199 NOORI,HAJERA 200 ACC 10-22-93 566.50 1 336976 10199 PERTM ANGELA 200 ACC €0-22-93 354.60 1 PENTON,NARCO 337034 10199 PERM ANTONID 200 ACC 10-22-93 415.54 1 PERM ENERENCIAN C 337065 10199 PEREZ,REFUGIO 200 ACC 10-22-93 271.76 1 PEREZ,R£FOGIO A 337086 10199 PETERSEN,VICRY 91 ACC 10-22-93 850.58 1 HEALTH SERVICES WRITE-OFF REPORT OAT€:19 Mast/ 2000 PAGE: 50 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL SAL..... CNT PETERSENrVICKY L 336928 10199 SMITH,LILLIE 91 ACC 10-22-93 132.80 1 VILSON,TERRANCE L 337423 10199 ALGER,SEAN 200 ACC 10-27-93 3349.47 1 ALGER,SEAN W 337515 10199 ANDERSON,JERRY 200 ACC 10-27-93 10911.220 1 337356 10199 AV€LA,DANNNAL 200 ACC 10-27-93 186.70 1 337336 10199 BANALES,RUBEN 200 ACC 10-27-93 $8.50 1 337364 10199 BARBERIOrJOHN 200 ACC 10-27-93 146.40 1 337502 10199 BARBERIO,JOHN 200 ACC 10-27-93 6914.04 1 337608 10199 BARBERIWOHN 2200 ACC 10-27-93 271.68 1 337616 10199 BARRAGANrJESUS 200 ACC 10-27-93 154.18 1 BARRAGAN,JESUS H 337525 10199 BELT,TRUDY 200 ACC 10-27-93 534.90 1 BELT,TRUDY N 337557 10199 BENNETT,KIItIE 200 ACC 10-27-93 159.76 1 BENNETT,KIIZI€ K 337524 10199 BLACK,MARVIN 200 ACC 10-27-93 91.64 1 BLACK,KARVIN L 337353 10199 BOLTS,ROBERT 200 ACC 10-27-93 1572.90 1 337636 151199 SOLTS,ROBERT 200 ACC 10-27-93 102.00 1 337631 10199 CALHOUN,KIMSERLY 200 ACC 10-27-93 76.00 1 CALMDUM,KIMBERLY J 337459 10199 CANDATE,ROBERT 200 ACC 10-27-93 150.85 1 CANDAT€,ROBERT E 337542 10199 COMPTON,AARON 200 ACC 10-27-93 108.80 1 337545 10199 COOPER,LINDA 200 ACC 10-27-93 5006.50 1 COOPER,DOMINIOUE 337548 10199 COOPER,LINDA 200 ACC 10-27-93 86.00 1 COOPER,DONINIGUE 337629 10199 COYLErCANDACE 200 ACC 10-27-93 94.50 1 COYLE,CANDACE R 337368 10199 CURTIS,JAKES 200 ACC 10-27-93 494.82 1 CURTIS,JANES C 337570 10199 ESSUIBELL,JOHN 200 ACC 10-27-93 335.00 1 ESSUIDELL,JOHN J 337504 10199 FLENING,DE$RA 200 ACC 10-27-93 171.45 1 FLEMING,DEBRA A 337578 10199 FLORES,ALEJANDRA 200 ACC 10-2743 150,05 1 337547 10199 FRE€NAN,MARY 200 ACC 10-27-93 154.35 1 337510 10199 GARCIAIDSCAR 200 ACC 10-2743 76.00 1 GARCIA,OSCAR C 337614 10199 GARDNER,STEV€N 203 ACC 10-27-93 351.50 1 GARDNER,STEVEN D 337580 10199 GONSHOROVSKI,RICHARD 200 ACC 10-27-93 460.00 1 GONSHOROiSSKI,RICHARD M 337346 10199 GRAY,KELLY 200 ACC 10-27-93 187.00 1 GRAY,KELLY S 337498 10199 GUILLORY,JANICE 203 ACC 10-27-93 174.50 1 GUILLORY,JANICE M 337365 10199 HARRISON,JOE 203 ACC 10-27-93 212.00 1 HARRISONrJOE U 337609 10199 HARK€SOC JOE 2113 ACC 10-27-43 144.00 1 V l �� HEALTH SERVICES VRITE-OFF REPORT BATEs19 Mai} 2000 PAGE: 51 DEBTOR.... CLIENT#... MANE.—............... ....... OSK ST CD OT-ASSIGN LST PAY. TOTAL BAL..... CNT HARRISON,JOE N 337496 10199 HARTMAN,THOMAS 203 ACC 10-27-93 268.10 1 337605 10199 HENDERSON,GEORGE 203 RCC 10-27-93 111.00 1 HENDERSON,GEORGE H 337391 10199 NAVARRO,DAVID 200 ACC 10-27-93 500,20 1 NAVARRD,DAVID R 337635 10199 OLINGER,DAVID 200 ACC 10-27-93 412.50 1 337371 10199 PARTLOW,PRISCILLA 200 ACC 10-27-93 291.50 1 PARTLOUtPRISCILLA E 337455 10199 PERI,DOMIKIRU£ 200 ACC 10-27-93 311.50 1 PERI,DOMINIGUE R 337433 10199 SILVA,CANDICE 91 ACC 10-27-93 115.00 1 SILVA,CANDICE K 337385 10199 SMITH,LILLIE 91 ACC 10-27-93 85.84 1 HILSON,TERRANCE L 337439 10199 THEOUDELE,LANCE 91 ACC 10-27-93 2501.96 € TH£DUDELE,LANCE R 338077 10199 ARRIAGA,CESAR 200 ACC 11-02-93 94.24 1 ARRIAGA,CESAR A 338012 10199 HAMILTON,YYNNUELL 203 ACC 11-02-93 203.70 1 338013 10199 HAMILTOMYNNUELL 203 ACC 11-02-93 149.39 1 337960 10199 HAYES,ANTHONY 203 ACC 11-02-93 100.80 1 HAYM ANTHONY R 338055 10199 HIGGS,NICHAEL 203 ACC 11-02-93 105.32 1 HIGGS,MICHAEL A 331973 10199 MUNAFO,VINCENT 200 ACC 11-02-93 472.87 1 NUNAFO,VINCENT J 338046 10199 NAVARRO,ENRISUE 200 ACC 11-02-93 559.50 1 NAVARRO.ENRIM G 338005 I0199 NORTHCUT,JEFFREY 200 ACC 11-02-93 511.60 1 WOODARD,CARRIE L 338125 10199 ONATE,NICHAEL 200 ACC 11-02-93 370.00 1 ONATE,MICHAEL H 337951 10199 ORTII,NICHAEL 200 ACT 11-02-93 382.50 1 ORTIi,MICHAEL J 338041 10199 RAHBARI,MEHRDAD 91 ACC 11-02-93 124.84 1 337967 10199 RAMIREI,MANUEL 91 ACC 11-02-93 1114.75 1 RAMIREI,YADIRA 338038 10199 RAMIREI,NANUEL 91 ACC 11-02-93 345.00 1 RAMIR€Z,YADIRA 338048 10199 RAMIREI,MANUEL 91 ACC 11-02-93 597.00 1 RAMIREI,YADIRA 338062 10199 RAMIREZ,MANUEL 91 ACC 11-02-93 400.50 1 RAMIREI,YADIRA 338101 10199 RAMIREI,MANUEL 91 ACC 11-02-93 104,00 1 RAMIREI,GADIRA 338117 10199 RAMIREI,MANUEL 91 ACC 11-02-93 28022.55 1 RAMIREI,YADIRA 338024 10199 ROSA,CLIFFORB 91 ACC 11-02-93 547.75 1 ROSA,CLIFFORD A 338106 10199 STEINBERG,STEPHEN 41 DEC 11-02-93 133.40 1 STEINBERG,STEPHEN R 338074 10199 VAKAUTA,MELE 91 ACC 11-02-93 162.00 1 HEALTH SERVICES VRITE-OFf REPORT DATE"*19 KiV 2000 PAGE• 52 DEBTOR.... CLIENT#... llAt(E.......................... OSK ST CD DT-ASSIGN LRT PAY. TOTAL BAL..... CMT VAKAUTA,MELE M 333010 10149 ZAVALETA,TRIMIDAD 91 ACC 11-02-93 32.68 1 338721 10144 ALLEN,RONALD 200 ACC 11-09-43 162.24 1 ALLENrROMALD E 338996 10149 ANDERSON,CHARLES 244 ACC 11-09-93 746.46 1 ANDERSON,CHARLES N 338730 10194 ANOERSON,JO8EPH 200 ACC 11-09-43 297.50 1 ANDERSON,JOSEPH L 338852 14199 ANG€LES,MARCARITO 200 ACC 11-0943 33.00 1 ANGELES,MARGARITO C 339103 14144 ARMO,ROBERT 244 RCC 11-09-93 458.44 1 ARNO,HANMAH J 334434 113194 BELT,TRUDY 2240 ACC 11-09-93 36.20 1 BELT,TRUDY M 334142 10194 SLACKMOM,HARRY 204 ACC 11-04-93 53.40 1 BLACKMON,HARRY L 3341€9 10199 BOYMILLIE 200 ACC 11-09-93 93.00 1 BOYMILLIE N 334048 14199 BROW CATTRENA 240 ACC 11-09-43 125.24 1 339086 10199 CAMPBELL:JEAN 243 ACC 11-09-93 75.40 1 CANPBELL,JEAN M 338911 10199 CAMPBELU MICHAEL 240 ACC 11-09-93 176.50 1 CAMPSELL,MICHAEL D 338975 14144 CAMPBELL,MICHELLE 200 ACC 11-49-93 166.44 1 GARCIA,DANIEL A 338988 10199 CASTELLAMOS,RAMON 200 ACC 11-09-93 33.00 1 CASTELLAMOS,RAMON !( 339044 10149 COLLINS,ANETTRA 200 ACC 11-49-V3 €92.50 1 COLLINS,ANETTRA R 338715 14199 COAPEAN,JOSE 244 ACC 11-09-93 91.50 1 338993 10149 CUPTON,MINNIE 203 ACC 11-09-93 79.30 1 COMPTOM,t1INNIE L 338929 10144 CROVDER,MALKIA 200 ACC 11-4943 160.54 1 338817 14149 DIAMONRADO 200 ACC 11-09-93 155.00 1 DIAZ,CONRADO N 339115 €0199 ELDRIDGE,JAMES 204 ACC 11-09-93 14.44 1 ELDRIDGE,JAMES C 338740 10199 FONSECA,ESTAVAM 200 ACC 11-09-93 99.00 1 FONSECA.ESTAVAN E 338453 10199 FORD,LAVEMIA 200 ACC 11-09-93 114.50 1 338819 €0199 FOSTER,DAVID 203 ACC 11-09-93 22.45 1 FOSTER,NELISSA A 338794 10199 FRAZIER,JAMES 200 ACC 11-09-93 142.10 1 FRAZIER,JAMES W 339186 10149 GARRETT,BREMDA 203 ACC 11-09-93 125.00 1 GARRETT,BRENDA F 338890 10199 GLOVER,MICHAEL 200 ACC 11-49-93 277.00 1 GLOVERtKICHAEL A 336821 10119 GONZALEZ,JIILIA 200 ACC 11-09-93 76.00 1 GONZALEZ,JULIA D 338424 14199 GREGORY,SHARON 200 AGC 11-09-93 153.50 1 GREGORY,SHAROM P 334152 14194 GRIFFIN,JAMES 200 ACC 11-0943 152.40 € HEALTH SERVICES URITE-OfF REPORT DATE219 MaN 2006 PAGE. 53 DE8TOR.... CLIENTY... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..>.. CNT GRIFFIN,JAMES D 339461 10199 GUERRA,JAVIER 203 ACC 11-09-93 142.00 1 G1IERRA,MARIA D 339094 14199 GUIJOrELEUTERIO 203 ACC 11-09-93 816.40 1 GUIJO,CRISANTA L 339976 10199 GUTIERREZ,DORA 200 ACC 11-49-93 91.00 1 PENALOZA,DANIEL 339156 10199 NARTMAN,THOMAS 203 ACC I1-09-93 123.00 1 336994 10199 HUMPHREY,JUNIOR 203 ACC 11-09-93 36.30 1 HUMPHREY,JUNIOR D 339136 10199 NEURAN,RAYMOND 91 ACC 11-09-93 609.48 1 NENMAN,RAYMOND L 338993 10194 OBRYAN,JOHN 200 ACC €1-09-93 315,26 1 OBRYAN,CONNIE 336784 14199 PARREIRArIOLANDA 204 ACC 11-09-93 294.45 1 PARREIRA,IOLANDA S 339192 10199 REYESrHELBER 9t ACC 11-69-93 66.04 1 ROORIGUEZ,RICARDO A 338769 14199 REYES,PEORO 200 ACC 11-09-93 496.44 1 REYES,PEDRO E 339151 14199 RODRIGUEZ,GUSTAVO 91 ACC 11-09-93 14.00 1 RODRIGUEZ,ANDREII J 344454 14199 AGUIRRErJAMILETH 244 ACC 11-16-93 56.00 1 SUAREZ,LIIIS 340147 10199 AMIRI,NAIM 200 ACC 11-19-93 111.60 1 ANIRI'MIN M 340299 16199 BARRETT,MITCHELL 200 ACC 11-19-93 664,62 1 BARRETT,MITCHELL J 340276 10199 RAXTER,CARMEN 200 ACC 11-16-93 90,00 1 SAITER,ISAIAH D 340192 10199 BECKSTROM,SHANNON 91 ACC It-18-93 223.56 1 ORTEGA,JOSHUA N 340144 10199 CORDOVA,JOHN 240 ACC 11-16-93 76.35 1 340173 10199 EATON,SHELLEY 2200 ACC 11-19-93 254.00 1 BOYER,DARRELL L 340079 10199 ECKERT,JOE 243 ACC 11-€9-93 747.50 1 ECKERT,KASSINA J 340124 10199 ECKERT,JOE 203 ACC t1-€9-93 2225.00 1 ECKERT,KASSINA J 340124 14199 FAJARDOrJOSE 2203 ACC 11-19-93 133.50 1 FAJARDO,JOSE 1 340290 10199 FARAG,OSAMA 204 ACC 11-19-93 93.00 1 340107 10199 FARLEYrSEAN 203 ACC 11-18-93 94.20 1 FARLEYrAN€DINETTE M 340193 10199 FENTON JAN 200 ACC 11-18-93 469.50 1 FENTON,DAN G 340117 10199 FERNANDEZrADELARDO 203 ACC. 11-18-93 302.50 1 LOPEZ,ABELARDO 3403221 10199 GANDY:JOHN 200 ACC 11-19-93 65.40 1 GANDY,JOHN E 340141 10199 GOMEZ,R#BEN 264 ACC 11-18-93 89.50 1 340243 10199 GONZALEZ,NILSA 203 ACC 11-19-93 196.10 1 340299 10199 GONZALEZ,N€LSA 203 ACC 11-18-93 116.30 1 HEALTH SERVICES VRITE-OFF REPORT DATE;19 flay 2000 PAGE* 54 DEBTOR.... CLIEH9.., MME.......................... DSK ST CB BT-ASSIGN LST PAY. TOTAL BAL. .... CN' 340045 10199 GREEN,ADRIENNE 203 ACC 11-18-93 84.90 1 CREMAIR1ENNE F 339989 10199 GRISSY,GENE 200 ACC 11-18-93 €67.00 € GRISBY,GLORIA A 340288 10199 GUILLORY,JANICE 243 ACC 11-18-93 136.84 1 GUILLORY,JANICE N 340279 10199 HALOG,ANKANAE 203 ACC 11-18-43 875.80 1 NALOGrAKKANAE J 340254 10199 HARKIKS.FRED 203 ACC 11-18-93 220.00 1 HARKIKS,FRED D 340250 10199 HEDGES,VERKON 203 ACC 11-18-93 164.24 1 HEDGES,VERKOK V 340164 10199 INGRW ROMEY 243 ACC 11-18-93 84.04 1 INGRAMODNEY O 340019 10199 JACKSON,ANTHOKY 203 ACC 11-18-93 249.20 1 340044 10199 JACKSOK,ANTNOKY 203 ACC 11-18-93 459.60 1 340489 10199 JACKSSOK,EUGEKE 243 ACC 11-18-93 11.40 1 JACKS*EUGEKE N 34009E 10199 LOPEZ,ABELARDO 243 ACC 11-14-93 66.00 1 340268 10199 RUNSW CHARLES 200 AGC 11-18-93 250.54 € NUNSOMMARLES E 340137 10199 OTERO,RAFAEL 91 ACC 11-18-93 170.55 1 OTEM AIDA L 340090 10199 PATTERSON,NARTIN 4 ACC 11-18-93 194.40 1 PATTERSON,NARTIK R 340021 14199 RODRIGUEZ,GUSTAVO 91 ACC 11-18-93 102.15 1 RODR€GUM AKDREV J 339995 10199 RODRIGUM MARIA 91 AGC 11-18-93 132.50 1 340889 10194 ACRIANrSHERYLE 200 ACC 11-2443 442.60 1 ADRIAN,SNERYLE 0 340942 10199 BAROKE,JANES 200 ACC 11-24-93 96.30 1 BAROKE,JANES A 340971 I0199 BEGEY,PATRICK 200 ACC 11-24-93 526.88 1 SEGEY,PATRICK A 340458 10199 BELT04,JERRY 200 ACC 11-24-93 108.80 € BELTO rJERRY N 340876 10199 8HAIL,JOHNNY 200 ACC 11-2443 91.00 1 BHAIL,JOHNKY S 340899 10199 SOESEL,KIRK 200 ACC 11-24-93 149.00 1 BOESEL.KIRK N 340960 10199 CANPOS,JOSE 200 ACC 11-24-93 157.00 1 340962 10199 CHAVEZ,PAULA 243 ACC 11-24-93 712.90 1 340966 10199 DAIISOK,EDKARD 240 ACC 11-24-93 63.62 1 340839 10199 EDVARDS.BRIAN 200 ACC 11-2443 137.40 1 EDVARDS,BRIAK D 340854 10199 EFNERrIRIS 200 ACC 11-24-93 275.60 1 EFNERAIKK€ J 340709 10199 ELLINGSOCNELODY 200 ACC 11-224-93 93.07 1 COVALTrDERRICK J 340823 10199 FEARS,JUAN€TA 200 ACC 11-24-93 137.00 1 FEARS,JUANITA K 340761 10199 FROST,TAHARA 203 AGC 11-24-93 216.21 1 F"ST,TAHARA K HEALTH SERVICES VRITE-DEF REPORT DATE;19 NaV 2000 PAGE= 55 DEBTOR.... CLIENT#... MAKE.—....................... DSK ST CD OT-ASSIGN LST PAY. TOTAL BALI-- CIT 344806 10199 GONZALEIrIGNACIO 243 ACC 11-24-93 190.35 1 GONZALEZrIGNACIO H 340976 14199 GREENrADRI£NNE 203 ACC 11-24-93 274.00 1 GREENrADRI£NNE E 340840 10199 GREMSCOTT 204 ACC 11-24-93 153100 1 GREGGrSCOTT V 340791 10199 HERNANDEZrJUAR 203 ACC 11-24-93 183.50 1 HERNANDEIrJUAN V 340849 10199 HILLrTINA 203 ACC 1€-24-93 174.00 1 HILL:TINA N 340931 14199 HILLJINA 203 ACC 11-24-93 98.35 1 HILLrTINA N 340916 10199 JANESrLARRY 203 RCC 11-24-93 123.40 1 JAKESMI5TIE J 340836 10199 LAVYrJEVNIE 203 ACC 1€-24-93 385.50 € LAUGHARENrJENN€E 340805 10199 Nf1N01rTRUDY 200 ACC 11-24-93 4741.42 1 NUNGAirTRUDY V 340901 14199 NUNGAIrTRUDY 200 RCC €1-24-93 327.35 1 NUNGAIrTRUDY V 340967 10199 MURRAY MCKIE 200 ACC 11-24-93 574.00 1 NURRAY.VICKIE A 340833 10199 NAVARROrCHERYL 200 ACC 11-24-93 322.70 1 KINCAID.CRYSTAL K 340753 10199 NEALrDAVN 200 ACC 11-24-93 650.60 1 NEALrDAWN C 340725 10199 OLDENHAGErRENEE 200 ACC 11-24-93 4€3.40 1 OLDENHAGErKAYLEE D 341228 10199 ALCALArARNAVDO 200 ACC 12-02-93 148.40 1 341368 14199 ALCALArARNANDO 200 ACC 12-02-93 518.79 1 341452 10199 ALCALArARNANDO 200 ACC 12-02-93 80.75 1 341457 10199 ALI MBHAN 200 ACC 12-02-93 151.65 1 B1814AINAB 341407 10199 ALNADOVkGUY 200 ACC 12-02-93 9055.96 1 341294 10199 ARKMOSERT 200 ACC 12-02-93 312.50 € ARNOrHANNAH J 341414 10199 BAINrCATHERIVE 200 ACC 12-02-93 151.00 1 BAINrCATHERINE L 341423 10199 BARSOTTIrGAIL 200 ACC 12-02-93 476.00 1 341416 10199 BROSHEARS MANE 20D ACC 12-02-93 130.00 1 BROSHEARS,DIAVE N 341265 €0199 CAPOBIANCOrANA 203 ACC 12-02-93 187.40 1 CAFOBIANCDrANA R 341444 IO199 CARRASCO MMON 200 ACC 12-02-93 88.50 1 CARRASCOrSDPHIA C 34€340 10199 CHAVEIrPAULA 203 ACC 12-02-93 15.00 1 341312 10199 COOKrJANET 200 ACC 12-02-93 87.07 1 COOKrJANET N 341343 10199 DADIVASrJOSE 200 ACG 12-02-93 92.50 1 DADIVASrJOSE D 341450 €0199 DAVILAMARIA 200 ACC 12-02-93 115.08 1 DAVILArNARIA D 341395 10199 DAV€SrCARM 200 ACC 12-02-93 25.00 1 HEALTH SERVICES VRITE-OFF REPORT DATE=19 M&y 2000 PAGE 56 DEBTOR.... CLIENTO... NAME.......................... DSK ST CD DT-ASSIGN LST PAY. TOTAL BAL..... CRT JOHNSON,NICHOLE M 341321 10199 UILLON,PARMINDAR 200 ACC 12-02-93 109.40 1 341210 10199 ERCOLI,DDNALD 200 ACC 12-02-93 793.82 1 ERCOLI,DONALD G 341295 10199 GIANELLI,ROSEMARY 200 ACC 12-02-93 110.50 1 GIANELLI,ALEXANDRA M 341221 10199 GONZALEZ,IGNACIO 203 ACC 12-02-93 85.00 1 GONZALEZ,IGNACIO H 341345 10199 GDRR,PAUL 200 ACC 12-02-93 108.00 1 GORR.PAUL M 34€473 10199 NILL,TINA 203 ACC 12-02-93 92.00 1 HILL,TINA M 341207 10199 JAKES.LARRY 203 ACC 12-02-93 313.90 1 JAMES,MISTIE J 341357 10199 PAVONE,MARIE 91 ACC 12-02-93 81.20 1 PAVONE,MARIE A 341371 10199 PAVONE,MARIE 91 ACC 12-02-93 222.00 1 PAVONE,MARIE A 341406 10199 PAVONErNARIE 91 ACC 12-02-93 216.00 1 PAVONE,MARIE A 341453 10199 PEREZ,ROGELIO 200 ACC 12-02-93 856.00 1 PEREZ,ROGELIO P 341455 10199 PER€Z,ROGELID 200 ACC 12-02-93 404.00 1 PEREZ,ROGELIO P 341282 10199 POFERL,SUSIE 91 ACC 12-02-93 362.00 1 POFERLYSUSIE K 341436 €0199 SPENCER,STACIE M 200 UNC 12-02-93 140.71 1 FOSTIR,STACIE M 341911 10199 ACOSTA,JAV€ER 240 ACC 12-09-93 116.00 1 341973 10199 ADAMS,NILLIAM 200 ACC 12-09-93 104.20 1 ADAMS,WILL€AM M 341989 10199 ALMADOVA,GUY 200 RCC 12-09-93 319.00 1 342089 10199 ARMSTRONG,DENN€S 2200 ACC 12-09-93 241.50 1 341839 10199 ATENCIO,ARNOLDO 200 ACC 122-09-93 87.00 1 ATENCIO,ARNOLDO J 342035 10199 BRANCH,GAROLYN 200 ACC 12-09-93 507.28 1 BRANCH,CAROLYN D 341878 10199 BRYANT,ANTNONY 280 ACC 12-09-93 171.60 1 342099 10199 CAMPBELL,LORI 240 ACC 12-09-93 143.79 1 CAMPBELL,BRENTON C 341859 10199 CAPOSIANCO,ANA 203 ACC 12-09-93 194.33 1 CAPOBIANCO,ANA R 342073 10199 CAPOSIANCO,ANA 203 ACC 12-09-93 182.10 1 CAPOBIANCO,ANA R 341843 10199 CHAPMAN,WILL€AM 200 ACC 12-09-93 129.02 1 CHAPMAN,VILLIAM A 341846 10199 DELANEY,RICK£Y 240 ACC 12-09-93 140.76 1 DELANEY,RICKEY B 342494 10199 DEREN,LEONARD 200 ACG 12-09-93 59.04 1 DEREN,LEONARD A 341821 10199 DUDLEY,MARY 200 ACC 12-09-93 85.00 1 HOLDEN,ANTHONY L 341960 10199 EVARS,JDKN 203 ACC 12-09-93 79.00 1 HEALTH SERVICES VR€TE-OFF REPORT DATE:19 May 2000 PAGE! 57 DEBTOR.... CLIENT#... MAKE.......................... DSK ST CD 4T-ASSIGN LST PAY. TOTAL DAL..... CMT EVANS,JOHN N 341891 10199 FOUNTAIN,DMAYNE 203 ACC 12-09-93 121.10 1 342034 10194 GARCIA,OSCAR 200 ACC 12-09-93 364.00 1 OARCIA.DSCAR C 342101 10199 GARCIA,SHELDON 200 ACC 12-09-93 116.27 1 GARCIArTHERESA R 341458 10199 GINOCHID,NICHAEL 200 ACC 12-04-43 361.50 1 GINOCHID,MICHAEL J 341953 10199 GRIGSBY,BERNARD 203 ACC 12-04-43 216.10 1 GRIGSOY,DERNARD L 341981 10199 GUILLORY,JAN€CE 203 ACC 12-09-93 134.90 1 GUILLORY,JANICE N 341882 10199 HARRISrVERNA 203 ACC 12-09-43 138.00 1 MATHENIA,JASMIME 1 341831 10149 HARRISDN,JOE 203 ACC 12-09-93 76.00 1 HARR€SON,JOE V 341865 10199 HOODY,MARY 203 ACC 12-09-93 83.50 1 HDDDY,CHRISTOPHE T 342087 10194 HOLMES,ALFRED 200 ACC 12-09-93 248.25 1 HOLMES,ALFR£D E 341934 10199 JAMES,LARRY 203 ACC 12-09-93 125.20 1 JAHES,L€SA C 342055 10199 JONES,EARL 203 ACC 12-09-43 150.40 1 JONES,EARL S 341978 10149 OLIVER,PHYLLIS 200 ACC 12-09-93 11€9.40 1 341785 10194 OROICO,EFREN 200 ACC 12-04-43 810.00 1 OROICO,AMELIA 341780 10199 ORTII,ERIONET 200 ACC 12-09-93 414.60 1 341794 10199 OTERD,RAFAEL 91 ACC 12-09-43 204.70 1 OTERO,AIDA L 342029 10199 OTERO,RAFAEL 91 ACC 12-0443 208.50 1 OTEROrAIDA L 341892 10199 RODRIGU£I,GUSTAVD 41 ACC 12-09-93 46.50 1 RODRIGUEI,ANDRER J 343523 10194 AL€,SUDHAN 200 ACC 12-22-93 578.00 1 DID€,JAINAB 343725 10199 ALLENrELISIO 200 ACC 12-22-93 83.00 1 ALLEN,EL€SIO A 343514 10149 ALLER,RAY 200 ACC 12-22-93 122.25 1 ALLEN,RAY N 343813 10199 ATAYDErLORENA 200 ACC 12-2243 88.30 1 ATAYDE,THORAS A 343501 10199 CARGILEJUNNY 200 ACC 12-22-93 133.50 1 CARGILE,TOMMY D 343582 10149 CASTRO,MACHAEL 200 ACC 12-22-93 86.00 1 343570 10144 CATALAND,GARY 200 ACC 12-22-93 85.00 1 CATALAND,ANGELO G 343489 10199 FERNANDEIrGLORIA 200 ACC 12-22-93 155.00 1 AROMIN,ANITA M 343766 10199 FLOR£S,ABEL 200 ACC 12-22-93 85.40 1 343433 10199 FRAUSTO,PEDRO 203 ACC 12-22-93 182.70 1 FRAUSTO,PEDRO M 343524 10199 GARCIA,HERMENECIL 200 ACC 12-22-93 131.00 1 HEALTH SERVICES WRITE-OFF REPORT OATE;19 Mast/ 2000 PAGE: 58 DEBTOR.... CLIENT#.., MAKE_....................... OSE( ST CD OT-ASSIGN LST PAY. TOTAL DAL..... CMT GARCIA,HERMENEGIL R 343810 10144 GIBSOM,YILLIAM 203 ACC 12-22-93 322.00 1 GIBSOMrDIANA L 343648 10199 GIMOCHIO,MICHAEL 200 ACC 12-22-93 734.45 1 GIMOCHIO,MICHAEL J 343666 10199 GINOCHIO,MICHAEL 200 ACC 12-22-93 293.50 1 GIMOCHIO,MICHAEL J 343539 10199 GRIMES,STAMLEY JR 200 ACC IZ-22-93 414.90 1 343788 10199 HARRIMGTO#.SEAN 203 ACC 12-22-43 72.00 1 HARRINGTOM,SEAM G 343808 10€99 HARRINGTOM,SEAN 203 ACC 12-22-93 97.00 1 HARRIMGTOM,SEAN G 343506 I0194 NBERT,BETH 203 ACC 12-22-43 72.00 1 H08ERT,B£TH A 343559 10194 JACKSOM,EUGENE 203 ACC 12-22-93 283.90 1 JACKSOM,EUGENE M 343815 10199 NELSOM,LEEEIS 200 ACC 12-22-93 363.06 1 MELSOM,LEE.EIS E 343610 10199 MORTHUP,CYNTHIA 200 ACC €2-22-93 379.00 1 MORTHUP,CYMTHIA A 343464 10149 OL€VER,MATHAN 200 ACC 12-22-43 286.08 1 OLIVER,MATHAM G 343774 10199 PARKS,OYAMNA 200 ACC 12-22-93 722.00 1 PARKS,OYAMMA L 343464 10199 PEARSOM,OAVIEI 200 ACC 12-22-93 401.20 1 PEARSON,TERI A 343724 10194 PEREMEMORIMA 200 ACC 12-22-93 292.50 1 343747 10€99 RIVERA,EDMUMD 2200 ACC 12-222-93 475.20 1 RIVERAJANA L 343704 10199 SAMCHEZ,LETICIA 200 ACC 12-22-93 517.81 € SANCHEUETICIA C } 556652.1017220 14051 1720 iteas listed out of 17220 itefas. Board: of Supervisors of Contra Costa County, State of California IN THE MATTER OF RECOGNIZING ) RESOLUTION NO.2000/280 THE CONTRIBUTIONS OF } HENRY L. CLAIRE ON HIS RETIREMENT) WHEREAS,Henry L. Clarke has dedicated more than 40 years to the service, representation and organizing of public employees in the labor movement,beginning in New York City with teachers and corning to Contra Costa County in 1962; and WHEREAS,Henry L. Clarke has established a reputation for integrity,honesty,tenacity, unwavering courage and strength; and WHEREAS,Henry L. Clarke has enjoyed the respect of fellow unionists,political leaders,management/administrative staff, and community leaders; and WHEREAS,Henry L. Clarke has had a knack for a blistering,yet eloquent and heartfelt, speaking style when representing the issues of the membership of Local One; and WHEREAS,Henry L. Clarke has developed and maintained a strong and effective independent labor organization; and WHEREAS,in his representation of public employees, Henry L. Clarke has emphasized the services provided to the community by public employees and has enhanced the public's appreciation for the commitment and dedication shown by employees in the public sector; and WHEREAS,Henry L. Clarke's advocacy for working people has made an indelible mark on labor relations,political action and public service in Contra Costa County and on every County Supervisor who has served on the Board since the 196Q's; NOW THEREFORE,LET IT BE RESOLVED that the Contra Costa County Board of Supervisors recognizes Henry L. Clarke by dedicating the front row seat he always sat in as the official Henry L. Clarke seat in the Board Chambers. PASSED by unanimous vote of the Board Members present on this 6t"day of June, 2000. I hereby certify that the foregoing is a true and correct copy of a resolution entered in the minutes of the Board of Supervisors on the aforesaid date. Donna Gerb , hair ;GaB. M. Goia, trio I tarkZ!5r—Sa-7er,District IV Uilke District II oe anciamilla, District V Witness my hand and the Seal of the Board of Supervisors affixed this 6th day of June,2000. PHIL BATCHELOR,Clerk of the Board of Supervisors and County Adminis ator. By Deputy erk C. Ito WHEN RECORDED, RETURN LEEDS CONSTRUCTION CO. TO CLERK., BOARD OF P.O. BOX 1006 SIMEMMOM ORZMA, CA 94563 File: 000-9903/C.1.1 BOARD OF SUPERVISORS, CONTRA COSTA COUNTY, CALIFORNIA In the Matter of Accepting and Caving RESOLUTION OF ACCEPTANCE Notice of Completion of Contract with and NOTICE OF COMPLETION Leeds Construction Co. (C.C. §3086, 3093 Budget Line Item No. 4403-4416 RESOLUTION NO. 2000 287 The Board of Supervisors RESOLVES THAT: The County of Contra Costa on November 16, 1999, contracted with Leeds Development Corporation dba Leeds Construction Company for Security Improvements at Walnut Creep Court, 640 Y"gnacio Valley Road, Walnut Creek, California, Budget Line Item No. 4403- 4416, .Authorization No. 0928-WH416B,with American Contractors Indemnity Co. as surety, for work to be performed on the grounds of the County; and The Director of General Services reports that said work has been inspected and complies with the approved plans and specifications, and recommends its acceptance as complete as of June 6, 2000; Therefore, said work is accepted as recommended above, and the Clerk shall file with the County Recorder a copy of this Resolution and Notice as a Notice of Completion for said contract. Time extension to the date of acceptance is granted as the work was delayed due to unforeseeable causes beyond the control and without the fault or negligence of the Contractor. PASSED BY THE BOARD on June 6, 2000, by the following vote: AXES: SUPERVISORS GIOIA, UIU(EK4, DESAUUNIER, CMC*aULA AND GERBER NOES: NONE ASSENT. NONE CONTRA COSTA Co Reorder Office STEPHEN L, 111R, Clerk-Recorder DOC - 2000-0116764-00 W, JUN 07, 2M 09:52:20 FRE $0.00 HAI999\0009903\9AO03181b.doc Tti Pd X0.00 Nbr-0000000700 Ire/R9/1-3 Page 1 of 2 ,. ` . CERTIFICATION and 'VERIFICATION I certify that the foregoing is a true and correct copy of a resolution and acceptance duly adopted and entered on the minutes of this Board`s meeting on the above date. I declare under penalty of perjury that the foregoing is true and correct. Dated: Phil Batchelor, Clerk of the at Martinez, California. Board of Supervisors and County Administrator By Originator: General Services Department - Architectural Division cc: General Services Department Architectural Division Accounting File 000-9903IA.5 County Administrator's Office ('Via A.D.) Auditor-Controller (Via A.D.) Contractor (Via A.D.) Surety (Via A.D.) Consulting En ineer (Via A.D.) County Recorder Superior Court (Via A.D.) Mcm HAI 999\0009903\9AO031$1 Moe Page 2 Of 2 CONTRA COSTA Cc Recorder Office WHEN RECORDED, RETURN STEPHEN L, WEIR, Clerk-Recorder TO CLERK, BOARD OF DOC— 2000-0116765-00 SUPE&YISOI,,S W, JUN,ruH$0. 06 2001D�e� 09.e2:26 Tt1 Rd $0.00 tsar-0000006761 Ire/RS/1-2 File: 000-9902/C.1.1 BOARD OF SUPERVISORS, CONTRA COSTA COUNTY, CALIFORNIA In the Matter of Accepting and Givin RESOLUTION OF ACCEPTANCE Notice of Completion of Contract with and NOTICE OF COMPLETION Ramlor Construction, Inc. (C.C. §3086, 3093)) Budget Line Item No. 4421-4409 RESOLUTION 2000/ 289 Authorization NQ. 0928-MI1409B The Board of Supervisors RESOLVES THAT: The County of Contra Costa on May 4, 1999, contracted with Rmnlor Construction, Inc., for Site Improvements for Head Start Classroom Expansion at Various County Sites for Community Services Department, Budget Line Item No. 4421-4409, Authorization No. 0928- 'V H409B, with Colonial American Casualty and Surety Company as surety, for work to be performed on the grounds of the County; and The Director of General Services reports that said work has been inspected and complies with the approved plans and specifications, and recommends its acceptance as complete as of June 6, 2000, with reduction of the retention specified in Section 7 of the Contract from 10% to 5%; and recommends the withholding of$5,500.00 pursuant to a letter dated May 22, 2000. Therefore, said work is accepted and retention is reduced as recommended above, and the Clerk shall file with the County Recorder a copy of this Resolution and Notice as a Notice of Completion for said contract; and the Director of General Services is directed to withhold monies otherwise due pursuant to the letter dated May 22, 2000. PASSED BY THE BOARD on June 6, 2000, by the following vote: AYES: SUPERVISORS GIOIA, UILKEMA, DESAULNIER, CANCIAMILIA AND GERBER NOES. NONE ABSENT: NONE H:\I999\0009902\9AO02155b.doc RESOLUTION: 2000/ 289 Page 1 of 2 CER"TIFICA"TION and VERIFICATION I certify that the foregoing is a true and correct copy of a resolution and acceptance duly adopted and entered on the minutes of this Board's meeting on the above date. I declare under penalty of perjury that the foregoing is true and correct. Dated: JUNE 61 20003 Phil Batchelor, Clerk of the at Martine, a 1< ornra. Board of Supervisors and County Administrator By Originator: General Services Department - Architectural Division cc: General Services Department Architectural Division Accountingg File 000-9902/A.5 County Administrator's Office (Via A.D.) Auditor-Controller (Via A.D.) Contractor (Via A.D.) Surety (Via.A.D.) Consulting Architect (Via A.D.) County Recorder Community Services (Via A.D.) R. D. Hill (Via A.D.) GB:cm HA 19991000990219A002155b.doc Wage 2 of 2