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HomeMy WebLinkAboutMINUTES - 04242001 - C.176 • ;� jj.:i'. BOARD OF SUPERVISORS Contra FROM: John Sweeten, County Administrator ' \ Costa By: Gary Brown, Director .t-�- :a County DATE: April 24, 2001 C Uy ` SUBJECT: Discharge from Accountability SPECIFIC REOUEST(S):bR RECOMMENDATION(S)&BACKGROUND AND JUSTIFICATION RECOMMENDED ACTION Authorize the discharge from accountability for certain Health Services Accounts. REASONS FOR RECOMMENDATION The Office of Revenue Collection has attempted collection on these accounts and has assigned them to a third-party collection agency where appropriate. It is uneconomical to pursue further collection action on these accounts inasmuch as the debtors are deceased, bankrupted and/or have no assets, or the statutes of limitations has expired. Based on the inability of these patients to pay for the needed medical services they received, the Health Services Department should classify these accounts as "Charity Care" pursuant to its Hospital Charity Care Policy. Approval of the recommended action will allow accounts in the amount of $568,173.07 to be written off and purged from the files of active accounts on the collection computer system. CONTINUED ON ATTACHMENT: YES SIGNATURE: ✓RECOMMENDATION OF COUNTY ADMINISTRATOR _-RECOMMENDATION OF BOARD COMMITTEE PROVE OTHER r SIGNATURE(S): ACTION OF BOA O April-124, 2001 APPROVED AS RECOMMENDED OTHER VOTE OF SUPERVISORS 1 HEREBY CERTIFY THAT THIS IS A TRUE X_UNANIMOUS(ABSENT N - - - - - - _) 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: Officem-of Revenue Collection, Gary Brown ATTESTED April 24, 2001 Auditor-Controller, Jack Cooper John_Sweeten.CLERK OF THE BOARD OF CAO Attn: Sara Hoffman SUPERVISORS AND C UNTY ADMINISTRATOR Health.Services, Pat Godley M382 (10/88) BY DEPUTY HEALTH SERVICES NRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 24 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN Pb-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CHT 224736 10101 STRICHER,CANDIE D 203 STA 06-04-91 105.20 105.20 1 224781 10101 SULLIVAN,JOLENE 203 STA 06-04-91 130.50 130.50 1 224609 10101 SULLIVAN,RAYMOND 203 ACT 06-04-91 231.30 231.30 1 SULLIVAN,RAYMOND L 224594 10101 SNEETrRICHARD 203 ACT 06-04-91 226.86 10.00 09-18-91 216.86 1 SNEET,RICHARD A 224427 10101 VIANA,OSCAR 203 STA 06-04-91 2310.35 2310.35 1 VIANA,STEPHANIE N 224520 10101 VIANA,OSCAR 203 STA 06-04-91 140.00 140.00 1 VIANA,STEPHANIE N 224734 10101 VIANUSCAR 203 STA 06-04-91 140.00 140.00 1 VIANA,STEPHANIE N 224786 10101 VIANA,OSCAR 203 STA 06-04-91 184.00 184.00 1 VIANA,STEPHANIE N 224817 10101 VIANA,OSCAR 203 STA 06-04-91 147.00 147.00 1 VIANA,STEPHANIE N 224849 10101 VIANA,OSCAR 203 STA 06-04-91 105.00 105.00 1 VIANA,STEPHANIE N 224826 10101 VIANA,VICKEY 203 STA 06-04-91 1039.24 1039.24 1 VIANArSTEPHANIE N 225969 10101 ARNDT,BRUCE 2 SUS 06-13-91 186.50 186.50 1 ARNDT,LENORA K 225921 10101 BRENER,N.0 JR. 203 ACT 06-13-91 282.00 282.00 1 226117 10101 CARRINGTON,DANIEL 203 DEC 06-13-91 139.48 139.48 1 CARRINGTON,DANIEL N 225723 10101 FERGUSON,DENITA 203 ACT 06-13-91 115.94 115.94 1 FERGUSON,DENITA M 225731 10101 GOODROAD,MOINNETTE 203 UNC 06-13-91 205.94 205.94 1 226007 10101 HOLGUIN,DANIEL 203 SKP 06-13-91 118.00 118.00 1 HOLGUIN,JEFFREY C 226255 10101 JOHNSON,ZACHARY 203 STA 06-13-91 150.00 20.00 08-06-91 130.00 1 225762 10101 LOPEZ,ARTURO 203 STA 06-13-91 503.50 503.50 1 LOPEZ,VERONICA 226091 10101 MERRITT,BILLIE 92 STA 06-13-91 188.50 188.50 1 MERRITTrBILLIE J 226197 10101 SMITH,RICHARD 4 SKP 06-13-91 162.00 162.00 1 226099 10101 THOMPSON,DDUG 203 STA 06-13-91 103.00 103.00 1 THOMPSON,DOUG R 226086 10101 VELEZ,KATHRINE 203 SKP 06-13-91 267.20 267.20 1 VELEI,KATHERINE M 226196 10101 VELEI,KATHRINE 203 SKP 06-13-91 334.80 334.80 1 VELEZ,KATHERINE M 225877 10101 NAGNER,CELESTE 201 BAF 06-13-91 153.14 153.14 1 225944 10101 NAGNERrCELESTE 201 BAF 06-13-91 270.37 270.37 1 226080 10101 NODKONSKI,LIDIA 203 STA 06-13-91 106.00 106.00 1 NODKONSKI,DANIEL M 226171 10101 NRIGHT,ANGELA 4 PPL 06-13-91 66.50 66.50 1 URIGHT,JOSHUA D 226021 10101 YAN,GERALD 203 STA 06-13-91 103.00 103.00 1 YAN,JOHN C 226059 10101 YANrGERALD 203 STA 06-13-91 113.50 113.50 1 YAWrERICA E HEALTH SERVICES WRITE-OFF REPORT DATE:21 Mar 2001 PAGE: 25 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 226162 10101 YAW,GERALD 203 STA 06-13-91 108.60 108.60 1 YAW,ERICA E 225932 10101 YOUNG,LINDY 203 ACT 06-13-91 1989.50 774.31 10-14-98 1215.19 1 FISCHER,LINDY 226844 10101 BIDERMAN,KEN 20:1 SKP 06-18-91 249.00 249.00 1 AGUILAR,DAVID 226703 10101 JOHNSON,LAWRANCE 203 SKP 06-18-91 173.28 173.28 1 JOHNSON,LAWRANCE W 226746 10101 LAND,RODNEY 203 STA 06-18-91 222.80 222.80 1 LAND,HELEN L 226731 10161 MCGEE,ANN M 203 SKP 06-18-91 179.50 179.50 1 GIRLS CENTER 228011 10101 COVINGTON,JOYCE 203 BAN 06-26-91 668.20 02-19-92 668.20 1 COVINGTON,JOYCE F 228480 10101 FOSTER,BILL 200 BAF 06-26-91 113.40 113.40 1 FOSTER,BILL C 228013 10101 HALL,AVIS 2D3 STA 06-26-91 114.70 114.70 1 BELCHER,HAROUITA M 228033 10101 KIRK,ROBERT 203 STA 06-26-91 4333.34 1296.91 02-04-92 3036.43 1 KIRK,ROBERT I 228062 10101 LEWIS,KIMBERLY 3 AGC 06-26-91 372.00 372.00 1 LEWIS,JIMMYJR L 228396 10101 LOPEZ,ARTURO 203 STA 06-26-91 507.04 507.04 1 LOPEZ,MARIA 228412 10101 MCCRAY,HOWARD 203 ACT 06-26-91 405.50 405.50 1 MCCRAY,HDWARD B 228294 10101 SNOWDEN,CHRISTINA 203 HLD 06-26-91 233.50 233.50 1 228157 10101 SOTO,ANITA 203 ACT 06-26-91 102.50 102.50 1 SOTO,ANITA N 228275 10101 VASBUEZ,CARMEN 4 ACT 06-26-91 965.20 965.20 1 228255 10101 VEGA,VINCENT 4 BAF 06-26-91 118.00 118.00 1 228251 10101 WILSON,JACK 203 STA 06-26-91 110.50 110.50 1 WILSON,JACK E 230608 10101 BENNETT,MICHAEL 203 BAF 07-03-91 197.80 27.46 12-20-94 170.34 1 BENNETT,MICHAEL L 230365 10101 BERGER,DALE 203 ACT 07-03-91 233.30 233.30 1 BERGER,DALE E 230492 10101 BIXLER,KENNETH 203 SKP 07-03-91 113.60 113.60 1 BIXLER,KENNETH P 230641 10101 BOHANNON,KAREN 203 UNC 07-03-91 114.20 114.20 1 BOHANNON,KAREN S 230645 10101 BRIGHT,DARRYL 203 ACT 07-03-91 119.80 119.80 1 BRIGHT,DARRYL C 230261 10101 CRAWFORD,DONALD 16 ACT 07-03-91 1376.80 1376.80 1 230369 10101 FLORES,HECTOR 203 DEC 07-03-91 272.04 272.04 1 FLORES,HECTOR M 230715 10101 FLORES,HECTOR 203 DEC 07-03-91 196.50 196.50 1 FLORES,HECTOR M 230589 10101 GLIDEWELL,SHERRY 203 STA 07-03-91 159.50 159.50 1 GLIDEWELL,SHERRY J 230689 10101 GLIDEWELL,SHERRY 203 STA .07-03-91 141.08 141.08 1 GLIDEWELL,SHERRY J HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 26 DEBTOR.... CLIENTO... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL SAL..... CNT 230536 10101 VANOURNEY,KEVIN .203 STA 07-03-91 101.00 101.00 1 VANOURNEY,ADAM J 230610 10101 VIRRUETA,ELVIA 203 ACT 07-03-91 103.50 103.50 1 230459 10101 WEAVER,TANYA 203 DIS 07-03-91 254.70 254.70 1 WEAVER,TANYA M 230499 10101 WEAVER,TANYA 20;1 DIS 07-03-91 101.25 101.25 1 WEAVER,TANYA M 230519 10101 WEAVER,TANYA 203 DIS 07-03-91 2212.96 2212.96 1 WEAVER,TANYA M 230471 10101 WILLIAMS,RUDY 203 STA 07-03-91 948.60 948.60 1 WILLIAMS,ARMENTHA 232916 10101 BARR,GALEN 203 SKP 07-10-91 377.36 377.36 1 BARR,GALEN S 232850 10101 GREEN,DEVONNA 203 SKP 07-10-91 116.00 116.00 1 GREEN,DEVONNA A 233064 10101 KOLIAS,DANA 3 BAN 07-10-91 346.15 50.00 08-27-91 296.15 1 KOLIAS,CASSANDRA M 232969 10101 MIDDLETON,FRANCIS 203 SKP 07-10-91 116.80 116.80 1 MIDDLETON,CAMERON C 233058 10101 MODICUE,VIRGIE 203 ACT 07-10-91 146.00 146.00 1 MODICUE,VIRGIE J 232972 10101 SEAWRIGHT,KRIS L 4 BAF 07-10-91 1111.76 700.00 02-18-94 411.76 1 TIBBETS,KRIS 232874 10101 SMITH JR,JERRY 2.03 ACT 07-10-91 162.50 162.50 1 SMITH,JERRY D 232984 10101 TATPAPORN,KANONG 203 HLD 07-10-91 123.00 123.00 1 233039 10101 TOLLISON,BARBARA 203 ACT 07-10-91 125.78 125.78 1 TOLLISON,BARBARA J 232985 10101 VANARSDALE,MAX 203 ACT 07-10-91 366.01 366.01 1 VANARSDALE,HEATHER C 233055 1.0101 VANARSDALE,MAX 203 ACT 07-10-91 373.00 373.00 1 VANARSDALE,HEATHER C 233065 10101 VANARSDALE,MAX 203 ACT 07-10-91 402.50 402.50 1 VANARSDALE,JUSTIN A 232866 10101 WEATHERBY,HAZEL 203 ACT 07-10-91 361.00 361.00 1 WEATHERBY,ALEX V 232858 10101 WHITING,SUSAN 203 ACT 07-10-91 146.00 146.00 1 WHITING,SUSAN L 232913 10101 WHITING,SUSAN 203 ACT 07-10-91 243.55 243.55 1 WHITING,SUSAN L 232992 10101 YOUNG,EDDIE 203 ACT 07-10-91 103.00 103.00 1 YOUNG,EDDIE G 233732 10101 HUBERT,SHAWN 203 ACT 07-16-91 217.57 217.57 1 HUBERT,SHAWN A 233789 10101 MINJARES,GERARDO 203 ACT 07-16-91 360.00 360.00 1 MINJARES,NORA H 233625 10101 UGALDE,ELVIA 203 SKP 07-16-91 630.30 630.30 1 233701 10101 WHISLER,TROY 203 ACT 07-16-91 108.50 108.50 1 WHISLER,TROY A 235276 10101 BLACKWELL,BRUCE 203 ACT 07-24-91 266.50 266.50 1 BLACKWELL,BRUCE A 235531 10101 FOLEY,ROBERTA 203 UNC 07-24-91 149.20 149.20 1 HEALTH SERVICES NRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 27 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT FOLEY,JAMIE P 235405 10101 FULCO,JANET 2021 STA 07-24-91 756.49 756.49 1 FULCO,JANET M 235625 10101 FULCO,JANET 203 STA 07-24-91 2007.17 2007.17 1 FULCO,JANET M 235133 10101 GORDON,CAROLYN 203 ACT 07-24-91 128.40 128.40 1 GORDON,CAROLYN S 235543 10101 MARTINEZ,JUDITH 203 SKP 07-24-91 127.50 127.50 1 235398 10101 MOUNT,VANDA 203 STA 07-24-91 103.00 103.00 1 MOUNT,JEREMY P 235280 10101 SPOTVOOD,ELIZABETH 203 CRO 07-24-91 124.50 124.50 1 SPOTYOOD,ELIZABETH H 235327 10101 SPOTNODD,ELIZABETH 203 CR® 07-24-91 218.76 218.76 1 SPOTWDOD,ELIIABETH H 235359 10101 SPOTAOOD,ELIZABETH 203 CRD 07-24-91 246.10 246.10 1 SPOTNOOD,ELIZABETH H 236361 10101 BECKHAM,BOB 293 UNC 07-29-91 116.00 116.00 1 BECKHAN,KATHRYN P 236367 10101 BENNETT,MATTHEH 203 UNC 07-29-91 103.00 103.00 1 236274 10101 KULU,TANIELA AKA KULU,DAN 203 STA 07-29-91 156.00 156.00 1 KULU,AFITIA P 236378 101-01 KULU,TANIELA AKA KULU,DAN 203 STA 07-29-91 362.45 362.45 1 KULU,AFITIA P 236139 10101 STREET,VANESSA 203 STA 07-29-91 150.50 150.50 1 STREET,VANESSA C 238072 10101 BLACKHELL,DRUCE 203 ACT 08-14-91 210.00 210.00 1 BLACKNELL,BRUCE A 238137 10101 BLACKYELL,BRUCE 203 ACT 08-14-91 150.00 150.00 1 BLACKNELL,BRUCE A 238184 10101 COLLINS,DAYN 203 KOD 08-14-91 215.00 215.00 1 TUTAILDER,NYIMA T 238035 10101 DIAZrDAVID 203 STA 08-14-91 368.00 368.00 1 DIAZ,ROSA 238097 10101 FOYLER,CALVIN 2 PPL 08-14-91 536.51 536.51 1 FOALER,ANN M 238152 10101 FOYLER,CALVIN 2 PPL 08-14-91 513.00 513.00 1 FOYLERrANN M 238185 10101 FOHLER,CALVIN 2 PPL 08-14-91 305.80 93.00 05-09-94 212.80 1 FOWLER,ANN M 238281 10101 FONLER,CALVIN 2 PPL 08-14-91 482.50 55.00 06-07-93 427.50 1 FOYLER,ANN M 238115 10101 INIGUEZ,MARIA 92 STA 08-14-91 266.00 50.00 11-07-91 216.00 1 INIGUEZ,LUIS M 238266 10101 JIMENEZrSAMUEL 203 BAF 08-14-91 122.86 122.86 1 238142 10101 MESSERER,ANN 10 BAN 08-14-91 6224.71 3507.51 06-11-96 2805.20 1 MESSERER,MICHAEL K 238143 10101 MEURY,DARLA 203 ACT 08-14-91 110.00 110.00 1 MEURY,DARLA M 239225 10101 BERRY,KYLE 203 SKP 08-21-91 164.00 164.00 1 BERRY,KYLE I 239209 10101 BRAGA,BRIAN 203 BAF 08-21-91 103.60 103.60 1 BRAGA,KINBERLY H HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 28 DEBTOR.... CLIENT4... NAME.......................... DSK ST CD DT-ASSIGN PH-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CHT 239345 10101 CRAWFORD,DONALD 16 ACT 08-21-91 506.50 506.50 1 239459 10101 CREASY,DEBORAH 203 ACT 08-21-91 119.00 119.00 1 239478 10101 CREASY,FRANK 203 ACT 08-21-91 119.00 119.00 1 CREASY,DEBORAH 239418 10101 HALL,AVIS 203 STA 08-21-91 101.00 101.00 1 BELCHER,COURTNEY G 239434 10101 HALL,AVIS 203 STA 08-21-91 110.50 110.50 1 BELCHER,CORREY T 239368 10101 STEVENS,MARK 2011 STA 08-21-91 314.82 314.82 1 STEVENS,MARK R 239383 10101 STEVENS,MARK 201 STA 08-21-91 144.00 144.00 1 STEVENS,NARK R 239398 10101 STEVENS,NARK 201 STA 08-21-91 105.00 105.00 1 STEVENS,MARK R 239294 10101 STUTZMAN,DAROLD 203 STA 08-21-91 132.50 132.50 1 STUTZMAN,DAROLD D 239195 10101 SULLIVAN,RAYNOND 203 ACT 08-21-91 204.30 204.30 1 SULLIVAN,RAYNOND L 239263 10101 SULLIVAN,RAYMOND 203 ACT 08-21-91 131.40 131.40 1 SULLIVAN,RAYMOND L 239486 10101 SULLIVAN,RAYNOND 203 ACT 08-21-91 136.60 136.60 1 SULLIVAN,RAYNOND L 239323 10101 SWAN,RHONDA 203 ACT 08-21-91 397.50 397.50 1 PETTY,RHONDA G 239329 10101 TATPAPORN,KAHONG 203 HLD 08-21-91 151.50 151.50 1 TATPAPORN,SOOTHKHA 239164 10101 TURNER,APRIL 203 ACT 08-21-91 526.50 526.50 1 TURNER,APRIL.T 239090 10101 WAH,DENNIS 203 ACT 08-21-91 386.03 386.03 1 WAH,DENNIS P 239277 10101 WAH,DENNIS 203 ACT 08-21-91 256.60 256.60 1 WAH,DENNIS P 239354 10101 WALLACE,PAULA 203 STA 08-21-91 188.15 188.15 1 WALLACE,CHRISTOPHE S 239223 10101 WRIGHT,ANGELA 4 PPL 08-21-91 108.80 24.00 it-23-98 84.80 1 WRIGHT,ALLEN 239443 10101 WRIGHT,ANGELA 4 PPL 08-21-91 76.50 76.50 1 WRIGHT,ALLEN 239373 10101 WRIGHT,ORAL 4 PPL 08-21-91 100.00 100.00 1 WRIGHT,ANGELA M 240416 10101 BRAGA,BRIAN 203 BAF 08-28-91 111.80 111.80 1 BRAGA,KINBERLY H 240693 10101 BRAGA,BRIAN 203 BAF 08-28-91 206.50 206.50 1 BRAGA,KIMBERLY H 240583 10101 BRAGA,KIMBERLY 203 BAF 08-28-91 397.48 397.48 1 BRAGA,BRIAN 240077 10101 HARDEN,KERRI 203 HLD 08-28-91 383.70 383.70 1 HARDEH,KERRI F 240042 10101 HIDALGO,YOLANDA 203 STA 08-28-91 711.40 711.40 1 240293 10101 HIDALGO,YOLANDA 203 STA 08-28-91 104.50 104.50 1 240097 10101 JENKINS,KELLY 203 STA 08-28-91 1878.85 1878.85 1 JENKINS,KELLY A , HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 29 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL DAL.,.., CNT 240648 10101 JIMENEI„PAUL SR. 2021 STA 08-28-91 161.78 161.78 1 JIMENEZ,DOLORES M 240722 10101 JIMENEI„PAUL SR. 203 STA 08-28-91 586.34 586.34 1 JIMENEZ,DOLORES M 240177 10101 KULU,TANIELA AKA KULU,DAN 203 STA 08-28-91 2422:25 2422.25 1 KULU,AFITIA P 240195 10101 KULU,TANIELA ANA KULU,DAN 203 STA 08-28-91 811.75 811.75 1 KULU,KAUFOOU F 240437 10101 LOPEZ,MARTIN 203 ACT 08-28-91 413.80 413.80 1 240638 10101 LYONS,EUGENE 3 AGC 08-28-91 268.70 268.70 1 LYONS,EUGENE T 240450 10101 MAHAN,MICHAEL 512 DIS 08-28-91 351.84 351.84 1 MAHAN,MICHAEL J 240419 10101 MAIURI,ANGELA 203 STA 08-28-91 279.00 279.00 1 240708 10101 MANSKER,DAVID 203 STA 08-28-91 159.32 159.32 1 MANSKER,KATHY L 240704 10101 MATTHEWS,APRIL 203 SNP 08-28-91 202.00 202.00 1 240658 10101 SMITH,RICHARD 4 SKP 08-28-91 772.64 772.64 1 240168 10101 VERAN,AUGUSTA M 203 STA 08-28-91 312.20 312.20 1 VERAN,GONZALO 240341 10101 WHITE,WILLIE 203 STA 08-28-91 604.43 100.00 10-30-95 504.43 1 WHITE,WILLIE L 241319 10101 ADAMS,DAVID 2:03 STA 09-04-91 103.00 103.00 1 ADAMS,DAVID R 241403 10101 FLORES,JODY 203 STA 09-04-91 5473.27 5473.27 1 FLORES,JODY E 241170 10101 LOPEZ,ARTURQ 203 STA 09-04-91 613.30 613.30 1 LOPEZ,MARIA 241226 10101 LOPEZ,ARTURQ 203 STA 09-04-91 458.50 458.50 1 LOPEZ,MARIA 241382 10101 LOPEZrFRANCISCO 203 STA 09-04-91 110.50 110.50 1 LOPEI,JUAN F 241128 10101 MENDOZA,JOSE 203 ACT 09-04-91 142.39 142.39 1 MENDOZA,JOSE C 241330 10101 MILAN,IDA 203 BAF 09-04-91 366.20 244.10 06-14-93 122.10 1 MILAN,IDA J 241255 10101 SUMPTER,CLYDE 203 ACT 09-04-91 240.70 240.70 1 SUMPTER,CLYDE J 241266 10101 TURNER,MYLIE 203 STA 09-04-91 161.30 161.30 1 242154 10101 BRAGA,BRIAN 203 BAF 09-10-91 1100.24 1100.24 1 BRAGA,KIMBERLY H 242094 10101 COVINGTON,JOE 203 BAN 09-.10-91 341.00 100.00 08-08-94 241.00 1 COVINGTON,JOYCE F 242342 10101 COVINGTON,JOE 203 BAN 09-10-91 103.00 103.00 1 COVINGTON,JOYCE F 242144 10101 GUTIERREZ,IMELDA 203 ACT 09-10-91 103.50 103.50 1 242311 10101 GUTIERREZ,MINERVA 3 PPL 09-10-91 157.87 157.87 1 GUTIERREZ,MINERVA S 242288 10101 MORRIS,KATHY 203 STA 09-10-91 180.00 180.00 1 MORRIS,KATHY A 243433 10101 BIXLERrKENNETH 203 SKP 09-19-91 247.10 247.10 1 BIXLER,KENNETH P • , HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 30 DEBTOR.... CLIENT#... NAME.......................... OSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 243298 10101 WAH,DENNIS 203 ACT 09-19-91 .175.45 175.45 1 WAH.DENNIS P 243204 10101 WASHINGTON,ANTHONY 203 ACT 09-19-91 183.80 183.80 1 WASHINGTON,ANTHONY E 244857 10101 CALLAIS,IVY 203 ACT 10-02-91 298.50 298.50 1 CALLAIS,IVY M 244763 10101 DESCOVICH,JANICE 20;1 STA 10-02-91 325.44 48.05 05-15-92 277.39 1 DESCOVICH,JANICE R 244942 10101 HAMPTQN,BOBBIE 203 ACT 10-02-91 113.00 113.00 1 HAMPTON,BDBBIE R 244853 10101 LOBUE,GORDON 203 BAF 10-02-91 1528.00 1528.00 1 LOBUE,KAYLA L 245151 10101 MEEKrNANCY 203 STA 10-02-91 123.00 123.00 1 TERRELL,TERANCE G 245062 10101 NEEKrTERRANCE 203 STA 10-02-91 142.00 142.00 1 TERRELL,TERANCE G 245048 10101 VANARSDALE,MAX 203 ACT 10-02-91 119.00 119.00 1 VANARSDALE,JUSTIN A 245049 10101 VEGA,VINCENT 203 BAF 10-02-91 103.00 103.00 1 247484 10101 BARAJAS,JOSE 203 ACT 10-15-91 500.96 500.96 1 LOPEZ,ESPERANIA 247721 10101 BARNES,DEBRA 203 SKP 10-15-91 7438.88 7438.88 1 BARNES,DEBRA L 247736 10101 BETANCOURT,OSCAR 2 ACT 10-15-91 725.00 725.00 1 BETANCOURT,QSCAR M 247502 10101 BLANKENSHIP,MICHELLE 203 STA 10-15-91 369.00 369.00 1 BLANKENSHIP,NICHELLE D 247648 10101 DOBBS,DONALD 203 UNC 10-15-91 103.00 103.00 1 DOBBS,DONALD D 247210 10101 GOEBEL,GREG 203 ACT 10-15-91 117.64. 117.64 1 GOEBEL,GREG L 247521 10101 GOEBEL,GREG 203 ACT 10-15-91 371.62 371.62 1 GOEBEL,GREG L 246858 10101 HOLGUIN,DANIEL 203 SKP 10-15-91 169.50 20.00 11-04-91 149.50 1 HOLGUIN,JEFFREY C 247439 10101 HOLGUIN,DANIEL 203 SKP 10-15-91 106.00 106.00 1 HOLGUIN,EVETT A 247444 10101 LQEHNIG,NORBERT 203 STA 10-15-91 8270.52 8270.52 1 LOEHNIG,NORBERT D 247735 10101 NCKINNEYrGEANEEN 203 ACT 10-15-91 250.50 250.50 1 NCKINNEY,GEANEEN L 246998 10101 MOFFETT,TONY 203 ACT 10-15-91 103.00 103.00 1 MOFFETT,TONY L 247083 10101 MOLINA,ALEJANDRO 203 STA 10-15-91 214.14 214.14 1 MOLINA,MARIA N 247187 10101 MOSOUEDA,ALFONSO 92 STA 10-15-91 110.50 110.50 1 MOSOUEDA,RARUEL 247047 10101 STOFLE,JDHN 203 STA 10-15-91 158.00 158.00 1 STOFLE,DANA H 247266 10101 STOFLE,JOHN 203 STA 10-15-91 124.50 124.50 1 STOFLE,LISA N 247204 10101 SUTTDN,JENNIFER 203 ACT 10-15-91 628.50 628.50 1 HEALTH SERVICES HRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 31 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT SUTTON,JENNIFER D 247515 10101 VANARSDALE,MAX 203 ACT 10-15-91 105.50 105.50 1 VANARSDALE,JUSTIN A 247707 10101 VELAZBUEZ,LUCILA 203 STA 10-15-91 188.00 188.00 1 VELAZOUEI,PASCUAL H 247454 10101 VERAN,AUGUSTA M 203 STA 10-15-91 103.00 103.00 1 VERAN,FELIPE A 247682 10101 WADE,DONALD 111 UNC 10-15-91 416.57 45.00 11-05-92 371.57 1 247781 10101 WAGNER,CELESTE 201 BAF 10-15-91 133.00 133.00 1 247167 10101 NALKER,MARYANN 203 ACT 10-15-91 103.00 103.00 1 247010 10101 WEST,NAMON 203 ACT 10-15-91 439.35 439.35 1 247801 10101 WEST,NAMON 203 ACT 10-15-91 393.40 393.40 1 247464 10101 WILLIAMS,JAMES 203 ACT 10-15-91 100.95 100.95 1 WILLIAMS,JAMES B 246906 10101 WILLIAMS,ORLANDO 203 ACT 10-15-91 298.50 298.50 1 247446 10101 WILSON,JACK 203 STA 10-15-91 103.00 103.00 1 WILSON,JACK E 247159 10101 YAW,GERALD 203 STA 10-15-91 100.90 100.90 1 YAW,JOHN C 247558 10101 YAW,GERALD 203 STA 10-15-91 100.90 100.90 1 YAW,ERICA E 248542 10101 BETKOWSKI,CRYSTAL 203 SKP 10-21-91 1915.24 200.00 12-06-91 1715.24 1 BETKOWSKI,CRYSTAL D 248473 10101 MORRIS,KATHY 203 STA 10-21-91 2275.75 2275.75 1 MORRIS,KATHY A 248482 10101 MORRIS,KATHY 203 STA 10-21-91 1245.46 1245.46 1 MITCHELL,CODY A 249527 10101 BECERRA,PATRICIO 2103 SKP 10-24-91 117.50 117.50 1 BECERRA,ROSARIO 249514 10101 EIKANGER,RALPH 203 UNC 10-24-91 1437.25 217.33 05-23-95 1219.92 1 EIKANGER,NANDA L 249418 10101 GREGORY,DEBORAH 203 ACT 10-24-91 241.80 241.80 1 GREGORY,ARNOLD R 249487 10101 LEWIS,KIMBERLY 3 ACC 10-24-91 219.20 219.20 1 LEWIS,JIMMYJR L 249368 10101 LUIZ,JOHN SR 203 SKP 10-24-91 268.69 268.69 1 LUIZ,CASSANDRA M 249409 10101 MOSOUEDA,ALFONSO 92 STA 10-24-91 316.00 316.00 1 MOSBUEDA,RABUEL 249414 10101 SMITH,MELASHER 203 STA 10-24-91 216.19 216.19 1 SMITH,MELASHER J 249604 10101 STOUT,ROBIN 203 ACT 10-24-91 121.60 121.60 1 STOUT,ROBIN A 249390 10101 TOLLISON,BARBARA 203 ACT 10-24-91 307.44 307.44 1 TOLLISON,BARBARA J 249348 10101 NEATHERBY,HAIEL 203 ACT 10-24-91 614.70 614.70 1 WEATHERBY,ALEX V 249370 10101 WISE,MICHAEL 203 KOD 10-24-91 2498.39 2498.39 1 WISE,NANCY M 249365 10101 WRIGHT,ORAL 4 PPL 10-24-91 194.00 194.00 1 WRIGHT,ALLEN 250295 10101 BARR,GALEN 203 SKP. 10-29-91 215.50 215.50 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 32 DEBTOR.... CLIENT*... NAME.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT BARR,GALEN S 250197 10101 CAMPOS,TERESA 203 BAF 10-29-91 121.00 121.00 1 HERNANDEI,FRANCIS A 250192 10101 HUBERT,SHAUN 20; SKP 10-29-91 161.40 161.40 1 HUBERT,KATHERINE A 250160 10101 JOHANSSON,HILDA 3 SUS 10-29-91 668.10 668.10 1 JOHANSSON,HILDA L 250243 10101 KUMAR,MUKESH 2O:1 STA 10-29-91 173.00 173.00 1 250058 10101 LARNER,SHARON 203 HLD 10-29-91 228.30 228.30 1 LARNERrSHARON A 250286 10101 LOEHNIG,NORBERT 203 STA 10-29-91 147.40 147.40 1 LOEHNIG,NORBERT D 250281 10101 LOPEZ,MARIA 203 STA 10-29-91 432.50 432.50 1 LOPEZ,MARIA E 250899 10101 ADAMS,MICHELE 203 ACT 11-05-91 119.00 119.00 1 ADAMSrMICHELE L 250802 10101 DESCOVICH,JANICE 203 STA 11-05-91 132.50 132.50 1 DESCOVICH,JANICE R 250777 10101 VIARGUES,RENE 203 ACT 11-05-91 285.57 285.57 1 VIARGUES,RENE R 250926 10101 W0OD,DEBORAH 203 STA 11-05-91 469.43 469.43 1 251928 10101 GONZALEZ,CARMEN 2 RFD 11-14-91 130.50 130.50 1 GDNZALEZ,JOSE 251769 10101 LASHON,HICHEAL 92 ACT 11-14-91 381.50 381.50 1 LASHON,HICHELLE 251929 10101 MCCULLEN,JAMES 2.03 STA 11-14-91 153.00 153.00 1 MCCULLEN,JAMES L 251962 10101 MOSES,CLOANN 92 STA 11-14-91 196.50 196.50 1 251856 10101 SMEBY,MARY 203 STA 11-14-91 1350.00 1350.00 1 SMEBY,MARY L 251794 10101 STOVER,GERRI 203 ACT 11-14-91 180.00 180.00 1 STOVER,GERRI L 251999 10101 UBUNGEN,LIGAYA 203 ACT 11-14-91 232.70 232.70 1 251840 10101 VIARGUES,RENE 203 ACT 11-14-91 456.77 456.77 1 VIARGUES,RENE R 251757 ; 10101 WILLIAMS,RICKY 203 ACT 11-14-91 479.00 479.00 1 251812 10101 NILLIAMS,RICKY 203 ACT 11-14-91 372.50 372.50 1 251864 10101 WILLIANS,RICKY 203 ACT 11-14-91 109.00 109.00 1 252705 10101 MINJARES,GERARDO 203 SKP 11-21-91 193.20 3.00 12-16-91 190.20 1 MINJARES,NORA H 252679 10101 IIMMERMAN,NORMAN 203 SKP 11-21-91 " 443.80 443.80 1 IIMMERMAN,VENETTA 252725 10101 IIMMERMAN,NORMAN 203 SKP 11-21-91 443.00 443.00 1 IIMMERMAN,VENETTA 253541 10101 DESCOVICHrJANICE 203 STA 12-02-91 617.00 617.00 1 DESCOVICH,JANICE R 253457 10101 LILLARD,RONALD 203 DEC 12-02-91 256.30 256.30 1 LILLARD,RONALD L 253485 10101 SOLEYMAN,MOHAMMAD 203 STA 12-02-91 879.00 879.00 1 SOLEYMAN,MARIA A 253377- 10101 WILLIAMS,JAMES 203 SKP 12-02-91 3626.39 3626.39 1 WILLIAMS,JAMES B HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 33 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 253400 10101 YAW,GERALD 203 STA 12-02-91 295.00 295.00 1 YAW,GUILLERMIN 254805 10101 BARRAGAN,JUVENTINA 203 ACT 12-10-91 678.50 678.50 1 255135 10101 CLEARY,JAMIE 203 SNP 12-10-91 134.00 134.00 1 CLEARY,JAMIE K 254907 10101 DAVIS,HARRIET 2 SKP 12-10-91 308.78 308.18 1 DAVIS,HARRIET D 254901 10101 DEORNELLAS,KISA 203; ACT 12-10-91 101.14 101.14 1 DEORNELLAS,KISA L 254812 10101 DUENAS,MARIA 203 ACT 12-10-91 149.00 149.00 1 TOPETE,MARIA A 255140 10101 ISSA,MARIE 20;1 UNC 12-10-91 198.50 198.50 1 ISSA,MARIE J 255273 10101 LAWRENCE,JULIE 203 STA 12-10-91 289.85 289.85 1 LAWRENCE,JULIE L 255029 10101 MCKINNEY,GEANEEN 203 ACT 12-10-91 147.19 147.19 1 MCKINNEY,GEANEEN L 254952 10101 MILLER,FARAH 203 ACT 12-10-91 121.50 121.50 1 CHATMAN,RASHIDA 254619 10101 MINJARES,GERARDO 203 SKP 12-10-91 603.95 603.95 1 MINJARES,BRIAN 254671 10101 MINJARES,GERARDO 203 SKP 12-10-91 134.50 134.50 1 MINJARES,BRIAN 255105 10101 SUMPTER,CLYDE 2D3 ACT 12-10-91 116.97 116.97 1 SUMPTER,CLYDE J 254884 10101 THOMAS,DORETHA 203 SKP 12-10-91 293.28 293.28 1 THOMAS,DORETHA A 254881 10101 VIRAMONTES,MICHAEL 2:03 SKP 12-10-91 465.95 465.95 1 VIRAMONTES,MICHAEL L 255006 10101 VIRAMONTES,MICHAEL 203 ACT 12-10-91 220.75 220.75 1 VIRAMONTES,MICHAEL L 254774 10101 WILLIAMS,SCOTT 203 ACT 12-10-91 321.10 321.10 1 WILLIAMS,SCOTT G 254991 10101 WRIGHT,ANTHONY 4 ACT 12-10-91 1628.15 110.65 05-05-92 1517.50 1 WRIGHT,ANTHONY E 256570 10101 AYALA,LYDIA 10 UNC 12-18-91 614.20 386.99 08-18-95 227.21 1 AYALA,LYDIA P 256469 10101 BARRIENTOS,MARIGAIL 2 PPL 12-18-91 100.20 100.20 1 BARRIENTOS.CHRISTOPHE 256324 10101 BECERRA,PATRICIO 203 SKP 12-18-91 121.25 121.25 1 - BECERRA,PATRICIO 0 256436 10101 BLANKENSHIP,MICHELLE 203 STA 12-18-91 150.00 150.00 1 BELL,KENDRA S 256381 10101 BURKETT,ROBERT 10 UNC 12-18-91 345.35 345.35 1 256373 10101 CASEY,MICHAEL 2 SKP 12-18-91 246.50 246.50 1 CASEY,MICHELE D 256568 10101 CASEY,MICHAEL 2 SKP 12-18-91 3133.48 3133.48 1 CASEY,MICHELE D 256442 10101 CASEY,ROBERT 203 ACT 12-18-91 1840.01 1840.01 1 CASEY,ROBERT L 256390 10101 DIAZ,DAVID 203 STA 12-18-91 378.00 378.00 1 DIAZ,ROSA HEALTH SERVICES URITE-OFF REPORT DATE:27 Mar 2001 PAGE: 34 DEBTOR.... CLIENT4... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 256283 10101 KABIR,AHMAD 203 CRO 12-18-91 341.75 341.75 1 256434 10101 UGALDE,ELVIA 203 SKF 12-18-91 255.00 255.00 1 256211 10101 VANLAAR,ERIN 203 ACT 12-18-91 442.45 442.45 1 VANLAAR,ERIN A 256353 10101 VERAN,AUGUSTA M 203 STA 12-18-91 103.00 103.00 1 VERAN,GONZALO 257605 10101 ASIKLAR,CHARLOTTE 203 BAF 12-26-91 1042.00 25.60 05-01-92 1016.40 1 ASZKLAR,CHARLOTTE L 257407. 10101 CHRISTOFFERSEN,TED 203 SKP 12-26-91 154.42 154.42 1 CHRISTOFFERSEN,TED E 257306 10101 ELIZONDA,ROSEMARIE 203 ACT 12-26-91 109.90 109.90 1 ELIIONDO,JOSE A 257635 10101 ELIZONDA,ROSEMARIE 203 ACT 12-26-91 142.05 142.05 1 ELIZONDO,JOSE A 257726 10101 ELIZONDA,ROSEMARIE 2U3 ACT 12-26-91 201.05 201.05 1 ELIZONDO,JOSE A 257811 10101 KEHRLEIN,GEORGE 203 UTP 12-26-91 357.70 357.70 1 KEHRLEIN,GEORGE B 257591 10101 KUMAR,MUSKESH 203 STA 12-26-91 202.20 202.20 1 257747 10101 VARGAS,YOLANDA 10 STA 12-26-91 353.00 353.00 1 258004 10101 UALKER,MARBUITA 203 KOD 12-26-91 669.00 669.00 1 UALKER,MAROUITA T 257297 10101 UHISLER,TROY 203 ACT 12-26-91 272.95 272.95 1 . UHISLER,TROY A 257995 10101 UILLIAMS,JAMES 203 ACT 12-26-91 197.70 197.70 1 UILLIAMS,JAMES B 257498 10101 URIGHT,ANTHONY 4 ACT 12-26-91 126.50 126.50 1 URIGHT,ANTHONY E 258563 10101 BRYANT,RONALD 203 ACT 01-06-92 107.80 107.80 1 BRYANT,BETTY A 258529 10101 CASTRO,MARTHA 203 ACT 01-06-92 362.60 362.60 1 CASTRO,MARTHA E 258636 10101 COLEMAN,TERRI 203 UNC 01-06-92 457.50 261.29 05-26-92 196.21 1 COLEMAN,TERRI A 258607 10101 COOPER,KENNETH 203 ACT 01-06-92 300.59 300.59 1 COOPER,KENNETH L 258717 10101 GARETTI,DAVID 203 SKP 01-06-92 103.86 103.86 1 GARETTI,DAVID J 258644 10101 GODDARD,RICHARD 203 ACT 01-06-92 390.50 390.50 1 GODDARD,RICHARD J 258605 10101 GRIFFIN,UALTER 203 ACT 01-06-92 163.26 163.26 1 GRIFFIN,UALTER G 258519 10101 HAZLETON,TROY 203 ACT 01-06-92 166.00 166.00 1 HAZLETON,TROY A 258592 10101 HAZLETON,TROY 203 ACT 01-06-92 110.80 110.80 1 HAZLETON,TROY A 258685 10101 HUNTZIKER,SANDRA 203 ACT 01-06-92 262.36 262.36 1 HUNTZIKER,KRISTINA A 258635 10101 NARTINEI,BELINDA 203 ACT 01-06-92 330.50 330.50 1 MARTINEI,BELINDA F 258661 10101 MASTEN,BRAD 203 ACT 01-06-92 200.50 200.50 1 MASTEN,LAURA L HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE. 35 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PH-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CHT 258574 10101 MOLINA,ALEJANDRO 203 UNC 01-06-92 365.25 365.25 1 MOLINA,MARIA N 258516 10101 SOUSA,MARIA 203 SKP 01-06-92 201.60 201.60 1 SOUSA,MARIA L 258694 10101 STOFLE,JOHN 203 STA 01-06-92 136.06 136.06 1 STOFLE,LISA M 258719 10101 STRICKLAND,ANNA 203 ACT 01-06-92 159.80 159.80 1 STRICKLAND,JAMES W 258752 10101 TIERNAN,KIMBERLY 203 HLD 01-06-92 120.00 120.00 1 TIERNAN,KIMBERLY L 258551 10101 WALKER,THOMAS 203 ACT 01-06-92 510.48 510.48 1 WALKER,THOMAS J 258505 10101 WHITTIE,JIMMIE 203 ACT 01-06-92 132.00 132.00 1 WHITTIE,JIMMIE R 259412 10101 BATTISTE,KIMBERLY 203 ACT 01-13-92 448.40 448.40 1 BATTISTE,DANTE C 259509 10101 BATTISTE,KIMBERLY 203 ACT 01-13-92 151.50 151.50 1 BATTISTE,DANTE C 259740 10101 BOYD,ANNETTE 203 ACT 01-13-92 284.05 284.05 1 LEWIS,ELON A 259540 10101 BOYKIN,CAROLYN 203 ACT 01-13-92 223.77 223.77 1 259701 10101 CALLAIS,IVY 203 ACT 01-13-92 169.50 169.50 1 CALLAIS,IVY M 259414 10101 FARIAS,RAMON 203 SKP 01-13-92 449.30 449.30 1 FARIAS,ALICIA 25%82 10101 GOMEZ,RITA 203 STA 01-13-92 159.00 159.00 1 GOMEZ,RITA I 259541 10101 GURLEY,JENNIFER 203 ACT 01-13-92 1944.07 1944.07 1 GURLEY,JENNIFER D 259736 10101 GURLEYrJENNIFER 203 ACT 01-13-92 394.94 394.94 1 GURLEY,JENNIFER D 259683 10101 LEWIS,CYNTHIA 203 STA 01-13-92 166.00 166.00 1 LEWISrCYNTHIA M 259705 10101 MADSEN,TAMINATHA 203 ACT 01-13-92 356.20 356.20 1 MADSEN,TAMINATHA L 259487 10101 MOSOUEDA,ALFONSO 203 STA 01=13-92 256.49 256.49 1 MOSOUEDA,RABUEL 259529 10101 SPENCER,HERSHEL 203 ACT 01-13-92 2080.70 2080.70 1 259401 10101 SULLIVAN,RAYMOND 203 ACT 01-13-92 125.00 125.00 1 SULLIVAN,RAYMOND L 259757 10101 VERDUGO,MICHELLE 203 STA 01-13-92 434.11 434.11 1 VERDUGO,JOHN R 259497 10101 WALKER,MAROUITA 203 ACT 01-13-92 643.50 643.50 1 WALKER,MARRUITA T 259572 10101 WILCOX,DOUGLAS 203 ACT 01-13-92 115.00 115.00 1 WILCOX,ALEXANDER 259477 10101 WINGATE,ANTHONY 203 SKP 01-13-92 227.10 227.10 1 259513 10101 WINGATE,ANTHONY 203 SKP 01-13-92 248.30 248.30 1 259543 10101 WINGATE,ANTHONY 203 SKP 01-13-92 490.40 490.40 1 259594 10101 WINGATE,ANTHONY 203 SKP 01-13-92 359.40 359.40 1 259629 10101 WINGATE,ANTHONY 203 SKP 01-13-92 219.60 219.60 1 260253 10101 ALDANA,CARLOS 203 BAN 01-14-92 3205.12 2650.00 09-24-97 555.12 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 36 DEBTOR.... CLIENT#... NAME.......................... DSH ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT ALDANA,ZOILA E 260278 10101 ALVARADO,ROBERTO 203 SKP 01-14-92 137.40 137.40 1 SIGGAROA,ESPERANIA 260291 10101 ALVARADO,ROBERTO 203 SKP 01-14-92 532.20 532.20 1 SIGGAROA,ESPERANIA 260292 10101 ALVARADO,ROBERTO 203 SKP 01-14-92 334.20 334.20 1 SIGGAROA,ESPERANZA 260021 10101 AMIN,NDHAMAD 203 ACT 01-14-92 393.10 45.00 05-27-92 348.10 1 AHIN,AHMAD 260119 10101 ANDREWS,REGGIE 203 SKP 01-14-92 265.20 265.20 1 260271 10101 BELL,KATHY 203 ACT 01-14-92 592.60 592.60 1 SELL,KATHY F 260282 10101 BRANHAM,LINDA 203 SKP 01-14-92 140.00 140.00 1 BRANHAN,LINDA L 260071 10101 GLASS,JERRY 203 SNR 01-14-92 247.10 247.10 1 GLASS,JERRY R 260137 10101 HARTMAN,CHERYL 203 STA 01-14-92 157.48 157.48 1 HARTMAN,CHERYL A 260237 10101 HEINEMAN,ANNE 203 ACT 01-14-92 151.50 151.50 1 BOYCE,MAEGAN P 259999 10101 KARJALA,TAMMY 203 STA 01-14-92 174.40 174.40 1 KARJALA,TANMY L 260295 10101 MARTINEZ,ADRIANE 203 ACT 01-14-92 296.00 296.00 1 MARTINEI,ADRIANE L 260078 10101 MASHBURN,RICHARD JR 203 SKP 01-14-92 109.00 109.00 1 MASHBURN,RICHARD JR A 260069 10101 MOLINA,STEVEN 203 STA 01-14-92 6193.43 6193.43 1 MOLINA,STEVEN A 260321 10101 MOLINA►STEVEN 203 STA 01-14-92 614.99 614.99 1 MOLINA,STEVEN A 260182 10101 SMITH,GERALDINE 203 STA 01-14-92 102.50 102.50 1 SMITH,KELLY L 259988 10101 SOUZA,LARRY 203 ACT 01-14-92 241.00 241.00 1 SOUZA,LARRY J 260096 10101 SOUZA,LARRY 203 ACT 01-14-92 186.25 186.25 1 SOUZA,LARRY J 260288 10101 SOUZA,LARRY 203 ACT 01-14-92 109.00 109.00 1 SOUZA,LARRY J 260311 10101 THOMAS,DORETHA 203 SKP 01-14-92 436.75 436.75 1 THOMAS,DORETHA A 260047 10101 TRAINOR,GERALD 203 ACT 01-14-92 368.50 368.50 1 TRAINOR►GERALD I 260159 10101 TUPOU,MONEATA 203 ACT 01-14-92 160.50 160.50 1 MOALA,ELENI 260249 10101 UBUNGEN,LIGAYA 203 ACT 01-14-92 217.40 217.40 1 260261 10101 WILLIAMS,EDWARD 203 SKP 01-14-92 363.20 363.20 1 262221 10101 AJERO,CLARA 2 ACT 02-03-92 496.00 496.00 1 AJERO,BRIAN A 262369 10101 AJER0,CLARA 2 ACT 02-03-92 501.50 501.50 1 AJERO,BRIAN A 262751 10101 AJERO,CLARA 2 ACT 02-03-92 171.50 171.50 1 AJERO,BRIAN A • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 37 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 262287 10141 ANCAR,EDWINA 2 ACT 02-03-92 270.85 270.85 1 RAINWATERrMICHELLE L 262526 10101 ARMETTArLILLIAN 2 ACT 02-03-92 174.80 174.80 1 ARMETTA,LILLIAN A 262049 10101 ARNOLD,MARY 2 ACT 02-03-92 216.15 216.15 1 ARNOLD,MARY A 262374 10101 ARNOLD,MARY 2 ACT 02-03-92 243.00 243.00 1 ARNOLD,MARY A 262692 10101 AUISTON,DEEDEE 2: ACT 02-03-92 236.00 236.00 1 AUZSTON.DEEDEE H 262256 10101 AUZSTON,PAUL 2 ACT 02-03-92 105.50 105.50 1 AUZSTON,DEEDEE M 262755 10101 AUZSTONrPAUL 2 ACT 02-03-92 187.05 187.05 1 AUZSTON,DEEDEE M 262500 10101 BRENER,LUCILLE 2 ACT 02-03-92 134.50 130.50 1 JOHNSON,KIM L 262581 10101 BROICH,JOHN 2 ACT 02-03-92 151.41 151.41 1 BROICH,JOHN R 262736 10101 BUNTON,MAREENA 2 ACT 02-03-92 144.50 144.50 1 BUNTON,PORSCHE L 262439 14101 COOPER,AYESCHA 2 ACT 02-03-92 304.45 304.45 1 COOPER,AYESCHA C 262331 10141 DEBUSSCHERE,HEIDI 2 ACT 02-03-92 179.00 179.00 1 WHIPPLE,HEIDI R 262361 10101 DEBUSSCHERE,HEIDI 2 SKP 02-03-92 117.30 117.30 1 WHIPPLE,HEIDI R 262662 10101 FISHER,MICHAEL 2 ACT 02-03-92 246.50 246.50 1 FISHER,MICHAEL K 262124 10101 GONZALEZ,ROBERT 2 SKP 02-03-92 109.00 109.00 1 GONZALEZ,ROBERT A 262528 10101 GRAY,JOHN 2 SKP 42-03-92 151.00 151.00 1 262497 10101 HUDSON,CLARENCE 3 ACT 02-03-92 105.65 105.65 1 HUDSON,CLARENCE E 262498 10101 HUNSUCKER,SYLVIA 3 ACT 02-03-92 221.50 221.50 1 HUNSUCKER,SYLVIA B 262534 10101 JAIME,RAUL 3 ACT 02-03-92 205.34 205.34 1 JAIME,CLEMENTINA 262504 10101 JOURDAN,JANINE 3 ACT 02-03-92 143.50' 143.50 1 JOURDAN,JANINE A 262057 10101 KEOSEANG,KHAM 3 ACT 02-03-92 153.00 153.00 1 262076 10101 KEOSEANG,KHAM 3 ACT 02-03-92 112.00 112.00 1 262202 10101 KEOSEANGrKHAM 3 ACT 02-03-92 228.13 228.13 1 262392 10101 KUMAR,MUSKESH 203 STA 02-03-92 4342.19 4342.19 1 262074 10101 LARIOS,GABRIEL 3 ACT 02-03-92 268.50 268.50 1 262380 10101 LARIOSrGABRIEL 3 ACT 02-03-92 248.00 248.00 1 262347 10101 LARNER,SHARON 3 HLD 02-03-92 353.90 353.90 1 LARNER,SHARON A 262192 10101 LIMON,RAUDEL 3 ACT 02-03-92 196.50 196.50 1 LIMON,GLORIA 262630 10101 LONGMIRE,ROBERT 3 BAF 02-03-92 2826.60 2826.60 1 LONGNIRE,STACIE L 262298 10101 LOYArLAURA 3 SKP 02-03-92 488.70 488.70 1 HEALTH SERVICES WRITE-OFF REPORT DATE,27 par 2001 PAGE: 38 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL....I CNT 262408 10101 LOYA,LAURA 3 SKP 02-03-92 527.96 527.96 1 262316 10101 MANOA,TUPOU 3 ACT 02-03-92 252.50 252.50 1 MANOA,TUPOU H 262709 10101 MCCOY,ROOSEVELT 203 STA 02-03-92 138.70 138.70 1 MCCOY,ROOSEVELT J 262055 10101 MCCULLOUGH,NORFLIS 3 ACT 02-03-92 105.00 105.00 1 MCCULLOUGH,JINKIE J 262555 10101 NERRILL,ROBERT 203 ACT 02-03-92 102.74 102.74 1 NERRILL,ROBERT C 262661 10101 MERRITT,BILLIE 203 STA 02-03-92 4678.19 4678.19 1 MERRITT,BILLIE J 262206 10101 SMITH,DEBRA 4 ACT 02-03-92 131.34 131.34 1 SHITH,DEBRA J 262257 10101 SNITH,DEBRA +1 ACT 02-03-92 477.69 477.69 1 SHITH,DEBRA J 262047 10101 SOUTA,LARRY 4 ACT 02-03-92 157.76 157.76 1 SOUZA,LARRY J 262272 10101 SPENCER,JACK 4 SKP 02-03-92 150.14 150.14 1 SPENCER,JACK A 262128 10101 STONER,RAYMOND 4 ACT 02-03-92 149.50 149.50 1 STONER,RAYMOND A 262155 10101 STONER,RAYHOND 4 ACT 02-03-92 265.00 265.00 1 STONER,RAYNOND A 262072 10101 STREET,VANESSA 203 STA 02-03-92 2003.03 2003.03 1 STREET,VANESSA C 262080 10101 STREET,VANESSA 203 STA 02-03-92 2688.52 2688.52 1 STREET,VANESSA C 262244 10101 TAYLOR,GAYLE 4 ACT 02-03-92 281.90 281.90 1 TAYLOR,GAYLE L 262341 10101 TUNIS,VICKI 4 ACT 02-03-92 869.00 869.00 1 TUNIS,VICKI D 262611 10101 VALDEZ,FIDEL 203 BAF 02-03-92 1312.60 125.00 07-10-92 1187.60 1 VALDEI,FIDEL H 262213 10101 VAIOUES,ALFONSO 203 STA 02-03-92 932.60 932.60 1 VAIBUES,VICTOR 262097 10101 VILLALOBOS,JASMINA 4 ACT 02-03-92 171.50 171.50 1 262450 10101 VIOLETTE,JANES 203 ACT 02-03-92 248.95 248.95 1 C/O KATHERINE GERKINS 262618 10101 WARD,DONALD 4 ACT 02-03-92 171.96 171.96 1 WARD,DONALD J 262126 10101 WASHINGTON,CHRISTOPHE 4 ACT 02-03-92 102.00 102.00 1 WASHINGTON,CHRIS J 262722 10101 WEBB,PAUL 4 ACT 02-03-92 119.50 119.50 1 262099 10101 WHIPPLE,HEIDI 4 SKP 02-03-92 203.00 203.00 1 WHIPPLE,HEIDI R 262407 10101 WHIPPLE,HEIDI 4 ACT 02-03-92 141.38 141.38 1 WHIPPLE,HEIDI R 262265 10101 WILKS,RENEE 4 CRO 02-03-92 184.00 184.00 1 WILKS,EpILY K 262278 1.0101 WILKS,RENEE 4 CRO 02-03-92 135.00 135.00 1 WILKS,JENNIFER L 262373 10101 WILSON,LEANNA 4 ACT 02-03-92 196.40 196.40 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 39 DEBTOR.... CLIENT#... NAME..:....................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... UT WILSON,LEANNA K 262118 10101 WRIGHT,ANGELA 4, PPL 02-03-92 95.10 95.10 1 WRIGHT,ALLEN 262121 10101 ZIMMERMAN,VENETTA 4 SKP 02-03-92 126.00 126.00 1 263043 10101 ANDREWS,REGGIE 203 SKP 02-05-92 140.00 140.00 1 263057 10101 BURCH,GLADYS 203 SKP 02-05-92 130.88 130.88 1 BURCH,GLADYS G 263066 10101 BYRON,MIKE 203 STA 02-05-92 284.12 284.12 1 BYRON,GAIL D 263072 10101 BYRON,MIKE 203 STA 02-05-92 2488.18 2488.18 1 BYRON,GAIL D 263129 10101 BYRON,MIKE 203 STA 02-05-92 198.00 198.00 1 BYRON,GAIL D 263130 10101 CLARK,MARY 203 SKP 02-05-92 335.80 335.80 1 CLARK,MARY W 263099 10101 JOHNSON,JAMES 203 SKP 02-05-92 107.40 107.40 1 JOHNSON,JAMES A 263054 10101 MIRANDA,JESUS 203 SKP 02-05-92 122.50 122.50 1 SANDOVAL,AURORA 263127 10101 SUMPTER,CLYDE 203 ACT 02-05-92 262.42 262.42 1 SUMPTER,CLYDE J 263097 10101 VINCENZI,ROBERT 203 SKP 02-05-92 580.00 580.00 1 VINCENII,RDBERT L 263102 10101 WICHNER,DIANA 203 STA 02-05-92 281.90 281.90 1 WICHNER,DIANA L 263080 10101 WILSON,SCOTT 203 SKP 02-05-92 115.00 115.00 1 WILSON,SCOTT M 264163 10101 ALDANA,CARLDS 203 BAN 02-11-92 109.00 109.00 1 ALDANA,JAVIER A 263810 10101 BOWERS,DAVID 203 SKP 02-11-92 306.20 306.20 1 BOWERS,DAVID C 263873 10101 BREWER,LUCILLE 203 ACT 02-11-92 181.50 181.50 1 JOHNSON,KIM L 264263 10101 BURKETT,ROBERT 10 UNC 02-11-92 115.00 115.00 1 264286 10101 BURKETT,ROSERT 10 UNC 02-11-92 139.60 139.60 1 263809 10101 BURNETT,JAMES 203 ACT 02-11-92 518.10 518.10 1 BURNETT,JAMES D 263880 10101 GILE,DANIEL 203 SKP 02-11-92 159.00 159.00 1 GILE,DANIEL S 264282 10101 GONIALEI,ANTONIO 18 AGC 02-11-92 286.66 286.66 1 GONIALEI,ANGELICA 264377 10101 JACKSON,DONALD 203 ACT 02-11-92 193.80 193.80 1 JACKSON,EARLINE 264030 10101 JORY,CARLEEN 203 RFD 02-11-92 157.00 157.00 1 264189 10101 KEEP,JEANINE 203 STA 02-11-92 448.00 200.00 01-11-93 248.00 1 KEEP,JEANINE L 264254 10101 KETSELA,TESFAYE 203 ACT 02-11-92 103.50 103.50 1 264024 10101 LOBUE,GORDON 203 BAF 02-11-92 106.00 106.00 1 HOLLAND,TRACEY L 264342 10101 LOBUE,GORDON 203 BAF 02-11-92 633.75 633.75 1 HOLLAND,TRACEY L 264145 10101 LOPEI,GABRIELA 203 SKP 02-11-92 103.00 103.00 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 40 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT RODRIGUEI,MARLETH L 264354 10101 LOZANO,LANA 203 STA 02-11-92 369.95 369.95 1 LOZANO,LANA L 264326 10101 MACIAS,JOSE LUIS 20:1 ACT 02-11-92 225.50 225.50 1 MACIAS,EMA 264366 10101 MCCRAY,LONIELL 203 STA 02-11-92 7955.79 7955.79 1 MCCRAY,LONZELL T 264070 10101 MCLINN,RONALD 20:3 STA 02-11-92 176.22 176.22 1 MCLINN,RONALD D 264272 10101 MCLINN,RONALD 203 STA 02-11-92 106.00 106.00 1 MCLINN,RONALD D 264191 10101 MEAR5,DARLA 203 ACT 02-11-92 281.50 281.50 1 MEARS,DARLA L 264153 10101 MENDOIA,ABEL 203 STA 02-11-92 539.70 05-15-92 539.70 1 MENDOZA,LUISA 263897 10101 MERINO,PAUL 203 ACT 02-11-92 109.00 109.00 1 MERINO,AMBER R 264359 10101 TUPOU,MONEADA 203 ACT 02-11-92 142.35 142.35 1 TUPOU,VILI 264303 10101 TURNER,MYLIE 203 STA 02-11-92 187.50 187.50 1 TURNER,MYLIE L 263838 10101 URBANCIC,GARY 203 ACT 02-11-92 233.20 233.20 1 URBANCIC,SAMANTHA M 263906 10101 URBANCIC,GARY 203 ACT 02-11-92 109.20 109.20 1 URBANCIC,ANNA P 264233 10101 VELAZOUEZ,PASCUAL 203 STA 02-11-92 645.74 645.74 1 VELAZBUEI,PASCUAL H 264184 10101 VILLEGAS,ANTONIO 203 ACT 02-11-92 280.00 280.00 1 VILLEGAS,SILVIA 263829 10101 WHITAKER,CLAYTON 203 SKP 02-11-92 331.65 331.65 1 - WHITAKER,CLAYTON L 263852 10101 WHITAKER,CLAYTON 203 SKP 02-11-92 203.15 203.15 1 WHITAKER,CLAYTON L 263972 10101 WILEY,JAMAL 203 ACT 02-11-92 105.50 105.50 1 WILEY,JAMAL D 264097 10101 WILEY,JAMAL 203 ACT 02-11-92 730.35 730.35 1 WILEY,JAMAL D 264320 10101 WILLIAMS,ROBERT 203 SKP 02-11-92 835.35 835.35 1 WILLIAMS,ROBERT N 263861 10101 WOOD,WILLIAR 203 STA 02-11-92 759.25 759.25 1 WOOD,WILLIAM M 265703 10101 ALEXANDER,LETAL 203 ACT 02-21-92 117.50 117.50 1 ALEXANDER,LETAL A 265710 10101 ALLGOOD,SCOTT SR 203 PPL 02-21-92 161.15 161.15 1 ALLGOOD,SCOTT SR P 265621 10101 BECERRA,PATRICIO 203 SKP 02-21-92 323.00 323.00 1 BECERRA,ROSARIO 265624 10101 BELL,KATHY 203 SKP 02-21-92 267.00 267.00 1 BELL,KATHY F 265706 10101 BELL,KATHY 203 SKP 02-21-92 143.60 143.60 1 BELL,KATHY F 265779 t0101 CANPEDEL,CHRIS 203 DEC 02-21-92 302.10 302.10 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 41 DEBTOR.... CLIENT4... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CHT CAMPEDEL,CHRIS J 265826 10101 CAMPEDEL,CHRIS 203 DEC 02-21-92 116.45 116.45 1 CAMPEDEL,CHRIS J 265903 10101 CAMPEDEL,CHRIS 203 DEC 02-21-92 290.54 290.54 1 CAMPEDEL,CHRIS J 265908 10101 CAMPEDEL,CHRIS 203 DEC 02-21-92 401.75 401.75 1 CAMPEDEL,CHRIS J 265776 10101 CHRISTOPHER,JOHN 20:1 ACT 02-21-92 385.75 385.75 1 265898 10101 CONTRERAS,GRABERIELA 203 STA 02-21-92 882.50 882.50 1 CONTRERAS,JOSE 265651 10101 FERRIS,TOSCHA 20:3 ACT 02-21-92 120.99 120.99 1 FERRIS,TOSCHA E 265778 10101 GUILBEAU,PETER 203 ACT 02-21-92 278.00 278.00 1 GUILBEAU,PETER J 265774 10101 HENDERSON,JAMES 203 ACT 02-21-92 108.00 108.00 1 265661 10101 IGNACID,LANA 203 ACT 02-21-92 812.00 20.00 11-13-92 792.00 1 IGNACIO,LANA C 265904 10101 JUST,TIMOTHY 203 DEC 02-21-92 233.50 233.50 1 JUST,TIMOTHY V 265793 10101 LOPEI,ARTURO 203 STA 02-21-92 330.68 330.68 1 LOPEZ,MARIA 265801 10101 MODICUE,FELICIA 203 ACT 02-21-92 455.50 455.50 1 MODICUE,FELICIA K 265850 10101 MODICUE,FELICIA 203 ACT 02-21-92 211.50 211.50 1 MODICUE,FELICIA K 265861 10101 MODICUE,FELICIA 203 ACT 02-21-92 124.50 124.50 1 MODICUE,FELICIA K 265733 10101 SUSEBERRY,ALVIN 203 ACT 02-21-92 175.60 175.60 1 265772 10101 YAW,GERALD 203 STA 02-21-92 101.50 101.50 1 YAW,JOHN C 265783 10101 YAN,GERALD 203 STA 02-21-92 101.50 101.50 1 YAW,ERICA E 266995 10101 AMIN,MOHAMED 203 BAF 03-05-92 191.20 191.20 1 AMIN,MOHAMED A 267000 10101 ATKINS,ROSEMARY 203 ACT 03-05-92 190.60 190.60 1 267027 10101 AVILA,SIMON 203 SKP 03-05-92 170.00 170.00 1 AVILA,ROCIO 266984 10101 BURCH,GLADY5 203 SKP 03-05-92 327.80 327.80 1 BURCH,GLADYS G 266940 10101 CHRISTOPHER,JOHN 203 ACT 03-05-92 796.20 796.20 1 267048 10101 DAMIAN,JUAN 200 KOD 03-05-92 162.50 162.50 1 DAMIAN,EMMA 266945 10101 EIKANGER,RALPH 203 UNC 03-05-92 706.00 708.00 1 EIKANGER,WANDA L 266926 10101 GILBERT,CARNELL 203 ACT 03-05-92 210.50 210.50 1 267074 10101 HUNTIIKER,SANDRA 203 ACT 03-05-92 586.00 586.00 1 HUNTZIKER,KRISTINA A 267004 10101 KEHRLEIN,GEORGE 203 UTP 03-05-92 288.95 288.95 1 KEHRLEIN,GEORGE B 266953 10101 MILLS,WILLIAM 203 ACT 03-05-92 211.60 211.60 1 MILLS,WILLIAM B 267100 10101 MITCHELL,WASH 203 ACT 03-05-92 137.00 137.00 1 HEALTH SERVICES URITE-OFF REPORT DATEo27 Mar 2001 PAGE: 42 DEBTOR.... CLIENT*... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 267041 10101 SOUZA,LARRY 203 ACT 03-05-92 129.16 129.16 1 SOUZA,LARRY J 267057 10101 THOMPSON,VALERIE 203 STA 03-05-92 125.55 125.55 1 HILL,STEVEN L 267077 10101 TUCKER,TERI 203 SKP 03-05-92 209.21 209.21 1 TUCKER,TERI A 267010 10101 TURNER,BARBARA 203 ACT 03-05-92 212.00 212.00 1 TURNER,BARBARA A 266923 10101 UATKINS,DERALD 203 STA 03-05-92 205.45 205.45 1 WATKINS,DERALD E 266920 10101 NHITE,TONY 203 ACT 03-05-92 296.00 296.00 1 WHITE,TONY R 266910 10101 WOOD,CAROLYN 20;1 ACT 03-05-92 138.00 138.00 1 WOOD,CAROLYN M 268091 10101 ANDREHS,LARRY 203 ACT 03-12-92 211.80 211.80 1 ANDREWS,LARRY J 268073 10101 CARBAJAL,JOSE 203 ACT 03-12-92 477.70 477.70 1 CARBAJAL,MONICA 268153 10101 GREGORY,DEBORAH 203 ACT 03-12-92 296.50 296.50 1 GREGORY,ARNOLD R 268130 10101 HENDERSON,JAMES 203 ACT 03-12-92 151.00 151.00 1 268122 10101 HOULE,MARY 203 ACT 03-12-92 590.60 590.60 1 SHELLEY,BRANDY L 268198 10101 KISSENTANER,D'METRIA 203 BAF 03-12-92 136.30 136.30 1 KISSENTANER,D'METRIA L 268118 10101 MALDONADO,FELIPE 203 STA 03-12-92 121.00 121.00 1 268054 10101 MCCRAY,LONIELL 203 STA 03-12-92 224.00 224.00 1 MCCRAY,LONZELL T 268023 10101 SNITH,DEBRA 203 ACT 03-12-92 462.00 462.00 1 SMITH,DEBRA J 268145 10101 SUTTON,OEANNA 4 KOD 03-12-92 1473.00 1473.00 1 SUTTON,DEANNA L 267993 10101 TUNIS,VICKI 203 ACT 03-12-92 500.50 500.50 1 TUNIS,VICKI D 268167 10101 NASSMANN,TERESA 203 ACT 03-12-92 113.05 113.05 1 TELLEZ,ARIANNA L 267990 10101 NESTMORELAND,BOBBY 203 ACT 03-12-92 143.50 143.50 1 WESTMORELAND,BOBBY J 268185 10101 WESTMORELAND,BOBBY 203 ACT 03-12-92 3647.58 3647.58 1 WESTMORELAND,BOBBY J 268398 10101 BAUGHMAN,JANET 203 DEC 03-13-92 109.00 109.00 1 BAUGHMAN,JANET K 268474 10101 CHUNG,KOOSUN 203 ACT 03-13-92 189.00 189.00 1 268385 10101 CONTRERAS,GRABERIELA 203 STA 03-13-92 107.00 107.00 1 CONTRERAS,JOSE 268489 10101 CORNEJO,PEDRO 203 ACT 03-13-92 220.50 220.50 1 CORNEJO,PEDRO T 268448 10101 FACUN,RIZAL 203 ACT 03-13-92 5152.62 2911.57 07-14-92 2241.05 1 268403 10101 FELIX,TAMBRA 203 ACT 03-13-92 434.00 434.00 1 FELIX,TAMBRA L 268514 10101 FUENTES,JOSE 203 STA 03-13-92 270.54 270.54 1 FUENTES,JOE 5 • HEALTH SERVICES HRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 43 DEBTOR.... CLIENT*... NAME.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIN CDL LST PAY. TOTAL BAL..... CNT 268410 10101 LOAIIA,ISAUL 203 ACT 03-13-92 105.00 105.00 1 LOAIZA,ISAUL M 268454 10101 MARRIOTT,YILLIAM 203 ACT 03-13-92 181.50 181.50 1 MARRIOTT,BRANDON D 268408 10101 MCDONALD,PATRICIA 203 STA 03-13-92 128.30 128.30 1 MCDONALD,PATRICIA A 268384 10101 WARD,DONALD 203 ACT 03-13-92 388.50 388.50 1 MARD,DONALD J 269324 10101 ARDOIN,DIANNA 203 SNP 03-18-92 272.00 272.00 1 EAMES,CHRISTINA R 269494 10101 ARDOIN,DIANNA 203 SKP 03-18-92 115.50 115.50 1 EAMES,CHRISTINA R 269121 10101 CAMINITI,PAOLO 203 SKP 03-18-92 217.45 217.45 1 269464 10101 CAMPBELL,RICHARD 20;1 SKP 03-18-92 303.50 303.50 1 CAMPBELL,RICHARD A 269125 10101 CAMPEOEL,CHRIS 203 DEC 03-18-92 109.00 109.00 1 CAMPEDEL,CHRIS J 269492 10101 CHAVARIN,SOLEDAD 203 ACT 03-18-92 815.59 815.59 1 269287 10101 CIFCI,ASIM 203 SKP 03-18-92 117.60 117.60 1 269303 16101 CIFCI,ASIM 203 SNP 03-18-92 135.60 135.60 1 269416 10101 CLARK,SANDRA 203 SKP 03-18-92 296.00 16.40 02-09-93 279.60 1 CLARKrSANDRA M 269240 10101 COOPER,ERIC 203 ACT 03-18-92 328.00 328.00 1 COOPER,DANERE V 269172 10101 DEMAGGIO,MARY 203 ACT 03-18-92 130.20 130.20 1 DEMAGGIO,MARY A 269212 10101 FARIAS,JUANA 203 ACT 03-18-92 180.00 180.00 1 FARIAS,MARIO 269140 10101 FRATES,AL 203 SKP 03-18-92 260.00 280.00 1 FRATES,AL E 269476 10101 GAZO,MARISOL 200 ACC 03-18-92 157.50 157.50 1 269450 10101 HARTMAN,CHERYL 203 STA 03-18-92 101.50 101.50 1 HARTMAN,CHERYL A 269466 10101 HENDERSON,KERI 203 ACT 03-18-92 123.00 123.00 1 269087 10101 HICKOX,YILLIAM 203 ACT 03-18-92 109.00 109.00 1 HICKOX,NILLIAM F 269074 10101 HUNTLEY,MARY 203 ACT 03-18-92 114.30 114.30 1 HUNTLEY,HARY J 269184 10101 INGRAM,KEISHA 203 ACT 03-18-92 460.50 460.50 1 INGRAM,KEISHA N 269229 10101 LOPEZ,ELIAS 203 SKP 03-18-92 248.57 248.57 1- 269488 10101 MEDRANO,ANGIE 203 ACT 03-18-92 131.50 131.50 1 MENDOZA,MICHAEL 269389 10101 SNITHrCLEO 203 ACT 03-18-92 141.00 141.00 1 SMITH,CLEO Y 269196 10101 SMITH,MARGIE 203 ACT 03-18-92 440.00 440.00 1 SMITH,MARGIE R 269230 10101 SOUSA,MARIA 203 SKP 03-18-92 180.00 180.00 1 SOUSA,MARIA L 269282 10101 SUSEBERRYrALVIN 203 ACT 03-18-92 147.70 147.70 1 SUSEBERRY,LINDA L 269430 10101 VALENCIA,ANTONIO 203 ACT 03-18-92 593.85 593.85 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 44 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LSI PAY. TOTAL DAL..... CNT VALENCIA,MARIA G 269429 10101 WASSMANN,TERESA 203 ACT 03-18-92 109.00 109.00 1 TELLEI,ARIANNA L 269224 10101 WETTON,BOBBI 20:3 ACT 03-18-92 244.50 244.50 1 WETTONrBOBBI J 269333 10101 WETTONJOBBI 203 ACT 03-18-92 700.48 700.48 1 WETTON,BOBBI J 269402 10101 WHITE,JACOUELINE 203 SKP 03-18-92 116.82 116.82 1 WHITE,JACOUELINE N 269300 10101 WICHNERrDIANA 203 STA 03-18-92 187.20 187.20 1 WICHNERrDIANA L 269390 10101 WICHNERrDIANA 203 STA 03-18-92 116.20 116.20 1 WICHNER,DIANA L 270098 10101 TATOOWI,NAY 203 ACT 03-25-92 123.51 123.51 1 TATOOWI,MAY A 271211 10101 BALTASAR,VASOUEI 203 SKP 04-03-92 492.15 492.15 1 VASOUEI,BALTASAR 271030 10101 BROWN,JEFFREY 2D3 SKP 04-03-92 161.80 161.80 1 BROWN,JEFFREY A 271095 10101 BURROUGHS,DANIEL 203 SKP 04-03-92 167.00 167.00 1 BURROUGHS,BRENDA J 271101 10101 BURROUGHSrDAHIEL 203 SKP 04-03-92 112.30 112.30 1 BURROUGHS,BRENDA J 271080 10101 HEFFINGTON,TY 203 ACT 04-03-92 166.00 166.00 1 271104 10101 HENDERSON,KERI 203 ACT 04-03-92 150.00 150.00 1 271097 10101 HOLLAND,TRACEY 203 BAF 04-03-92 492.54 492.54 1 HOLLAND,TRACEY L 271195 10101 KUMAR,MUSKESH 203 STA 04-03-92 148.62 148.62 1 270972 10101 LOVIG,NANCY ?03 SKP 04-03-92 137.50 137.50 1 LOVIGrNANCY E 271240 10101 MAFFUCCI,JULIE 203 ACT 04-03-92 143.29 143.29 1 MAFFUCCI,JULIE A 271081 10101 STEPHENSON,ALBERT 203 ACT 04-03-92 245.54 245.54 1 STEPHENSON,ALBERT K 271189 10101 UNDERWOOD,GARY 203 ACT 04-03-92 105.20 105.20 1 UNDERWOOD,GARY L 271012 10101 VINCENII,ROBERT 203 SKP 04-03-92 582.02 582.02 1 VINCENII,ROBERT L 271186 10101 VOKEY,DOUG 203 ACT 04-03-92 179.50 179.50 1 VOKEYrVICKI J 271004 10101 WARD,DONALD 203 ACT 04-03-92 759.60 759.60 1 WARD,DONALD J 272154 10101 ACEVEDO,JULIE 203 ACT 04-14-92 169.99 169.99 1 ACEVEDO,JULIE A 272427 10101 ALDRIDGE,TAMEY 203 ACT 04-14-92 293.50 293.50 1 ALDRIDGE,TAMEY L 272561 10101 ALDRIDGE,TAHEY 203 ACT 04-14-92 111.80 111.80 1 ALDRIDGE,TAMEY L 272448 10101 ANDREWS,LARRY 203 ACT 04-14-92 296.95 296.95 1 ANDREWS,LARRY J 272113 10101 AUTEN,BRIAN 203 ACT 04-14-92 306.00 306.00 1 AUTEN,BRIAN M • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 45 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 272155 10101 AVALOS,GINA 203 ACT 04-14-92 415.50 415.50 1 AVALOS,GINA G 272200 10101 BANKS,BARBARA 203 SKP 04-14-92 113.20 113.20 1 SANDEFER,AMBER A 272202 10101 BETANCOURT,OSCAR 2 ACT 04-14-92 109.00 109.00 1 BETANCOURT,OSCAR M 272406 - 10101 BIERSDORFF,OUANE 203 KOD 04-14-92 290.20 290.20 1 BIERSDORFF,DUANE Y 272623 10101 BROOKS,CAROLYN 203 ACT 04-14-92 240.20 240.20 1 NELSON,WILLIAM J 272631 10101 BROOKS,CAROLYN 203 ACT 04-14-92 113.90 113.90 1 NELSON,WILLIAM J 272447 10101 CAMPEDEL,CHRIS 203. DEC 04-14-92 151.00 151.00 1 CAMPEDEL,CHRIS J 272456 10101 CARSON,SHIRLEY 203 ACT 04-14-92 161.45 161.45 1 ARRISTEAD►KASSANDRA 272680 10101 CORNEJO,SALVADOR 203 SKP 04-14-92 473.00 473.00 1 CORNEJO►SALVADOR G 272347 10101 CORTES,ALBERTO 203 STA 04-14-92 124.00 124.00 1 CORTES,ALBERTO S 272490 10101 COI,REBECCA 203 STA 04-14-92 127.40 25.00 07-09-92 102.40 1 C10 JEANIE BERLIN 272089 10101 FARIAS,ALICIA 203 SKP 04-14-92 119.99 119.99 1 272469 10101 FARIAS,ALICIA 203 SKP 04-14-92 178.39 178.39 1 272186 10101 GIVENS,R. 203 ACT 04-14-92 130.24 130.24 1 GIVENS,R. P 272226 10101 GIVENS,R. 203 ACT 04-14-92 109.00 109.00 1 GIVENS,R. P 272079 10101 GURLEY,JENNIFER 203 ACT 04-14-92 109.00 109.00 1 BROCK,EUGENEJR F 272306 10101 GURLEY,JENNIFER 203 ACT 04-14-92 217.00 217.00 1 BROCK,EUGENEJR F 272506 10101 HAMMOND,TERRI 203 RPA 04-14-92 106.50 10-01-96 106.50 1 FREEMAN,KEVIN N 272248 10101 KEHRLEIN,GEORGE 203 UTP 04-14-92 222.10 222.10 1 KEHRLEIN,GEORGE B 272600 10101 LAUGHREN,WILLIAM 203 STA 04-14-92 106.50 106.50 1 LAUGHREN,WILLIAM J 272605 10101 LAUGHREN,WILLIAM 203 STA 04-14-92 187.10 187.10 1 LAUGHREN,WILLIAM J 272603 10101 MARCHION,CHERYL 203 ACT 04-14-92 117.50 117.50 1 HARCHION,ROBERT T 272640 10101 MARCHION,CHERYL 203 ACT 04-14-92 391.00 391.00 1 MARCHION,ROBERT T 272592 10101 MAZIEI,DANIELLE 203 ACT 04-14-92 151.75 151.75 1 MAZIEI,DANIELLE C 272617 10101 MCCLELLAND,DAVID 92 SKP 04-14-92 112.30 112.30 1 MCCLELLAND,LISA N 272624 10101 MIMS,CHARLES 203 STA 04-14-92 7288.83 7288.83 1 272625 10101 MOLINA,STEVEN 203 STA 04-14-92 131.30 131.30 1 MOLINA,STEVEN A 272466 10101 RAMIREZ,RENE 203 ACT 04-14-92 243.80 243.80 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 46 DEBTOR.... CLIENT#.., NAME.......................... DSK 'ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 272391 10101 SMITH,GERALDINE 203 ACT 04-14-92 165.40 165.40 1 SMITH,GERALDINE A 272182 10101 SORIA,CESAR 203 ACT 04-14-92 121.50 121.50 1 SORIA,YARELI 272277 10101 URBANCIC,GARY 203 ACT 04-14-92 216.80 216.80 1 URBANCIC,ANNA P 272315 10101 VALDIVIA,ALBERTO 203 ACT 04-14-92 190.30 190.30 1 VALDIVIA,ERIKA C 272086 10101 YOUNG,WANDA 203 HLD 04-14-92 172.50 172.50 1 273372 10101 ABERNATHY,CHRISTOPHE 203 ACT 04-21-92 235.00 235.00 1 273348 10101 ADAMS,CHRISTIE 203 STA 04-21-92 492.10 492.10 1 ADAMS,CHRISTIE 1 273783 10101 AUTEN,BRIAN 203 ACT 04-21-92 144.50 144.50 1 AUTEN,BRIAN M 273706 10101 AUTRY,CAROLYN 203 SKP 04-21-92 680.40 680.40 1 AUTRY,MICHAEL E 273422 10101 BELL,KATHY 203 SNP 04-21-92 118.53 118.53 1 BELL.KATHY F 273513 10101 BELL,KATHY 20;1 SNP 04-21-92 109.00 109.00 1 BELL,KATHY F 273495 10101 CHACON,MARIA 203 ACT 04-21-92 540.00 540.00 1 CHACON,MARIA R 273763 10101 CORNEJO,SALVADOR 203 SKP 04-21-92 532.00 532.00 1 CORNEJO,SALVADOR G 273596 10101 CRAIG,SAM . 203 SKP 04-21-92 183.81 183.81 1 CRAIG,MILDRED M 273382 10101 GOMEI,MARTINE 203 ACT 04-21-92 467.50 467.50 1 GOMEZ,OFELIA 273391 10101 GREEN,LEROY 203 ACT 04-21-92 117.48 117.48 1 GREEN,LEROY C 273643 10101 HILDERBRAND,CONNIE 203 ACT 04-21-92 625.34 625.34 1 HILDERBRAND,CONNIE L 273376 10101 HUNTIIKER,SANDRA 203 ACT 04-21-92 134.50 134.50 1 HUNTZIKER,KRISTINA A 273323 10101 JETT,ABNER 203 STA 04-21-92 197.00 197.00 1 JETT,KATIE L 273770 10101 KEEP,JEANINE 203 STA 04-21-92 1493.65 50.00 05-09-95 1443.65 1 NYBERG,CHAD 273354 10101 KELLY,RICHARD 2.03 STA 04-21-92 178.09 178.09 1 273784 10101 MADSON,SANDRA 203 ACT 04-21-92 109.00 109.00 1 VINCENT,NICOLE R 273424 10101 SOMERS,TRACY 203 ACT 04-21-92 207.99 207.99 1 SOMERS,TRACY W 273740 10101 STEWART,TYRECE 203 SKP 04-21-92 140.00 140.00 1 STEWART,TYRECE S 273320 10101 STOUT,ROBIN '203 ACT 04-21-92 142.00 142.00 1 STOUT,RQBIN A 273313 10101 TIFFIN,MARILYN 203 ACT 04-21-92 225.00 225.00 1 273468 10101 VENEGAS,HECTOR 203 ACT 04-21-92 285.50 285.50 1 VENEGAS,CATALINA 273742 10101 WALKER,THOMAS 203 ACT 04-21-92 683.50 683.50 1 WALKER,THOMAS J • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 47 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL....I CNT 273761 10101 WALKER,THOMAS 203 ACT 04-21-92 109.00 109.00 1 WALKER,THOMAS J 273453 10101 WASHINGTON,CHRISTOPHE 203 ACT 04-21-92 172.50 172.50 1 WASHINGTON,CHRIS J 273421 10101 WHITE,WILLIE 203 STA 04-21-92 290.10 290.10 1 WHITE,WILLIE L fff 598485.86 30456.79 568173.071303 ff 598485.86 30456.79 568173.071303 14051 1303 items listed out of 1303 items. SORT DEBTOR BY 1 BY 14 BY 2 BREAK-ON 1 2 10 23 14 TOTAL 15 TOTAL 16 13 TOTAL TOTAL-BAL TOTAL CNT HEADING "LC' HEALTH SERVICES • WRITE=OFF REPORT 'L' DATE:'DL' PAGE:'PL" (P HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 1 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL CST PAY. TOTAL BAL..... CNT 16282 10101 STONE, CHARLES 4 SUS 09-05-85 2076.65 2076.65 1 STONE, CHARLES 16780 10101 TAYLOR,LEONARD It SUS 09-05-85 161.50 161.50 1 TAYLOR,LEONARD B 16969 10161 WHITEN, JULIOUS 203 HLD 09-05-85 152.10 152.10 1 WHITEN, JULIOUS R 16980 10101 WILLIAMS, BARRY 4 WEL 09-05-85 130.50 130.50 1 WILLIAMS, BARRY L 16983 10101 WILLIAMS, DEBRA 4 SUS 09-05-85 104.70 08-02-85 104.70 1 WILLIAMS, DEBRA L 16984 10101 WILLIAMS, DEBRA 4 SUS 09-05-85 150.75 150.75 1 WILLIAMS, DEBRA L 16985 10101 WILLIAMS, DEBRA 4 SUS 09-05-85 116.85 116.85 1 WILLIAMS, DEBRA L 15889 10101 SPEARS, PATRICIA 203 HLD 03-20-86 106.50 106.50 1 SPEARS, PATRICIA 16486 10101 VASQUEI, SHELLEY 4 SUS 03-27-86 482.95 482.95 1 VASQUEZ, SHELLEY M 16489 10101 WEST, NEAL 4 SUS 03-27-86 294.81 01-19-86 294.81 1 WEST, NEAL 16460 10101 WILKINSON, ALLEN 4 SUS 04-03-86 261.85 01-25-86 261.85 1 WILKINSON, ALLEN L 16527 10101 TERAN,ROBERT 203 HLD 04-24-86 202.45 07-05-85 202.45 1 TERAN,ROBERT M 16635 10101 TUCCIRELLI,KENNETH 203 WEL 05-01-86 187.05 187.05 1 TUCCIRELLI,KENNETH J 16642 10101 TURNER, MARVEL 203 AGC 05-01-86 100.12 100.12 1 TURNER, MARVEL L 16686 10101 WALKER, ANNIE 4 SUS 05-01-86 148.50 04-21-86 148.50 1 WALKER, ANNIE 15707 10101 BROWN-MCCABE,CONNIE 203 UNC 05-08-86 830.95 02-01-86 830.95 1 C/O PET GALLERY 17070 10101 VASQUEI, SHELLEY 4 SUS 05-08-86 358.95 358.95 1 VASBUEZ, SHELLEY M 17095 10101 ZAVALA, MARIA 4 HLD 05-08-86 159.10 159.10 1 ZAVALA, JOSE J 17346 10101 TELLE,BARBARA 203 AGC 05-15-86 616.71 290.59 09-20-91 326.12 1 TELLE,MATTHEW S 15085 10101 TERAN,ROBERT 203 HLD 05-15-86 221.30 221.30 1 TERAN,ROBERT M 15097 10101 WARD, LORI 203 STA 05-15-86 166.05 166.05 1 WARD, LORI L 17515 10101 BARBEE,KEVIN A 2 SUS 05-29-86 1230.35 08-07-84 1230.35 1 RAINWATER,EDWINA J 17470 10101 MERCADO, ROBERT 3 SUS 05-29-86 188.40 02-25-86 188.40 1 MERCADO, ROBERT L 17584 10161 VASBUEZ, ROSARIO 203 UNC 05-29-86 117.15 117.15 1 VASQUEI, ROSARIO 15252 10101 MONTAGNO, JERRY 3 SUS 06-12-86 130.00 03-11-86 130.00 1 MONTAGNO, JERRY N • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 2 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 15308 10101 VASQUEZ, ROSARIO 203 UNC 06-12-86 130.60 130.60 1 VASQUEZ, ROSARIO 17758 10101 MCNICHOLAS,KARLA 203 CRO 06-26-86 196.15 196.15 1 MCNICHOLAS,IAN I 17768 10101 MOLINA,LARRY 3 RFD 06-26-86 660.00 375.00 06-04-91 285.00 1 MOLINA, RAYMOND J 18065 10101 TURNER,BIRDINE NMN 203 RFD 06-26-86 1815.51 103.25 01-20-89 1712.26 1 TURNER,BEVERLY A 18213 10101 WHITE, ANGELA 203 UNC 06-26-86 281.35 281.35 1 WHITE, CHRISTOPHE T 18524 10101 STEVENS, DYANE 4 SUS 07-03-86 121.60 121.60 1 STEVENS, DYANE N 18642 10101 WHITE, ANGELA 203 UNC 07-03-86 150.80 150.80 1 WHITE, KATRINA M 18693 10101 MALLORY, SILVIA 3 SUS 07-17-86 202.27 202.27 1 MALLORY, SILVIA B 18830 10101 MICHAELIS, ROGER 3 SUS 07-17-86 162.65 08-07-84 162.65 1 MICHAELIS, ROGER 18831 10101 MICHAELIS, ROGER 3 SUS 07-17-86 286.31 08-07-84 286.31 1 MICHAELIS, ROGER 18832 10101 MICHAELIS, ROGER 3 SUS 07-17-86 125.85 08-07-84 125.85 1 MICHAELIS, ROGER 18833 10101 MICHAELIS, ROGER 3 SUS 07-17-86 119.13 08-07-84 119.13 1 MICHAELIS, ROGER 18871 10101 MONROE, ARCHIE 3 SUS 07-17-86 285.70 285.70 1 MONROE, ARCHIE 19598 10101 WILLIAMSON, MELODY A 4 RFD 07-17-86 251.10 08-07-84 251.10 1 WILLIAMSON, MELODY A 19741 10101 FARD, HOOSING TAHERPOUR 2 RFD 07-24-86 536.42 116.05 03-11-88 420.37 1 FARD, HOOSING T 19667 10101 MALLORY, SILVIA 3 SUS 07-24-86 137.50 137.50 1 MALLORY, SILVIA B 19684 10101 MOLINA,ALEJANDRO 203 STA 07-24-86 889.90 249.00 06-27-89 640.90 1 MOLINA,GERARDO N 20337 10101 BELL, VAIL 2 SUS 08-07-86 323.90 05-28-85 323.90 1 STEED, VAIL E 19988 10101 MELLO, FRANK 203 STA 08-07-86 325.27 10-25-84 325.27 1 HELLO, FRANK A 20311 10101 SMITH,NONICA 4 SUS 08-07-86 334.50 334.50 1 SMITH,MONICA M 20372 10101 TATMAN,EVERETT 203 CRO 08-07-86 355.00 08-06-85 355.00 1 TATMAN,EVERETT 20374 10101 TAYLOR,MIMI 203 WEL 08-07-86 199.60 08-08-85 199.60 1 TAYLOR,MIMI 20414 10101 VALDIVIA, LIBORIO 4 WEL 08-07-86 317.85 317.85 1 VALDIVIA, MARY E 20475 10101 WHITE, NADINE 4 SUS 08-07-86 369.17 369.17 1 WHITE, NADINE 20482 10101 HILBURN, GEORGE 203 DEC 08-07-86 715.92 140.92 12-26-89 575.00 1 HILBURN, GEORGE 0 20486 10101 WILLIAMS, BARRY L 4 WEL 08-07-86 261.54 08-07-84 261.54 1 WILLIAMS, BARRY L HEALTH SERVICES NRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 3 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL DAL..... CHT 20487 10101 WILLIAMS, BARRY L 4 NEL 08-07-86 269.64 08-07-84 269.64 1 WILLIAMS, BARRY L 21285 10101 YBARRA, ALEX 203 RFD 08-28-86 183.89 06-20-86 183.89 1 YBARRA, ENEDINA 21413 10101 VESS, KATHLEEN 203 DIS 09-04-86 100.80 05-14-86 100.80 1 VESS, KATHLEEN A 2996 10101 MALLORY,SILVIA 3 SUS 10-23-86 105.00 105.00 1 MALLORY,SILVIA B 22365 10101 HARD,LORI 203 STA 10-23-86 313.50 313.50 1 YARD,LORI L 1489 10101 NOMACK,SCOTT 4 SUS 10-27-86 347.00 347.00 1 HOMACK,SCOTT D 1943 10101 STONE,BARBARA 4 SUS 10-29-86 193.50 193.50 1 BARBARA MONTANA 27640 10101 MANN,PETER 20.1 UNC 11-13-86 441.70 250.00 03-21-89 191.70 1 MANN,MARJORIE R 29952 10101 HHITSON,TERRY 4 SUS 12-04-86 148.00 148.00 1 NHITSON,TERRY L 31648 10101 COHEN,LARRENCE 2 SUS 12-25-86 109.35 109.35 1 SCALES,BRODERICK D 31492 10101 MCBRIDE,KEVIN H 3 SUS 12-25-86 174.80 174.80 1 MCBRIDE,KEVIN H 31729 10101 VASOUEI,ROSARIO 203 UNC 12-25-86 178.50 178.50 1 VASBUEI,ROSARIO 31757 10101 YNARTON,NELLIE 4 SUS 12-25-86 123.80 123.80 1 NHARTON,NELLIE A 32514 10101 COHEN,LANRENCE 2 SUS 01-08-87 129.50 129.50 1 SCALES,BRODERICK D 45082 10101 IENTNER,KENNETH R 203 STA 02-05-87 108.50 02-02-87 108.50 1 IENTNER,KENNETH R 37047 10101 MILLER,JAC9UELINE 3 HLD 02-12-87 121.75 121.75 1 MILLER,JACGUELINE L 44796 10101 TAMPUECD,EDEN B 4 SUS 02-12-87 555.15 02-05-87 555.15 1 TAMPUECO,EDEN B 37352 10101 TOTH,JOHN JOSEPH 4 SUS 02-12-87 115.08 08-07-84 115.08 1 TOTH,JOHN J 38510 10101 TURNER,VINCENT 203 AGC 02-12-87 126.65 02-26-85 126.65 1 TURNER,VINCENT E 44919 10101 IIII,ANALE 4 SUS 02-12-87 127.50 09-25-85 127.50 1 IIII,JESSICA V 39126 10101 STAFFORD,TIMOTHY 203 DIS 02-19-87 170.85 170.85 1 STAFFORD,TIMOTHY L 44980 10101 TATMAN,EVERETT 203 CR@ 02-19-87 139.95 08-04-86 139.95 1 TATNAN,EVERETT 35193 10101 TILLOTSON,ALICE 203 HLD 02-26-87 176.85 176.85 1 TILLOTSON,ALICE 35346 -.10101. VARD,BRENDA 203 STA 02-26-87 190.20 50.00 03-05-92 140.20 1 NARD,MELINDA I 35786 10101 YATES,DAN 4 SUS 03-04-87 195.12 195.12 1 YATES,JESSE J 36426 10101 MCLAIN,GREGORY J 203 STA 03-12-87 198.77 50.00 09-21-87 148.77 1 MCLAIN,GREGORY J • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 4 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 36691 10101 TOTH,JOHN J 4 SUS 03-12-87 107.75 107.75 1 TOTH,JOHN J 37315 10101 MCWILLIAMS,MICHELLE 3 DIS 03-19-87 1445.08 1212.86 08-18-87 232.22 1 39129 10101 TERRY,WILLIE 203 DIS 03-26-87 128.00 25.00 08-04-87 103.00 1 38974 10101 BARRY,WENDY M 2 SUS O4-02-87 280.00 280.00 1 C/O UM BRIGGS 39625 10101 DIX,HARVEY M 2 SUS O4-02-87 119.21 07-31-86 119.21 1 40065 10101 HALLE,BETTY A 3 SUS 04-02-87 184.61 184.61 1 40143 1.0101 BANG,MARGARET 2 RFD _ 04-16-87 318.00 159.00 08-18-87 159.00 1 40614 10101 HAMMON,JERRY 3 RFD 04-16-87 127.00 127.00 1 HAMMON,TAMMY M 40663 10101 HICKMAN,JOSEPH B 3 RFD 04-16-87 127.00 127.00 1 40690 10101 JARROUGE,KAY 3 RFD 04-16-87 272.00 272.00 1 JARROUGE,SAMIRA 41807 10101 TAMPUECO,EDEN 4 SUS O4-16-87 131.00 131.00 1 TAMPUECO,EDEN B 41862 10101 TURNER,MARVEL 203 AGC 04-16-87 795.68 795.68 1 TURNER,MARVEL L 39523 10101 AHMED,FARIDA 2 DIS 04-23-87 960.30 10-03-86 960.30 1 AHMED,FARIDA B 39739 10101 CORTEZ,IRMA 2 SUS O4-23-87 399.00 02-18-87 399.00 1 CORTEI,IRMA 39741 10101 CORTEZ,IRMA 2 SUS 04-23-87 272.00 02-18-87 272.00 1 CORTEZ,IRMA 40898 10101 . VENTURINI,FRANCISCA 4 SUS 04-23-87 289.90 289.90 1 VENTURINI,FRANCISCA 42575 10101 GURULE,TEDDY 2 RFD 04-30-87 399.00 1.00 07-12-88 398.00 1 GURULE,TEDDY B 42600 10101 H1LL,SUMNER J 3 RFD 04-30-87 1633.44 1030.00 02-13-91 603.44 1 HILL,NICOLE C 43344 10101. HANMOND,TERRY L 203 STA 05-07-87 116.70 116.70 1 43812 10101 WHITE,SIDNEY L 4 SUS 05-07-87 287.10 287.10 1 43743 10101 COON,CHRISTINE M 2 RFD 05-13-87 272.00 272.00 1 43954 10101 LOPEZ,OSCAR 203 STA 05-13-87 163.00 163.00 1 - LOPEI,MARIAN L 44152 10101 SMITH,ANN M 203 STA 05-13-87 117.50 02-09-87 117.50 1 43945 10101 BURWELL,ROXANNE 2 SUS 05-21-87 973.77 20.00 08-07-87 953.77 1 43970 10101 CAHILL,DENNIS M 2 SUS 05-21-87 136.00 136.00 1 43972 10101 CALABRESE,BEVERLY J 2 AGC 05-21-87 162.50 162.50 1 44233 10101 DUPES,WILLIAN 2 SUS 05-21-87 223.02 223.02 1 44363 10101 HERWAT,ROBERT P 203 STA 05-21-87 103.53 08-07-84 103.53 1 45224 10101 MAYER,TARA D 203 NRP 05-28-87 258.90 02-26-87 258.90 1 46207. 10101 CRONE,LARRY 2 RFD 06-11-87 143.00 11-29-86 143.00 1 CRONE SHADRICK 46771 10101 BURNELL,ROXANNE 2 SUS 06-18-87 163.75 163.75 1 47620 10101 ALEJANDRO,CENDEJAS 2 RFD 06-25-87 250.03 100.00 01-26-88 150.03 1 51779 10101 BURWELL,ROXANNE 2 SUS 06-25-87 900.85 20.00 09-09-87 880.85 1 47884 10101 WHITE,SIDNEY 4 SUS 06-25-87 438.12 438.12 1 134 A WEST BLVD 48881 10101 SMITH,ANN 203 STA 07-02-87 1359.92 1359.92 1 49094 10161 YBARRA,ALEX 203 AGC 07-02-87 174.65 07-15-86 174.65 1 YBARRA,ENEDINA • HEALTH SERVICES WRITE-OFF REPORT DATE:21 Mar 2001 PAGE: 5 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL.,... CNT 49217 10101 CARRANZA,SAL 2 RFD 07-09-87 3174.50 440.00 09-03-92 2734.50 1 CARRANIA,GRACIELA G 49520 10101 MENDOIA,JORGE BARRAGON 3 RFD 07-09-87 20040.19 310.00 02-07-89 19130.19 1 MENDOZA,JORGE B 50006 10101 DAVIS,DONALD L 2 RFD 07-16-87 272.00 272.00 1 50058 10101 MCGEE,JULIE 3 SUS 07-16-87 143.20 143.20 1 50061 10101 MCGEE,JULIE 3 SUS 07-16-87 483.56 483.56 1 50425 10101 SPENCER,RAYMOND L 4 SUS 07-23-87 272.00 272.00 1 50183 10101 GEORGES,THERESA 2 RFD 07-30-87 302.60 09-02-86 302.60 1 50245 10101 TERRY,WILLIE M 203 DIS 07-30-87 648.34 25.00 09-03-87 623.34 1 51190 10101 BRADLEY,CHRISTEL 2 SUS 08-06-87 138.70 138.70 1 51092 10101 HARVEY,SHIRLEY L 3 SUS 08-06-87 136.10 136.10 1 51491 10101 TERRY,WILLIE M 203 DIS 08-06-87 157.60 157.60 1 51865 10101 CROTHERS,SAM 2 RFD 08-13-87 272.00 272.00 1 CROTHERS,KATHERINE A 52998 10101 JAMISON,DEBRA 203 STA 08-20-87 272.00 15.00 03-23-88 257.00 1 53021 10101 KIRBY,JAMES F 3 RFD 08-20-87 459.00 25.00 09-15-88 434.00 1 53029 10101 LITTLE,EVELYN 3 SUS 08-20-87 401.00 100.00 10-06-87 301.00 1 LITTLE,REBECCA L 53034 10101 MAHMOUD,REGINALD L 203 UNC 08-20-87 104.00 104.00 1 53035 10101 MANNOUD,REGINALD L 203 UNC 08-20-87 272.00 272.00 1 53072 10101 MCRAE,JERRY P 3 SKP 08-20-87 272.00 272.00 1 55489 10101 ALCUTT,CORA N 2 SUS 09-03-87 119.73 10-31-86 119.73 1 53370 10101 DRIVER,LESLIE 203 STA 09-03-87 4121.27 4121.27 1 55551 10101 GARRETT,WILLIAM B 2 RFD 09-03-87 272.00 272.00 1 55586 10101 JACOBSON,JOANNE 3 SUS 09-03-87 341.95 06-24-87 341.95 1 53604 10101 TAYLOR,WILMA J 4 SUS 09-03-87 342.00 06-25-87 342.00 1 54084 10101 GLOVER,ELIIABETH 2 RFD 09-10-87 128.85 08-01-89 128.85 1 54141 10101 LUNA,JOSE 1 3 SUS 09-10-87 101.50 101.50 1 54863 10101 EVANS,JOHN 2 RFD 09-17-87 140.00 20.00 10-24-89 120.00 1 EVANS,NORMA L 54877 10101 GRIGGS,JONATHAN G 2 RFD 09-17-87 272.00 272.00 1 54883 10101 HART,MARGIE M 3 RFD 09-17-87 272.00 272.00 1 54906 10101 JOHNSON,JAY D 2.03 STA 09-17-87 296.31 296.31 1 54943 10101 MCRAE,JERRY P 3 SKP 09-17-87 272.00 07-13-87 272.00 1 55072 10101 STEIN,TAMMY L 4 SUS 09-17-87 288.00 01-07-87 288.00 1 55195 10101 BENSON,CAROLE J 2 RFD 09-24-87 272.00 10.00 10-14-88 262.00 1 56680 10101 AVERY,LAURIE L 2 RFD 10-01-87 272.00 272.00 1 56803 10101 DRIVER,LESLIE 203 STA 10-01-87 259.50 259.50 1 59504 10101 FREITAS,DAVID A 203 ACT 10-01-87 185.27 185.27 1 56952 10101 LUSSE,MONIBUE M 203 STA 10-01-87 454.50 454.50 1 LUSSE,MONI&UE MADELEINE 62733 10101 HYNSON,FRED L 203 RFD 10-08-87 272.00 272.00 1 57697 10101 SPENCER,RAYMOND L 4 SUS 10-08-87 278.00 278.00 1 57722 10101 STUART,CHARLOTTE L 203 CRO 10-08-81 244.80 244.80 1 58939 10101 JOHNSON,CAROLYN 203 STA 10-22-87 123.25 123.25 1 59637 10101 AUSTIN,ANTHONY R 2 RFD 10-29-87 669.32 125.00 07-12-88 544.32 1 AUSTIN JR,ANTHONY R 61698 10101 MARTINEZ,DENIS V 3 AGC 11-12-87 221.10 221.10 1 62358 10101 SPENCER,RAYMOND L 4 SUS 11-19-87 436.01 436.01 1 62870 10101 BERTRAM,ALLEN L 2 RFD 11-24-87 169.50 169.50 1 63307 10101 STOREY,LYNDA R 4 SUS 11-24-87 105.52 105.52 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 6 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 63308 10101 STOREY,LYNDA R 4 SUS 11-24-87 134.00 134.00 1 64819 10101 CARTER,PETER A 2 RFD 12-10-87 156.00 20.00 02-24-88 136.00 1 64120 10101 HARVEY,SHIRLEY L 3 SUS 12-22-87 200.50 200.50 1 66125 10101 NILLIAMS,STEPHEN 4 AGC 12-29-87 212.50 09-29-87 212.50 1 WILLIAMS,DUSTIN T 68944 10101 MCCLELLAN,GUSSIE 203 UTP 01-21-88 212.00 04-22-86 212.00 1 MCCLELLAN,GUSSIE F 68461 10101 AOAMS,WILLIAM 2 AGC 01-28-88 137.08 12-15-87 137.08 1 68757 10101 DANGERFIELD,FREDDIE 2 RFD 01-28-88 6965.29 6965.29 1 DANGERFIELD,FREDDIE LEWIS 68568 10101 TAUTUAA,RICHARD 203 CRA 01-28-88 286.96 10-24-87 286.96 1 TAUTUAA,ISITOLD 68828 10101 AUSTIN,STEPHEN 2 RFD 02-04-88 1546.00 11-09-87 1546.00 1 70457 10101 LOMAS,JOHN 3 SUS 02-11-88 172.00 172.00 1 LOMAS,JOHN 70762 10101 MACIAS,JESUS 3 RFD 02-18-88 1734.47 1550.00 12-18-90 184.47 1 MACIAS,LAURA L 71132 10101 BARRY,WENDY 2' SUS 02-25-88 263.00 263.00 1 BARRY,WENDY M 71107 10101 BULLOUGH,KE'ETA 2 RFD 02-25-88 127.00 127.00 1 BULLOUGH,KE'ETA 71148 10101 CASTANEDA,ESTHER 2 RFD 02-2548 160.76 44.24 11-29-90 116.52 1 CASTANEDA,ESTHER C 71260 10101 JAMES,RICHARD JR 3 RFD 02-25-88 165.00 06-12-87 165.00 1 JAMES,RICHARD JR 71439 10101 WILLETT,LAURA 203 DIS 02-25-88 118.50 118.50 1 WILLETT,LAURA 72730 10101 WILLIAMS,ERIC 4 AGC 03-03-88 200.70 50.00 06-22-88 150.70 1 WILLIAMS,CATARINA 73061 10101 MARBUOIT,DENISE 3 RFD 03-17-88 687.35 687.35 1 MAROUOIT,DENISE 73130 10101 MOORE,LINDA 203 UNC 03-17-88 334.50 334.50 1 MOORE,LINDA 73147 10101 MORENO,CHICO 203 STA 03-17-88 322.25 322.25 1 MORENO,CHICO 73451 10101 BIEBERDORF,ROGER 2 RFD 03-24-88 2431.99 10-21-87 2431.99 1 BIEBERDORF,ROGER 73522 10101 HEARN,WILLIAM 3 RFD 03-24-88 203.00 06-11-87 203.00 1 HEARN,WILLIAM 73783 10101 WATSON,TRACY 203 CR9 03-24-88 113.70 03-07-88 113.70 1 WATSON,TRACY 74353 10101 COSTA,RDBERT 2 RFD 03-31-88 504.22 01-22-88 504.22 1 COSTA REGINA A 75177 10101 ELIZARRARAI,CAYETAND 2 RFD 04-07-88 2370.00 50.00 08-04-88 2320.00 1 ELIZARRARAI,RAFAELA 77565 10101 CLEARY,WILLIAM 2 SUS O4-14-88 369.57 369.57 1 CLEARY,NILLIAM P 17821 10101 FARIAS,ROSARIO 2 RFD 04-14-88 220.50 220.50 1 FARIAS,ROSARIO 78833 10101 LILJEOVIST,MELYSSA 203 CRO 04-14-88 393.00 393.00 1 LILJE@VIST,MELYSSA I 79440 10101 HUNTER,PAUL 3 RFD 04-21-88 280.00 280.00 1 • HEALTH SERVICES WRITE-OFF REPORT DATE;27 Mar 2001 PAGE: 7 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT HUNTER,PAUL 82117 10101 ZARAGOZA,,GUADALUPE 4 BAF 04-28-88 323.90 323.90 1 ZARAGOZA,GUADALUPE 82168 10101 BELL,TERRY 2 SUS 05-05-88 133.80 133.80 1 BELLJERRY L 82309 10101 INGRAH,LAWENCE 3 RFD 05-05-88 241.00 04-20-87 241.00 1 INGRAM,BARBARA J 82315 10101 JACKSON,GARY 203 STA 05-05-88 255.00 255.00 1 JACKSON,GARY B 82266 20101 LILJE6VIST,MELYSSA 203 CRO 05-05-88 395.00 395.00 1 LILJEBVIST,MELYSSA I 84252 10101 DEMANGE,KATHLEEN 2 RFD 05-12-88 112.70 112.70 1 DEMANGE,KATHLEEN B 84577 10101 VANDERBOUT,PETER 4 RFD 05-12-88 101.00 12-04-87 101.00 1 VANDERBOUT,JOELLE 84753 10101 CARUSO,HEATHER 2. RFD 05-19-88 111.00 10-09-87 111.00 1 CARUSO,HEATHER N 84808 10101 GALLEGOS,DENNIS 2 AGC 05-19-88 129.00 01-02-86 129.00 1 GALLEGOS,DENNIS L 84818 10101 GONIALES,THEODORE 2 RFD 05-19-88 399.00 399.00 1 GONZALES,THEODORE J 87330 10101 MITCHELL,BENNY :3 RFD 06-16-88 560.00 560.00 1 MITCHELL,BENNY C 87634 10101 MARTINEZ,SALVADOR 203 STA 06-30-88 571.03 571.03 1 MARTINEZ,SALVADOR 88540 10101 MARTIN,DAVID 3 SUS 07-14-88 349.50 349.50 1 MARTIN,DAVID A 88542 10101 MARTINEZ,SALVADOR 203 STA 07-14-88 329.42 329.42 1 MARTINEZ,SALVADOR 92556 10101 JOHNSON,KAREN 203 STA 07-28-88 280.00 280.00 1 JOHNSON,KAREN 90515 10101 BONGIORNO,STEPHEN 2 RFD 08-04-88 280.00 280.00 1 BONGIORNO,STEPHEN 90827 10101 GATIEN,LLOYD 203 STA 08-04-88 149.50 149.50 1 GATIEN,LLOYD 90923 10101 JONES,ANTOINETTE 3 RFD 08-04-88 266.50 266.50 1 JONES,ANTOINETTE L 90949 10101 LEE,INGRID 3 SUS 08-04-88 201.64 201.64 1 LEE,INGRID J 91019 10101 MCDONALD,LAVADA 3 RFD 08-04-88 272.00 02-04-86 272.00 1 MCDONALD,LAVADA 91502 10101 WHISLER,KEMNETH 4 AGC 08-04-88 103.25 103.25 1 NHISLER,KEN E 91514 10101 WIMMER,MARY 203 STA 08-04-88 193.00 193.00 1 WIMMER,MARY M 91515 10101 NIMMER,MARY 203 STA 08-04-88 180.50 180.50 1 WIMMER,MARY M 91516 10101 NIMMER,MARY 203 STA 08-04-88 107.70 107.70 1 WIMMER,MARY M 91518 10101 WIMMER,MARY 203 STA 08-04-88 165.80 165.80 1 NIMMER,MARY M 93710 10101 ADAMS,DONNA 2 BAF 08-11-88 1163.06 1163.06 1 • HEALTH SERVICES HRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 8 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT ADAMS,DONNA M 94190 10101 HOWELL,JOHN 3 RFD 08-11-88 2331.59 2331.59 1 HOWELL,JOHN 95120 10101 STEPHENS,JOYCE 4 RFD 08-11-88 129.05 10-16-87 129.05 1 STEPHENS,JOYCE 95132 10101 TACKITT,KAREN 203 SKP 08-11-88 360.00 03-09-88 360.00 1 TACKITT,KAREN 94579 10101 DELARROI,ANTHONY 2 RFD 08-25-88 280.00 280.00 1 DELARROZ,ANTHONY 94669 10101 JONES,ANTOINETTE 3 RFD 08-25-88 205.50 205.50 1 JONES,ANTOINETTE L 102339 10101 MARTIN,DAVID 3 SUS 12-14-88 110.00 110.00 1 MARTIN,DAVID B 102614 10101 MARTIN,DAVID 3 SUS 12-14-88 196.30 196.30 1 MARTIN,DAVID A 102908 10101 MARTIN,DAVID 3 SUS 12-14-88 223.50 223.50 1 MARTIN,DAVID A 102233 10101 MARTIN,MICHAEL ;I SUS 12-14-88 280.00 280.00 1 MARTIN,DAVID A 102429 10101 WILLIAMS,DONNA 203 DIS 12-14-88 466.50 466.50 1 ALLESON,MICHELLE E 107305 10101 FINLEY,BRUCE 203 UHC 02-02-89 202.90 202.90 1 FINLEY,BRUCE C 108034 10101 FRENCH,JEANNE 203 UTP 02-02-89 337.50 337.50 1 FRENCH,JEANNE M 106690 10101 HERNANDEZ,ARTURO 3 AGC 02-02-89 1900.27 1900.27 1 HERNANDEZ,MARIA G 106253 10101 HERRERA,GLORIA 203 STA 02-02-89 100.50 100.50 1 HERRERA,JESSIE M 106453 10101 HUFFMAN,GLENN 3 RFD 02-02-89 280.00 280.00 1 HUFFMAN,GLENN 0 108061 10101 MARTIN,DAVID 3 SUS 02-02-89 150.17 150.17 1 MARTIN,DAVID B 106766 10101 MOORE,LINDA 203 UHC 02-02-89 283.00 283.00 1 MOORE,LINDA M 107559 10101 MOORE,LINDA 203 UNC 02-02-89 113.50 113.50 1 NOORE,LINDA M 108450 10101 WILKINSON JR,ALLEN L 4 SUS 02-02-89 177.52 177.52 1 WILKINSON,ALLEN L 128648 10101 BAAS,VICKI E 2 ACT 02-09-89 113.00 10-18-88 113.00 1 BAAS,VICKI E 128747 10101 CLARK,GAIL 203 UNC 02-09-89 105.60 05-17-88 105.60 1 CLARK,GAIL 128753 10101 CORONADO,ARNULF0 203 UNC 02-09-89 1037.23 02-22-88 1037.23 1 CORONADO,EVANGELINA 128785 10101 FARIAS,ROSARIO 2 RFD 02-09-89 582.90 10-25-88 582.90 1 FARIAS,ROSARIO 128818 10101 JACKSON,TERRY R 3 RFD 02-09-89 1895.98 07-08-88 1895.98 1 JACKSON,TERRY R 109664 10101 CORONADO,ARNULFO 203 UNC 02-14-89 316.75 316.75 1 CORONADO,MARIANO 109786 10101 DRUMMOND,MIRIAM 203 STA 02-14-89 280.00 280.00 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 9 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT DRUMNOND,NIRIAN I 109860 10101 LALLEY,DIANNA 3 AGC 02-14-89 127.50 127.50 1 LALLEY,BILLIE L 109335 10101 MANN,PETER 203 UNC 02-14-89 317.50 317.50 1 MANN,NARJORIE R 111371 10101 ELLIS,DONALD 2 RFD 02-20-89 149.00 149.00 1 ELLIS,DONALD R 110765 10101 FOSTER,BILLY 90 ACC 02-20-89 312.40 312.40 1 FOSTER,BILLY C 110512 10101 VALDERRAMA,BLANCA 203 DIS 02-20-89 329.58 329.58 1 VALDERRAHA,BLANCA I 111829 10101 MANIESKE,HAROLD 203 STA 02-27-89 117.00 09-20-88 111:00 1 MANIESKE,HAROLD G 113398 10101 GRANT,GERALD 2 AGC 03-10-89 570.28 570.28 1 GRANT,GERALD L 114613 10101 JONES,BETH 2O3 DIS 03-17-89 129.04 129.04 1 JONES,BETH D 115297 10101 MARTIN,DAVID ;! SUS 03-24-89 133.04 133.04 1 MARTIN,DAVID A 116025 10101 JONES,PATRICK 3 SUS 04-03-89 180.14 180.14 1 JONES,PATRICK R 116654 10101 HERNANDEZ,ROSALINA 3 SUS O4-07-89 253.85 11-18-88 253.85 1 RENTERIA,LIONEL 116477 10101 HOLCONB,APRIL 203 STA 04-07-89 106.50 03-15-89 106.50 1 HOLCOMB,APRIL L 118246 10101 CORRAL,DAVID 2 SUS 04-25-89 111.50 111.50 1 118258 10101 CORRAL,DAVID 2 SUS 04-25-89 280.00 280.00 1 118308 10101 FRENCH,JEANNE 203 UTP 04-25-89 274.50 274.50 1 FRENCH,JEANNE M 119177 10101 STODDARD,SHANNON 203 DIS 05-01-89 260.00 02-28-89 260.00 1 STODDARD,SHANNON L 120037 10101 CORRAL.DAVID 2 SUS 05-08-89 3592.03 3592.03 1 119922 10101 HUFFMAN,BRENDA 3 RFD 05-08-89 280.00 280.00 1 HUFFMAN,GLENN 0 119825 10101 WATSON,LYNDA 2.03 AGC 05-08-89 179.00 179.00 1 NATSON,LYNDA L 120772 10101 JUSTUS,CHRISTINE 203 DIS 05-15-89 223.50 223.50 1 JUSTUS.JOHN P 121601 10101 THOMAS,GLENDA 203 W07 05-22-89 936.00 60.00 01-29-90 876.00 1 THOMAS,GLENDA M 124616 10101 FRANKS,JAMES 203 AGC 06-19-89 170.00 170.00 1 FRANKS,JAMES D 124800 10101 FRANSUEZ,SOFIA 203 UNC 06-19-89 131.20 131.20 1 MORENO-GABRIEL E 124873 10101 MANN,PETER 203 UNC 06-19-89 290.50 06-15-89 290.50 1 MANN,MARJORIE R 124836 10101 MORRIS,MARIA 203 UNC 06-19-89 354.25 20.00 07-09-91 334.25 1 NORRIS,MARIA D 124856 10101 MORRIS,MARIA 203 UHC 06-19-89 352.70 25.00 06-14-91 327.70 1 MORRIS,MARIA D 126189 10101 BURCH,GLADYS 2 SUS 07-05-89 237.16 06-19-87 237.16 1 BURCH,GLADYS G • HEALTH SERVICES NRITE-OFF REPORT DATE:21 Mar 2001 PAGE: 10 DEBTOR.... CLIENTO... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 125729 10101 ESTES,DIANNA 2 SUS 07-05-89 315.55 315.55 1 ESTES,DIANNA L 125848 10101 FRENCH,JEANNE 203 UTP 07-05-89 137.00 137.00 1 FRENCH,JEANNE M 126679 10101 FREITAS,GREGG 2 SUS 07-10-89 298.00 298.00 1 FREITAS,GREGG A 126805 10101 KRULETI,EDWARD 203 STA 07-10-89 268.76 11-15-88 268.76 1 KRULETZ,EDYARD N 127749 10101 MOLINA,KIM 3 CR@ 07-17-89 144.60 144.60 1 MOLINA,KIM L 129024 10101 FERDINAND,FAITH 2 RFD 07-31-89 540.00 180.00 06-01-95 360.00 1 FERDINAND,FAITH L 129126 10101 VIDAL,JEANETTE 20;1 CRO 07-31-89 753.00 04-15-89 753.00 1 129759 10101 CORTEZ,FRANK 2 SUS 08-07-89 280.00 280.00 1 CORTEZ,IRMA 130321 10101 HORROCKS,ROGER 203'DIS 08-15-89 114.46 2.95 09-01-89 111.51 1 HORROCKS,CHERILYN D ' 130480 10101 ULIBARRI,TANA 203 STA 08-15-89 333.00 115.00 06-05-90 218.00 1 CIO TANA DUVALL 131906 10101 SHITH,KATHERINE 203 CRO 08-28-89 320.50 320.50 1 SMITH,TERRY T 131918 10101 SNITH,KATHERINE 203 CR8 08-28-89 280.00 280.00 1 SHITH,TERRY T 132547 IOID1 GODFREY,JONNA 2 AGC 09-05-89 110.50 05-03-89 110.50 1 GODFREY,JONNA A 132516 10101 TERRELL,ROBIN 4 PPL 09-05-89 1611.30 260.00 09-26-95 1351.30 1 TERRELL,ROBIN T 133069 10101 FREE,BRIAN 2 SUS 09-11-89 175.50 40.56 01-08-90 134.94 1 FREE,BRIAN H 132886 10101 JUSTUS,CHRISTINE 203 DIS 09-11-89 569.64 07-20-89 569.64 1 JUSTUS,CHRISTINE A 133048 10101 RIGALI,SUSAN 10 UNC 09-11-89 2764.12 142.33 06-24-98 2621.79 1 133077 10101 TERRELL,ROBIN 4 PPL 09-11-89 761.85 630.00 07-12-95 131.85 1 - SHROPSHIRE,MARRICO J 133705 10101 MOYERS,LYNDA 203 UTP 09-18-89 145.30 05-23-89 145.30 1 MOYERS,ALLEN 134542 10101 STEPHENS,NILLIAM 203 NLD 09-25-89 172.00 172.00 1 135202 10101 CRAYK,ROBERT 2 AGC 10-02-89 193.60 193.60 1 CRAYK,ROBERT J 135067 10101 RERTANEN,YILLIAN 203 DIS 10-02-89 291.00 291.00 1 136803 . 10101 FREITAS,DAVID 203 ACT 10-16-89 560.00. 560.00 1 FREITAS,DAVID A 136679 10101 MILLS,JENNIFER 3 AGC 10-16-89 101.32 101.32 1 MILLS,JENNIFER A 136896 10101 HEIDMAN,MICHELLE 203 STA 10-16-89 111.00 111.00 1 YEIDNAN,JEFFREY D 137870 10101 HECK,RANDY 3 AGC 10-23-89 109.50 109.50 1 HECK,RANDY D 137895 10101 HECK,RANDY 3 AGC 10-23-89 108.10 108.10 1 HECK,RANDY D 137463 10101 HERNANDEZ,RANDY 203 BAF 10-23-89 122.50 122.50 1 HERNANDEZ,ANTHONY R • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 11 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD OT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 137489 10101 HERNANDEI,RANDY 203 BAF 10-23-89 146.00 146.00 1 HERNANDEZ,ANTHONY R 138952 10101 MOYERS,LYNDA 203 UTP 10-31-89 108.80 03-31-89 108.80 1 MOYERS,ALLEN 140325 10101 BRADY,CHERAL 203 CRO 11-06-89 114.25 114.25 1 BRADY,ROBBY L 139616 10101 HOLCOMB,APRIL 203 STA 11-06-89 744.96 10-03-89 744.96 1 HOLCOMB,APRIL L 140266 10101 TORRES,JUAN 203 STA 11-06-89 250.00 50.00 11-27-89 200.00 1 TORRES,YOLANDA 140175 10101 VIRARDI,TINA 203 DIS 11-06-89 255.00 55.00 05-10-91 200.00 1 VIRARDI,TINA J 139841 10101 WEBB,WILNA 203 CRO 11-06-89 429.00 07-11-89 429.00 1 WEBB,NORNAN E 140082 10101 WEIDMAN,MICHELLE 203 STA 11-06-89 1644.73 04-13-89 1644.73 1 WEIDMAN,MICHELLE R 141070 10101 BURCH,GLADYS 2 SUS 11-13-89 132.30 10-18-88 132.30 1 BURCH,GLADYS G 141707 10101 FRANKLIN,LEONA 203 BAF '11-20-89 234.50 5.30 03-13-96 229.20 1 FRANKLIN,IODD 141653 10101 FRANKLING,LEONA 203 BAF 11-20-89 687.00 10-12-89 687.00 1 FRANKLIN,LISA M 141877 10101 KIT,MARTA 203 STA 11-20-89 355.50 110.00 09-14-95 245.50 1 KIT,MARTA L 141438 10101 MARTIN,MICHAEL ] SUS 11-20-89 151.20 151.20 1 MARTIN,MICHAEL E 141887 10101 STREET,MICHAEL 203 CRO 11-20-89 560.00 100.00 04-09-90 460.00 1 STREET,MICHAEL L 141483 10101 WEINGARTEN,SHIRLEY 203 ACC 11-20-89 203.50 203.50 1 COSTA,CATHY E 142715 10101 MANZESKE,HAROLD 203 STA 11-27-89 540.00 10-16-88 540.00 1 MANZESKE,HAROLD G 143751 10101 JONES,ELBERT 3 RFD 12-04-89 452.89 82.48 01-16-90 370.41 1 JONES,ERNIA B 145349 10101 HERRERA,GLORIA 203 STA 12-11-89 193.72 193.72 1 HERRERA,PAULA G 145488 10101 HOOVER,GERALD 203 STA 12-11-89 159.50 10-03-89 159.50 1 HANCOCK,CASSANDRA A 145142 10101 KIT,MARTA 203 STA 12-11-89 350.50 350.50 1 KIT,MARTA L 145177 10101 KIT,MARTA 203 STA 12-11-89 563.00 427.00 04-14-98 136.00 1 KIT,MARTA L 145227 10101 VIGIL,RONALD 203 ACT 12-11-89 539.90 380.00 07-31-96 159.90 1 VIGIL,RONALD A 145088 10101 WHITE,PEGGY 203 CRO 12-11-89 540.00 05-01-89 540.00 1 IDDROTHY MADISON 146326 10101 FITCH,KAREN 203 CRO 12-18-89 121.50 121.50 1 FITCH,ELIZABETH M 146211 10101 GUNIER,LINDA 2 RFD 12-18-89 472.54 35.00 03-16-93 437.54 1 GUNTER,LINDA L 146359 10101 SOLORIANO,MICHAEL 203 HLD 12-18-89 114.00 114.00 1 SOLORZANO,MICHAEL F • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 12 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 146764 10101 BURCH,GLADYS 2 SUS 12-24-89 111.40 12-19-89 111.40 1 BURCH,GLADYS G 146774 10101 BURCH,GLADYS 2 SUS 12-24-89 277.70 12-19-89 277.70 1 BURCHrGLADYS G 147381 10101 BASSETT,JOHN 2 SUS 01-02-90 111.20 111.20 1 BASSETT,JOHN D 147346 10101 MAESTAS,CHERYL 203 UTP 01-02-90 157.00 157.00 1 MAESTAS,JOAN J 147213 10101 WEINGARTEN,EUGENE 203 ACC 01-02-90 525.50 265.00 10-25-93 260.50 1 WEINGARTENrSHIRLEY A 148259 10101 BOLOGNA,SALVADOR 10 DEC 01-09-90 268.50 268.50 1 BOLOGNA,KELLI M 148128 10101 MILLER,PAULA 3 SUS 01-09-90 105.00 09-07-89 105.00 1 MILLERrPAULA L 148335 10101 WEINGARTEN,GENE 203 ACC 01-09-90 142.10 142.10 1 WEINGARTEN,SHIRLEY A 153512 10101 BARRIENTOS,MARIGAIL 2 PPL 02-05-90 747.40 747.40 1 BARRIENTOS,SHANETTE V 153413 10101 INIGUEI,JOSE 92 STA 02-05-90 370.50 170.00 08-30-94 200.50 1 INIGUEZ,MARIA R 158980 10101 MCMURROUGH,SCOTT 20:3 CRO 02-20-90 280.00 280.00 1 MCMURROUGH,SCOTT N 160297 10101 BARRIENTOS,MARIGAIL 2 PPL 02-26-90 139.00 139.00 1 BARRIENTOS,CHRISTOPHE 160463 10101 SOLOMON,LOUISE 4 SUS 02-26-90 280.00 141.60 03-20-90 138.40 1 SOLOMON,LOUISE M 161688 10101 ADAMS,SCOTT 203 UNC 03-05-90 570.50 216.37 08-15-95 354.13 1 ADAMS,SCOTT A 161354 10101 ALVAREZ,MARIA 203 UNC 03-05-90 150.50 150.50 1 ALVAREZ,MARIA L 161407 10101 GONIALES,RALPH 2 AGC 03-05-90 112.80 11-03-89 112.80 1 GONIALES,RALPH C 161599 10101 INIGUEZ,JOSE 92 STA 03-05-90 479.75 12-27-89 479.75 1 INICUEI,MARIA R 162622 10101 BROWN,MICHELLE 2 SUS 03-12-90 105.50 105.50 1 162626 10101 HOLMES,MELISSA 203 CRO 03-12-90 275.79 02-27-90 275.79 1 HOLMES,MELISSA D 162604 10101 LEWISrKIMBERLY 3 AGC 03-12-90 129.00 129.00 1 LEWIS,JIMMY JR L 162700 10101 TYLER,WILLIAM 203 DIS 03-12-90 174.25 11-08-89 174.25 1 TYLER,WILLIAM F 164709 10101 TAVARES,LEROY 203 CRO 03-27-90 114.00 114.00 1 TAVARES,ALEXIS D 164739 10101 TAVARES,LEROY 2.03 CRO 03-27-90 102.00 102.00 1 TAVARES,SARAH A 167489 10101 BOLOGNA,SALVADOR 10 DEC 04-16-90 674.50 10-12-89 674.50 1 BOLOGNA,KELLI M 167501 10101 BOLOGNA,SALVADOR 10 DEC 04-16-90 1919.35 1919.35 1 BOLOGNA,KELLI M 167537 10101 DAGLEY,KERRY 2 SUS 04-16-90 204.20 204.20 1 DAGLEY,HEATHER S 167674 10101 FLEMING,FAWN 203 UNC 04-16-90 2312.96 2312.96 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 13 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 167401 10101 GLENN,ANNIE 2 SUS 04-16-90 105.98 11-22-89 105.98 1 167575 10101 MECHUM,JUNE 3 AGC 04-16-90 240.00 240.00 1 MECHUM,JUNE A 167707 10101 TORRES,JOSE 4 F1FD 04-16-90 1923.17 188.50 08-16-93 1734.67 1 TORRESrCARMEN 170441 10101 BARBERIO,JOHN 10 UNC 04-30-90 1367.06 1403.06 1 170574 16101 TREAT,KATHERINE 203 1.18 04-30-90 417.40 417.40 1 CIO M.GEARHEART,ATTY 171441 10101 DAGLEY,KERRY 2 SUS 05-07-90 140.50 140.50 1 DAGLEY,HEATHER S 172636 10101 ULIBARRI,SABINO 203 STA 05-14-90 193.50 193.50 1 ULIBARRI,TANA M 173745 10101 SMITH,DEBRA 203 UNC 05-22-90 140.00 140.00 1 SMITHrANGELA N 174703 10101 HERRERA,GLORIA 203 STA 05-30-90 108.00 108.00 1 HERRERA,PAULA G 115605 10101 FELDER,TIFFANY 2 AGC 06-04-90 387.00 03-21-90 387.00 1 FELDER,TIFFANY V 175566 10101 WILLIAHS,GLEN 203 DIS 06-04-90 247.55 247.55 1 176457 10101 LEMON,TAMMY 3 SUS 06-11-90 357.00 357.00 1 LEMON,TAMMY J 176569 10101 MINTON,RICKY 3 SUS 06-11-90 392.05 07-19-89 392.05 1 MINTON,RICKY W 176474 10101 VANVLIET,JOHN 4; SUS 06-11-90 430.50 430.50 1 VANVLIET,JOHN E 176415 10101 IUNIGA,CONSUELO 4 PPL 06-11-90 208.64 50.00 11-19-91 158.64 1 ZUNIGArVANESSA B 177340 10101 MEDINA,ELIZABETH ;1 AGC 06-18-90 142.66 04-09-90 142.66 1 MEDINA,JACOUELINE 179208 10101 COFFIN,SALLY 2 AGC 07-03-90 339.45 339.45 1 COFFINrSALLY M 179174 10101 HERNANDEI,CAROL 203 BAF 07-03-90 127.25 03-26-90 127.25 1 HERNANDEI,RANDI R 179118 10101 TIERNEY,RICHARD 203 STA 07-03-90 968.75 35.00 08-02-90 933.75 1 TIERNEY,RICHARD E 179916 101,01 JOHNSON,NATHAN 203 STA 07-09-90 103.00 103.00 1 JOHNSQNrPATRICIA A 181740 10101 JACOBS,KAMELA 203 STA 07-23-90 192.20 05-04-90 192.20 1 JACOBSrKAMELA L 182574 10101 BARRIENTOS,MARIGAIL 2 PPL 07-30-90 1638.50 1638.50 1 BARRIENTOS,JERALDIN V 182747 10101 MECHUM,JUNE 3 RFD 07-30-90 6671.41 12-26-89 6671.41 1 MECHUM,JUNE A 182652 10101 UPSHAW,KRISTINE 203 CRG 07-30-90 132.92 132.92 1 UPSHAW,KRISTINE L 183711 10101 BLANKENSHIP,MICHELLE 203 STA 08-06-90 109.70 109.70 1 BELL,KENDRA S 184802 10101 MINTON,RICKY 3 SUS 08-14-90 402.45 402.45 1 MINTON,RICKY W 184906 10101 IIMMERLI,JEANINE 203 STA 08-14-90 355.00 05-03-90 355.00 1 ZIMMERLIrJEANINE A 185702 10101 BARRIENTOS,MARIGAIL 2 PPL 08-20-90 152.46 04-13-90 152.46 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 14 DEBTOR.... CLIENT#.., NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CHT BARRIENTOS,MATT 0 185826 10101 INIGUEZ,JOSE 92 STA 08-20-90 106.10 06-14-90 106.10 1 INIGUEZ,FELIPE D 185854 10101 NORENO,RAMIRO 203 STA 08-20-90 4615.21 690.00 09-03-97 3945.21 1 MORENO,CELIA 187114 10101 BARRIENTOS,MARIGAIL 2 PPL 08-27-90 104.00 104.00 1 BARRIENTOS,JERALDIN V 187133 10101 BARRIENTOS,MARIGAIL 2 PPL 08-27-90 266.00 02-19-93 266.00 1 BARRIENTOS,MARIGAIL 186831 10101 CAVES,DAVID SR 203 SKP 08-27-90 580.00 06-19-90 580.00 1 CAVES,DAVID J 186790 10101 COX,WILLIAM 2 AGC 08-27-90 265.00 265.00 1 COX,WILLIAM H 187180 10101 LONG,TERRY 203 UNC 08-27-90 424.00 424.00 1 LONG,TERRY J 187006 10101 MILLER,JULIE 203 CRO 08-27-90 521.50 521.50 1 MILLER,JULIE C 188022 10101 WILLIAMS,WILLIAM 4 RFD 09-04-90 3755.25 3755.25 1 WILLIAMS,WILLIAM R 188985 10101 ESOUIBEL,ESPERANZA 2 ACC 09-11-90 6871.81 6871.81 1 ES9UIBEL,ESPERANZA E 191167 10101 LEWIS,KIMBERLY 3 AGC 09-24-90 186.00 186.00 1 LEWIS,JIMMY JR L 191184 10101 LEWIS,KIMBERLY 3 AGC 09-24-90 141.50 141.50 1 LEWIS,JIMMY JR L 191118 10101 MONDRAGON,ANITA 3 SUS 09-24-90 293.90 293.90 1 MONDRAGON,ANITA D 191124 10101 WILLIAMS,WILLIAM .4 RFD 09-24-90 110.50 110.50 1 WILLIAMS,WILLIAH R 192277 10101 CASAS,CLAUDIA 2 SUS 10-01-90 852.40 06-21-90 852.40 1 CASAS,CLAUDIA M 192522 10101 MONDRAGON,ANITA 3 SUS 10-01-90 "308.85 308.85 1 MONDRAGON,ANITA D 192556 10101 MORENO,RAMIRO 203 STA 10-01-90 126.50 126.50 1 192399 10101 VELEZ,ANGEL 4 AGC 10-01-90 478.90 478.90 1 VELEI,NANCY L 192572 10101 WILCOX,MATHEW 203 BAF 10-01-90 367.00 367.00 1 WILCOX,SHAWNA 197316 10101 ULIBARRI,SABINO 203 STA 11-09-90 225.00 225.00 1 ULIBARRI,JOHN R 197540 10101 ZUNIGA,CONSUELO 4 PPL 11-09-90 177.45 50.00 09-11-91 127.45 1 IUNIGA,VANESSA B 199768 10101 KAUR,GURDIAN 92 STA 12-06-90 122.00 122.00 1 SINGH,NAGINDER 202017 10101 GARCIA,JULIA 2 AGC 12-27-90 816.50 816.50 1 202704 10101 BROWN,CAROLE 203 ACT 01-03-91 131.60 131.60 1 BROWN,CAROLE L 202582 10101 DIAFERIO,TAMATHA 203 ACT 01-03-91 1794.90 1794.90 1 DIAFERIO,TAMATHA M 202569 10101 FRENCH,GLENN 203 ACT 01-03-91 148.72 148.72 1 FRENCH,GLENN K 202595 10101 FRENCH,GLENN 203 ACT 01-03-91 152.60 152.60 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 15 DEBTOR.... CLIENTS... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT FRENCH,GLENN K 202646 10101 FRENCH,GLENN 203 ACT 01-03-91 324.60 324.60 1 FRENCH,GLENN K 202658 10101 FRENCH,GLENN 203 ACT 01-03-91 668.00 668.00 1 FRENCH,GLENN K 202708 10101 HALL,AVIS 203 STA 01-03-91 119.90 119.90 1 HALL,AVIS R 203760 10101 JONES,MICHAEL 3 RFD 01-09-91 5060.79 5060.79 1 JONES,MICHAEL W 203486 10101 KOLIAS,DON 3 BAN 01-09-91 1850.95 922.60 10-02-98 928.35 1 KOLIAS,CASSANDRA M 203555 10101 KULU,TANIELA AKA KULU,OAN 203 STA 01-09-91 544.50 20.00 08-09-93 524.50 1 KULU,TANIELA 204473 10101 BARAJAS,ESPERANSA 203 SKP 01-17-91 160.00 160.00 1 BARAJAS,JOSE D 204460 10101 WRIGHT,ANGELA 4 PPL 01-17-91 174.00 100.00 03-25-98 74.00 1 WRIGHT,ALLEN 205235 10101 AFSHARI,ROUHOLLAH 203 UNC 01-24-91 274.00 274.00 1 AFSHARI,ROUHOLLAH A 205384 10101 BENTANCUR,ERMELINDA 2 SUS 01-24-91 227.00 227.00 1 BENTANCUR,ERMELINDA M 205406 10101 CERVANTES,MARIA 203 SKP 01-24-91 136.90 136.90 1 RAMOS,MIGUEL A 205130 10101 ESBUIBEL,ESPERANIA 20;1 STA 01-24-91 215.00 215.00 1 SANCHEI,OSBALDO F 205728 10101 GLIDEWELL,SHERRY 203 STA 01-24-91 339.35 339.35 1 GLIDEWELL,SHERRY J 205483 10101 JACKSON,KELLY 203 ACT 01-24-91 103.00 103.00 1 JACKSON,KELLY E 205299 10101 MOORE,DONALD 203 SKP 01-24-91 117.50 117.50 1 205322 10101 MOORE,DONALD 203 SKP 01-24-91 414.04 414.04 1 205639 10101 MOORE,DONALD 203 SKP 01-24-91 346.80 346.80 1 205110 10101 MOSBUEDA,ALFONSO 92 STA 01-24-91 294.86 294.86 1 MOSBUEDA,RAOUEL 205447 10101 SMITH,DEBRA 203 ACT 01-24-91 2173.11 2173.11 1 SMITH,DEBRA J 205730 10101 SMITH,GERALDINE 203 STA 01-24-91 218.00 218.00 1 SMITH,GERALDINE A 205135 10101 SOSA,FRANK 203 UNC 01-24-91 435.55 435.55 1 205184 10101 SOSA,FRANK Z03 UNC 01-24-91 120.80 120.80 1 205232 10101 SOSA,FRANK 203 UNC 01-24-91 250.70 250.70 1 205558 10101 STOFLE,JOHN 203 STA 01-24-91 206.50 206.50 1 STOFLE,LISA M 205535 10101 STOFLE,LISA 203 STA 01-24-91 116.50 116.50 1 STOFLE,DANA M 205696 10101 THOMAS,YOLANDA 203 STA 01-24-91 147.35 147.35 1 THOMAS,YOLANDA D 205461 10101 TORRES,JUAN 203 STA 01-24-91 809.60 30.00 02-06-91 779.60 1 TORRES,YOLANDA 205142 10101 WATKINS,LYNDA 203 BAN 01-24-91 274.50 274.50 1 WATKINS,CHRISTOPHE J 205589 10101 WILSON,TERRY 203 STA 01-24-91 255.80 255.80 1 " HEALTH SERVICES WRITE-OFF REPORT DATEa27 Mar 2001 PAGE: 16 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT SILVA,STACY A 206321 10101 TAYLOR,JOHN 203 STA 01-29-91 169.50 169.50 1 TAYLOR,JOHN E 207240 10101 BARAJAS,JOSE 203 UP 02-06-91 339.38 339.38 1 LOPEZ,ESPERANZA 207186 10101 BARNES,MICHAEL 203 SAS 02-06-91 207.89 207.89 1 BARNES,MICHAEL J 207961 10101 BARNES,MICHAEL 203 SAS 02-06-91 103.00 103.00 1 BARNES,MICHAEL J 207625 10101 BRISENO,DELIA 203 BAF 02-06-91 129.16 129.16 1 BRISENO,DELIA D 207276 10101 BROOKS,SUSAN 203 STA 02-06-91 367.50 367.50 1 BROOKS,WILLIAM 0 207597 10101 CALDWELL,RICHARD 203 HLD 02-06-91 237.09 237.09 1 CALDWELL►RICHARD H 207481 10101 CANTRELL,DONALD 203 HLD 02-06-91 198.50 198.50 1 CANTRELL,DONALD K 207977 10101 EVERIDGE,KATHY 200 SNP 02-06-91 162.85 162.85 1 EVERIDGE,IACHARY R 207787 10101 HARDEN,THOMAS 20;1 HLD 02-06-91 230.00 230.00 1 HARDEN,THOMAS E 207679 10101 HARVEY,HANNELORE 3 SUS 02-06-91 4226.85 4226.85 1 HARVEY.HANNELORE D 207714 10101 HIDALGO,YOLANDA 203 STA 02-06-91 439.90 439.90 1 OROZCO,LIZA B 207664 10101 IRWIN,ROXANNE 203 STA 02-06-91 112.45 112.45 1 IRWIN,ROXANNE M 207694 10101 IRWIN,ROXANNE 203 STA 02-06-91 322.00 322.00 1 IRWIN,ROXANNE M 207179 10101 JACOBS,DARRYL M 203 STA 02-06-91 160.86 160.86 1 207438 10101 JASPER,LINDA 203 STA 02-06-91 179.04 179.00 1 AMERSON,IRIS L 207753 10101 JASPER,LINDA 203 STA 02-06-91 122.08 122.08 1 JASPER,LINDA F 207956 10101 JASPER,LINDA 203 STA 02-06-91 167.50 167.50 1 JASPER,LINDA F 207405 10161 JONES,ROSIE 10 UNC 02-06-91 780.40 68.01 05-23-95 712.39 1 JONES,ROSIE M 207638 10101 KULU,TANIELA AKA KULU,DAN 203 STA 02-06-91 909.10 909.10 1 KULU.AFITIA P 207954 10101 LEE,SHIRLEY 203 STA 02-06-91 118.11 118.11 1 LEE,SHIRLEY A 207784 10101 LOGAN.KEVIN 3 AGC 02-06-91 135.95 135.95 1 LOGAN,KEVIN L 207874 10101 LOPEZ,MARIA 203 STA 02-06-91 103.00 103.00 1 LOPEZ,CARINA 207945 10101 LYONS,EUGENE 3 AGC 02-06-91 7252.23 7252.23 1 207958 10101 MORRIS,KATHY 203 STA 02-06-91 1840.00 1840.00 1 MORRIS,KATHY A 207691 10101 MOSBUEDA,ALFONSO 92 STA 02-06-91 175.96 175.96 1 MOSBUEDA,RAGUEL 208004 10101 MOSOUEDA,ALFONSO 92 STA 02-06-91 103.50 103.50 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 17 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL SAL..... CNT MOSBUEDA,RAOUEL 207509 10101 MOSGUEDA,MANUEL 92 STA 02-06-91 198.50 198.50 1 MOSOUEDA,MANUEL G 207327 10101 TUPOU,TUI 203 STA 02-06-91 187.00 187.00 1 TUPOU,LESLIE 207731 10101 WILLIAMS,ERIC 203 ACT 02-06-91 105.21 105.21 1 WILLIAMS,ERIC J 207830 10101 WILLITS,PATRICIA 203 STA 02-06-91 338.60 338.60 1 WILLITS,PATRICIA A 208721 10101 BROWN,CHARLES 203 ACT 02-12-91 293.00 293.00 1 BROWN,CHARLES E 208742 10101 COLON,VANESSA 203 UNC 02-12-91 153.40 153.40 1 COLON,MELINDA 208587 10101 GONZALES,MICHAEL 20S BAN 02-12-91 103.00 103.00 1 208577 10101 HARDEN,KERRI 203 HLD 02-12-91 213.40 213.40 1 HARDEN,THOMAS E 208630 10101 JACKSOK,EVOH 92 STA 02-12-91 103.00 103.00 1 JACKSON,EVON L 208696 10101 KRULETI,EDWARD 203 STA 02-12-91 325.00 325.00 1 KRULETZ,EDWARD W 208497 10101 TAYLOR,JOHN 203 STA 02-12-91 3573.45 3573.45 1 TAYLOR,JOHN E 208686 10101 TUPOU,TUI 203 STA 02-12-91 193.00 193.00 1 TUPOU,LESLIE 208806 10101 VERAN,AUGUSTA M 203 STA 02-12-91 205.50 205.50 1 VERAN,FELIPE L 208578 10101 WASHINGTON,ANTHONY 203 UNC 02-12-91 157.16 157.16 1 WASHINGTON,ANTHONY E 208570 10101 YEPEZ,GEORGE 203 SKP 02-12-91 162.80 162.80 1 209610 10101 VEGA,LEONARDO 203 STA 02-22-91 114.86 114.86 1 209635 10I01 WILLIAMS,ROBERT 2.03 SKP 02-22-91 645.99 645.99 1 WILLIAMS,ROBERT D 209578 10101 WILSON,JACK 203 STA 02-22-91 101.00 101.00 1 WILSON,JACK E 209584 10101 WILSON,JACK 203 STA 02-22-91 101.00 101.00 1 WILSON,JACK E 209564 10101 WOLTZ,STACY 203 STA 02-22-91 461.00 461.00 1 WOLTZ,CRAIG S 209591 10101 ZIMMERLI,JEANINE 203 STA 02-22-91 712.00 712.00 1 ZIMMERLI,JEANINE A 210095 10101 TURNER,CHRISTINE 203 STA 02-26-91 140.50 140.50 1 TURNER,CHRISTINE L 210823 10101 LOZANO,LANA 203 STA 03-05-91 102.50 102.50 1 LOZANO,LANA L 210854 10101 SULLIVAN,JOLENE 203 STA 03-05-91 598.22 598.22 1 210879 10101 VELAS@UEZ,MARY 203 KOD 03-05-91 432.50 432.50 1 VELASOUEZ,MARY E 210907 10101 WILBURN,GEORGE 203 DEC 03-05-91 120.00 120.00 1 WILBURN,GEORGE 0 211502 10101 ALBISU,PETE 203 ACT 03-12-91 128.20 128.20 1 ALBISU,JOY E 211510 10101 ALBISU,PETER 203 ACT 03-12-91 172.66 172.66 1 • HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 18 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT ALBISU,PETER R 211512 10101 IRWIN,ROXANNE 203 STA 03-12-91 3863.35 3863.35 1 IRWIN,ROXANNE M 211482 10101 STOUT,ROBIN 203 ACT 03-12-91 195.24 195.24 1 STOUT,ROBIN A 211500 10101 STOUT,ROBIN 203 ACT 03-12-91 2399.83 2399.83 1 STOUT,ROBIN A 211552 10101 STOUT,ROBIN 203 ACT 03-12-91 156.50 156.50 1 STOUT,ROBIN A 211623 10101 STOUT,ROBIN 203 ACT 03-12-91 231.50 231.50 1 STOUT,ROBIN A 211553 10101 VERDUGO,JOHN 203 STA 03-12-91 167.00 167.00 1 VERDUGO,MICHELLE A 211583 10101 WINTERS,MICHELLE 10 UNC 03-12-91 859.50 490.00 06-23-97 369.50 1 WINTERS,MICHELLE R 212695 10101 ACOSTA,ANA 203 ACT 03-20-91 325.90 03-16-91 325.90 1 ACOSTA,ANA M 212569 10101 BARAJAS,JOSE 203 ACT 03-20-91 233.50 03-16-91 233.50 1 LOPEI,ESPERANIA 212629 10101 HARTWELL,VERNA 203 STA 03-20-91 123.50 03-16-91 123.50 1 SMITH,MELASHER J 212658 10101 MODICUE,VIRGIE 203 ACT 03-20-91 196.50 03-16-91 196.50 1 MODICUE,VIRGIE J 212553 10101 SWAY,JAMES 203 ACT 03-20-91 417.85 03-16-91 417.85 1 SWAY,JANES M 212663 10101 SWAY,JAMES 203 ACT 03-20-91 109.98 03-16-91 109.98 1 SWAY,JAMES M 212609 10101 WHITE,WENDY 2021 STA 03-20-91 266.50 03-16-91 266.50 1 WHITE,WENDY L 213310 10101 EARLYWINE,GEORGE. JR 203 STA 03-26-91 1644.21 1644.21 1 EARLYWINE,YVONNE A 213430 10101 EARLYWINE,GEORGE. JR 203 STA 03-26-91 282.47 282.47 1 EARLYWINE,Y'JONNE A 213449 10101 EARLYWINE,GEORGE. JR 203 STA 03-26-91 1692.06 1692.06 1 EARLYWINE,YVONNE A 213440 10101 EVERIDGE,KATHY 200 SKP 03-26-91 435.59 435.59 1 EVERIDGE,EDWARD M 213439 10101 FIGUEROA,MARTHA 203 ACT 03-26-91 111.98 177.98 1 213544 10101 SMITH,GERRY 203 STA 03-26-91 330.85 330.85 1 SMITH,GERRY D 213509 10101 SOTO,ANITA 203 ACT 03-26-91 669.26 669.26 1 SOTO,ANITA N 213475 10101 STANGE,SUSAN 203 SKP 03-26-91 103.20 103.20 1 STANGE,MICHAEL H 213503 10101 STANGE,SUSAN 203 SKP 03-26-91 528.70 528.70 1 STANGE,MICHAEL H 213564 10101. SUTTON,JENNIFER 203 ACT 03-26-91 191.01 191.01 1 SUTTON,JENNIFER D 213522 10101 TAYLOR,TRACY 203 ACT 03-26-91 100.50 100.50 1 TAYLOR,KAYLA 213300 10101 TUPOU,LESLIE 203 STA 03-26-91 101.50 101.50 1 TUPOU,HALATUIT • HEALTH SERVICES WRITE-OFF REPORT DATEs27 Mar 2001 PAGE: 19 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT 213448 10101 VERDUICO,MARIA 203 STA 03-26-91 193.00 193.00 1 VERDUICO,JAVIER 213481 10101 NILLITS,PATRICIA 203 STA 03-26-91 277.50 277.50 1 WILLITS,MARK D 213512 10101 WILLITS,PATRICIA 203 STA 03-26-91 417.00 417.00 1 WILLITS,MARK D 213563 10101 WINGER,ANNE 203 STA 03-26-91 113.32 113.32 1 WINGER,ANNE M 214681 10101 ACOSTA,ANA 203 ACT 04-03-91 208.00 208.00 1 ACOSTA,ANA M 214942 10101 BLAND,BARBARA 203 UNC 04-03-91 192.00 192.00 1 BLAND,BARBARA L 214718 10101 BRAGGS,DAVID 203 ACT 04-03-91 125.60 125.60 1 BRAGGS,DAVID A 214738 10101 BRYANT,MARTHA 203 STA 04-03-91 114.38 10-02-98 114.38 1 BRYANT,MARTHA J 215020 10161 BURNS,JEFFREY 203 HLD 04-03-91 111.00 111.00 1 BURNS,JEFFREY H 214542 10101 ELTON,DAWN 203 BAN 04-03-91 580.53 100.00 09-04-91 480.53 1 ELTON,DUSTIN A 214571 10101 ELTON,DAWN 203 BAN 04-03-91 184.50 50.00 10-24-91 134.50 1 ELTON,DUSTIN A 214492 10101 GILMORErBARBARA 203 ACT 04-03-91 140.45 27.00 113.45 1 GILMQRE,JESSICA L 214600 10101 GODFREY,LARRY 10 UNC 04-03-91 227.89 42.74 12-15-95 185.15 1 214964 10101 HALL,AVIS 203 STA 04-03-91 131.90 131.90 1 BELCHER,COURTNEY G 214479 10101 HIDALGO,YOLANDA 203 STA 04-03-91 1827.25 1827.25 1 215114 10101 JOHNSON,NATHAN 203 STA 04-03-91 101.00 101.00 1 JOHNSON,PATRICIA A 214696 10101 KELLY,STEPHEN 203 STA 04-03-91 567.25 567.25 1 KELLY,STEPHEN R 214527 10101 KNOTTS,MARLENE 203 STA 04-03-91 278.00 278.00 1 215019 10101 LYONS,EUGENE 3. ACC 04-03-91 125.20 125.20 1 LYONS,EUGENE T 215034 10101 MARCHION,CHERYL 203 ACT 04-03-91 230.00 230.00 1 MARCHION,ROBERT T 214547 10101 KARINQ,ANDREA 203 BAF 04-03-91 186.50 16.50 03-19-93 170.00 1 MARINO,GIOVANI 214528 10101 STCHARLES,LAURIE 203 ACT 04-03-91 191.95 191.95 1 STCHARLES,LAURIEANN A 214557 10101 STCHARLES,LAURIE 20:3 ACT 04-03-91 293.75 293.75 1 STCHARLES,LAURIEANN A 214808 10101 TIPTON,MICHAEL 203 STA 04-03-91 102.20 102.20 1 TIPTON,MICHAEL L 214617 1010.1 VAUGHN,CAROL 203 STA 04-03-91 124.40 124.40 1 VAUGHN,CAROL A 214645 10101 VAUGHN,CAROL 203 STA 04-03-91 117.00 117.00 1 VAUGHN,CAROL A 214729 10101 VELAIOUEI,LUCILA 203 STA 04-03-91 160.72 25.00 135.72 1 VELAIBUEI,PASCUAL H 214755 10101 VENEGAS,MARIA 203 STA 04-03-91 361.10 361.10 1 HEALTH SERVICES WRITE-OFF REPORT DATEs27 Mar 2001 PAGE: 20 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT VENEGAS,HARIA I 214829 10101 VERA,DIONISIO 203 STA 04-03-91 140.60 140.60 1 CORONADO,LYDIA 214863 10101 VERNON,TONI 203 HLD 04-03-91 127.60 127.60 1 VERNON,NIKOLA M 214524 10101 VIERRA,MITCHELL 203 ;ITA 04-03-91 461.54 461.54 1 VIERRArMITCHELL M 215128 10101 VIERRA,MITCHELL 203 STA 04-03-91 133.50 133.50 1 VIERRA,MITCHELL M 214559 10101 YBARRA,MARY 203 'BAN 04-03-91 291.64 183.32 01-11-95 108.32 1 YBARRA,CHRISTOPHE R 216231 10161 BLANKENSHIP,ROBERT 203 CRO 04-12-91 114.40 114.40 1 BLANKENSHIP,ROBERT L 216251 10101 BLANKENSHIP,ROBERT 203 CRO 04-12-91 174.50 174.50 1 BLANKENSHIP,ROBERT L 216129 10101 CASANOVA,MARIA 203 SKP 04-12-91 230.64 50.00 05-06-94 180.64 1 CASANOVA,LUIS G 216233 10101 CENSOPLAND,SERENA 203 ACT 04-12-91 283.52 283.52 1 CENSOPLANO,SERENA L 216133 10101 DALLMANN,BILL 203 ACT 04-12-91 133.00 133.00 1 DALLMANN,TARA L 216287 10101 HARDEN,KERRI 203 HLD 04-12-91 267.14 267.14 1 HARDEN,THOMAS E 216317 10101 HERNANDEI,RANDY 203 BAF 04-12-91 393.50 393.50 1 HERNANDEI,CAROL S 216200 10101 LENIS,KIMBERLY 3 AGC 04-12-91 261.00 261.00 1 LEWISrJIMMY JR L 216220 10101 LEVIS,KIMBERLY 3 AGC 04-12-91 208.95 208.95 1 LEWIS,JIMMY JR L 216131 10101 SWEET,TINA 203 STA 04-12-91 157.50 157.50 1 ORTIZ,JOHN A 216504 10101 TWIGG,ERICA 203 STA 04-12-91 101.00 101.00 1 MOORE,PHILIP'C 216593 10101 WRIGHT,ANGELA 4 PPL 04-12-91 297.84 101.70 09-20-96 196.14 1 WRIGHT,ORAL A 216581 10101 ZEPEDA,LILIAN 203 STA 04-12-91 298.50 298.50 1 ZEPEDA,LILIAN R 217411 10101 BARAJAS,JOSE 203 ACT 04-22-91 150.50 150.50 1 LOPEZ,ESPERANZA 217325 10101 LEWIS,KIMBERLY ;f AGC 04-22-91 869.97 869.97 1 LEWIS,KIMBERLY K 217440 10101 LOPEZ,MARIA 20:1 STA 04-22-91 461.00 461.00 1 LOPEZ,MARIA E 217895 10101 CHRISTIANSON,IAN 203 ACT 04-23-91 103.00 103.00 1 CHRISTIANSON,IAN A 217894 10161 FLORES,VINCENT 203 STA 04-23-91 200.00 200.00 1 FLORES,JODY E 217936 10101 FLORES,VINCENT 203 STA 04-23-91 101.50 101.50 1 FLORES,JODY E 218010 10101 HONODEL,CAROL 203 BAF 04-23-91 205.84 205.84 1 HONODEL,ANGELA R 217695 10101 LOVELACErRICHARD 203 SKP 04-23-91 213.72 213.72 1 HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PAGE: 21 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIM COL LST PAY. TOTAL BAL..... CNT LOVELACE,RICHARD J 217774 10101 SOLEYMAN,MOHAMMAD 203 STA 04-23-91 153.90 153.90 1 SOLEYMAN,MARIA A 217805 10101 VERA,DIONISIO 203 STA 04-23-91 664.10 664.10 1 CORONADO,LYDIA 217684 10101 NALLACE,PAULA 203 STA 04-23-91 202.00 202.00 1 WALLACE,CHRISTOPHE S 217721 10101 WATKINS,LYNDA 203 BAN 04-23-91 391.95 391.95 1 WATKINS,CHRISTOPHE J 217783 10101 WHITMORE,APRIL 203 STA 04-23-91 202.00 202.00 1 WHITMORE,APRIL I 217673 10101 WILLIAMS,DALE 203 STA 04-23-91 232.00 232.00 1 WILLIAMS,DALE H 217685 10101 WILLIAMS,ROBERT 203 SKP 04-23-91 103.00 103.00 1 WILLIAMS,ROBERT D 219342 10101 ADAMS,DAVID 203 STA 05-02-91 159.90 159.90 1 ADAMS,DAVID R 219351 10101 ADAMS,DAVID 203 STA 05-02-91 184.40 184.40 1 ADAMS,DAVID R 219387 10101 ADAMS,DAVID 203 STA 05-02-91 330.70 330.70 1 ADAMS,DAVID R 219270 10101 CRANFORD,DONALD 16 ACT 05-02-91 120.86 120.86 1 219029 10101 CRISTINA,WILLIAM 203 ACT 05-02-91 153.50 153.50 1 CRISTINA,TANYA M 219246 10101 DELAHOUSSAYE,KENNETH 203 ACT 05-02-91 173.54 173.54 1 DELAHOUSSAYE,KENNETH E 219305 10101 FLORES,VINCENT 203 STA 05-02-91 366.50 366.50 1 FLORES,JODY E 219183 10101 GLIDEWELL,SHERRY 203 STA 05-02-91 1198.72 1198.72 1 GLIDEWELL,SHERRY J 219249 10101 LATHAN,BECKIE 92 ACT 05-02-91 152.41 152.41 1 LATHAM,BECKIE J 219377 10101 MEDEIROS,NICOLE 203 SKP 05-02-91 101.00 101.00 1 MEDEIROS,NICOLE A 219322 10101 MEDEIROS,TONY 203 SKP 05-02-91 736.00 736.00 1 MEDEIROS,NICOLE A 219461 10101 STOUT,ROBIN 203 ACT 05-02-91 363.00 363.00 1 STOUT,ROBIN A 219253 1.0101 STUTZMAN,DAROLD 2021 STA 05-02-91 114.30 114.30 1 STUTZMAN,DAROLD D 219408 10101 TORRES,DAVID 203 STA 05-02-91 101.00 101.00 1 TORRES,MANUEL L 219427 10101 TORRES,DAVID 203 STA 05-02-91 222.70 222.70 1 TORRES,MONICA V 219057 10101 VANOURNEY,KEVIN 203 STA 05-02-91 152.65 152.65 1 VANOURNEY,ADAM J 219130 10101 WRIGHT,ANGELA 4 PPL 05-02-91 66.00 66.00 1 WRIGHT,JOSHUA D 219290 10101 YAW,GERALD 203 STA 05-02-91 107.50 107.50 1 YAW,JOHN C 219424 10101 YAW,GERALD 203 STA 05-02-91 156.50 156.50 1 YAW,JOHN C v u HEALTH SERVICES WRITE-OFF REPORT DATEo27 Mar 2001 PAGE: 22 DEBTOR.... CLIENTI#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 219190 10101 ZOETMULDER,SUSIE 203 STA 05-02-91 128.40 128.40 1 IOETMULDER,SUSIE N 220416 10101 BANKS,ARTHUR 203 DEC 05-08-91 351.00 351.00 1 BANKS,ARTHUR R 220238 10101 CARLUCCI,FRANK 203 BAF 05-08-91 883.76 883.76 1 CARLUCCI,PAM 220157 10101 FAIIYAR,SHAIMAH 203 SKP 05-08-91 457.32 457.32 1 FAIIYAR,NAHMOOD S 220344 10101 HARDEN,KERRI 203 HLD 05-08-91 228.70 228.70 1 HARDEN,THOMAS E 220402 10101 SMEBY,MARY 203 STA 05-08-91 390.90 390.90 1 SMEBY,MARY L 220395 10101 SMITH,ANITA 203 STA 05-08-91 326.00 326.00 1 GARZA,RICHARD A 220260 10101 STRICKER,CANDIE D 203 STA 05-08-91 203.90 203.90 1 220181 10101 SUAREZ,EDUARDO 203 ACT 05-08-91 152.56 152.56 1 220160 10101 WILLIAMS,DALE 203 STA 05-08-91 3070.80 3070.80 1 WILLIAMS,DALE H 220370 10101 WILLIAMS,SHERRY 203 ACT 05-08-91 139.60 139.60 1 HARRIS,VINCENT L 221419 10101 BIAGGI,PATRICIA 203 DEC 05-15-91 346.05 346.05 1 BIAGGI,CASSANDRA M 221455 10101 CAMPOS,TERESA 203 BAF 05-15-91 552.34 215.00 03-25-93 337.34 1 HERNANDEZ,FRANCIS A 221445 10101 CORRALEJO,DIANE 90 ACC 05-15-91 224.00 224.00 1 CORRALEJO,DIANE E 221354 10101 CRISTINA,WILLIAN 203 ACT 05-15-91 112.00 112.00 1 CRISTINA,TANYA M 221634 10101 JACKSON,LUCINDA 203 BAN 05-15-91 121.88 121.88 1 JACKSON,LUCINDA A 221769 10101 LINDBORG,STEVEN 203 STA 05-15-91 102.00 102.00 1 LINDBORG,STEVEN A 221781 10101 LOPEZ,MARIA 203 STA 05-15-91 148.20 148.20 1 LOPEZ,MARIA E 221555 10101 MOORE,SCOTT 203 SKI' 05-15-91 110.92 110.92 1 MOORE,SCOTT A 221794 10.101 SMITH,BRIAN 203 BAF 05-15-91 243.14 243.14 1 SMITH,CHERYL A 221379 10101 STOFLE,LISA 203 SIA 05-15-91 140.50 140.50 1 STOFLE,JOHN E 221553 10101 THOMAS,DORETNA 203 SKF' 05-15-91 100.50 100.50 1 THOMAS,DORETHA A 221374 10101 THOMPSON,DOUG 203 STA 05-15-91 262.05 262.05 1 THOMPSON,DOUG R 221317 10101 TURNER,KENNETH 203 SKF 05-15-91 128.32 128.32 1 TURNER,CHARLES E 221639 10101 VACA,TRINA 203 HLD 05-15-91 262.35 262.35 1 VACA,TRINA K 221724 10101 VACA,TRINA 203 HLO 05-15-91 140.35 140.35 1 VACA,TRINA K 221548 10101 VALENCIA,ANTONIO 203 ACT 05-15-91 134.50 134.50 1 VALENCIA,MARIA G - HEALTH SERVICES WRITE-OFF REPORT DATE:27 Mar 2001 PACE: 23 DEBTOR.... CLIENT#... NAME.......................... DSK ST CD DT-ASSIGN PN-ASSIGN...... PRIN COL LST PAY. TOTAL BAL..... CNT 221361 10101 VAS®UEZ.MARIA 203 SEP 05-15-91 868.50 868.50 1 VASOUEI,MARIA J 221686 10101 WATSON,GARY 203 STA 05-15-91 105.00 105.00 1 WATSON,MELANIE L 221602 10101 WATSON,MELODY 203 STA 05-15-91 235.00 235.00 1 WATSOH,GARY L 221452 10101 WHISLER,TROY 203 ACT 05-15-91 103.00 103.00 1 WHISLER,TROY A 221385 10101 WODKOWSKI,LIDIA 203 STA 05-15-91 110.60 110.60 1 221671 10101 WODKOWSKI,LIDIA 203 STA 05-15-91 103.50 103.50 1 221586 10101 WOODS,FRANCES V 10 UNI: 05-15-91 770.20 11-30-95 770.20 1 222399 10101 BARRAZA,RDGELIO 203 STA 05-21-91 274.55 274.55 1 LOPEZ,MARIA E 222486 10101 STARK,NARLIN 203 BAF 05-21-91 1547.00 1038.00 02-07-95 509.00 1 STARK,LINDA M 222441 10101 WAGNER,CELESTE 201 BAF 05-21-91 182.50 182.50 1 WAGNER,DANIEL S 222497 - 10101 WATKINS,LYNDA 203 BAN 05-21-91 401.55 401.55 1 WATKINS,CHRISTOPHE J 222406 10101 IEPEDA,LILIAN 203 STA 05-21-91 143.00 143.00 1 ZEPEDA,LILIAN R 223456 10101 ACOSTA,ANA 203 ACT 05-29-91 218.80 218.80 1 ACOSTA,ANA M 223550 10101 ACOSTA,ANA 203 ACT 05-29-91 420.50 420.50 1 ACOSTA,ANA M 223813 10101 BANKS,ROBERTA 2 SUS 05-29-91 1795.61 1059.75 10-22-91 735.86 1 BANKS,ROBERTA C 223494 10101 BIBI,SURAYA 203 ACT 05-29-91 109.40 109.40 1 223493 10101 BRACGS,DAVID 203 ACT 05-29-91 250.45 250.45 1 BRAGGS,DAVID A 223743 10101 BRYANT,MARTHA 203 STA 05-29-91 686.10 686.10 1 BRYANT,MARTHA J 223579 10101 CAMPOS,TERESA 203 BAF 05-29-91 103.00 103.00 1 HERNANDEZ,FRANCIS A 223427 10101 CHAPMAN,CHELLE 203 ACT 05-29-91 210.57 210.57 1 223831 10101 CRAWFORD,DONALD 16 'ACT 05-29-91 412.00 412.00 1 223505 10101 DELAPAZ,TELESFORO 203 ACT 05-29-91 236.70 236.70 1 DELAPAI,TELESFORO P 223594 10101 FAIZYAR,MAHMOOD 203 ACT 05-29-91 292.25 292.25 1 - FAIZYAR,SALMA 223632 10101 GOODROAD,MOINNETTE 203 UNC 05-29-91 407.56 407.56 1 223718 10101 JOHNSON,IACHARY 203 STA 05-29-91 4269.95 4269.95 1 223840 10101 JOHNSON,ZACHARY 203 STA 05-29-91 523.64 523.64 1 223852 10101 JOHNSON,ZACHARY 203 STA 05-29-91 278.00 278.00 1 224590 10101 BAUGHMAN,JANET 203 DEC 06-04-91 389.50 389.50 1 BAUGHMAN,JANET K 224700 10101 CORBETT,MASON 203 STA 06-04-91 310.22 310.22 1 CORBETT,MASON J 224652 10101 KIRK,ROBERT 203 STA 06-04-91 417.47 417.47 1 KIRK,ROBERT I 224497 10101 MANDRICUES,RHONDA 203 STA 06-04-91 247.00 247.00 1 MANDRIGUES,RHONDA M