Case Number: 76D 11252
File Date: 02-12-1974
BROCKISH, VICKI P
Address:
DOB:
Attorney:
WINES, FOREST G
Address:
STATE OF WA
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 236 | 04/16/1992 | WINES/SOC SERV OF WASH | 0.00 |
| 619 | 05/18/1992 | WINES/HEALTH SERV,WASH ST | 0.00 |
| 1029 | 06/23/1992 | WINES/WA CO DEPT SHS | 438.87 |
| 1286 | 07/13/1992 | WINES/ST OF WASH SOC SERV | 543.76 |
| 1425 | 07/27/1992 | WINES/STATE OF WASHINGTON | 176.85 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S #2317515 | 04/16/1992 | 453.40 | WINES/SOC SERV OF WASH |
| C/S #2428814 | 05/18/1992 | 561.86 | WINES/HEALTH SERV,WASH ST |
| C/S #2537006 | 06/23/1992 | 438.87 | WINES/WA CO DEPT SHS |
| C/S #2607971 | 07/13/1992 | 543.76 | WINES/ST OF WASH SOC SERV |
| C/S #2652485 | 07/27/1992 | 176.85 | WINES/STATE OF WASHINGTON |