Case Number: 92D 00085
File Date: 6/5/1992
CSE RECEIVABLES
Address:
650 WEST
TOPEKA KS 66612
DOB:
Attorney:
REMBY, CONNIE J
Address:
3050 N 58TH, #22
KANSAS CITY KS 66104
DOB:
Attorney:
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 5482 | 2/18/1993 | REMBY, CONNIE J | 0.00 |
| 5483 | 2/18/1993 | REMBY, CONNIE J | 0.00 |
| 6985 | 6/24/1993 | REMBY, CONNIE J/WHITE MED | 23.09 |
| 7157 | 7/8/1993 | REMBY, CONNIE/WHITE'S MED | 23.09 |
| 7608 | 8/16/1993 | REMBY, CONNIE/WHITE MED L | 69.27 |
| 7805 | 9/2/1993 | REMBY, C/WHITE'S MED LAB | 23.09 |
| 7924 | 9/10/1993 | REMBY, CONNIE/WHITE'S MED | 23.09 |
| 8120 | 9/29/1993 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 8463 | 10/27/1993 | REMBY, CONNIE/WHITE MED L | 46.18 |
| 10601 | 4/14/1994 | REMBY, CONNIE/WHITE MED L | 92.36 |
| 10694 | 4/21/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 11487 | 5/9/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 11893 | 5/20/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 12786 | 6/14/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 13043 | 6/21/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 14052 | 7/19/1994 | REMBY, CONNIE/WHITE MEDIC | 46.18 |
| 14375 | 7/29/1994 | REMBY, CONNIE/WHITE'S MED | 23.09 |
| 14940 | 8/16/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 15213 | 8/25/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 15881 | 9/14/1994 | REMBY, CONNIE/WHITE MEDIA | 23.09 |
| 16843 | 10/12/1994 | REMBY, CONNIE/WHITE MEDIC | 23.09 |
| 24853 | 6/5/1995 | REMBY, CONNIE/SETOFF | 0.00 |
| 25863 | 6/30/1995 | REMBY, CONNIE/FED SETOFF | 0.00 |
| 32508 | 1/5/1996 | REMBY, CONNIE/SETOFF | 0.00 |
| 33468 | 2/1/1996 | REMBY, CONNIE/JOHN MOORE | 50.00 |
| 34426 | 3/1/1996 | REMBY, CONNIE/JM MOORE MD | 50.00 |
| 35497 | 4/1/1996 | REMBY, CONNIE/J MOORE | 50.00 |
| 36246 | 4/16/1996 | REMBY, CONNIE/SETOFF | 0.00 |
| 36719 | 5/1/1996 | REMBY, CONNIE/J M MOORE | 50.00 |
| 38029 | 6/4/1996 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 39047 | 7/3/1996 | REMBY, CONNIE/J.M. MOORE | 25.00 |
| 39971 | 7/30/1996 | REMBY, CONNIE/J MOORE MD | 25.00 |
| 41303 | 9/3/1996 | REMBY, CONNIE/J MOORE, MD | 25.00 |
| 42386 | 10/2/1996 | REMBY, CONNIE/J MOORE MD | 25.00 |
| 43601 | 11/4/1996 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 44588 | 11/27/1996 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 45313 | 12/18/1996 | REMBY, CONNIE/J MOORE MD | 25.00 |
| 46914 | 2/3/1997 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 46915 | 2/3/1997 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 48994 | 4/1/1997 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 50203 | 5/1/1997 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| 52200 | 6/16/1997 | REMBY, CONNIE/J M MOORE | 50.00 |
| 52738 | 6/30/1997 | REMBY, CONNIE/J M MOORE | 25.00 |
| 54016 | 8/1/1997 | REMBY, CONNIE/J M MOORE | 25.00 |
| 55416 | 9/2/1997 | REMBY, CONNIE/JM MOORE MD | 25.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S SETOFF STATE | 2/18/1993 | 382.00 | REMBY, CONNIE J |
| C/S SETOFF STATE | 2/18/1993 | 0.60 | REMBY, CONNIE J |
| C/S #6073 SRS | 6/24/1993 | 23.09 | REMBY, CONNIE J/WHITE MED |
| C/S #6120 SRS | 7/8/1993 | 23.09 | REMBY, CONNIE/WHITE'S MED |
| C/S #6301 SRS | 8/16/1993 | 69.27 | REMBY, CONNIE/WHITE MED L |
| C/S 6354 | 9/2/1993 | 23.09 | REMBY, C/WHITE'S MED LAB |
| C/S #6370 SRS | 9/10/1993 | 23.09 | REMBY, CONNIE/WHITE'S MED |
| C/S #6433 SES | 9/29/1993 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #6485 SRS | 10/27/1993 | 46.18 | REMBY, CONNIE/WHITE MED L |
| C/S #7106 SRS | 4/14/1994 | 92.36 | REMBY, CONNIE/WHITE MED L |
| C/S #7109 SRS | 4/21/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7162 SRS | 5/9/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7219 SRS | 5/20/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7273 SRS | 6/14/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7279 SRS | 6/21/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7370 SRS | 7/19/1994 | 46.18 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7428 SRS | 7/29/1994 | 23.09 | REMBY, CONNIE/WHITE'S MED |
| C/S #7495 | 8/16/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7547 SRS | 8/25/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| C/S #7649 SRS | 9/14/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIA |
| C/S #7761 10-7-94 | 10/12/1994 | 23.09 | REMBY, CONNIE/WHITE MEDIC |
| FED TX REF 5-9-95 | 6/5/1995 | 775.00 | REMBY, CONNIE/SETOFF |
| C/S FED TAX SETOFF | 6/30/1995 | 1388.00 | REMBY, CONNIE/FED SETOFF |
| C/S PD DIRECT TO SRS | 1/5/1996 | 50.00 | REMBY, CONNIE/SETOFF |
| C/S #7403 SRS | 2/1/1996 | 50.00 | REMBY, CONNIE/JOHN MOORE |
| C/S #7500 SRS | 3/1/1996 | 50.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #7565 SRS | 4/1/1996 | 50.00 | REMBY, CONNIE/J MOORE |
| FED TX REF 4-7-96 | 4/16/1996 | 228.00 | REMBY, CONNIE/SETOFF |
| C/S #7631 SRS | 5/1/1996 | 50.00 | REMBY, CONNIE/J M MOORE |
| C/S #7698 SRS | 6/4/1996 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #7761 SRS | 7/3/1996 | 25.00 | REMBY, CONNIE/J.M. MOORE |
| C/S #7818 SRS | 7/30/1996 | 25.00 | REMBY, CONNIE/J MOORE MD |
| C/S #7879 SRS | 9/3/1996 | 25.00 | REMBY, CONNIE/J MOORE, MD |
| C/S #7949 SRS | 10/2/1996 | 25.00 | REMBY, CONNIE/J MOORE MD |
| C/S #8020 SRS | 11/4/1996 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #8071 SRS | 11/27/1996 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #8131 SRS | 12/18/1996 | 25.00 | REMBY, CONNIE/J MOORE MD |
| C/S #8236 SRS | 2/3/1997 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #8239 SRS | 2/3/1997 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #8340 SRS | 4/1/1997 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #8401 SRS | 5/1/1997 | 25.00 | REMBY, CONNIE/JM MOORE MD |
| C/S #8474 SRS | 6/16/1997 | 50.00 | REMBY, CONNIE/J M MOORE |
| C/S #8504 SRS | 6/30/1997 | 25.00 | REMBY, CONNIE/J M MOORE |
| C/S #8564 SRS | 8/1/1997 | 25.00 | REMBY, CONNIE/J M MOORE |
| 19970830 C/S 8618 | 9/2/1997 | 25.00 | REMBY, CONNIE/JM MOORE MD |