Case Number: 94D 00003
File Date: 01/14/1994
LONG, SUSAN NADINE
Address:
1344 SW GARFIELD AVE.
TOPEKA, KS 66604-2712
DOB:
Attorney: BALDOCK, BILL
LONG, ARTHUR LEVI
Address:
4800 METROPOLITAN
KANSAS CITY KS 66106
DOB:
Attorney: VAN PETTEN, EDWIN
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 3371 | 04/18/1994 | LONG, ARTHUR LEVI | 0.00 |
| 3450 | 05/03/1994 | LONG, ARTHUR LEVI | 0.00 |
| 3518 | 05/16/1994 | LONG, ARTHUR LEVI | 0.00 |
| 3587 | 06/01/1994 | LONG, ARTHUR LEVI | 0.00 |
| 3838 | 07/21/1994 | LONG, ARTHUR LEVI | 0.00 |
| 3977 | 08/19/1994 | LONG, ARTHUR LEVI | 811.00 |
| 1460 | 08/19/1994 | LONG, SUSAN NADINE | 811.00 |
| 4248 | 10/12/1994 | LONG, ARTHUR LEVI | 0.00 |
| 4311 | 10/25/1994 | LONG/GENERAL CASUALTY | 0.00 |
| 4808 | 11/09/1994 | LONG/ GENERAL CASUALTY IN | 0.00 |
| 5168 | 11/23/1994 | LONG/GENERAL CASUALTY | 0.00 |
| 5523 | 12/07/1994 | LONG/GENERAL CASUALTY | 0.00 |
| 5755 | 12/19/1994 | LONG/GENERAL CASUALTY | 0.00 |
| 5861 | 12/22/1994 | LONG/GENERAL CASUALTY | 0.00 |
| 6370 | 01/17/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 6371 | 01/17/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 6772 | 01/31/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 7401 | 02/16/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 7740 | 02/28/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 8091 | 03/14/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 8508 | 03/29/1995 | LONG/GENERAL CASUALTY | 0.00 |
| 13241 | 10/25/1995 | LONG/MCCULLOUGH, WAREHEIM | 0.00 |
| 18392 | 02/21/1996 | LONG, ARTHUR LEVI | 0.00 |
| 24643 | 08/12/1996 | LONG, ARTHUR LEVI | 0.00 |
| 26041 | 09/20/1996 | LONG, ARTHUR LEVI | 0.00 |
| 26565 | 10/07/1996 | LONG, ARTHUR LEVI | 0.00 |
| 27022 | 10/28/1996 | LONG, ARTHUR LEVI | 0.00 |
| 27706 | 12/02/1996 | LONG, ARTHUR LEVI | 0.00 |
| 28613 | 01/16/1997 | LONG, ARTHUR LEVI | 0.00 |
| 29313 | 02/18/1997 | LONG, ARTHUR LEVI | 0.00 |
| 29860 | 02/28/1997 | LONG, ARTHUR LEVI | 0.00 |
| 30810 | 04/16/1997 | LONG, ARTHUR LEVI | 0.00 |
| 35359 | 12/01/1997 | LONG, ARTHUR LEVI | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| C/S (M.O. - 2) | 4/18/1994 | 120.00 | LONG, ARTHUR LEVI |
| TEMP C/S (2-M.O.'S) | 5/3/1994 | 130.00 | LONG, ARTHUR LEVI |
| TEMP C/S M.O. (2) | 5/16/1994 | 125.00 | LONG, ARTHUR LEVI |
| TEMP C/S (M.O.) | 6/1/1994 | 125.00 | LONG, ARTHUR LEVI |
| TEMP C/S #1462 | 7/21/1994 | 65.00 | LONG, ARTHUR LEVI |
| C/S (CASH) | 8/19/1994 | 811.00 | LONG, ARTHUR LEVI |
| C/S (M.O.) | 10/12/1994 | 313.00 | LONG, ARTHUR LEVI |
| C/S #2432153 | 10/25/1994 | 108.90 | LONG/GENERAL CASUALTY |
| C/S #2432707 | 11/9/1994 | 108.90 | LONG/ GENERAL CASUALTY IN |
| C/S #2433201 | 11/23/1994 | 108.90 | LONG/GENERAL CASUALTY |
| C/S #2433641 | 12/7/1994 | 108.90 | LONG/GENERAL CASUALTY |
| C/S #2728598 | 12/19/1994 | 108.90 | LONG/GENERAL CASUALTY |
| C/S #2728805 | 12/22/1994 | 108.90 | LONG/GENERAL CASUALTY |
| C/S #2729577 | 1/17/1995 | 108.90 | LONG/GENERAL CASUALTY |
| C/S #2729579 | 1/17/1995 | 54.45 | LONG/GENERAL CASUALTY |
| C/S #2730131 | 1/31/1995 | 96.50 | LONG/GENERAL CASUALTY |
| C/S #2730567 | 2/16/1995 | 96.50 | LONG/GENERAL CASUALTY |
| C/S #2731045 | 2/28/1995 | 96.50 | LONG/GENERAL CASUALTY |
| C/S #2731511 | 3/14/1995 | 96.50 | LONG/GENERAL CASUALTY |
| C/S #2732002 | 3/29/1995 | 96.50 | LONG/GENERAL CASUALTY |
| BACK C/S #29618 | 10/25/1995 | 579.75 | LONG/MCCULLOUGH, WAREHEIM |
| C/S (M.O.) | 2/21/1996 | 200.00 | LONG, ARTHUR LEVI |
| C/S (M.O.) | 8/12/1996 | 100.00 | LONG, ARTHUR LEVI |
| C/S #513621 | 9/20/1996 | 100.00 | LONG, ARTHUR LEVI |
| C/S #M.O. | 10/7/1996 | 100.00 | LONG, ARTHUR LEVI |
| C/S #QUIPTRIP M.O. | 10/28/1996 | 200.00 | LONG, ARTHUR LEVI |
| C/S #QUIKTRIP MO | 12/2/1996 | 200.00 | LONG, ARTHUR LEVI |
| C/S QUICKTRIP MO | 1/16/1997 | 200.00 | LONG, ARTHUR LEVI |
| C/S #MO | 2/18/1997 | 100.00 | LONG, ARTHUR LEVI |
| C/S #MO | 2/28/1997 | 100.00 | LONG, ARTHUR LEVI |
| C/S #MO | 4/16/1997 | 200.00 | LONG, ARTHUR LEVI |
| 19971201 C/S #M.O. | 12/1/1997 | 100.00 | LONG, ARTHUR LEVI |