Case Number: 94D 00035
File Date: 05/20/1994
ST OF KS, EX REL., SRS
Address:
DOB:
Attorney: NAAB, WILMA J.
HODGE, TINA L.
Address:
1538 CONTINENTAL
SHARONVILLE, OH 45246
DOB:
Attorney:
| Docket Number | Date | Docket Entry |
|---|---|---|
| 1 | 07/14/1998 | AFFIDAVIT OF SVS FI'D BY ATTY HOFFMAN |
| 2 | 09/03/1998 | NOTICE OF TERMINATION OF EMPLOYMENT |
| 3 | 09/28/1998 | EMPLOYER ANSWER FILED |
| 4 | 10/22/1998 | AFFIDAVIT OF SERVICE FI'D BY ATTY HOFFMAN |
| 5 | 03/03/1999 | AFFIDAVIT OF SVS FI'D BY ATTY HOFFMAN C/A |
| 6 | 03/30/1999 | AFFIDAVIT OF SVS FI'D BY ATTY HOFFMAN C/A |
| 7 | 04/09/1999 | EMPLOYER ANSWER FILED BY CITY OF SHARONVILLE C/A |
| 8 | 04/26/1999 | EMPLOYER ANSWER FILED BY MCV HEALTHCARE FACILITY INC |
| 9 | 12/03/1999 | AFFIDAVIT OF SVS FI'D BY ATTY HOFFMAN FOR SRS C/A |
| Receipt Number | Receipt Date | Payor Name | Total Amount |
|---|---|---|---|
| 23807 | 07/15/1996 | HODGE/FEDERAL SETOFF | 0.00 |
| 25905 | 09/16/1996 | DORA QUATHAMER | 61.50 |
| 31421 | 05/13/1997 | HODGE/FEDERAL SETOFF | 0.00 |
| 36684 | 02/04/1998 | HODGE, TINA L/ 09/23/97 | 0.00 |
| 36685 | 02/04/1998 | HODGE, TINA L/ 12/16/97 | 0.00 |
| 37564 | 03/18/1998 | HODGE, TINA L. | 50.00 |
| 37649 | 03/24/1998 | HODGE, TINA L. | 200.00 |
| 39008 | 05/28/1998 | HODGE, TINA L. | 100.00 |
| 44536 | 03/09/1999 | HODGE/JASON HODGE | 100.00 |
| 45182 | 03/30/1999 | HODGE/CTY OF SHARONVILLE | 57.71 |
| 45712 | 04/12/1999 | HODGE/CTY OF SHARONVILLE | 35.48 |
| 45908 | 04/23/1999 | HODGE/AUTOMATIC DATA PROC | 57.71 |
| 45917 | 04/26/1999 | HODGE/CTY OF SHARONVILLE | 57.71 |
| 46120 | 05/06/1999 | HODGE/MCV HEALTH CARE | 57.71 |
| 46187 | 05/10/1999 | HODGE/CITY OF SHARONVILLE | 35.48 |
| 46357 | 05/20/1999 | HODGE/MCV HEALTH CARE | 57.71 |
| 46602 | 06/07/1999 | HODGE/MCV HEALTH CARE | 57.71 |
| 46789 | 06/21/1999 | HODGE/MCV HEALTHCARE | 57.71 |
| 47247 | 07/22/1999 | HODGE/MCV HEALTH CARE | 44.74 |
| 50289 | 02/08/2000 | HODGE/DIRECT PAYMENT | 0.00 |
| 52092 | 05/09/2000 | HODGE/OFFSET | 0.00 |
| Description | Transation Date | Amount Paid | Payor |
|---|---|---|---|
| FED SETOFF 7/8/96 | 7/15/1996 | 343.00 | HODGE/FEDERAL SETOFF |
| DOCKET FEES | 9/16/1996 | 61.50 | DORA QUATHAMER |
| FEDERAL SETOFF 05797 | 5/13/1997 | 73.00 | HODGE/FEDERAL SETOFF |
| 19980204 C/S | 2/4/1998 | 100.00 | HODGE, TINA L/ 09/23/97 |
| 19980204 C/S | 2/4/1998 | 100.00 | HODGE, TINA L/ 12/16/97 |
| 19980312 C/S #1174 | 3/18/1998 | 50.00 | HODGE, TINA L. |
| 19980317 C/S #0409 | 3/24/1998 | 200.00 | HODGE, TINA L. |
| 19980312 C/S #0426 | 5/28/1998 | 100.00 | HODGE, TINA L. |
| 19990301 C/S #833 | 3/9/1999 | 100.00 | HODGE/JASON HODGE |
| 19990326 C/S #54320 | 3/30/1999 | 57.71 | HODGE/CTY OF SHARONVILLE |
| 19990409 C/S #54488 | 4/12/1999 | 35.48 | HODGE/CTY OF SHARONVILLE |
| 19990416 C/S#1692953 | 4/23/1999 | 57.71 | HODGE/AUTOMATIC DATA PROC |
| 19990423 C/S #54655 | 4/26/1999 | 57.71 | HODGE/CTY OF SHARONVILLE |
| 19990430 C/S#1789518 | 5/6/1999 | 57.71 | HODGE/MCV HEALTH CARE |
| 19990507 C/S 54837 | 5/10/1999 | 35.48 | HODGE/CITY OF SHARONVILLE |
| 19990514 C/S#1891437 | 5/20/1999 | 57.71 | HODGE/MCV HEALTH CARE |
| 19990528 C/S 2001894 | 6/7/1999 | 57.71 | HODGE/MCV HEALTH CARE |
| 19990611 C/S 2102719 | 6/21/1999 | 57.71 | HODGE/MCV HEALTHCARE |
| 19990709 C/S#2325252 | 7/22/1999 | 44.74 | HODGE/MCV HEALTH CARE |
| 20000208 DIRECT PYMT | 2/8/2000 | 916.00 | HODGE/DIRECT PAYMENT |
| 20000509 OFFSET | 5/9/2000 | 799.00 | HODGE/OFFSET |