Case Number: 95SC00084
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Name: HEFTY, LARRY
Address:
LANCE H. TEMPEL, DDS LARRY HEFTY
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 23867 | 11/15/1995 | LANCE H. TEMPEL, DDS | 95SC84/TEMPEL/HEFTY | 36.50 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 23867 | 11/15/1995 | PAYOR-> LANCE H. TEM | 36.50 | 36.50 |