Case Number: 96C 00037
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Name: TARVIN, RANDY J, M.D.
Address:
REBECCA DORMAN, ET AL COMMUNITY HOSP. ONAGA
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 34289 | 09/16/1996 | EUGENE B. RALSTON #13261 | DOCKET FEES | 66.50 |
| 40396 | 03/01/1997 | RUSE-CK#243631 | TELE CONF CALL FEE | 9.12 |
| 41504 | 03/27/1997 | BLACKWELL SANDERS/#124250 | TELE CONF CALL FEE | 9.88 |
| 41818 | 04/03/1997 | KEVIN DEAL-CK#14804 | TELE CONF CALL | 9.50 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 34289 | 09/16/1996 | PAYOR-> EUGENE B. RA | 66.50 | 66.50 |
| 40395 | 03/01/1997 | TELE CONF CALL FEE | 9.12 | 0.00 |
| 40396 | 03/01/1997 | PAYOR-> RUSE-CK#2436 | 0.00 | 9.12 |
| 41503 | 03/27/1997 | TELE CONF CALL FEE | 9.88 | 0.00 |
| 41504 | 03/27/1997 | PAYOR-> BLACKWELL SA | 0.00 | 9.88 |
| 41817 | 04/03/1997 | TELE CONF CALL FEE | 9.50 | 0.00 |
| 41818 | 04/03/1997 | PAYOR-> KEVIN DEAL-C | 0.00 | 9.50 |