Case Number: 96L 00090
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Name: CANNON, SUE E
Address:
COTTON-O'NEIL CLINIC PA 314 MAPLE LOT 123, WAMEGO
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 33221 | 08/14/1996 | T A VALENTINE #602868 | COTTON-O'NEIL/CANNON | 39.50 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 33221 | 08/14/1996 | PAYOR-> T A VALENTIN | 39.50 | 39.50 |