Case Number: 96SC00028
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Name: SAMUELSON, JIM (SAM)
Address:
ENSLEY ANIMAL CARE CENTER JIM (SAM) SAMUELSON
| Receipt Number | Receipt Date | Payor Name | Description | Total Amount |
|---|---|---|---|---|
| 28650 | 04/05/1996 | ENSLEY ANIMAL CARE #4496 | ENSLEY V SAMUELSON | 16.50 |
| 28900 | 04/12/1996 | CONNIE SAMUELSON | PAYMENT | 133.04 |
| 2874 | 04/12/1996 | ENSLEY ANIMAL CARE CENTER | DISBURSEMENT | 133.04 |
| Receipt Number | Transaction Date | Description | Amount Due | Amount Received |
|---|---|---|---|---|
| 28650 | 04/05/1996 | PAYOR-> ENSLEY ANIMA | 16.50 | 16.50 |
| 28899 | 04/12/1996 | PAYMENTT AMOUNT | 133.04 | 0.00 |
| 28900 | 04/12/1996 | PAYOR-> CONNIE SAMUE | 0.00 | 133.04 |