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Claim |
Enrollee |
Dep |
Incurred Dates |
SSN |
Mem First |
Charges |
Disallowed |
Allowable |
PPO Disc |
Deduct |
Co- Pays |
Coins OOP |
COB Reimb |
COB Sav |
Other |
Paid |
Claim Status | |||||||
| Group: 99999 | ||||||||||||||||||||||||
| Plan: 99999A | ||||||||||||||||||||||||
| Location: 0000 | ||||||||||||||||||||||||
| Benefit Type: CS | ||||||||||||||||||||||||
| 3049449302 | DOE, J | e | 09/26-09/26/2003 | 123456789 | PAT | $346.00 | $.00 | $346.00 | $143.55 | $.00 | $.00 | $60.73 | $.00 | $.00 | $.00 | $141.72 | f | |||||||
| 3051870502 | DOE, J | e | 10/31-10/31/2003 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $4.38 | $.00 | $.00 | $72.19 | $.00 | $.00 | $.00 | $168.43 | f | |||||||
| 3051892802 | DOE, J | 4 | 09/04-09/05/2003 | 123456789 | PAT | $2,382.21 | $.00 | $2,382.21 | $673.92 | $.00 | $50.00 | $165.83 | $.00 | $.00 | $.00 | $1,492.46 | f | |||||||
| 3052002601 | DOE, J | s | 12/03-12/07/2003 | 123456789 | PAT | $30,240.12 | $.00 | $30,240.12 | $1,512.01 | $.00 | $500.00 | $1,601.29 | $.00 | $.00 | $.00 | $26,626.82 | f | |||||||
| 4001604301 | DOE, J | e | 10/29-10/31/2003 | 123456789 | PAT | $3,585.00 | $.00 | $3,585.00 | $179.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $3,405.75 | f | |||||||
| 4001604701 | DOE, J | e | 11/01-11/07/2003 | 123456789 | PAT | $8,365.00 | $.00 | $8,365.00 | $418.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $7,946.75 | f | |||||||
| 4001607001 | DOE, J | e | 12/01-12/05/2003 | 123456789 | PAT | $2,875.00 | $.00 | $2,875.00 | $143.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2,731.25 | f | |||||||
| 4001610302 | DOE, J | 1 | 12/10-12/12/2003 | 123456789 | PAT | $223.00 | $.00 | $223.00 | $48.05 | $174.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001666302 | DOE, J | 2 | 12/12-12/12/2003 | 123456789 | PAT | $162.00 | $.00 | $162.00 | $16.20 | $55.80 | $.00 | $27.00 | $.00 | $.00 | $.00 | $63.00 | f | |||||||
| 4001690402 | DOE, J | e | 12/02-12/02/2003 | 123456789 | PAT | $857.68 | $.00 | $857.68 | $128.65 | $.00 | $.00 | $189.54 | $.00 | $.00 | $.00 | $539.49 | f | |||||||
| 4002409402 | DOE, J | 1 | 12/15-12/19/2003 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $36.12 | $75.05 | $.00 | $31.54 | $.00 | $.00 | $.00 | $47.29 | f | |||||||
| 4002456202 | DOE, J | 1 | 12/22-12/29/2003 | 123456789 | PAT | $279.00 | $.00 | $279.00 | $43.64 | $.00 | $.00 | $94.15 | $.00 | $.00 | $.00 | $141.21 | f | |||||||
| 4002480101 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $185.00 | $185.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002583601 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002927201 | DOE, J | e | 12/02-12/02/2003 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $68.25 | $120.25 | $.00 | $1.95 | $.00 | $.00 | $.00 | $4.55 | f | |||||||
| 4002927501 | DOE, J | e | 12/08-12/08/2003 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $16.70 | $.00 | $.00 | $45.09 | $.00 | $.00 | $.00 | $105.21 | f | |||||||
| 4002972901 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $234.25 | $.00 | $234.25 | $136.25 | $.00 | $.00 | $29.40 | $.00 | $.00 | $.00 | $68.60 | f | |||||||
| 4002973501 | DOE, J | 1 | 12/15-12/15/2003 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $90.00 | $49.00 | $.00 | $25.80 | $.00 | $.00 | $.00 | $60.20 | f | |||||||
| 4002991301 | DOE, J | s | 12/09-12/09/2003 | 123456789 | PAT | $208.00 | $.00 | $208.00 | $52.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $156.00 | f | |||||||
| 4002991701 | DOE, J | e | 12/16-12/16/2003 | 123456789 | PAT | $3,412.50 | $3,412.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002993801 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $14.50 | $63.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002995101 | DOE, J | e | 12/10-12/10/2003 | 123456789 | PAT | $2,534.00 | $.00 | $2,534.00 | $760.20 | $.00 | $.00 | $709.52 | $.00 | $.00 | $.00 | $1,064.28 | f | |||||||
| 4002997501 | DOE, J | s | 12/03-12/03/2003 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $23.50 | $63.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003048101 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $24.50 | $45.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003048601 | DOE, J | 1 | 01/02-01/09/2004 | 123456789 | PAT | $325.00 | $325.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003048602 | DOE, J | 1 | 01/02-01/09/2004 | 123456789 | PAT | $325.00 | $.00 | $325.00 | $62.60 | $.00 | $.00 | $104.97 | $.00 | $.00 | $.00 | $157.43 | f | |||||||
| 4003050801 | DOE, J | s | 01/11-01/11/2004 | 123456789 | PAT | $332.07 | $.00 | $332.07 | $99.62 | $232.45 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003051201 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $21.30 | $.00 | $.00 | $36.21 | $.00 | $.00 | $.00 | $84.49 | f | |||||||
| 4003053301 | DOE, J | 3 | 02/05-02/21/2003 | 123456789 | PAT | $436.50 | $226.50 | $210.00 | $31.50 | $.00 | $.00 | $53.55 | $.00 | $.00 | $.00 | $124.95 | f | |||||||
| 4003053501 | DOE, J | 2 | 01/07-01/07/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $19.00 | $55.80 | $.00 | $39.46 | $.00 | $.00 | $.00 | $75.74 | f | |||||||
| 4003054401 | DOE, J | s | 12/17-12/17/2003 | 123456789 | WENDY V | $33.00 | $33.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003055501 | DOE, J | s | 12/26-12/26/2003 | 123456789 | PAT | $680.00 | $.00 | $680.00 | $140.00 | $.00 | $.00 | $162.00 | $.00 | $.00 | $.00 | $378.00 | f | |||||||
| 4003056001 | DOE, J | s | 07/02-07/02/2003 | 123456789 | PAT | $175.00 | $175.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003056401 | DOE, J | s | 07/02-07/02/2003 | 123456789 | PAT | $645.25 | $645.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003058501 | DOE, J | s | 01/03-01/04/2004 | 123456789 | PAT | $395.00 | $395.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003063001 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $53.18 | $.00 | $.00 | $8.05 | $.00 | $.00 | $.00 | $18.77 | f | |||||||
| 4003063501 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $121.47 | $.00 | $.00 | $23.56 | $.00 | $.00 | $.00 | $54.97 | f | |||||||
| 4003064201 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $285.00 | $.00 | $285.00 | $57.00 | $228.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003065101 | DOE, J | 1 | 01/06-01/06/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $25.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003066001 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $85.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003066002 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $17.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003096601 | DOE, J | s | 01/03-01/03/2004 | 123456789 | PAT | $1,721.00 | $.00 | $1,721.00 | $430.25 | $250.00 | $.00 | $312.22 | $.00 | $.00 | $.00 | $728.53 | f | |||||||
| 4003100501 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $2.00 | $.00 | $.00 | $5.40 | $.00 | $.00 | $.00 | $12.60 | f | |||||||
| 4003101301 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $113.50 | $.00 | $113.50 | $11.35 | $.00 | $.00 | $30.64 | $.00 | $.00 | $.00 | $71.51 | f | |||||||
| 4003102501 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $3,000.00 | $.00 | $3,000.00 | $300.00 | $42.00 | $.00 | $797.40 | $.00 | $.00 | $.00 | $1,860.60 | f | |||||||
| 4003103801 | DOE, J JR | 1 | 10/04-10/14/2003 | 123456789 | PAT | $399.00 | $.00 | $399.00 | $79.80 | $.00 | $.00 | $95.76 | $.00 | $.00 | $.00 | $223.44 | f | |||||||
| 4003105001 | DOE, J | 2 | 01/11-01/11/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $38.50 | $71.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003123901 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $32.00 | $.00 | $.00 | $14.40 | $.00 | $.00 | $.00 | $33.60 | f | |||||||
| 4003180401 | DOE, J | e | 12/24-12/24/2003 | 123456789 | PAT | $4,752.06 | $.00 | $4,752.06 | $3,452.06 | $.00 | $100.00 | $360.00 | $.00 | $.00 | $.00 | $840.00 | f | |||||||
| 4003195101 | DOE, J | e | 12/19-12/19/2003 | 123456789 | PAT | $595.00 | $.00 | $595.00 | $59.50 | $250.00 | $.00 | $85.65 | $.00 | $.00 | $.00 | $199.85 | f | |||||||
| 4003195901 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $680.00 | $.00 | $680.00 | $68.00 | $.00 | $.00 | $183.60 | $.00 | $.00 | $.00 | $428.40 | f | |||||||
| 4003198601 | DOE, J | 1 | 10/21-10/21/2003 | 123456789 | PAT | $84.00 | $.00 | $84.00 | $31.00 | $.00 | $.00 | $26.50 | $.00 | $.00 | $.00 | $26.50 | f | |||||||
| 4003332701 | DOE, J | e | 06/10-06/10/2003 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $53.71 | $151.29 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003333601 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $315.00 | $.00 | $315.00 | $116.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $188.08 | f | |||||||
| 4003334501 | DOE, J | e | 10/28-10/28/2003 | 123456789 | PAT | $72.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003366801 | DOE, J | s | 12/27-12/29/2003 | 123456789 | PAT | $750.00 | $750.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003367101 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $250.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003367301 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $250.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003367901 | DOE, J | s | 01/01-01/02/2004 | 123456789 | PAT | $500.00 | $500.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003371601 | DOE, J | e | 12/01-12/15/2003 | 123456789 | PAT | $1,903.72 | $.00 | $1,903.72 | $443.62 | $.00 | $.00 | $470.85 | $.00 | $.00 | $.00 | $989.25 | f | |||||||
| 4003372401 | DOE, J | s | 10/17-10/17/2003 | 123456789 | PAT | $70.40 | $70.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003419001 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $15.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003419801 | DOE, J | s | 10/21-10/21/2003 | 123456789 | PAT | $2,750.00 | $.00 | $2,750.00 | $470.36 | $.00 | $.00 | $683.89 | $.00 | $.00 | $.00 | $1,595.75 | f | |||||||
| 4003424001 | DOE, J | e | 12/18-12/18/2003 | 123456789 | PAT | $2,615.50 | $.00 | $2,615.50 | $261.55 | $250.00 | $.00 | $1,386.45 | $.00 | $.00 | $.00 | $717.50 | f | |||||||
| 4003424601 | DOE, J | s | 08/21-08/21/2003 | 123456789 | PAT | $150.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003427401 | DOE, J | 3 | 01/07-01/24/2003 | 123456789 | PAT | $150.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003448701 | DOE, J | e | 12/16-12/31/2003 | 123456789 | PAT | $1,236.29 | $.00 | $1,236.29 | $186.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,049.89 | f | |||||||
| 4003640501 | DOE, J | s | 10/20-10/21/2003 | 123456789 | PAT | $170.00 | $170.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003702401 | DOE, J | s | 10/22-10/22/2003 | 123456789 | KAREN R | $37.00 | $.00 | $37.00 | $13.30 | $.00 | $.00 | $7.11 | $.00 | $.00 | $.00 | $16.59 | f | |||||||
| 4003702701 | DOE, J JR | e | 01/07-01/07/2004 | 123456789 | JAIME JR | $1,400.00 | $.00 | $1,400.00 | $210.00 | $.00 | $.00 | $357.00 | $.00 | $.00 | $.00 | $833.00 | f | |||||||
| 4003708101 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003709101 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $5.67 | $39.33 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003709701 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $14.00 | $56.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003714301 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $1,104.00 | $1,104.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003714302 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $1,104.00 | $.00 | $1,104.00 | $165.60 | $.00 | $.00 | $281.52 | $.00 | $.00 | $.00 | $656.88 | f | |||||||
| 4003715501 | DOE, J | e | 11/10-11/10/2003 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $15.61 | $.00 | $.00 | $20.82 | $.00 | $.00 | $.00 | $48.57 | f | |||||||
| 4003716401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $6.90 | $53.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003716601 | DOE, J | e | 12/05-12/05/2003 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $20.88 | $.00 | $.00 | $29.74 | $.00 | $.00 | $.00 | $69.38 | f | |||||||
| 4003762201 | DOE, J | 1 | 12/03-12/03/2003 | 123456789 | PAT | $405.95 | $.00 | $405.95 | $20.30 | $35.00 | $50.00 | $90.19 | $.00 | $.00 | $.00 | $210.46 | f | |||||||
| 4003762701 | DOE, J | 3 | 12/03-12/03/2003 | 123456789 | PAT | $401.66 | $.00 | $401.66 | $20.08 | $248.00 | $50.00 | $25.07 | $.00 | $.00 | $.00 | $58.51 | f | |||||||
| 4003779101 | DOE, J | s | 12/29-01/05/2004 | 123456789 | PAT | $674.00 | $674.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003779201 | DOE, J | s | 08/05-08/05/2003 | 123456789 | PAT | $54.00 | $.00 | $54.00 | $5.40 | $.00 | $.00 | $14.58 | $.00 | $.00 | $.00 | $34.02 | f | |||||||
| 4003779501 | DOE, J | s | 08/05-08/05/2003 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $4.00 | $.00 | $.00 | $12.20 | $.00 | $.00 | $.00 | $23.80 | f | |||||||
| 4003779701 | DOE, J | s | 08/05-08/05/2003 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $14.50 | $.00 | $.00 | $39.15 | $.00 | $.00 | $.00 | $91.35 | f | |||||||
| 4003989701 | DOE, J | 2 | 01/11-01/11/2004 | 123456789 | PAT | $365.00 | $365.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004018601 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004018801 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $128.00 | $128.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004019301 | DOE, J | 3 | 12/05-12/05/2003 | 123456789 | PAT | $56.00 | $56.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004028701 | DOE, J | s | 12/30-01/29/2004 | 123456789 | PAT | $385.00 | $.00 | $385.00 | $97.00 | $185.00 | $.00 | $30.90 | $.00 | $.00 | $.00 | $72.10 | f | |||||||
| 4004097601 | DOE, J | e | 01/06-01/07/2004 | 123456789 | PAT | $69.33 | $.00 | $69.33 | $14.43 | $16.90 | $.00 | $11.40 | $.00 | $.00 | $.00 | $26.60 | f | |||||||
| 4004097701 | DOE, J | e | 01/08-01/09/2004 | 123456789 | PAT | $77.27 | $.00 | $77.27 | $8.13 | $.00 | $.00 | $20.74 | $.00 | $.00 | $.00 | $48.40 | f | |||||||
| 4004097901 | DOE, J | e | 01/09-01/12/2004 | 123456789 | PAT | $62.14 | $.00 | $62.14 | $4.27 | $.00 | $.00 | $17.37 | $.00 | $.00 | $.00 | $40.50 | f | |||||||
| 4004108201 | DOE, J | e | 07/30-07/30/2003 | 123456789 | PAT | $236.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004109401 | DOE, J | e | 08/18-08/18/2003 | 123456789 | PAT | $206.00 | $206.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004118701 | DOE, J | 1 | 09/27-09/27/2002 | 123456789 | PAT | $24.00 | $24.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004234001 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $322.50 | $.00 | $322.50 | $64.50 | $.00 | $.00 | $51.60 | $.00 | $.00 | $.00 | $206.40 | f | |||||||
| 4004350201 | DOE, J JR | e | 01/16-01/18/2004 | 123456789 | JAIME JR | $305.00 | $.00 | $305.00 | $48.98 | $.00 | $.00 | $76.80 | $.00 | $.00 | $.00 | $179.22 | f | |||||||
| 4004350301 | DOE, J JR | e | 01/15-01/15/2004 | 123456789 | JAIME JR | $95.00 | $.00 | $95.00 | $19.52 | $.00 | $.00 | $22.64 | $.00 | $.00 | $.00 | $52.84 | f | |||||||
| 4004351901 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $789.35 | $.00 | $789.35 | $39.46 | $.00 | $.00 | $224.97 | $.00 | $.00 | $.00 | $524.92 | f | |||||||
| 4004352401 | DOE, J IV | 2 | 10/11-10/11/2003 | 123456789 | PAT | $50.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004352501 | DOE, J IV | 1 | 10/11-10/11/2003 | 123456789 | WILLIAM V | $65.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004352701 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $5.00 | $.00 | $.00 | $6.00 | $.00 | $.00 | $.00 | $14.00 | f | |||||||
| 4004386401 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $4.50 | $.00 | $.00 | $12.15 | $.00 | $.00 | $.00 | $28.35 | f | |||||||
| 4004441001 | DOE, J | 2 | 12/31-12/31/2003 | 123456789 | PAT | $37.00 | $37.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004441101 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $5.80 | $52.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004441201 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $8.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004441301 | DOE, J | 3 | 01/08-01/08/2004 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004441401 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $30.00 | $.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4004441501 | DOE, J | s | 10/30-10/30/2003 | 123456789 | PAT | $185.00 | $185.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004441701 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $14.80 | $59.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004478601 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $17.20 | $68.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004509301 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $21.69 | $.00 | $.00 | $39.15 | $.00 | $.00 | $.00 | $39.16 | f | |||||||
| 4004513701 | DOE, J | e | 11/23-11/23/2003 | 123456789 | PAT | $204.00 | $204.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004514301 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $7.52 | $.00 | $.00 | $19.64 | $.00 | $.00 | $.00 | $45.84 | f | |||||||
| 4004516101 | DOE, J JR | 1 | 01/16-01/16/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $18.86 | $41.14 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004516801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $176.00 | $176.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004517601 | DOE, J | e | 12/28-12/28/2003 | 123456789 | PAT | $312.00 | $312.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004527201 | DOE, J | e | 01/08-01/09/2004 | 123456789 | PAT | $475.00 | $475.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004535501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $63.00 | $.00 | $63.00 | $7.56 | $55.44 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004536001 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $30.34 | $144.66 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004536401 | DOE, J | e | 11/19-11/19/2003 | 123456789 | PAT | $345.00 | $.00 | $345.00 | $221.68 | $.00 | $.00 | $37.00 | $.00 | $.00 | $.00 | $86.32 | f | |||||||
| 4004536801 | DOE, J | e | 10/17-10/17/2003 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $30.00 | $109.00 | $.00 | $11.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004574701 | DOE, J | s | 01/11-01/11/2004 | 123456789 | PAT | $222.00 | $.00 | $222.00 | $127.05 | $94.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004579301 | DOE, J | s | 09/15-09/15/2003 | 123456789 | PAT | $45.00 | $18.00 | $27.00 | $.00 | $27.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004656401 | DOE, J | s | 06/03-06/03/2003 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $4.00 | $48.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004657301 | DOE, J JR | e | 01/21-01/22/2004 | 123456789 | JAIME JR | $190.00 | $.00 | $190.00 | $39.04 | $.00 | $.00 | $45.28 | $.00 | $.00 | $.00 | $105.68 | f | |||||||
| 4004657901 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $14.70 | $80.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004658301 | DOE, J | e | 08/05-08/05/2003 | 123456789 | PAT | $165.00 | $165.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004659201 | DOE, J | e | 08/04-08/04/2003 | 123456789 | PAT | $165.00 | $165.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004685601 | DOE, J | s | 01/09-02/08/2004 | 123456789 | PAT | $690.00 | $.00 | $690.00 | $355.01 | $.00 | $.00 | $134.00 | $.00 | $.00 | $.00 | $200.99 | f | |||||||
| 4004685901 | DOE, J | s | 12/09-01/08/2004 | 123456789 | PAT | $690.00 | $.00 | $690.00 | $355.01 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $334.99 | f | |||||||
| 4004691101 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $131.00 | $131.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004692501 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $7.00 | $.00 | $.00 | $2.80 | $.00 | $.00 | $.00 | $25.20 | f | |||||||
| 4004703201 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $247.00 | $.00 | $247.00 | $131.82 | $41.50 | $.00 | $22.11 | $.00 | $.00 | $.00 | $51.57 | f | |||||||
| 4004703301 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $14.21 | $63.79 | $.00 | $13.20 | $.00 | $.00 | $.00 | $30.80 | f | |||||||
| 4004711301 | DOE, J JR | e | 01/23-01/23/2004 | 123456789 | JAIME JR | $95.00 | $.00 | $95.00 | $19.52 | $.00 | $.00 | $22.64 | $.00 | $.00 | $.00 | $52.84 | f | |||||||
| 4004711401 | DOE, J | e | 12/31-12/31/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $14.70 | $.00 | $.00 | $32.12 | $.00 | $.00 | $.00 | $48.18 | f | |||||||
| 4004711501 | DOE, J | 2 | 01/07-01/07/2004 | 123456789 | PAT | $561.00 | $.00 | $561.00 | $56.10 | $54.67 | $.00 | $45.02 | $.00 | $.00 | $.00 | $405.21 | f | |||||||
| 4004716801 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $272.00 | $272.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004717601 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $9.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004718501 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $6.00 | $.00 | $.00 | $16.20 | $.00 | $.00 | $.00 | $37.80 | f | |||||||
| 4004719301 | DOE, J | s | 02/28-02/28/2003 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $26.00 | $154.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004987001 | DOE, J | s | 12/19-12/31/2003 | 123456789 | PAT | $405.00 | $.00 | $405.00 | $141.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $263.25 | f | |||||||
| 4004995701 | DOE, J | 3 | 01/01-01/02/2004 | 123456789 | PAT | $4,802.00 | $.00 | $4,802.00 | $1,440.60 | $500.00 | $50.00 | $843.42 | $.00 | $.00 | $.00 | $1,967.98 | f | |||||||
| 4005020201 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $26.73 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $8.27 | f | |||||||
| 4005032001 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $770.00 | $.00 | $770.00 | $341.60 | $244.02 | $.00 | $55.31 | $.00 | $.00 | $.00 | $129.07 | f | |||||||
| 4005032801 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $16.00 | $65.00 | $.00 | $1.20 | $.00 | $.00 | $.00 | $2.80 | f | |||||||
| 4005033201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $49.99 | $65.00 | $.00 | $7.50 | $.00 | $.00 | $.00 | $17.51 | f | |||||||
| 4005033701 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $920.00 | $.00 | $920.00 | $398.75 | $65.00 | $.00 | $136.87 | $.00 | $.00 | $.00 | $319.38 | f | |||||||
| 4005062501 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $22.85 | $55.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005062601 | DOE, J | 3 | 01/09-01/09/2004 | 123456789 | PAT | $265.00 | $.00 | $265.00 | $204.21 | $.00 | $.00 | $18.22 | $.00 | $.00 | $.00 | $42.57 | f | |||||||
| 4005081601 | DOE, J | e | 12/15-01/14/2004 | 123456789 | PAT | $370.00 | $.00 | $370.00 | $131.00 | $185.00 | $.00 | $16.20 | $.00 | $.00 | $.00 | $37.80 | f | |||||||
| 4005081901 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $208.00 | $.00 | $208.00 | $64.24 | $81.00 | $.00 | $18.83 | $.00 | $.00 | $.00 | $43.93 | f | |||||||
| 4005096901 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $103.00 | $103.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005098001 | DOE, J JR | 3 | 01/21-01/21/2004 | 123456789 | PAT | $155.00 | $.00 | $155.00 | $54.25 | $100.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005105601 | DOE, J JR | 3 | 01/19-01/19/2004 | 123456789 | PAT | $332.00 | $.00 | $332.00 | $116.20 | $182.25 | $.00 | $16.71 | $.00 | $.00 | $.00 | $16.84 | f | |||||||
| 4005120601 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $6.60 | $59.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005121201 | DOE, J | e | 10/05-10/05/2003 | 123456789 | PAT | $90.50 | $90.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005121202 | DOE, J | e | 10/05-10/05/2003 | 123456789 | PAT | $90.50 | $.00 | $90.50 | $47.50 | $43.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005121301 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $16.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $23.70 | f | |||||||
| 4005122401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $9.01 | $48.99 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005122801 | DOE, J | 1 | 02/04-02/04/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $15.83 | $.00 | $.00 | $32.08 | $.00 | $.00 | $.00 | $32.09 | f | |||||||
| 4005123001 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $5.08 | $39.92 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005123201 | DOE, J | e | 01/25-01/25/2004 | 123456789 | PAT | $27.00 | $.00 | $27.00 | $1.72 | $25.28 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005123301 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $60.70 | $89.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005123801 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $48.72 | $34.28 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005141201 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $42.50 | $.00 | $.00 | $63.75 | $.00 | $.00 | $.00 | $63.75 | f | |||||||
| 4005177001 | DOE, J | s | 01/23-01/29/2004 | 123456789 | PAT | $255.00 | $.00 | $255.00 | $77.88 | $177.12 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005177201 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $9.85 | $35.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005177501 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $136.79 | $100.66 | $.00 | $.77 | $.00 | $.00 | $.00 | $1.78 | f | |||||||
| 4005179901 | DOE, J | 3 | 01/13-01/13/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $43.35 | $43.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005180601 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $25.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005181601 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $32.00 | $.00 | $.00 | $14.40 | $.00 | $.00 | $.00 | $33.60 | f | |||||||
| 4005207401 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | PAT | $155.20 | $155.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005208101 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $928.00 | $928.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005288901 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $7.00 | $63.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005293201 | DOE, J JR | e | 02/03-02/03/2004 | 123456789 | JAIME JR | $115.00 | $.00 | $115.00 | $9.94 | $.00 | $.00 | $31.52 | $.00 | $.00 | $.00 | $73.54 | f | |||||||
| 4005317201 | DOE, J JR | 3 | 01/26-01/26/2004 | 123456789 | PAT | $155.00 | $.00 | $155.00 | $54.25 | $100.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005354501 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $175.00 | $175.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005355601 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $56.25 | $.00 | $.00 | $84.37 | $.00 | $.00 | $.00 | $84.38 | f | |||||||
| 4005355801 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $485.00 | $.00 | $485.00 | $159.50 | $250.00 | $.00 | $23.90 | $.00 | $.00 | $.00 | $51.60 | f | |||||||
| 4005428401 | DOE, J | s | 11/14-12/13/2003 | 123456789 | PAT | $385.00 | $.00 | $385.00 | $137.00 | $155.00 | $.00 | $30.90 | $.00 | $.00 | $.00 | $62.10 | f | |||||||
| Total Ben Type: CS | $114,151.45 | $14,754.35 | $99,397.10 | $17,658.94 | $7,121.24 | $810.00 | $11,147.65 | $.00 | $.00 | $.00 | $62,659.27 | |||||||||||||
| Benefit Type: D | ||||||||||||||||||||||||
| 2063287420 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $100.52 | $.00 | $100.52 | $.00 | $.00 | $.00 | $50.26 | $.00 | $.00 | $.00 | $50.26 | f | |||||||
| 2085337918 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $116.14 | $6.14 | $110.00 | $.00 | $.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 2114179615 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $87.50 | $.00 | $87.50 | $.00 | $.00 | $.00 | $43.75 | $.00 | $.00 | $.00 | $43.75 | f | |||||||
| 3001948715 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $67.50 | $.00 | $67.50 | $.00 | $.00 | $.00 | $33.75 | $.00 | $.00 | $.00 | $33.75 | f | |||||||
| 3003531514 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $105.08 | $38.04 | $67.04 | $.00 | $.00 | $.00 | $33.52 | $.00 | $.00 | $.00 | $33.52 | f | |||||||
| 3007056014 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $52.50 | $.00 | $.00 | $.00 | $52.50 | f | |||||||
| 3009939814 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $141.66 | $.00 | $141.66 | $.00 | $.00 | $.00 | $70.83 | $.00 | $.00 | $.00 | $70.83 | f | |||||||
| 3027135611 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $114.58 | $79.96 | $34.62 | $.00 | $.00 | $.00 | $17.31 | $.00 | $.00 | $.00 | $17.31 | f | |||||||
| 3030370710 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $116.00 | $.00 | $116.00 | $.00 | $.00 | $.00 | $58.00 | $.00 | $.00 | $.00 | $58.00 | f | |||||||
| 3034029210 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 3034030810 | DOE, J | 3 | 02/09-02/09/2004 | 123456789 | PAT | $157.50 | $117.50 | $40.00 | $.00 | $.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $20.00 | f | |||||||
| 3035083009 | DOE, J JR | 1 | 02/09-02/09/2004 | 123456789 | ADAM JR | $141.66 | $.00 | $141.66 | $.00 | $.00 | $.00 | $70.83 | $.00 | $.00 | $.00 | $70.83 | f | |||||||
| 3038565102 | DOE, J | s | 06/18-06/18/2003 | 123456789 | PAT | $320.00 | $.00 | $320.00 | $.00 | $50.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $210.00 | f | |||||||
| 3039461208 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $116.66 | $.00 | $116.66 | $.00 | $.00 | $.00 | $58.33 | $.00 | $.00 | $.00 | $58.33 | f | |||||||
| 3039472708 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $140.83 | $.00 | $140.83 | $.00 | $.00 | $.00 | $70.42 | $.00 | $.00 | $.00 | $70.41 | f | |||||||
| 3040316008 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $100.00 | $50.00 | $50.00 | $.00 | $.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 3040544508 | DOE, J JR | 2 | 02/09-02/09/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $.00 | $.00 | $.00 | $67.50 | $.00 | $.00 | $.00 | $67.50 | f | |||||||
| 3040752608 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $113.90 | $.00 | $113.90 | $.00 | $.00 | $.00 | $56.95 | $.00 | $.00 | $.00 | $56.95 | f | |||||||
| 3041523108 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | ROLANDO JR | $98.21 | $.00 | $98.21 | $.00 | $.00 | $.00 | $49.11 | $.00 | $.00 | $.00 | $49.10 | f | |||||||
| 3041546608 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $122.66 | $.00 | $122.66 | $.00 | $.00 | $.00 | $61.33 | $.00 | $.00 | $.00 | $61.33 | f | |||||||
| 3041597308 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $62.50 | $.00 | $.00 | $.00 | $62.50 | f | |||||||
| 3042702007 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $105.08 | $.00 | $105.08 | $.00 | $.00 | $.00 | $52.54 | $.00 | $.00 | $.00 | $52.54 | f | |||||||
| 3042955207 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $.00 | $.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 3043827607 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 3044051306 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 3044160306 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 3044333706 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $135.20 | $.00 | $135.20 | $.00 | $.00 | $.00 | $67.60 | $.00 | $.00 | $.00 | $67.60 | f | |||||||
| 3044338306 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $.00 | $.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 3045342506 | DOE, J | 3 | 02/09-02/09/2004 | 123456789 | PAT | $138.88 | $.00 | $138.88 | $.00 | $.00 | $.00 | $69.44 | $.00 | $.00 | $.00 | $69.44 | f | |||||||
| 3045919306 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 3046020602 | DOE, J | s | 07/09-07/09/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | $.00 | $10.00 | f | |||||||
| 3046724405 | DOE, J JR | 2 | 02/09-02/09/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 3046836805 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $213.33 | $.00 | $213.33 | $.00 | $.00 | $.00 | $106.67 | $.00 | $.00 | $.00 | $106.66 | f | |||||||
| 3047350105 | DOE, J | 3 | 02/09-02/09/2004 | 123456789 | PAT | $160.41 | $121.03 | $39.38 | $.00 | $.00 | $.00 | $19.69 | $.00 | $.00 | $.00 | $19.69 | f | |||||||
| 3049317704 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $62.50 | $.00 | $.00 | $.00 | $62.50 | f | |||||||
| 3049433904 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $119.00 | $.00 | $119.00 | $.00 | $.00 | $.00 | $59.50 | $.00 | $.00 | $.00 | $59.50 | f | |||||||
| 3049646304 | DOE, J JR. | 3 | 02/09-02/09/2004 | 123456789 | PAT | $143.75 | $74.99 | $68.76 | $.00 | $.00 | $.00 | $34.38 | $.00 | $.00 | $.00 | $34.38 | f | |||||||
| 3049703604 | DOE, J JR. | 1 | 02/09-02/09/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 3050372102 | DOE, J | 2 | 11/11-11/11/2003 | 123456789 | PAT | $368.00 | $.00 | $368.00 | $.00 | $.00 | $.00 | $184.00 | $.00 | $.00 | $.00 | $184.00 | f | |||||||
| 3051510003 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $133.33 | $.00 | $133.33 | $.00 | $.00 | $.00 | $66.67 | $.00 | $.00 | $.00 | $66.66 | f | |||||||
| 3051608504 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $62.50 | $.00 | $.00 | $.00 | $62.50 | f | |||||||
| 3052128703 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $166.25 | $.00 | $166.25 | $.00 | $.00 | $.00 | $83.13 | $.00 | $.00 | $.00 | $83.12 | f | |||||||
| 4001404202 | DOE, J | 2 | 12/17-12/17/2003 | 123456789 | PAT | $787.00 | $.00 | $787.00 | $.00 | $50.00 | $.00 | $368.50 | $.00 | $.00 | $.00 | $368.50 | f | |||||||
| 4001712302 | DOE, J | 1 | 01/08-01/08/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 4001713302 | DOE, J | s | 10/13-10/13/2003 | 123456789 | PAT | $85.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001713303 | DOE, J | s | 08/08-08/08/2003 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4001788502 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $106.00 | $.00 | $106.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $106.00 | f | |||||||
| 4001804802 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $256.25 | $.00 | $256.25 | $.00 | $.00 | $.00 | $128.13 | $.00 | $.00 | $.00 | $128.12 | f | |||||||
| 4001806302 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4002037102 | DOE, J | 4 | 02/09-02/09/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $.00 | $.00 | $.00 | $43.50 | $.00 | $.00 | $.00 | $43.50 | f | |||||||
| 4002056102 | DOE, J | 1 | 12/08-12/08/2003 | 123456789 | PAT | $375.00 | $2.00 | $373.00 | $.00 | $50.00 | $.00 | $161.50 | $.00 | $135.00 | $.00 | $26.50 | f | |||||||
| 4002205402 | DOE, J | e | 12/17-12/17/2003 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $.00 | $.00 | $.00 | $69.00 | $.00 | $.00 | $.00 | $69.00 | f | |||||||
| 4002357102 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $79.16 | $.00 | $79.16 | $.00 | $.00 | $.00 | $39.58 | $.00 | $.00 | $.00 | $39.58 | f | |||||||
| 4002411202 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $136.04 | $.00 | $136.04 | $.00 | $.00 | $.00 | $68.02 | $.00 | $.00 | $.00 | $68.02 | f | |||||||
| 4002614102 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4002656802 | DOE, J | 3 | 02/09-02/09/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $.00 | $.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4002891401 | DOE, J | s | 01/21-01/21/2004 | 123456789 | LAURA J | $113.00 | $.00 | $113.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $113.00 | f | |||||||
| 4002891601 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $87.00 | $1.00 | $86.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $86.00 | f | |||||||
| 4002917501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $430.00 | $.00 | $430.00 | $.00 | $50.00 | $.00 | $190.00 | $.00 | $.00 | $.00 | $190.00 | f | |||||||
| 4002918101 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $817.00 | $.00 | $817.00 | $.00 | $50.00 | $.00 | $375.00 | $.00 | $.00 | $.00 | $392.00 | f | |||||||
| 4002919401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $174.00 | $.00 | $174.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $174.00 | f | |||||||
| 4002920501 | DOE, J | e | 12/16-12/16/2003 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $275.00 | f | |||||||
| 4002920901 | DOE, J | 2 | 01/15-01/15/2004 | 123456789 | PAT | $211.00 | $211.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002922101 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $50.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4002922901 | DOE, J | 2 | 01/15-01/15/2004 | 123456789 | PAT | $172.00 | $5.00 | $167.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $167.00 | f | |||||||
| 4002923401 | DOE, J | 3 | 01/15-01/15/2004 | 123456789 | PAT | $153.00 | $153.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002924501 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $371.00 | $54.00 | $317.00 | $.00 | $50.00 | $.00 | $123.50 | $.00 | $.00 | $.00 | $143.50 | f | |||||||
| 4002925001 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4002925301 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $215.00 | $.00 | $215.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $215.00 | f | |||||||
| 4002925901 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $106.00 | $.00 | $106.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $106.00 | f | |||||||
| 4002926301 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $29.00 | $.00 | $29.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $29.00 | f | |||||||
| 4002926501 | DOE, J JR | s | 01/22-01/22/2004 | 123456789 | NORMA JR | $690.00 | $19.00 | $671.00 | $.00 | $50.00 | $.00 | $287.50 | $.00 | $.00 | $.00 | $333.50 | f | |||||||
| 4002926601 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4002926801 | DOE, J | 2 | 01/15-01/15/2004 | 123456789 | PAT | $250.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002927301 | DOE, J | e | 12/31-12/31/2003 | 123456789 | PAT | $820.00 | $.00 | $820.00 | $.00 | $50.00 | $.00 | $375.00 | $.00 | $.00 | $.00 | $395.00 | f | |||||||
| 4002927701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $136.00 | $51.00 | $85.00 | $.00 | $50.00 | $.00 | $17.50 | $.00 | $.00 | $.00 | $17.50 | f | |||||||
| 4002928701 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $585.00 | $.00 | $585.00 | $.00 | $50.00 | $.00 | $267.50 | $.00 | $.00 | $.00 | $267.50 | f | |||||||
| 4002929201 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $235.00 | $.00 | $235.00 | $.00 | $50.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $130.00 | f | |||||||
| 4002929801 | DOE, J | e | 11/25-11/25/2003 | 123456789 | PAT | $853.00 | $47.00 | $806.00 | $.00 | $.00 | $.00 | $403.00 | $.00 | $.00 | $.00 | $403.00 | f | |||||||
| 4002937201 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $108.00 | $.00 | $108.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $108.00 | f | |||||||
| 4002999301 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4003003101 | DOE, J | s | 12/16-12/16/2003 | 123456789 | PAT | $423.00 | $.00 | $423.00 | $.00 | $.00 | $.00 | $187.50 | $.00 | $.00 | $.00 | $235.50 | f | |||||||
| 4003019801 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $750.00 | $.00 | $750.00 | $.00 | $50.00 | $.00 | $350.00 | $.00 | $.00 | $.00 | $350.00 | f | |||||||
| 4003021401 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $91.00 | $10.00 | $81.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.00 | f | |||||||
| 4003030801 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $72.00 | f | |||||||
| 4003031301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.00 | f | |||||||
| 4003032901 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $126.00 | $.00 | $126.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $126.00 | f | |||||||
| 4003033101 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $50.00 | $.00 | $15.00 | $.00 | $.00 | $.00 | $15.00 | f | |||||||
| 4003033201 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $193.00 | $.00 | $193.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $193.00 | f | |||||||
| 4003034201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $.00 | $50.00 | $.00 | $26.50 | $.00 | $.00 | $.00 | $91.50 | f | |||||||
| 4003034701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $601.00 | $.00 | $601.00 | $.00 | $50.00 | $.00 | $275.50 | $.00 | $.00 | $.00 | $275.50 | f | |||||||
| 4003035701 | DOE, J | e | 11/05-11/05/2003 | 123456789 | PAT | $68.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003035901 | DOE, J | 2 | 01/24-01/24/2004 | 123456789 | PAT | $108.00 | $.00 | $108.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $108.00 | f | |||||||
| 4003036401 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $217.00 | $130.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4003037001 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $395.00 | $160.00 | $235.00 | $.00 | $50.00 | $.00 | $92.50 | $.00 | $.00 | $.00 | $92.50 | f | |||||||
| 4003067601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $975.00 | $20.00 | $955.00 | $.00 | $50.00 | $.00 | $452.50 | $.00 | $.00 | $.00 | $452.50 | f | |||||||
| 4003149401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $84.00 | $.00 | $84.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4003149501 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $124.00 | $.00 | $124.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $124.00 | f | |||||||
| 4003200601 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $97.00 | $65.00 | $32.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $32.00 | f | |||||||
| 4003201101 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $142.00 | f | |||||||
| 4003201501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $152.00 | $.00 | $152.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $152.00 | f | |||||||
| 4003201901 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $757.00 | $6.00 | $751.00 | $.00 | $50.00 | $.00 | $312.50 | $.00 | $.00 | $.00 | $388.50 | f | |||||||
| 4003216201 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $233.00 | $41.00 | $192.00 | $.00 | $.00 | $.00 | $96.00 | $.00 | $.00 | $.00 | $96.00 | f | |||||||
| 4003216301 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $349.50 | $50.50 | $299.00 | $.00 | $.00 | $.00 | $149.50 | $.00 | $.00 | $.00 | $149.50 | f | |||||||
| 4003217701 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $1,500.00 | $1,500.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003218201 | DOE, J | e | 08/01-08/01/2002 | 123456789 | PAT | $35.00 | $35.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003218901 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $754.00 | $9.00 | $745.00 | $.00 | $50.00 | $.00 | $257.50 | $.00 | $.00 | $.00 | $437.50 | f | |||||||
| 4003219201 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $.00 | $50.00 | $.00 | $4.00 | $.00 | $.00 | $.00 | $4.00 | f | |||||||
| 4003219501 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $98.00 | f | |||||||
| 4003219601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $50.00 | $.00 | $17.50 | $.00 | $.00 | $.00 | $17.50 | f | |||||||
| 4003221001 | DOE, J | 5 | 10/29-10/29/2003 | 123456789 | PAT | $70.00 | $2.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $68.00 | f | |||||||
| 4003221301 | DOE, J | 4 | 10/24-10/24/2003 | 123456789 | PAT | $70.00 | $2.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $68.00 | f | |||||||
| 4003222301 | DOE, J | 2 | 12/18-12/18/2003 | 123456789 | PAT | $180.00 | $141.00 | $39.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $39.00 | f | |||||||
| 4003274401 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $155.00 | $.00 | $155.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $155.00 | f | |||||||
| 4003274501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $97.00 | $.00 | $97.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $97.00 | f | |||||||
| 4003274701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $177.00 | $.00 | $177.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $177.00 | f | |||||||
| 4003275201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $154.00 | $20.00 | $134.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $134.00 | f | |||||||
| 4003276201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $103.00 | $20.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4003277201 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4003277301 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $143.00 | $.00 | $143.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $143.00 | f | |||||||
| 4003280301 | DOE, J | s | 06/17-06/17/2003 | 123456789 | PAT | $1,040.00 | $.00 | $1,040.00 | $.00 | $.00 | $.00 | $520.00 | $.00 | $.00 | $.00 | $520.00 | f | |||||||
| 4003292601 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003292901 | DOE, J | 3 | 01/24-01/24/2004 | 123456789 | PAT | $108.00 | $.00 | $108.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $108.00 | f | |||||||
| 4003294701 | DOE, J | 3 | 11/26-11/26/2003 | 123456789 | PAT | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003296501 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4003297201 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $138.00 | f | |||||||
| 4003298101 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $178.00 | $56.00 | $122.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $122.00 | f | |||||||
| 4003298901 | DOE, J | 3 | 01/27-01/27/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4003299101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $88.00 | f | |||||||
| 4003299401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $.00 | $50.00 | $.00 | $35.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003299901 | DOE, J | 3 | 01/27-01/27/2004 | 123456789 | PAT | $144.00 | $.00 | $144.00 | $.00 | $50.00 | $.00 | $47.00 | $.00 | $.00 | $.00 | $47.00 | f | |||||||
| 4003301201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $337.00 | $11.95 | $325.05 | $.00 | $50.00 | $.00 | $137.52 | $.00 | $.00 | $.00 | $137.53 | f | |||||||
| 4003316701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003317601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $17.00 | $.00 | $17.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $17.00 | f | |||||||
| 4003318601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $123.00 | $.00 | $123.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $123.00 | f | |||||||
| 4003326401 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $305.00 | $25.00 | $280.00 | $.00 | $50.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4003326501 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $598.00 | $.00 | $598.00 | $.00 | $.00 | $.00 | $299.00 | $.00 | $.00 | $.00 | $299.00 | f | |||||||
| 4003327101 | DOE, J | s | 01/27-01/27/2004 | 123456789 | J YVONNE | $137.00 | $20.00 | $117.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $117.00 | f | |||||||
| 4003327301 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003327501 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $229.00 | $.00 | $229.00 | $.00 | $50.00 | $.00 | $10.50 | $.00 | $.00 | $.00 | $168.50 | f | |||||||
| 4003327701 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $194.00 | $11.00 | $183.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $183.00 | f | |||||||
| 4003327901 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $569.00 | $.00 | $569.00 | $.00 | $50.00 | $.00 | $230.00 | $.00 | $.00 | $.00 | $289.00 | f | |||||||
| 4003328201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $188.00 | $.00 | $188.00 | $.00 | $50.00 | $.00 | $39.50 | $.00 | $.00 | $.00 | $98.50 | f | |||||||
| 4003328301 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $113.00 | $36.00 | $77.00 | $.00 | $50.00 | $.00 | $13.50 | $.00 | $.00 | $.00 | $13.50 | f | |||||||
| 4003328501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $361.00 | $.00 | $361.00 | $.00 | $50.00 | $.00 | $155.50 | $.00 | $.00 | $.00 | $155.50 | f | |||||||
| 4003328801 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $195.00 | f | |||||||
| 4003329401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $384.00 | $34.00 | $350.00 | $.00 | $.00 | $.00 | $175.00 | $.00 | $.00 | $.00 | $175.00 | f | |||||||
| 4003329601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003330201 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $345.00 | $.00 | $345.00 | $.00 | $.00 | $.00 | $172.50 | $.00 | $.00 | $.00 | $172.50 | f | |||||||
| 4003330301 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $345.00 | $345.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003330701 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $199.00 | $.00 | $199.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $199.00 | f | |||||||
| 4003330801 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $.00 | $50.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003330901 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $85.00 | $27.00 | $58.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.00 | f | |||||||
| 4003342301 | DOE, J | s | 12/11-12/11/2003 | 123456789 | PAT | $55.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003343801 | DOE, J JR | e | 10/06-10/06/2003 | 123456789 | SIMON JR | $405.00 | $8.00 | $397.00 | $.00 | $.00 | $.00 | $198.50 | $.00 | $.00 | $.00 | $198.50 | f | |||||||
| 4003345201 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $220.00 | f | |||||||
| 4003346101 | DOE, J | e | 12/31-12/31/2003 | 123456789 | PAT | $820.00 | $820.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003346701 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $228.00 | $17.00 | $211.00 | $.00 | $50.00 | $.00 | $52.50 | $.00 | $.00 | $.00 | $108.50 | f | |||||||
| 4003347001 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $665.00 | $.00 | $665.00 | $.00 | $50.00 | $.00 | $275.00 | $.00 | $.00 | $.00 | $340.00 | f | |||||||
| 4003347601 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $206.00 | $.00 | $206.00 | $.00 | $50.00 | $.00 | $78.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4003347701 | DOE, J | e | 12/04-12/04/2003 | 123456789 | PAT | $186.00 | $.00 | $186.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $186.00 | f | |||||||
| 4003347901 | DOE, J K. | 2 | 01/28-01/28/2004 | 123456789 | DOROTHY MEGHAN | $155.00 | $.00 | $155.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $155.00 | f | |||||||
| 4003353701 | DOE, J K. | 1 | 01/28-01/28/2004 | 123456789 | DENNIS ANDREW | $100.00 | $4.00 | $96.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $96.00 | f | |||||||
| 4003408501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $103.00 | f | |||||||
| 4003408601 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $82.00 | f | |||||||
| 4003408901 | DOE, J | s | 12/11-12/11/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003409101 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $346.00 | $14.00 | $332.00 | $.00 | $50.00 | $.00 | $81.00 | $.00 | $.00 | $.00 | $201.00 | f | |||||||
| 4003409401 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4003410701 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $192.00 | $.00 | $192.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $192.00 | f | |||||||
| 4003434801 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $.00 | $50.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003435001 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $418.00 | $.00 | $418.00 | $.00 | $50.00 | $.00 | $184.00 | $.00 | $.00 | $.00 | $184.00 | f | |||||||
| 4003435601 | DOE, J | 2 | 12/17-12/17/2003 | 123456789 | PAT | $787.00 | $787.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003436201 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $65.00 | $14.00 | $51.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $51.00 | f | |||||||
| 4003436601 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $92.00 | $80.00 | $12.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.00 | f | |||||||
| 4003436801 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $395.00 | $58.00 | $337.00 | $.00 | $50.00 | $.00 | $12.50 | $.00 | $.00 | $.00 | $274.50 | f | |||||||
| 4003437701 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $488.00 | $.00 | $488.00 | $.00 | $50.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $368.00 | f | |||||||
| 4003438101 | DOE, J | 3 | 01/15-01/15/2004 | 123456789 | PAT | $400.00 | $.00 | $400.00 | $.00 | $50.00 | $.00 | $175.00 | $.00 | $.00 | $.00 | $175.00 | f | |||||||
| 4003438701 | DOE, J | 2 | 01/17-01/17/2004 | 123456789 | LENIN JR | $275.00 | $85.00 | $190.00 | $.00 | $.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003442101 | DOE, J | e | 10/28-01/07/2004 | 123456789 | PAT | $651.00 | $124.00 | $527.00 | $.00 | $87.00 | $.00 | $219.98 | $.00 | $.00 | $.00 | $220.02 | f | |||||||
| 4003444001 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $1,314.00 | $.00 | $1,314.00 | $.00 | $50.00 | $.00 | $632.00 | $.00 | $.00 | $.00 | $632.00 | f | |||||||
| 4003444401 | DOE, J | e | 12/01-12/01/2003 | 123456789 | PAT | $783.00 | $783.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003445801 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $409.00 | $.00 | $409.00 | $.00 | $50.00 | $.00 | $179.50 | $.00 | $.00 | $.00 | $179.50 | f | |||||||
| 4003446301 | DOE, J | 1 | 11/26-11/26/2003 | 123456789 | PAT | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003446401 | DOE, J | 2 | 11/26-11/26/2003 | 123456789 | PAT | $300.00 | $300.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003446801 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $109.00 | f | |||||||
| 4003447001 | DOE, J | 1 | 12/23-12/23/2003 | 123456789 | PAT | $212.00 | $52.00 | $160.00 | $.00 | $50.00 | $.00 | $26.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4003447801 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $193.00 | $57.00 | $136.00 | $.00 | $50.00 | $.00 | $43.00 | $.00 | $.00 | $.00 | $43.00 | f | |||||||
| 4003448101 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $75.00 | $55.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.00 | f | |||||||
| 4003449901 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $227.00 | $.00 | $227.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $227.00 | f | |||||||
| 4003452501 | DOE, J | 2 | 12/23-12/23/2003 | 123456789 | PAT | $172.00 | $114.00 | $58.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.00 | f | |||||||
| 4003455201 | DOE, J | 2 | 01/19-02/01/2004 | 123456789 | PAT | $1,650.00 | $.00 | $1,650.00 | $.00 | $50.00 | $.00 | $800.00 | $.00 | $.00 | $.00 | $800.00 | f | |||||||
| 4003456701 | DOE, J | 1 | 01/22-02/01/2004 | 123456789 | PAT | $1,780.00 | $.00 | $1,780.00 | $.00 | $50.00 | $.00 | $865.00 | $.00 | $.00 | $.00 | $865.00 | f | |||||||
| 4003457501 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $206.00 | $9.00 | $197.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $197.00 | f | |||||||
| 4003458701 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4003459301 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4003459401 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $37.50 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4003459801 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $119.00 | $.00 | $119.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $119.00 | f | |||||||
| 4003460101 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $88.00 | f | |||||||
| 4003462101 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $4,400.00 | $4,056.00 | $344.00 | $.00 | $.00 | $.00 | $172.00 | $.00 | $.00 | $.00 | $172.00 | f | |||||||
| 4003463701 | DOE, J | 3 | 01/23-01/23/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $73.00 | f | |||||||
| 4003550301 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $64.00 | f | |||||||
| 4003659001 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $295.00 | $.00 | $295.00 | $.00 | $50.00 | $.00 | $90.50 | $.00 | $.00 | $.00 | $154.50 | f | |||||||
| 4003659401 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $344.00 | $20.00 | $324.00 | $.00 | $50.00 | $.00 | $47.00 | $.00 | $.00 | $.00 | $227.00 | f | |||||||
| 4003660201 | DOE, J | 1 | 09/18-09/18/2003 | 123456789 | PAT | $217.00 | $.00 | $217.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $217.00 | f | |||||||
| 4003662001 | DOE, J | e | 01/24-01/24/2004 | 123456789 | PAT | $145.00 | $16.00 | $129.00 | $.00 | $50.00 | $.00 | $29.50 | $.00 | $.00 | $.00 | $49.50 | f | |||||||
| 4003662701 | DOE, J | s | 11/11-11/11/2003 | 123456789 | PAT | $1,187.00 | $1,187.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003664001 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $76.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $76.00 | f | |||||||
| 4003664401 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $165.00 | $15.00 | $150.00 | $.00 | $50.00 | $.00 | $33.00 | $.00 | $.00 | $.00 | $67.00 | f | |||||||
| 4003665001 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $50.00 | $.00 | $27.50 | $.00 | $.00 | $.00 | $27.50 | f | |||||||
| 4003672201 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $.00 | $50.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003672401 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003673001 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $84.00 | $.00 | $84.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4003673101 | DOE, J | e | 01/31-01/31/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $118.00 | f | |||||||
| 4003707501 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $1,615.00 | $28.00 | $1,587.00 | $.00 | $.00 | $.00 | $793.50 | $.00 | $650.30 | $.00 | $143.20 | f | |||||||
| 4003708601 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $261.00 | $.00 | $261.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $261.00 | f | |||||||
| 4003709501 | DOE, J | 1 | 12/18-12/18/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $104.00 | $.00 | $31.00 | f | |||||||
| 4003710101 | DOE, J | 3 | 02/12-02/12/2003 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $52.00 | f | |||||||
| 4003710501 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $50.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4003712801 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $667.00 | $.00 | $667.00 | $.00 | $.00 | $.00 | $333.50 | $.00 | $.00 | $.00 | $333.50 | f | |||||||
| 4003713101 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $200.00 | $26.00 | $174.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $174.00 | f | |||||||
| 4003713401 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $324.00 | $60.00 | $264.00 | $.00 | $50.00 | $.00 | $107.00 | $.00 | $.00 | $.00 | $107.00 | f | |||||||
| 4003714001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $710.00 | $.00 | $710.00 | $.00 | $50.00 | $.00 | $330.00 | $.00 | $.00 | $.00 | $330.00 | f | |||||||
| 4003719701 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $675.00 | $.00 | $675.00 | $.00 | $50.00 | $.00 | $312.50 | $.00 | $.00 | $.00 | $312.50 | f | |||||||
| 4003720801 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $160.00 | $160.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003721301 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4003721601 | DOE, J | 3 | 01/28-01/28/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4003721801 | DOE, J | 4 | 01/30-01/30/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $50.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4003722101 | DOE, J | 3 | 01/30-01/30/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $50.00 | $.00 | $12.50 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4003722701 | DOE, J JR. | e | 01/29-01/29/2004 | 123456789 | JAMES JR. | $70.00 | $.00 | $70.00 | $.00 | $50.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $10.00 | f | |||||||
| 4003723201 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.00 | f | |||||||
| 4003723601 | DOE, J | 4 | 07/22-07/22/2003 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $.00 | $.00 | $.00 | $36.00 | $.00 | $.00 | $.00 | $36.00 | f | |||||||
| 4003723801 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $115.00 | $45.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4003723901 | DOE, J | s | 12/22-12/22/2003 | 123456789 | PAT | $74.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003724801 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $301.00 | $25.00 | $276.00 | $.00 | $50.00 | $.00 | $47.50 | $.00 | $.00 | $.00 | $178.50 | f | |||||||
| 4003725601 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $181.00 | $2.00 | $179.00 | $.00 | $50.00 | $.00 | $64.50 | $.00 | $.00 | $.00 | $64.50 | f | |||||||
| 4003726001 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $.00 | $50.00 | $.00 | $44.00 | $.00 | $.00 | $.00 | $44.00 | f | |||||||
| 4003728101 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $137.00 | $.00 | $137.00 | $.00 | $50.00 | $.00 | $28.50 | $.00 | $.00 | $.00 | $58.50 | f | |||||||
| 4003728901 | DOE, J | 2 | 01/15-01/15/2004 | 123456789 | PAT | $211.00 | $211.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003729401 | DOE, J | 3 | 01/15-01/15/2004 | 123456789 | PAT | $153.00 | $153.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003729901 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $113.00 | $113.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003730201 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $50.00 | $.00 | $32.50 | $.00 | $.00 | $.00 | $32.50 | f | |||||||
| 4003807401 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $72.00 | f | |||||||
| 4003807801 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4003808301 | DOE, J | s | 12/11-12/11/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003808501 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $56.00 | $.00 | $56.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.00 | f | |||||||
| 4003808601 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $167.00 | f | |||||||
| 4003808701 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $52.00 | f | |||||||
| 4003808801 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $330.00 | $37.00 | $293.00 | $.00 | $50.00 | $.00 | $78.00 | $.00 | $.00 | $.00 | $165.00 | f | |||||||
| 4003809101 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $123.00 | $.00 | $123.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $123.00 | f | |||||||
| 4003809401 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 4003809801 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $98.00 | f | |||||||
| 4003809901 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $100.00 | $46.00 | $54.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $54.00 | f | |||||||
| 4003810101 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $68.00 | $6.00 | $62.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $62.00 | f | |||||||
| 4003810401 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $122.00 | f | |||||||
| 4003810601 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4003810901 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4003811001 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $72.00 | f | |||||||
| 4003811101 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $154.00 | $.00 | $154.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $154.00 | f | |||||||
| 4003811901 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.00 | f | |||||||
| 4003812101 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $.00 | $.00 | $.00 | $44.00 | $.00 | $.00 | $.00 | $44.00 | f | |||||||
| 4003812201 | DOE, J | e | 12/18-12/18/2003 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.00 | f | |||||||
| 4003812301 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $136.00 | $.00 | $136.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $136.00 | f | |||||||
| 4003812601 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $256.00 | $.00 | $256.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $256.00 | f | |||||||
| 4003812701 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4003813001 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $96.00 | $.00 | $96.00 | $.00 | $50.00 | $.00 | $23.00 | $.00 | $.00 | $.00 | $23.00 | f | |||||||
| 4003813101 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003868001 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $125.00 | f | |||||||
| 4003870901 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $1,308.00 | $58.00 | $1,250.00 | $.00 | $50.00 | $.00 | $600.00 | $.00 | $600.00 | $.00 | $.00 | f | |||||||
| 4003871901 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $72.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003872101 | DOE, J | 3 | 01/29-01/29/2004 | 123456789 | PAT | $138.00 | $75.00 | $63.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $63.00 | f | |||||||
| 4003872401 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $158.00 | $75.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4003872701 | DOE, J | 1 | 07/14-07/14/2003 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003873201 | DOE, J | e | 11/07-11/07/2003 | 123456789 | PAT | $790.00 | $18.00 | $772.00 | $.00 | $.00 | $.00 | $362.50 | $.00 | $.00 | $.00 | $409.50 | f | |||||||
| 4003873601 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $42.00 | $.00 | $42.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $42.00 | f | |||||||
| 4003877501 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $210.00 | f | |||||||
| 4003877701 | DOE, J | s | 02/04-02/04/2004 | 123456789 | MARY ELLA | $78.00 | $.00 | $78.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4003878001 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $215.00 | $.00 | $215.00 | $.00 | $50.00 | $.00 | $82.50 | $.00 | $.00 | $.00 | $82.50 | f | |||||||
| 4003878201 | DOE, J | 3 | 02/03-02/03/2004 | 123456789 | PAT | $337.00 | $244.00 | $93.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $93.00 | f | |||||||
| 4003878901 | DOE, J | 2 | 02/03-02/03/2004 | 123456789 | PAT | $128.00 | $62.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4003879101 | DOE, J | 1 | 02/03-02/03/2004 | 123456789 | PAT | $134.00 | $68.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4003879301 | DOE, J | 3 | 02/02-02/02/2004 | 123456789 | ASHLEY M | $242.00 | $31.00 | $211.00 | $.00 | $50.00 | $.00 | $24.00 | $.00 | $.00 | $.00 | $137.00 | f | |||||||
| 4003879601 | WORD JR, CHARLES | 2 | 02/04-02/04/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $165.00 | f | |||||||
| 4003879801 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $770.00 | $.00 | $770.00 | $.00 | $50.00 | $.00 | $360.00 | $.00 | $.00 | $.00 | $360.00 | f | |||||||
| 4003880201 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $.00 | $50.00 | $.00 | $19.00 | $.00 | $.00 | $.00 | $19.00 | f | |||||||
| 4003880301 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $139.00 | $11.00 | $128.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $128.00 | f | |||||||
| 4003880401 | DOE, J | 1 | 02/05-02/05/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.00 | f | |||||||
| 4003881401 | DOE, J | 2 | 02/05-02/05/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $122.00 | f | |||||||
| 4003881501 | DOE, J JR | e | 02/02-02/02/2004 | 123456789 | SEVERO JR | $236.00 | $.00 | $236.00 | $.00 | $50.00 | $.00 | $62.50 | $.00 | $.00 | $.00 | $123.50 | f | |||||||
| 4003881601 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $87.00 | $7.00 | $80.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003882501 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $366.00 | $.00 | $366.00 | $.00 | $.00 | $.00 | $183.00 | $.00 | $.00 | $.00 | $183.00 | f | |||||||
| 4003882801 | DOE, J | 1 | 02/01-02/01/2004 | 123456789 | PAT | $135.00 | $135.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003883001 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $575.00 | $.00 | $575.00 | $.00 | $50.00 | $.00 | $262.50 | $.00 | $.00 | $.00 | $262.50 | f | |||||||
| 4003883101 | DOE, J | 2 | 01/30-01/30/2004 | 123456789 | PAT | $110.00 | $21.00 | $89.00 | $.00 | $50.00 | $.00 | $19.50 | $.00 | $.00 | $.00 | $19.50 | f | |||||||
| 4003883301 | DOE, J | e | 01/12-02/02/2004 | 123456789 | PAT | $670.00 | $51.00 | $619.00 | $.00 | $50.00 | $.00 | $262.00 | $.00 | $.00 | $.00 | $307.00 | f | |||||||
| 4003883601 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $840.00 | $.00 | $840.00 | $.00 | $.00 | $.00 | $420.00 | $.00 | $.00 | $.00 | $420.00 | f | |||||||
| 4003884001 | DOE, J III | 2 | 02/03-02/03/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $140.00 | f | |||||||
| 4003884201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $61.00 | $61.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003884701 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $112.00 | $.00 | $112.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $112.00 | f | |||||||
| 4003884901 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $131.00 | $.00 | $131.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $131.00 | f | |||||||
| 4003885201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $608.00 | $.00 | $608.00 | $.00 | $50.00 | $.00 | $279.00 | $.00 | $.00 | $.00 | $279.00 | f | |||||||
| 4003885701 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $.00 | $50.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4003886001 | DOE, J JR | 1 | 02/03-02/03/2004 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $.00 | $50.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003886401 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.00 | f | |||||||
| 4003886901 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $.00 | $.00 | $.00 | $145.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4003890801 | DOE, J | 1 | 07/14-07/14/2003 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4003890901 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $.00 | $50.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 4003891401 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $463.00 | $48.00 | $415.00 | $.00 | $.00 | $.00 | $207.50 | $.00 | $.00 | $.00 | $207.50 | f | |||||||
| 4003897601 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $1,000.00 | $.00 | $1,000.00 | $.00 | $.00 | $.00 | $500.00 | $.00 | $.00 | $.00 | $500.00 | f | |||||||
| 4003897901 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $390.00 | $300.00 | $90.00 | $.00 | $.00 | $.00 | $45.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4003898201 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $65.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003899001 | DOE, J | 3 | 01/06-01/06/2004 | 123456789 | PAT | $30.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003899201 | DOE, J | e | 11/25-11/25/2003 | 123456789 | PAT | $853.00 | $853.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003949001 | DOE, J | 4 | 01/24-01/24/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4003950301 | DOE, J | 2 | 01/22-02/01/2004 | 123456789 | PAT | $1,002.22 | $.00 | $1,002.22 | $.00 | $50.00 | $.00 | $476.11 | $.00 | $.00 | $.00 | $476.11 | f | |||||||
| 4003950401 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $112.00 | $.00 | $112.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $112.00 | f | |||||||
| 4003950501 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $305.00 | $.00 | $305.00 | $.00 | $50.00 | $.00 | $127.50 | $.00 | $.00 | $.00 | $127.50 | f | |||||||
| 4003950601 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $141.00 | $.00 | $141.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $141.00 | f | |||||||
| 4003950701 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $60.00 | $45.00 | $15.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $15.00 | f | |||||||
| 4003950801 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 4003950901 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $199.00 | $.00 | $199.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $199.00 | f | |||||||
| 4003951001 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $230.00 | $3.00 | $227.00 | $.00 | $50.00 | $.00 | $47.50 | $.00 | $.00 | $.00 | $129.50 | f | |||||||
| 4003951101 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $114.00 | $.00 | $114.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $114.00 | f | |||||||
| 4003951201 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $385.00 | $.00 | $385.00 | $.00 | $50.00 | $.00 | $167.50 | $.00 | $.00 | $.00 | $167.50 | f | |||||||
| 4003951301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $182.00 | $.00 | $182.00 | $.00 | $50.00 | $.00 | $57.50 | $.00 | $.00 | $.00 | $74.50 | f | |||||||
| 4003951401 | DOE, J | 2 | 01/30-01/30/2004 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $26.00 | f | |||||||
| 4004074501 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | BRITTANY N | $117.00 | $4.00 | $113.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $113.00 | f | |||||||
| 4004074901 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $191.00 | $.00 | $191.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $191.00 | f | |||||||
| 4004075701 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $44.00 | $.00 | $44.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $44.00 | f | |||||||
| 4004076001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $140.00 | $31.00 | $109.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $109.00 | f | |||||||
| 4004077301 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $215.00 | $27.00 | $188.00 | $.00 | $50.00 | $.00 | $7.50 | $.00 | $.00 | $.00 | $130.50 | f | |||||||
| 4004078501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.00 | f | |||||||
| 4004078701 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $127.00 | $.00 | $127.00 | $.00 | $50.00 | $.00 | $38.50 | $.00 | $.00 | $.00 | $38.50 | f | |||||||
| 4004081001 | DOE, J JR | 1 | 02/03-02/03/2004 | 123456789 | PAT | $85.00 | $44.00 | $41.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.00 | f | |||||||
| 4004081501 | DOE, J JR | 4 | 02/04-02/04/2004 | 123456789 | TANNER JR | $85.00 | $44.00 | $41.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.00 | f | |||||||
| 4004103801 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $482.00 | $.00 | $482.00 | $.00 | $.00 | $.00 | $241.00 | $.00 | $.00 | $.00 | $241.00 | f | |||||||
| 4004104001 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $30.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004104401 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.00 | f | |||||||
| 4004104501 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.00 | f | |||||||
| 4004134901 | DOE, J | 2 | 02/01-02/01/2004 | 123456789 | PAT | $140.00 | $140.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004135401 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $480.00 | $.00 | $480.00 | $.00 | $50.00 | $.00 | $215.00 | $.00 | $.00 | $.00 | $215.00 | f | |||||||
| 4004135801 | DOE, J | s | 12/17-12/17/2003 | 123456789 | PAT | $1,300.00 | $.00 | $1,300.00 | $.00 | $.00 | $.00 | $650.00 | $.00 | $650.00 | $.00 | $.00 | f | |||||||
| 4004138001 | DOE, J | 2 | 02/01-02/01/2004 | 123456789 | PAT | $119.00 | $119.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004138601 | DOE, J JR | s | 11/25-11/25/2003 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $.00 | $.00 | $.00 | $120.00 | $.00 | $.00 | $.00 | $120.00 | f | |||||||
| 4004139301 | DOE, J | e | 12/20-12/20/2003 | 123456789 | PAT | $300.00 | $45.00 | $255.00 | $.00 | $50.00 | $.00 | $102.50 | $.00 | $.00 | $.00 | $102.50 | f | |||||||
| 4004139501 | DOE, J | e | 12/20-12/20/2003 | 123456789 | PAT | $800.00 | $120.00 | $680.00 | $.00 | $.00 | $.00 | $340.00 | $.00 | $.00 | $.00 | $340.00 | f | |||||||
| 4004139901 | DOE, J | e | 12/05-12/05/2003 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $.00 | $.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4004140201 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $326.00 | $.00 | $326.00 | $.00 | $50.00 | $.00 | $138.00 | $.00 | $.00 | $.00 | $138.00 | f | |||||||
| 4004140701 | DOE, J | 2 | 02/01-02/01/2004 | 123456789 | PAT | $135.86 | $135.86 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004141101 | DOE, J JR | 1 | 02/03-02/03/2004 | 123456789 | PAT | $60.00 | $40.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.00 | f | |||||||
| 4004144101 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | CARLOS JR | $453.00 | $5.00 | $448.00 | $.00 | $50.00 | $.00 | $22.50 | $.00 | $.00 | $.00 | $375.50 | f | |||||||
| 4004144701 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $1,705.00 | $200.00 | $1,505.00 | $.00 | $50.00 | $.00 | $687.50 | $.00 | $.00 | $.00 | $767.50 | f | |||||||
| 4004212901 | DOE, J | 3 | 02/04-02/04/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4004213501 | DOE, J | s | 02/07-02/07/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4004213601 | DOE, J | 1 | 02/07-02/07/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4004213701 | DOE, J | e | 02/07-02/07/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4004282001 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $875.00 | $875.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004283501 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $.00 | $50.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $10.00 | f | |||||||
| 4004288001 | DOE, J | 1 | 02/01-02/01/2004 | 123456789 | PAT | $133.00 | $133.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004288501 | DOE, J | 1 | 02/05-02/05/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4004293001 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $2,280.00 | $1,450.00 | $830.00 | $.00 | $.00 | $.00 | $415.00 | $.00 | $.00 | $.00 | $415.00 | f | |||||||
| 4004293301 | DOE, J | s | 02/07-02/07/2004 | 123456789 | PAT | $256.00 | $15.00 | $241.00 | $.00 | $50.00 | $.00 | $95.50 | $.00 | $.00 | $.00 | $95.50 | f | |||||||
| 4004296901 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $1,255.00 | $.00 | $1,255.00 | $.00 | $50.00 | $.00 | $602.50 | $.00 | $.00 | $.00 | $602.50 | f | |||||||
| 4004354701 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.00 | f | |||||||
| 4004354801 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4004355501 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $333.00 | $10.00 | $323.00 | $.00 | $50.00 | $.00 | $79.00 | $.00 | $.00 | $.00 | $194.00 | f | |||||||
| 4004366401 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4004367501 | DOE, J | 1 | 10/04-10/04/2002 | 123456789 | ALTON JR | $257.00 | $257.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004368201 | DOE, J | 1 | 02/02-02/02/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4004369301 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4004369401 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $250.00 | $42.00 | $208.00 | $.00 | $50.00 | $.00 | $79.00 | $.00 | $.00 | $.00 | $79.00 | f | |||||||
| 4004370601 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $743.00 | $.00 | $743.00 | $.00 | $50.00 | $.00 | $316.50 | $.00 | $.00 | $.00 | $376.50 | f | |||||||
| 4004371201 | DOE, J | t | 02/06-02/06/2004 | 123456789 | PAT | $220.00 | $220.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004371701 | DOE, J | t | 01/16-01/16/2004 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $.00 | $50.00 | $.00 | $13.50 | $.00 | $.00 | $.00 | $13.50 | f | |||||||
| 4004373401 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $215.00 | $90.00 | $125.00 | $.00 | $50.00 | $.00 | $37.50 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4004373601 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $1,300.00 | $168.00 | $1,132.00 | $.00 | $50.00 | $.00 | $466.00 | $.00 | $.00 | $.00 | $616.00 | f | |||||||
| 4004379501 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $125.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004381101 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $2,378.00 | $869.00 | $1,509.00 | $.00 | $.00 | $.00 | $754.50 | $.00 | $.00 | $.00 | $754.50 | f | |||||||
| 4004402101 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $157.00 | $37.00 | $120.00 | $.00 | $50.00 | $.00 | $35.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4004402401 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $344.00 | $9.00 | $335.00 | $.00 | $50.00 | $.00 | $43.50 | $.00 | $.00 | $.00 | $241.50 | f | |||||||
| 4004509201 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $44.00 | $.00 | $44.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $44.00 | f | |||||||
| 4004511001 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4004511301 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4004556801 | HARRIS SR, RONALD | s | 02/10-02/10/2004 | 123456789 | PAT | $156.00 | $11.00 | $145.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4004557001 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4004557301 | DOE, J | e | 02/11-02/11/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4004557801 | DOE, J | s | 02/14-02/14/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $.00 | $50.00 | $.00 | $34.00 | $.00 | $.00 | $.00 | $34.00 | f | |||||||
| 4004557901 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4004558001 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $166.00 | $18.00 | $148.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $148.00 | f | |||||||
| 4004558101 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $.00 | $50.00 | $.00 | $57.50 | $.00 | $.00 | $.00 | $57.50 | f | |||||||
| 4004558201 | DOE, J | e | 02/12-02/12/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $170.00 | f | |||||||
| 4004558301 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $36.00 | $.00 | $36.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $36.00 | f | |||||||
| 4004559001 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $74.00 | f | |||||||
| 4004559201 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $39.00 | $.00 | $39.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $39.00 | f | |||||||
| 4004559301 | DOE, J | 1 | 02/10-02/10/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4004560001 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $164.00 | $.00 | $164.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $164.00 | f | |||||||
| 4004579601 | DOE, J | 4 | 01/26-01/26/2004 | 123456789 | PAT | $208.00 | $15.00 | $193.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $193.00 | f | |||||||
| 4004734501 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $205.00 | $6.00 | $199.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $199.00 | f | |||||||
| 4004735301 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4004735701 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $104.00 | $.00 | $104.00 | $.00 | $50.00 | $.00 | $17.50 | $.00 | $.00 | $.00 | $36.50 | f | |||||||
| 4004736301 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $222.00 | $.00 | $222.00 | $.00 | $50.00 | $.00 | $32.50 | $.00 | $.00 | $.00 | $139.50 | f | |||||||
| 4004736501 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4004736601 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $153.00 | $.00 | $153.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $153.00 | f | |||||||
| 4004736701 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $97.00 | $.00 | $97.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $97.00 | f | |||||||
| 4004736801 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $98.00 | f | |||||||
| 4004737001 | DOE, J | 3 | 11/26-11/26/2003 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $.00 | $.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $125.00 | f | |||||||
| 4004737201 | DOE, J | 3 | 01/15-01/15/2004 | 123456789 | PAT | $153.00 | $35.00 | $118.00 | $.00 | $.00 | $.00 | $59.00 | $.00 | $.00 | $.00 | $59.00 | f | |||||||
| 4004737401 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4004737801 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4004738501 | DOE, J JR | 2 | 02/09-02/09/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $50.00 | $.00 | $37.50 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4004738701 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $67.00 | f | |||||||
| 4004738801 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $.00 | $.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4004739201 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $.00 | $50.00 | $.00 | $16.50 | $.00 | $.00 | $.00 | $16.50 | f | |||||||
| 4004739301 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $96.00 | $.00 | $96.00 | $.00 | $50.00 | $.00 | $23.00 | $.00 | $.00 | $.00 | $23.00 | f | |||||||
| 4004739701 | DOE, J | s | 02/06-02/06/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.00 | f | |||||||
| 4004741001 | DOE, J | e | 02/14-02/14/2004 | 123456789 | PAT | $97.00 | $.00 | $97.00 | $.00 | $50.00 | $.00 | $23.50 | $.00 | $.00 | $.00 | $23.50 | f | |||||||
| 4004741201 | DOE, J | e | 02/13-02/13/2004 | 123456789 | PAT | $1,022.00 | $199.00 | $823.00 | $.00 | $50.00 | $.00 | $386.50 | $.00 | $.00 | $.00 | $386.50 | f | |||||||
| 4004741401 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4004741601 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $1,000.00 | $1,000.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004741701 | DOE, J | e | 02/12-02/12/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $50.00 | $.00 | $32.50 | $.00 | $.00 | $.00 | $32.50 | f | |||||||
| 4004741901 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $50.00 | $.00 | $12.50 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4004744201 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $140.00 | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4004744501 | DOE, J | s | 02/09-02/09/2004 | 123456789 | PAT | $16.00 | $16.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004744601 | DOE, J | s | 02/09-02/09/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4004744801 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $150.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004744901 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $864.00 | $.00 | $864.00 | $.00 | $.00 | $.00 | $432.00 | $.00 | $.00 | $.00 | $432.00 | f | |||||||
| 4004745101 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $431.00 | $.00 | $431.00 | $.00 | $50.00 | $.00 | $190.50 | $.00 | $.00 | $.00 | $190.50 | f | |||||||
| 4004745401 | DOE, J | s | 09/30-10/30/2003 | 123456789 | PAT | $1,265.00 | $135.00 | $1,130.00 | $.00 | $.00 | $.00 | $565.00 | $.00 | $537.50 | $.00 | $27.50 | f | |||||||
| 4004746101 | DOE, J | 3 | 02/10-02/10/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4004746201 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4004746301 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $69.00 | f | |||||||
| 4004746501 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4004746701 | DOE, J | 3 | 02/05-02/05/2004 | 123456789 | PAT | $45.00 | $30.00 | $15.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $15.00 | f | |||||||
| 4004746901 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $800.00 | $.00 | $800.00 | $.00 | $.00 | $.00 | $400.00 | $.00 | $.00 | $.00 | $400.00 | f | |||||||
| 4004747201 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $51.00 | $.00 | $51.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $51.00 | f | |||||||
| 4004747601 | DOE, J | 1 | 11/10-11/10/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $165.00 | f | |||||||
| 4004747901 | DOE, J | 1 | 02/11-02/11/2004 | 123456789 | PAT | $124.00 | $.00 | $124.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $124.00 | f | |||||||
| 4004748301 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $160.00 | $49.00 | $111.00 | $.00 | $50.00 | $.00 | $30.50 | $.00 | $.00 | $.00 | $30.50 | f | |||||||
| 4004748501 | DOE, J | s | 02/11-02/11/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.00 | f | |||||||
| 4004761401 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $420.00 | $179.00 | $241.00 | $.00 | $50.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4004762001 | ST ANDRIE, JOYCE | e | 02/10-02/10/2004 | 123456789 | PAT | $770.00 | $675.00 | $95.00 | $.00 | $50.00 | $.00 | $22.50 | $.00 | $.00 | $.00 | $22.50 | f | |||||||
| 4004762401 | DOE, J | s | 02/11-02/11/2004 | 123456789 | PAT | $304.00 | $.00 | $304.00 | $.00 | $50.00 | $.00 | $127.00 | $.00 | $.00 | $.00 | $127.00 | f | |||||||
| 4004762801 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $178.00 | $132.00 | $46.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $46.00 | f | |||||||
| 4004763701 | DOE, J | 4 | 02/05-02/05/2004 | 123456789 | PAT | $136.00 | $62.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $74.00 | f | |||||||
| 4004763801 | DOE, J | e | 02/13-02/13/2004 | 123456789 | PAT | $184.00 | $29.00 | $155.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $155.00 | f | |||||||
| 4004776201 | DOE, J | s | 02/12-02/12/2004 | 123456789 | PAT | $1,159.00 | $.00 | $1,159.00 | $.00 | $50.00 | $.00 | $554.50 | $.00 | $.00 | $.00 | $554.50 | f | |||||||
| 4004776401 | DOE, J | e | 02/13-02/13/2004 | 123456789 | PAT | $700.00 | $565.00 | $135.00 | $.00 | $50.00 | $.00 | $42.50 | $.00 | $.00 | $.00 | $42.50 | f | |||||||
| 4004776501 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $172.00 | $.00 | $172.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $172.00 | f | |||||||
| 4004776601 | DOE, J | 1 | 02/10-02/10/2004 | 123456789 | PAT | $180.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004776801 | DOE, J JR | s | 02/12-02/12/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4004776901 | DOE, J | 2 | 12/17-12/17/2003 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $.00 | $.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4004777001 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $826.00 | $700.00 | $126.00 | $.00 | $.00 | $.00 | $63.00 | $.00 | $.00 | $.00 | $63.00 | f | |||||||
| 4004777101 | DOE, J | 1 | 02/11-02/11/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $118.00 | f | |||||||
| 4004777201 | DOE, J | 4 | 04/28-04/28/2003 | 123456789 | PAT | $352.00 | $352.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004777601 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $122.00 | f | |||||||
| 4004777701 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $62.00 | $.00 | $62.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $62.00 | f | |||||||
| 4004777801 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $61.00 | $61.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004777901 | DOE, J | 1 | 12/16-12/16/2003 | 123456789 | PAT | $91.00 | $40.00 | $51.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $51.00 | f | |||||||
| 4004778001 | DOE, J | 2 | 02/10-02/10/2004 | 123456789 | PAT | $83.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004778101 | DOE, J JR. | 3 | 02/01-02/01/2004 | 123456789 | PAT | $143.75 | $143.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004778201 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $.00 | $.00 | $.00 | $52.50 | $.00 | $.00 | $.00 | $67.50 | f | |||||||
| 4004778301 | DOE, J | s | 02/06-02/06/2004 | 123456789 | PAT | $112.00 | $.00 | $112.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $112.00 | f | |||||||
| 4004778401 | DOE, J | s | 02/09-02/09/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4004778501 | DOE, J | 2 | 02/11-02/11/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $118.00 | f | |||||||
| 4004778601 | DOE, J SR | e | 02/06-02/06/2004 | 123456789 | ANDREW SR | $306.00 | $.00 | $306.00 | $.00 | $50.00 | $.00 | $122.00 | $.00 | $.00 | $.00 | $134.00 | f | |||||||
| 4004778701 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $52.50 | $.00 | $.00 | $.00 | $52.50 | f | |||||||
| 4004778801 | DOE, J | 3 | 04/19-04/19/2003 | 123456789 | PAT | $287.00 | $287.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004778901 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $50.00 | $.00 | $22.50 | $.00 | $.00 | $.00 | $22.50 | f | |||||||
| 4004779001 | DOE, J | e | 02/07-02/07/2004 | 123456789 | PAT | $121.00 | $.00 | $121.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $121.00 | f | |||||||
| 4004779101 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4004779201 | DOE, J | e | 02/13-02/13/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $.00 | $.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4004827701 | DOE, J | e | 02/11-02/11/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $138.00 | f | |||||||
| 4004827801 | DOE, J | e | 02/11-02/11/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $170.00 | f | |||||||
| 4004828101 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $74.00 | f | |||||||
| 4004828201 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $74.00 | f | |||||||
| 4004828901 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $135.00 | f | |||||||
| 4004894001 | DOE, J | 1 | 08/01-02/08/2004 | 123456789 | PAT | $1,266.65 | $.00 | $1,266.65 | $.00 | $100.00 | $.00 | $583.32 | $.00 | $.00 | $.00 | $583.33 | f | |||||||
| 4004895101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $823.00 | $.00 | $823.00 | $.00 | $50.00 | $.00 | $215.00 | $.00 | $.00 | $.00 | $558.00 | f | |||||||
| 4004897401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $1,100.00 | $.00 | $1,100.00 | $.00 | $50.00 | $.00 | $525.00 | $.00 | $.00 | $.00 | $525.00 | f | |||||||
| 4004897701 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $875.00 | $.00 | $875.00 | $.00 | $.00 | $.00 | $437.50 | $.00 | $.00 | $.00 | $437.50 | f | |||||||
| 4004898001 | DOE, J | s | 12/13-12/13/2003 | 123456789 | PAT | $550.00 | $24.00 | $526.00 | $.00 | $50.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $326.00 | f | |||||||
| 4004898301 | DOE, J | e | 12/13-12/13/2003 | 123456789 | PAT | $550.00 | $24.00 | $526.00 | $.00 | $.00 | $.00 | $175.00 | $.00 | $.00 | $.00 | $351.00 | f | |||||||
| 4004899601 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $350.00 | $.00 | $350.00 | $.00 | $50.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $150.00 | f | |||||||
| 4004900601 | DOE, J | s | 12/15-12/15/2003 | 123456789 | PAT | $350.00 | $.00 | $350.00 | $.00 | $.00 | $.00 | $175.00 | $.00 | $.00 | $.00 | $175.00 | f | |||||||
| 4004901601 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $1,100.00 | $.00 | $1,100.00 | $.00 | $50.00 | $.00 | $525.00 | $.00 | $.00 | $.00 | $525.00 | f | |||||||
| 4004902701 | DOE, J | e | 12/20-12/20/2003 | 123456789 | PAT | $800.00 | $800.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004903001 | DOE, J | 3 | 10/06-10/06/2003 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4004903401 | WARNER JR, BRUCE | 1 | 02/10-02/10/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $73.00 | f | |||||||
| 4004903601 | DOE, J | t | 11/11-11/11/2003 | 123456789 | ANNIE L | $180.00 | $.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $180.00 | f | |||||||
| 4004906001 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $856.00 | $.00 | $856.00 | $.00 | $50.00 | $.00 | $403.00 | $.00 | $.00 | $.00 | $403.00 | f | |||||||
| 4004909101 | DOE, J | 1 | 02/05-02/05/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $105.00 | f | |||||||
| 4004909701 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $116.00 | $70.00 | $46.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $42.00 | $.00 | $4.00 | f | |||||||
| 4004910501 | DOE, J | s | 09/09-09/09/2002 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $16.00 | f | |||||||
| 4004911201 | DOE, J | s | 12/30-12/30/2002 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $.00 | $.00 | $.00 | $92.50 | $.00 | $.00 | $.00 | $92.50 | f | |||||||
| 4004911801 | DOE, J | e | 12/27-12/27/2003 | 123456789 | PAT | $792.00 | $22.00 | $770.00 | $.00 | $50.00 | $.00 | $234.00 | $.00 | $.00 | $.00 | $486.00 | f | |||||||
| 4004912001 | DOE, J | e | 01/10-01/15/2004 | 123456789 | PAT | $1,823.00 | $209.00 | $1,614.00 | $.00 | $50.00 | $.00 | $782.00 | $.00 | $.00 | $.00 | $782.00 | f | |||||||
| 4004914201 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $2,250.00 | $200.00 | $2,050.00 | $.00 | $50.00 | $.00 | $1,000.00 | $.00 | $.00 | $.00 | $1,000.00 | f | |||||||
| 4004916401 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $188.00 | $.00 | $188.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $188.00 | f | |||||||
| 4004916901 | DOE, J | e | 02/11-02/11/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $.00 | $50.00 | $.00 | $19.00 | $.00 | $.00 | $.00 | $19.00 | f | |||||||
| 4004946901 | DOE, J | e | 02/14-02/14/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4004947301 | DOE, J | s | 02/11-02/11/2004 | 123456789 | PAT | $241.00 | $.00 | $241.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $241.00 | f | |||||||
| 4004947601 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $198.00 | $30.00 | $168.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $168.00 | f | |||||||
| 4004984601 | DOE, J | 2 | 11/21-11/21/2003 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $.00 | $.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $105.00 | f | |||||||
| 4005002001 | DOE, J | e | 02/12-02/12/2004 | 123456789 | PAT | $255.00 | $6.00 | $249.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $249.00 | f | |||||||
| 4005002701 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $1,317.00 | $.00 | $1,317.00 | $.00 | $.00 | $.00 | $658.50 | $.00 | $.00 | $.00 | $658.50 | f | |||||||
| 4005006001 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4005006501 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $97.00 | $.00 | $97.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $97.00 | f | |||||||
| 4005006801 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $739.00 | $.00 | $739.00 | $.00 | $50.00 | $.00 | $322.50 | $.00 | $.00 | $.00 | $366.50 | f | |||||||
| 4005007101 | DOE, J | 3 | 12/01-12/01/2003 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.00 | f | |||||||
| 4005008401 | DOE, J | 5 | 08/20-08/20/2003 | 123456789 | PAT | $86.00 | $86.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005008801 | DOE, J | 3 | 09/24-09/24/2003 | 123456789 | PAT | $312.00 | $312.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005009101 | DOE, J | 2 | 07/15-07/15/2003 | 123456789 | PAT | $125.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005009401 | DOE, J | 2 | 08/13-08/13/2003 | 123456789 | PAT | $358.00 | $358.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005010101 | DOE, J | 2 | 08/13-08/13/2003 | 123456789 | PAT | $224.00 | $224.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005010601 | DOE, J | 1 | 09/23-09/23/2003 | 123456789 | PAT | $103.00 | $103.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005011101 | DOE, J | 4 | 07/15-07/15/2003 | 123456789 | PAT | $62.00 | $62.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005011401 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $50.00 | $.00 | $15.00 | $.00 | $.00 | $.00 | $15.00 | f | |||||||
| 4005012101 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $360.00 | $126.65 | $233.35 | $.00 | $.00 | $.00 | $116.67 | $.00 | $.00 | $.00 | $116.68 | f | |||||||
| 4005013201 | DOE, J SR | s | 01/07-01/07/2004 | 123456789 | PAT | $366.00 | $247.00 | $119.00 | $.00 | $50.00 | $.00 | $34.50 | $.00 | $34.50 | $.00 | $.00 | f | |||||||
| 4005013701 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $238.00 | $.00 | $238.00 | $.00 | $50.00 | $.00 | $94.00 | $.00 | $94.00 | $.00 | $.00 | f | |||||||
| 4005015301 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $532.00 | $532.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005016601 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $1,015.00 | $12.00 | $1,003.00 | $.00 | $50.00 | $.00 | $476.50 | $.00 | $378.00 | $.00 | $98.50 | f | |||||||
| 4005018701 | DOE, J JR | 2 | 10/22-10/22/2003 | 123456789 | CAMERON JR | $110.00 | $78.00 | $32.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.00 | $.00 | $12.00 | f | |||||||
| 4005019201 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $76.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $76.00 | f | |||||||
| 4005019301 | DOE, J | e | 02/14-02/14/2004 | 123456789 | PAT | $400.00 | $.00 | $400.00 | $.00 | $.00 | $.00 | $200.00 | $.00 | $.00 | $.00 | $200.00 | f | |||||||
| 4005021701 | DOE, J | e | 11/29-12/12/2003 | 123456789 | PAT | $813.00 | $255.00 | $558.00 | $.00 | $.00 | $.00 | $202.50 | $.00 | $.00 | $.00 | $355.50 | f | |||||||
| 4005021801 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $423.00 | $10.00 | $413.00 | $.00 | $50.00 | $.00 | $181.50 | $.00 | $.00 | $.00 | $181.50 | f | |||||||
| 4005021901 | DOE, J | s | 02/11-02/11/2004 | 123456789 | PAT | $175.00 | $3.00 | $172.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $172.00 | f | |||||||
| 4005022101 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $229.00 | $229.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005022801 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $194.00 | $194.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005023401 | DOE, J | s | 02/09-02/09/2004 | 123456789 | PAT | $127.00 | $.00 | $127.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $127.00 | f | |||||||
| 4005024501 | DOE, J JR | 1 | 02/10-02/10/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4005024801 | DOE, J | 1 | 02/13-02/13/2004 | 123456789 | PAT | $183.00 | $75.00 | $108.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $108.00 | f | |||||||
| 4005025301 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $64.00 | $.00 | $.00 | f | |||||||
| 4005025501 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $40.00 | $.00 | $40.00 | $.00 | $.00 | f | |||||||
| 4005028901 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $112.00 | $7.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $105.00 | f | |||||||
| 4005029301 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $182.00 | $.00 | $182.00 | $.00 | $10.00 | $.00 | $44.00 | $.00 | $.00 | $.00 | $128.00 | f | |||||||
| 4005029801 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $.00 | $.00 | $.00 | $72.50 | $.00 | $.00 | $.00 | $72.50 | f | |||||||
| 4005029901 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $.00 | $50.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $160.00 | f | |||||||
| 4005030201 | DOE, J | e | 02/13-02/13/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4005030901 | DOE, J | e | 02/12-02/12/2004 | 123456789 | PAT | $720.00 | $.00 | $720.00 | $.00 | $50.00 | $.00 | $335.00 | $.00 | $.00 | $.00 | $335.00 | f | |||||||
| 4005032401 | DOE, J | s | 02/12-02/12/2004 | 123456789 | PAT | $1,420.00 | $35.00 | $1,385.00 | $.00 | $50.00 | $.00 | $667.50 | $.00 | $.00 | $.00 | $667.50 | f | |||||||
| 4005070401 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $71.00 | $4.00 | $67.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $67.00 | f | |||||||
| 4005070501 | DOE, J | e | 02/19-02/19/2004 | 123456789 | PAT | $150.00 | $11.00 | $139.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $139.00 | f | |||||||
| 4005070801 | DOE, J JR. | e | 01/29-01/29/2004 | 123456789 | JAMES JR. | $82.00 | $.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $82.00 | f | |||||||
| 4005071201 | DOE, J | s | 02/17-02/17/2004 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4005071601 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $116.00 | $.00 | $116.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $116.00 | f | |||||||
| 4005072401 | DOE, J JR | s | 02/16-02/16/2004 | 123456789 | PAT | $104.00 | $.00 | $104.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $104.00 | f | |||||||
| 4005072501 | DOE, J | 1 | 02/17-02/17/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $50.00 | $.00 | $15.00 | $.00 | $.00 | $.00 | $15.00 | f | |||||||
| 4005072801 | DOE, J | s | 02/17-02/17/2004 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $86.00 | f | |||||||
| 4005072901 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $149.00 | $18.00 | $131.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $131.00 | f | |||||||
| 4005073001 | DOE, J | e | 02/18-02/18/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $50.00 | $.00 | $12.50 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4005073101 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $157.00 | $2.00 | $155.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $155.00 | f | |||||||
| 4005073501 | DOE, J | e | 02/18-02/18/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4005074001 | DOE, J | s | 11/03-11/03/2003 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4005074201 | DOE, J | 1 | 02/16-02/16/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $102.00 | f | |||||||
| 4005074301 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $524.00 | $.00 | $524.00 | $.00 | $50.00 | $.00 | $237.00 | $.00 | $.00 | $.00 | $237.00 | f | |||||||
| 4005074501 | DOE, J | e | 02/18-02/18/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4005075201 | DOE, J | s | 02/18-02/18/2004 | 123456789 | PAT | $126.00 | $60.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4005104201 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $.00 | $50.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $125.00 | f | |||||||
| 4005125201 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $144.00 | $3.00 | $141.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $141.00 | f | |||||||
| 4005128701 | DOE, J | e | 06/09-02/16/2004 | 123456789 | PAT | $246.00 | $.00 | $246.00 | $.00 | $50.00 | $.00 | $98.00 | $.00 | $.00 | $.00 | $98.00 | f | |||||||
| 4005130101 | DOE, J | 2 | 02/13-02/16/2004 | 123456789 | PAT | $308.00 | $.00 | $308.00 | $.00 | $50.00 | $.00 | $129.00 | $.00 | $.00 | $.00 | $129.00 | f | |||||||
| 4005130201 | DOE, J | 2 | 02/16-02/16/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4005130601 | DOE, J | 4 | 02/16-02/16/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4005130901 | DOE, J | 3 | 02/16-02/16/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4005131101 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $198.00 | $.00 | $198.00 | $.00 | $50.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4005131601 | DOE, J | 3 | 08/20-08/20/2003 | 123456789 | PAT | $89.00 | $89.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005131901 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $50.00 | $.00 | $1.50 | $.00 | $.00 | $.00 | $14.50 | f | |||||||
| 4005132101 | DOE, J | 1 | 12/27-12/27/2003 | 123456789 | PAT | $375.00 | $.00 | $375.00 | $.00 | $50.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $200.00 | f | |||||||
| 4005132501 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $600.00 | $600.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005132801 | DOE, J | e | 12/06-12/27/2003 | 123456789 | PAT | $1,175.00 | $90.00 | $1,085.00 | $.00 | $50.00 | $.00 | $475.00 | $.00 | $.00 | $.00 | $560.00 | f | |||||||
| 4005134001 | DOE, J | 2 | 02/13-02/13/2004 | 123456789 | PAT | $172.00 | $62.00 | $110.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4005134301 | DOE, J | 1 | 02/11-02/11/2004 | 123456789 | PAT | $285.00 | $.00 | $285.00 | $.00 | $50.00 | $.00 | $117.50 | $.00 | $.00 | $.00 | $117.50 | f | |||||||
| 4005135201 | DOE, J | 1 | 02/14-02/14/2004 | 123456789 | PAT | $176.00 | $.00 | $176.00 | $.00 | $50.00 | $.00 | $19.50 | $.00 | $.00 | $.00 | $106.50 | f | |||||||
| 4005135401 | DOE, J | 1 | 02/13-02/13/2004 | 123456789 | PAT | $114.00 | $.00 | $114.00 | $.00 | $50.00 | $.00 | $32.00 | $.00 | $.00 | $.00 | $32.00 | f | |||||||
| 4005135601 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $590.00 | $.00 | $590.00 | $.00 | $50.00 | $.00 | $270.00 | $.00 | $.00 | $.00 | $270.00 | f | |||||||
| 4005137301 | DOE, J JR | s | 02/02-02/02/2003 | 123456789 | PAT | $139.00 | $.00 | $139.00 | $.00 | $.00 | $.00 | $69.50 | $.00 | $.00 | $.00 | $69.50 | f | |||||||
| 4005137501 | DOE, J | 3 | 02/16-02/16/2004 | 123456789 | PAT | $102.00 | $2.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4005138901 | DOE, J | 1 | 02/12-02/12/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $.00 | $50.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4005139401 | DOE, J | 3 | 01/27-01/27/2004 | 123456789 | PAT | $159.00 | $.00 | $159.00 | $.00 | $50.00 | $.00 | $23.00 | $.00 | $.00 | $.00 | $86.00 | f | |||||||
| 4005139601 | DOE, J | 3 | 01/13-01/13/2004 | 123456789 | PAT | $132.00 | $.00 | $132.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $132.00 | f | |||||||
| 4005139901 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005145701 | DOE, J | 1 | 02/13-02/13/2004 | 123456789 | PAT | $92.00 | $2.00 | $90.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.00 | f | |||||||
| 4005146101 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $.00 | $.00 | $.00 | $137.50 | $.00 | $.00 | $.00 | $137.50 | f | |||||||
| 4005146501 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $703.00 | $.00 | $703.00 | $.00 | $.00 | $.00 | $351.50 | $.00 | $.00 | $.00 | $351.50 | f | |||||||
| 4005146601 | DOE, J | e | 02/09-02/09/2004 | 123456789 | PAT | $733.00 | $.00 | $733.00 | $.00 | $.00 | $.00 | $366.50 | $.00 | $.00 | $.00 | $366.50 | f | |||||||
| 4005147301 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $968.00 | $51.00 | $917.00 | $.00 | $50.00 | $.00 | $433.50 | $.00 | $399.60 | $.00 | $33.90 | f | |||||||
| 4005148601 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $400.00 | $.00 | $400.00 | $.00 | $50.00 | $.00 | $175.00 | $.00 | $.00 | $.00 | $175.00 | f | |||||||
| 4005150001 | DOE, J | 2 | 02/12-02/12/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4005150101 | DOE, J | s | 02/18-02/18/2004 | 123456789 | PAT | $230.00 | $.00 | $230.00 | $.00 | $.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4005150201 | DOE, J | s | 02/18-02/18/2004 | 123456789 | PAT | $1,110.00 | $.00 | $1,110.00 | $.00 | $.00 | $.00 | $555.00 | $.00 | $.00 | $.00 | $555.00 | f | |||||||
| 4005150301 | DOE, J | 1 | 02/16-02/16/2004 | 123456789 | PAT | $254.00 | $38.00 | $216.00 | $.00 | $50.00 | $.00 | $83.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4005150501 | DOE, J | s | 02/18-02/18/2004 | 123456789 | PAT | $197.00 | $10.00 | $187.00 | $.00 | $50.00 | $.00 | $68.50 | $.00 | $.00 | $.00 | $68.50 | f | |||||||
| 4005150601 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $59.00 | $.00 | $59.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $59.00 | f | |||||||
| 4005150801 | DOE, J | 1 | 02/18-02/18/2004 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $109.00 | f | |||||||
| 4005150901 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $236.00 | f | |||||||
| 4005151201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $.00 | $50.00 | $.00 | $26.50 | $.00 | $.00 | $.00 | $26.50 | f | |||||||
| 4005151501 | DOE, J | e | 12/31-12/31/2003 | 123456789 | PAT | $88.00 | $88.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005151801 | DOE, J | s | 11/21-11/21/2003 | 123456789 | PAT | $180.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005152301 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.00 | f | |||||||
| 4005152701 | DOE, J | e | 02/18-02/18/2004 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.00 | f | |||||||
| 4005153001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $58.00 | $58.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005155401 | DOE, J | 3 | 02/14-02/14/2004 | 123456789 | PAT | $143.00 | $14.00 | $129.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $129.00 | f | |||||||
| 4005155601 | DOE, J | 4 | 02/14-02/14/2004 | 123456789 | PAT | $138.00 | $14.00 | $124.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $124.00 | f | |||||||
| 4005155801 | DOE, J | e | 02/19-02/19/2004 | 123456789 | PAT | $270.00 | $.00 | $270.00 | $.00 | $50.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4005156001 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $157.00 | $157.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005156601 | DOE, J | s | 02/13-02/13/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4005156801 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $668.00 | $.00 | $668.00 | $.00 | $50.00 | $.00 | $302.50 | $.00 | $.00 | $.00 | $315.50 | f | |||||||
| 4005157101 | DOE, J | 3 | 02/10-02/10/2004 | 123456789 | PAT | $497.00 | $.00 | $497.00 | $.00 | $50.00 | $.00 | $223.50 | $.00 | $.00 | $.00 | $223.50 | f | |||||||
| 4005158001 | DOE, J | 3 | 02/10-02/10/2004 | 123456789 | PAT | $497.00 | $497.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005203401 | DOE, J | 1 | 02/13-02/13/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4005203501 | DOE, J | 2 | 02/13-02/13/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4005203701 | DOE, J | s | 02/17-02/17/2004 | 123456789 | PAT | $62.00 | $.00 | $62.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $62.00 | f | |||||||
| 4005203801 | DOE, J | e | 02/12-02/12/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $195.00 | f | |||||||
| 4005203901 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4005204401 | DOE, J | s | 02/18-02/18/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $120.00 | f | |||||||
| 4005204501 | DOE, J | 1 | 02/18-02/18/2004 | 123456789 | PAT | $213.00 | $.00 | $213.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $213.00 | f | |||||||
| 4005254801 | DOE, J | e | 02/16-02/16/2004 | 123456789 | PAT | $61.00 | $61.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005255101 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $200.00 | $200.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005263901 | DOE, J | s | 02/13-02/13/2004 | 123456789 | PAT | $160.00 | $1.00 | $159.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $159.00 | f | |||||||
| 4005266601 | DOE, J | s | 02/16-02/16/2004 | 123456789 | PAT | $197.00 | $.00 | $197.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $157.00 | f | |||||||
| 4005268101 | DOE, J | e | 02/10-02/10/2004 | 123456789 | PAT | $190.00 | $15.00 | $175.00 | $.00 | $50.00 | $.00 | $62.50 | $.00 | $.00 | $.00 | $62.50 | f | |||||||
| 4005268601 | DOE, J | s | 10/21-10/21/2003 | 123456789 | PAT | $451.00 | $365.00 | $86.00 | $.00 | $.00 | $.00 | $12.50 | $.00 | $.00 | $.00 | $73.50 | f | |||||||
| 4005269001 | DOE, J JR | 1 | 02/16-02/16/2004 | 123456789 | PAT | $425.00 | $20.91 | $404.09 | $.00 | $50.00 | $.00 | $177.03 | $.00 | $.00 | $.00 | $177.06 | f | |||||||
| 4005269701 | DOE, J JR | e | 02/16-02/16/2004 | 123456789 | SIMON JR | $95.00 | $.00 | $95.00 | $.00 | $50.00 | $.00 | $22.50 | $.00 | $.00 | $.00 | $22.50 | f | |||||||
| 4005270101 | DOE, J | 2 | 02/13-02/13/2004 | 123456789 | PAT | $480.00 | $121.00 | $359.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $359.00 | f | |||||||
| 4005270601 | DOE, J | 1 | 02/13-02/13/2004 | 123456789 | PAT | $240.00 | $81.00 | $159.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $159.00 | f | |||||||
| 4005271101 | DOE, J | 2 | 02/17-02/17/2004 | 123456789 | PAT | $395.00 | $2.51 | $392.49 | $.00 | $.00 | $.00 | $196.24 | $.00 | $.00 | $.00 | $196.25 | f | |||||||
| 4005271701 | DOE, J | s | 02/10-02/10/2004 | 123456789 | PAT | $176.00 | $6.00 | $170.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $170.00 | f | |||||||
| 4005279001 | DOE, J | 1 | 12/30-12/30/2003 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $48.00 | f | |||||||
| 4005279701 | DOE, J | 2 | 02/17-02/17/2004 | 123456789 | PAT | $920.00 | $.00 | $920.00 | $.00 | $50.00 | $.00 | $435.00 | $.00 | $.00 | $.00 | $435.00 | f | |||||||
| 4005280801 | DOE, J | 1 | 12/30-12/30/2003 | 123456789 | PAT | $74.00 | $52.00 | $22.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $22.00 | f | |||||||
| 4005302201 | DOE, J | e | 02/21-02/21/2004 | 123456789 | PAT | $400.00 | $.00 | $400.00 | $.00 | $.00 | $.00 | $200.00 | $.00 | $.00 | $.00 | $200.00 | f | |||||||
| 4005302401 | DOE, J | 4 | 12/02-12/02/2003 | 123456789 | PAT | $46.00 | $46.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005303001 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $97.00 | $97.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005304401 | DOE, J | e | 02/18-02/18/2004 | 123456789 | PAT | $460.00 | $.00 | $460.00 | $.00 | $50.00 | $.00 | $200.00 | $.00 | $.00 | $.00 | $210.00 | f | |||||||
| 4005304701 | DOE, J | s | 02/17-02/17/2004 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $67.00 | f | |||||||
| 4005307101 | DOE, J | 2 | 02/09-02/09/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $52.50 | $.00 | $.00 | $.00 | $52.50 | f | |||||||
| 4005307901 | DOE, J | 1 | 02/09-02/09/2004 | 123456789 | PAT | $258.00 | $.00 | $258.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $258.00 | f | |||||||
| 4005308801 | DOE, J | 3 | 02/09-02/09/2004 | 123456789 | PAT | $258.00 | $.00 | $258.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $258.00 | f | |||||||
| 4005350701 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4005351901 | DOE, J | s | 02/17-02/17/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $102.00 | f | |||||||
| 4005433201 | DOE, J | 3 | 02/03-02/03/2004 | 123456789 | PAT | $337.00 | $93.00 | $244.00 | $.00 | $50.00 | $.00 | $97.00 | $.00 | $.00 | $.00 | $97.00 | f | |||||||
| 4005433401 | DOE, J JR | 1 | 10/01-10/01/2003 | 123456789 | PAT | $275.00 | $275.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005434601 | DOE, J | e | 02/16-02/16/2004 | 123456789 | PAT | $306.00 | $61.00 | $245.00 | $.00 | $50.00 | $.00 | $97.50 | $.00 | $.00 | $.00 | $97.50 | f | |||||||
| 4005435001 | DOE, J | e | 02/16-02/16/2004 | 123456789 | PAT | $354.00 | $21.00 | $333.00 | $.00 | $.00 | $.00 | $84.50 | $.00 | $.00 | $.00 | $248.50 | f | |||||||
| 4005436001 | DOE, J | s | 11/11-11/11/2003 | 123456789 | PAT | $162.00 | $162.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005436201 | DOE, J | s | 02/18-02/18/2004 | 123456789 | PAT | $202.00 | $.00 | $202.00 | $.00 | $50.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $76.00 | f | |||||||
| 4005437301 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $895.00 | $.00 | $895.00 | $.00 | $.00 | $.00 | $447.50 | $.00 | $354.00 | $.00 | $93.50 | f | |||||||
| 4005437801 | DOE, J | e | 02/18-02/18/2004 | 123456789 | PAT | $2,808.00 | $758.00 | $2,050.00 | $.00 | $50.00 | $.00 | $1,000.00 | $.00 | $.00 | $.00 | $1,000.00 | f | |||||||
| 4005438101 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $1,055.00 | $.00 | $1,055.00 | $.00 | $.00 | $.00 | $527.50 | $.00 | $.00 | $.00 | $527.50 | f | |||||||
| 4005438301 | DOE, J | e | 11/02-11/02/2003 | 123456789 | PAT | $634.00 | $65.00 | $569.00 | $.00 | $.00 | $.00 | $229.00 | $.00 | $.00 | $.00 | $340.00 | f | |||||||
| 4005442001 | DOE, J | 1 | 02/20-02/20/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $165.00 | f | |||||||
| 4005442301 | DOE, J | 2 | 02/03-02/03/2004 | 123456789 | PAT | $62.00 | $.00 | $62.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $62.00 | f | |||||||
| 4005442401 | DOE, J | 1 | 02/03-02/03/2004 | 123456789 | PAT | $68.00 | $2.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.00 | f | |||||||
| 4005442701 | DOE, J | 2 | 02/16-02/16/2004 | 123456789 | PAT | $186.00 | $.00 | $186.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $186.00 | f | |||||||
| 4005442901 | DOE, J | 1 | 02/16-02/16/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $168.00 | f | |||||||
| 4005455101 | DOE, J | s | 02/17-02/17/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.00 | f | |||||||
| 4005455201 | DOE, J | s | 02/19-02/19/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $190.00 | f | |||||||
| 4005455301 | DOE, J | 1 | 02/16-02/16/2004 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $236.00 | f | |||||||
| 4005455701 | DOE, J | 1 | 12/30-12/30/2003 | 123456789 | PAT | $48.00 | $48.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4005455801 | DOE, J | e | 02/17-02/17/2004 | 123456789 | PAT | $254.00 | $.00 | $254.00 | $.00 | $.00 | $.00 | $127.00 | $.00 | $.00 | $.00 | $127.00 | f | |||||||
| 4005455901 | DOE, J | e | 02/19-02/19/2004 | 123456789 | PAT | $209.00 | $.00 | $209.00 | $.00 | $.00 | $.00 | $104.50 | $.00 | $.00 | $.00 | $104.50 | f | |||||||
| 4005456701 | DOE, J | 1 | 12/06-12/27/2003 | 123456789 | PAT | $2,235.00 | $400.00 | $1,835.00 | $.00 | $.00 | $.00 | $875.00 | $.00 | $.00 | $.00 | $960.00 | f | |||||||
| 4005457201 | DOE, J | e | 02/19-02/19/2004 | 123456789 | PAT | $145.00 | $3.00 | $142.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $142.00 | f | |||||||
| Total Ben Type: D | $183,902.06 | $36,772.79 | $147,129.27 | $.00 | $9,142.00 | $.00 | $50,439.11 | $.00 | $4,197.90 | $.00 | $83,350.26 | |||||||||||||
| >Benefit Type: M | ||||||||||||||||||||||||
| 2023417302 | DOE, J | e | 02/26-02/26/2002 | 123456789 | PAT | $366.00 | $.00 | $366.00 | $.00 | $250.00 | $.00 | $11.60 | $.00 | $.00 | $.00 | $104.40 | f | |||||||
| 2083885203 | DOE, J JR | 1 | 08/26-08/26/2002 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $.00 | $275.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 2086762102 | DOE, J | s | 08/28-08/28/2002 | 123456789 | PAT | $87.00 | $27.32 | $59.68 | $.00 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $49.38 | f | |||||||
| 2086762103 | DOE, J | s | 08/28-08/28/2002 | 123456789 | PAT | $3.67 | $.00 | $3.67 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $3.67 | f | |||||||
| 2104859802 | DOE, J | e | 10/17-10/17/2002 | 123456789 | PAT | $11.91 | $.00 | $11.91 | $1.80 | $.00 | $.00 | $1.01 | $.00 | $.00 | $.00 | $9.10 | f | |||||||
| 2104859803 | DOE, J | e | 10/17-10/17/2002 | 123456789 | PAT | $73.09 | $.00 | $73.09 | $28.45 | $.00 | $10.00 | $.31 | $.00 | $.00 | $.00 | $34.33 | f | |||||||
| 3009476503 | DOE, J | e | 01/29-02/02/2003 | 123456789 | PAT | $34,260.85 | $34,260.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3011341002 | DOE, J | 1 | 01/28-01/28/2003 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $12.50 | $.00 | $.00 | $1.25 | $.00 | $.00 | $.00 | $11.25 | f | |||||||
| 3023010602 | DOE, J | 2 | 12/09-12/09/2001 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $16.36 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $68.64 | f | |||||||
| 3024669402 | DOE, J | s | 03/18-03/18/2003 | 123456789 | PAT | $81.00 | $3.00 | $78.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $53.00 | $.00 | $15.00 | f | |||||||
| 3033049403 | DOE, J | s | 04/22-04/22/2003 | 123456789 | PAT | $384.97 | $.00 | $384.97 | $160.00 | $.00 | $.00 | $22.50 | $.00 | $.00 | $.00 | $202.47 | f | |||||||
| 3035088002 | DOE, J | 2 | 01/16-01/16/2003 | 123456789 | PAT | $62.50 | $.00 | $62.50 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 3035088003 | DOE, J | 2 | 01/16-01/16/2003 | 123456789 | PAT | $37.50 | $.00 | $37.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 3035089102 | DOE, J | 2 | 01/29-01/29/2003 | 123456789 | PAT | $62.50 | $.00 | $62.50 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 3035089103 | DOE, J | 2 | 01/29-01/29/2003 | 123456789 | PAT | $37.50 | $.00 | $37.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 3035089302 | DOE, J | 2 | 02/10-02/10/2003 | 123456789 | PAT | $62.50 | $.00 | $62.50 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 3035089303 | DOE, J | 2 | 02/10-02/10/2003 | 123456789 | PAT | $37.50 | $.00 | $37.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 3035089902 | DOE, J | 2 | 04/18-04/18/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $40.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 3035089903 | DOE, J | 2 | 04/18-04/18/2003 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 3036489201 | DOE, J | s | 06/04-06/13/2003 | 123456789 | PAT | $18,907.76 | $.00 | $18,907.76 | $11,032.76 | $.00 | $.00 | $539.02 | $.00 | $.00 | $.00 | $7,335.98 | f | |||||||
| 3038051202 | DOE, J | 3 | 03/04-03/04/2003 | 123456789 | JA'KERIA | $186.00 | $.00 | $186.00 | $67.41 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $108.59 | f | |||||||
| 3041930702 | DOE, J | e | 07/18-07/18/2003 | 123456789 | PAT | $664.99 | $.00 | $664.99 | $148.50 | $.00 | $.00 | $51.65 | $.00 | $.00 | $.00 | $464.84 | f | |||||||
| 3041930703 | DOE, J | e | 07/18-07/18/2003 | 123456789 | PAT | $94.01 | $.00 | $94.01 | $.00 | $.00 | $.00 | $9.40 | $.00 | $.00 | $.00 | $84.61 | f | |||||||
| 3042140002 | DOE, J | e | 07/07-07/07/2003 | 123456789 | PAT | $485.55 | $.00 | $485.55 | $.00 | $.00 | $.00 | $97.11 | $.00 | $.00 | $.00 | $388.44 | f | |||||||
| 3042557402 | DOE, J | e | 08/07-08/07/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $16.50 | $.00 | $.00 | $.00 | $38.50 | f | |||||||
| 3042629902 | DOE, J | e | 07/07-07/07/2003 | 123456789 | PAT | $1,878.96 | $.00 | $1,878.96 | $.00 | $.00 | $50.00 | $182.90 | $.00 | $767.10 | $.00 | $878.96 | f | |||||||
| 3042825803 | DOE, J | s | 07/09-07/11/2003 | 123456789 | PAT | $202.50 | $.00 | $202.50 | $102.50 | $.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 3042825804 | DOE, J | s | 07/09-07/11/2003 | 123456789 | PAT | $32.50 | $.00 | $32.50 | $.00 | $.00 | $.00 | $6.50 | $.00 | $.00 | $.00 | $26.00 | f | |||||||
| 3043209102 | DOE, J | 1 | 08/18-08/18/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $27.14 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $37.86 | f | |||||||
| 3043639102 | DOE, J | e | 08/11-08/11/2003 | 123456789 | PAT | $198.51 | $5.01 | $193.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $193.50 | f | |||||||
| 3043639103 | DOE, J | e | 08/11-08/11/2003 | 123456789 | PAT | $271.49 | $.00 | $271.49 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $271.49 | f | |||||||
| 3043872902 | DOE, J | e | 08/25-08/25/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $16.50 | $.00 | $.00 | $.00 | $38.50 | f | |||||||
| 3043875302 | DOE, J | e | 08/18-08/18/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $58.99 | $.00 | $.00 | $4.10 | $.00 | $.00 | $.00 | $36.91 | f | |||||||
| 3043875303 | DOE, J | e | 08/18-08/18/2003 | 123456789 | PAT | $33.09 | $.00 | $33.09 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $33.09 | f | |||||||
| 3043961602 | DOE, J | s | 08/26-08/26/2003 | 123456789 | PAT | $75.00 | $35.22 | $39.78 | $.00 | $.00 | $10.00 | $.00 | $.00 | $9.78 | $.00 | $20.00 | f | |||||||
| 3043961603 | DOE, J | s | 08/26-08/26/2003 | 123456789 | PAT | $26.68 | $.00 | $26.68 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $26.68 | f | |||||||
| 3044809202 | DOE, J | 1 | 08/21-08/21/2003 | 123456789 | PAT | $5.00 | $.00 | $5.00 | $.00 | $.00 | $.00 | $.50 | $.00 | $.00 | $.00 | $4.50 | f | |||||||
| 3045121502 | DOE, J | 2 | 09/09-09/09/2003 | 123456789 | PAT | $72.00 | $40.00 | $32.00 | $21.67 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.33 | f | |||||||
| 3045193401 | DOE, J | s | 09/15-09/18/2003 | 123456789 | PAT | $6,002.70 | $.00 | $6,002.70 | $4,202.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,800.00 | f | |||||||
| 3045335202 | DOE, J | 1 | 09/03-09/03/2003 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $68.00 | f | |||||||
| 3046267602 | DOE, J | 1 | 09/18-09/18/2003 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $38.00 | f | |||||||
| 3046351202 | DOE, J | e | 09/23-09/23/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3046551502 | DOE, J | 1 | 12/18-12/18/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046551602 | DOE, J | 1 | 12/23-12/23/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046551802 | DOE, J | 1 | 12/26-12/26/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046551902 | DOE, J | 1 | 12/27-12/27/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046552002 | DOE, J | 1 | 12/31-12/31/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046552102 | DOE, J | 1 | 01/03-01/03/2003 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046600002 | DOE, J | 1 | 12/28-12/28/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046600102 | DOE, J | 1 | 12/29-12/29/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046600202 | DOE, J | 1 | 12/30-12/30/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046745702 | DOE, J | 2 | 09/15-09/15/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $44.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.40 | f | |||||||
| 3046748302 | DOE, J | s | 09/25-09/26/2003 | 123456789 | PAT | $973.80 | $.00 | $973.80 | $453.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $520.75 | f | |||||||
| 3046748303 | DOE, J | s | 09/25-09/26/2003 | 123456789 | PAT | $67.70 | $.00 | $67.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $67.70 | f | |||||||
| 3046761102 | DOE, J | 1 | 12/24-12/24/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.34 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.66 | f | |||||||
| 3046761202 | DOE, J | 1 | 12/25-12/25/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046761302 | DOE, J | 1 | 12/09-12/09/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046761402 | DOE, J | 1 | 12/10-12/10/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046761502 | DOE, J | 1 | 12/11-12/11/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046851602 | DOE, J | 1 | 12/12-12/12/2002 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $60.52 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.48 | f | |||||||
| 3046883102 | DOE, J | 1 | 12/14-12/14/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046883202 | DOE, J | 1 | 12/16-12/16/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046883402 | DOE, J | 1 | 12/17-12/17/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046883502 | DOE, J | 1 | 01/02-01/02/2003 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $27.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $13.25 | f | |||||||
| 3046883602 | DOE, J | 1 | 01/03-01/03/2003 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $15.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046883702 | DOE, J | 1 | 12/08-12/08/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3046887003 | DOE, J | e | 09/25-09/25/2003 | 123456789 | PAT | $35.00 | $35.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3047007802 | DOE, J | e | 09/23-09/23/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $6.00 | $.00 | $19.60 | $.00 | $.00 | $.00 | $29.40 | f | |||||||
| 3047024402 | DOE, J | 1 | 12/21-12/21/2002 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $60.52 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.48 | f | |||||||
| 3047024502 | DOE, J | 1 | 12/22-12/22/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3047024702 | DOE, J | 1 | 01/04-01/04/2003 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3047025702 | DOE, J | 1 | 12/07-12/07/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3047026002 | DOE, J | 1 | 12/08-12/08/2002 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $30.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.74 | f | |||||||
| 3047026502 | DOE, J | 1 | 12/09-12/09/2002 | 123456789 | PAT | $455.00 | $.00 | $455.00 | $405.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $49.28 | f | |||||||
| 3047182301 | DOE, J | s | 10/08-10/10/2003 | 123456789 | PAT | $8,732.02 | $8,732.02 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3047532802 | DOE, J | s | 10/09-10/31/2003 | 123456789 | PAT | $1,030.48 | $.00 | $1,030.48 | $610.48 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $420.00 | f | |||||||
| 3047565402 | DOE, J | e | 07/18-07/21/2003 | 123456789 | PAT | $22,841.12 | $189.00 | $22,652.12 | $19,152.12 | $.00 | $.00 | $350.00 | $.00 | $.00 | $.00 | $3,150.00 | f | |||||||
| 3047752502 | DOE, J | s | 08/11-08/14/2003 | 123456789 | PAT | $376.00 | $.00 | $376.00 | $188.00 | $21.50 | $.00 | $33.30 | $.00 | $.00 | $.00 | $133.20 | f | |||||||
| 3047906803 | DOE, J | e | 05/02-05/02/2003 | 123456789 | PAT | $462.28 | $.00 | $462.28 | $256.48 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $205.80 | f | |||||||
| 3047906804 | DOE, J | e | 05/02-05/02/2003 | 123456789 | PAT | $97.72 | $.00 | $97.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $97.72 | f | |||||||
| 3048037702 | DOE, J | e | 09/20-09/20/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $22.00 | $.00 | $.00 | $.00 | $33.00 | f | |||||||
| 3048038702 | DOE, J | 2 | 09/24-09/24/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $14.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.14 | f | |||||||
| 3048069802 | DOE, J | e | 09/08-09/08/2003 | 123456789 | PAT | $480.39 | $91.30 | $389.09 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $389.09 | f | |||||||
| 3048069803 | DOE, J | e | 09/08-09/08/2003 | 123456789 | PAT | $432.61 | $.00 | $432.61 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $432.61 | f | |||||||
| 3048090302 | DOE, J | e | 10/06-10/06/2003 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $.00 | $.00 | $.00 | $73.50 | $.00 | $.00 | $.00 | $171.50 | f | |||||||
| 3048686202 | DOE, J | e | 09/28-09/28/2003 | 123456789 | PAT | $156.00 | $.00 | $156.00 | $15.60 | $.00 | $34.16 | $.00 | $.00 | $.00 | $.00 | $106.24 | f | |||||||
| 3048724202 | DOE, J | 1 | 12/27-12/27/2002 | 123456789 | PAT | $535.00 | $.00 | $535.00 | $450.49 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $84.51 | f | |||||||
| 3048821403 | DOE, J | s | 09/16-09/16/2003 | 123456789 | PAT | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3049099402 | DOE, J JR | 2 | 10/02-10/02/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $37.06 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $17.94 | f | |||||||
| 3049185602 | DOE, J | e | 10/10-10/10/2003 | 123456789 | PAT | $146.00 | $.00 | $146.00 | $83.28 | $.00 | $.00 | $6.27 | $.00 | $.00 | $.00 | $56.45 | f | |||||||
| 3049208602 | DOE, J | e | 10/10-10/10/2003 | 123456789 | PAT | $754.30 | $754.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3049368401 | DOE, J | e | 11/06-11/13/2003 | 123456789 | PAT | $305.00 | $.00 | $305.00 | $78.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $226.80 | f | |||||||
| 3049428702 | DOE, J | s | 10/20-10/23/2003 | 123456789 | PAT | $260.00 | $260.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3049450402 | DOE, J | e | 09/25-09/25/2003 | 123456789 | PAT | $115.08 | $.00 | $115.08 | $13.50 | $.00 | $.00 | $10.16 | $.00 | $.00 | $.00 | $91.42 | f | |||||||
| 3049450403 | DOE, J | e | 09/25-09/25/2003 | 123456789 | PAT | $154.92 | $.00 | $154.92 | $.00 | $.00 | $.00 | $15.49 | $.00 | $.00 | $.00 | $139.43 | f | |||||||
| 3049453002 | DOE, J | s | 10/28-10/28/2003 | 123456789 | PAT | $51.00 | $.00 | $51.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $51.00 | f | |||||||
| 3049453003 | DOE, J | s | 10/28-10/28/2003 | 123456789 | PAT | $153.00 | $.00 | $153.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $153.00 | f | |||||||
| 3049555102 | DOE, J | e | 07/17-07/17/2003 | 123456789 | PAT | $259.00 | $.00 | $259.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $259.00 | f | |||||||
| 3049555103 | DOE, J | e | 07/17-07/17/2003 | 123456789 | PAT | $111.00 | $.00 | $111.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $111.00 | f | |||||||
| 3049609602 | DOE, J | e | 10/17-10/17/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $16.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.48 | f | |||||||
| 3049720502 | DOE, J | e | 09/22-09/22/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $46.10 | $.00 | $.00 | $.00 | $78.90 | f | |||||||
| 3049720503 | DOE, J | e | 09/20-09/20/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $46.10 | $.00 | $.00 | $.00 | $78.90 | f | |||||||
| 3049883601 | DOE, J | e | 11/12-11/14/2003 | 123456789 | PAT | $13,746.48 | $.00 | $13,746.48 | $9,946.48 | $.00 | $.00 | $380.00 | $.00 | $.00 | $.00 | $3,420.00 | f | |||||||
| 3049948802 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $614.00 | $.00 | $614.00 | $409.55 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $204.45 | f | |||||||
| 3050080404 | DOE, J | e | 09/29-10/03/2003 | 123456789 | PAT | $3,048.00 | $.00 | $3,048.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $3,048.00 | f | |||||||
| 3050243802 | DOE, J | e | 06/19-08/23/2003 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $.00 | $126.54 | $.00 | $33.38 | $.00 | $.00 | $.00 | $50.08 | f | |||||||
| 3050259402 | DOE, J | 1 | 08/22-08/22/2003 | 123456789 | PAT | $675.00 | $.00 | $675.00 | $293.76 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $381.24 | f | |||||||
| 3050292302 | DOE, J | e | 11/15-11/17/2003 | 123456789 | PAT | $11,205.34 | $11,205.34 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050292304 | DOE, J | e | 11/15-11/17/2003 | 123456789 | PAT | $650.00 | $.00 | $650.00 | $.00 | $.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $585.00 | f | |||||||
| 3050292401 | DOE, J | 2 | 11/03-11/04/2003 | 123456789 | PAT | $9,602.08 | $.00 | $9,602.08 | $3,840.84 | $.00 | $.00 | $576.12 | $.00 | $.00 | $.00 | $5,185.12 | f | |||||||
| 3050314102 | DOE, J | e | 01/27-06/04/2003 | 123456789 | PAT | $160.00 | $20.00 | $140.00 | $.00 | $.00 | $.00 | $56.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 3050314802 | DOE, J | e | 09/25-09/25/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050363902 | DOE, J | s | 11/01-11/01/2003 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $25.31 | $.00 | $10.00 | $.64 | $.00 | $.00 | $.00 | $47.05 | f | |||||||
| 3050366402 | DOE, J | 2 | 10/27-10/27/2003 | 123456789 | PAT | $82.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050381702 | DOE, J | e | 10/27-10/27/2003 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050395102 | DOE, J JR | s | 10/17-10/17/2003 | 123456789 | PAT | $3,837.58 | $.00 | $3,837.58 | $383.76 | $500.00 | $100.00 | $856.15 | $.00 | $.00 | $.00 | $1,997.67 | f | |||||||
| 3050403302 | DOE, J | e | 10/30-11/05/2003 | 123456789 | PAT | $5,698.00 | $5,698.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050435202 | DOE, J | s | 11/07-11/07/2003 | 123456789 | PAT | $90.00 | $90.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050435203 | DOE, J | s | 08/08-08/08/2003 | 123456789 | PAT | $21.43 | $.00 | $21.43 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.43 | f | |||||||
| 3050461502 | DOE, J | e | 10/22-10/22/2003 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $102.41 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $133.59 | f | |||||||
| 3050656602 | DOE, J | 1 | 10/24-10/24/2003 | 123456789 | PAT | $570.00 | $.00 | $570.00 | $.00 | $.00 | $.00 | $57.00 | $.00 | $.00 | $.00 | $513.00 | f | |||||||
| 3050707902 | DOE, J | 1 | 10/24-10/24/2003 | 123456789 | PAT | $370.00 | $370.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3050786002 | DOE, J | 2 | 11/03-11/03/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $23.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.84 | f | |||||||
| 3050828702 | DOE, J | e | 09/05-09/05/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $33.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $101.25 | f | |||||||
| 3050900801 | DOE, J | s | 11/18-11/18/2003 | 123456789 | PAT | $3,292.71 | $.00 | $3,292.71 | $2,292.71 | $.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $900.00 | f | |||||||
| 3050933802 | DOE, J | s | 11/06-11/06/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $23.88 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $36.12 | f | |||||||
| 3051143502 | DOE, J | s | 10/15-10/15/2003 | 123456789 | PAT | $471.06 | $165.85 | $305.21 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $305.21 | f | |||||||
| 3051143503 | DOE, J | s | 10/15-10/15/2003 | 123456789 | PAT | $568.94 | $.00 | $568.94 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $568.94 | f | |||||||
| 3051226802 | DOE, J | 1 | 09/13-09/13/2003 | 123456789 | PAT | $39.00 | $.00 | $39.00 | $20.70 | $18.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3051278402 | DOE, J | e | 10/27-10/27/2003 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $105.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $130.38 | f | |||||||
| 3051278502 | DOE, J | e | 10/28-10/28/2003 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $105.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $130.38 | f | |||||||
| 3051278602 | DOE, J | e | 11/04-11/04/2003 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $102.41 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $133.59 | f | |||||||
| 3051278702 | DOE, J | e | 10/29-10/29/2003 | 123456789 | PAT | $234.00 | $.00 | $234.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $129.00 | f | |||||||
| 3051359302 | DOE, J | 1 | 07/24-07/24/2003 | 123456789 | PAT | $132.14 | $132.14 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3051646602 | DOE, J | s | 11/12-11/12/2003 | 123456789 | PAT | $400.24 | $.00 | $400.24 | $227.59 | $.00 | $.00 | $17.26 | $.00 | $.00 | $.00 | $155.39 | f | |||||||
| 3051646603 | DOE, J | s | 11/12-11/12/2003 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $.00 | $.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $225.00 | f | |||||||
| 3051649702 | DOE, J | s | 11/18-11/18/2003 | 123456789 | PAT | $124.00 | $.00 | $124.00 | $32.47 | $.00 | $10.00 | $1.34 | $.00 | $.00 | $.00 | $80.19 | f | |||||||
| 3051707902 | DOE, J | e | 10/10-10/10/2003 | 123456789 | PAT | $44.00 | $44.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3051761402 | DOE, J | e | 10/10-10/10/2003 | 123456789 | PAT | $754.30 | $.00 | $754.30 | $150.86 | $.00 | $50.00 | $55.34 | $.00 | $.00 | $.00 | $498.10 | f | |||||||
| 3051768202 | DOE, J | s | 11/04-11/04/2003 | 123456789 | PAT | $365.90 | $279.14 | $86.76 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.76 | f | |||||||
| 3051783402 | DOE, J | e | 11/19-11/19/2003 | 123456789 | PAT | $343.00 | $.00 | $343.00 | $77.51 | $.00 | $10.00 | $8.95 | $.00 | $.00 | $.00 | $246.54 | f | |||||||
| 3051842903 | DOE, J | e | 10/27-10/27/2003 | 123456789 | PAT | $196.00 | $.00 | $196.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $196.00 | f | |||||||
| 3051843903 | DOE, J | e | 10/31-10/31/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $105.00 | f | |||||||
| 3051844503 | DOE, J | e | 11/03-11/03/2003 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $150.00 | f | |||||||
| 3051911403 | DOE, J | e | 11/10-11/10/2003 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $114.00 | f | |||||||
| 3051911502 | DOE, J | e | 11/05-11/05/2003 | 123456789 | PAT | $234.00 | $.00 | $234.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $129.00 | f | |||||||
| 3051911903 | DOE, J | e | 11/07-11/07/2003 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $16.77 | $.00 | $.00 | $.00 | $133.23 | f | |||||||
| 3051917502 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $91.00 | $91.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3051931902 | DOE, J | e | 11/07-11/07/2003 | 123456789 | PAT | $234.00 | $.00 | $234.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $129.00 | f | |||||||
| 3051932402 | DOE, J | e | 11/12-11/12/2003 | 123456789 | PAT | $212.92 | $31.92 | $181.00 | $77.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $103.70 | f | |||||||
| 3052136002 | DOE, J | e | 11/03-11/06/2003 | 123456789 | PAT | $500.00 | $500.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3052171802 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $257.92 | $31.92 | $226.00 | $102.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $123.95 | f | |||||||
| 3052172902 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $28.00 | $.00 | $28.00 | $15.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.10 | f | |||||||
| 3052348601 | DOE, J JR | e | 12/18-12/19/2003 | 123456789 | JOHNNY JR | $7,300.95 | $.00 | $7,300.95 | $2,219.49 | $.00 | $.00 | $157.19 | $.00 | $.00 | $.00 | $4,924.27 | f | |||||||
| 3052351001 | DOE, J | e | 11/22-11/22/2003 | 123456789 | PAT | $1,425.00 | $1,425.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3052375001 | DOE, J | e | 09/15-10/09/2003 | 123456789 | PAT | $115,009.92 | $.00 | $115,009.92 | $5,750.49 | $165.04 | $500.00 | $1,182.46 | $.00 | $.00 | $.00 | $107,411.93 | f | |||||||
| 3052481001 | DOE, J | s | 12/10-12/14/2003 | 123456789 | PAT | $10,507.98 | $437.04 | $10,070.94 | $5,309.37 | $.00 | $.00 | $476.15 | $.00 | $.00 | $.00 | $4,285.42 | f | |||||||
| 3052506602 | DOE, J | s | 11/20-11/20/2003 | 123456789 | PAT | $875.00 | $.00 | $875.00 | $463.30 | $.00 | $.00 | $41.15 | $.00 | $.00 | $.00 | $370.55 | f | |||||||
| 3052507102 | DOE, J | s | 11/20-11/20/2003 | 123456789 | PAT | $555.00 | $.00 | $555.00 | $241.91 | $.00 | $.00 | $31.29 | $.00 | $.00 | $.00 | $281.80 | f | |||||||
| 3052528102 | DOE, J | e | 12/03-12/03/2003 | 123456789 | PAT | $198.00 | $.00 | $198.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 3052592302 | DOE, J | 1 | 11/04-11/04/2003 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $38.00 | f | |||||||
| 3052597501 | DOE, J | e | 12/12-12/19/2003 | 123456789 | PAT | $110,489.05 | $2,268.00 | $108,221.05 | $85,175.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $23,045.90 | f | |||||||
| 3052805302 | DOE, J | e | 12/15-12/18/2003 | 123456789 | PAT | $24,844.03 | $24,844.03 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3053149902 | DOE, J JR | 2 | 11/20-11/20/2003 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $40.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 3053417201 | DOE, J | e | 12/29-12/31/2003 | 123456789 | PAT | $14,079.06 | $.00 | $14,079.06 | $12,171.06 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,908.00 | f | |||||||
| 3053417301 | DOE, J | s | 12/21-01/05/2004 | 123456789 | PAT | $102,277.03 | $102,277.03 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3053431402 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $184.83 | $.00 | $184.83 | $158.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $26.83 | f | |||||||
| 3053431403 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $57.17 | $.00 | $57.17 | $24.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $33.17 | f | |||||||
| 3053464302 | DOE, J | 3 | 12/02-12/02/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 3053471802 | DOE, J | e | 12/06-12/06/2003 | 123456789 | PAT | $154.87 | $.00 | $154.87 | $130.13 | $.00 | $.00 | $4.95 | $.00 | $.00 | $.00 | $19.79 | f | |||||||
| 3053471803 | DOE, J | e | 12/06-12/06/2003 | 123456789 | PAT | $151.06 | $.00 | $151.06 | $.00 | $.00 | $.00 | $30.21 | $.00 | $.00 | $.00 | $120.85 | f | |||||||
| 3053472302 | DOE, J | 1 | 09/13-09/13/2003 | 123456789 | PAT | $1,296.25 | $.00 | $1,296.25 | $1,023.25 | $223.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3053548102 | DOE, J | e | 11/16-11/16/2003 | 123456789 | PAT | $252.00 | $.00 | $252.00 | $151.80 | $.00 | $.00 | $10.02 | $.00 | $.00 | $.00 | $90.18 | f | |||||||
| 3053548103 | DOE, J | e | 11/16-11/16/2003 | 123456789 | PAT | $13.77 | $.00 | $13.77 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $13.77 | f | |||||||
| 3053551102 | DOE, J | 2 | 11/19-11/19/2003 | 123456789 | PAT | $82.00 | $4.00 | $78.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $53.00 | $.00 | $15.00 | f | |||||||
| 3053568703 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $162.00 | $.00 | $162.00 | $28.99 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $123.01 | f | |||||||
| 3053583902 | DOE, J | 1 | 07/24-07/24/2003 | 123456789 | PAT | $132.14 | $.00 | $132.14 | $91.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $40.75 | f | |||||||
| 3053591302 | DOE, J | e | 11/25-11/25/2003 | 123456789 | PAT | $254.00 | $.00 | $254.00 | $163.01 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.99 | f | |||||||
| 3053626402 | DOE, J | e | 12/08-12/08/2003 | 123456789 | PAT | $101.00 | $101.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3053633402 | DOE, J | s | 12/24-12/28/2003 | 123456789 | PAT | $9,569.03 | $9,569.03 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 3053633602 | DOE, J | 1 | 01/01-01/02/2004 | 123456789 | PAT | $1,217.80 | $.00 | $1,217.80 | $732.80 | $.00 | $.00 | $145.50 | $.00 | $.00 | $.00 | $339.50 | f | |||||||
| 4000037602 | DOE, J | e | 11/25-11/25/2003 | 123456789 | PAT | $254.00 | $254.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000144902 | GODINEZ SOLTERO, RICARDO | 1 | 12/04-12/04/2003 | 123456789 | RICARDO J | $131.00 | $.00 | $131.00 | $33.57 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $87.43 | f | |||||||
| 4000227302 | DOE, J | e | 12/01-12/01/2003 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $.00 | $75.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4000239102 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $.00 | $.00 | $.00 | $78.00 | $.00 | $.00 | $.00 | $117.00 | f | |||||||
| 4000245502 | DOE, J | 1 | 12/04-12/11/2003 | 123456789 | PAT | $500.00 | $.00 | $500.00 | $240.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $200.00 | f | |||||||
| 4000278502 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $253.00 | $.00 | $253.00 | $129.45 | $89.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $24.55 | f | |||||||
| 4000295902 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $279.00 | $.00 | $279.00 | $215.92 | $.00 | $.00 | $6.30 | $.00 | $.00 | $.00 | $56.78 | f | |||||||
| 4000366702 | DOE, J | e | 12/03-12/03/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000466701 | DOE, J | s | 07/19-07/19/2003 | 123456789 | PAT | $1,365.00 | $.00 | $1,365.00 | $136.50 | $.00 | $.00 | $245.70 | $.00 | $.00 | $.00 | $982.80 | f | |||||||
| 4000486902 | DOE, J | 4 | 12/19-12/19/2003 | 123456789 | PAT | $300.75 | $300.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000487502 | DOE, J | s | 08/21-08/21/2003 | 123456789 | PAT | $746.73 | $.00 | $746.73 | $339.89 | $250.00 | $.00 | $15.68 | $.00 | $.00 | $.00 | $141.16 | f | |||||||
| 4000487503 | DOE, J | s | 08/21-08/21/2003 | 123456789 | PAT | $57.74 | $.00 | $57.74 | $.00 | $.00 | $.00 | $5.77 | $.00 | $.00 | $.00 | $51.97 | f | |||||||
| 4000522301 | DOE, J | e | 11/10-11/12/2003 | 123456789 | PAT | $1,062.00 | $.00 | $1,062.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,062.00 | f | |||||||
| 4000531702 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $82.00 | $15.81 | $66.19 | $.00 | $.00 | $10.00 | $.00 | $.00 | $46.19 | $.00 | $10.00 | f | |||||||
| 4000531703 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $47.12 | $.00 | $47.12 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $47.12 | f | |||||||
| 4000544202 | DOE, J | 1 | 09/13-09/13/2003 | 123456789 | PAT | $258.25 | $.00 | $258.25 | $.00 | $210.00 | $.00 | $48.25 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000547502 | DOE, J JR | 2 | 11/26-11/26/2003 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $40.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4000556302 | DOE, J | s | 11/17-11/17/2003 | 123456789 | PAT | $209.00 | $.00 | $209.00 | $.00 | $.00 | $.00 | $99.80 | $.00 | $.00 | $.00 | $109.20 | f | |||||||
| 4000558802 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $218.00 | $.00 | $218.00 | $.00 | $48.42 | $.00 | $96.63 | $.00 | $.00 | $.00 | $72.95 | f | |||||||
| 4000575802 | DOE, J | e | 12/04-12/04/2003 | 123456789 | PAT | $234.00 | $.00 | $234.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $129.00 | f | |||||||
| 4000576402 | DOE, J | e | 12/02-12/02/2003 | 123456789 | PAT | $176.00 | $.00 | $176.00 | $80.51 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.49 | f | |||||||
| 4000576602 | DOE, J | e | 12/04-12/04/2003 | 123456789 | PAT | $234.00 | $234.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000588402 | DOE, J | e | 11/14-11/14/2003 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $114.00 | f | |||||||
| 4000598102 | DOE, J | s | 08/28-08/28/2003 | 123456789 | PAT | $257.00 | $85.00 | $172.00 | $106.15 | $.00 | $.00 | $6.58 | $.00 | $.00 | $.00 | $59.27 | f | |||||||
| 4000615902 | DOE, J | e | 12/02-12/02/2003 | 123456789 | PAT | $176.00 | $176.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000663501 | DOE, J | s | 01/03-01/11/2004 | 123456789 | PAT | $29,113.05 | $42.00 | $29,071.05 | $21,471.05 | $.00 | $.00 | $760.00 | $.00 | $.00 | $.00 | $6,840.00 | f | |||||||
| 4000684102 | DOE, J | s | 12/24-12/24/2003 | 123456789 | PAT | $191.00 | $.00 | $191.00 | $35.74 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $145.26 | f | |||||||
| 4000706602 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | PAT | $112.00 | $.00 | $112.00 | $25.84 | $.00 | $10.00 | $2.96 | $.00 | $.00 | $.00 | $73.20 | f | |||||||
| 4000785702 | DOE, J | e | 12/17-12/17/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $22.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $22.89 | f | |||||||
| 4000833002 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $169.00 | $.00 | $169.00 | $67.36 | $.00 | $10.00 | $3.65 | $.00 | $.00 | $.00 | $87.99 | f | |||||||
| 4000849902 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $.00 | $.00 | $10.00 | $7.50 | $.00 | $.00 | $.00 | $117.50 | f | |||||||
| 4000865402 | DOE, J | e | 12/21-12/21/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $11.29 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.71 | f | |||||||
| 4000896102 | DOE, J | e | 11/24-11/24/2003 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $.00 | $.00 | $.00 | $100.00 | $.00 | $.00 | $.00 | $150.00 | f | |||||||
| 4000896802 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $.00 | $.00 | $76.00 | $.00 | $.00 | $.00 | $114.00 | f | |||||||
| 4000905202 | DOE, J | 1 | 12/26-12/26/2003 | 123456789 | PAT | $148.00 | $.00 | $148.00 | $49.46 | $98.54 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4000908602 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $71.00 | $.00 | $71.00 | $41.97 | $.00 | $.00 | $2.90 | $.00 | $.00 | $.00 | $26.13 | f | |||||||
| 4000915002 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $57.81 | $.00 | $10.00 | $3.02 | $.00 | $.00 | $.00 | $79.17 | f | |||||||
| 4000974901 | DOE, J | e | 01/06-01/10/2004 | 123456789 | PAT | $75,905.70 | $1,110.80 | $74,794.90 | $67,878.90 | $238.32 | $.00 | $667.77 | $.00 | $.00 | $.00 | $6,009.91 | f | |||||||
| 4001038902 | DOE, J | e | 12/10-12/10/2003 | 123456789 | PAT | $1,973.00 | $.00 | $1,973.00 | $499.72 | $.00 | $10.00 | $131.24 | $.00 | $.00 | $.00 | $1,332.04 | f | |||||||
| 4001039502 | DOE, J | e | 12/08-12/08/2003 | 123456789 | PAT | $134.00 | $.00 | $134.00 | $50.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $74.00 | f | |||||||
| 4001046302 | DOE, J | e | 12/21-12/21/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $10.67 | $.00 | $.00 | $3.93 | $.00 | $.00 | $.00 | $35.40 | f | |||||||
| 4001049301 | DOE, J | e | 12/15-12/22/2003 | 123456789 | PAT | $14,690.85 | $5.75 | $14,685.10 | $2,932.42 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11,752.68 | f | |||||||
| 4001062002 | DOE, J | e | 12/21-12/21/2003 | 123456789 | PAT | $31.00 | $.00 | $31.00 | $14.14 | $.00 | $.00 | $1.69 | $.00 | $.00 | $.00 | $15.17 | f | |||||||
| 4001069402 | DOE, J | e | 12/10-12/10/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4001079802 | DOE, J JR | s | 12/15-12/15/2003 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $38.56 | $.00 | $.00 | $33.29 | $.00 | $.00 | $.00 | $133.15 | f | |||||||
| 4001115302 | DOE, J | s | 11/14-11/26/2003 | 123456789 | PAT | $840.00 | $.00 | $840.00 | $.00 | $.00 | $.00 | $205.78 | $.00 | $.00 | $.00 | $634.22 | f | |||||||
| 4001115303 | DOE, J | s | 11/14-11/26/2003 | 123456789 | PAT | $100.78 | $.00 | $100.78 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.78 | f | |||||||
| 4001128402 | DOE, J | s | 12/10-12/10/2003 | 123456789 | PAT | $234.00 | $.00 | $234.00 | $118.45 | $115.55 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001180002 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $456.00 | $.00 | $456.00 | $.00 | $.00 | $.00 | $45.60 | $.00 | $.00 | $.00 | $410.40 | f | |||||||
| 4001180003 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $304.00 | $.00 | $304.00 | $.00 | $.00 | $.00 | $30.40 | $.00 | $.00 | $.00 | $273.60 | f | |||||||
| 4001202502 | DOE, J | 1 | 12/16-12/18/2003 | 123456789 | PAT | $390.00 | $.00 | $390.00 | $200.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $130.00 | f | |||||||
| 4001202503 | DOE, J | 1 | 12/16-12/18/2003 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4001222401 | DOE, J | e | 01/09-01/15/2004 | 123456789 | PAT | $17,527.50 | $.00 | $17,527.50 | $8,101.50 | $.00 | $.00 | $676.29 | $.00 | $.00 | $.00 | $8,749.71 | f | |||||||
| 4001222901 | DOE, J | e | 01/12-01/26/2004 | 123456789 | PAT | $58,248.25 | $.00 | $58,248.25 | $37,900.25 | $.00 | $.00 | $261.38 | $.00 | $.00 | $.00 | $20,086.62 | f | |||||||
| 4001276002 | DOE, J JR | 3 | 12/19-12/19/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $49.08 | $.00 | $10.00 | $4.62 | $.00 | $.00 | $.00 | $101.30 | f | |||||||
| 4001326602 | DOE, J | s | 12/14-12/14/2003 | 123456789 | PAT | $639.00 | $.00 | $639.00 | $127.80 | $220.30 | $50.00 | $24.09 | $.00 | $.00 | $.00 | $216.81 | f | |||||||
| 4001340802 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $115.50 | $6.50 | $109.00 | $14.43 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.57 | f | |||||||
| 4001351302 | DOE, J | 1 | 09/13-09/13/2003 | 123456789 | PAT | $1,296.25 | $1,296.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001360002 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $.00 | $.00 | $.00 | $96.00 | $.00 | $.00 | $.00 | $144.00 | f | |||||||
| 4001361602 | DOE, J | e | 12/08-12/08/2003 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $.00 | $.00 | $.00 | $96.00 | $.00 | $.00 | $.00 | $144.00 | f | |||||||
| 4001386402 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $108.00 | $.00 | $108.00 | $26.04 | $.00 | $10.00 | $2.80 | $.00 | $.00 | $.00 | $69.16 | f | |||||||
| 4001430302 | DOE, J | s | 09/30-11/06/2003 | 123456789 | PAT | $1,103.03 | $.00 | $1,103.03 | $345.63 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $757.40 | f | |||||||
| 4001430303 | DOE, J | s | 09/30-11/06/2003 | 123456789 | PAT | $99.12 | $.00 | $99.12 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $99.12 | f | |||||||
| 4001438102 | DOE, J | e | 12/01-12/01/2003 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $.00 | $.00 | $.00 | $78.00 | $.00 | $.00 | $.00 | $117.00 | f | |||||||
| 4001497502 | DOE, J | s | 10/30-10/30/2003 | 123456789 | PAT | $206.05 | $206.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001521802 | DOE, J | e | 12/18-12/18/2003 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $15.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.89 | f | |||||||
| 4001525802 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $10.00 | $.00 | $10.00 | $5.06 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.45 | f | |||||||
| 4001570901 | DOE, J | e | 08/05-08/07/2003 | 123456789 | PAT | $13,288.20 | $13,288.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001635202 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $934.00 | $.00 | $934.00 | $224.16 | $205.00 | $50.00 | $45.48 | $.00 | $.00 | $.00 | $409.36 | f | |||||||
| 4001698802 | DOE, J | 1 | 07/19-07/19/2003 | 123456789 | DAVID M | $8,346.35 | $.00 | $8,346.35 | $1,669.27 | $250.00 | $.00 | $642.71 | $.00 | $.00 | $.00 | $5,784.37 | f | |||||||
| 4001700002 | DOE, J | 1 | 07/19-07/19/2003 | 123456789 | DAVID M | $531.40 | $.00 | $531.40 | $106.28 | $.00 | $.00 | $85.02 | $.00 | $.00 | $.00 | $340.10 | f | |||||||
| 4001766201 | DOE, J | e | 01/08-01/15/2004 | 123456789 | PAT | $77,394.22 | $331.00 | $77,063.22 | $55,280.46 | $.00 | $.00 | $793.37 | $.00 | $.00 | $.00 | $20,989.39 | f | |||||||
| 4001784002 | DOE, J SR | 2 | 12/11-12/11/2003 | 123456789 | PAT | $468.00 | $.00 | $468.00 | $.00 | $436.00 | $.00 | $3.20 | $.00 | $.00 | $.00 | $28.80 | f | |||||||
| 4001787602 | DOE, J | 1 | 01/05-01/05/2004 | 123456789 | PAT | $324.00 | $.00 | $324.00 | $106.36 | $.00 | $10.00 | $12.31 | $.00 | $.00 | $.00 | $195.33 | f | |||||||
| 4001806402 | DOE, J | s | 08/11-08/11/2003 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $104.71 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.29 | f | |||||||
| 4001829302 | DOE, J | 1 | 09/13-09/13/2003 | 123456789 | PAT | $258.25 | $258.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4001834902 | DOE, J | 2 | 12/24-12/24/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $30.00 | $.00 | $.00 | $6.00 | $.00 | $.00 | $.00 | $24.00 | f | |||||||
| 4001836302 | DOE, J | 2 | 12/31-12/31/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $30.00 | $.00 | $.00 | $6.00 | $.00 | $.00 | $.00 | $24.00 | f | |||||||
| 4001850202 | DOE, J | 2 | 01/10-01/10/2004 | 123456789 | PAT | $1,003.10 | $.00 | $1,003.10 | $553.10 | $.00 | $50.00 | $40.00 | $.00 | $.00 | $.00 | $360.00 | f | |||||||
| 4001854602 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $222.00 | $28.00 | $194.00 | $115.15 | $.00 | $.00 | $15.77 | $.00 | $.00 | $.00 | $63.08 | f | |||||||
| 4001910202 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $84.78 | $.00 | $.00 | $9.85 | $.00 | $.00 | $.00 | $39.37 | f | |||||||
| 4001920502 | DOE, J | s | 11/05-11/05/2003 | 123456789 | PAT | $111.80 | $4.00 | $107.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.80 | f | |||||||
| 4001920503 | DOE, J | s | 11/05-11/05/2003 | 123456789 | PAT | $46.20 | $.00 | $46.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $46.20 | f | |||||||
| 4001927502 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $9.66 | $.00 | $.00 | $2.53 | $.00 | $.00 | $.00 | $22.81 | f | |||||||
| 4001927503 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $1.76 | $.00 | $1.76 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1.76 | f | |||||||
| 4001940902 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $168.97 | $.00 | $168.97 | $15.17 | $.00 | $.00 | $15.38 | $.00 | $.00 | $.00 | $138.42 | f | |||||||
| 4001947102 | DOE, J | t | 12/19-12/19/2003 | 123456789 | ANNIE L | $43.00 | $.00 | $43.00 | $12.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $30.10 | f | |||||||
| 4001951002 | DOE, J | e | 06/23-06/23/2003 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $150.00 | f | |||||||
| 4001955702 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $186.00 | $.00 | $186.00 | $139.89 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $46.11 | f | |||||||
| 4001989902 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $235.00 | $.00 | $235.00 | $.00 | $130.00 | $.00 | $42.00 | $.00 | $.00 | $.00 | $63.00 | f | |||||||
| 4001991302 | DOE, J | e | 12/19-12/19/2003 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $.00 | $.00 | $.00 | $116.00 | $.00 | $.00 | $.00 | $174.00 | f | |||||||
| 4001992002 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $235.00 | $.00 | $235.00 | $.00 | $.00 | $.00 | $94.00 | $.00 | $.00 | $.00 | $141.00 | f | |||||||
| 4002024902 | DOE, J | e | 12/24-12/24/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $62.39 | $.00 | $.00 | $7.26 | $.00 | $.00 | $.00 | $65.35 | f | |||||||
| 4002050402 | DOE, J | e | 10/22-10/24/2003 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $56.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4002053802 | DOE, J | e | 10/24-10/27/2003 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $56.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4002055102 | DOE, J | e | 11/07-11/12/2003 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $.00 | $.00 | $.00 | $52.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4002066702 | DOE, J | e | 10/29-10/31/2003 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $56.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4002067902 | DOE, J | e | 11/04-11/07/2003 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $.00 | $.00 | $.00 | $52.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4002068202 | DOE, J | e | 10/17-10/17/2003 | 123456789 | PAT | $232.00 | $.00 | $232.00 | $.00 | $232.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002068402 | DOE, J | e | 10/20-10/22/2003 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $.00 | $13.00 | $.00 | $46.80 | $.00 | $.00 | $.00 | $70.20 | f | |||||||
| 4002087802 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $2,091.00 | $1,947.58 | $143.42 | $.00 | $.00 | $.00 | $14.34 | $.00 | $.00 | $.00 | $129.08 | f | |||||||
| 4002101702 | DOE, J | 3 | 12/02-12/02/2003 | 123456789 | PAT | $50.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002115702 | DOE, J JR | 3 | 01/07-01/07/2004 | 123456789 | PAT | $1,230.85 | $.00 | $1,230.85 | $656.28 | $.00 | $.00 | $57.46 | $.00 | $.00 | $.00 | $517.11 | f | |||||||
| 4002122402 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $84.78 | $.00 | $.00 | $9.85 | $.00 | $.00 | $.00 | $39.37 | f | |||||||
| 4002123002 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $1,485.00 | $.00 | $1,485.00 | $297.00 | $.00 | $.00 | $118.80 | $.00 | $.00 | $.00 | $1,069.20 | f | |||||||
| 4002130702 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $103.00 | $103.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002136702 | DOE, J | s | 12/14-12/14/2003 | 123456789 | PAT | $33.00 | $.00 | $33.00 | $3.30 | $29.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002169602 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $96.00 | $.00 | $.00 | $7.60 | $.00 | $.00 | $.00 | $30.40 | f | |||||||
| 4002174101 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $9,500.00 | $.00 | $9,500.00 | $3,000.00 | $250.00 | $.00 | $1,000.00 | $.00 | $.00 | $.00 | $5,250.00 | f | |||||||
| 4002237902 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $241.00 | $.00 | $241.00 | $167.37 | $.00 | $.00 | $7.36 | $.00 | $.00 | $.00 | $66.27 | f | |||||||
| 4002261901 | DOE, J | s | 01/18-01/20/2004 | 123456789 | PAT | $7,486.15 | $.00 | $7,486.15 | $5,494.69 | $.00 | $.00 | $199.15 | $.00 | $.00 | $.00 | $1,792.31 | f | |||||||
| 4002261902 | DOE, J | s | 01/18-01/20/2004 | 123456789 | PAT | $7,486.15 | $7,486.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002278802 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4002330602 | DOE, J | 2 | 01/04-01/04/2004 | 123456789 | PAT | $342.38 | $.00 | $342.38 | $136.95 | $77.29 | $50.00 | $7.81 | $.00 | $.00 | $.00 | $70.33 | f | |||||||
| 4002385802 | DOE, J JR | 3 | 01/05-01/05/2004 | 123456789 | PAT | $141.00 | $.00 | $141.00 | $45.09 | $.00 | $10.00 | $4.62 | $.00 | $.00 | $.00 | $81.29 | f | |||||||
| 4002388402 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $84.78 | $.00 | $.00 | $9.85 | $.00 | $.00 | $.00 | $39.37 | f | |||||||
| 4002417801 | DOE, J | 1 | 01/07-01/07/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $54.48 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $85.52 | f | |||||||
| 4002437502 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $40.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4002437503 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4002437602 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $42.50 | $.00 | $42.50 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $17.50 | f | |||||||
| 4002437603 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $57.50 | $.00 | $57.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $57.50 | f | |||||||
| 4002455402 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002458202 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $10.00 | $.00 | $.00 | $1.00 | $.00 | $.00 | $.00 | $9.00 | f | |||||||
| 4002468202 | DOE, J | 2 | 01/06-01/06/2004 | 123456789 | DANIEL JR | $95.00 | $.00 | $95.00 | $14.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4002470202 | DOE, J JR | 2 | 01/05-01/05/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $15.00 | $.00 | $.00 | $4.50 | $.00 | $.00 | $.00 | $40.50 | f | |||||||
| 4002498801 | DOE, J | 2 | 01/17-01/23/2004 | 123456789 | PAT | $18,818.80 | $.00 | $18,818.80 | $8,186.18 | $250.00 | $.00 | $1,000.00 | $.00 | $.00 | $.00 | $9,382.62 | f | |||||||
| 4002506402 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $19.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4002529202 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $97.50 | $.00 | $97.50 | $92.82 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $4.68 | f | |||||||
| 4002558602 | DOE, J | e | 12/10-12/11/2003 | 123456789 | PAT | $395.00 | $.00 | $395.00 | $.00 | $.00 | $.00 | $158.00 | $.00 | $.00 | $.00 | $237.00 | f | |||||||
| 4002559802 | DOE, J | e | 12/15-12/18/2003 | 123456789 | PAT | $470.00 | $.00 | $470.00 | $.00 | $.00 | $.00 | $188.00 | $.00 | $.00 | $.00 | $282.00 | f | |||||||
| 4002605402 | DOE, J N. | s | 01/08-01/08/2004 | 123456789 | PAT | $116.00 | $15.00 | $101.00 | $26.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $64.73 | f | |||||||
| 4002616001 | DOE, J | 1 | 06/30-06/30/2003 | 123456789 | PAT | $110.22 | $110.22 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002616101 | DOE, J | 1 | 08/08-08/08/2003 | 123456789 | PAT | $207.66 | $207.66 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002616701 | DOE, J | 1 | 12/30-12/30/2003 | 123456789 | PAT | $6,765.64 | $6,765.64 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002633001 | DOE, J | e | 01/25-01/27/2004 | 123456789 | PAT | $17,209.81 | $.00 | $17,209.81 | $3,441.97 | $.00 | $.00 | $1,000.00 | $.00 | $.00 | $.00 | $12,767.84 | f | |||||||
| 4002640202 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $61.21 | $.00 | $61.21 | $4.93 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.28 | f | |||||||
| 4002640203 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $3.79 | $.00 | $3.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $3.79 | f | |||||||
| 4002665801 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $1,491.33 | $.00 | $1,491.33 | $297.57 | $.00 | $100.00 | $328.12 | $.00 | $.00 | $.00 | $765.64 | f | |||||||
| 4002667201 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $83.00 | $15.00 | $68.00 | $5.91 | $.00 | $.00 | $12.42 | $.00 | $.00 | $.00 | $49.67 | f | |||||||
| 4002687101 | DOE, J | 4 | 12/16-12/16/2002 | 123456789 | PAT | $52.00 | $52.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002693102 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $219.00 | $.00 | $219.00 | $57.08 | $.00 | $.00 | $32.39 | $.00 | $.00 | $.00 | $129.53 | f | |||||||
| 4002741201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $.00 | $200.00 | $.00 | $13.50 | $.00 | $.00 | $.00 | $31.50 | f | |||||||
| 4002741601 | DOE, J JR | e | 01/14-01/14/2004 | 123456789 | JAIME JR | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $28.50 | $.00 | $.00 | $.00 | $66.50 | f | |||||||
| 4002751001 | DOE, J.B. | e | 01/09-01/09/2004 | 123456789 | R.B. | $79.00 | $.00 | $79.00 | $7.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.10 | f | |||||||
| 4002751101 | DOE, J | e | 10/31-10/31/2003 | 123456789 | PAT | $481.00 | $.00 | $481.00 | $275.94 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $205.06 | f | |||||||
| 4002756801 | DOE, J | e | 01/02-01/02/2004 | 123456789 | PAT | $349.87 | $13.85 | $336.02 | $.00 | $.00 | $.00 | $100.81 | $.00 | $.00 | $.00 | $235.21 | f | |||||||
| 4002759501 | DOE, J | e | 10/26-10/26/2003 | 123456789 | PAT | $493.00 | $4.89 | $488.11 | $.00 | $.00 | $.00 | $48.81 | $.00 | $.00 | $.00 | $439.30 | f | |||||||
| 4002759601 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $175.00 | $175.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002759602 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $.00 | $175.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002759701 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $2,700.00 | $.00 | $2,700.00 | $2,073.10 | $.00 | $.00 | $62.69 | $.00 | $.00 | $.00 | $564.21 | f | |||||||
| 4002760201 | DOE, J | 3 | 12/16-12/16/2003 | 123456789 | PAT | $249.00 | $.00 | $249.00 | $.00 | $16.46 | $.00 | $23.25 | $.00 | $.00 | $.00 | $209.29 | f | |||||||
| 4002762301 | DOE, J | s | 01/13-01/13/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002764201 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $83.00 | $15.00 | $68.00 | $5.91 | $.00 | $.00 | $12.42 | $.00 | $.00 | $.00 | $49.67 | f | |||||||
| 4002764901 | DOE, J | s | 12/09-12/09/2003 | 123456789 | PAT | $1,291.00 | $431.00 | $860.00 | $.00 | $250.00 | $.00 | $61.00 | $.00 | $549.00 | $.00 | $.00 | f | |||||||
| 4002767402 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $169.00 | $169.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002771101 | DOE, J | s | 12/24-12/24/2003 | 123456789 | PAT | $191.00 | $191.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002771701 | DOE, J | e | 12/18-01/07/2004 | 123456789 | PAT | $288.00 | $.00 | $288.00 | $125.56 | $.00 | $20.00 | $5.98 | $.00 | $.00 | $.00 | $136.46 | f | |||||||
| 4002774102 | DOE, J | 1 | 11/08-11/08/2003 | 123456789 | PAT | $106.00 | $.00 | $106.00 | $42.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.56 | f | |||||||
| 4002800401 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $30.00 | $15.00 | $15.00 | $10.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4002800701 | DOE, J | s | 01/10-01/10/2004 | 123456789 | PAT | $8.95 | $.00 | $8.95 | $2.24 | $.00 | $.00 | $.67 | $.00 | $.00 | $.00 | $6.04 | f | |||||||
| 4002800901 | DOE, J | s | 01/10-01/10/2004 | 123456789 | PAT | $8.95 | $8.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002801501 | DOE, J | t | 12/15-12/15/2003 | 123456789 | PAT | $107.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002802601 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $280.07 | $25.65 | $254.42 | $44.21 | $.00 | $10.00 | $5.38 | $.00 | $.00 | $.00 | $194.83 | f | |||||||
| 4002802902 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $230.00 | $230.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002805201 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $114.80 | $.00 | $10.00 | $1.36 | $.00 | $.00 | $.00 | $53.84 | f | |||||||
| 4002807201 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $327.00 | $35.00 | $292.00 | $60.05 | $163.43 | $10.00 | $1.03 | $.00 | $.00 | $.00 | $57.49 | f | |||||||
| 4002825801 | DOE, J | 2 | 11/19-11/19/2003 | 123456789 | PAT | $2.90 | $2.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002841201 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $47.00 | $.00 | $47.00 | $10.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.57 | f | |||||||
| 4002841301 | DOE, J | 1 | 01/05-01/05/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4002843001 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $431.00 | $205.00 | $226.00 | $84.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $131.29 | f | |||||||
| 4002844701 | DOE, J JR | s | 08/07-08/07/2003 | 123456789 | JACONDA JR | $219.00 | $219.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002845201 | DOE, J | e | 10/28-10/28/2003 | 123456789 | PAT | $603.45 | $518.70 | $84.75 | $62.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $22.50 | f | |||||||
| 4002846801 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $220.00 | $220.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002846802 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $.00 | $.00 | $.00 | $88.00 | $.00 | $.00 | $.00 | $132.00 | f | |||||||
| 4002846902 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $.00 | $.00 | $.00 | $7.30 | $.00 | $.00 | $.00 | $182.70 | f | |||||||
| 4002895601 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $65.43 | $.00 | $65.43 | $.00 | $65.43 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002895801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $.00 | $225.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002895901 | DOE, J JR | e | 01/12-01/13/2004 | 123456789 | JAIME JR | $230.00 | $.00 | $230.00 | $.00 | $.00 | $.00 | $69.00 | $.00 | $.00 | $.00 | $161.00 | f | |||||||
| 4002902601 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $12.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.28 | f | |||||||
| 4002902901 | DOE, J | s | 01/10-01/10/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $13.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $59.69 | f | |||||||
| 4002903101 | DOE, J | s | 11/21-11/21/2003 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $14.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.00 | f | |||||||
| 4002903401 | DOE, J | e | 06/19-06/19/2003 | 123456789 | PAT | $650.00 | $.00 | $650.00 | $526.13 | $.00 | $.00 | $12.39 | $.00 | $.00 | $.00 | $111.48 | f | |||||||
| 4002903701 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $375.00 | $.00 | $375.00 | $228.14 | $.00 | $10.00 | $5.60 | $.00 | $.00 | $.00 | $131.26 | f | |||||||
| 4002904201 | DOE, J | e | 11/21-11/22/2003 | 123456789 | PAT | $173.25 | $.00 | $173.25 | $91.79 | $.00 | $.00 | $8.14 | $.00 | $.00 | $.00 | $73.32 | f | |||||||
| 4002904701 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $377.00 | $.00 | $377.00 | $238.67 | $.00 | $.00 | $13.83 | $.00 | $.00 | $.00 | $124.50 | f | |||||||
| 4002905201 | DOE, J | e | 09/25-09/25/2003 | 123456789 | PAT | $400.00 | $25.00 | $375.00 | $185.62 | $.00 | $10.00 | $8.31 | $.00 | $.00 | $.00 | $171.07 | f | |||||||
| 4002905801 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $280.00 | $.00 | $280.00 | $176.29 | $.00 | $.00 | $10.37 | $.00 | $.00 | $.00 | $93.34 | f | |||||||
| 4002906301 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $30.76 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.32 | f | |||||||
| 4002906701 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $27.00 | $.00 | $27.00 | $12.34 | $.00 | $.00 | $1.46 | $.00 | $.00 | $.00 | $13.20 | f | |||||||
| 4002907001 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $200.53 | $.00 | $10.00 | $4.95 | $.00 | $.00 | $.00 | $74.52 | f | |||||||
| 4002908001 | DOE, J | 1 | 01/06-01/06/2004 | 123456789 | PAT | $81.00 | $.00 | $81.00 | $.35 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.65 | f | |||||||
| 4002908301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $340.00 | $.00 | $340.00 | $107.08 | $.00 | $10.00 | $3.45 | $.00 | $.00 | $.00 | $219.47 | f | |||||||
| 4002908601 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $294.60 | $200.72 | $93.88 | $77.14 | $.00 | $.00 | $1.67 | $.00 | $.00 | $.00 | $15.07 | f | |||||||
| 4002908901 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $275.00 | $212.43 | $62.57 | $23.03 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $39.54 | f | |||||||
| 4002909301 | DOE, J | s | 08/28-08/28/2003 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $227.37 | $.00 | $.00 | $2.26 | $.00 | $.00 | $.00 | $20.37 | f | |||||||
| 4002909801 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $69.02 | $.00 | $10.00 | $.55 | $.00 | $.00 | $.00 | $55.43 | f | |||||||
| 4002910501 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $4.10 | $.00 | $.00 | $3.69 | $.00 | $.00 | $.00 | $33.21 | f | |||||||
| 4002910801 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4002911601 | DOE, J | 2 | 12/24-12/24/2003 | 123456789 | PAT | $208.00 | $4.99 | $203.01 | $.00 | $13.52 | $.00 | $18.95 | $.00 | $.00 | $.00 | $170.54 | f | |||||||
| 4002912201 | DOE, J | s | 08/07-08/07/2003 | 123456789 | PAT | $77.00 | $77.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002913601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $136.00 | $.00 | $136.00 | $90.30 | $.00 | $.00 | $4.57 | $.00 | $.00 | $.00 | $41.13 | f | |||||||
| 4002914101 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $23.28 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.72 | f | |||||||
| 4002914301 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4002914401 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $44.77 | $.00 | $10.00 | $4.02 | $.00 | $.00 | $.00 | $71.21 | f | |||||||
| 4002914601 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $15.00 | $.00 | $15.00 | $13.00 | $.00 | $.00 | $.20 | $.00 | $.00 | $.00 | $1.80 | f | |||||||
| 4002914701 | DOE, J | 2 | 12/23-12/23/2003 | 123456789 | PAT | $153.00 | $.00 | $153.00 | $35.13 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $107.87 | f | |||||||
| 4002915101 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | DANNY JR | $125.00 | $.00 | $125.00 | $40.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4002915201 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $96.00 | $.00 | $96.00 | $28.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4002916001 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $47.00 | $.00 | $47.00 | $9.80 | $.00 | $.00 | $3.72 | $.00 | $.00 | $.00 | $33.48 | f | |||||||
| 4002916101 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $9.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.61 | f | |||||||
| 4002916401 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $110.32 | $.00 | $10.00 | $2.81 | $.00 | $.00 | $.00 | $66.87 | f | |||||||
| 4002916501 | DOE, J | e | 08/26-08/26/2003 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $27.52 | $.00 | $10.00 | $.20 | $.00 | $.00 | $.00 | $72.28 | f | |||||||
| 4002916601 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $53.68 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $111.32 | f | |||||||
| 4002916701 | DOE, J | 4 | 01/20-01/20/2004 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $84.76 | $.00 | $10.00 | $4.52 | $.00 | $.00 | $.00 | $110.72 | f | |||||||
| 4002916801 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $81.00 | $.00 | $81.00 | $.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.06 | f | |||||||
| 4002916901 | DOE, J | e | 08/04-08/04/2003 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $25.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.40 | f | |||||||
| 4002917601 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $56.54 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $98.46 | f | |||||||
| 4002918201 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $50.22 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $77.78 | f | |||||||
| 4002918601 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | JOSE ANGEL | $90.00 | $.00 | $90.00 | $45.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4002918801 | DOE, J JR | e | 01/20-01/20/2004 | 123456789 | JESUS JR | $25.00 | $.00 | $25.00 | $7.35 | $.00 | $.00 | $1.76 | $.00 | $.00 | $.00 | $15.89 | f | |||||||
| 4002918901 | DOE, J JR | e | 01/22-01/22/2004 | 123456789 | JESUS JR | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002919201 | DOE, J JR | e | 01/19-01/21/2004 | 123456789 | JAIME JR | $600.00 | $.00 | $600.00 | $251.17 | $.00 | $.00 | $34.88 | $.00 | $.00 | $.00 | $313.95 | f | |||||||
| 4002919301 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $12.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $37.28 | f | |||||||
| 4002919601 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $323.00 | $.00 | $323.00 | $217.65 | $.00 | $.00 | $10.53 | $.00 | $.00 | $.00 | $94.82 | f | |||||||
| 4002920201 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $131.00 | $.00 | $131.00 | $13.89 | $.00 | $10.00 | $6.05 | $.00 | $.00 | $.00 | $101.06 | f | |||||||
| 4002921601 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $79.00 | $79.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002921602 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $79.00 | $.00 | $79.00 | $11.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4002922301 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $16.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4002922601 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $16.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4002922801 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $37.57 | $.00 | $.00 | $6.24 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4002923801 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $55.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002925501 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002925701 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002926101 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002927901 | DOE, J | s | 06/10-06/10/2003 | 123456789 | PAT | $1,180.00 | $.00 | $1,180.00 | $35.40 | $.00 | $.00 | $114.46 | $.00 | $.00 | $.00 | $1,030.14 | f | |||||||
| 4002928501 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $1,447.38 | $.00 | $1,447.38 | $529.48 | $98.00 | $50.00 | $76.99 | $.00 | $.00 | $.00 | $692.91 | f | |||||||
| 4002931001 | DOE, J | s | 06/17-06/17/2002 | 123456789 | PAT | $4,632.25 | $4,632.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002932101 | DOE, J | 1 | 12/18-12/18/2003 | 123456789 | PAT | $78.00 | $78.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002932701 | DOE, J | s | 12/10-12/10/2003 | 123456789 | PAT | $137.50 | $67.50 | $70.00 | $.00 | $.00 | $.00 | $7.00 | $.00 | $63.00 | $.00 | $.00 | f | |||||||
| 4002933201 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $140.00 | f | |||||||
| 4002935101 | DOE, J | e | 10/13-10/31/2003 | 123456789 | PAT | $2,676.85 | $2,676.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002935301 | DOE, J | 1 | 12/31-12/31/2003 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $67.00 | $.00 | $14.40 | $.00 | $.00 | $.00 | $33.60 | f | |||||||
| 4002935801 | DOE, J | 1 | 01/03-01/03/2004 | 123456789 | PAT | $496.45 | $496.45 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002935802 | DOE, J | 1 | 01/03-01/03/2004 | 123456789 | PAT | $496.45 | $.00 | $496.45 | $215.96 | $9.00 | $50.00 | $22.15 | $.00 | $.00 | $.00 | $199.34 | f | |||||||
| 4002936201 | DOE, J | t | 12/29-12/29/2003 | 123456789 | JENNIFER L | $37.00 | $.00 | $37.00 | $7.40 | $.00 | $.00 | $2.96 | $.00 | $.00 | $.00 | $26.64 | f | |||||||
| 4002936601 | DOE, J | e | 10/20-10/20/2003 | 123456789 | PAT | $170.25 | $.00 | $170.25 | $28.94 | $.00 | $.00 | $14.13 | $.00 | $.00 | $.00 | $127.18 | f | |||||||
| 4002937001 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $310.00 | $.00 | $310.00 | $126.59 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $173.41 | f | |||||||
| 4002937101 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $550.00 | $.00 | $550.00 | $261.92 | $.00 | $10.00 | $2.00 | $.00 | $.00 | $.00 | $276.08 | f | |||||||
| 4002937301 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $25.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002937801 | DOE, J | e | 09/13-09/13/2003 | 123456789 | PAT | $450.25 | $450.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002938401 | DOE, J | e | 09/16-09/16/2003 | 123456789 | PAT | $1,478.18 | $.00 | $1,478.18 | $1,216.18 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $262.00 | f | |||||||
| 4002939301 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $4,979.19 | $.00 | $4,979.19 | $2,165.95 | $250.00 | $.00 | $256.32 | $.00 | $.00 | $.00 | $2,306.92 | f | |||||||
| 4002939701 | DOE, J | s | 06/19-06/19/2003 | 123456789 | PAT | $725.00 | $.00 | $725.00 | $192.12 | $.00 | $.00 | $53.29 | $.00 | $.00 | $.00 | $479.59 | f | |||||||
| 4002940201 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $389.50 | $389.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002940202 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $389.50 | $.00 | $389.50 | $299.50 | $.00 | $.00 | $9.00 | $.00 | $.00 | $.00 | $81.00 | f | |||||||
| 4002941101 | DOE, J | s | 11/07-11/07/2003 | 123456789 | PAT | $120.15 | $64.90 | $55.25 | $3.50 | $.00 | $.00 | $5.17 | $.00 | $.00 | $.00 | $46.58 | f | |||||||
| 4002941301 | DOE, J | s | 11/07-11/07/2003 | 123456789 | PAT | $182.00 | $.00 | $182.00 | $45.50 | $.00 | $.00 | $13.64 | $.00 | $.00 | $.00 | $122.86 | f | |||||||
| 4002941401 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $50.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002941501 | DOE, J | 4 | 06/30-07/03/2002 | 123456789 | PAT | $5,472.85 | $5,472.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002941801 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $3,319.00 | $48.12 | $3,270.88 | $1,007.40 | $.00 | $.00 | $226.35 | $.00 | $.00 | $.00 | $2,037.13 | f | |||||||
| 4002942001 | DOE, J | 4 | 01/20-01/22/2003 | 123456789 | PAT | $7,520.51 | $7,520.51 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002942201 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $39.00 | $.00 | $.00 | $1.30 | $.00 | $.00 | $.00 | $11.70 | f | |||||||
| 4002943601 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $37.51 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $157.49 | f | |||||||
| 4002944001 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $435.00 | $.00 | $435.00 | $80.73 | $.00 | $.00 | $35.43 | $.00 | $.00 | $.00 | $318.84 | f | |||||||
| 4002944501 | DOE, J | e | 12/13-12/13/2003 | 123456789 | PAT | $6,574.50 | $6,574.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002944502 | DOE, J | e | 12/13-12/13/2003 | 123456789 | PAT | $6,574.50 | $.00 | $6,574.50 | $4,574.50 | $.00 | $50.00 | $195.00 | $.00 | $.00 | $.00 | $1,755.00 | f | |||||||
| 4002944801 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $15,596.75 | $.00 | $15,596.75 | $12,696.75 | $.00 | $.00 | $80.50 | $.00 | $.00 | $.00 | $2,819.50 | f | |||||||
| 4002945801 | DOE, J | e | 01/04-01/05/2004 | 123456789 | PAT | $20,092.67 | $.00 | $20,092.67 | $16,407.67 | $.00 | $50.00 | $363.50 | $.00 | $.00 | $.00 | $3,271.50 | f | |||||||
| 4002946301 | DOE, J | s | 11/04-11/05/2003 | 123456789 | PAT | $7,214.48 | $.00 | $7,214.48 | $4,464.48 | $.00 | $50.00 | $270.00 | $.00 | $.00 | $.00 | $2,430.00 | f | |||||||
| 4002946801 | DOE, J | 1 | 10/16-10/17/2003 | 123456789 | PAT | $17,005.18 | $17,005.18 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002959401 | DOE, J | s | 10/05-10/09/2003 | 123456789 | PAT | $33,398.08 | $22,598.42 | $10,799.66 | $.00 | $.00 | $500.00 | $859.30 | $.00 | $7,834.58 | $.00 | $1,605.78 | f | |||||||
| 4002962201 | DOE, J | e | 12/31-01/05/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $55.00 | $.00 | $22.00 | $.00 | $.00 | $.00 | $33.00 | f | |||||||
| 4002962901 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $84.73 | $.00 | $10.00 | $.81 | $.00 | $.00 | $.00 | $64.46 | f | |||||||
| 4002963701 | DOE, J | 2 | 05/08-05/08/2003 | 123456789 | PAT | $95.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002964101 | DOE, J | 1 | 12/18-12/18/2003 | 123456789 | PAT | $178.75 | $.00 | $178.75 | $122.75 | $.00 | $.00 | $5.60 | $.00 | $.00 | $.00 | $50.40 | f | |||||||
| 4002976101 | DOE, J JR | e | 01/21-01/21/2004 | 123456789 | FILIBERT JR | $18.00 | $.00 | $18.00 | $15.00 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4002976401 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4002979101 | DOE, J SR | e | 11/23-11/23/2003 | 123456789 | JOHN SR | $25.00 | $.00 | $25.00 | $5.00 | $.00 | $.00 | $2.00 | $.00 | $.00 | $.00 | $18.00 | f | |||||||
| 4002979601 | DOE, J | s | 12/03-12/03/2003 | 123456789 | PAT | $630.00 | $.00 | $630.00 | $94.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $535.50 | f | |||||||
| 4002980501 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $1,040.00 | $.00 | $1,040.00 | $.00 | $.00 | $.00 | $104.00 | $.00 | $.00 | $.00 | $936.00 | f | |||||||
| 4002980801 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $86.76 | $.00 | $86.76 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.76 | f | |||||||
| 4002980901 | DOE, J | e | 02/06-02/06/2003 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $32.97 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.03 | f | |||||||
| 4002981001 | DOE, J | 2 | 07/25-07/25/2003 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $29.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4002981201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $185.85 | $.00 | $185.85 | $154.60 | $.00 | $.00 | $3.11 | $.00 | $.00 | $.00 | $28.14 | f | |||||||
| 4002981301 | DOE, J | s | 08/01-08/01/2003 | 123456789 | PAT | $504.85 | $504.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002981401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $398.13 | $.00 | $398.13 | $291.66 | $.00 | $.00 | $10.64 | $.00 | $.00 | $.00 | $95.83 | f | |||||||
| 4002981501 | DOE, J | e | 11/26-11/26/2003 | 123456789 | PAT | $67.75 | $.00 | $67.75 | $53.49 | $.00 | $.00 | $1.43 | $.00 | $.00 | $.00 | $12.83 | f | |||||||
| 4002982001 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $44.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.40 | f | |||||||
| 4002982201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $17.23 | $.00 | $10.00 | $.54 | $.00 | $.00 | $.00 | $15.23 | f | |||||||
| 4002983001 | DOE, J | 1 | 07/29-07/29/2003 | 123456789 | TOBI A | $184.50 | $184.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002983401 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $23.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4002983601 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $13.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4002988401 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $1.77 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $90.23 | f | |||||||
| 4002989101 | DOE, J | e | 11/15-11/15/2003 | 123456789 | PAT | $326.00 | $326.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002989401 | DOE, J | e | 10/28-10/28/2003 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $.00 | $185.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002989801 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $352.00 | $.00 | $352.00 | $67.39 | $217.49 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4002990001 | DOE, J | e | 12/17-12/17/2003 | 123456789 | PAT | $265.00 | $.00 | $265.00 | $.00 | $233.10 | $.00 | $12.76 | $.00 | $.00 | $.00 | $19.14 | f | |||||||
| 4002990201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $24.70 | $.00 | $.00 | $1.23 | $.00 | $.00 | $.00 | $11.07 | f | |||||||
| 4002990401 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $3.40 | $.00 | $.00 | $4.66 | $.00 | $.00 | $.00 | $41.94 | f | |||||||
| 4002990501 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $33.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4002990701 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $79.43 | $.00 | $79.43 | $10.59 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4002990901 | DOE, J JR | s | 01/16-01/16/2004 | 123456789 | PAT | $53.00 | $.00 | $53.00 | $8.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.31 | f | |||||||
| 4002991001 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $126.01 | $.00 | $10.00 | $1.61 | $.00 | $.00 | $.00 | $52.38 | f | |||||||
| 4002991101 | O'KELLEY, THOMAS | s | 01/07-01/07/2004 | 123456789 | PAT | $115.00 | $20.00 | $95.00 | $81.00 | $.00 | $.00 | $1.40 | $.00 | $.00 | $.00 | $12.60 | f | |||||||
| 4002991901 | DOE, J | s | 11/28-11/28/2003 | 123456789 | PAT | $291.00 | $.00 | $291.00 | $58.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $232.80 | f | |||||||
| 4002992101 | DOE, J | e | 12/20-12/20/2003 | 123456789 | PAT | $187.00 | $.00 | $187.00 | $18.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $168.30 | f | |||||||
| 4002992501 | DOE, J | s | 11/19-11/19/2003 | 123456789 | PAT | $6.50 | $.00 | $6.50 | $1.30 | $.00 | $.00 | $.52 | $.00 | $.00 | $.00 | $4.68 | f | |||||||
| 4002992701 | DOE, J JR | e | 12/25-12/25/2003 | 123456789 | JAIME JR | $276.00 | $.00 | $276.00 | $55.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $220.80 | f | |||||||
| 4002992901 | DOE, J JR | e | 01/10-01/11/2004 | 123456789 | JAIME JR | $270.00 | $.00 | $270.00 | $54.00 | $.00 | $.00 | $21.60 | $.00 | $.00 | $.00 | $194.40 | f | |||||||
| 4002993101 | DOE, J SR | e | 11/24-11/24/2003 | 123456789 | JOHN SR | $100.00 | $.00 | $100.00 | $15.00 | $.00 | $.00 | $8.50 | $.00 | $.00 | $.00 | $76.50 | f | |||||||
| 4002993301 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $16.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $66.40 | f | |||||||
| 4002993501 | DOE, J JR | 1 | 06/09-06/09/2003 | 123456789 | PAT | $270.00 | $.00 | $270.00 | $27.00 | $.00 | $.00 | $24.30 | $.00 | $.00 | $.00 | $218.70 | f | |||||||
| 4002993701 | DOE, J JR | 1 | 06/09-06/09/2003 | 123456789 | PAT | $18.17 | $.00 | $18.17 | $1.82 | $.00 | $.00 | $1.63 | $.00 | $.00 | $.00 | $14.72 | f | |||||||
| 4002994101 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $393.00 | $.00 | $393.00 | $198.83 | $.00 | $10.00 | $3.85 | $.00 | $.00 | $.00 | $180.32 | f | |||||||
| 4002994301 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002994501 | DOE, J | s | 12/10-12/10/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $.00 | $5.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4002994701 | DOE, J | e | 12/13-12/13/2003 | 123456789 | PAT | $1,455.26 | $1,455.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002994702 | DOE, J | e | 12/13-12/13/2003 | 123456789 | PAT | $1,455.26 | $.00 | $1,455.26 | $.00 | $250.00 | $.00 | $241.05 | $.00 | $.00 | $.00 | $964.21 | f | |||||||
| 4002994801 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $402.00 | $.00 | $402.00 | $.00 | $402.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002995401 | DOE, J | e | 12/04-12/04/2003 | 123456789 | PAT | $163.00 | $163.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002995701 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $130.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002995702 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $13.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $106.61 | f | |||||||
| 4002996201 | DOE, J SR | e | 12/29-12/29/2003 | 123456789 | JOHN SR | $120.00 | $.00 | $120.00 | $17.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $92.08 | f | |||||||
| 4002996301 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $150.32 | $.00 | $150.32 | $42.67 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.65 | f | |||||||
| 4002996401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $150.32 | $.00 | $150.32 | $42.67 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.65 | f | |||||||
| 4002996501 | DOE, J | e | 12/08-12/08/2003 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.00 | f | |||||||
| 4002996601 | DOE, J | 3 | 01/16-01/16/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $14.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.00 | f | |||||||
| 4002996701 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $16.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4002996801 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $113.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $126.10 | f | |||||||
| 4002996901 | DOE, J | e | 01/04-01/04/2004 | 123456789 | PAT | $186.00 | $.00 | $186.00 | $46.50 | $.00 | $.00 | $13.95 | $.00 | $.00 | $.00 | $125.55 | f | |||||||
| 4002997001 | DOE, J | e | 01/04-01/04/2004 | 123456789 | PAT | $102.65 | $.00 | $102.65 | $25.66 | $.00 | $.00 | $7.68 | $.00 | $.00 | $.00 | $69.31 | f | |||||||
| 4002997201 | DOE, J | e | 12/09-12/09/2003 | 123456789 | PAT | $383.00 | $383.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002997301 | DOE, J | e | 12/09-12/09/2003 | 123456789 | PAT | $78.00 | $78.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4002997801 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $25.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $9.19 | f | |||||||
| 4003004001 | DOE, J | 1 | 01/27-01/30/2004 | 123456789 | PAT | $4,800.00 | $.00 | $4,800.00 | $2,295.00 | $.00 | $.00 | $751.50 | $.00 | $.00 | $.00 | $1,753.50 | f | |||||||
| 4003011301 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $7,228.00 | $.00 | $7,228.00 | $5,078.27 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2,149.73 | f | |||||||
| 4003012201 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $183.00 | $183.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003012601 | DOE, J | 1 | 11/28-11/28/2003 | 123456789 | PAT | $24.00 | $24.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003013001 | O'KELLEY, THOMAS | s | 01/07-01/07/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $66.85 | $.00 | $.00 | $.31 | $.00 | $.00 | $.00 | $2.84 | f | |||||||
| 4003013201 | DOE, J | 1 | 01/08-01/08/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $75.68 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $114.32 | f | |||||||
| 4003013401 | DOE, J | e | 01/04-01/05/2004 | 123456789 | PAT | $87.40 | $.00 | $87.40 | $21.84 | $.00 | $.00 | $6.55 | $.00 | $.00 | $.00 | $59.01 | f | |||||||
| 4003014001 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $496.00 | $.00 | $496.00 | $334.29 | $.00 | $.00 | $16.16 | $.00 | $.00 | $.00 | $145.55 | f | |||||||
| 4003014101 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $221.00 | $221.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003014501 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $176.00 | $176.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003014901 | DOE, J | e | 07/11-07/11/2003 | 123456789 | PAT | $32.00 | $.00 | $32.00 | $19.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4003015301 | DOE, J R | 2 | 12/09-12/09/2003 | 123456789 | PAT | $93.00 | $.00 | $93.00 | $39.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003016401 | DOE, J | e | 08/12-08/12/2003 | 123456789 | PAT | $65.34 | $.00 | $65.34 | $22.86 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $42.48 | f | |||||||
| 4003016501 | DOE, J | e | 08/12-08/12/2003 | 123456789 | PAT | $8.66 | $.00 | $8.66 | $3.03 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $5.63 | f | |||||||
| 4003016601 | DOE, J | e | 08/12-08/13/2003 | 123456789 | PAT | $18.35 | $.00 | $18.35 | $6.42 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.93 | f | |||||||
| 4003016701 | DOE, J | s | 10/09-10/09/2003 | 123456789 | PAT | $62.00 | $.00 | $62.00 | $18.13 | $.00 | $.00 | $4.39 | $.00 | $.00 | $.00 | $39.48 | f | |||||||
| 4003016901 | DOE, J | s | 10/16-10/16/2003 | 123456789 | PAT | $44.00 | $.00 | $44.00 | $29.11 | $.00 | $.00 | $1.49 | $.00 | $.00 | $.00 | $13.40 | f | |||||||
| 4003017001 | DOE, J | s | 09/11-09/11/2003 | 123456789 | PAT | $54.00 | $.00 | $54.00 | $4.78 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $49.22 | f | |||||||
| 4003017201 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $413.50 | $.00 | $413.50 | $101.28 | $.00 | $.00 | $31.22 | $.00 | $.00 | $.00 | $281.00 | f | |||||||
| 4003017301 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $5,175.00 | $.00 | $5,175.00 | $2,640.26 | $39.98 | $.00 | $249.47 | $.00 | $.00 | $.00 | $2,245.29 | f | |||||||
| 4003017501 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $22.52 | $31.00 | $.00 | $2.85 | $.00 | $.00 | $.00 | $25.63 | f | |||||||
| 4003017601 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $20.28 | $.00 | $.00 | $4.47 | $.00 | $.00 | $.00 | $40.25 | f | |||||||
| 4003017701 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $44.50 | $.00 | $44.50 | $22.25 | $.00 | $.00 | $2.22 | $.00 | $.00 | $.00 | $20.03 | f | |||||||
| 4003017901 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $17.00 | $.00 | $.00 | $1.70 | $.00 | $.00 | $.00 | $15.30 | f | |||||||
| 4003018001 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $43.50 | $.00 | $43.50 | $31.00 | $.00 | $.00 | $1.26 | $.00 | $.00 | $.00 | $11.24 | f | |||||||
| 4003018101 | DOE, J SR | e | 01/14-01/14/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003018501 | DOE, J SR | s | 01/16-01/16/2004 | 123456789 | PAT | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003019201 | DOE, J SR | s | 01/19-01/19/2004 | 123456789 | PAT | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003019401 | DOE, J | s | 08/11-08/11/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $7.57 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $87.43 | f | |||||||
| 4003020101 | DOE, J | s | 08/11-08/11/2003 | 123456789 | PAT | $29.00 | $.00 | $29.00 | $20.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $8.50 | f | |||||||
| 4003020501 | DOE, J | s | 08/26-08/26/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.68 | f | |||||||
| 4003020701 | DOE, J | s | 09/29-09/29/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $39.37 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $95.63 | f | |||||||
| 4003020901 | DOE, J | s | 10/21-10/21/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.68 | f | |||||||
| 4003021001 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $4,662.32 | $4,662.32 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003021101 | DOE, J | s | 11/17-11/17/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.68 | f | |||||||
| 4003021301 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003021701 | DOE, J | s | 09/18-09/18/2003 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003022101 | DOE, J | s | 11/05-11/05/2003 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003022301 | DOE, J | s | 12/01-12/01/2003 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003023301 | DOE, J | 1 | 12/01-12/01/2003 | 123456789 | PAT | $230.00 | $.00 | $230.00 | $40.88 | $.00 | $10.00 | $4.58 | $.00 | $.00 | $.00 | $174.54 | f | |||||||
| 4003023601 | DOE, J | 2 | 12/01-12/01/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $14.84 | $.00 | $10.00 | $.10 | $.00 | $.00 | $.00 | $35.06 | f | |||||||
| 4003023901 | DOE, J | 3 | 12/01-12/01/2003 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $.84 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.16 | f | |||||||
| 4003024101 | DOE, J | s | 09/24-09/24/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $24.88 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.12 | f | |||||||
| 4003024301 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $24.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.12 | f | |||||||
| 4003024401 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $95.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003024801 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $4,408.00 | $3,890.55 | $517.45 | $169.80 | $50.35 | $.00 | $29.72 | $.00 | $.00 | $.00 | $267.58 | f | |||||||
| 4003027101 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $525.00 | $.00 | $525.00 | $146.52 | $199.65 | $.00 | $17.88 | $.00 | $.00 | $.00 | $160.95 | f | |||||||
| 4003027701 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $133.00 | $.00 | $133.00 | $42.19 | $.00 | $10.00 | $6.89 | $.00 | $.00 | $.00 | $73.92 | f | |||||||
| 4003028501 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $116.00 | $.00 | $116.00 | $17.99 | $.00 | $10.00 | $1.37 | $.00 | $.00 | $.00 | $86.64 | f | |||||||
| 4003029001 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $81.00 | $.00 | $81.00 | $11.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4003029301 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $212.00 | $26.00 | $186.00 | $107.00 | $.00 | $.00 | $7.90 | $.00 | $.00 | $.00 | $71.10 | f | |||||||
| 4003029701 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $123.00 | $.00 | $123.00 | $69.00 | $.00 | $.00 | $5.40 | $.00 | $.00 | $.00 | $48.60 | f | |||||||
| 4003030201 | DOE, J JR | s | 04/04-04/04/2003 | 123456789 | JACONDA JR | $83.00 | $.00 | $83.00 | $15.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.54 | f | |||||||
| 4003030601 | DOE, J JR | s | 04/08-04/08/2003 | 123456789 | JACONDA JR | $21.00 | $21.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003031701 | DOE, J JR | s | 08/07-08/07/2003 | 123456789 | JACONDA JR | $219.00 | $41.00 | $178.00 | $15.23 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $162.77 | f | |||||||
| 4003032101 | DOE, J JR | s | 11/17-11/17/2003 | 123456789 | JACONDA JR | $83.00 | $.00 | $83.00 | $10.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $62.08 | f | |||||||
| 4003032501 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $107.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003033001 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $177.00 | $177.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003034401 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $158.00 | $158.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003035501 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $151.00 | $151.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003037901 | O'KELLEY, THOMAS | s | 01/14-01/14/2004 | 123456789 | PAT | $700.00 | $.00 | $700.00 | $286.28 | $.00 | $10.00 | $34.66 | $.00 | $.00 | $.00 | $369.06 | f | |||||||
| 4003038101 | O'KELLEY, THOMAS | s | 01/14-01/14/2004 | 123456789 | PAT | $1,400.00 | $.00 | $1,400.00 | $892.40 | $.00 | $.00 | $50.76 | $.00 | $.00 | $.00 | $456.84 | f | |||||||
| 4003038501 | O'KELLEY, THOMAS | s | 01/14-01/14/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $32.00 | $.00 | $.00 | $1.30 | $.00 | $.00 | $.00 | $11.70 | f | |||||||
| 4003038701 | DOE, J | s | 01/03-01/04/2004 | 123456789 | PAT | $59.70 | $.00 | $59.70 | $14.54 | $.00 | $.00 | $4.51 | $.00 | $.00 | $.00 | $40.65 | f | |||||||
| 4003039101 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $98.80 | $.00 | $98.80 | $24.70 | $.00 | $.00 | $7.40 | $.00 | $.00 | $.00 | $66.70 | f | |||||||
| 4003039301 | DOE, J | s | 01/02-01/03/2004 | 123456789 | PAT | $90.30 | $.00 | $90.30 | $22.58 | $.00 | $.00 | $6.77 | $.00 | $.00 | $.00 | $60.95 | f | |||||||
| 4003039601 | DOE, J | s | 11/10-11/12/2003 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $97.95 | $.00 | $20.00 | $1.00 | $.00 | $.00 | $.00 | $121.05 | f | |||||||
| 4003040001 | DOE, J | s | 11/11-11/11/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $43.41 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $46.09 | f | |||||||
| 4003040101 | DOE, J | s | 11/13-11/13/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $43.41 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $46.09 | f | |||||||
| 4003041201 | DOE, J SR | e | 01/19-01/19/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003041701 | DOE, J SR | e | 01/20-01/20/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003042201 | DOE, J SR | e | 01/21-01/21/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003042801 | DOE, J SR | s | 01/21-01/21/2004 | 123456789 | PAT | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003044401 | DOE, J III | 2 | 01/05-01/05/2004 | 123456789 | PAT | $61.00 | $61.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003045401 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $6.40 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $77.60 | f | |||||||
| 4003045601 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $28.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.28 | f | |||||||
| 4003045901 | DOE, J | 1 | 01/08-01/08/2004 | 123456789 | PAT | $193.67 | $.00 | $193.67 | $90.38 | $.00 | $.00 | $10.33 | $.00 | $.00 | $.00 | $92.96 | f | |||||||
| 4003047301 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $.00 | $35.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003047501 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $3.39 | $.00 | $10.00 | $2.50 | $.00 | $.00 | $.00 | $69.11 | f | |||||||
| 4003048401 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $27.52 | $.00 | $10.00 | $.20 | $.00 | $.00 | $.00 | $72.28 | f | |||||||
| 4003049501 | DOE, J JR | s | 12/15-12/15/2003 | 123456789 | PAT | $110.00 | $42.88 | $67.12 | $.00 | $.00 | $.00 | $.00 | $.00 | $53.70 | $.00 | $13.42 | f | |||||||
| 4003055101 | DOE, J | 3 | 01/12-01/12/2004 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $62.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $172.58 | f | |||||||
| 4003055201 | DOE, J JR | s | 01/19-01/19/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $42.82 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $46.88 | f | |||||||
| 4003055301 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $687.50 | $.00 | $687.50 | $547.35 | $.00 | $.00 | $14.02 | $.00 | $.00 | $.00 | $126.13 | f | |||||||
| 4003056601 | DOE, J | 1 | 12/16-12/20/2003 | 123456789 | PAT | $3,749.88 | $3,749.88 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003057101 | DOE, J | s | 05/09-05/09/2003 | 123456789 | PAT | $78.50 | $.00 | $78.50 | $55.83 | $.00 | $.00 | $2.27 | $.00 | $.00 | $.00 | $20.40 | f | |||||||
| 4003057501 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $66.15 | $.00 | $66.15 | $37.65 | $.00 | $.00 | $2.85 | $.00 | $.00 | $.00 | $25.65 | f | |||||||
| 4003057901 | DOE, J | s | 12/24-12/24/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $33.00 | $.00 | $.00 | $1.70 | $.00 | $.00 | $.00 | $15.30 | f | |||||||
| 4003058201 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $57.00 | $.00 | $57.00 | $26.69 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $19.81 | f | |||||||
| 4003058601 | DOE, J JR | e | 01/26-01/26/2004 | 123456789 | ALBERT JR | $385.00 | $64.44 | $320.56 | $118.21 | $.00 | $10.00 | $6.49 | $.00 | $.00 | $.00 | $185.86 | f | |||||||
| 4003058901 | DOE, J JR | e | 01/26-01/26/2004 | 123456789 | ALBERT JR | $136.00 | $.00 | $136.00 | $66.52 | $.00 | $.00 | $6.95 | $.00 | $.00 | $.00 | $62.53 | f | |||||||
| 4003059201 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003064001 | DOE, J | 3 | 01/23-01/23/2004 | 123456789 | PAT | $73.00 | $13.00 | $60.00 | $5.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4003064501 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $18.98 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $38.02 | f | |||||||
| 4003064701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $21.39 | $.00 | $10.00 | $.20 | $.00 | $.00 | $.00 | $43.41 | f | |||||||
| 4003065001 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $29.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.25 | f | |||||||
| 4003065201 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $52.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.08 | f | |||||||
| 4003068401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $30.02 | $.00 | $10.00 | $.35 | $.00 | $.00 | $.00 | $53.63 | f | |||||||
| 4003068601 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $76.00 | $76.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003069301 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $12.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.28 | f | |||||||
| 4003069401 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $7.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003070501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $105.67 | $.00 | $10.00 | $6.57 | $.00 | $.00 | $.00 | $102.76 | f | |||||||
| 4003074901 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $12.26 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.74 | f | |||||||
| 4003075301 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $37.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.47 | f | |||||||
| 4003075701 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $48.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003076101 | DOE, J JR | 2 | 01/22-01/22/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $3.28 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.72 | f | |||||||
| 4003076701 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $41.47 | $29.49 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.04 | f | |||||||
| 4003076801 | DOE, J JR | 1 | 04/03-04/03/2003 | 123456789 | PAT | $73.00 | $73.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003077001 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $44.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.40 | f | |||||||
| 4003077501 | DOE, J | 1 | 08/14-08/14/2003 | 123456789 | PAT | $66.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003078001 | DOE, J | 2 | 10/07-10/07/2003 | 123456789 | PAT | $169.00 | $.00 | $169.00 | $.00 | $.00 | $.00 | $16.90 | $.00 | $.00 | $.00 | $152.10 | f | |||||||
| 4003078901 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $483.00 | $.00 | $483.00 | $357.94 | $55.06 | $10.00 | $.95 | $.00 | $.00 | $.00 | $59.05 | f | |||||||
| 4003079401 | DOE, J | e | 03/15-03/15/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003079601 | DOE, J | e | 12/16-12/16/2003 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $142.49 | $.00 | $.00 | $6.75 | $.00 | $.00 | $.00 | $60.76 | f | |||||||
| 4003079701 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $656.00 | $.00 | $656.00 | $492.72 | $55.06 | $10.00 | $4.77 | $.00 | $.00 | $.00 | $93.45 | f | |||||||
| 4003079801 | DOE, J | e | 11/26-11/26/2003 | 123456789 | PAT | $483.00 | $463.00 | $20.00 | $18.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2.00 | f | |||||||
| 4003081401 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003081801 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $23.00 | $.00 | $23.00 | $6.94 | $.00 | $.00 | $1.61 | $.00 | $.00 | $.00 | $14.45 | f | |||||||
| 4003082001 | DOE, J JR | 1 | 09/17-09/18/2003 | 123456789 | PAT | $1,500.00 | $1,500.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003084601 | DOE, J | 2 | 12/16-12/16/2003 | 123456789 | PAT | $209.00 | $.00 | $209.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $209.00 | f | |||||||
| 4003086701 | DOE, J | s | 08/28-08/28/2003 | 123456789 | PAT | $369.00 | $.00 | $369.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $369.00 | f | |||||||
| 4003092001 | DOE, J | e | 12/04-12/04/2003 | 123456789 | PAT | $234.00 | $234.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003093801 | DOE, J | e | 12/02-12/02/2003 | 123456789 | PAT | $176.00 | $176.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003094901 | DOE, J | e | 11/25-11/25/2003 | 123456789 | PAT | $254.00 | $254.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003095401 | DOE, J | e | 11/20-11/20/2003 | 123456789 | PAT | $259.00 | $226.00 | $33.00 | $15.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $17.10 | f | |||||||
| 4003095601 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $17.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003096701 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $28.00 | $28.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003097601 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $257.92 | $257.92 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003098401 | DOE, J | e | 11/12-11/12/2003 | 123456789 | PAT | $212.92 | $212.92 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003099101 | DOE, J | e | 11/11-11/11/2003 | 123456789 | PAT | $244.92 | $31.92 | $213.00 | $96.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $116.15 | f | |||||||
| 4003101701 | DOE, J | e | 11/07-11/07/2003 | 123456789 | PAT | $234.00 | $234.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003102301 | DOE, J | e | 11/05-11/05/2003 | 123456789 | PAT | $234.00 | $234.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003103001 | DOE, J | e | 11/04-11/04/2003 | 123456789 | PAT | $236.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003103601 | DOE, J | e | 10/29-10/29/2003 | 123456789 | PAT | $234.00 | $234.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003104101 | DOE, J | e | 10/27-10/27/2003 | 123456789 | PAT | $236.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003104401 | DOE, J | e | 10/28-10/28/2003 | 123456789 | PAT | $236.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003105101 | DOE, J | e | 10/22-10/22/2003 | 123456789 | PAT | $236.00 | $236.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003105601 | DOE, J | e | 10/20-10/20/2003 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $82.00 | f | |||||||
| 4003115801 | DOE, J JR | 1 | 09/18-09/19/2003 | 123456789 | PAT | $1,500.00 | $1,500.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003116901 | DOE, J JR | 1 | 09/20-09/20/2003 | 123456789 | PAT | $1,000.00 | $1,000.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003117301 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $36.60 | $.00 | $.00 | $8.54 | $.00 | $.00 | $.00 | $76.86 | f | |||||||
| 4003118301 | DOE, J JR | 1 | 09/23-09/23/2003 | 123456789 | PAT | $263.00 | $263.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003118601 | DOE, J JR | 1 | 05/31-06/01/2003 | 123456789 | PAT | $452.00 | $452.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003119101 | DOE, J SR | s | 01/09-01/09/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $29.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003119201 | DOE, J JR | 1 | 10/04-10/04/2003 | 123456789 | PAT | $133.00 | $133.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003119501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $1,850.00 | $.00 | $1,850.00 | $1,474.31 | $250.00 | $.00 | $12.57 | $.00 | $.00 | $.00 | $113.12 | f | |||||||
| 4003119801 | DOE, J JR | 1 | 11/03-11/03/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003120201 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $389.00 | $.00 | $389.00 | $268.01 | $120.99 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003120301 | DOE, J JR | 1 | 10/02-10/02/2003 | 123456789 | PAT | $352.00 | $352.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003120801 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $206.00 | $36.00 | $170.00 | $68.84 | $.00 | $10.00 | $2.11 | $.00 | $.00 | $.00 | $89.05 | f | |||||||
| 4003120901 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $24.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003121101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $10.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $94.69 | f | |||||||
| 4003121201 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $17.96 | $.00 | $.00 | $4.20 | $.00 | $.00 | $.00 | $37.84 | f | |||||||
| 4003121301 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003121601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $30.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003122401 | DOE, J JR | 1 | 10/03-10/03/2003 | 123456789 | PAT | $133.00 | $133.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003123501 | DOE, J JR | 1 | 10/06-10/06/2003 | 123456789 | PAT | $133.00 | $133.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003123601 | DOE, J JR | 1 | 10/07-10/07/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003124401 | DOE, J JR | 1 | 10/31-10/31/2003 | 123456789 | PAT | $65.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003124601 | DOE, J JR | 1 | 11/06-11/06/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003124701 | DOE, J JR | 1 | 11/11-11/11/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003125301 | DOE, J JR | 1 | 10/09-10/19/2003 | 123456789 | PAT | $3,762.00 | $3,762.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003125401 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003126101 | DOE, J | 1 | 12/23-12/23/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003126901 | DOE, J JR | 1 | 10/20-10/23/2003 | 123456789 | PAT | $2,508.00 | $2,508.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003127101 | DOE, J | 3 | 12/04-12/04/2003 | 123456789 | PAT | $99.00 | $.00 | $99.00 | $7.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $81.53 | f | |||||||
| 4003127301 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $273.00 | $.00 | $273.00 | $108.16 | $128.12 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.72 | f | |||||||
| 4003127601 | DOE, J JR | 1 | 10/11-10/12/2003 | 123456789 | PAT | $1,254.00 | $1,254.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003127701 | DOE, J JR | e | 01/26-01/26/2004 | 123456789 | SIMON JR | $110.00 | $.00 | $110.00 | $46.05 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.95 | f | |||||||
| 4003128101 | DOE, J JR | 1 | 10/09-10/09/2003 | 123456789 | PAT | $283.00 | $283.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003128401 | DOE, J JR | e | 12/09-12/09/2003 | 123456789 | JOHNNY JR | $250.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003128601 | DOE, J JR | 1 | 10/09-10/09/2003 | 123456789 | PAT | $182.00 | $182.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003129101 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $22.00 | $.00 | $.00 | $1.20 | $.00 | $.00 | $.00 | $10.80 | f | |||||||
| 4003129301 | DOE, J | s | 01/04-01/04/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $22.00 | $.00 | $.00 | $1.20 | $.00 | $.00 | $.00 | $10.80 | f | |||||||
| 4003129701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $15.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $124.28 | f | |||||||
| 4003131001 | DOE, J | 1 | 11/19-11/19/2003 | 123456789 | WILLIAM C | $682.25 | $682.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003131002 | DOE, J | 1 | 11/19-11/19/2003 | 123456789 | WILLIAM C | $682.25 | $.00 | $682.25 | $272.90 | $.00 | $50.00 | $35.93 | $.00 | $.00 | $.00 | $323.42 | f | |||||||
| 4003131401 | DOE, J JR | 1 | 05/12-05/18/2003 | 123456789 | PAT | $475.00 | $475.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003131501 | DOE, J | 1 | 11/24-11/24/2003 | 123456789 | WILLIAM C | $103.75 | $103.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003131502 | DOE, J | 1 | 11/24-11/24/2003 | 123456789 | WILLIAM C | $103.75 | $.00 | $103.75 | $41.50 | $.00 | $50.00 | $1.22 | $.00 | $.00 | $.00 | $11.03 | f | |||||||
| 4003131901 | DOE, J JR | 1 | 03/15-03/15/2003 | 123456789 | PAT | $91.00 | $91.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003133001 | DOE, J JR | 1 | 01/23-01/23/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $10.82 | $.00 | $10.00 | $4.42 | $.00 | $.00 | $.00 | $104.76 | f | |||||||
| 4003133201 | DOE, J JR | 1 | 01/23-01/23/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $12.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003133301 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $147.14 | $.00 | $147.14 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $137.14 | f | |||||||
| 4003134401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $34.03 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.97 | f | |||||||
| 4003136601 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $334.00 | $334.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003136801 | DOE, J | 1 | 12/05-12/05/2003 | 123456789 | PAT | $9.00 | $9.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003137301 | DOE, J | 1 | 12/05-12/05/2003 | 123456789 | PAT | $229.00 | $229.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003137701 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $103.00 | $103.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003137901 | DOE, J | e | 12/05-12/05/2003 | 123456789 | PAT | $118.00 | $118.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003139201 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $83.74 | $67.28 | $10.00 | $.54 | $.00 | $.00 | $.00 | $48.44 | f | |||||||
| 4003139401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $353.00 | $.00 | $353.00 | $47.40 | $.00 | $.00 | $30.55 | $.00 | $.00 | $.00 | $275.05 | f | |||||||
| 4003139501 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $20.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003139801 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.64 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $64.36 | f | |||||||
| 4003140101 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $33.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003143701 | DOE, J | 2 | 01/02-01/02/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $50.29 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $139.71 | f | |||||||
| 4003143801 | DOE, J | 2 | 10/10-10/10/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $13.39 | $.00 | $10.00 | $2.50 | $.00 | $.00 | $.00 | $69.11 | f | |||||||
| 4003143901 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $27.60 | $.00 | $.00 | $2.24 | $.00 | $.00 | $.00 | $20.16 | f | |||||||
| 4003144101 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $440.00 | $.00 | $440.00 | $336.62 | $103.38 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003144301 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $210.00 | $20.00 | $190.00 | $54.61 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $125.39 | f | |||||||
| 4003144401 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $63.84 | $.00 | $10.00 | $2.10 | $.00 | $.00 | $.00 | $74.06 | f | |||||||
| 4003144701 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $211.00 | $.00 | $211.00 | $96.76 | $.00 | $10.00 | $1.10 | $.00 | $.00 | $.00 | $103.14 | f | |||||||
| 4003145001 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $65.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $94.56 | f | |||||||
| 4003145401 | DOE, J | 2 | 01/20-01/20/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $62.41 | $.00 | $.00 | $4.76 | $.00 | $.00 | $.00 | $42.83 | f | |||||||
| 4003145701 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $229.00 | $.00 | $229.00 | $24.14 | $.00 | $10.00 | $1.71 | $.00 | $.00 | $.00 | $193.15 | f | |||||||
| 4003145901 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $47.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $122.24 | f | |||||||
| 4003146401 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $145.50 | $.00 | $145.50 | $43.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $92.08 | f | |||||||
| 4003146701 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $82.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003146702 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $23.76 | $.00 | $10.00 | $1.58 | $.00 | $.00 | $.00 | $46.66 | f | |||||||
| 4003147601 | DOE, J JR | s | 01/14-01/14/2004 | 123456789 | PAT | $185.00 | $25.00 | $160.00 | $76.27 | $.00 | $.00 | $16.75 | $.00 | $.00 | $.00 | $66.98 | f | |||||||
| 4003147801 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $111.42 | $.00 | $111.42 | $64.57 | $.00 | $.00 | $31.68 | $.00 | $.00 | $.00 | $15.17 | f | |||||||
| 4003148201 | DOE, J II | 3 | 01/15-01/15/2004 | 123456789 | ARIEL M | $288.00 | $.00 | $288.00 | $127.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $150.75 | f | |||||||
| 4003148401 | DOE, J | t | 01/07-01/07/2004 | 123456789 | PAT | $1,435.00 | $.00 | $1,435.00 | $861.00 | $.00 | $.00 | $57.40 | $.00 | $.00 | $.00 | $516.60 | f | |||||||
| 4003148601 | DOE, J | t | 01/07-01/07/2004 | 123456789 | PAT | $3,011.00 | $.00 | $3,011.00 | $1,806.44 | $.00 | $.00 | $120.46 | $.00 | $.00 | $.00 | $1,084.10 | f | |||||||
| 4003148701 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $506.00 | $.00 | $506.00 | $234.49 | $.00 | $.00 | $27.15 | $.00 | $.00 | $.00 | $244.36 | f | |||||||
| 4003149201 | DOE, J SR. | s | 01/06-01/06/2004 | 123456789 | PAT | $372.25 | $.00 | $372.25 | $305.59 | $.00 | $.00 | $20.17 | $.00 | $.00 | $.00 | $46.49 | f | |||||||
| 4003151901 | DOE, J | 1 | 01/08-01/08/2004 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $37.81 | $.00 | $10.00 | $1.95 | $.00 | $.00 | $.00 | $117.24 | f | |||||||
| 4003152101 | DOE, J | s | 12/26-12/26/2003 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $3.87 | $.00 | $.00 | $.00 | $34.83 | f | |||||||
| 4003152401 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $51.96 | $.00 | $10.00 | $3.45 | $.00 | $.00 | $.00 | $114.59 | f | |||||||
| 4003152501 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $1,890.00 | $.00 | $1,890.00 | $1,160.41 | $.00 | $.00 | $72.96 | $.00 | $.00 | $.00 | $656.63 | f | |||||||
| 4003152901 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $205.00 | $205.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003153301 | DOE, J JR | 2 | 01/15-01/15/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $29.35 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $145.65 | f | |||||||
| 4003153601 | DOE, J | 1 | 01/06-01/06/2004 | 123456789 | PAT | $183.00 | $.00 | $183.00 | $61.43 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $111.07 | f | |||||||
| 4003154001 | DOE, J | e | 12/18-12/18/2003 | 123456789 | PAT | $184.00 | $.00 | $184.00 | $123.24 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $60.76 | f | |||||||
| 4003154401 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $16.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.45 | f | |||||||
| 4003154601 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $575.00 | $575.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003155101 | DOE, J JR | 2 | 01/14-01/14/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $10.00 | f | |||||||
| 4003155701 | DOE, J | e | 12/07-12/07/2003 | 123456789 | PAT | $520.00 | $520.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003155801 | DOE, J | 1 | 10/27-10/27/2003 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $11.38 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.62 | f | |||||||
| 4003156001 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $23.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $36.96 | f | |||||||
| 4003156101 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $8.29 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $36.71 | f | |||||||
| 4003156201 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $377.00 | $.00 | $377.00 | $135.63 | $154.16 | $10.00 | $3.10 | $.00 | $.00 | $.00 | $74.11 | f | |||||||
| 4003156301 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $106.00 | $.00 | $106.00 | $2.06 | $.00 | $.00 | $10.39 | $.00 | $.00 | $.00 | $93.55 | f | |||||||
| 4003156401 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $102.50 | $.00 | $102.50 | $97.07 | $.00 | $.00 | $.55 | $.00 | $.00 | $.00 | $4.88 | f | |||||||
| 4003169201 | DOE, J | s | 09/24-09/24/2003 | 123456789 | PAT | $115.00 | $115.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003171301 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $684.50 | $389.74 | $294.76 | $112.15 | $65.60 | $10.00 | $7.27 | $.00 | $.00 | $.00 | $99.74 | f | |||||||
| 4003171701 | DOE, J | 2 | 10/07-10/07/2003 | 123456789 | PAT | $169.00 | $169.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003172101 | DOE, J | s | 05/25-05/25/2003 | 123456789 | PAT | $170.00 | $170.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003172301 | DOE, J | e | 12/11-12/16/2003 | 123456789 | PAT | $162.00 | $.00 | $162.00 | $.00 | $.00 | $.00 | $64.80 | $.00 | $.00 | $.00 | $97.20 | f | |||||||
| 4003172401 | DOE, J | e | 12/16-12/17/2003 | 123456789 | PAT | $192.00 | $10.00 | $182.00 | $.00 | $.00 | $.00 | $72.80 | $.00 | $.00 | $.00 | $109.20 | f | |||||||
| 4003172601 | DOE, J | e | 12/17-12/18/2003 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $.00 | $.00 | $.00 | $58.00 | $.00 | $.00 | $.00 | $87.00 | f | |||||||
| 4003172701 | DOE, J | e | 12/18-12/22/2003 | 123456789 | PAT | $164.00 | $.00 | $164.00 | $.00 | $.00 | $.00 | $65.60 | $.00 | $.00 | $.00 | $98.40 | f | |||||||
| 4003172901 | DOE, J | e | 12/24-12/24/2003 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $.00 | $.00 | $.00 | $32.80 | $.00 | $.00 | $.00 | $49.20 | f | |||||||
| 4003173001 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $84.78 | $.00 | $.00 | $9.85 | $.00 | $.00 | $.00 | $39.37 | f | |||||||
| 4003173201 | DOE, J | e | 12/08-12/11/2003 | 123456789 | PAT | $202.00 | $10.00 | $192.00 | $.00 | $.00 | $.00 | $76.80 | $.00 | $.00 | $.00 | $115.20 | f | |||||||
| 4003173501 | DOE, J | e | 12/23-12/24/2003 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $.00 | $.00 | $.00 | $74.00 | $.00 | $.00 | $.00 | $111.00 | f | |||||||
| 4003173601 | DOE, J | e | 12/01-12/03/2003 | 123456789 | PAT | $202.00 | $.00 | $202.00 | $.00 | $.00 | $.00 | $80.80 | $.00 | $.00 | $.00 | $121.20 | f | |||||||
| 4003173801 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $84.78 | $.00 | $.00 | $9.85 | $.00 | $.00 | $.00 | $39.37 | f | |||||||
| 4003173901 | DOE, J | e | 12/03-12/08/2003 | 123456789 | PAT | $177.00 | $.00 | $177.00 | $.00 | $.00 | $.00 | $70.80 | $.00 | $.00 | $.00 | $106.20 | f | |||||||
| 4003174001 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $162.00 | $28.00 | $134.00 | $84.78 | $.00 | $.00 | $9.85 | $.00 | $.00 | $.00 | $39.37 | f | |||||||
| 4003174201 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $.00 | $.00 | $.00 | $56.80 | $.00 | $.00 | $.00 | $85.20 | f | |||||||
| 4003176301 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $.00 | $35.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003176501 | O'KELLEY, THOMAS | s | 01/07-01/07/2004 | 123456789 | PAT | $6,858.00 | $.00 | $6,858.00 | $3,241.32 | $224.89 | $.00 | $339.19 | $.00 | $.00 | $.00 | $3,052.60 | f | |||||||
| 4003176701 | DOE, J | 3 | 12/28-12/28/2003 | 123456789 | KAE LEE | $294.00 | $9.00 | $285.00 | $.00 | $.00 | $.00 | $85.50 | $.00 | $.00 | $.00 | $199.50 | f | |||||||
| 4003176901 | DOE, J | 2 | 12/26-12/26/2003 | 123456789 | PAT | $514.00 | $43.44 | $470.56 | $.00 | $250.00 | $.00 | $22.06 | $.00 | $.00 | $.00 | $198.50 | f | |||||||
| 4003178401 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $138.00 | $18.00 | $120.00 | $39.96 | $.00 | $.00 | $16.01 | $.00 | $.00 | $.00 | $64.03 | f | |||||||
| 4003178701 | DOE, J | s | 01/02-01/10/2004 | 123456789 | PAT | $730.00 | $90.00 | $640.00 | $214.34 | $.00 | $.00 | $85.15 | $.00 | $.00 | $.00 | $340.51 | f | |||||||
| 4003179601 | DOE, J | e | 12/31-12/31/2003 | 123456789 | PAT | $138.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003179801 | DOE, J | e | 01/02-01/10/2004 | 123456789 | PAT | $725.00 | $725.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003180301 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $47.25 | $.00 | $47.25 | $42.35 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4003184801 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $421.46 | $.00 | $421.46 | $284.85 | $.00 | $.00 | $13.66 | $.00 | $.00 | $.00 | $122.95 | f | |||||||
| 4003185001 | DOE, J | 2 | 01/12-01/12/2004 | 123456789 | PAT | $31.79 | $.00 | $31.79 | $11.57 | $.00 | $.00 | $2.03 | $.00 | $.00 | $.00 | $18.19 | f | |||||||
| 4003188201 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $193.00 | $193.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003191301 | DOE, J | 1 | 09/10-09/10/2003 | 123456789 | PAT | $190.00 | $190.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003192601 | DOE, J JR | e | 01/08-01/10/2003 | 123456789 | RONNIE JR | $360.00 | $.00 | $360.00 | $140.00 | $.00 | $.00 | $22.00 | $.00 | $.00 | $.00 | $198.00 | f | |||||||
| 4003193701 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $430.00 | $.00 | $430.00 | $73.92 | $.00 | $10.00 | $18.24 | $.00 | $.00 | $.00 | $327.84 | f | |||||||
| 4003194301 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $53.00 | $.00 | $53.00 | $20.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $22.89 | f | |||||||
| 4003194601 | DOE, J | e | 01/16-01/17/2004 | 123456789 | PAT | $370.00 | $.00 | $370.00 | $213.80 | $.00 | $.00 | $15.62 | $.00 | $.00 | $.00 | $140.58 | f | |||||||
| 4003195601 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $135.00 | $135.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003195602 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $33.62 | $.00 | $10.00 | $2.84 | $.00 | $.00 | $.00 | $88.54 | f | |||||||
| 4003196001 | DOE, J | 1 | 01/03-01/03/2004 | 123456789 | PAT | $220.00 | $220.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003196201 | DOE, J | 2 | 01/03-01/03/2004 | 123456789 | PAT | $220.00 | $220.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003196401 | DOE, J | 1 | 01/07-01/07/2004 | 123456789 | PAT | $247.00 | $.00 | $247.00 | $152.92 | $.00 | $.00 | $9.41 | $.00 | $.00 | $.00 | $84.67 | f | |||||||
| 4003196601 | DOE, J | s | 11/17-11/17/2003 | 123456789 | PAT | $30.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003196701 | DOE, J | s | 01/14-01/16/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $50.64 | $87.36 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003196901 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $7.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003197101 | DOE, J | s | 12/24-12/24/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $29.01 | $.00 | $10.00 | $.71 | $.00 | $.00 | $.00 | $65.28 | f | |||||||
| 4003197501 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $156.00 | $.00 | $156.00 | $42.78 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $103.22 | f | |||||||
| 4003197601 | DOE, J | 2 | 12/27-12/27/2003 | 123456789 | PAT | $136.00 | $.00 | $136.00 | $46.40 | $.00 | $.00 | $8.96 | $.00 | $.00 | $.00 | $80.64 | f | |||||||
| 4003197801 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $98.30 | $.00 | $98.30 | $21.35 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $66.45 | f | |||||||
| 4003198301 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $28.31 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $99.19 | f | |||||||
| 4003198501 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $79.15 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $80.85 | f | |||||||
| 4003199601 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $120.00 | $20.00 | $100.00 | $48.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003199901 | DOE, J | 3 | 01/05-01/05/2004 | 123456789 | LOLA BELLA | $308.00 | $.00 | $308.00 | $41.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $256.47 | f | |||||||
| 4003200201 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $9.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.10 | f | |||||||
| 4003200401 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $117.00 | $.00 | $117.00 | $33.90 | $.00 | $10.00 | $1.60 | $.00 | $.00 | $.00 | $71.50 | f | |||||||
| 4003200801 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $8.50 | $.00 | $8.50 | $2.12 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.38 | f | |||||||
| 4003201301 | DOE, J SR | e | 01/12-01/12/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003201801 | DOE, J SR | e | 01/13-01/13/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003202201 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $99.00 | $.00 | $99.00 | $89.75 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.33 | f | |||||||
| 4003202501 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $25.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003203101 | DOE, J | e | 12/09-12/09/2003 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $30.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $69.24 | f | |||||||
| 4003203601 | DOE, J | s | 07/03-07/03/2003 | 123456789 | PAT | $155.00 | $.00 | $155.00 | $.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $154.21 | f | |||||||
| 4003203801 | DOE, J | s | 07/07-07/07/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.68 | f | |||||||
| 4003204001 | DOE, J | s | 07/22-07/22/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $8.32 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.68 | f | |||||||
| 4003204701 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $5.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003204801 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $5.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003209201 | DOE, J | s | 09/25-09/25/2003 | 123456789 | PAT | $161.00 | $.00 | $161.00 | $74.48 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.52 | f | |||||||
| 4003209401 | DOE, J JR | e | 11/28-11/28/2003 | 123456789 | JAIME JR | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.70 | f | |||||||
| 4003209601 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $430.00 | $.00 | $430.00 | $88.87 | $250.00 | $10.00 | $2.20 | $.00 | $.00 | $.00 | $78.93 | f | |||||||
| 4003209801 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $161.00 | $.00 | $161.00 | $57.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $93.24 | f | |||||||
| 4003210101 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $520.50 | $.00 | $520.50 | $.00 | $.00 | $.00 | $52.05 | $.00 | $.00 | $.00 | $468.45 | f | |||||||
| 4003210301 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $23.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4003210801 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $90.00 | f | |||||||
| 4003211301 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $38.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4003211601 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $198.00 | $.00 | $198.00 | $104.25 | $.00 | $10.00 | $4.10 | $.00 | $.00 | $.00 | $79.65 | f | |||||||
| 4003211801 | DOE, J | s | 10/15-10/15/2003 | 123456789 | PAT | $648.50 | $106.52 | $541.98 | $501.03 | $.00 | $.00 | $4.08 | $.00 | $.00 | $.00 | $36.87 | f | |||||||
| 4003212101 | DOE, J | s | 11/26-11/26/2003 | 123456789 | PAT | $132.25 | $.00 | $132.25 | $124.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $7.60 | f | |||||||
| 4003212301 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $134.00 | $.00 | $134.00 | $13.20 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $110.80 | f | |||||||
| 4003212401 | DOE, J | s | 12/10-12/10/2003 | 123456789 | PAT | $15.00 | $.00 | $15.00 | $12.90 | $.00 | $.00 | $.21 | $.00 | $.00 | $.00 | $1.89 | f | |||||||
| 4003212701 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $381.75 | $42.45 | $339.30 | $50.94 | $.00 | $10.00 | $8.10 | $.00 | $.00 | $.00 | $270.26 | f | |||||||
| 4003214301 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $45.00 | $45.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003215201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $43.25 | $.00 | $43.25 | $.00 | $43.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003215501 | DOE, J | s | 12/26-12/26/2003 | 123456789 | PAT | $5.82 | $.00 | $5.82 | $.00 | $.00 | $.00 | $.58 | $.00 | $.00 | $.00 | $5.24 | f | |||||||
| 4003217401 | DOE, J | 3 | 11/27-11/27/2002 | 123456789 | PAT | $162.00 | $162.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003218101 | DOE, J | 2 | 01/07-01/07/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $12.50 | $.00 | $10.00 | $.35 | $.00 | $.00 | $.00 | $47.15 | f | |||||||
| 4003218701 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $35.00 | $15.00 | $20.00 | $17.00 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4003220201 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $27.40 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $69.60 | f | |||||||
| 4003222001 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $137.60 | $.00 | $137.60 | $128.60 | $.00 | $.00 | $.90 | $.00 | $.00 | $.00 | $8.10 | f | |||||||
| 4003222901 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $53.05 | $.00 | $53.05 | $50.05 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4003223401 | DOE, J | 1 | 01/07-01/07/2004 | 123456789 | PAT | $158.00 | $.00 | $158.00 | $83.42 | $.00 | $.00 | $7.46 | $.00 | $.00 | $.00 | $67.12 | f | |||||||
| 4003224001 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $1,200.00 | $.00 | $1,200.00 | $645.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $554.85 | f | |||||||
| 4003225501 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $31.56 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $73.44 | f | |||||||
| 4003225801 | DOE, J | e | 11/17-11/17/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $42.93 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $92.07 | f | |||||||
| 4003226201 | DOE, J | e | 11/21-11/21/2003 | 123456789 | PAT | $2,700.00 | $.00 | $2,700.00 | $1,913.53 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $786.47 | f | |||||||
| 4003226501 | DOE, J | e | 01/09-01/15/2004 | 123456789 | PAT | $737.00 | $.00 | $737.00 | $129.23 | $.00 | $.00 | $60.77 | $.00 | $.00 | $.00 | $547.00 | f | |||||||
| 4003226901 | DOE, J | s | 10/31-10/31/2003 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003229201 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $1,219.50 | $.00 | $1,219.50 | $304.87 | $.00 | $50.00 | $86.46 | $.00 | $.00 | $.00 | $778.17 | f | |||||||
| 4003237601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $27.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.47 | f | |||||||
| 4003243201 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $35.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003243301 | DOE, J | 4 | 03/18-03/18/2003 | 123456789 | PAT | $105.30 | $105.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003243401 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $117.00 | $.00 | $117.00 | $51.72 | $.00 | $10.00 | $1.80 | $.00 | $.00 | $.00 | $53.48 | f | |||||||
| 4003243501 | DOE, J | s | 12/01-12/01/2003 | 123456789 | PAT | $780.00 | $30.00 | $750.00 | $358.99 | $.00 | $10.00 | $32.49 | $.00 | $.00 | $.00 | $348.52 | f | |||||||
| 4003243601 | DOE, J | e | 10/06-10/06/2003 | 123456789 | PAT | $36.46 | $36.46 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003244001 | DOE, J | 4 | 09/05-09/05/2003 | 123456789 | PAT | $275.00 | $176.87 | $98.13 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $98.13 | f | |||||||
| 4003245201 | DOE, J JR | 1 | 10/01-10/01/2003 | 123456789 | PAT | $150.00 | $103.73 | $46.27 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $46.27 | f | |||||||
| 4003245701 | DOE, J JR | 1 | 05/11-05/16/2003 | 123456789 | PAT | $410.00 | $297.36 | $112.64 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $112.64 | f | |||||||
| 4003246401 | DOE, J | e | 10/07-10/07/2003 | 123456789 | PAT | $220.00 | $220.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003246601 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $17.29 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.71 | f | |||||||
| 4003246801 | DOE, J JR | 1 | 05/19-05/19/2003 | 123456789 | PAT | $827.00 | $685.69 | $141.31 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $141.31 | f | |||||||
| 4003247101 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $98.00 | $98.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003247102 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $17.29 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.71 | f | |||||||
| 4003247401 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $67.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.73 | f | |||||||
| 4003247501 | DOE, J | 3 | 01/20-01/20/2004 | 123456789 | AUBREY F | $464.00 | $.00 | $464.00 | $191.56 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $262.44 | f | |||||||
| 4003247801 | DOE, J | 2 | 01/20-01/20/2004 | 123456789 | MCKADE R | $464.00 | $.00 | $464.00 | $191.56 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $262.44 | f | |||||||
| 4003248001 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $361.00 | $.00 | $361.00 | $147.97 | $.00 | $10.00 | $10.43 | $.00 | $.00 | $.00 | $192.60 | f | |||||||
| 4003248101 | DOE, J JR | 1 | 09/03-09/04/2003 | 123456789 | PAT | $151.00 | $110.57 | $40.43 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $40.43 | f | |||||||
| 4003248301 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $864.00 | $.00 | $864.00 | $510.12 | $.00 | $10.00 | $25.07 | $.00 | $.00 | $.00 | $318.81 | f | |||||||
| 4003248501 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $206.00 | $.00 | $206.00 | $85.27 | $.00 | $10.00 | $4.82 | $.00 | $.00 | $.00 | $105.91 | f | |||||||
| 4003248601 | DOE, J JR | 1 | 09/17-09/21/2003 | 123456789 | PAT | $597.00 | $436.63 | $160.37 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $160.37 | f | |||||||
| 4003248701 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $282.00 | $.00 | $282.00 | $149.31 | $.00 | $10.00 | $.62 | $.00 | $.00 | $.00 | $122.07 | f | |||||||
| 4003248801 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $101.00 | $.00 | $101.00 | $41.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4003248901 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $101.00 | $.00 | $101.00 | $41.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4003249001 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $16.00 | $16.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003249101 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $21.00 | $21.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003249201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $149.00 | $.00 | $149.00 | $71.26 | $.00 | $10.00 | $1.26 | $.00 | $.00 | $.00 | $66.48 | f | |||||||
| 4003249301 | DOE, J | 1 | 09/28-09/28/2003 | 123456789 | PAT | $79.55 | $.00 | $79.55 | $15.91 | $.00 | $.00 | $6.36 | $.00 | $.00 | $.00 | $57.28 | f | |||||||
| 4003249401 | DOE, J JR | 1 | 09/28-09/29/2003 | 123456789 | PAT | $190.00 | $138.93 | $51.07 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $51.07 | f | |||||||
| 4003249801 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | JOSEPH A | $77.00 | $.00 | $77.00 | $9.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.10 | f | |||||||
| 4003249901 | DOE, J | e | 01/14-01/20/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $56.40 | $.00 | $20.00 | $1.04 | $.00 | $.00 | $.00 | $92.56 | f | |||||||
| 4003250001 | DOE, J JR | 1 | 09/30-10/01/2003 | 123456789 | PAT | $84.00 | $61.65 | $22.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $22.35 | f | |||||||
| 4003250201 | DOE, J | 3 | 01/13-01/13/2004 | 123456789 | PAT | $133.11 | $.00 | $133.11 | $116.65 | $.00 | $.00 | $1.64 | $.00 | $.00 | $.00 | $14.82 | f | |||||||
| 4003250401 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $170.10 | $.00 | $170.10 | $94.18 | $.00 | $.00 | $7.60 | $.00 | $.00 | $.00 | $68.32 | f | |||||||
| 4003250501 | DOE, J | e | 12/01-12/01/2003 | 123456789 | PAT | $251.45 | $.00 | $251.45 | $214.28 | $.00 | $.00 | $3.71 | $.00 | $.00 | $.00 | $33.46 | f | |||||||
| 4003250601 | DOE, J JR | 1 | 09/22-09/27/2003 | 123456789 | PAT | $487.00 | $356.15 | $130.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $130.85 | f | |||||||
| 4003250701 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $1,101.00 | $.00 | $1,101.00 | $86.67 | $.00 | $10.00 | $99.25 | $.00 | $.00 | $.00 | $905.08 | f | |||||||
| 4003250801 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $116.00 | $.00 | $116.00 | $17.99 | $.00 | $10.00 | $1.37 | $.00 | $.00 | $.00 | $86.64 | f | |||||||
| 4003250901 | DOE, J JR | 1 | 10/02-10/02/2003 | 123456789 | PAT | $350.00 | $206.93 | $143.07 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $143.07 | f | |||||||
| 4003251001 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $26.11 | $.00 | $10.00 | $1.28 | $.00 | $.00 | $.00 | $72.61 | f | |||||||
| 4003251101 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $62.00 | f | |||||||
| 4003251201 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $.00 | $.00 | $.00 | $18.00 | $.00 | $.00 | $.00 | $162.00 | f | |||||||
| 4003251301 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $97.00 | $.00 | $97.00 | $47.34 | $.00 | $10.00 | $.20 | $.00 | $.00 | $.00 | $39.46 | f | |||||||
| 4003251501 | DOE, J JR | 1 | 10/03-10/07/2003 | 123456789 | PAT | $460.00 | $301.50 | $158.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $158.50 | f | |||||||
| 4003251601 | DOE, J | s | 12/17-12/17/2003 | 123456789 | PAT | $1,920.00 | $309.25 | $1,610.75 | $598.51 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,012.24 | f | |||||||
| 4003251801 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $10.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.31 | f | |||||||
| 4003251901 | DOE, J | s | 12/09-12/09/2003 | 123456789 | PAT | $210.00 | $25.00 | $185.00 | $38.59 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $136.41 | f | |||||||
| 4003252001 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $14.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $25.93 | f | |||||||
| 4003252101 | DOE, J | e | 11/26-11/26/2003 | 123456789 | PAT | $345.00 | $.00 | $345.00 | $311.30 | $.00 | $.00 | $3.36 | $.00 | $.00 | $.00 | $30.34 | f | |||||||
| 4003252201 | DOE, J JR | 1 | 10/04-10/05/2003 | 123456789 | PAT | $370.00 | $250.06 | $119.94 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $119.94 | f | |||||||
| 4003252301 | DOE, J | 1 | 01/14-01/14/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $25.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4003252501 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $35.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4003252801 | DOE, J JR | 1 | 10/11-10/12/2003 | 123456789 | PAT | $180.00 | $102.88 | $77.12 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $77.12 | f | |||||||
| 4003253001 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $34.29 | $.00 | $34.29 | $25.79 | $.00 | $.00 | $.85 | $.00 | $.00 | $.00 | $7.65 | f | |||||||
| 4003253301 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $700.00 | $.00 | $700.00 | $517.67 | $.00 | $.00 | $18.23 | $.00 | $.00 | $.00 | $164.10 | f | |||||||
| 4003253401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $316.55 | $.00 | $316.55 | $269.10 | $.00 | $.00 | $4.73 | $.00 | $.00 | $.00 | $42.72 | f | |||||||
| 4003253501 | DOE, J JR | 1 | 10/20-10/24/2003 | 123456789 | PAT | $570.00 | $350.60 | $219.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $219.40 | f | |||||||
| 4003253701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $531.85 | $.00 | $531.85 | $418.73 | $.00 | $.00 | $11.30 | $.00 | $.00 | $.00 | $101.82 | f | |||||||
| 4003253801 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $151.35 | $.00 | $151.35 | $128.38 | $.00 | $.00 | $2.29 | $.00 | $.00 | $.00 | $20.68 | f | |||||||
| 4003253901 | DOE, J | e | 08/04-08/04/2003 | 123456789 | PAT | $20.25 | $.00 | $20.25 | $13.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.46 | f | |||||||
| 4003254001 | DOE, J | e | 10/15-10/15/2003 | 123456789 | PAT | $20.25 | $.00 | $20.25 | $13.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.46 | f | |||||||
| 4003254101 | DOE, J | e | 11/03-11/03/2003 | 123456789 | PAT | $20.25 | $.00 | $20.25 | $13.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.46 | f | |||||||
| 4003254201 | DOE, J | e | 06/17-06/17/2003 | 123456789 | PAT | $20.25 | $.00 | $20.25 | $13.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.46 | f | |||||||
| 4003254501 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $178.48 | $.00 | $178.48 | $139.68 | $.00 | $.00 | $3.88 | $.00 | $.00 | $.00 | $34.92 | f | |||||||
| 4003254601 | DOE, J JR | 1 | 10/08-10/10/2003 | 123456789 | PAT | $270.00 | $154.32 | $115.68 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $115.68 | f | |||||||
| 4003255001 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $143.60 | $.00 | $143.60 | $125.10 | $.00 | $.00 | $1.84 | $.00 | $.00 | $.00 | $16.66 | f | |||||||
| 4003255201 | DOE, J | e | 08/13-08/13/2003 | 123456789 | PAT | $82.75 | $.00 | $82.75 | $65.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $17.00 | f | |||||||
| 4003255301 | DOE, J JR | 1 | 11/01-11/02/2003 | 123456789 | PAT | $120.00 | $66.28 | $53.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $53.72 | f | |||||||
| 4003255501 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $156.53 | $.00 | $156.53 | $127.53 | $.00 | $.00 | $2.88 | $.00 | $.00 | $.00 | $26.12 | f | |||||||
| 4003255701 | DOE, J | e | 07/23-07/23/2003 | 123456789 | PAT | $59.75 | $.00 | $59.75 | $44.67 | $.00 | $.00 | $1.51 | $.00 | $.00 | $.00 | $13.57 | f | |||||||
| 4003255901 | DOE, J | s | 06/26-06/26/2003 | 123456789 | PAT | $417.45 | $.00 | $417.45 | $308.39 | $.00 | $.00 | $10.90 | $.00 | $.00 | $.00 | $98.16 | f | |||||||
| 4003256001 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $68.70 | $.00 | $68.70 | $45.90 | $.00 | $.00 | $2.27 | $.00 | $.00 | $.00 | $20.53 | f | |||||||
| 4003256201 | DOE, J | e | 08/28-08/28/2003 | 123456789 | PAT | $143.00 | $.00 | $143.00 | $121.50 | $.00 | $.00 | $2.14 | $.00 | $.00 | $.00 | $19.36 | f | |||||||
| 4003256401 | DOE, J | e | 12/05-12/05/2003 | 123456789 | PAT | $143.00 | $.00 | $143.00 | $121.50 | $.00 | $.00 | $2.14 | $.00 | $.00 | $.00 | $19.36 | f | |||||||
| 4003256501 | DOE, J JR | 1 | 10/13-10/13/2003 | 123456789 | PAT | $90.00 | $51.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003256601 | DOE, J | s | 08/25-08/25/2003 | 123456789 | PAT | $112.25 | $.00 | $112.25 | $99.25 | $.00 | $.00 | $1.29 | $.00 | $.00 | $.00 | $11.71 | f | |||||||
| 4003256901 | DOE, J JR | 1 | 11/08-11/09/2003 | 123456789 | PAT | $150.00 | $84.58 | $65.42 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.42 | f | |||||||
| 4003257001 | DOE, J | e | 08/13-08/13/2003 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $21.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4003257101 | DOE, J | e | 08/20-08/20/2003 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $21.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4003257201 | DOE, J | e | 08/27-08/27/2003 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $21.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4003257301 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $21.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4003257401 | DOE, J JR | 1 | 11/10-11/13/2003 | 123456789 | PAT | $350.00 | $188.05 | $161.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $161.95 | f | |||||||
| 4003257501 | DOE, J | e | 05/16-05/16/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.75 | f | |||||||
| 4003257601 | DOE, J | e | 06/06-06/06/2003 | 123456789 | PAT | $25.71 | $.00 | $25.71 | $17.08 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $8.63 | f | |||||||
| 4003257701 | DOE, J | e | 06/18-06/18/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.75 | f | |||||||
| 4003257801 | DOE, J | e | 07/09-07/09/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.75 | f | |||||||
| 4003257901 | DOE, J | e | 07/23-07/23/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.75 | f | |||||||
| 4003258001 | DOE, J | e | 09/15-09/15/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.75 | f | |||||||
| 4003258101 | DOE, J | e | 06/28-06/28/2003 | 123456789 | PAT | $119.00 | $.00 | $119.00 | $69.28 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $49.72 | f | |||||||
| 4003258201 | DOE, J JR | 1 | 10/18-10/19/2003 | 123456789 | PAT | $240.00 | $149.58 | $90.42 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.42 | f | |||||||
| 4003258301 | DOE, J JR | e | 09/08-09/08/2003 | 123456789 | BILLY JR | $184.40 | $.00 | $184.40 | $139.40 | $.00 | $.00 | $4.49 | $.00 | $.00 | $.00 | $40.51 | f | |||||||
| 4003258401 | DOE, J JR | 1 | 11/06-11/07/2003 | 123456789 | PAT | $120.00 | $66.28 | $53.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $53.72 | f | |||||||
| 4003258501 | DOE, J | s | 06/26-06/26/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.97 | $.00 | $.00 | $.00 | $8.78 | f | |||||||
| 4003258601 | DOE, J JR | 1 | 10/30-11/04/2003 | 123456789 | PAT | $300.00 | $169.16 | $130.84 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $130.84 | f | |||||||
| 4003258701 | DOE, J | s | 11/26-11/26/2003 | 123456789 | PAT | $199.25 | $.00 | $199.25 | $164.55 | $.00 | $.00 | $3.46 | $.00 | $.00 | $.00 | $31.24 | f | |||||||
| 4003258801 | DOE, J | 3 | 01/12-01/12/2004 | 123456789 | PAT | $115.25 | $.00 | $115.25 | $86.65 | $.00 | $.00 | $2.86 | $.00 | $.00 | $.00 | $25.74 | f | |||||||
| 4003258901 | DOE, J JR | 1 | 10/04-10/04/2003 | 123456789 | PAT | $120.00 | $59.97 | $60.03 | $.00 | $.00 | $.00 | $18.01 | $.00 | $.00 | $.00 | $42.02 | f | |||||||
| 4003259101 | DOE, J JR | 1 | 10/03-10/05/2003 | 123456789 | PAT | $488.99 | $102.63 | $386.36 | $.00 | $.00 | $.00 | $115.90 | $.00 | $.00 | $.00 | $270.46 | f | |||||||
| 4003259301 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $92.00 | $92.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003259302 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $35.74 | $.00 | $.00 | $11.25 | $.00 | $.00 | $.00 | $45.01 | f | |||||||
| 4003259501 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $59.00 | $.00 | $59.00 | $14.18 | $.00 | $10.00 | $.35 | $.00 | $.00 | $.00 | $34.47 | f | |||||||
| 4003259701 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $17.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $72.31 | f | |||||||
| 4003259801 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $11.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $36.14 | f | |||||||
| 4003260001 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $5.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003260501 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003261001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $34.88 | $.00 | $10.00 | $1.30 | $.00 | $.00 | $.00 | $68.82 | f | |||||||
| 4003261201 | DOE, J JR | 1 | 10/02-10/02/2003 | 123456789 | PAT | $194.70 | $10.81 | $183.89 | $.00 | $.00 | $.00 | $55.17 | $.00 | $.00 | $.00 | $128.72 | f | |||||||
| 4003261301 | DOE, J JR | 1 | 10/11-10/12/2003 | 123456789 | PAT | $110.64 | $.48 | $110.16 | $.00 | $.00 | $.00 | $33.04 | $.00 | $.00 | $.00 | $77.12 | f | |||||||
| 4003261401 | DOE, J JR | 1 | 11/24-11/24/2003 | 123456789 | PAT | $110.00 | $54.92 | $55.08 | $.00 | $.00 | $.00 | $16.52 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003261501 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $128.00 | $128.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003261601 | DOE, J JR | 1 | 11/26-11/26/2003 | 123456789 | PAT | $110.00 | $54.92 | $55.08 | $.00 | $.00 | $.00 | $16.52 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003261901 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $46.00 | $.00 | $46.00 | $36.80 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.28 | f | |||||||
| 4003262101 | DOE, J JR | 1 | 09/19-09/19/2003 | 123456789 | PAT | $600.00 | $561.63 | $38.37 | $.00 | $.00 | $.00 | $11.51 | $.00 | $.00 | $.00 | $26.86 | f | |||||||
| 4003262301 | DOE, J JR | 1 | 09/04-09/04/2003 | 123456789 | PAT | $975.00 | $834.82 | $140.18 | $.00 | $.00 | $.00 | $42.05 | $.00 | $.00 | $.00 | $98.13 | f | |||||||
| 4003262401 | DOE, J | 3 | 01/09-01/09/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $65.49 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $109.51 | f | |||||||
| 4003263201 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $320.69 | $320.69 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003263301 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $115.97 | $.00 | $115.97 | $90.02 | $.00 | $.00 | $2.59 | $.00 | $.00 | $.00 | $23.36 | f | |||||||
| 4003263401 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $35.77 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $59.23 | f | |||||||
| 4003264101 | DOE, J JR | s | 01/27-01/27/2004 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $15.00 | $235.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003264201 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $24.13 | $115.00 | $.00 | $4.09 | $.00 | $.00 | $.00 | $36.78 | f | |||||||
| 4003264501 | DOE, J | s | 08/11-08/11/2003 | 123456789 | PAT | $86.76 | $.00 | $86.76 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $86.76 | f | |||||||
| 4003264701 | DOE, J | s | 07/01-07/01/2003 | 123456789 | PAT | $39.52 | $.00 | $39.52 | $22.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $17.47 | f | |||||||
| 4003264801 | DOE, J | s | 12/27-12/27/2002 | 123456789 | PAT | $86.76 | $86.76 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003265201 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $6.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.53 | f | |||||||
| 4003265301 | DOE, J JR | 2 | 01/27-01/27/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4003265401 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $23.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003265601 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003265602 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003265701 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $29.00 | $.00 | $29.00 | $4.61 | $.00 | $.00 | $2.44 | $.00 | $.00 | $.00 | $21.95 | f | |||||||
| 4003265801 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $168.00 | $168.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003266001 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $330.00 | $.00 | $330.00 | $140.20 | $189.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003266201 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $1,300.00 | $.00 | $1,300.00 | $414.52 | $.00 | $.00 | $88.55 | $.00 | $.00 | $.00 | $796.93 | f | |||||||
| 4003266501 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $42.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4003266701 | DOE, J | 3 | 01/28-01/28/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $11.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $69.00 | f | |||||||
| 4003267801 | DOE, J | s | 01/31-02/02/2004 | 123456789 | PAT | $8,475.50 | $8,475.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003268101 | DOE, J | e | 01/20-01/24/2004 | 123456789 | PAT | $29,625.70 | $29,625.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003286001 | DOE, J JR | 1 | 10/14-10/14/2003 | 123456789 | PAT | $214.00 | $177.83 | $36.17 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $36.17 | f | |||||||
| 4003286801 | DOE, J JR | s | 04/04-04/04/2003 | 123456789 | JACONDA JR | $83.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003287301 | DOE, J JR | s | 08/07-08/07/2003 | 123456789 | JACONDA JR | $219.00 | $219.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003287701 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $53.00 | $.00 | $53.00 | $25.00 | $.00 | $.00 | $2.80 | $.00 | $.00 | $.00 | $25.20 | f | |||||||
| 4003287901 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $214.30 | $.00 | $214.30 | $127.06 | $.00 | $.00 | $8.73 | $.00 | $.00 | $.00 | $78.51 | f | |||||||
| 4003288501 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $25.20 | $.00 | $25.20 | $8.91 | $.00 | $.00 | $1.63 | $.00 | $.00 | $.00 | $14.66 | f | |||||||
| 4003289201 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $232.00 | $49.00 | $183.00 | $83.28 | $.00 | $10.00 | $1.23 | $.00 | $.00 | $.00 | $88.49 | f | |||||||
| 4003289401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $93.00 | $.00 | $93.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $83.00 | f | |||||||
| 4003289701 | DOE, J | 3 | 12/26-12/26/2003 | 123456789 | PAT | $28.00 | $.00 | $28.00 | $18.34 | $.00 | $.00 | $.97 | $.00 | $.00 | $.00 | $8.69 | f | |||||||
| 4003289901 | DOE, J | e | 08/26-08/26/2003 | 123456789 | PAT | $382.00 | $100.00 | $282.00 | $252.77 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $29.23 | f | |||||||
| 4003290001 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $55.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $209.08 | f | |||||||
| 4003290101 | DOE, J | 1 | 10/06-10/06/2003 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003290201 | DOE, J | s | 10/28-10/28/2003 | 123456789 | PAT | $102.83 | $.00 | $102.83 | $82.88 | $.00 | $.00 | $1.98 | $.00 | $.00 | $.00 | $17.97 | f | |||||||
| 4003290601 | DOE, J | e | 12/09-12/09/2003 | 123456789 | PAT | $32.00 | $32.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003291501 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $2,990.00 | $.00 | $2,990.00 | $1,840.86 | $.00 | $.00 | $114.92 | $.00 | $.00 | $.00 | $1,034.22 | f | |||||||
| 4003291701 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $350.00 | $235.07 | $114.93 | $.00 | $.00 | $.00 | $11.49 | $.00 | $103.44 | $.00 | $.00 | f | |||||||
| 4003291801 | DOE, J JR | s | 12/19-12/19/2003 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $8.00 | $.00 | $.00 | $.00 | $32.00 | f | |||||||
| 4003291901 | DOE, J | e | 07/29-07/29/2003 | 123456789 | PAT | $1,209.00 | $1,099.00 | $110.00 | $38.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $71.50 | f | |||||||
| 4003292101 | DOE, J JR | 2 | 01/15-01/15/2004 | 123456789 | PAT | $44.00 | $44.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003292102 | DOE, J JR | 2 | 01/15-01/15/2004 | 123456789 | PAT | $44.00 | $.00 | $44.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.00 | f | |||||||
| 4003292301 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $272.00 | $.00 | $272.00 | $16.24 | $.00 | $.00 | $51.15 | $.00 | $.00 | $.00 | $204.61 | f | |||||||
| 4003292501 | DOE, J | s | 10/13-10/13/2003 | 123456789 | PAT | $68.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003293001 | DOE, J JR | 1 | 10/06-10/08/2003 | 123456789 | PAT | $117.00 | $94.65 | $22.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $22.35 | f | |||||||
| 4003293301 | DOE, J JR | 1 | 10/19-10/19/2003 | 123456789 | PAT | $214.00 | $179.96 | $34.04 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $34.04 | f | |||||||
| 4003293401 | DOE, J | s | 07/31-07/31/2003 | 123456789 | PAT | $358.00 | $.00 | $358.00 | $137.57 | $.00 | $10.00 | $10.82 | $.00 | $.00 | $.00 | $199.61 | f | |||||||
| 4003293601 | DOE, J JR | 1 | 10/20-10/20/2003 | 123456789 | PAT | $496.00 | $400.00 | $96.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $96.00 | f | |||||||
| 4003293801 | DOE, J | e | 07/21-07/21/2003 | 123456789 | PAT | $1,135.00 | $1,135.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003293901 | DOE, J JR | 1 | 10/02-10/02/2003 | 123456789 | PAT | $214.00 | $177.83 | $36.17 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $36.17 | f | |||||||
| 4003294301 | DOE, J JR | 1 | 10/04-10/04/2003 | 123456789 | PAT | $486.00 | $385.74 | $100.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.26 | f | |||||||
| 4003295001 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $15.99 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $66.01 | f | |||||||
| 4003295201 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4003295601 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $45.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $5.00 | f | |||||||
| 4003295701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $28.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.45 | f | |||||||
| 4003295801 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $27.70 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $6.80 | f | |||||||
| 4003295901 | DOE, J | e | 12/03-12/03/2003 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.00 | f | |||||||
| 4003296201 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $48.84 | $.00 | $10.00 | $2.03 | $.00 | $.00 | $.00 | $124.13 | f | |||||||
| 4003296601 | DOE, J | 2 | 01/20-01/20/2004 | 123456789 | PAT | $336.00 | $.00 | $336.00 | $81.56 | $.00 | $10.00 | $1.82 | $.00 | $.00 | $.00 | $242.62 | f | |||||||
| 4003297101 | DOE, J JR | 1 | 10/04-10/04/2003 | 123456789 | PAT | $492.00 | $401.58 | $90.42 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.42 | f | |||||||
| 4003297301 | DOE, J | 3 | 01/15-01/15/2004 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $26.65 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.35 | f | |||||||
| 4003297701 | DOE, J JR | 1 | 10/27-10/27/2003 | 123456789 | PAT | $486.00 | $385.74 | $100.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.26 | f | |||||||
| 4003297801 | DOE, J JR | 1 | 05/30-05/30/2003 | 123456789 | PAT | $130.00 | $88.54 | $41.46 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.46 | f | |||||||
| 4003297901 | DOE, J JR | 1 | 06/11-06/11/2003 | 123456789 | PAT | $130.00 | $88.54 | $41.46 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.46 | f | |||||||
| 4003298201 | DOE, J JR | 1 | 07/29-07/29/2003 | 123456789 | PAT | $130.00 | $88.54 | $41.46 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.46 | f | |||||||
| 4003298501 | DOE, J JR | 1 | 09/06-09/06/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003299001 | DOE, J JR | 1 | 09/05-09/05/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003299201 | DOE, J | 1 | 11/12-11/12/2003 | 123456789 | PAT | $102.00 | $102.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003299701 | DOE, J JR | 1 | 09/04-09/06/2003 | 123456789 | PAT | $460.00 | $361.87 | $98.13 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $98.13 | f | |||||||
| 4003300201 | DOE, J JR | 1 | 09/24-09/24/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003314801 | DOE, J | 1 | 09/01-09/01/2003 | 123456789 | PAT | $431.83 | $215.51 | $216.32 | $.00 | $.00 | $.00 | $86.53 | $.00 | $.00 | $.00 | $129.79 | f | |||||||
| 4003314901 | DOE, J JR | 1 | 09/23-09/23/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003316401 | DOE, J | 4 | 12/09-12/09/2002 | 123456789 | PAT | $204.00 | $148.17 | $55.83 | $.00 | $.00 | $.00 | $16.75 | $.00 | $.00 | $.00 | $39.08 | f | |||||||
| 4003317401 | DOE, J | 4 | 11/14-11/14/2002 | 123456789 | PAT | $462.00 | $344.17 | $117.83 | $.00 | $.00 | $.00 | $19.65 | $.00 | $.00 | $.00 | $98.18 | f | |||||||
| 4003319101 | DOE, J JR | 1 | 09/22-09/22/2003 | 123456789 | PAT | $260.00 | $220.38 | $39.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $39.62 | f | |||||||
| 4003319601 | DOE, J JR | 1 | 09/28-09/28/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003319701 | DOE, J JR | 1 | 09/25-09/25/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003320301 | DOE, J JR | 1 | 09/27-09/27/2003 | 123456789 | PAT | $133.00 | $81.14 | $51.86 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $51.86 | f | |||||||
| 4003320901 | DOE, J JR | 1 | 09/30-09/30/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003321701 | DOE, J JR | 1 | 09/26-09/26/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003322101 | DOE, J JR | 1 | 09/29-09/29/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003322501 | DOE, J JR | 1 | 09/05-09/24/2003 | 123456789 | PAT | $660.00 | $660.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003323901 | DOE, J JR | 1 | 10/17-10/23/2003 | 123456789 | PAT | $278.34 | $278.34 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003325001 | DOE, J JR | 1 | 09/25-09/30/2003 | 123456789 | PAT | $633.00 | $633.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003325401 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $82.32 | $.00 | $.00 | $11.77 | $.00 | $.00 | $.00 | $105.91 | f | |||||||
| 4003325601 | DOE, J JR | 1 | 10/01-10/01/2003 | 123456789 | PAT | $100.00 | $61.44 | $38.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.56 | f | |||||||
| 4003325901 | DOE, J JR | 1 | 09/20-09/21/2003 | 123456789 | PAT | $240.00 | $136.28 | $103.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $103.72 | f | |||||||
| 4003326001 | DOE, J | 1 | 11/15-11/15/2003 | 123456789 | PAT | $139.00 | $139.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003326101 | DOE, J | 1 | 12/05-12/05/2003 | 123456789 | PAT | $71.00 | $71.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003326301 | DOE, J JR | 1 | 05/06-05/06/2003 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $.00 | $.00 | $.00 | $21.00 | $.00 | $.00 | $.00 | $49.00 | f | |||||||
| 4003326701 | DOE, J JR | 1 | 04/28-04/28/2003 | 123456789 | PAT | $168.00 | $33.29 | $134.71 | $90.74 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $43.97 | f | |||||||
| 4003326901 | DOE, J JR | 1 | 04/28-04/28/2003 | 123456789 | PAT | $225.00 | $136.61 | $88.39 | $.00 | $.00 | $.00 | $26.51 | $.00 | $.00 | $.00 | $61.88 | f | |||||||
| 4003327601 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $800.00 | $.00 | $800.00 | $371.87 | $250.00 | $.00 | $17.81 | $.00 | $.00 | $.00 | $160.32 | f | |||||||
| 4003328101 | DOE, J JR | 1 | 05/04-05/04/2003 | 123456789 | PAT | $250.00 | $174.16 | $75.84 | $.00 | $.00 | $.00 | $22.75 | $.00 | $.00 | $.00 | $53.09 | f | |||||||
| 4003328401 | DOE, J JR | 1 | 08/06-08/06/2003 | 123456789 | PAT | $435.00 | $392.03 | $42.97 | $.00 | $.00 | $.00 | $12.89 | $.00 | $.00 | $.00 | $30.08 | f | |||||||
| 4003328701 | DOE, J JR | 1 | 05/04-05/04/2003 | 123456789 | PAT | $280.00 | $209.36 | $70.64 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $70.64 | f | |||||||
| 4003329201 | DOE, J JR | 1 | 05/30-05/30/2003 | 123456789 | PAT | $486.70 | $.00 | $486.70 | $465.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.60 | f | |||||||
| 4003330101 | DOE, J JR | 1 | 07/14-07/14/2003 | 123456789 | PAT | $93.00 | $.00 | $93.00 | $86.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.70 | f | |||||||
| 4003330601 | DOE, J JR | 1 | 07/29-07/29/2003 | 123456789 | PAT | $486.70 | $.00 | $486.70 | $465.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.60 | f | |||||||
| 4003331001 | DOE, J JR | 1 | 12/16-12/16/2003 | 123456789 | PAT | $138.00 | $38.98 | $99.02 | $88.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.62 | f | |||||||
| 4003331201 | DOE, J JR | 1 | 05/03-05/03/2003 | 123456789 | PAT | $61.00 | $33.34 | $27.66 | $.00 | $.00 | $.00 | $8.30 | $.00 | $.00 | $.00 | $19.36 | f | |||||||
| 4003331401 | DOE, J JR | 1 | 04/29-04/29/2003 | 123456789 | PAT | $200.00 | $131.03 | $68.97 | $.00 | $.00 | $.00 | $20.69 | $.00 | $.00 | $.00 | $48.28 | f | |||||||
| 4003332401 | DOE, J | 4 | 11/14-11/14/2002 | 123456789 | PAT | $833.00 | $455.43 | $377.57 | $.00 | $.00 | $.00 | $113.27 | $.00 | $.00 | $.00 | $264.30 | f | |||||||
| 4003333101 | DOE, J | 3 | 12/12-12/12/2003 | 123456789 | ELIYAH R | $39.00 | $.00 | $39.00 | $3.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $35.10 | f | |||||||
| 4003333401 | DOE, J | 4 | 11/14-11/14/2002 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $158.62 | $.00 | $.00 | $3.13 | $.00 | $.00 | $.00 | $28.25 | f | |||||||
| 4003335001 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $163.00 | $163.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003336301 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $75.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4003336801 | DOE, J | e | 12/17-12/17/2003 | 123456789 | PAT | $18,695.00 | $.00 | $18,695.00 | $2,617.30 | $.00 | $.00 | $296.61 | $.00 | $.00 | $.00 | $15,781.09 | f | |||||||
| 4003337701 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $60.65 | $.00 | $60.65 | $15.16 | $.00 | $.00 | $4.54 | $.00 | $.00 | $.00 | $40.95 | f | |||||||
| 4003339301 | DOE, J JR | 1 | 10/03-10/03/2003 | 123456789 | PAT | $369.69 | $369.69 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003340001 | DOE, J JR | 1 | 08/20-09/25/2003 | 123456789 | PAT | $505.00 | $505.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003341001 | DOE, J JR | 1 | 09/03-09/03/2003 | 123456789 | PAT | $466.00 | $466.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003341801 | DOE, J JR | 1 | 09/17-09/17/2003 | 123456789 | PAT | $482.00 | $482.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003342501 | DOE, J JR | 1 | 10/14-10/14/2003 | 123456789 | PAT | $191.00 | $191.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003343001 | DOE, J JR | 1 | 05/20-05/20/2003 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003343901 | DOE, J JR | 1 | 10/02-10/02/2003 | 123456789 | PAT | $205.00 | $205.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003344701 | DOE, J JR | 1 | 10/29-10/30/2003 | 123456789 | PAT | $348.00 | $348.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003345301 | DOE, J JR | 1 | 11/04-11/06/2003 | 123456789 | PAT | $214.00 | $214.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003345701 | DOE, J JR | 1 | 09/03-09/08/2003 | 123456789 | PAT | $460.00 | $460.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003346001 | DOE, J JR | 1 | 10/01-10/01/2003 | 123456789 | PAT | $230.00 | $230.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003346301 | DOE, J JR | 1 | 10/07-10/10/2003 | 123456789 | PAT | $550.00 | $550.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003346401 | DOE, J JR | 1 | 10/01-10/06/2003 | 123456789 | PAT | $1,216.00 | $1,216.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003346601 | DOE, J JR | 1 | 10/18-10/19/2003 | 123456789 | PAT | $230.00 | $230.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003346801 | DOE, J JR | 1 | 10/13-10/17/2003 | 123456789 | PAT | $538.00 | $538.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003347101 | DOE, J JR | 1 | 10/11-10/12/2003 | 123456789 | PAT | $320.00 | $320.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003347501 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $6,987.75 | $.00 | $6,987.75 | $1,397.55 | $.00 | $.00 | $559.02 | $.00 | $.00 | $.00 | $5,031.18 | f | |||||||
| 4003348001 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $466.00 | $.00 | $466.00 | $266.00 | $150.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003348101 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $221.00 | $.00 | $221.00 | $55.25 | $.00 | $.00 | $16.57 | $.00 | $.00 | $.00 | $149.18 | f | |||||||
| 4003348601 | DOE, J | 1 | 11/21-11/21/2003 | 123456789 | PAT | $476.00 | $476.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003348801 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $1,091.00 | $.00 | $1,091.00 | $733.66 | $.00 | $10.00 | $29.34 | $.00 | $.00 | $.00 | $318.00 | f | |||||||
| 4003348901 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $65.67 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $59.33 | f | |||||||
| 4003350601 | DOE, J JR | 1 | 09/03-09/08/2003 | 123456789 | PAT | $9,662.25 | $.00 | $9,662.25 | $1,638.68 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $8,023.57 | f | |||||||
| 4003350701 | DOE, J JR | 1 | 09/17-10/01/2003 | 123456789 | PAT | $86,864.50 | $234.25 | $86,630.25 | $77,609.91 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9,020.34 | f | |||||||
| 4003350901 | DOE, J JR | 1 | 09/26-10/01/2003 | 123456789 | PAT | $390.00 | $129.02 | $260.98 | $.00 | $.00 | $.00 | $78.28 | $.00 | $.00 | $.00 | $182.70 | f | |||||||
| 4003351401 | DOE, J | e | 10/29-11/04/2003 | 123456789 | PAT | $34,728.59 | $34,728.59 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003351501 | DOE, J | 2 | 10/27-10/27/2003 | 123456789 | PAT | $1,571.70 | $.00 | $1,571.70 | $342.69 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,229.01 | f | |||||||
| 4003351601 | DOE, J JR | 1 | 10/06-10/10/2003 | 123456789 | PAT | $550.43 | $235.16 | $315.27 | $.00 | $.00 | $.00 | $55.97 | $.00 | $.00 | $.00 | $259.30 | f | |||||||
| 4003351701 | DOE, J | 3 | 01/22-01/22/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $15.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.45 | f | |||||||
| 4003351801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $33.00 | $.00 | $33.00 | $19.73 | $.00 | $.00 | $1.33 | $.00 | $.00 | $.00 | $11.94 | f | |||||||
| 4003351901 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $153.00 | $.00 | $153.00 | $56.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $86.31 | f | |||||||
| 4003352001 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $260.00 | $.00 | $260.00 | $81.64 | $.00 | $.00 | $17.84 | $.00 | $.00 | $.00 | $160.52 | f | |||||||
| 4003352101 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $109.87 | $28.13 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003352201 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $79.00 | $79.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003352202 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $79.00 | $.00 | $79.00 | $11.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003352301 | DOE, J | 6 | 01/26-01/26/2004 | 123456789 | PAT | $79.00 | $.00 | $79.00 | $11.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003355401 | DOE, J JR | e | 01/26-01/26/2004 | 123456789 | RAMIRO JR | $165.00 | $.00 | $165.00 | $32.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $122.06 | f | |||||||
| 4003356501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $28.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003356601 | DOE, J SR | s | 01/09-01/09/2004 | 123456789 | PAT | $110.00 | $110.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003356701 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $31.74 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $12.96 | f | |||||||
| 4003357001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $150.00 | $20.00 | $130.00 | $46.52 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $73.18 | f | |||||||
| 4003357101 | DOE, J | e | 12/17-12/17/2003 | 123456789 | PAT | $55.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003357501 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $35.35 | $.00 | $10.00 | $2.38 | $.00 | $.00 | $.00 | $67.27 | f | |||||||
| 4003357801 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $26.35 | $.00 | $10.00 | $.44 | $.00 | $.00 | $.00 | $128.21 | f | |||||||
| 4003357901 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $40.00 | $130.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003358201 | DOE, J | s | 12/28-12/28/2003 | 123456789 | PAT | $430.00 | $.00 | $430.00 | $275.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $154.20 | f | |||||||
| 4003358401 | DOE, J | e | 11/07-11/07/2003 | 123456789 | PAT | $116.00 | $.00 | $116.00 | $51.62 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $54.38 | f | |||||||
| 4003358601 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $68.26 | $.00 | $10.00 | $4.31 | $.00 | $.00 | $.00 | $85.43 | f | |||||||
| 4003358801 | DOE, J | 1 | 11/12-11/12/2003 | 123456789 | PAT | $121.00 | $121.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003358901 | DOE, J | e | 01/24-01/24/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $31.89 | $.00 | $10.00 | $5.88 | $.00 | $.00 | $.00 | $94.23 | f | |||||||
| 4003359101 | DOE, J | 1 | 12/17-12/17/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003359201 | DOE, J | s | 01/07-01/13/2004 | 123456789 | PAT | $1,185.00 | $.00 | $1,185.00 | $690.74 | $23.60 | $.00 | $47.05 | $.00 | $.00 | $.00 | $423.61 | f | |||||||
| 4003359401 | DOE, J | s | 01/14-01/16/2004 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $135.48 | $.00 | $.00 | $16.44 | $.00 | $.00 | $.00 | $148.08 | f | |||||||
| 4003359801 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $43.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.28 | f | |||||||
| 4003360101 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $18.22 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.78 | f | |||||||
| 4003360201 | DOE, J | s | 11/08-11/08/2003 | 123456789 | PAT | $186.30 | $.00 | $186.30 | $121.61 | $.00 | $.00 | $6.47 | $.00 | $.00 | $.00 | $58.22 | f | |||||||
| 4003360601 | DOE, J | 2 | 12/31-12/31/2003 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $3.71 | $.00 | $.00 | $3.33 | $.00 | $.00 | $.00 | $29.96 | f | |||||||
| 4003361501 | DOE, J | 2 | 12/15-12/15/2003 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003361901 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $76.00 | $.00 | $76.00 | $28.50 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $17.50 | f | |||||||
| 4003362101 | GONZALEZ LUGO, FERNANDO | e | 01/10-01/10/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $14.59 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $15.11 | f | |||||||
| 4003362301 | GONZALEZ LUGO, FERNANDO | e | 01/17-01/17/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $24.82 | $.00 | $10.00 | $.44 | $.00 | $.00 | $.00 | $49.74 | f | |||||||
| 4003362501 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $127.00 | $7.00 | $120.00 | $18.59 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $91.41 | f | |||||||
| 4003362601 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $37.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4003362801 | DOE, J | 3 | 01/21-01/21/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $13.08 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.92 | f | |||||||
| 4003363101 | DOE, J | s | 04/09-04/09/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003363301 | DOE, J | 2 | 12/22-12/22/2003 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $64.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4003363701 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $30.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003363702 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $.00 | $.00 | $10.00 | $1.00 | $.00 | $.00 | $.00 | $19.00 | f | |||||||
| 4003363901 | DOE, J | 1 | 12/19-12/19/2003 | 123456789 | PAT | $285.00 | $.00 | $285.00 | $237.00 | $.00 | $.00 | $4.80 | $.00 | $.00 | $.00 | $43.20 | f | |||||||
| 4003364501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4003364601 | DOE, J | 2 | 01/06-01/06/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003364701 | DOE, J | s | 01/03-01/03/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003365101 | DOE, J | 4 | 01/12-01/12/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003365301 | DOE, J | e | 01/24-01/24/2003 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003365501 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $66.15 | $.00 | $66.15 | $37.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $28.50 | f | |||||||
| 4003365701 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $113.75 | $113.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003365901 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $215.00 | $.00 | $215.00 | $62.17 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $142.83 | f | |||||||
| 4003366701 | DOE, J JR | 1 | 01/28-01/28/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $22.29 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $52.71 | f | |||||||
| 4003367001 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $10.00 | $.00 | $10.00 | $6.46 | $.00 | $.00 | $.35 | $.00 | $.00 | $.00 | $3.19 | f | |||||||
| 4003367201 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $75.00 | f | |||||||
| 4003367501 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $345.00 | $.00 | $345.00 | $151.57 | $.00 | $10.00 | $5.68 | $.00 | $.00 | $.00 | $177.75 | f | |||||||
| 4003367701 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $31.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $33.25 | f | |||||||
| 4003368001 | DOE, J JR | s | 01/21-01/21/2004 | 123456789 | PAT | $850.00 | $.00 | $850.00 | $559.52 | $.00 | $.00 | $29.05 | $.00 | $.00 | $.00 | $261.43 | f | |||||||
| 4003369101 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $38.00 | $.00 | $10.00 | $.65 | $.00 | $.00 | $.00 | $56.35 | f | |||||||
| 4003369201 | DOE, J | 3 | 12/28-12/28/2003 | 123456789 | KAE LEE | $3.00 | $.00 | $3.00 | $.00 | $.00 | $.00 | $.90 | $.00 | $.00 | $.00 | $2.10 | f | |||||||
| 4003369301 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003369701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $20.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003369801 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $3,400.00 | $.00 | $3,400.00 | $1,612.70 | $.00 | $.00 | $178.73 | $.00 | $.00 | $.00 | $1,608.57 | f | |||||||
| 4003370001 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $14.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $73.93 | f | |||||||
| 4003370701 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $34.13 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $15.87 | f | |||||||
| 4003370801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $3,500.00 | $.00 | $3,500.00 | $504.59 | $250.00 | $.00 | $274.54 | $.00 | $.00 | $.00 | $2,470.87 | f | |||||||
| 4003371101 | DOE, J JR | 2 | 01/23-01/23/2004 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $13.40 | $.00 | $10.00 | $1.60 | $.00 | $.00 | $.00 | $61.00 | f | |||||||
| 4003371901 | DOE, J | s | 01/03-01/03/2004 | 123456789 | PAT | $232.00 | $.00 | $232.00 | $116.00 | $.00 | $.00 | $11.60 | $.00 | $.00 | $.00 | $104.40 | f | |||||||
| 4003372001 | DOE, J | e | 11/06-11/06/2003 | 123456789 | PAT | $235.00 | $235.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003372101 | DOE, J | e | 10/02-10/02/2003 | 123456789 | PAT | $105.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003372701 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $669.00 | $669.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003373001 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $337.00 | $.00 | $337.00 | $.00 | $337.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003373101 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003383501 | DOE, J | 3 | 12/28-12/28/2003 | 123456789 | KAE LEE | $666.55 | $.00 | $666.55 | $133.31 | $.00 | $50.00 | $48.32 | $.00 | $.00 | $.00 | $434.92 | f | |||||||
| 4003383701 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $526.75 | $.00 | $526.75 | $237.04 | $.00 | $.00 | $28.97 | $.00 | $.00 | $.00 | $260.74 | f | |||||||
| 4003384001 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $21.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $28.35 | f | |||||||
| 4003384301 | DOE, J | 1 | 06/24-06/24/2003 | 123456789 | PAT | $45.00 | $45.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003385701 | DOE, J | s | 11/05-11/05/2003 | 123456789 | PAT | $412.40 | $257.49 | $154.91 | $.00 | $.00 | $.00 | $15.49 | $.00 | $139.42 | $.00 | $.00 | f | |||||||
| 4003387201 | DOE, J JR | s | 12/05-12/05/2003 | 123456789 | PAT | $462.50 | $.00 | $462.50 | $138.75 | $.00 | $.00 | $32.37 | $.00 | $.00 | $.00 | $291.38 | f | |||||||
| 4003387601 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $36.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $84.00 | f | |||||||
| 4003387901 | DOE, J | s | 12/17-12/17/2003 | 123456789 | WENDY V | $424.00 | $424.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003388701 | DOE, J | 1 | 12/19-12/20/2003 | 123456789 | PAT | $325.70 | $.00 | $325.70 | $.70 | $.00 | $50.00 | $27.50 | $.00 | $.00 | $.00 | $247.50 | f | |||||||
| 4003389301 | DOE, J | 2 | 01/25-01/25/2004 | 123456789 | PAT | $1,020.40 | $.00 | $1,020.40 | $204.08 | $250.00 | $50.00 | $51.63 | $.00 | $.00 | $.00 | $464.69 | f | |||||||
| 4003389501 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $933.23 | $.00 | $933.23 | $578.60 | $.00 | $.00 | $35.46 | $.00 | $.00 | $.00 | $319.17 | f | |||||||
| 4003390201 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $2,389.07 | $.00 | $2,389.07 | $716.72 | $.00 | $.00 | $167.23 | $.00 | $.00 | $.00 | $1,505.12 | f | |||||||
| 4003391501 | DOE, J | s | 01/23-01/25/2004 | 123456789 | PAT | $3,698.25 | $2.50 | $3,695.75 | $737.15 | $.00 | $.00 | $295.86 | $.00 | $.00 | $.00 | $2,662.74 | f | |||||||
| 4003391801 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $228.00 | $.00 | $228.00 | $99.18 | $.00 | $.00 | $12.88 | $.00 | $.00 | $.00 | $115.94 | f | |||||||
| 4003392101 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4003392301 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $4,985.15 | $.00 | $4,985.15 | $4,568.15 | $250.00 | $.00 | $16.70 | $.00 | $.00 | $.00 | $150.30 | f | |||||||
| 4003392601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $19.34 | $.00 | $.00 | $5.37 | $.00 | $.00 | $.00 | $48.29 | f | |||||||
| 4003392801 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $25.80 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.20 | f | |||||||
| 4003393201 | DOE, J | e | 10/05-10/05/2003 | 123456789 | PAT | $1,596.00 | $1,596.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003393601 | DOE, J | s | 12/03-12/03/2003 | 123456789 | PAT | $439.10 | $.00 | $439.10 | $314.10 | $.00 | $.00 | $12.50 | $.00 | $.00 | $.00 | $112.50 | f | |||||||
| 4003394001 | DOE, J | 2 | 12/29-12/30/2003 | 123456789 | PAT | $3,100.95 | $.00 | $3,100.95 | $2,350.95 | $.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $675.00 | f | |||||||
| 4003394401 | DOE, J | 3 | 12/16-12/16/2003 | 123456789 | PAT | $1,450.27 | $1,450.27 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003394601 | DOE, J | t | 12/19-12/20/2003 | 123456789 | ANNIE L | $18,716.90 | $.00 | $18,716.90 | $4,679.22 | $.00 | $.00 | $696.97 | $.00 | $.00 | $.00 | $13,340.71 | f | |||||||
| 4003394701 | DOE, J | e | 05/15-05/15/2003 | 123456789 | PAT | $375.00 | $375.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003394801 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $1.95 | $.00 | $1.95 | $.55 | $1.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003394901 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $61.00 | $.00 | $61.00 | $24.40 | $.00 | $.00 | $3.66 | $.00 | $.00 | $.00 | $32.94 | f | |||||||
| 4003395101 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $83.80 | $.00 | $83.80 | $33.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4003395201 | DOE, J | t | 12/19-12/19/2003 | 123456789 | ANNIE L | $1,092.00 | $.00 | $1,092.00 | $218.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $873.60 | f | |||||||
| 4003395501 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $513.14 | $.00 | $513.14 | $153.94 | $.00 | $.00 | $35.92 | $.00 | $.00 | $.00 | $323.28 | f | |||||||
| 4003395701 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $3,957.78 | $.00 | $3,957.78 | $1,459.20 | $250.00 | $.00 | $224.86 | $.00 | $.00 | $.00 | $2,023.72 | f | |||||||
| 4003395901 | DOE, J | s | 12/16-12/16/2003 | 123456789 | PAT | $233.50 | $.00 | $233.50 | $81.72 | $.00 | $.00 | $15.18 | $.00 | $.00 | $.00 | $136.60 | f | |||||||
| 4003396201 | DOE, J | e | 01/24-01/24/2004 | 123456789 | PAT | $689.00 | $.00 | $689.00 | $137.80 | $250.00 | $50.00 | $25.12 | $.00 | $.00 | $.00 | $226.08 | f | |||||||
| 4003396401 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $683.63 | $.00 | $683.63 | $170.91 | $.00 | $50.00 | $46.27 | $.00 | $.00 | $.00 | $416.45 | f | |||||||
| 4003396701 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $1,219.50 | $1,219.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003397101 | DOE, J | e | 01/16-01/20/2004 | 123456789 | PAT | $1,973.10 | $.00 | $1,973.10 | $925.26 | $250.00 | $.00 | $79.78 | $.00 | $.00 | $.00 | $718.06 | f | |||||||
| 4003397201 | DOE, J | 2 | 12/04-12/04/2003 | 123456789 | PAT | $79.00 | $.00 | $79.00 | $4.00 | $.00 | $.00 | $7.50 | $.00 | $.00 | $.00 | $67.50 | f | |||||||
| 4003397601 | DOE, J | e | 11/15-11/15/2003 | 123456789 | PAT | $249.10 | $249.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003397801 | DOE, J JR. | s | 12/27-12/27/2003 | 123456789 | PAT | $212.75 | $212.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003398101 | DOE, J | s | 12/14-12/20/2003 | 123456789 | PAT | $13,985.25 | $100.00 | $13,885.25 | $6,533.54 | $.00 | $.00 | $735.17 | $.00 | $.00 | $.00 | $6,616.54 | f | |||||||
| 4003398401 | DOE, J | 2 | 12/04-12/08/2003 | 123456789 | PAT | $3,691.58 | $3,691.58 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003399601 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $262.50 | $262.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003400301 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $57.50 | $.00 | $57.50 | $17.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.97 | f | |||||||
| 4003400501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $12.50 | $.00 | $12.50 | $9.00 | $.00 | $.00 | $.35 | $.00 | $.00 | $.00 | $3.15 | f | |||||||
| 4003400801 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $136.00 | $.00 | $136.00 | $88.20 | $.00 | $.00 | $4.78 | $.00 | $.00 | $.00 | $43.02 | f | |||||||
| 4003401001 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $2.64 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $30.36 | f | |||||||
| 4003401201 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $.00 | $25.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $90.00 | f | |||||||
| 4003401701 | DOE, J | e | 12/16-12/16/2003 | 123456789 | PAT | $1,050.00 | $.00 | $1,050.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,050.00 | f | |||||||
| 4003402501 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $14.00 | $.00 | $14.00 | $.00 | $.00 | $.00 | $4.20 | $.00 | $.00 | $.00 | $9.80 | f | |||||||
| 4003403901 | DOE, J JR | 1 | 10/26-10/31/2003 | 123456789 | PAT | $550.00 | $363.84 | $186.16 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $186.16 | f | |||||||
| 4003413901 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $475.00 | $475.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003415701 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003416501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $32.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4003417101 | DOE, J | s | 01/07-06/02/2003 | 123456789 | PAT | $140.00 | $70.00 | $70.00 | $22.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.50 | f | |||||||
| 4003417501 | DOE, J | 3 | 01/23-01/23/2004 | 123456789 | PAT | $62.00 | $.00 | $62.00 | $14.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.84 | f | |||||||
| 4003417801 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $65.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003418201 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | DANNY JR | $250.00 | $.00 | $250.00 | $110.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4003419401 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $13.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003420301 | DOE, J | s | 01/27-01/28/2004 | 123456789 | PAT | $240.00 | $240.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003420601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $6.00 | $.00 | $.00 | $2.40 | $.00 | $.00 | $.00 | $21.60 | f | |||||||
| 4003421201 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $.12 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $83.88 | f | |||||||
| 4003421401 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $35.17 | $.00 | $10.00 | $.35 | $.00 | $.00 | $.00 | $44.48 | f | |||||||
| 4003421801 | DOE, J | 3 | 03/16-03/17/2002 | 123456789 | PAT | $318.00 | $318.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003422001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003422601 | ARCEO JR, ROBERT | e | 01/26-01/26/2004 | 123456789 | PAT | $203.00 | $203.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003423501 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $62.14 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.86 | f | |||||||
| 4003423801 | DOE, J | 5 | 12/24-12/26/2003 | 123456789 | PAT | $345.00 | $.00 | $345.00 | $39.16 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $305.84 | f | |||||||
| 4003424201 | DOE, J | s | 12/16-12/16/2003 | 123456789 | PAT | $1,000.00 | $.00 | $1,000.00 | $766.20 | $.00 | $.00 | $23.38 | $.00 | $.00 | $.00 | $210.42 | f | |||||||
| 4003424301 | DOE, J | s | 12/16-12/16/2003 | 123456789 | PAT | $4,850.00 | $.00 | $4,850.00 | $2,950.00 | $.00 | $.00 | $154.09 | $.00 | $.00 | $.00 | $1,745.91 | f | |||||||
| 4003424501 | DOE, J | 1 | 12/10-12/10/2003 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $40.14 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.86 | f | |||||||
| 4003425001 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $10.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $124.28 | f | |||||||
| 4003425201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.00 | f | |||||||
| 4003425401 | DOE, J JR | 1 | 01/01-01/01/2004 | 123456789 | PAT | $179.00 | $.00 | $179.00 | $58.14 | $120.86 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003425901 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $4.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.06 | f | |||||||
| 4003426401 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $42.00 | $.00 | $42.00 | $5.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.57 | f | |||||||
| 4003426601 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $73.50 | $.00 | $73.50 | $7.38 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.12 | f | |||||||
| 4003426901 | DOE, J | 2 | 01/06-01/06/2004 | 123456789 | PAT | $59.00 | $59.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003427201 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $24.88 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $55.12 | f | |||||||
| 4003427501 | DOE, J JR | e | 03/06-03/06/2003 | 123456789 | RUBEN JR | $45.00 | $45.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003427701 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $102.03 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.97 | f | |||||||
| 4003429101 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $146.00 | $146.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003430501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $23.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.61 | f | |||||||
| 4003435901 | DOE, J | e | 07/15-10/01/2003 | 123456789 | PAT | $165.00 | $58.73 | $106.27 | $.00 | $.00 | $30.00 | $.00 | $.00 | $76.22 | $.00 | $.05 | f | |||||||
| 4003437401 | DOE, J | s | 10/01-10/01/2003 | 123456789 | PAT | $232.00 | $232.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003440201 | DOE, J | 1 | 01/07-01/07/2004 | 123456789 | PAT | $441.00 | $.00 | $441.00 | $.00 | $.00 | $.00 | $132.30 | $.00 | $.00 | $.00 | $308.70 | f | |||||||
| 4003441401 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $67.32 | $.00 | $67.32 | $.00 | $.00 | $.00 | $20.20 | $.00 | $.00 | $.00 | $47.12 | f | |||||||
| 4003444501 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $4.00 | $.00 | $.00 | $.00 | $36.00 | f | |||||||
| 4003444701 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $1,143.00 | $.00 | $1,143.00 | $.00 | $.00 | $.00 | $342.90 | $.00 | $.00 | $.00 | $800.10 | f | |||||||
| 4003445301 | DOE, J | s | 12/15-12/15/2003 | 123456789 | PAT | $188.00 | $188.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003446701 | DOE, J | t | 11/15-11/15/2003 | 123456789 | PAT | $370.00 | $.00 | $370.00 | $.00 | $.00 | $.00 | $111.00 | $.00 | $.00 | $.00 | $259.00 | f | |||||||
| 4003450301 | DOE, J | 1 | 01/15-01/15/2004 | 123456789 | PAT | $464.00 | $.00 | $464.00 | $.00 | $.00 | $.00 | $46.40 | $.00 | $.00 | $.00 | $417.60 | f | |||||||
| 4003451101 | DOE, J | 2 | 11/26-11/26/2003 | 123456789 | PAT | $95.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003453401 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $27.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.40 | f | |||||||
| 4003453801 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $54.50 | $40.50 | $14.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $14.00 | f | |||||||
| 4003455601 | DOE, J IV | 1 | 10/13-10/13/2003 | 123456789 | WILLIAM V | $20.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003456101 | DOE, J IV | 1 | 10/13-10/13/2003 | 123456789 | WILLIAM V | $306.00 | $306.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003456301 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4003460701 | DOE, J | s | 09/30-09/30/2003 | 123456789 | PAT | $73,188.56 | $73,188.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003461501 | DOE, J | e | 11/24-11/25/2003 | 123456789 | PAT | $13,822.67 | $.00 | $13,822.67 | $3,451.70 | $.00 | $.00 | $42.33 | $.00 | $.00 | $.00 | $10,328.64 | f | |||||||
| 4003461601 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $500.00 | $.00 | $500.00 | $399.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.40 | f | |||||||
| 4003461901 | DOE, J | e | 10/29-10/29/2003 | 123456789 | PAT | $157.00 | $.00 | $157.00 | $78.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $78.60 | f | |||||||
| 4003462001 | DOE, J JR | 2 | 10/24-10/24/2003 | 123456789 | KENNETH JR | $7,488.78 | $7,488.78 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003462401 | DOE, J JR | s | 01/20-01/20/2004 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $46.32 | $.00 | $10.00 | $.87 | $.00 | $.00 | $.00 | $34.81 | f | |||||||
| 4003462601 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $164.00 | $.00 | $164.00 | $91.45 | $.00 | $10.00 | $2.11 | $.00 | $.00 | $.00 | $60.44 | f | |||||||
| 4003462701 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $1,575.00 | $.00 | $1,575.00 | $866.79 | $.00 | $.00 | $11.24 | $.00 | $.00 | $.00 | $696.97 | f | |||||||
| 4003462901 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $353.00 | $.00 | $353.00 | $148.52 | $113.02 | $10.00 | $4.46 | $.00 | $.00 | $.00 | $77.00 | f | |||||||
| 4003463101 | DOE, J | s | 01/16-01/19/2004 | 123456789 | PAT | $8,753.55 | $.00 | $8,753.55 | $7,153.55 | $100.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $1,350.00 | f | |||||||
| 4003463301 | DOE, J | s | 01/12-01/13/2004 | 123456789 | PAT | $13,699.06 | $.00 | $13,699.06 | $12,793.06 | $250.00 | $.00 | $65.60 | $.00 | $.00 | $.00 | $590.40 | f | |||||||
| 4003463401 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $27.00 | $.00 | $27.00 | $20.98 | $.00 | $.00 | $.60 | $.00 | $.00 | $.00 | $5.42 | f | |||||||
| 4003463601 | DOE, J | 3 | 09/30-09/30/2003 | 123456789 | PASTOR JR | $48.00 | $.00 | $48.00 | $11.00 | $.00 | $.00 | $3.70 | $.00 | $.00 | $.00 | $33.30 | f | |||||||
| 4003464001 | DOE, J | 3 | 01/05-01/05/2004 | 123456789 | PAT | $46.50 | $.00 | $46.50 | $13.96 | $.00 | $.00 | $3.26 | $.00 | $.00 | $.00 | $29.28 | f | |||||||
| 4003464201 | DOE, J JR. | e | 01/19-01/19/2004 | 123456789 | GILBERT JR. | $330.00 | $25.00 | $305.00 | $128.50 | $.00 | $10.00 | $7.18 | $.00 | $.00 | $.00 | $159.32 | f | |||||||
| 4003464901 | DOE, J | e | 12/24-12/24/2003 | 123456789 | PAT | $2,886.00 | $.00 | $2,886.00 | $435.28 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2,450.72 | f | |||||||
| 4003465401 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $6.53 | $23.47 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003465601 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $129.00 | $129.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003465602 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $129.00 | $.00 | $129.00 | $12.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $106.10 | f | |||||||
| 4003465901 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $222.00 | $222.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003465902 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $222.00 | $.00 | $222.00 | $22.20 | $.00 | $.00 | $19.98 | $.00 | $.00 | $.00 | $179.82 | f | |||||||
| 4003466001 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $41.92 | $.00 | $10.00 | $.44 | $.00 | $.00 | $.00 | $142.64 | f | |||||||
| 4003466301 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $1,237.50 | $.00 | $1,237.50 | $685.24 | $250.00 | $10.00 | $23.72 | $.00 | $.00 | $.00 | $268.54 | f | |||||||
| 4003466801 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $2,214.00 | $.00 | $2,214.00 | $1,268.16 | $.00 | $.00 | $94.59 | $.00 | $.00 | $.00 | $851.25 | f | |||||||
| 4003467001 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $49.00 | $.00 | $49.00 | $11.65 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.35 | f | |||||||
| 4003467301 | DOE, J | 1 | 09/22-09/22/2003 | 123456789 | PAT | $20.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003467401 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $186.00 | $.00 | $186.00 | $101.81 | $.00 | $10.00 | $3.69 | $.00 | $.00 | $.00 | $70.50 | f | |||||||
| 4003467701 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $27.89 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.11 | f | |||||||
| 4003468101 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $12.19 | $.00 | $.00 | $2.18 | $.00 | $.00 | $.00 | $19.63 | f | |||||||
| 4003468201 | DOE, J | 4 | 12/20-12/20/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003468301 | DOE, J | 4 | 01/20-01/20/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003468801 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $710.50 | $.00 | $710.50 | $274.84 | $.00 | $10.00 | $36.85 | $.00 | $.00 | $.00 | $388.81 | f | |||||||
| 4003469201 | DOE, J JR | 3 | 01/14-01/14/2004 | 123456789 | PAT | $184.00 | $.00 | $184.00 | $23.15 | $.00 | $10.00 | $5.21 | $.00 | $.00 | $.00 | $145.64 | f | |||||||
| 4003469401 | DOE, J SR | 2 | 01/06-01/06/2004 | 123456789 | REYNALDO T JR | $149.00 | $.00 | $149.00 | $23.15 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $115.85 | f | |||||||
| 4003469601 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $65.31 | $.00 | $10.00 | $2.00 | $.00 | $.00 | $.00 | $112.69 | f | |||||||
| 4003469901 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $20.00 | $.00 | $.00 | $.50 | $.00 | $.00 | $.00 | $4.50 | f | |||||||
| 4003470101 | DOE, J | s | 05/06-05/06/2003 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $33.17 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $151.83 | f | |||||||
| 4003470201 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $34.00 | $34.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003470601 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $240.00 | $.00 | $240.00 | $146.13 | $.00 | $.00 | $9.39 | $.00 | $.00 | $.00 | $84.48 | f | |||||||
| 4003470901 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $121.00 | $.00 | $121.00 | $32.61 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $78.39 | f | |||||||
| 4003471201 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $544.00 | $.00 | $544.00 | $229.00 | $.00 | $.00 | $31.50 | $.00 | $.00 | $.00 | $283.50 | f | |||||||
| 4003471501 | DOE, J | s | 01/14-01/20/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $37.73 | $102.27 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003471701 | DOE, J | s | 11/20-11/20/2003 | 123456789 | JANIE-JUANITA | $499.00 | $339.00 | $160.00 | $94.32 | $.00 | $.00 | $6.57 | $.00 | $.00 | $.00 | $59.11 | f | |||||||
| 4003472101 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $2.00 | $.00 | $.00 | $.00 | $18.00 | f | |||||||
| 4003472201 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $17.95 | $.00 | $10.00 | $6.80 | $.00 | $.00 | $.00 | $133.25 | f | |||||||
| 4003472601 | DOE, J | e | 12/19-12/19/2003 | 123456789 | PAT | $113.00 | $.00 | $113.00 | $46.13 | $66.87 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003473001 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $113.00 | $.00 | $113.00 | $46.13 | $66.87 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003473401 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $1,140.00 | $340.00 | $800.00 | $144.00 | $.00 | $.00 | $65.60 | $.00 | $.00 | $.00 | $590.40 | f | |||||||
| 4003473701 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $385.00 | $.00 | $385.00 | $115.76 | $.00 | $10.00 | $20.19 | $.00 | $.00 | $.00 | $239.05 | f | |||||||
| 4003474001 | DOE, J | 4 | 01/13-01/13/2004 | 123456789 | PAT | $265.00 | $265.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003474002 | DOE, J | 4 | 01/13-01/13/2004 | 123456789 | PAT | $265.00 | $.00 | $265.00 | $119.12 | $.00 | $10.00 | $8.88 | $.00 | $.00 | $.00 | $127.00 | f | |||||||
| 4003474401 | DOE, J | 1 | 12/03-12/03/2003 | 123456789 | PAT | $229.00 | $.00 | $229.00 | $90.37 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $128.63 | f | |||||||
| 4003474701 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $74.71 | $.00 | $10.00 | $.91 | $.00 | $.00 | $.00 | $44.38 | f | |||||||
| 4003474901 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $17.16 | $.00 | $10.00 | $.40 | $.00 | $.00 | $.00 | $15.44 | f | |||||||
| 4003475101 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $125.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003475301 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $155.95 | $.00 | $.00 | $1.39 | $.00 | $.00 | $.00 | $12.66 | f | |||||||
| 4003475501 | DOE, J | 2 | 11/19-11/19/2003 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $70.87 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.13 | f | |||||||
| 4003475601 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $5.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4003475701 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $10.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4003475801 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | TY E | $290.00 | $.00 | $290.00 | $28.17 | $.00 | $10.00 | $16.40 | $.00 | $.00 | $.00 | $235.43 | f | |||||||
| 4003476001 | DOE, J | e | 01/04-01/04/2004 | 123456789 | PAT | $630.00 | $.00 | $630.00 | $230.00 | $.00 | $.00 | $40.00 | $.00 | $.00 | $.00 | $360.00 | f | |||||||
| 4003476101 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $320.00 | $.00 | $320.00 | $165.40 | $.00 | $10.00 | $6.38 | $.00 | $.00 | $.00 | $138.22 | f | |||||||
| 4003477801 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003477901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $365.90 | $279.14 | $86.76 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.76 | f | |||||||
| 4003478301 | DOE, J RAMIREZ | 1 | 01/21-01/21/2004 | 123456789 | JAYDEN R | $98.00 | $.00 | $98.00 | $38.64 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.36 | f | |||||||
| 4003478401 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $164.00 | $.00 | $164.00 | $88.66 | $.00 | $10.00 | $1.03 | $.00 | $.00 | $.00 | $64.31 | f | |||||||
| 4003478601 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $53.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003478701 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $27.00 | $.00 | $27.00 | $12.34 | $.00 | $.00 | $1.46 | $.00 | $.00 | $.00 | $13.20 | f | |||||||
| 4003478901 | DOE, J | s | 12/27-12/27/2003 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.70 | f | |||||||
| 4003479101 | DOE, J | s | 12/28-12/28/2003 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.70 | f | |||||||
| 4003479201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $31.09 | $.00 | $10.00 | $.23 | $.00 | $.00 | $.00 | $43.68 | f | |||||||
| 4003479501 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $45.55 | $.00 | $10.00 | $3.28 | $.00 | $.00 | $.00 | $71.17 | f | |||||||
| 4003479701 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $127.00 | $.00 | $127.00 | $111.02 | $.00 | $.00 | $1.60 | $.00 | $.00 | $.00 | $14.38 | f | |||||||
| 4003479801 | DOE, J | 3 | 01/21-01/21/2004 | 123456789 | PAT | $108.00 | $20.00 | $88.00 | $30.18 | $57.82 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003480201 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $108.00 | $20.00 | $88.00 | $30.18 | $57.82 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003480401 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $381.00 | $.00 | $381.00 | $29.56 | $.00 | $.00 | $35.14 | $.00 | $.00 | $.00 | $316.30 | f | |||||||
| 4003480601 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $.87 | $.00 | $.00 | $24.91 | $.00 | $.00 | $.00 | $224.22 | f | |||||||
| 4003480901 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $41.89 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $116.11 | f | |||||||
| 4003481201 | DOE, J | s | 01/15-01/16/2004 | 123456789 | PAT | $1,100.00 | $.00 | $1,100.00 | $455.77 | $.00 | $.00 | $64.42 | $.00 | $.00 | $.00 | $579.81 | f | |||||||
| 4003481301 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $525.00 | $45.00 | $480.00 | $157.42 | $.00 | $.00 | $32.26 | $.00 | $.00 | $.00 | $290.32 | f | |||||||
| 4003481501 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $60.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4003481701 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $60.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4003481801 | DOE, J | e | 01/20-01/21/2004 | 123456789 | PAT | $621.00 | $.00 | $621.00 | $372.24 | $.00 | $.00 | $24.88 | $.00 | $.00 | $.00 | $223.88 | f | |||||||
| 4003481901 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $161.00 | $.00 | $161.00 | $57.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $93.24 | f | |||||||
| 4003482101 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $188.00 | $188.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003482102 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $188.00 | $.00 | $188.00 | $126.41 | $.00 | $.00 | $12.31 | $.00 | $.00 | $.00 | $49.28 | f | |||||||
| 4003482501 | DOE, J JR | 1 | 10/01-10/01/2003 | 123456789 | PAT | $2,215.46 | $.00 | $2,215.46 | $69.83 | $.00 | $.00 | $214.56 | $.00 | $.00 | $.00 | $1,931.07 | f | |||||||
| 4003482601 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $89.00 | $.00 | $89.00 | $23.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.14 | f | |||||||
| 4003482801 | DOE, J | e | 10/07-10/07/2003 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $60.15 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $154.85 | f | |||||||
| 4003482901 | DOE, J | e | 10/08-10/08/2003 | 123456789 | PAT | $131.00 | $.00 | $131.00 | $60.45 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.55 | f | |||||||
| 4003483001 | DOE, J | e | 10/07-10/07/2003 | 123456789 | PAT | $225.00 | $225.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003483101 | DOE, J | e | 10/08-10/08/2003 | 123456789 | PAT | $131.00 | $131.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003483301 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $118.00 | $118.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003483601 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $41.08 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.92 | f | |||||||
| 4003483701 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $95.40 | $.00 | $95.40 | $46.53 | $.00 | $.00 | $4.88 | $.00 | $.00 | $.00 | $43.99 | f | |||||||
| 4003483901 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $15.84 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $44.16 | f | |||||||
| 4003484001 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $15.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.45 | f | |||||||
| 4003484101 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $46.00 | $.00 | $46.00 | $9.77 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.23 | f | |||||||
| 4003484301 | DOE, J | e | 10/01-11/06/2003 | 123456789 | PAT | $750.00 | $.00 | $750.00 | $330.00 | $.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $240.00 | f | |||||||
| 4003484401 | DOE, J | e | 11/19-12/10/2003 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $110.00 | $.00 | $36.49 | $.00 | $.00 | $.00 | $.00 | $103.51 | f | |||||||
| 4003484501 | DOE, J | 1 | 07/07-07/07/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $16.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.48 | f | |||||||
| 4003484601 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $36.84 | $.00 | $.00 | $1.12 | $.00 | $.00 | $.00 | $10.04 | f | |||||||
| 4003484701 | DOE, J | s | 12/08-12/08/2003 | 123456789 | BRENDA P | $176.00 | $176.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003484901 | DOE, J | 2 | 11/03-11/03/2003 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $12.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $51.40 | f | |||||||
| 4003485001 | DOE, J | s | 10/22-10/22/2003 | 123456789 | KAREN R | $68.75 | $.00 | $68.75 | $41.75 | $.00 | $.00 | $2.70 | $.00 | $.00 | $.00 | $24.30 | f | |||||||
| 4003485201 | DOE, J | 4 | 01/14-01/14/2004 | 123456789 | PAT | $331.10 | $.00 | $331.10 | $101.30 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $219.80 | f | |||||||
| 4003485301 | DOE, J | 4 | 01/14-01/16/2004 | 123456789 | PAT | $151.05 | $56.05 | $95.00 | $27.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003485501 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $1,125.00 | $.00 | $1,125.00 | $528.64 | $.00 | $.00 | $59.64 | $.00 | $.00 | $.00 | $536.72 | f | |||||||
| 4003485601 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $43.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.61 | f | |||||||
| 4003485701 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4003486201 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $26.88 | $.00 | $10.00 | $.10 | $.00 | $.00 | $.00 | $58.02 | f | |||||||
| 4003486401 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $7.50 | $.00 | $.00 | $.00 | $67.50 | f | |||||||
| 4003486501 | DOE, J JR | 3 | 01/14-01/14/2004 | 123456789 | PAT | $262.00 | $262.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003486502 | DOE, J JR | 3 | 01/14-01/14/2004 | 123456789 | PAT | $262.00 | $.00 | $262.00 | $150.37 | $.00 | $10.00 | $4.45 | $.00 | $.00 | $.00 | $97.18 | f | |||||||
| 4003486701 | DOE, J JR | s | 01/15-01/15/2004 | 123456789 | PAT | $96.00 | $.00 | $96.00 | $28.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003486801 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $44.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $90.47 | f | |||||||
| 4003486901 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $415.00 | $.00 | $415.00 | $335.00 | $.00 | $.00 | $8.00 | $.00 | $.00 | $.00 | $72.00 | f | |||||||
| 4003487001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $139.00 | $.00 | $139.00 | $27.89 | $.00 | $10.00 | $4.71 | $.00 | $.00 | $.00 | $96.40 | f | |||||||
| 4003487201 | DOE, J | s | 01/23-01/25/2004 | 123456789 | PAT | $478.00 | $.00 | $478.00 | $93.72 | $.00 | $.00 | $38.43 | $.00 | $.00 | $.00 | $345.85 | f | |||||||
| 4003487301 | DOE, J | t | 01/08-01/08/2004 | 123456789 | PAT | $93.00 | $93.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003487501 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003487601 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $13.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $126.10 | f | |||||||
| 4003487801 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $1,000.00 | $.00 | $1,000.00 | $577.09 | $250.00 | $.00 | $17.29 | $.00 | $.00 | $.00 | $155.62 | f | |||||||
| 4003487901 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $20.24 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $109.76 | f | |||||||
| 4003488001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $114.00 | $.00 | $114.00 | $33.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003488201 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $28.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003488301 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $14.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003488401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $23.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.28 | f | |||||||
| 4003489501 | DOE, J | s | 03/20-03/20/2003 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $25.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003489601 | DOE, J | s | 03/29-03/29/2003 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $38.58 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.42 | f | |||||||
| 4003489701 | DOE, J | s | 05/01-05/01/2003 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $25.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003489801 | DOE, J | s | 07/17-07/17/2003 | 123456789 | PAT | $33.00 | $.00 | $33.00 | $12.66 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $10.34 | f | |||||||
| 4003489901 | DOE, J | s | 07/08-07/08/2003 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $25.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003490101 | DOE, J | s | 09/08-09/08/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $35.36 | $.00 | $.00 | $2.96 | $.00 | $.00 | $.00 | $26.68 | f | |||||||
| 4003490201 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $33.31 | $.00 | $.00 | $3.67 | $.00 | $.00 | $.00 | $33.02 | f | |||||||
| 4003490301 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4003490601 | DOE, J | e | 10/12-10/12/2002 | 123456789 | PAT | $64.00 | $64.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003491501 | DOE, J | e | 09/22-09/22/2003 | 123456789 | PAT | $380.54 | $.00 | $380.54 | $323.29 | $.00 | $.00 | $5.72 | $.00 | $.00 | $.00 | $51.53 | f | |||||||
| 4003491601 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $50.70 | $.00 | $50.70 | $33.15 | $.00 | $.00 | $1.75 | $.00 | $.00 | $.00 | $15.80 | f | |||||||
| 4003491701 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $21.75 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.83 | f | |||||||
| 4003491801 | DOE, J | 1 | 05/20-05/20/2003 | 123456789 | PAT | $169.00 | $.00 | $169.00 | $125.32 | $.00 | $.00 | $4.37 | $.00 | $.00 | $.00 | $39.31 | f | |||||||
| 4003491901 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $719.03 | $.00 | $719.03 | $549.22 | $.00 | $.00 | $16.98 | $.00 | $.00 | $.00 | $152.83 | f | |||||||
| 4003492001 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $442.00 | $.00 | $442.00 | $362.00 | $.00 | $.00 | $8.00 | $.00 | $.00 | $.00 | $72.00 | f | |||||||
| 4003492101 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $111.00 | $.00 | $111.00 | $78.86 | $.00 | $.00 | $3.21 | $.00 | $.00 | $.00 | $28.93 | f | |||||||
| 4003492201 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $360.55 | $.00 | $360.55 | $278.23 | $.00 | $.00 | $8.23 | $.00 | $.00 | $.00 | $74.09 | f | |||||||
| 4003492401 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $230.00 | $.00 | $230.00 | $88.26 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $131.74 | f | |||||||
| 4003492501 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $206.00 | $.00 | $206.00 | $176.01 | $.00 | $.00 | $3.00 | $.00 | $.00 | $.00 | $26.99 | f | |||||||
| 4003492701 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003492901 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $150.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003494201 | DOE, J | e | 01/15-01/16/2004 | 123456789 | PAT | $7,628.21 | $.00 | $7,628.21 | $1,525.64 | $.00 | $.00 | $610.26 | $.00 | $.00 | $.00 | $5,492.31 | f | |||||||
| 4003539201 | DOE, J | s | 10/13-11/06/2003 | 123456789 | PAT | $1,480.68 | $1,480.68 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003545201 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $34.00 | $34.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003546301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $826.50 | $826.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003546601 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $536.00 | $187.00 | $349.00 | $86.95 | $.00 | $10.00 | $4.73 | $.00 | $.00 | $.00 | $247.32 | f | |||||||
| 4003546901 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $31.56 | $.00 | $.00 | $4.24 | $.00 | $.00 | $.00 | $38.20 | f | |||||||
| 4003547101 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $5.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $54.54 | f | |||||||
| 4003547301 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $398.00 | $.00 | $398.00 | $204.76 | $129.75 | $10.00 | $.61 | $.00 | $.00 | $.00 | $52.88 | f | |||||||
| 4003548201 | DOE, J | s | 12/01-12/01/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $22.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $82.05 | f | |||||||
| 4003548601 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $22.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $82.05 | f | |||||||
| 4003548701 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $89.00 | $89.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003548901 | DOE, J | s | 11/12-12/10/2003 | 123456789 | PAT | $993.83 | $993.83 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003549101 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $26.69 | $21.31 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003551101 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $39.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003553301 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $17.55 | $.00 | $10.00 | $.52 | $.00 | $.00 | $.00 | $14.93 | f | |||||||
| 4003554301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $36.89 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.11 | f | |||||||
| 4003554701 | DOE, J | e | 07/01-07/01/2003 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $16.45 | $.00 | $.00 | $.35 | $.00 | $.00 | $.00 | $3.20 | f | |||||||
| 4003554901 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $198.69 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $91.31 | f | |||||||
| 4003555301 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | MARINA ODESSA | $85.00 | $.00 | $85.00 | $26.14 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.86 | f | |||||||
| 4003555801 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $243.00 | $243.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003556401 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $201.00 | $.00 | $201.00 | $105.05 | $.00 | $10.00 | $3.53 | $.00 | $.00 | $.00 | $82.42 | f | |||||||
| 4003556701 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $825.00 | $.00 | $825.00 | $330.00 | $129.01 | $.00 | $36.60 | $.00 | $.00 | $.00 | $329.39 | f | |||||||
| 4003557001 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $204.00 | $.00 | $204.00 | $123.74 | $.00 | $.00 | $8.02 | $.00 | $.00 | $.00 | $72.24 | f | |||||||
| 4003557201 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $81.31 | $.00 | $.00 | $3.66 | $.00 | $.00 | $.00 | $33.03 | f | |||||||
| 4003557501 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $60.00 | $30.00 | $30.00 | $.00 | $.00 | $.00 | $3.00 | $.00 | $.00 | $.00 | $27.00 | f | |||||||
| 4003557701 | DOE, J | e | 12/27-12/27/2003 | 123456789 | PAT | $33.00 | $.00 | $33.00 | $10.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $22.44 | f | |||||||
| 4003558101 | DOE, J | 2 | 01/20-01/20/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $16.98 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $31.02 | f | |||||||
| 4003558401 | DOE, J | e | 07/01-07/01/2003 | 123456789 | PAT | $20.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003560201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $136.00 | $.00 | $136.00 | $20.40 | $.00 | $.00 | $11.55 | $.00 | $.00 | $.00 | $104.05 | f | |||||||
| 4003560701 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $212.00 | $.00 | $212.00 | $31.80 | $.00 | $.00 | $18.01 | $.00 | $.00 | $.00 | $162.19 | f | |||||||
| 4003562601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $106.00 | $.00 | $106.00 | $45.37 | $.00 | $10.00 | $1.34 | $.00 | $.00 | $.00 | $49.29 | f | |||||||
| 4003563001 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $36.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.54 | f | |||||||
| 4003564501 | DOE, J | 7 | 01/13-01/13/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $45.13 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $84.87 | f | |||||||
| 4003564601 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $188.00 | $15.00 | $173.00 | $32.20 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $130.80 | f | |||||||
| 4003565101 | DOE, J JR | s | 01/19-01/19/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $97.69 | $.00 | $.00 | $17.47 | $.00 | $.00 | $.00 | $69.84 | f | |||||||
| 4003565301 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $219.93 | $.00 | $219.93 | $99.51 | $.00 | $.00 | $12.04 | $.00 | $.00 | $.00 | $108.38 | f | |||||||
| 4003565601 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $525.00 | $.00 | $525.00 | $50.93 | $.00 | $.00 | $94.81 | $.00 | $.00 | $.00 | $379.26 | f | |||||||
| 4003565701 | DOE, J | s | 10/29-10/29/2003 | 123456789 | PAT | $214.25 | $214.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003565702 | DOE, J | s | 10/29-10/29/2003 | 123456789 | PAT | $214.25 | $214.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003565801 | DOE, J R | 4 | 12/19-12/19/2003 | 123456789 | JAMES T | $137.00 | $.00 | $137.00 | $57.61 | $79.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003565901 | DOE, J | s | 10/29-10/29/2003 | 123456789 | PAT | $91.75 | $91.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003565902 | DOE, J | s | 10/29-10/29/2003 | 123456789 | PAT | $91.75 | $.00 | $91.75 | $70.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.13 | f | |||||||
| 4003566001 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $252.00 | $.00 | $252.00 | $165.65 | $.00 | $.00 | $8.64 | $.00 | $.00 | $.00 | $77.71 | f | |||||||
| 4003566101 | DOE, J | e | 08/26-08/26/2003 | 123456789 | PAT | $133.00 | $.00 | $133.00 | $122.50 | $.00 | $.00 | $1.04 | $.00 | $.00 | $.00 | $9.46 | f | |||||||
| 4003566201 | DOE, J | 1 | 08/26-08/26/2003 | 123456789 | PAT | $156.00 | $156.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003566301 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $66.40 | $.00 | $.00 | $.76 | $.00 | $.00 | $.00 | $6.84 | f | |||||||
| 4003566501 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $72.50 | $.00 | $72.50 | $68.30 | $.00 | $.00 | $.42 | $.00 | $.00 | $.00 | $3.78 | f | |||||||
| 4003566701 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $391.00 | $.00 | $391.00 | $361.20 | $.00 | $.00 | $2.95 | $.00 | $.00 | $.00 | $26.85 | f | |||||||
| 4003566901 | DOE, J JR. | 1 | 01/20-01/20/2003 | 123456789 | PAT | $231.00 | $231.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003567201 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $115.80 | $.00 | $115.80 | $94.67 | $.00 | $.00 | $2.11 | $.00 | $.00 | $.00 | $19.02 | f | |||||||
| 4003567301 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $80.65 | $.00 | $.00 | $.73 | $.00 | $.00 | $.00 | $6.62 | f | |||||||
| 4003567501 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $71.00 | $.00 | $71.00 | $64.70 | $.00 | $.00 | $.63 | $.00 | $.00 | $.00 | $5.67 | f | |||||||
| 4003567701 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $398.00 | $.00 | $398.00 | $262.66 | $.00 | $.00 | $13.53 | $.00 | $.00 | $.00 | $121.81 | f | |||||||
| 4003567801 | DOE, J | s | 01/07-01/07/2003 | 123456789 | PAT | $144.00 | $144.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003568001 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $174.00 | $.00 | $174.00 | $161.00 | $.00 | $.00 | $1.29 | $.00 | $.00 | $.00 | $11.71 | f | |||||||
| 4003568101 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $54.67 | $.00 | $.00 | $14.53 | $.00 | $.00 | $.00 | $130.80 | f | |||||||
| 4003568201 | DOE, J | 3 | 12/21-12/21/2003 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $24.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003568301 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $542.55 | $.00 | $542.55 | $369.27 | $.00 | $.00 | $27.19 | $.00 | $.00 | $.00 | $146.09 | f | |||||||
| 4003568601 | DOE, J | e | 10/30-10/30/2003 | 123456789 | PAT | $372.00 | $.00 | $372.00 | $307.71 | $.00 | $.00 | $6.42 | $.00 | $.00 | $.00 | $57.87 | f | |||||||
| 4003568701 | DOE, J | s | 10/23-10/23/2003 | 123456789 | PAT | $91.30 | $.00 | $91.30 | $59.64 | $.00 | $.00 | $3.16 | $.00 | $.00 | $.00 | $28.50 | f | |||||||
| 4003568901 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $418.00 | $43.00 | $375.00 | $133.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $231.10 | f | |||||||
| 4003569001 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $549.60 | $549.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003569101 | DOE, J JR | e | 11/04-11/04/2003 | 123456789 | DAVID JR | $50.00 | $.00 | $50.00 | $38.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.00 | f | |||||||
| 4003569201 | DOE, J JR | e | 11/06-11/06/2003 | 123456789 | DAVID JR | $50.00 | $.00 | $50.00 | $38.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.00 | f | |||||||
| 4003569301 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $24.86 | $.00 | $.00 | $.51 | $.00 | $.00 | $.00 | $4.63 | f | |||||||
| 4003569401 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $827.00 | $.00 | $827.00 | $225.59 | $.00 | $.00 | $60.14 | $.00 | $.00 | $.00 | $541.27 | f | |||||||
| 4003569501 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $38.34 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $71.66 | f | |||||||
| 4003569601 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.00 | f | |||||||
| 4003569701 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4003569901 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $280.00 | $.00 | $280.00 | $105.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4003570201 | DOE, J JR. | s | 01/19-01/19/2004 | 123456789 | PAT | $985.00 | $.00 | $985.00 | $295.50 | $.00 | $.00 | $68.95 | $.00 | $.00 | $.00 | $620.55 | f | |||||||
| 4003570301 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $54.00 | $.00 | $54.00 | $24.07 | $29.93 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003570401 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $52.55 | $.00 | $.00 | $1.24 | $.00 | $.00 | $.00 | $11.21 | f | |||||||
| 4003570701 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $111.74 | $.00 | $.00 | $6.33 | $.00 | $.00 | $.00 | $56.93 | f | |||||||
| 4003570801 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $194.00 | $.00 | $194.00 | $82.21 | $.00 | $.00 | $11.18 | $.00 | $.00 | $.00 | $100.61 | f | |||||||
| 4003571001 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $741.00 | $741.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003571101 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $12.00 | $12.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003571201 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $12.00 | $12.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003571301 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $6.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.00 | f | |||||||
| 4003571401 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003571601 | DOE, J JR | e | 12/27-12/27/2003 | 123456789 | JAIME JR | $75.00 | $.00 | $75.00 | $18.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $56.65 | f | |||||||
| 4003571701 | DOE, J | s | 02/24-02/25/2003 | 123456789 | PAT | $530.00 | $.00 | $530.00 | $292.16 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $237.84 | f | |||||||
| 4003571901 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $199.00 | $.00 | $199.00 | $73.25 | $.00 | $10.00 | $4.15 | $.00 | $.00 | $.00 | $111.60 | f | |||||||
| 4003572101 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $14.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003572201 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $372.00 | $.00 | $372.00 | $75.79 | $151.65 | $10.00 | $.00 | $.00 | $.00 | $.00 | $134.56 | f | |||||||
| 4003572301 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $53.00 | $.00 | $53.00 | $32.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.30 | f | |||||||
| 4003572401 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $30.54 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $109.46 | f | |||||||
| 4003572601 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $45.50 | $.00 | $45.50 | $19.62 | $.00 | $.00 | $2.59 | $.00 | $.00 | $.00 | $23.29 | f | |||||||
| 4003572701 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $443.75 | $.00 | $443.75 | $377.05 | $.00 | $.00 | $6.67 | $.00 | $.00 | $.00 | $60.03 | f | |||||||
| 4003572801 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $170.00 | $85.00 | $85.00 | $32.25 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $42.25 | f | |||||||
| 4003572901 | DOE, J | 2 | 09/29-09/29/2003 | 123456789 | PAT | $110.75 | $110.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003573001 | DOE, J | s | 10/28-10/28/2003 | 123456789 | PAT | $211.25 | $.00 | $211.25 | $102.35 | $.00 | $.00 | $10.89 | $.00 | $.00 | $.00 | $98.01 | f | |||||||
| 4003573101 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $128.00 | $.00 | $128.00 | $13.10 | $.00 | $10.00 | $5.83 | $.00 | $.00 | $.00 | $99.07 | f | |||||||
| 4003573301 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $20.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4003573401 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $37.00 | $37.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003573601 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $114.00 | $.00 | $114.00 | $53.99 | $.00 | $10.00 | $1.01 | $.00 | $.00 | $.00 | $49.00 | f | |||||||
| 4003573801 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $74.39 | $.00 | $74.39 | $18.59 | $5.80 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003574001 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $95.13 | $.00 | $95.13 | $23.78 | $71.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003574101 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $104.00 | $.00 | $104.00 | $33.02 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.98 | f | |||||||
| 4003574401 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $79.00 | $.00 | $79.00 | $25.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003574501 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $11.36 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.64 | f | |||||||
| 4003574601 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $5.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.12 | f | |||||||
| 4003574701 | DOE, J | e | 12/10-12/10/2003 | 123456789 | PAT | $2,675.00 | $.00 | $2,675.00 | $2,048.63 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $626.37 | f | |||||||
| 4003574801 | DOE, J | 2 | 01/20-01/20/2004 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $200.53 | $.00 | $10.00 | $4.95 | $.00 | $.00 | $.00 | $74.52 | f | |||||||
| 4003574901 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $184.00 | $.00 | $184.00 | $28.04 | $.00 | $10.00 | $3.68 | $.00 | $.00 | $.00 | $142.28 | f | |||||||
| 4003575001 | DOE, J | 1 | 01/15-01/15/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $44.26 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.74 | f | |||||||
| 4003575101 | DOE, J | s | 10/17-10/17/2003 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $62.70 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $127.30 | f | |||||||
| 4003575401 | DOE, J | s | 10/02-10/02/2003 | 123456789 | PAT | $3,779.00 | $.00 | $3,779.00 | $531.62 | $.00 | $.00 | $324.74 | $.00 | $.00 | $.00 | $2,922.64 | f | |||||||
| 4003575801 | DOE, J SR | e | 01/14-01/14/2004 | 123456789 | ALAN SR | $64.00 | $.00 | $64.00 | $9.60 | $.00 | $.00 | $5.44 | $.00 | $.00 | $.00 | $48.96 | f | |||||||
| 4003575901 | DOE, J | 4 | 01/17-01/17/2004 | 123456789 | PAT | $83.10 | $12.10 | $71.00 | $34.28 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.72 | f | |||||||
| 4003576001 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $164.90 | $.00 | $164.90 | $87.27 | $.00 | $10.00 | $1.41 | $.00 | $.00 | $.00 | $66.22 | f | |||||||
| 4003576101 | DOE, J | 4 | 01/19-01/21/2004 | 123456789 | PAT | $300.00 | $300.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003576102 | DOE, J | 4 | 01/19-01/21/2004 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $194.00 | $106.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003576201 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $179.00 | $.00 | $179.00 | $35.80 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $133.20 | f | |||||||
| 4003576301 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $1,673.00 | $.00 | $1,673.00 | $688.72 | $.00 | $.00 | $98.43 | $.00 | $.00 | $.00 | $885.85 | f | |||||||
| 4003576501 | DOE, J | 1 | 11/17-11/17/2003 | 123456789 | PAT | $36.00 | $.00 | $36.00 | $5.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $30.60 | f | |||||||
| 4003576601 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $5.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.40 | f | |||||||
| 4003576801 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $520.50 | $.00 | $520.50 | $.00 | $.00 | $.00 | $52.05 | $.00 | $.00 | $.00 | $468.45 | f | |||||||
| 4003576901 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $149.77 | $.00 | $149.77 | $44.93 | $.00 | $.00 | $20.97 | $.00 | $.00 | $.00 | $83.87 | f | |||||||
| 4003577101 | DOE, J | e | 10/10-10/10/2003 | 123456789 | PAT | $44.00 | $44.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003577102 | DOE, J | e | 10/10-10/10/2003 | 123456789 | PAT | $44.00 | $.00 | $44.00 | $33.94 | $.00 | $.00 | $1.01 | $.00 | $.00 | $.00 | $9.05 | f | |||||||
| 4003577201 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $78.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $116.61 | f | |||||||
| 4003577401 | DOE, J | 1 | 01/14-01/14/2004 | 123456789 | ALEXIS R | $390.00 | $.00 | $390.00 | $73.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $306.93 | f | |||||||
| 4003578001 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $327.00 | $.00 | $327.00 | $248.44 | $.00 | $.00 | $7.86 | $.00 | $.00 | $.00 | $70.70 | f | |||||||
| 4003578701 | DOE, J | e | 10/17-10/17/2002 | 123456789 | PAT | $85.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003578801 | DOE, J | s | 09/15-09/15/2003 | 123456789 | PAT | $72.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003579001 | DOE, J | s | 09/15-09/15/2003 | 123456789 | PAT | $58.00 | $58.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003579201 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $34.00 | $.75 | $33.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $33.25 | f | |||||||
| 4003579301 | DOE, J | 1 | 11/24-11/24/2003 | 123456789 | JAMES JR | $75.00 | $.00 | $75.00 | $.00 | $.00 | $30.00 | $.00 | $.00 | $37.50 | $.00 | $7.50 | f | |||||||
| 4003579401 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $1,071.00 | $1,071.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003579601 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $3,260.00 | $300.00 | $2,960.00 | $1,530.56 | $46.90 | $10.00 | $99.25 | $.00 | $.00 | $.00 | $1,273.29 | f | |||||||
| 4003581201 | O'BRIEN, KEVIN | s | 12/31-12/31/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003582301 | O'BRIEN, KEVIN | s | 08/19-08/19/2003 | 123456789 | PAT | $800.00 | $800.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003582801 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $152.00 | $.00 | $152.00 | $85.31 | $.00 | $10.00 | $.90 | $.00 | $.00 | $.00 | $55.79 | f | |||||||
| 4003583101 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $1,055.00 | $.00 | $1,055.00 | $781.72 | $.00 | $.00 | $27.33 | $.00 | $.00 | $.00 | $245.95 | f | |||||||
| 4003583201 | DOE, J JR. | e | 01/17-01/17/2004 | 123456789 | RANDOLPH JR. | $390.00 | $.00 | $390.00 | $285.84 | $.00 | $.00 | $10.42 | $.00 | $.00 | $.00 | $93.74 | f | |||||||
| 4003583501 | DOE, J | 1 | 11/28-11/28/2003 | 123456789 | PAT | $24.00 | $.00 | $24.00 | $7.52 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $16.48 | f | |||||||
| 4003583801 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $26.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.54 | f | |||||||
| 4003583901 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $22.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.56 | f | |||||||
| 4003584101 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $17.89 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.11 | f | |||||||
| 4003584401 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $43.64 | $.00 | $10.00 | $3.36 | $.00 | $.00 | $.00 | $68.00 | f | |||||||
| 4003584601 | DOE, J | 3 | 12/31-12/31/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $31.64 | $.00 | $10.00 | $2.06 | $.00 | $.00 | $.00 | $56.30 | f | |||||||
| 4003585101 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $61.00 | $.00 | $61.00 | $35.89 | $.00 | $10.00 | $.32 | $.00 | $.00 | $.00 | $14.79 | f | |||||||
| 4003585901 | DOE, J JR | s | 04/08-11/17/2003 | 123456789 | JACONDA JR | $104.00 | $104.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003586101 | DOE, J JR | s | 04/04-04/04/2003 | 123456789 | JACONDA JR | $83.00 | $83.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003586301 | DOE, J | s | 07/28-07/28/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $17.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.08 | f | |||||||
| 4003586401 | DOE, J | s | 07/28-07/28/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $30.60 | $.00 | $.00 | $4.44 | $.00 | $.00 | $.00 | $39.96 | f | |||||||
| 4003586501 | DOE, J | s | 08/27-09/09/2003 | 123456789 | PAT | $758.00 | $.00 | $758.00 | $96.50 | $.00 | $20.00 | $56.54 | $.00 | $.00 | $.00 | $584.96 | f | |||||||
| 4003586801 | DOE, J | s | 09/18-09/18/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $27.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $38.00 | f | |||||||
| 4003587001 | DOE, J | s | 09/29-09/29/2003 | 123456789 | PAT | $539.00 | $.00 | $539.00 | $195.00 | $.00 | $.00 | $34.40 | $.00 | $.00 | $.00 | $309.60 | f | |||||||
| 4003587201 | DOE, J | s | 12/15-12/15/2003 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $21.56 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.44 | f | |||||||
| 4003588101 | DOE, J | s | 12/09-12/09/2003 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $34.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $15.80 | f | |||||||
| 4003588301 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $7.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003588401 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | PAT | $266.00 | $266.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003588501 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $96.00 | $.00 | $96.00 | $28.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003588601 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $134.71 | $.00 | $.00 | $1.03 | $.00 | $.00 | $.00 | $9.26 | f | |||||||
| 4003588701 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $132.00 | $.00 | $132.00 | $57.00 | $.00 | $.00 | $15.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4003588801 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $63.14 | $.00 | $.00 | $4.38 | $.00 | $.00 | $.00 | $39.48 | f | |||||||
| 4003588901 | DOE, J | e | 11/06-11/06/2003 | 123456789 | PAT | $200.00 | $200.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003589701 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $68.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $62.00 | f | |||||||
| 4003590001 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $17.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $47.28 | f | |||||||
| 4003590101 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $220.50 | $9.50 | $211.00 | $90.89 | $.00 | $10.00 | $.44 | $.00 | $.00 | $.00 | $109.67 | f | |||||||
| 4003590301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.41 | $54.59 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003590401 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $94.31 | $.00 | $.00 | $9.07 | $.00 | $.00 | $.00 | $81.62 | f | |||||||
| 4003590701 | DOE, J | 4 | 01/20-01/20/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $11.29 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.71 | f | |||||||
| 4003590801 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $27.42 | $.00 | $10.00 | $1.37 | $.00 | $.00 | $.00 | $49.21 | f | |||||||
| 4003591201 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $14.38 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.62 | f | |||||||
| 4003591601 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $27.00 | $27.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003591801 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $48.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.00 | f | |||||||
| 4003591901 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $89.37 | $.00 | $89.37 | $26.71 | $.00 | $10.00 | $1.07 | $.00 | $.00 | $.00 | $51.59 | f | |||||||
| 4003592301 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $25.32 | $43.68 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003592401 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $69.00 | $69.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003592701 | DOE, J | e | 01/19-01/21/2004 | 123456789 | PAT | $555.00 | $.00 | $555.00 | $320.70 | $.00 | $.00 | $23.43 | $.00 | $.00 | $.00 | $210.87 | f | |||||||
| 4003592901 | DOE, J | e | 01/18-01/18/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $106.90 | $.00 | $.00 | $7.81 | $.00 | $.00 | $.00 | $70.29 | f | |||||||
| 4003593101 | DOE, J | e | 01/13-01/15/2004 | 123456789 | PAT | $435.00 | $.00 | $435.00 | $201.46 | $.00 | $.00 | $23.36 | $.00 | $.00 | $.00 | $210.18 | f | |||||||
| 4003593301 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $15.00 | $15.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003593401 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $13.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.61 | f | |||||||
| 4003593501 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $90.00 | $10.00 | $80.00 | $38.93 | $.00 | $10.00 | $.80 | $.00 | $.00 | $.00 | $30.27 | f | |||||||
| 4003593701 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $172.00 | $15.00 | $157.00 | $96.41 | $.00 | $10.00 | $.85 | $.00 | $.00 | $.00 | $49.74 | f | |||||||
| 4003593801 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $128.00 | $.00 | $128.00 | $24.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $93.24 | f | |||||||
| 4003594001 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $128.00 | $.00 | $128.00 | $24.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $93.24 | f | |||||||
| 4003594101 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $61.11 | $.00 | $10.00 | $1.00 | $.00 | $.00 | $.00 | $147.89 | f | |||||||
| 4003594201 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $151.00 | $.00 | $151.00 | $108.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.73 | f | |||||||
| 4003594301 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $41.70 | $.00 | $.00 | $11.83 | $.00 | $.00 | $.00 | $106.47 | f | |||||||
| 4003594601 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $510.00 | $.00 | $510.00 | $240.74 | $.00 | $10.00 | $10.90 | $.00 | $.00 | $.00 | $248.36 | f | |||||||
| 4003594801 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $40.49 | $.00 | $.00 | $9.90 | $.00 | $.00 | $.00 | $39.61 | f | |||||||
| 4003595301 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $70.04 | $25.12 | $.00 | $8.97 | $.00 | $.00 | $.00 | $35.87 | f | |||||||
| 4003595501 | DOE, J | 3 | 12/12-12/12/2003 | 123456789 | PAT | $273.00 | $.00 | $273.00 | $224.06 | $.00 | $.00 | $4.89 | $.00 | $.00 | $.00 | $44.05 | f | |||||||
| 4003596601 | DOE, J | e | 12/17-12/17/2003 | 123456789 | PAT | $235.00 | $.00 | $235.00 | $102.94 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $132.06 | f | |||||||
| 4003597801 | DOE, J SR | s | 01/23-01/23/2004 | 123456789 | PAT | $150.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003598301 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $31.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $67.68 | f | |||||||
| 4003598601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $40.64 | $.00 | $10.00 | $11.64 | $.00 | $.00 | $.00 | $142.72 | f | |||||||
| 4003598701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $52.95 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $72.05 | f | |||||||
| 4003598901 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $733.50 | $85.04 | $648.46 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $648.46 | f | |||||||
| 4003599201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $2.50 | $.00 | $.00 | $.00 | $22.50 | f | |||||||
| 4003599301 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $1,450.00 | $.00 | $1,450.00 | $.00 | $.00 | $.00 | $145.00 | $.00 | $.00 | $.00 | $1,305.00 | f | |||||||
| 4003599401 | DOE, J | e | 12/10-12/10/2003 | 123456789 | PAT | $48.92 | $.00 | $48.92 | $.00 | $48.92 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003599601 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $725.75 | $725.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003600001 | DOE, J | 2 | 12/18-12/18/2003 | 123456789 | PAT | $508.20 | $.00 | $508.20 | $152.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $345.74 | f | |||||||
| 4003600401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $3,000.00 | $3,000.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003600402 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $3,000.00 | $.00 | $3,000.00 | $2,439.00 | $.00 | $.00 | $56.10 | $.00 | $.00 | $.00 | $504.90 | f | |||||||
| 4003601701 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $1,285.00 | $.00 | $1,285.00 | $558.97 | $.00 | $.00 | $72.60 | $.00 | $.00 | $.00 | $653.43 | f | |||||||
| 4003605801 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $272.00 | $272.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003607701 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $5.25 | $.00 | $.00 | $2.97 | $.00 | $.00 | $.00 | $26.78 | f | |||||||
| 4003611701 | DOE, J | 2 | 01/30-01/30/2004 | 123456789 | PAT | $50.98 | $.00 | $50.98 | $6.67 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.31 | f | |||||||
| 4003612501 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $218.00 | $218.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003612801 | DOE, J JR | e | 01/29-01/29/2004 | 123456789 | ALFRED JR | $70.00 | $.00 | $70.00 | $29.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $31.00 | f | |||||||
| 4003616601 | DOE, J IV | 2 | 10/10-10/10/2003 | 123456789 | PAT | $137.00 | $137.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003617101 | DOE, J IV | 1 | 10/13-10/13/2003 | 123456789 | WILLIAM V | $315.00 | $315.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003617801 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $900.00 | $.00 | $900.00 | $420.00 | $.00 | $.00 | $48.00 | $.00 | $.00 | $.00 | $432.00 | f | |||||||
| 4003618401 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $1,325.00 | $.00 | $1,325.00 | $650.31 | $.00 | $.00 | $67.47 | $.00 | $.00 | $.00 | $607.22 | f | |||||||
| 4003618601 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $68.76 | $.00 | $10.00 | $1.59 | $.00 | $.00 | $.00 | $86.65 | f | |||||||
| 4003618801 | DOE, J | s | 07/05-07/05/2003 | 123456789 | PAT | $204.00 | $.00 | $204.00 | $106.06 | $.00 | $.00 | $9.79 | $.00 | $.00 | $.00 | $88.15 | f | |||||||
| 4003619201 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $81.64 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $118.36 | f | |||||||
| 4003619501 | DOE, J | 1 | 01/14-01/14/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $19.96 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.04 | f | |||||||
| 4003619801 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $1,891.00 | $.00 | $1,891.00 | $973.17 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $917.83 | f | |||||||
| 4003620201 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.70 | f | |||||||
| 4003621201 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $326.00 | $.00 | $326.00 | $100.63 | $85.00 | $10.00 | $3.56 | $.00 | $.00 | $.00 | $126.81 | f | |||||||
| 4003621701 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $151.00 | $.00 | $151.00 | $133.48 | $.00 | $.00 | $1.75 | $.00 | $.00 | $.00 | $15.77 | f | |||||||
| 4003622501 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $485.00 | $.00 | $485.00 | $52.73 | $10.00 | $.00 | $42.23 | $.00 | $.00 | $.00 | $380.04 | f | |||||||
| 4003622601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $30.08 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $44.92 | f | |||||||
| 4003623001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $22.59 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.41 | f | |||||||
| 4003623201 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $3.80 | $34.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003623601 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $18.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003623801 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $47.91 | $.00 | $10.00 | $1.43 | $.00 | $.00 | $.00 | $50.66 | f | |||||||
| 4003623901 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $24.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.14 | f | |||||||
| 4003624201 | DOE, J | 1 | 01/25-01/25/2004 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $43.97 | $.00 | $10.00 | $1.69 | $.00 | $.00 | $.00 | $104.34 | f | |||||||
| 4003624501 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $401.00 | $.00 | $401.00 | $174.46 | $.00 | $10.00 | $1.30 | $.00 | $.00 | $.00 | $215.24 | f | |||||||
| 4003625001 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $432.00 | $.00 | $432.00 | $115.76 | $.00 | $10.00 | $21.17 | $.00 | $.00 | $.00 | $285.07 | f | |||||||
| 4003625201 | DOE, J JR | s | 01/20-01/20/2004 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $56.04 | $.00 | $10.00 | $9.93 | $.00 | $.00 | $.00 | $149.03 | f | |||||||
| 4003625401 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $59.00 | $.00 | $59.00 | $21.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.56 | f | |||||||
| 4003625501 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $409.00 | $.00 | $409.00 | $154.15 | $.00 | $10.00 | $16.00 | $.00 | $.00 | $.00 | $228.85 | f | |||||||
| 4003625801 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $12.30 | $.00 | $.00 | $2.87 | $.00 | $.00 | $.00 | $25.83 | f | |||||||
| 4003633401 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $172.00 | $.00 | $172.00 | $68.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $93.24 | f | |||||||
| 4003633901 | DOE, J JR | 1 | 10/13-10/17/2003 | 123456789 | PAT | $695.00 | $.00 | $695.00 | $277.96 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $417.04 | f | |||||||
| 4003634301 | DOE, J JR | 1 | 10/28-10/28/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $41.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.74 | f | |||||||
| 4003634501 | DOE, J JR | 1 | 10/25-10/25/2003 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $41.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.74 | f | |||||||
| 4003635001 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $78.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $86.61 | f | |||||||
| 4003635201 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $27.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.25 | f | |||||||
| 4003635801 | DOE, J | e | 10/13-10/13/2003 | 123456789 | PAT | $375.00 | $.00 | $375.00 | $348.90 | $.00 | $.00 | $2.60 | $.00 | $.00 | $.00 | $23.50 | f | |||||||
| 4003636301 | DOE, J SR | 1 | 01/22-01/22/2004 | 123456789 | PAT | $71.00 | $.00 | $71.00 | $67.20 | $.00 | $.00 | $.38 | $.00 | $.00 | $.00 | $3.42 | f | |||||||
| 4003636501 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $82.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.25 | f | |||||||
| 4003637501 | DOE, J | s | 01/20-01/20/2004 | 123456789 | MARIA DEL REFUGI | $45.00 | $.00 | $45.00 | $13.03 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $21.97 | f | |||||||
| 4003637801 | DOE, J | 1 | 09/30-09/30/2003 | 123456789 | PAT | $540.00 | $.00 | $540.00 | $130.00 | $170.00 | $.00 | $32.00 | $.00 | $.00 | $.00 | $208.00 | f | |||||||
| 4003644201 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $12.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003645901 | DOE, J | s | 12/13-12/13/2003 | 123456789 | PAT | $511.00 | $.00 | $511.00 | $318.42 | $.00 | $13.98 | $17.86 | $.00 | $.00 | $.00 | $160.74 | f | |||||||
| 4003646601 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $139.00 | $10.00 | $129.00 | $18.10 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $100.90 | f | |||||||
| 4003646801 | DOE, J | s | 09/11-09/11/2003 | 123456789 | PAT | $285.00 | $82.36 | $202.64 | $.00 | $.00 | $10.00 | $8.13 | $.00 | $140.42 | $.00 | $44.09 | f | |||||||
| 4003647801 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $70.04 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $69.96 | f | |||||||
| 4003648501 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $70.04 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $69.96 | f | |||||||
| 4003649801 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $137.00 | $.00 | $.00 | $.50 | $.00 | $.00 | $.00 | $4.50 | f | |||||||
| 4003650001 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $2,039.75 | $.00 | $2,039.75 | $887.29 | $250.00 | $.00 | $90.24 | $.00 | $.00 | $.00 | $812.22 | f | |||||||
| 4003650401 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $4,180.50 | $.00 | $4,180.50 | $1,818.52 | $250.00 | $.00 | $211.20 | $.00 | $.00 | $.00 | $1,900.78 | f | |||||||
| 4003650901 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $2,953.75 | $.00 | $2,953.75 | $886.20 | $250.00 | $.00 | $181.75 | $.00 | $.00 | $.00 | $1,635.80 | f | |||||||
| 4003651101 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $2,140.35 | $.00 | $2,140.35 | $642.10 | $.00 | $.00 | $149.82 | $.00 | $.00 | $.00 | $1,348.43 | f | |||||||
| 4003651301 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $268.80 | $.00 | $268.80 | $80.64 | $188.16 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003653001 | DOE, J | s | 06/19-06/19/2003 | 123456789 | PAT | $725.00 | $725.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003654001 | DOE, J | e | 09/19-09/19/2003 | 123456789 | PAT | $411.50 | $411.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003654401 | DOE, J | s | 06/07-06/07/2003 | 123456789 | PAT | $497.00 | $497.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003654701 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $236.00 | $.00 | $236.00 | $.00 | $186.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003655301 | DOE, J | s | 01/25-01/25/2004 | 123456789 | PAT | $1,461.36 | $.00 | $1,461.36 | $1,161.36 | $250.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003655601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | TAMICA L | $92.50 | $.00 | $92.50 | $40.24 | $2.26 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003655901 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $325.00 | $325.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003656301 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $2,173.00 | $2,173.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003656601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $19.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $78.40 | f | |||||||
| 4003656901 | DOE, J | e | 12/29-12/30/2003 | 123456789 | PAT | $2,735.71 | $.00 | $2,735.71 | $2,385.71 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $350.00 | f | |||||||
| 4003657001 | DOE, J | e | 10/28-10/28/2003 | 123456789 | PAT | $207.00 | $.00 | $207.00 | $41.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $165.60 | f | |||||||
| 4003657201 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $74.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003657501 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $530.25 | $.00 | $530.25 | $79.53 | $250.00 | $.00 | $20.07 | $.00 | $.00 | $.00 | $180.65 | f | |||||||
| 4003663201 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $120.00 | $120.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003663601 | DOE, J JR. | s | 01/27-01/27/2004 | 123456789 | PAT | $232.59 | $.00 | $232.59 | $172.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.48 | f | |||||||
| 4003664201 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $174.00 | $.00 | $174.00 | $114.19 | $.00 | $.00 | $5.98 | $.00 | $.00 | $.00 | $53.83 | f | |||||||
| 4003666501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $193.15 | $.00 | $193.15 | $21.51 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $161.64 | f | |||||||
| 4003666901 | DOE, J | s | 01/04-01/04/2004 | 123456789 | PAT | $34.00 | $34.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003667001 | DOE, J | e | 12/19-12/19/2003 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003667701 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $23.00 | $.00 | $23.00 | $6.94 | $.00 | $.00 | $1.61 | $.00 | $.00 | $.00 | $14.45 | f | |||||||
| 4003667901 | DOE, J | e | 09/28-09/28/2003 | 123456789 | PAT | $455.00 | $.00 | $455.00 | $263.48 | $.00 | $.00 | $19.15 | $.00 | $.00 | $.00 | $172.37 | f | |||||||
| 4003677001 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $205.00 | $205.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003677101 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $.00 | $35.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003677201 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $32.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.75 | f | |||||||
| 4003677301 | DOE, J SR | 1 | 01/22-01/22/2004 | 123456789 | PAT | $320.00 | $.00 | $320.00 | $116.88 | $28.25 | $10.00 | $.30 | $.00 | $.00 | $.00 | $164.57 | f | |||||||
| 4003677501 | DOE, J | s | 11/12-11/12/2003 | 123456789 | PAT | $101.00 | $81.75 | $19.25 | $10.00 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.33 | f | |||||||
| 4003677901 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.70 | f | |||||||
| 4003678101 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $4.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.70 | f | |||||||
| 4003678201 | DOE, J | e | 09/10-09/10/2003 | 123456789 | PAT | $260.00 | $260.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003678401 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $253.60 | $.00 | $253.60 | $222.99 | $.00 | $.00 | $3.06 | $.00 | $.00 | $.00 | $27.55 | f | |||||||
| 4003678501 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $253.60 | $253.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003678601 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $45.50 | $.00 | $45.50 | $4.55 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $40.95 | f | |||||||
| 4003678701 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $107.00 | $.00 | $107.00 | $10.70 | $.00 | $.00 | $9.63 | $.00 | $.00 | $.00 | $86.67 | f | |||||||
| 4003678801 | DOE, J | s | 07/25-07/25/2003 | 123456789 | PAT | $70.50 | $.00 | $70.50 | $59.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.00 | f | |||||||
| 4003678901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $5.06 | $.00 | $.00 | $1.49 | $.00 | $.00 | $.00 | $13.45 | f | |||||||
| 4003679001 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $31.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.58 | f | |||||||
| 4003679101 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $26.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.58 | f | |||||||
| 4003679301 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $318.18 | $.00 | $318.18 | $142.38 | $175.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003679601 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $525.00 | $.00 | $525.00 | $317.84 | $.00 | $.00 | $20.71 | $.00 | $.00 | $.00 | $186.45 | f | |||||||
| 4003679701 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $322.85 | $184.53 | $138.32 | $117.01 | $.00 | $.00 | $2.13 | $.00 | $.00 | $.00 | $19.18 | f | |||||||
| 4003679801 | DOE, J | s | 05/02-05/02/2003 | 123456789 | PAT | $440.00 | $440.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003680001 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $3,800.00 | $.00 | $3,800.00 | $2,141.74 | $.00 | $.00 | $54.23 | $.00 | $.00 | $.00 | $1,604.03 | f | |||||||
| 4003680101 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $163.00 | $163.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003680401 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | PAT | $59.00 | $.00 | $59.00 | $26.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.00 | f | |||||||
| 4003680501 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $33.87 | $.00 | $.00 | $.91 | $.00 | $.00 | $.00 | $8.22 | f | |||||||
| 4003680901 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $157.00 | $157.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003681001 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $85.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $110.00 | f | |||||||
| 4003681201 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $32.00 | $.00 | $32.00 | $19.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4003681401 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $47.25 | $.00 | $47.25 | $38.82 | $.00 | $.00 | $.84 | $.00 | $.00 | $.00 | $7.59 | f | |||||||
| 4003681701 | DOE, J | e | 01/11-01/11/2004 | 123456789 | PAT | $32.00 | $.00 | $32.00 | $19.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4003681801 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $32.00 | $.00 | $32.00 | $19.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $12.50 | f | |||||||
| 4003681901 | DOE, J | 1 | 01/01-01/01/2004 | 123456789 | PAT | $431.83 | $.00 | $431.83 | $279.01 | $.00 | $.00 | $30.56 | $.00 | $.00 | $.00 | $122.26 | f | |||||||
| 4003682201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $219.00 | $.00 | $219.00 | $132.22 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $86.78 | f | |||||||
| 4003682401 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $225.00 | $12.00 | $213.00 | $95.31 | $.00 | $10.00 | $1.30 | $.00 | $.00 | $.00 | $106.39 | f | |||||||
| 4003682501 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $340.50 | $.00 | $340.50 | $144.07 | $.00 | $.00 | $39.29 | $.00 | $.00 | $.00 | $157.14 | f | |||||||
| 4003682801 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $32.62 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $107.38 | f | |||||||
| 4003682901 | DOE, J | 1 | 11/04-11/04/2003 | 123456789 | PAT | $21.16 | $21.16 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003683201 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $42.73 | $.00 | $42.73 | $25.61 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $7.12 | f | |||||||
| 4003683601 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $93.00 | $.00 | $93.00 | $29.41 | $.00 | $.00 | $6.35 | $.00 | $.00 | $.00 | $57.24 | f | |||||||
| 4003683801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $28.31 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $99.19 | f | |||||||
| 4003684301 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $94.00 | $.00 | $.00 | $1.50 | $.00 | $.00 | $.00 | $13.50 | f | |||||||
| 4003684601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $21.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $93.24 | f | |||||||
| 4003684801 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $3,300.00 | $.00 | $3,300.00 | $825.00 | $250.00 | $100.00 | $637.50 | $.00 | $.00 | $.00 | $1,487.50 | f | |||||||
| 4003685001 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $229.00 | $.00 | $229.00 | $62.76 | $.00 | $10.00 | $4.04 | $.00 | $.00 | $.00 | $152.20 | f | |||||||
| 4003685201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $545.00 | $.00 | $545.00 | $279.30 | $.00 | $.00 | $26.57 | $.00 | $.00 | $.00 | $239.13 | f | |||||||
| 4003685501 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $21.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4003685801 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $76.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $203.54 | f | |||||||
| 4003685901 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $5.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $54.54 | f | |||||||
| 4003686001 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $155.00 | f | |||||||
| 4003686101 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $545.00 | $545.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003686301 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $9.21 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.79 | f | |||||||
| 4003686401 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $29.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.14 | f | |||||||
| 4003686601 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $13,086.75 | $.00 | $13,086.75 | $11,761.75 | $.00 | $.00 | $132.50 | $.00 | $.00 | $.00 | $1,192.50 | f | |||||||
| 4003686701 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $327.00 | $.00 | $327.00 | $143.30 | $.00 | $.00 | $18.37 | $.00 | $.00 | $.00 | $165.33 | f | |||||||
| 4003686901 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $40.49 | $.00 | $.00 | $9.90 | $.00 | $.00 | $.00 | $39.61 | f | |||||||
| 4003687301 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $143.00 | $.00 | $143.00 | $64.82 | $.00 | $10.00 | $2.65 | $.00 | $.00 | $.00 | $65.53 | f | |||||||
| 4003687701 | DOE, J | e | 05/15-05/15/2003 | 123456789 | PAT | $79.80 | $.00 | $79.80 | $70.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.45 | f | |||||||
| 4003687801 | DOE, J | e | 08/13-08/13/2003 | 123456789 | PAT | $604.39 | $.00 | $604.39 | $547.29 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $57.10 | f | |||||||
| 4003688101 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $516.00 | $.00 | $516.00 | $443.65 | $.00 | $.00 | $7.20 | $.00 | $.00 | $.00 | $65.15 | f | |||||||
| 4003688301 | DOE, J | e | 08/20-08/20/2003 | 123456789 | PAT | $190.80 | $.00 | $190.80 | $178.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.95 | f | |||||||
| 4003688401 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $44.00 | $.00 | $44.00 | $23.20 | $.00 | $.00 | $17.38 | $.00 | $.00 | $.00 | $3.42 | f | |||||||
| 4003688801 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $61.00 | $.00 | $61.00 | $19.14 | $.00 | $.00 | $8.37 | $.00 | $.00 | $.00 | $33.49 | f | |||||||
| 4003689101 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $525.00 | $.00 | $525.00 | $88.03 | $250.00 | $.00 | $18.70 | $.00 | $.00 | $.00 | $168.27 | f | |||||||
| 4003689401 | DOE, J | 2 | 01/16-01/16/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003689501 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $76.00 | $.00 | $76.00 | $11.87 | $.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $44.13 | f | |||||||
| 4003689901 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $6.48 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $8.52 | f | |||||||
| 4003690001 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $15.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $24.89 | f | |||||||
| 4003690201 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $15.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $24.89 | f | |||||||
| 4003690301 | DOE, J | e | 11/26-11/26/2003 | 123456789 | PAT | $2,304.00 | $2,304.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003690701 | DOE, J | e | 11/26-11/26/2003 | 123456789 | PAT | $4,907.00 | $4,907.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003691701 | DOE, J | e | 11/05-11/26/2003 | 123456789 | PAT | $28.00 | $28.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003692201 | DOE, J | e | 09/17-09/24/2003 | 123456789 | PAT | $14.00 | $.00 | $14.00 | $11.82 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2.18 | f | |||||||
| 4003692501 | DOE, J | e | 01/07-01/07/2004 | 123456789 | PAT | $2,906.00 | $.00 | $2,906.00 | $1,608.25 | $139.88 | $.00 | $115.79 | $.00 | $.00 | $.00 | $1,042.08 | f | |||||||
| 4003692701 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $2,704.00 | $.00 | $2,704.00 | $1,456.43 | $.00 | $.00 | $124.76 | $.00 | $.00 | $.00 | $1,122.81 | f | |||||||
| 4003692901 | DOE, J | 4 | 01/15-01/15/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $7.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.50 | f | |||||||
| 4003693201 | DOE, J | 4 | 01/15-01/15/2004 | 123456789 | PAT | $71.00 | $.00 | $71.00 | $7.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $63.90 | f | |||||||
| 4003693301 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $57.00 | $.00 | $57.00 | $14.20 | $.00 | $10.00 | $.52 | $.00 | $.00 | $.00 | $32.28 | f | |||||||
| 4003695001 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003696001 | DOE, J | 2 | 12/22-12/22/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $17.64 | $.00 | $.00 | $3.73 | $.00 | $.00 | $.00 | $33.63 | f | |||||||
| 4003696201 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $31.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.00 | f | |||||||
| 4003696301 | DOE, J | s | 08/21-08/21/2003 | 123456789 | PAT | $320.00 | $.00 | $320.00 | $244.83 | $.00 | $.00 | $7.51 | $.00 | $.00 | $.00 | $67.66 | f | |||||||
| 4003696501 | DOE, J | s | 09/05-09/05/2003 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $21.41 | $.00 | $.00 | $1.26 | $.00 | $.00 | $.00 | $11.33 | f | |||||||
| 4003696801 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003697401 | DOE, J | e | 07/25-09/26/2003 | 123456789 | PAT | $1,000.00 | $1,000.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003697901 | DOE, J | e | 12/08-12/08/2003 | 123456789 | PAT | $99.00 | $.00 | $99.00 | $11.92 | $.00 | $10.00 | $2.01 | $.00 | $.00 | $.00 | $75.07 | f | |||||||
| 4003698101 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $39.00 | $.00 | $39.00 | $14.94 | $24.06 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003698301 | DOE, J | e | 04/25-06/27/2003 | 123456789 | PAT | $2,160.00 | $2,160.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003698801 | DOE, J | 3 | 01/23-01/23/2004 | 123456789 | PAT | $216.00 | $13.00 | $203.00 | $22.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $181.00 | f | |||||||
| 4003699001 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $930.00 | $.00 | $930.00 | $344.59 | $.00 | $10.00 | $45.62 | $.00 | $.00 | $.00 | $529.79 | f | |||||||
| 4003699401 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $233.00 | $.00 | $233.00 | $81.15 | $84.73 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003699501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $84.00 | $12.00 | $72.00 | $33.48 | $.00 | $10.00 | $1.50 | $.00 | $.00 | $.00 | $27.02 | f | |||||||
| 4003699601 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $8.02 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $106.98 | f | |||||||
| 4003699701 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $131.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58.35 | f | |||||||
| 4003699801 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $274.00 | $.00 | $274.00 | $145.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $128.70 | f | |||||||
| 4003700201 | DOE, J | s | 01/18-01/19/2004 | 123456789 | PAT | $12,445.50 | $12,445.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003700401 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $304.00 | $.00 | $304.00 | $87.56 | $.00 | $.00 | $21.65 | $.00 | $.00 | $.00 | $194.79 | f | |||||||
| 4003700501 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $2.00 | $.00 | $.00 | $1.80 | $.00 | $.00 | $.00 | $16.20 | f | |||||||
| 4003700601 | DOE, J | e | 10/22-10/22/2003 | 123456789 | PAT | $381.00 | $.00 | $381.00 | $220.94 | $.00 | $10.00 | $4.27 | $.00 | $.00 | $.00 | $145.79 | f | |||||||
| 4003700701 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $24.99 | $.00 | $10.00 | $.21 | $.00 | $.00 | $.00 | $69.80 | f | |||||||
| 4003700801 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $43.63 | $43.63 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003700901 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $43.63 | $43.63 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003701301 | DOE, J | 2 | 01/08-01/08/2004 | 123456789 | PAT | $322.00 | $.00 | $322.00 | $211.73 | $.00 | $.00 | $11.03 | $.00 | $.00 | $.00 | $99.24 | f | |||||||
| 4003701501 | DOE, J | 2 | 01/07-01/07/2004 | 123456789 | PAT | $49.00 | $.00 | $49.00 | $34.90 | $.00 | $.00 | $1.41 | $.00 | $.00 | $.00 | $12.69 | f | |||||||
| 4003701801 | DOE, J | 2 | 12/26-12/26/2003 | 123456789 | PAT | $202.00 | $.00 | $202.00 | $136.60 | $.00 | $.00 | $6.54 | $.00 | $.00 | $.00 | $58.86 | f | |||||||
| 4003702001 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $60.07 | $.00 | $.00 | $4.19 | $.00 | $.00 | $.00 | $37.74 | f | |||||||
| 4003702101 | DOE, J | e | 12/19-12/19/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $18.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.57 | f | |||||||
| 4003702201 | DOE, J | e | 12/12-12/12/2003 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $18.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.57 | f | |||||||
| 4003703301 | DOE, J | s | 07/02-07/02/2003 | 123456789 | PAT | $126.00 | $126.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003704101 | DOE, J | s | 10/16-10/16/2003 | 123456789 | PAT | $160.00 | $95.00 | $65.00 | $.00 | $.00 | $.00 | $6.50 | $.00 | $.00 | $.00 | $58.50 | f | |||||||
| 4003706301 | DOE, J.G. JR | s | 01/16-01/16/2004 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003706701 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $22.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4003707201 | DOE, J | 1 | 02/02-02/02/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $7.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003711501 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | REBBECCA M | $96.75 | $.00 | $96.75 | $.00 | $96.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003713701 | DOE, J | e | 02/21-02/21/2003 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $8.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4003716801 | DOE, J | e | 11/04-11/04/2003 | 123456789 | PAT | $118.70 | $.00 | $118.70 | $91.57 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $27.13 | f | |||||||
| 4003717301 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $142.70 | $.00 | $142.70 | $111.10 | $.00 | $.00 | $3.15 | $.00 | $.00 | $.00 | $28.45 | f | |||||||
| 4003717701 | DOE, J | e | 06/26-06/26/2003 | 123456789 | PAT | $34.29 | $.00 | $34.29 | $25.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $8.50 | f | |||||||
| 4003717901 | DOE, J | e | 08/13-08/13/2003 | 123456789 | PAT | $118.70 | $.00 | $118.70 | $91.57 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $27.13 | f | |||||||
| 4003718701 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $13.00 | $.00 | $13.00 | $9.46 | $.00 | $.00 | $.35 | $.00 | $.00 | $.00 | $3.19 | f | |||||||
| 4003718901 | DOE, J | 1 | 11/10-11/10/2003 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $21.13 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.87 | f | |||||||
| 4003719401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $325.00 | $.00 | $325.00 | $215.00 | $.00 | $10.00 | $4.95 | $.00 | $.00 | $.00 | $95.05 | f | |||||||
| 4003719901 | DOE, J | 4 | 01/06-01/15/2004 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $92.00 | $88.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003720201 | DOE, J | 4 | 01/06-01/06/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $65.00 | $73.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003720601 | DOE, J | s | 01/03-01/03/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $16.21 | $.00 | $.00 | $1.38 | $.00 | $.00 | $.00 | $12.41 | f | |||||||
| 4003721101 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $108.00 | $.00 | $108.00 | $41.13 | $66.87 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003721501 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $42.24 | $75.76 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003721901 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $108.00 | $20.00 | $88.00 | $30.18 | $29.11 | $.00 | $5.74 | $.00 | $.00 | $.00 | $22.97 | f | |||||||
| 4003722201 | DOE, J | s | 11/03-11/03/2003 | 123456789 | PAT | $259.80 | $.00 | $259.80 | $225.10 | $.00 | $.00 | $3.46 | $.00 | $.00 | $.00 | $31.24 | f | |||||||
| 4003722601 | DOE, J | e | 10/01-10/01/2003 | 123456789 | PAT | $136.50 | $.00 | $136.50 | $76.58 | $.00 | $.00 | $5.99 | $.00 | $.00 | $.00 | $53.93 | f | |||||||
| 4003722801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $442.00 | $.00 | $442.00 | $362.00 | $.00 | $.00 | $8.00 | $.00 | $.00 | $.00 | $72.00 | f | |||||||
| 4003723001 | DOE, J | e | 12/10-12/10/2003 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $8.66 | $.00 | $.00 | $3.23 | $.00 | $.00 | $.00 | $29.11 | f | |||||||
| 4003723101 | DOE, J | e | 01/31-01/31/2004 | 123456789 | PAT | $129.10 | $.00 | $129.10 | $110.60 | $.00 | $.00 | $1.84 | $.00 | $.00 | $.00 | $16.66 | f | |||||||
| 4003723401 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $119.00 | $.00 | $119.00 | $69.28 | $.00 | $.00 | $4.97 | $.00 | $.00 | $.00 | $44.75 | f | |||||||
| 4003724401 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $44.75 | $.00 | $10.00 | $2.87 | $.00 | $.00 | $.00 | $109.38 | f | |||||||
| 4003724901 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $81.00 | $.00 | $81.00 | $21.08 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.92 | f | |||||||
| 4003725301 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $9.14 | $.00 | $.00 | $3.89 | $.00 | $.00 | $.00 | $34.97 | f | |||||||
| 4003725801 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $119.75 | $.00 | $119.75 | $29.94 | $.00 | $.00 | $8.98 | $.00 | $.00 | $.00 | $80.83 | f | |||||||
| 4003725901 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $166.00 | $.00 | $166.00 | $34.23 | $.00 | $10.00 | $3.93 | $.00 | $.00 | $.00 | $117.84 | f | |||||||
| 4003726201 | DOE, J | 2 | 01/19-01/20/2004 | 123456789 | PAT | $2,552.00 | $.00 | $2,552.00 | $382.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2,169.20 | f | |||||||
| 4003726601 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $128.00 | $.00 | $128.00 | $41.06 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.94 | f | |||||||
| 4003726801 | DOE, J | 2 | 01/17-01/17/2004 | 123456789 | PAT | $1,197.00 | $.00 | $1,197.00 | $179.55 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,017.45 | f | |||||||
| 4003727201 | DOE, J | 2 | 01/17-01/17/2004 | 123456789 | PAT | $2,763.00 | $.00 | $2,763.00 | $414.45 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2,348.55 | f | |||||||
| 4003727501 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $110.21 | $.00 | $10.00 | $3.71 | $.00 | $.00 | $.00 | $44.08 | f | |||||||
| 4003727701 | DOE, J | 2 | 01/18-01/18/2004 | 123456789 | PAT | $2,196.00 | $.00 | $2,196.00 | $329.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,866.60 | f | |||||||
| 4003728001 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $15.87 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.13 | f | |||||||
| 4003728301 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $43.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4003728701 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $508.00 | $.00 | $508.00 | $305.70 | $.00 | $.00 | $20.23 | $.00 | $.00 | $.00 | $182.07 | f | |||||||
| 4003729001 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $59.58 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $34.42 | f | |||||||
| 4003729701 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $.00 | $.00 | $.00 | $32.80 | $.00 | $.00 | $.00 | $49.20 | f | |||||||
| 4003730301 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $39.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4003730401 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $113.00 | $.00 | $113.00 | $43.62 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $58.88 | f | |||||||
| 4003730501 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $115.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $59.50 | f | |||||||
| 4003730601 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $9.37 | $.00 | $10.00 | $2.44 | $.00 | $.00 | $.00 | $78.19 | f | |||||||
| 4003730701 | DOE, J | s | 01/11-01/11/2004 | 123456789 | PAT | $285.00 | $.00 | $285.00 | $154.35 | $.00 | $10.00 | $2.98 | $.00 | $.00 | $.00 | $117.67 | f | |||||||
| 4003731001 | DOE, J | s | 10/30-10/30/2003 | 123456789 | PAT | $90.05 | $.00 | $90.05 | $22.51 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $67.54 | f | |||||||
| 4003731401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $10.00 | $42.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003731501 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $64.08 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.92 | f | |||||||
| 4003731701 | DOE, J | 4 | 01/15-01/15/2004 | 123456789 | PAT | $129.10 | $.00 | $129.10 | $12.91 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $116.19 | f | |||||||
| 4003731901 | DOE, J | 4 | 01/15-01/15/2004 | 123456789 | PAT | $99.00 | $.00 | $99.00 | $9.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $79.10 | f | |||||||
| 4003732101 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $57.12 | $.00 | $10.00 | $4.29 | $.00 | $.00 | $.00 | $73.59 | f | |||||||
| 4003732401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $485.00 | $.00 | $485.00 | $281.60 | $.00 | $10.00 | $13.19 | $.00 | $.00 | $.00 | $180.21 | f | |||||||
| 4003732601 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $22.98 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $33.02 | f | |||||||
| 4003733101 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | FRANK III | $160.00 | $.00 | $160.00 | $46.95 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $103.05 | f | |||||||
| 4003733301 | DOE, J | 3 | 01/22-01/22/2004 | 123456789 | PAT | $210.00 | $50.00 | $160.00 | $22.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $127.57 | f | |||||||
| 4003734201 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | PAT | $2,643.00 | $.00 | $2,643.00 | $2,008.55 | $.00 | $.00 | $63.45 | $.00 | $.00 | $.00 | $571.00 | f | |||||||
| 4003735501 | DOE, J | 4 | 01/12-01/12/2004 | 123456789 | PAT | $8.00 | $8.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003735601 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $535.00 | $.00 | $535.00 | $198.55 | $.00 | $.00 | $33.64 | $.00 | $.00 | $.00 | $302.81 | f | |||||||
| 4003735901 | DOE, J JR | s | 01/29-01/29/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $42.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $62.53 | f | |||||||
| 4003736101 | DOE, J | e | 09/17-09/17/2003 | 123456789 | PAT | $370.00 | $.00 | $370.00 | $189.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $180.10 | f | |||||||
| 4003736601 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | DONALD JR | $125.00 | $.00 | $125.00 | $26.97 | $.00 | $10.00 | $.41 | $.00 | $.00 | $.00 | $87.62 | f | |||||||
| 4003736701 | DOE, J JR. | 1 | 01/22-01/22/2004 | 123456789 | PAT | $315.00 | $.00 | $315.00 | $172.95 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $132.05 | f | |||||||
| 4003736901 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $42.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.56 | f | |||||||
| 4003737101 | DOE, J | e | 01/22-01/23/2004 | 123456789 | PAT | $370.00 | $.00 | $370.00 | $213.80 | $.00 | $.00 | $15.62 | $.00 | $.00 | $.00 | $140.58 | f | |||||||
| 4003737301 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $16.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.58 | f | |||||||
| 4003737401 | DOE, J | 3 | 01/22-01/22/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $29.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.14 | f | |||||||
| 4003737601 | DOE, J | 2 | 08/04-08/04/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $39.96 | $.00 | $10.00 | $1.99 | $.00 | $.00 | $.00 | $73.05 | f | |||||||
| 4003737701 | DOE, J | 2 | 08/21-08/21/2003 | 123456789 | PAT | $535.00 | $55.00 | $480.00 | $214.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $255.25 | f | |||||||
| 4003737901 | DOE, J JR | s | 01/23-01/23/2004 | 123456789 | PAT | $185.00 | $185.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003738001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $16.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4003738101 | DOE, J | 3 | 01/23-01/23/2004 | 123456789 | PAT | $203.00 | $25.00 | $178.00 | $47.38 | $.00 | $10.00 | $2.60 | $.00 | $.00 | $.00 | $118.02 | f | |||||||
| 4003738301 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $25.45 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $14.55 | f | |||||||
| 4003738401 | DOE, J | s | 10/21-10/23/2003 | 123456789 | PAT | $190.00 | $150.00 | $40.00 | $20.00 | $.00 | $.00 | $4.00 | $.00 | $.00 | $.00 | $16.00 | f | |||||||
| 4003738501 | DOE, J JR | s | 12/09-12/09/2003 | 123456789 | PAT | $9.00 | $9.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003738801 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $147.51 | $.00 | $147.51 | $46.40 | $.00 | $.00 | $10.11 | $.00 | $.00 | $.00 | $91.00 | f | |||||||
| 4003738901 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $29.00 | $.00 | $29.00 | $14.84 | $.00 | $.00 | $1.42 | $.00 | $.00 | $.00 | $12.74 | f | |||||||
| 4003739001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $42.85 | $42.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003739201 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $693.00 | $.00 | $693.00 | $245.07 | $.00 | $.00 | $44.79 | $.00 | $.00 | $.00 | $403.14 | f | |||||||
| 4003739401 | DOE, J | s | 11/02-11/02/2003 | 123456789 | PAT | $143.00 | $28.00 | $115.00 | $.00 | $115.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003739501 | DOE, J | s | 11/17-11/19/2003 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $131.36 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $113.64 | f | |||||||
| 4003739601 | DOE, J | s | 11/21-11/24/2003 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $133.22 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $86.78 | f | |||||||
| 4003739801 | DOE, J | s | 11/24-12/02/2003 | 123456789 | PAT | $310.00 | $.00 | $310.00 | $190.66 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $119.34 | f | |||||||
| 4003739901 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $179.00 | $.00 | $179.00 | $46.75 | $.00 | $10.00 | $6.87 | $.00 | $.00 | $.00 | $115.38 | f | |||||||
| 4003740001 | DOE, J SR | e | 01/23-01/23/2004 | 123456789 | JOHNNY SR | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003740101 | DOE, J SR | s | 01/22-01/22/2004 | 123456789 | PAT | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003740501 | DOE, J | s | 12/02-12/05/2003 | 123456789 | PAT | $355.00 | $.00 | $355.00 | $217.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $137.30 | f | |||||||
| 4003740701 | DOE, J | s | 12/05-12/09/2003 | 123456789 | PAT | $375.00 | $.00 | $375.00 | $229.98 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $145.02 | f | |||||||
| 4003740801 | DOE, J | s | 12/11-12/18/2003 | 123456789 | PAT | $450.00 | $.00 | $450.00 | $277.37 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $172.63 | f | |||||||
| 4003740901 | DOE, J | s | 12/18-12/22/2003 | 123456789 | PAT | $375.00 | $.00 | $375.00 | $229.98 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $145.02 | f | |||||||
| 4003741101 | DOE, J | e | 01/21-01/23/2004 | 123456789 | PAT | $162.85 | $.00 | $162.85 | $7.27 | $2.66 | $.00 | $30.59 | $.00 | $.00 | $.00 | $122.33 | f | |||||||
| 4003741201 | DOE, J | s | 12/23-12/23/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $101.47 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $63.53 | f | |||||||
| 4003741301 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $261.00 | $.00 | $261.00 | $65.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $195.75 | f | |||||||
| 4003741501 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $190.00 | $110.80 | $79.20 | $.00 | $.00 | $10.00 | $.00 | $.00 | $35.36 | $.00 | $33.84 | f | |||||||
| 4003741601 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $6,722.00 | $.00 | $6,722.00 | $5,752.00 | $.00 | $.00 | $97.00 | $.00 | $.00 | $.00 | $873.00 | f | |||||||
| 4003741701 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $709.00 | $709.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003741801 | DOE, J | e | 08/12-08/12/2003 | 123456789 | PAT | $961.00 | $.00 | $961.00 | $288.30 | $184.96 | $50.00 | $43.77 | $.00 | $.00 | $.00 | $393.97 | f | |||||||
| 4003741901 | DOE, J | s | 11/08-11/09/2003 | 123456789 | PAT | $169.60 | $.00 | $169.60 | $25.44 | $.00 | $50.00 | $9.42 | $.00 | $.00 | $.00 | $84.74 | f | |||||||
| 4003742001 | DOE, J | 3 | 01/21-01/21/2004 | 123456789 | PAT | $2,139.00 | $.00 | $2,139.00 | $855.60 | $.00 | $.00 | $128.34 | $.00 | $.00 | $.00 | $1,155.06 | f | |||||||
| 4003743401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $6,300.00 | $.00 | $6,300.00 | $2,752.32 | $.00 | $.00 | $354.77 | $.00 | $.00 | $.00 | $3,192.91 | f | |||||||
| 4003744101 | DOE, J | s | 12/15-12/15/2003 | 123456789 | PAT | $150.00 | $37.58 | $112.42 | $.00 | $.00 | $10.00 | $.00 | $.00 | $102.42 | $.00 | $.00 | f | |||||||
| 4003744601 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $605.00 | $.00 | $605.00 | $.00 | $500.00 | $100.00 | $1.50 | $.00 | $.00 | $.00 | $3.50 | f | |||||||
| 4003748901 | DOE, J | s | 01/15-01/20/2004 | 123456789 | PAT | $9,053.06 | $.00 | $9,053.06 | $3,168.57 | $250.00 | $.00 | $563.45 | $.00 | $.00 | $.00 | $5,071.04 | f | |||||||
| 4003749101 | DOE, J | 1 | 07/31-07/31/2003 | 123456789 | PAT | $169.20 | $.00 | $169.20 | $28.77 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $140.43 | f | |||||||
| 4003749201 | DOE, J | 1 | 08/07-08/07/2003 | 123456789 | PAT | $112.80 | $.00 | $112.80 | $19.18 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $93.62 | f | |||||||
| 4003749501 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $1,076.14 | $.00 | $1,076.14 | $.00 | $52.91 | $100.00 | $276.97 | $.00 | $.00 | $.00 | $646.26 | f | |||||||
| 4003749801 | DOE, J | 1 | 01/17-01/19/2004 | 123456789 | MARCO A JR | $988.10 | $.00 | $988.10 | $538.10 | $250.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $180.00 | f | |||||||
| 4003750001 | DOE, J SR | s | 01/23-01/23/2004 | 123456789 | PAT | $49.39 | $49.39 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003750701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $64.60 | $.00 | $64.60 | $57.00 | $.00 | $.00 | $.76 | $.00 | $.00 | $.00 | $6.84 | f | |||||||
| 4003751001 | DOE, J | e | 01/05-01/26/2004 | 123456789 | PAT | $108.00 | $.00 | $108.00 | $36.36 | $.00 | $.00 | $7.16 | $.00 | $.00 | $.00 | $64.48 | f | |||||||
| 4003751101 | DOE, J | s | 10/31-11/04/2003 | 123456789 | PAT | $83,211.95 | $83,211.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003751102 | DOE, J | s | 10/31-11/04/2003 | 123456789 | PAT | $83,211.95 | $.00 | $83,211.95 | $24,963.58 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $58,248.37 | f | |||||||
| 4003751401 | DOE, J | e | 08/17-08/17/2003 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $83.36 | $.00 | $10.00 | $.80 | $.00 | $.00 | $.00 | $50.84 | f | |||||||
| 4003751701 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $4,984.00 | $2,988.30 | $1,995.70 | $838.02 | $.00 | $.00 | $115.77 | $.00 | $.00 | $.00 | $1,041.91 | f | |||||||
| 4003752101 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4003752301 | DOE, J SR | e | 11/25-11/25/2003 | 123456789 | JOHN SR | $1,120.00 | $.00 | $1,120.00 | $278.00 | $.00 | $.00 | $84.20 | $.00 | $.00 | $.00 | $757.80 | f | |||||||
| 4003752501 | DOE, J JR | s | 12/04-12/04/2003 | 123456789 | CATHLEEN D | $67.00 | $.00 | $67.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.00 | f | |||||||
| 4003752801 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $8.52 | $.00 | $.00 | $1.15 | $.00 | $.00 | $.00 | $10.33 | f | |||||||
| 4003753301 | DOE, J | s | 05/22-05/22/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003753501 | DOE, J | 1 | 08/18-08/18/2003 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $15.33 | $.00 | $10.00 | $.71 | $.00 | $.00 | $.00 | $37.96 | f | |||||||
| 4003753701 | DOE, J | 2 | 01/11-01/11/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003753801 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $640.00 | $.00 | $640.00 | $522.84 | $.00 | $.00 | $11.72 | $.00 | $.00 | $.00 | $105.44 | f | |||||||
| 4003754201 | DOE, J | s | 09/23-09/23/2003 | 123456789 | PAT | $1,260.00 | $1,260.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003754501 | DOE, J | 1 | 01/18-01/18/2004 | 123456789 | PAT | $285.90 | $.00 | $285.90 | $.00 | $235.90 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003754601 | DOE, J | 2 | 12/23-12/23/2003 | 123456789 | PAT | $53.00 | $53.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003754801 | DOE, J JR. | s | 01/20-01/20/2004 | 123456789 | PAT | $851.00 | $.00 | $851.00 | $255.30 | $.00 | $.00 | $59.57 | $.00 | $.00 | $.00 | $536.13 | f | |||||||
| 4003755101 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $92.10 | $.00 | $.00 | $1.09 | $.00 | $.00 | $.00 | $9.81 | f | |||||||
| 4003755501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $46.23 | $.00 | $.00 | $2.18 | $.00 | $.00 | $.00 | $19.59 | f | |||||||
| 4003755601 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $5,361.33 | $.00 | $5,361.33 | $4,015.33 | $.00 | $.00 | $134.60 | $.00 | $.00 | $.00 | $1,211.40 | f | |||||||
| 4003755901 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $29.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.14 | f | |||||||
| 4003756301 | DOE, J | e | 10/29-10/29/2003 | 123456789 | PAT | $32.00 | $32.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003756601 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $381.00 | $.00 | $381.00 | $220.94 | $.00 | $10.00 | $4.27 | $.00 | $.00 | $.00 | $145.79 | f | |||||||
| 4003757001 | DOE, J | e | 01/21-01/22/2004 | 123456789 | PAT | $96.00 | $.00 | $96.00 | $23.25 | $.00 | $10.00 | $2.66 | $.00 | $.00 | $.00 | $60.09 | f | |||||||
| 4003757301 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $80.90 | $80.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003757601 | DOE, J II | s | 06/03-06/03/2003 | 123456789 | PAT | $178.50 | $.00 | $178.50 | $165.90 | $.00 | $.00 | $1.25 | $.00 | $.00 | $.00 | $11.35 | f | |||||||
| 4003758101 | DOE, J | 2 | 03/04-03/04/2003 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $101.25 | $.00 | $.00 | $.77 | $.00 | $.00 | $.00 | $6.98 | f | |||||||
| 4003758601 | DOE, J | 1 | 01/24-01/24/2004 | 123456789 | MARINA ODESSA | $55.00 | $.00 | $55.00 | $15.96 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.04 | f | |||||||
| 4003758801 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $250.00 | $.00 | $250.00 | $105.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $115.00 | f | |||||||
| 4003758901 | DOE, J JR | 2 | 01/28-01/28/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $17.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4003759301 | DOE, J | e | 07/01-07/01/2003 | 123456789 | PAT | $1,527.00 | $.00 | $1,527.00 | $69.95 | $.00 | $.00 | $145.70 | $.00 | $.00 | $.00 | $1,311.35 | f | |||||||
| 4003759801 | DOE, J | 1 | 01/24-01/24/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $20.92 | $.00 | $10.00 | $3.55 | $.00 | $.00 | $.00 | $115.53 | f | |||||||
| 4003760401 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $201.25 | $.00 | $201.25 | $185.76 | $.00 | $.00 | $1.55 | $.00 | $.00 | $.00 | $13.94 | f | |||||||
| 4003761101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $174.00 | $.00 | $174.00 | $68.50 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003761201 | DOE, J | 2 | 12/17-12/19/2003 | 123456789 | PAT | $5,004.00 | $5,004.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003761701 | DOE, J JR. | e | 01/27-01/27/2004 | 123456789 | WALTER JR. | $95.00 | $.00 | $95.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003762001 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $105.00 | f | |||||||
| 4003762101 | DOE, J | 3 | 12/15-12/15/2003 | 123456789 | PAT | $29.00 | $29.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003763201 | DOE, J | e | 12/01-12/01/2003 | 123456789 | PAT | $280.00 | $.00 | $280.00 | $189.00 | $.00 | $.00 | $9.10 | $.00 | $.00 | $.00 | $81.90 | f | |||||||
| 4003763501 | DOE, J | 2 | 01/26-02/02/2004 | 123456789 | PAT | $121.00 | $.00 | $121.00 | $25.23 | $73.48 | $.00 | $4.46 | $.00 | $.00 | $.00 | $17.83 | f | |||||||
| 4003763701 | DOE, J | e | 09/30-09/30/2003 | 123456789 | PAT | $147.00 | $.00 | $147.00 | $29.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $117.60 | f | |||||||
| 4003763801 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $37.00 | $37.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003764101 | DOE, J | e | 01/27-01/28/2004 | 123456789 | PAT | $243.00 | $.00 | $243.00 | $115.39 | $127.61 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003764201 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $143.00 | $143.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003764401 | DOE, J | s | 01/21-01/21/2004 | 123456789 | JO CAROL | $125.00 | $.00 | $125.00 | $67.34 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $57.66 | f | |||||||
| 4003764601 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $36.00 | $36.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003764701 | DOE, J | 5 | 02/02-02/02/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $9.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003764901 | DOE, J JR. | s | 01/31-01/31/2004 | 123456789 | DEBORAH JR | $70.00 | $.00 | $70.00 | $16.39 | $.00 | $10.00 | $.20 | $.00 | $.00 | $.00 | $43.41 | f | |||||||
| 4003765101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $47.00 | $.00 | $47.00 | $8.54 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.46 | f | |||||||
| 4003765201 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $85.00 | f | |||||||
| 4003765301 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $11.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $15.00 | f | |||||||
| 4003765401 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $210.50 | $.00 | $210.50 | $147.50 | $.00 | $10.00 | $1.80 | $.00 | $.00 | $.00 | $51.20 | f | |||||||
| 4003765801 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $152.31 | $.00 | $10.00 | $3.22 | $.00 | $.00 | $.00 | $79.47 | f | |||||||
| 4003766101 | DOE, J | e | 11/11-11/11/2003 | 123456789 | PAT | $393.79 | $.00 | $393.79 | $323.64 | $.00 | $.00 | $7.01 | $.00 | $.00 | $.00 | $63.14 | f | |||||||
| 4003766201 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $36.05 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.95 | f | |||||||
| 4003766301 | DOE, J JR | e | 01/22-01/23/2004 | 123456789 | JAIME JR | $300.00 | $.00 | $300.00 | $147.18 | $.00 | $.00 | $15.28 | $.00 | $.00 | $.00 | $137.54 | f | |||||||
| 4003766701 | DOE, J | e | 11/11-11/11/2003 | 123456789 | PAT | $31.71 | $.00 | $31.71 | $26.08 | $.00 | $.00 | $.56 | $.00 | $.00 | $.00 | $5.07 | f | |||||||
| 4003766901 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $18.22 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.78 | f | |||||||
| 4003767101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $235.00 | $235.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003767701 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $97.43 | $.00 | $97.43 | $29.31 | $.00 | $10.00 | $.10 | $.00 | $.00 | $.00 | $58.02 | f | |||||||
| 4003768001 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $215.00 | $.00 | $215.00 | $170.00 | $.00 | $.00 | $3.50 | $.00 | $.00 | $.00 | $41.50 | f | |||||||
| 4003768201 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $15.00 | $15.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003768301 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $1,000.00 | $.00 | $1,000.00 | $398.68 | $.00 | $.00 | $60.12 | $.00 | $.00 | $.00 | $541.20 | f | |||||||
| 4003768801 | DOE, J | e | 09/18-09/18/2003 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $17.31 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $104.69 | f | |||||||
| 4003769101 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $4.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003769201 | DOE, J | e | 04/29-04/29/2003 | 123456789 | PAT | $32.00 | $.00 | $32.00 | $24.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $8.00 | f | |||||||
| 4003769501 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $141.00 | $.00 | $141.00 | $86.51 | $.00 | $.00 | $5.45 | $.00 | $.00 | $.00 | $49.04 | f | |||||||
| 4003769601 | DOE, J | s | 11/21-11/21/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $28.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003769701 | DOE, J | 4 | 01/26-01/26/2004 | 123456789 | PAT | $409.00 | $.00 | $409.00 | $188.83 | $.00 | $10.00 | $8.93 | $.00 | $.00 | $.00 | $201.24 | f | |||||||
| 4003769801 | DOE, J | s | 11/25-11/25/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $23.28 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.72 | f | |||||||
| 4003770001 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $19.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003770101 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $33.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $42.00 | f | |||||||
| 4003770301 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003770401 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $270.00 | $.00 | $270.00 | $157.61 | $.00 | $10.00 | $3.98 | $.00 | $.00 | $.00 | $98.41 | f | |||||||
| 4003770501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $210.00 | f | |||||||
| 4003770701 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003770901 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $680.00 | $.00 | $680.00 | $297.50 | $.00 | $.00 | $38.25 | $.00 | $.00 | $.00 | $344.25 | f | |||||||
| 4003771501 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $375.00 | $375.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003771701 | DOE, J SR | e | 01/28-01/28/2004 | 123456789 | ALAN SR | $83.00 | $.00 | $83.00 | $31.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4003771801 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $117.00 | $.00 | $117.00 | $11.70 | $.00 | $.00 | $10.53 | $.00 | $.00 | $.00 | $94.77 | f | |||||||
| 4003771901 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $32.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.19 | f | |||||||
| 4003772001 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $73.23 | $.00 | $10.00 | $3.18 | $.00 | $.00 | $.00 | $63.59 | f | |||||||
| 4003772201 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $39.00 | $.00 | $39.00 | $11.70 | $.00 | $.00 | $2.73 | $.00 | $.00 | $.00 | $24.57 | f | |||||||
| 4003772301 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $18.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003772401 | DOE, J | e | 06/30-06/30/2003 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $9.20 | $.00 | $10.00 | $.58 | $.00 | $.00 | $.00 | $78.22 | f | |||||||
| 4003772501 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4003772601 | DOE, J | e | 06/30-06/30/2003 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $13.21 | $.00 | $.00 | $2.08 | $.00 | $.00 | $.00 | $18.71 | f | |||||||
| 4003772701 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $71.00 | $.00 | $71.00 | $13.94 | $.00 | $10.00 | $.31 | $.00 | $.00 | $.00 | $46.75 | f | |||||||
| 4003772801 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $4.10 | $.00 | $4.10 | $.00 | $.00 | $.00 | $.41 | $.00 | $.00 | $.00 | $3.69 | f | |||||||
| 4003772901 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $31.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $33.25 | f | |||||||
| 4003773001 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $166.82 | $.00 | $166.82 | $136.85 | $.00 | $.00 | $3.00 | $.00 | $.00 | $.00 | $26.97 | f | |||||||
| 4003773101 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $18.22 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.78 | f | |||||||
| 4003773201 | DOE, J | s | 11/05-11/05/2003 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $36.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003773401 | DOE, J | e | 12/04-12/22/2003 | 123456789 | PAT | $28.00 | $.00 | $28.00 | $19.26 | $.00 | $.00 | $.88 | $.00 | $.00 | $.00 | $7.86 | f | |||||||
| 4003773601 | DOE, J | e | 06/25-06/30/2003 | 123456789 | PAT | $393.00 | $393.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003773701 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $135.00 | $135.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003773801 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $372.50 | $.00 | $372.50 | $74.50 | $.00 | $.00 | $29.80 | $.00 | $.00 | $.00 | $268.20 | f | |||||||
| 4003774001 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $7.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $30.61 | f | |||||||
| 4003774101 | DOE, J | 2 | 05/30-05/30/2003 | 123456789 | PAT | $324.00 | $.00 | $324.00 | $74.00 | $.00 | $50.00 | $20.00 | $.00 | $.00 | $.00 | $180.00 | f | |||||||
| 4003774201 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $40.06 | $.00 | $10.00 | $.72 | $.00 | $.00 | $.00 | $44.22 | f | |||||||
| 4003775201 | DOE, J | e | 11/05-11/30/2003 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $51.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $249.00 | f | |||||||
| 4003775401 | DOE, J | e | 04/25-04/25/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $18.00 | $.00 | $.00 | $.00 | $42.00 | f | |||||||
| 4003776101 | DOE, J | e | 10/27-10/27/2003 | 123456789 | PAT | $17.75 | $.00 | $17.75 | $3.02 | $.00 | $.00 | $1.47 | $.00 | $.00 | $.00 | $13.26 | f | |||||||
| 4003776901 | DOE, J | e | 10/25-10/31/2003 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $5.78 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $28.22 | f | |||||||
| 4003777001 | DOE, J | 1 | 11/26-11/26/2003 | 123456789 | PAT | $120.00 | $120.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003777201 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $77.37 | $.00 | $77.37 | $8.32 | $.00 | $.00 | $6.90 | $.00 | $.00 | $.00 | $62.15 | f | |||||||
| 4003777401 | DOE, J | 2 | 11/26-11/26/2003 | 123456789 | PAT | $95.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003777701 | DOE, J | 3 | 11/26-11/26/2003 | 123456789 | PAT | $120.00 | $120.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003778001 | DOE, J | e | 12/16-12/16/2003 | 123456789 | PAT | $751.50 | $.00 | $751.50 | $177.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $574.45 | f | |||||||
| 4003780301 | DOE, J | e | 01/18-01/18/2004 | 123456789 | PAT | $2,443.40 | $.00 | $2,443.40 | $703.55 | $250.00 | $50.00 | $143.98 | $.00 | $.00 | $.00 | $1,295.87 | f | |||||||
| 4003781001 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $546.90 | $.00 | $546.90 | $388.56 | $108.34 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003782801 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $71.00 | $.00 | $71.00 | $14.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.28 | f | |||||||
| 4003783101 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $42.51 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.49 | f | |||||||
| 4003783301 | DOE, J JR | 2 | 01/29-01/29/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $12.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003783501 | DOE, J JR | 2 | 01/29-01/29/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $24.73 | $.00 | $.00 | $.53 | $.00 | $.00 | $.00 | $4.74 | f | |||||||
| 4003784001 | DOE, J | 1 | 01/26-01/30/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $54.45 | $.00 | $7.11 | $.00 | $.00 | $.00 | $28.44 | f | |||||||
| 4003784101 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $141.00 | $.00 | $141.00 | $58.95 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $72.05 | f | |||||||
| 4003784401 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $25.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $36.14 | f | |||||||
| 4003784801 | DOE, J | 2 | 01/20-01/20/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.00 | f | |||||||
| 4003785201 | DOE, J JR | 3 | 01/28-01/28/2004 | 123456789 | PAT | $305.00 | $.00 | $305.00 | $139.30 | $.00 | $10.00 | $4.45 | $.00 | $.00 | $.00 | $151.25 | f | |||||||
| 4003785401 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $180.50 | $.00 | $180.50 | $.00 | $.00 | $10.00 | $9.45 | $.00 | $.00 | $.00 | $161.05 | f | |||||||
| 4003785601 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $74.00 | $74.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003785901 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $65.67 | $.00 | $65.67 | $49.98 | $.00 | $.00 | $1.57 | $.00 | $.00 | $.00 | $14.12 | f | |||||||
| 4003786201 | DOE, J | s | 01/20-01/29/2004 | 123456789 | PAT | $342.00 | $342.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003786401 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $75.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4003787601 | DOE, J JR | s | 01/26-01/28/2004 | 123456789 | PAT | $28,206.73 | $4.00 | $28,202.73 | $25,342.73 | $.00 | $.00 | $115.69 | $.00 | $.00 | $.00 | $2,744.31 | f | |||||||
| 4003788501 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $188.54 | $.00 | $188.54 | $.00 | $.00 | $.00 | $18.85 | $.00 | $.00 | $.00 | $169.69 | f | |||||||
| 4003793001 | DOE, J | 2 | 01/18-01/18/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003793101 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $127.00 | $.00 | $127.00 | $66.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.12 | f | |||||||
| 4003793201 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $2.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.40 | f | |||||||
| 4003794001 | DOE, J | 3 | 02/02-02/02/2004 | 123456789 | PAT | $64.00 | $64.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003794101 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $68.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003794701 | DOE, J JR | e | 01/30-01/30/2004 | 123456789 | IGNACIO JR | $70.00 | $.00 | $70.00 | $25.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003794901 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $62.00 | $62.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003795501 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $54.00 | f | |||||||
| 4003795601 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $2.00 | $.00 | $.00 | $.00 | $18.00 | f | |||||||
| 4003795701 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $2.00 | $.00 | $.00 | $.00 | $18.00 | f | |||||||
| 4003796201 | DOE, J JR | 5 | 09/10-09/10/2003 | 123456789 | PAT | $212.00 | $212.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003796401 | DOE, J | s | 03/04-03/04/2003 | 123456789 | PAT | $129.40 | $129.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003796601 | DOE, J | e | 05/27-05/27/2003 | 123456789 | PAT | $257.40 | $.00 | $257.40 | $237.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $20.35 | f | |||||||
| 4003796801 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $74.98 | $.00 | $10.00 | $.90 | $.00 | $.00 | $.00 | $36.12 | f | |||||||
| 4003797101 | DOE, J | e | 01/17-01/19/2004 | 123456789 | PAT | $430.00 | $.00 | $430.00 | $103.50 | $250.00 | $.00 | $7.65 | $.00 | $.00 | $.00 | $68.85 | f | |||||||
| 4003797201 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $7.35 | $.00 | $.00 | $9.26 | $.00 | $.00 | $.00 | $83.39 | f | |||||||
| 4003797301 | DOE, J | 3 | 01/29-01/29/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4003819401 | DOE, J | e | 10/29-10/29/2003 | 123456789 | PAT | $1,400.00 | $892.40 | $507.60 | $.00 | $.00 | $.00 | $50.76 | $.00 | $406.03 | $.00 | $50.81 | f | |||||||
| 4003821701 | DOE, J | s | 12/22-12/31/2003 | 123456789 | PAT | $76.00 | $.00 | $76.00 | $19.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $57.00 | f | |||||||
| 4003825701 | DOE, J | s | 07/01-07/01/2003 | 123456789 | PAT | $173.06 | $.00 | $173.06 | $52.55 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $120.51 | f | |||||||
| 4003826101 | DOE, J | s | 08/18-08/18/2003 | 123456789 | PAT | $113.38 | $19.00 | $94.38 | $.00 | $.00 | $10.00 | $.76 | $.00 | $.00 | $.00 | $83.62 | f | |||||||
| 4003826301 | DOE, J | s | 08/18-08/18/2003 | 123456789 | PAT | $67.07 | $25.35 | $41.72 | $.00 | $.00 | $.00 | $4.17 | $.00 | $.00 | $.00 | $37.55 | f | |||||||
| 4003826801 | DOE, J | s | 07/01-07/01/2003 | 123456789 | PAT | $90.52 | $25.35 | $65.17 | $23.98 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $41.19 | f | |||||||
| 4003827101 | DOE, J | 2 | 09/06-09/06/2003 | 123456789 | PAT | $66.33 | $.00 | $66.33 | $.00 | $.00 | $10.00 | $1.05 | $.00 | $.00 | $.00 | $55.28 | f | |||||||
| 4003827501 | DOE, J | e | 09/24-09/24/2003 | 123456789 | PAT | $97.41 | $97.41 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003829001 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $20.01 | $.00 | $10.00 | $.67 | $.00 | $.00 | $.00 | $54.32 | f | |||||||
| 4003829201 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $7.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.12 | f | |||||||
| 4003829401 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $159.00 | $.00 | $159.00 | $64.99 | $.00 | $10.00 | $1.53 | $.00 | $.00 | $.00 | $82.48 | f | |||||||
| 4003829601 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $291.00 | $.00 | $291.00 | $43.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $247.35 | f | |||||||
| 4003829801 | DOE, J | 2 | 01/21-01/22/2004 | 123456789 | PAT | $898.00 | $.00 | $898.00 | $134.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $763.30 | f | |||||||
| 4003830201 | DOE, J | s | 09/12-09/12/2003 | 123456789 | PAT | $362.00 | $116.66 | $245.34 | $.00 | $.00 | $10.00 | $3.38 | $.00 | $215.21 | $.00 | $16.75 | f | |||||||
| 4003830801 | DOE, J JR | e | 01/27-01/27/2004 | 123456789 | JOHN JR | $257.00 | $.00 | $257.00 | $.00 | $257.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003831501 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $37.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $28.00 | f | |||||||
| 4003832301 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $93.00 | $.00 | $93.00 | $22.41 | $.00 | $10.00 | $2.37 | $.00 | $.00 | $.00 | $58.22 | f | |||||||
| 4003832601 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $26.99 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.01 | f | |||||||
| 4003832901 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $14.13 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.87 | f | |||||||
| 4003833201 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $326.00 | $326.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003833501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $57.02 | $.00 | $10.00 | $3.30 | $.00 | $.00 | $.00 | $64.68 | f | |||||||
| 4003834001 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $17.23 | $.00 | $.00 | $1.28 | $.00 | $.00 | $.00 | $11.49 | f | |||||||
| 4003834801 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $60.73 | $.00 | $.00 | $4.93 | $.00 | $.00 | $.00 | $44.34 | f | |||||||
| 4003835701 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $67.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $122.24 | f | |||||||
| 4003836301 | DOE, J | e | 12/23-12/23/2003 | 123456789 | PAT | $3,139.00 | $81.00 | $3,058.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $3,058.00 | f | |||||||
| 4003837201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $152.00 | $12.00 | $140.00 | $26.78 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $103.22 | f | |||||||
| 4003837301 | DOE, J | e | 10/24-10/24/2003 | 123456789 | PAT | $287.50 | $287.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003838001 | DOE, J JR | 1 | 10/02-10/16/2003 | 123456789 | PAT | $617.27 | $617.27 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003838301 | DOE, J | 1 | 11/10-11/10/2003 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $37.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.28 | f | |||||||
| 4003838901 | DOE, J JR | e | 01/26-01/26/2004 | 123456789 | KENNETH JR | $249.00 | $3.00 | $246.00 | $73.24 | $.00 | $10.00 | $7.78 | $.00 | $.00 | $.00 | $154.98 | f | |||||||
| 4003839101 | DOE, J JR | e | 01/26-01/26/2004 | 123456789 | KENNETH JR | $28.00 | $.00 | $28.00 | $17.03 | $.00 | $.00 | $1.09 | $.00 | $.00 | $.00 | $9.88 | f | |||||||
| 4003839201 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $129.00 | $.00 | $129.00 | $46.37 | $.00 | $10.00 | $1.55 | $.00 | $.00 | $.00 | $71.08 | f | |||||||
| 4003839301 | DOE, J | e | 11/29-11/29/2003 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $10.92 | $.00 | $10.00 | $2.80 | $.00 | $.00 | $.00 | $91.28 | f | |||||||
| 4003839401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $95.00 | f | |||||||
| 4003839501 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $215.00 | $.00 | $215.00 | $77.14 | $.00 | $10.00 | $4.52 | $.00 | $.00 | $.00 | $123.34 | f | |||||||
| 4003839701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $34.56 | $.00 | $10.00 | $.11 | $.00 | $.00 | $.00 | $50.33 | f | |||||||
| 4003839901 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $112.00 | $112.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003840101 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $36.73 | $.00 | $10.00 | $10.89 | $.00 | $.00 | $.00 | $147.38 | f | |||||||
| 4003840701 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $440.00 | $.00 | $440.00 | $336.62 | $43.24 | $.00 | $6.01 | $.00 | $.00 | $.00 | $54.13 | f | |||||||
| 4003840901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $160.00 | $10.00 | $150.00 | $3.59 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $136.41 | f | |||||||
| 4003841101 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $347.00 | $.00 | $347.00 | $160.50 | $.00 | $10.00 | $7.79 | $.00 | $.00 | $.00 | $168.71 | f | |||||||
| 4003841301 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $78.57 | $.00 | $10.00 | $4.68 | $.00 | $.00 | $.00 | $101.75 | f | |||||||
| 4003846901 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $67.00 | $67.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003846902 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $67.00 | $.00 | $67.00 | $34.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $22.89 | f | |||||||
| 4003847201 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $101.00 | $.00 | $101.00 | $41.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4003847301 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $21.00 | $21.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003847501 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $207.00 | $.00 | $207.00 | $197.75 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.33 | f | |||||||
| 4003848001 | DOE, J | s | 12/01-12/01/2003 | 123456789 | PAT | $223.00 | $.00 | $223.00 | $195.25 | $.00 | $.00 | $2.76 | $.00 | $.00 | $.00 | $24.99 | f | |||||||
| 4003848201 | DOE, J | s | 05/16-05/16/2003 | 123456789 | PAT | $774.50 | $774.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003848401 | DOE, J | s | 05/16-05/16/2003 | 123456789 | PAT | $91.75 | $.00 | $91.75 | $70.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $21.13 | f | |||||||
| 4003848801 | DOE, J | e | 11/03-11/03/2003 | 123456789 | PAT | $224.00 | $38.00 | $186.00 | $159.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $26.10 | f | |||||||
| 4003849001 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | NIA S | $2,011.11 | $.00 | $2,011.11 | $1,724.11 | $42.00 | $50.00 | $19.50 | $.00 | $.00 | $.00 | $175.50 | f | |||||||
| 4003850501 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $6,293.00 | $.00 | $6,293.00 | $2,111.02 | $1.61 | $.00 | $418.04 | $.00 | $.00 | $.00 | $3,762.33 | f | |||||||
| 4003854101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $8.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4003854901 | DOE, J | 1 | 01/02-01/02/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003855201 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $109.00 | $109.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003855401 | DOE, J | s | 09/30-09/30/2003 | 123456789 | PAT | $99.00 | $.00 | $99.00 | $91.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $7.75 | f | |||||||
| 4003855601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $374.00 | $.00 | $374.00 | $338.65 | $.00 | $.00 | $3.52 | $.00 | $.00 | $.00 | $31.83 | f | |||||||
| 4003855801 | DOE, J | s | 01/28-01/28/2004 | 123456789 | JANIE D | $74.88 | $.00 | $74.88 | $61.83 | $.00 | $.00 | $1.30 | $.00 | $.00 | $.00 | $11.75 | f | |||||||
| 4003857201 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $255.25 | $.00 | $255.25 | $89.34 | $.00 | $.00 | $16.59 | $.00 | $.00 | $.00 | $149.32 | f | |||||||
| 4003858201 | DOE, J | 3 | 01/28-01/28/2004 | 123456789 | PAT | $567.49 | $.00 | $567.49 | $113.50 | $250.00 | $50.00 | $15.40 | $.00 | $.00 | $.00 | $138.59 | f | |||||||
| 4003858901 | DOE, J JR | 1 | 08/06-08/06/2003 | 123456789 | PAT | $132.50 | $107.15 | $25.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.35 | f | |||||||
| 4003860901 | DOE, J | 2 | 08/27-08/27/2003 | 123456789 | PAT | $71.00 | $71.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003861901 | DOE, J | e | 11/15-11/15/2003 | 123456789 | PAT | $357.00 | $.00 | $357.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $357.00 | f | |||||||
| 4003863001 | DOE, J | e | 12/13-12/13/2003 | 123456789 | PAT | $1,020.00 | $82.30 | $937.70 | $.00 | $.00 | $.00 | $93.76 | $.00 | $.00 | $.00 | $843.94 | f | |||||||
| 4003863501 | DOE, J | e | 01/07-01/09/2004 | 123456789 | PAT | $202.00 | $.00 | $202.00 | $.00 | $.00 | $.00 | $80.80 | $.00 | $.00 | $.00 | $121.20 | f | |||||||
| 4003874301 | DOE, J JR | e | 01/15-01/16/2004 | 123456789 | BONARD JR | $348.50 | $.00 | $348.50 | $52.27 | $165.46 | $50.00 | $8.08 | $.00 | $.00 | $.00 | $72.69 | f | |||||||
| 4003874901 | DOE, J | s | 09/10-09/10/2003 | 123456789 | PAT | $260.33 | $.00 | $260.33 | $39.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $221.28 | f | |||||||
| 4003878501 | DOE, J | s | 12/26-12/26/2003 | 123456789 | PAT | $429.85 | $.00 | $429.85 | $.00 | $250.00 | $.00 | $71.94 | $.00 | $.00 | $.00 | $107.91 | f | |||||||
| 4003883401 | DOE, J | s | 10/29-10/29/2003 | 123456789 | PAT | $93.85 | $93.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003886101 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $26.25 | $.00 | $26.25 | $23.03 | $.00 | $.00 | $.32 | $.00 | $.00 | $.00 | $2.90 | f | |||||||
| 4003888201 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $105.65 | $.00 | $105.65 | $88.57 | $.00 | $.00 | $1.71 | $.00 | $.00 | $.00 | $15.37 | f | |||||||
| 4003888501 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $33.00 | $.00 | $33.00 | $29.02 | $.00 | $.00 | $.40 | $.00 | $.00 | $.00 | $3.58 | f | |||||||
| 4003888601 | DOE, J | s | 06/16-06/16/2003 | 123456789 | PAT | $26.00 | $.00 | $26.00 | $22.78 | $.00 | $.00 | $.32 | $.00 | $.00 | $.00 | $2.90 | f | |||||||
| 4003889201 | DOE, J | t | 12/04-12/04/2003 | 123456789 | ANNIE L | $125.75 | $.00 | $125.75 | $115.72 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.03 | f | |||||||
| 4003890101 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $385.60 | $.00 | $385.60 | $273.89 | $.00 | $.00 | $11.17 | $.00 | $.00 | $.00 | $100.54 | f | |||||||
| 4003891501 | DOE, J | e | 07/10-07/10/2003 | 123456789 | PAT | $29.50 | $.00 | $29.50 | $24.60 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4003891701 | DOE, J | e | 08/19-08/19/2003 | 123456789 | PAT | $29.50 | $.00 | $29.50 | $24.60 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4003894801 | DOE, J | e | 10/17-10/17/2003 | 123456789 | PAT | $29.50 | $.00 | $29.50 | $24.60 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4003895001 | DOE, J | e | 12/01-12/01/2003 | 123456789 | PAT | $29.50 | $.00 | $29.50 | $24.60 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4003895401 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $29.50 | $.00 | $29.50 | $24.60 | $.00 | $.00 | $.49 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4003895801 | DOE, J | e | 11/05-11/05/2003 | 123456789 | PAT | $364.10 | $.00 | $364.10 | $297.43 | $.00 | $.00 | $6.67 | $.00 | $.00 | $.00 | $60.00 | f | |||||||
| 4003896101 | DOE, J | e | 12/03-12/03/2003 | 123456789 | PAT | $119.10 | $.00 | $119.10 | $106.39 | $.00 | $.00 | $1.27 | $.00 | $.00 | $.00 | $11.44 | f | |||||||
| 4003896401 | DOE, J RAMIREZ | 1 | 11/19-11/19/2003 | 123456789 | JAYDEN R | $50.71 | $.00 | $50.71 | $41.44 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.35 | f | |||||||
| 4003896601 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $121.95 | $.00 | $.00 | $1.30 | $.00 | $.00 | $.00 | $11.75 | f | |||||||
| 4003896801 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $74.40 | $.00 | $.00 | $.76 | $.00 | $.00 | $.00 | $6.84 | f | |||||||
| 4003896901 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $556.00 | $.00 | $556.00 | $520.65 | $.00 | $.00 | $3.52 | $.00 | $.00 | $.00 | $31.83 | f | |||||||
| 4003897001 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $28.75 | $.00 | $.00 | $.92 | $.00 | $.00 | $.00 | $8.33 | f | |||||||
| 4003897401 | DOE, J | e | 01/12-01/17/2004 | 123456789 | PAT | $12,409.78 | $.00 | $12,409.78 | $7,159.78 | $.00 | $.00 | $525.00 | $.00 | $.00 | $.00 | $4,725.00 | f | |||||||
| 4003903701 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $10.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.96 | f | |||||||
| 4003904101 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $550.00 | $.00 | $550.00 | $468.87 | $.00 | $.00 | $8.11 | $.00 | $.00 | $.00 | $73.02 | f | |||||||
| 4003904201 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $25.08 | $.00 | $10.00 | $.54 | $.00 | $.00 | $.00 | $12.38 | f | |||||||
| 4003904801 | DOE, J | e | 11/11-11/11/2003 | 123456789 | PAT | $31.71 | $31.71 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003905101 | DOE, J | e | 11/11-11/11/2003 | 123456789 | PAT | $393.79 | $393.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003905601 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $15.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $24.89 | f | |||||||
| 4003906201 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003906501 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $469.00 | $.00 | $469.00 | $57.07 | $247.21 | $10.00 | $.80 | $.00 | $.00 | $.00 | $153.92 | f | |||||||
| 4003906701 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $27.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.28 | f | |||||||
| 4003907001 | DOE, J | 1 | 12/18-12/18/2003 | 123456789 | PAT | $600.00 | $.00 | $600.00 | $253.50 | $.00 | $.00 | $34.65 | $.00 | $.00 | $.00 | $311.85 | f | |||||||
| 4003907301 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $1,500.00 | $1,500.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003907501 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $60.73 | $.00 | $.00 | $9.93 | $.00 | $.00 | $.00 | $89.34 | f | |||||||
| 4003907701 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $1,220.00 | $.00 | $1,220.00 | $278.51 | $.00 | $.00 | $94.14 | $.00 | $.00 | $.00 | $847.35 | f | |||||||
| 4003908301 | DOE, J | 1 | 01/19-01/19/2004 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $17.13 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $36.87 | f | |||||||
| 4003908401 | DOE, J | e | 01/03-01/03/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $31.48 | $.00 | $.00 | $.85 | $.00 | $.00 | $.00 | $7.67 | f | |||||||
| 4003908501 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $653.00 | $.00 | $653.00 | $130.60 | $.00 | $.00 | $52.24 | $.00 | $.00 | $.00 | $470.16 | f | |||||||
| 4003908701 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $116.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $173.61 | f | |||||||
| 4003909201 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $26.00 | $.00 | $10.00 | $.90 | $.00 | $.00 | $.00 | $58.10 | f | |||||||
| 4003909801 | DOE, J JR | 4 | 01/27-01/27/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $30.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.58 | f | |||||||
| 4003909901 | DOE, J | e | 12/30-12/30/2003 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $74.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.47 | f | |||||||
| 4003910301 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | NICHOLAS A | $654.00 | $.00 | $654.00 | $68.41 | $250.00 | $10.00 | $50.80 | $.00 | $.00 | $.00 | $274.79 | f | |||||||
| 4003911001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $40.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4003912301 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $.00 | $38.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003913201 | DOE, J | 1 | 01/21-01/21/2004 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003913601 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $215.00 | $215.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003914401 | DOE, J | e | 10/16-10/16/2003 | 123456789 | PAT | $965.00 | $965.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003914801 | DOE, J | s | 12/27-12/27/2003 | 123456789 | PAT | $26.30 | $26.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003915401 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $131.00 | $.00 | $131.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $121.00 | f | |||||||
| 4003915601 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4003915801 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $119.00 | $.00 | $119.00 | $38.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003915901 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $121.00 | $121.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003916301 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $55.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003917001 | DOE, J | s | 01/04-01/04/2004 | 123456789 | PAT | $257.71 | $.00 | $257.71 | $.00 | $207.71 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003917401 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $20.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4003918801 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $308.00 | $.00 | $308.00 | $204.60 | $.00 | $.00 | $10.34 | $.00 | $.00 | $.00 | $93.06 | f | |||||||
| 4003918901 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $104.65 | $25.65 | $79.00 | $46.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $22.89 | f | |||||||
| 4003919101 | DOE, J | 2 | 01/14-01/14/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003919201 | DOE, J | 2 | 01/17-01/17/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003919301 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $24.00 | $.00 | $24.00 | $9.11 | $.00 | $.00 | $1.49 | $.00 | $.00 | $.00 | $13.40 | f | |||||||
| 4003919501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $6.00 | $.00 | $6.00 | $3.00 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4003919701 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $201.00 | $.00 | $201.00 | $52.86 | $.00 | $.00 | $14.82 | $.00 | $.00 | $.00 | $133.32 | f | |||||||
| 4003919801 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | GERARDO JR | $75.00 | $.00 | $75.00 | $23.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4003920601 | DOE, J | s | 09/14-09/14/2003 | 123456789 | PAT | $115.75 | $115.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003920701 | DOE, J | s | 12/09-12/09/2003 | 123456789 | PAT | $104.70 | $104.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003920901 | DOE, J | s | 10/09-10/09/2003 | 123456789 | PAT | $331.00 | $331.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003921001 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $82.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.25 | f | |||||||
| 4003921101 | DOE, J | s | 01/25-01/25/2004 | 123456789 | PAT | $285.00 | $.00 | $285.00 | $124.85 | $.00 | $10.00 | $3.05 | $.00 | $.00 | $.00 | $147.10 | f | |||||||
| 4003921401 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $62.00 | $.00 | $62.00 | $11.40 | $.00 | $.00 | $5.06 | $.00 | $.00 | $.00 | $45.54 | f | |||||||
| 4003921601 | DOE, J | s | 10/30-10/30/2003 | 123456789 | PAT | $101.00 | $.00 | $101.00 | $.34 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.66 | f | |||||||
| 4003921701 | DOE, J JR | 1 | 10/01-10/01/2003 | 123456789 | PAT | $2,215.46 | $2,215.46 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003922101 | DOE, J | 1 | 01/22-01/22/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $16.26 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.74 | f | |||||||
| 4003922501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $7,168.29 | $7,168.29 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003922601 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $131.00 | $.00 | $131.00 | $41.79 | $.00 | $10.00 | $6.73 | $.00 | $.00 | $.00 | $72.48 | f | |||||||
| 4003922701 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $226.00 | $.00 | $226.00 | $90.87 | $.00 | $.00 | $13.51 | $.00 | $.00 | $.00 | $121.62 | f | |||||||
| 4003923001 | DOE, J | s | 08/22-08/22/2003 | 123456789 | PAT | $2,455.00 | $.00 | $2,455.00 | $1,063.01 | $250.00 | $.00 | $114.20 | $.00 | $.00 | $.00 | $1,027.79 | f | |||||||
| 4003923101 | DOE, J | e | 01/24-01/24/2004 | 123456789 | PAT | $1,355.00 | $.00 | $1,355.00 | $1,105.00 | $.00 | $50.00 | $20.00 | $.00 | $.00 | $.00 | $180.00 | f | |||||||
| 4003923401 | DOE, J | 1 | 01/07-01/07/2004 | 123456789 | PAT | $42.74 | $42.74 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003923701 | DOE, J | 1 | 02/02-02/02/2004 | 123456789 | BOYD II | $355.75 | $.00 | $355.75 | $142.30 | $.00 | $.00 | $21.34 | $.00 | $.00 | $.00 | $192.11 | f | |||||||
| 4003924001 | DOE, J | 3 | 12/29-12/29/2003 | 123456789 | PAT | $387.00 | $.00 | $387.00 | $116.10 | $.00 | $.00 | $27.09 | $.00 | $.00 | $.00 | $243.81 | f | |||||||
| 4003924101 | DOE, J | s | 09/24-09/24/2003 | 123456789 | PAT | $213.00 | $213.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003924201 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $2,781.00 | $.00 | $2,781.00 | $1,843.00 | $.00 | $.00 | $93.80 | $.00 | $.00 | $.00 | $844.20 | f | |||||||
| 4003924401 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $7,251.96 | $.00 | $7,251.96 | $4,783.41 | $250.00 | $.00 | $221.85 | $.00 | $.00 | $.00 | $1,996.70 | f | |||||||
| 4003924501 | DOE, J | e | 12/15-12/22/2003 | 123456789 | PAT | $14,690.85 | $14,690.85 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003924901 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $2,685.00 | $.00 | $2,685.00 | $176.53 | $.00 | $.00 | $250.85 | $.00 | $.00 | $.00 | $2,257.62 | f | |||||||
| 4003925001 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $2,966.50 | $.00 | $2,966.50 | $975.62 | $.00 | $.00 | $199.09 | $.00 | $.00 | $.00 | $1,791.79 | f | |||||||
| 4003925201 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $23.53 | $.00 | $.00 | $3.64 | $.00 | $.00 | $.00 | $32.83 | f | |||||||
| 4003925301 | DOE, J | e | 01/08-01/08/2004 | 123456789 | PAT | $178.00 | $.00 | $178.00 | $149.36 | $.00 | $.00 | $2.86 | $.00 | $.00 | $.00 | $25.78 | f | |||||||
| 4003925601 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $20.79 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $71.21 | f | |||||||
| 4003925701 | DOE, J | e | 11/24-11/24/2003 | 123456789 | PAT | $2,360.20 | $.00 | $2,360.20 | $2,085.20 | $.00 | $.00 | $27.50 | $.00 | $.00 | $.00 | $247.50 | f | |||||||
| 4003925901 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $338.00 | $.00 | $338.00 | $169.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $168.20 | f | |||||||
| 4003926101 | DOE, J | s | 09/24-09/24/2003 | 123456789 | PAT | $95.00 | $95.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003926201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $151.00 | $.00 | $151.00 | $.00 | $101.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003926701 | DOE, J | e | 10/20-12/18/2003 | 123456789 | PAT | $10,763.35 | $.00 | $10,763.35 | $9,062.35 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,701.00 | f | |||||||
| 4003927501 | DOE, J | 1 | 01/07-01/07/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $39.17 | $.00 | $.00 | $3.27 | $.00 | $.00 | $.00 | $29.56 | f | |||||||
| 4003928101 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $58.13 | $.00 | $10.00 | $.19 | $.00 | $.00 | $.00 | $36.68 | f | |||||||
| 4003928201 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $211.00 | $.00 | $211.00 | $59.08 | $36.06 | $10.00 | $.00 | $.00 | $.00 | $.00 | $105.86 | f | |||||||
| 4003928701 | DOE, J | e | 12/15-01/14/2004 | 123456789 | PAT | $1,386.25 | $.00 | $1,386.25 | $277.25 | $.00 | $.00 | $120.77 | $.00 | $.00 | $.00 | $988.23 | f | |||||||
| 4003929001 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $162.00 | $.00 | $162.00 | $59.94 | $.00 | $.00 | $10.21 | $.00 | $.00 | $.00 | $91.85 | f | |||||||
| 4003929401 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $10.54 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $44.46 | f | |||||||
| 4003929701 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $3.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.45 | f | |||||||
| 4003929801 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $29.96 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.04 | f | |||||||
| 4003930601 | DOE, J | 4 | 01/09-01/09/2004 | 123456789 | PAT | $294.00 | $17.00 | $277.00 | $49.57 | $98.34 | $10.00 | $.00 | $.00 | $.00 | $.00 | $119.09 | f | |||||||
| 4003930901 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $169.95 | $.00 | $169.95 | $42.49 | $.00 | $.00 | $12.75 | $.00 | $.00 | $.00 | $114.71 | f | |||||||
| 4003931101 | DOE, J | 1 | 12/10-12/10/2003 | 123456789 | PAT | $449.00 | $.00 | $449.00 | $424.00 | $.00 | $.00 | $2.50 | $.00 | $.00 | $.00 | $22.50 | f | |||||||
| 4003931501 | DOE, J | s | 01/06-01/17/2004 | 123456789 | PAT | $33,596.24 | $165.00 | $33,431.24 | $21,476.24 | $.00 | $.00 | $886.34 | $.00 | $.00 | $.00 | $11,068.66 | f | |||||||
| 4003931601 | DOE, J | s | 01/30-01/30/2004 | 123456789 | JO CAROL | $2,870.89 | $.00 | $2,870.89 | $2,620.89 | $200.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003931801 | DOE, J | 1 | 12/11-12/11/2003 | 123456789 | PAT | $285.00 | $.00 | $285.00 | $183.88 | $.00 | $.00 | $6.26 | $.00 | $.00 | $.00 | $94.86 | f | |||||||
| 4003932001 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $6.98 | $.00 | $10.00 | $3.98 | $.00 | $.00 | $.00 | $84.04 | f | |||||||
| 4003932901 | DOE, J JR. | 1 | 01/28-01/28/2004 | 123456789 | PAT | $155.00 | $155.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003933001 | DOE, J | e | 12/26-12/26/2003 | 123456789 | PAT | $111.00 | $.00 | $111.00 | $35.34 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $65.66 | f | |||||||
| 4003933201 | DOE, J JR | e | 01/30-01/30/2004 | 123456789 | SIMON JR | $36.00 | $.00 | $36.00 | $32.20 | $.00 | $.00 | $.38 | $.00 | $.00 | $.00 | $3.42 | f | |||||||
| 4003933301 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $352.00 | $.00 | $352.00 | $329.70 | $.00 | $.00 | $2.22 | $.00 | $.00 | $.00 | $20.08 | f | |||||||
| 4003934101 | DOE, J | s | 10/22-10/24/2003 | 123456789 | PAT | $2,869.50 | $.00 | $2,869.50 | $573.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $2,295.60 | f | |||||||
| 4003934601 | DOE, J | e | 11/15-11/15/2003 | 123456789 | PAT | $1,841.92 | $1,841.92 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003935701 | DOE, J | 4 | 01/23-01/23/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $28.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $19.89 | f | |||||||
| 4003936101 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $91.00 | $.00 | $91.00 | $20.02 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.98 | f | |||||||
| 4003936201 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $22.70 | $45.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003936401 | DOE, J JR | 1 | 12/18-12/27/2003 | 123456789 | PAT | $6,479.25 | $.00 | $6,479.25 | $2,591.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $3,887.55 | f | |||||||
| 4003936601 | DOE, J | s | 12/29-12/29/2003 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $100.00 | f | |||||||
| 4003936701 | DOE, J | e | 08/12-08/12/2003 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $77.39 | $.00 | $.00 | $1.66 | $.00 | $.00 | $.00 | $14.95 | f | |||||||
| 4003937001 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $1,464.87 | $.00 | $1,464.87 | $1,164.87 | $.00 | $50.00 | $25.00 | $.00 | $.00 | $.00 | $225.00 | f | |||||||
| 4003937301 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $207.90 | $207.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003937601 | DOE, J | e | 01/24-01/24/2004 | 123456789 | PAT | $203.20 | $196.35 | $6.85 | $.00 | $.00 | $.00 | $6.85 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003937701 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $257.00 | $257.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003937801 | DOE, J | e | 01/24-01/24/2004 | 123456789 | PAT | $137.55 | $137.55 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003938001 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $47.95 | $.00 | $47.95 | $43.11 | $.00 | $.00 | $.48 | $.00 | $.00 | $.00 | $4.36 | f | |||||||
| 4003938101 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | PAT | $1,277.00 | $.00 | $1,277.00 | $255.40 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $1,011.60 | f | |||||||
| 4003938301 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $50.01 | $.00 | $50.01 | $39.01 | $.00 | $.00 | $1.10 | $.00 | $.00 | $.00 | $9.90 | f | |||||||
| 4003938401 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $12.00 | $.00 | $.00 | $.80 | $.00 | $.00 | $.00 | $7.20 | f | |||||||
| 4003938501 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $630.21 | $.00 | $630.21 | $289.90 | $250.00 | $50.00 | $4.03 | $.00 | $.00 | $.00 | $36.28 | f | |||||||
| 4003938601 | DOE, J III | s | 01/28-01/28/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $35.39 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $44.31 | f | |||||||
| 4003938701 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $49.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $65.19 | f | |||||||
| 4003938801 | DOE, J.D. JR. | 1 | 01/22-01/22/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $31.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.56 | f | |||||||
| 4003939001 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $37.16 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $17.84 | f | |||||||
| 4003939101 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $449.00 | $.00 | $449.00 | $277.09 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $171.91 | f | |||||||
| 4003939201 | DOE, J | 1 | 10/17-10/18/2003 | 123456789 | PAT | $510.54 | $.00 | $510.54 | $173.58 | $.00 | $50.00 | $28.70 | $.00 | $.00 | $.00 | $258.26 | f | |||||||
| 4003939301 | DOE, J | s | 01/10-01/11/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $64.77 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $37.23 | f | |||||||
| 4003939501 | DOE, J | 2 | 11/19-11/19/2003 | 123456789 | PAT | $18.00 | $.00 | $18.00 | $6.12 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $1.88 | f | |||||||
| 4003939701 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $139.50 | $.00 | $139.50 | $60.40 | $.00 | $.00 | $7.91 | $.00 | $.00 | $.00 | $71.19 | f | |||||||
| 4003939801 | DOE, J | 4 | 01/20-01/27/2004 | 123456789 | PAT | $222.00 | $.00 | $222.00 | $104.00 | $89.00 | $.00 | $5.80 | $.00 | $.00 | $.00 | $23.20 | f | |||||||
| 4003939901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $361.00 | $.00 | $361.00 | $156.31 | $204.69 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003940001 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $203.20 | $.00 | $203.20 | $3.48 | $.00 | $.00 | $19.97 | $.00 | $.00 | $.00 | $179.75 | f | |||||||
| 4003940401 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $2,759.00 | $.00 | $2,759.00 | $1,103.60 | $122.39 | $50.00 | $148.30 | $.00 | $.00 | $.00 | $1,334.71 | f | |||||||
| 4003940501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $12.89 | $.00 | $10.00 | $4.05 | $.00 | $.00 | $.00 | $83.06 | f | |||||||
| 4003940601 | DOE, J JR | e | 01/23-01/23/2004 | 123456789 | MANUEL JR | $189.00 | $.00 | $189.00 | $100.25 | $.00 | $10.00 | $2.82 | $.00 | $.00 | $.00 | $75.93 | f | |||||||
| 4003940701 | DOE, J | 3 | 01/29-01/29/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $34.50 | $63.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003940801 | DOE, J | e | 12/06-12/06/2003 | 123456789 | PAT | $136.00 | $136.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003940901 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $98.00 | $.00 | $98.00 | $34.50 | $.00 | $.00 | $12.70 | $.00 | $.00 | $.00 | $50.80 | f | |||||||
| 4003941201 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003941401 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $196.00 | $.00 | $196.00 | $21.95 | $.00 | $10.00 | $9.20 | $.00 | $.00 | $.00 | $154.85 | f | |||||||
| 4003941501 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $23.28 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $13.72 | f | |||||||
| 4003941801 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $79.75 | $.00 | $10.00 | $3.92 | $.00 | $.00 | $.00 | $76.33 | f | |||||||
| 4003941901 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $1,546.00 | $.00 | $1,546.00 | $669.42 | $250.00 | $.00 | $62.66 | $.00 | $.00 | $.00 | $563.92 | f | |||||||
| 4003942101 | O'KELLEY, THOMAS | s | 01/19-01/19/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $32.00 | $.00 | $.00 | $1.30 | $.00 | $.00 | $.00 | $11.70 | f | |||||||
| 4003942201 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $215.00 | $.00 | $215.00 | $36.98 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $178.02 | f | |||||||
| 4003942301 | DOE, J | e | 10/14-10/14/2003 | 123456789 | PAT | $205.25 | $.00 | $205.25 | $41.05 | $164.20 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003942501 | DOE, J | s | 12/02-12/02/2003 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $32.00 | $.00 | $.00 | $.80 | $.00 | $.00 | $.00 | $7.20 | f | |||||||
| 4003942601 | DOE, J SR | e | 01/14-01/14/2004 | 123456789 | ALAN SR | $478.25 | $.00 | $478.25 | $167.39 | $250.00 | $.00 | $6.09 | $.00 | $.00 | $.00 | $54.77 | f | |||||||
| 4003942701 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $1,477.00 | $62.00 | $1,415.00 | $968.65 | $.00 | $.00 | $44.63 | $.00 | $.00 | $.00 | $401.72 | f | |||||||
| 4003942901 | DOE, J | s | 06/10-06/10/2003 | 123456789 | PAT | $1,180.00 | $1,180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003943001 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $1,388.00 | $.00 | $1,388.00 | $998.98 | $.00 | $.00 | $38.90 | $.00 | $.00 | $.00 | $350.12 | f | |||||||
| 4003943101 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $20.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $94.69 | f | |||||||
| 4003943201 | DOE, J | e | 06/03-06/03/2003 | 123456789 | PAT | $530.00 | $.00 | $530.00 | $106.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $414.00 | f | |||||||
| 4003943301 | DOE, J | s | 12/16-12/16/2002 | 123456789 | PAT | $2,706.80 | $2,706.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003943501 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $16.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.45 | f | |||||||
| 4003943601 | DOE, J | s | 10/21-10/21/2003 | 123456789 | PAT | $66.15 | $66.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003943701 | DOE, J | e | 09/16-09/16/2003 | 123456789 | PAT | $93.50 | $93.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003943801 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003943901 | DOE, J | 3 | 01/03-01/03/2004 | 123456789 | PAT | $475.00 | $.00 | $475.00 | $250.28 | $115.00 | $.00 | $10.97 | $.00 | $.00 | $.00 | $98.75 | f | |||||||
| 4003944001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $565.00 | $.00 | $565.00 | $342.65 | $.00 | $10.00 | $10.26 | $.00 | $.00 | $.00 | $202.09 | f | |||||||
| 4003944101 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $233.00 | $.00 | $233.00 | $55.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $167.10 | f | |||||||
| 4003944301 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $139.00 | $.00 | $139.00 | $49.60 | $.00 | $10.00 | $2.45 | $.00 | $.00 | $.00 | $76.95 | f | |||||||
| 4003944401 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $52.09 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $67.91 | f | |||||||
| 4003946401 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $9.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $120.89 | f | |||||||
| 4003946501 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $1,105.00 | $204.28 | $900.72 | $389.29 | $250.00 | $.00 | $26.14 | $.00 | $.00 | $.00 | $235.29 | f | |||||||
| 4003946601 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $11.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.61 | f | |||||||
| 4003946701 | DOE, J | 3 | 02/04-02/04/2004 | 123456789 | PAT | $160.00 | $160.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003947401 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | MAURICE S | $180.00 | $.00 | $180.00 | $59.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $110.08 | f | |||||||
| 4003947501 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $64.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.00 | f | |||||||
| 4003947701 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $120.75 | $.00 | $120.75 | $16.06 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $94.69 | f | |||||||
| 4003947901 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $550.00 | $.00 | $550.00 | $336.21 | $.00 | $.00 | $21.38 | $.00 | $.00 | $.00 | $192.41 | f | |||||||
| 4003948001 | DOE, J | s | 01/05-01/09/2004 | 123456789 | PAT | $550.00 | $.00 | $550.00 | $256.30 | $.00 | $.00 | $29.35 | $.00 | $.00 | $.00 | $264.35 | f | |||||||
| 4003948401 | DOE, J | s | 01/10-01/10/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $51.26 | $.00 | $.00 | $5.87 | $.00 | $.00 | $.00 | $52.87 | f | |||||||
| 4003948501 | DOE, J | s | 09/16-09/16/2003 | 123456789 | PAT | $82.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003948801 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $69.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003948901 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $240.00 | $115.00 | $125.00 | $27.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $87.06 | f | |||||||
| 4003949101 | DOE, J SR | 1 | 02/03-02/03/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $44.12 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $83.88 | f | |||||||
| 4003949301 | DOE, J | 1 | 11/07-11/07/2003 | 123456789 | PAT | $68.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003949401 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $68.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003957901 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $11.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $36.14 | f | |||||||
| 4003958401 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $81.00 | $23.00 | $58.00 | $.00 | $.00 | $.00 | $17.40 | $.00 | $.00 | $.00 | $40.60 | f | |||||||
| 4003958501 | DOE, J | 1 | 02/02-02/02/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $5.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.31 | f | |||||||
| 4003958601 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $13.00 | $.00 | $13.00 | $.58 | $.00 | $.00 | $1.24 | $.00 | $.00 | $.00 | $11.18 | f | |||||||
| 4003958701 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $13.00 | $.00 | $13.00 | $.58 | $.00 | $.00 | $1.24 | $.00 | $.00 | $.00 | $11.18 | f | |||||||
| 4003959301 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $2,090.00 | $.00 | $2,090.00 | $336.36 | $250.00 | $10.00 | $143.76 | $.00 | $.00 | $.00 | $1,349.88 | f | |||||||
| 4003959501 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $31.88 | $.00 | $10.00 | $1.00 | $.00 | $.00 | $.00 | $66.12 | f | |||||||
| 4003959601 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $94.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.48 | f | |||||||
| 4003959901 | DOE, J | s | 02/06-02/06/2004 | 123456789 | PAT | $160.00 | $.00 | $160.00 | $37.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $112.53 | f | |||||||
| 4003968001 | DOE, J | s | 11/10-11/10/2003 | 123456789 | PAT | $18.15 | $18.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003970401 | DOE, J SR | s | 01/13-01/13/2004 | 123456789 | PAT | $54.00 | $.00 | $54.00 | $10.80 | $.00 | $.00 | $4.32 | $.00 | $.00 | $.00 | $38.88 | f | |||||||
| 4003973001 | DOE, J | e | 08/12-08/13/2003 | 123456789 | PAT | $395.00 | $395.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003973601 | DOE, J | e | 08/14-08/18/2003 | 123456789 | PAT | $450.00 | $450.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003974101 | DOE, J | e | 08/20-08/25/2003 | 123456789 | PAT | $600.00 | $600.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003974901 | DOE, J | e | 08/27-08/28/2003 | 123456789 | PAT | $400.00 | $400.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003975001 | DOE, J | e | 09/03-09/04/2003 | 123456789 | PAT | $365.00 | $365.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003975401 | DOE, J | e | 09/13-09/13/2003 | 123456789 | PAT | $790.30 | $790.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003976001 | DOE, J | 1 | 12/02-12/02/2003 | 123456789 | PAT | $665.50 | $665.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003976601 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $163.00 | $163.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003977401 | DOE, J R | 4 | 12/22-12/22/2003 | 123456789 | JAMES T | $93.00 | $.00 | $93.00 | $39.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003977601 | DOE, J R | 4 | 12/22-12/22/2003 | 123456789 | JAMES T | $502.00 | $.00 | $502.00 | $197.86 | $123.07 | $.00 | $18.11 | $.00 | $.00 | $.00 | $162.96 | f | |||||||
| 4003977801 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $158.00 | $18.00 | $140.00 | $47.23 | $.00 | $.00 | $18.56 | $.00 | $.00 | $.00 | $74.21 | f | |||||||
| 4003978101 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $138.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003979101 | DOE, J | s | 01/05-01/05/2004 | 123456789 | PAT | $12.00 | $12.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003980001 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $21.63 | $.00 | $.00 | $1.64 | $.00 | $.00 | $.00 | $14.73 | f | |||||||
| 4003980301 | DOE, J | e | 04/11-04/11/2003 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $26.11 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.89 | f | |||||||
| 4003980501 | DOE, J | e | 04/17-04/17/2003 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $26.11 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.89 | f | |||||||
| 4003981401 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $136.00 | $136.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003981901 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $121.00 | $121.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003982401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $121.00 | $121.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003982901 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $187.00 | $.00 | $187.00 | $127.86 | $.00 | $.00 | $5.91 | $.00 | $.00 | $.00 | $53.23 | f | |||||||
| 4003983001 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $12.19 | $.00 | $.00 | $2.18 | $.00 | $.00 | $.00 | $19.63 | f | |||||||
| 4003983201 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $128.00 | $.00 | $128.00 | $109.00 | $.00 | $.00 | $1.90 | $.00 | $.00 | $.00 | $17.10 | f | |||||||
| 4003983301 | DOE, J | e | 11/14-11/14/2003 | 123456789 | PAT | $424.00 | $424.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003983401 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003983501 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $2,862.00 | $.00 | $2,862.00 | $1,444.90 | $.00 | $.00 | $141.70 | $.00 | $.00 | $.00 | $1,275.40 | f | |||||||
| 4003983601 | DOE, J | e | 12/21-12/21/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4003983801 | DOE, J SR | s | 11/24-11/24/2003 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $53.73 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $49.27 | f | |||||||
| 4003984001 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $91.00 | $.00 | $91.00 | $30.93 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.07 | f | |||||||
| 4003984401 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $566.00 | $.00 | $566.00 | $318.02 | $.00 | $.00 | $24.80 | $.00 | $.00 | $.00 | $223.18 | f | |||||||
| 4003984701 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $3,193.00 | $.00 | $3,193.00 | $1,755.19 | $.00 | $.00 | $143.78 | $.00 | $.00 | $.00 | $1,294.03 | f | |||||||
| 4003984801 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $21.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003985001 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $21.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003985101 | DOE, J | 2 | 01/07-01/07/2004 | 123456789 | PAT | $214.00 | $.00 | $214.00 | $6.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $197.25 | f | |||||||
| 4003985401 | DOE, J | 4 | 01/07-01/07/2004 | 123456789 | PAT | $257.00 | $.00 | $257.00 | $11.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $235.73 | f | |||||||
| 4003985601 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $116.00 | $.00 | $116.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $106.00 | f | |||||||
| 4003987301 | DOE, J | 1 | 09/24-09/26/2003 | 123456789 | PAT | $4,179.75 | $.00 | $4,179.75 | $.00 | $.00 | $500.00 | $1,103.92 | $.00 | $2,575.83 | $.00 | $.00 | f | |||||||
| 4003988001 | DOE, J JR | e | 01/06-01/06/2004 | 123456789 | JAIME JR | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $28.50 | $.00 | $.00 | $.00 | $66.50 | f | |||||||
| 4003988601 | DOE, J JR | e | 01/07-01/07/2004 | 123456789 | JAIME JR | $95.00 | $.00 | $95.00 | $.00 | $.00 | $.00 | $28.50 | $.00 | $.00 | $.00 | $66.50 | f | |||||||
| 4003988801 | DOE, J JR | e | 01/02-01/05/2004 | 123456789 | JAIME JR | $420.00 | $.00 | $420.00 | $.00 | $.00 | $.00 | $126.00 | $.00 | $.00 | $.00 | $294.00 | f | |||||||
| 4003988901 | DOE, J | 5 | 01/09-01/09/2004 | 123456789 | PAT | $73.00 | $73.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003989201 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $65.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003989501 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $65.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003989901 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $553.49 | $553.49 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003990101 | DOE, J | 1 | 09/24-09/24/2003 | 123456789 | PAT | $294.00 | $294.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003995001 | DOE, J JR | 2 | 01/29-01/29/2004 | 123456789 | PAT | $29.00 | $.00 | $29.00 | $25.00 | $.00 | $.00 | $.40 | $.00 | $.00 | $.00 | $3.60 | f | |||||||
| 4003995301 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $167.00 | $20.00 | $147.00 | $63.52 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $73.18 | f | |||||||
| 4003995801 | DOE, J JR | s | 01/27-01/27/2004 | 123456789 | PAT | $155.00 | $.00 | $155.00 | $79.57 | $.00 | $10.00 | $2.38 | $.00 | $.00 | $.00 | $63.05 | f | |||||||
| 4003995901 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $20.00 | $14.00 | $6.00 | $1.64 | $.00 | $.00 | $.44 | $.00 | $.00 | $.00 | $3.92 | f | |||||||
| 4003996101 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $50.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4003996201 | DOE, J | e | 08/22-08/22/2003 | 123456789 | PAT | $48.00 | $48.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003996301 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $100.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $5.00 | f | |||||||
| 4003996401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $956.00 | $.00 | $956.00 | $513.49 | $.00 | $.00 | $44.25 | $.00 | $.00 | $.00 | $398.26 | f | |||||||
| 4003996601 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $14.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4003996901 | DOE, J | s | 08/13-08/13/2003 | 123456789 | PAT | $96.50 | $96.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003997001 | DOE, J | e | 08/18-08/18/2003 | 123456789 | PAT | $179.00 | $179.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003997201 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $22.47 | $.00 | $.00 | $4.75 | $.00 | $.00 | $.00 | $42.78 | f | |||||||
| 4003997301 | DOE, J | 2 | 01/26-01/26/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $13.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4003997401 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $8.08 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $76.92 | f | |||||||
| 4003997701 | DOE, J | 2 | 01/13-01/13/2004 | 123456789 | PAT | $173.08 | $.00 | $173.08 | $125.89 | $.00 | $.00 | $4.72 | $.00 | $.00 | $.00 | $42.47 | f | |||||||
| 4003997801 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $10.20 | $.00 | $10.00 | $2.48 | $.00 | $.00 | $.00 | $72.32 | f | |||||||
| 4003998001 | DOE, J | s | 10/20-10/20/2003 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $103.49 | $.00 | $.00 | $3.65 | $.00 | $.00 | $.00 | $32.86 | f | |||||||
| 4003998601 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $276.00 | $276.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003998602 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $276.00 | $.00 | $276.00 | $197.44 | $.00 | $.00 | $7.86 | $.00 | $.00 | $.00 | $70.70 | f | |||||||
| 4003999001 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $15.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $35.00 | f | |||||||
| 4003999201 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $6.53 | $23.47 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003999301 | DOE, J | e | 01/02-01/02/2004 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $28.87 | $.00 | $.00 | $1.21 | $.00 | $.00 | $.00 | $10.92 | f | |||||||
| 4003999401 | DOE, J | e | 01/02-01/02/2004 | 123456789 | PAT | $86.00 | $86.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003999501 | DOE, J | e | 01/02-01/02/2004 | 123456789 | PAT | $408.00 | $247.00 | $161.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $151.00 | f | |||||||
| 4003999601 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $72.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4003999701 | DOE, J | e | 01/31-01/31/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4004000401 | DOE, J | s | 01/18-01/18/2004 | 123456789 | PAT | $2,240.00 | $.00 | $2,240.00 | $1,289.70 | $250.00 | $10.00 | $48.33 | $.00 | $.00 | $.00 | $641.97 | f | |||||||
| 4004000801 | DOE, J | s | 12/16-12/16/2003 | 123456789 | PAT | $4,850.00 | $4,850.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004001101 | DOE, J | s | 12/16-12/16/2003 | 123456789 | PAT | $1,000.00 | $1,000.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004001601 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $254.00 | $254.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004003101 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $724.66 | $218.16 | $506.50 | $246.84 | $.00 | $.00 | $31.19 | $.00 | $.00 | $.00 | $228.47 | f | |||||||
| 4004004701 | DOE, J | 1 | 01/09-01/09/2004 | 123456789 | PAT | $63.00 | $.00 | $63.00 | $11.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4004005001 | DOE, J | 1 | 07/09-07/09/2003 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4004005701 | DOE, J | 1 | 05/12-05/12/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4004006001 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $67.26 | $25.88 | $41.38 | $16.50 | $.00 | $.00 | $3.67 | $.00 | $.00 | $.00 | $21.21 | f | |||||||
| 4004006201 | DOE, J | 1 | 09/24-09/24/2003 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $80.00 | f | |||||||
| 4004007101 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004007401 | DOE, J | e | 02/27-02/27/2003 | 123456789 | PAT | $600.00 | $460.00 | $140.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $140.00 | f | |||||||
| 4004007801 | DOE, J | s | 01/08-01/14/2004 | 123456789 | PAT | $234.00 | $.00 | $234.00 | $53.77 | $.00 | $10.00 | $13.22 | $.00 | $.00 | $.00 | $157.01 | f | |||||||
| 4004008001 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $5.00 | $.00 | $5.00 | $.00 | $.00 | $.00 | $.50 | $.00 | $.00 | $.00 | $4.50 | f | |||||||
| 4004008201 | DOE, J | e | 12/14-12/14/2003 | 123456789 | PAT | $313.00 | $313.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004008301 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $275.00 | $275.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004008601 | DOE, J | e | 01/13-01/17/2004 | 123456789 | PAT | $640.00 | $.00 | $640.00 | $323.47 | $.00 | $.00 | $31.65 | $.00 | $.00 | $.00 | $284.88 | f | |||||||
| 4004008801 | DOE, J | e | 12/20-12/20/2003 | 123456789 | PAT | $1,051.00 | $1,051.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004009101 | DOE, J | e | 12/06-12/06/2003 | 123456789 | PAT | $510.00 | $510.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004009501 | DOE, J | e | 11/29-11/29/2003 | 123456789 | PAT | $140.00 | $140.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004009601 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $78.12 | $.00 | $10.00 | $4.26 | $.00 | $.00 | $.00 | $75.62 | f | |||||||
| 4004010001 | DOE, J | e | 11/08-11/08/2003 | 123456789 | PAT | $180.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004010401 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $97.00 | $.00 | $97.00 | $21.02 | $.00 | $10.00 | $1.14 | $.00 | $.00 | $.00 | $64.84 | f | |||||||
| 4004010501 | DOE, J | e | 11/15-11/15/2003 | 123456789 | PAT | $180.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004010901 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $130.00 | $7.00 | $123.00 | $52.92 | $.00 | $10.00 | $1.27 | $.00 | $.00 | $.00 | $58.81 | f | |||||||
| 4004012701 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $271.00 | $271.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004014801 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $22.95 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $72.05 | f | |||||||
| 4004015901 | DOE, J | s | 03/27-03/27/2003 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $25.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4004016101 | DOE, J | s | 01/11-01/11/2004 | 123456789 | PAT | $285.00 | $285.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004016201 | DOE, J | s | 09/08-09/08/2003 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $25.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4004016301 | DOE, J | t | 01/12-01/12/2004 | 123456789 | ANNIE L | $210.00 | $210.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004016501 | DOE, J | t | 01/14-01/15/2004 | 123456789 | ANNIE L | $250.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004016701 | DOE, J | t | 01/19-01/20/2004 | 123456789 | ANNIE L | $250.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004016801 | DOE, J | t | 01/22-01/22/2004 | 123456789 | ANNIE L | $125.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004016901 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $16.50 | $.00 | $.00 | $3.85 | $.00 | $.00 | $.00 | $34.65 | f | |||||||
| 4004017301 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $5.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4004017801 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $61.72 | $.00 | $10.00 | $3.53 | $.00 | $.00 | $.00 | $119.75 | f | |||||||
| 4004019701 | DOE, J | s | 01/18-01/18/2004 | 123456789 | PAT | $148.00 | $.00 | $148.00 | $60.95 | $.00 | $.00 | $8.70 | $.00 | $.00 | $.00 | $78.35 | f | |||||||
| 4004019901 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $230.00 | $.00 | $230.00 | $75.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $144.57 | f | |||||||
| 4004020001 | DOE, J | 3 | 01/28-01/28/2004 | 123456789 | PAT | $49.00 | $.00 | $49.00 | $15.26 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.74 | f | |||||||
| 4004020301 | DOE, J | 1 | 12/08-12/08/2003 | 123456789 | TY E | $208.00 | $208.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004026001 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $265.00 | $265.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004026002 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $305.00 | $.00 | $305.00 | $.00 | $.00 | $.00 | $122.00 | $.00 | $.00 | $.00 | $183.00 | f | |||||||
| 4004026401 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $260.00 | $260.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004026402 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $260.00 | $.00 | $260.00 | $.00 | $173.00 | $.00 | $34.80 | $.00 | $.00 | $.00 | $52.20 | f | |||||||
| 4004029901 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $280.89 | $.00 | $280.89 | $83.79 | $.00 | $10.00 | $14.05 | $.00 | $.00 | $.00 | $173.05 | f | |||||||
| 4004030601 | DOE, J JR | s | 01/26-01/27/2004 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $112.02 | $15.00 | $.00 | $17.30 | $.00 | $.00 | $.00 | $155.68 | f | |||||||
| 4004033801 | DOE, J | 1 | 12/22-12/22/2003 | 123456789 | PAT | $80.00 | $20.00 | $60.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $50.00 | f | |||||||
| 4004036601 | DOE, J | s | 11/07-11/07/2003 | 123456789 | PAT | $592.00 | $.00 | $592.00 | $203.49 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $388.51 | f | |||||||
| 4004036801 | DOE, J | e | 07/28-07/28/2003 | 123456789 | PAT | $254.00 | $.00 | $254.00 | $161.38 | $.00 | $10.00 | $2.54 | $.00 | $.00 | $.00 | $80.08 | f | |||||||
| 4004036901 | DOE, J | e | 04/07-04/07/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $12.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004037201 | DOE, J | s | 12/12-12/12/2003 | 123456789 | PAT | $74.00 | $17.39 | $56.61 | $.00 | $.00 | $10.00 | $.00 | $.00 | $45.14 | $.00 | $1.47 | f | |||||||
| 4004037301 | DOE, J | e | 06/15-06/15/2003 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $24.91 | $.00 | $.00 | $1.21 | $.00 | $.00 | $.00 | $10.88 | f | |||||||
| 4004037901 | DOE, J | 1 | 02/03-02/03/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $27.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.96 | f | |||||||
| 4004038101 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $1,249.00 | $.00 | $1,249.00 | $1,104.59 | $.00 | $.00 | $14.44 | $.00 | $.00 | $.00 | $129.97 | f | |||||||
| 4004038401 | DOE, J | s | 02/03-02/03/2004 | 123456789 | JO CAROL | $70.00 | $.00 | $70.00 | $30.03 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.97 | f | |||||||
| 4004038701 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $84.00 | $.00 | $84.00 | $3.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.06 | f | |||||||
| 4004039001 | DOE, J | e | 09/18-09/18/2003 | 123456789 | PAT | $288.44 | $.00 | $288.44 | $153.96 | $.00 | $10.00 | $.44 | $.00 | $.00 | $.00 | $124.04 | f | |||||||
| 4004039101 | DOE, J | e | 01/18-01/18/2004 | 123456789 | PAT | $462.00 | $.00 | $462.00 | $293.87 | $.00 | $10.80 | $15.73 | $.00 | $.00 | $.00 | $141.60 | f | |||||||
| 4004039201 | DOE, J | e | 11/07-11/07/2003 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4004039701 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $33.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.57 | f | |||||||
| 4004040001 | DOE, J | s | 10/24-10/24/2003 | 123456789 | PAT | $65.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004040301 | DOE, J | s | 12/23-12/23/2003 | 123456789 | PAT | $80.88 | $80.88 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004040401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $38.09 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.91 | f | |||||||
| 4004040601 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $23.00 | $.00 | $23.00 | $6.94 | $.00 | $.00 | $1.61 | $.00 | $.00 | $.00 | $14.45 | f | |||||||
| 4004040801 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $170.00 | $170.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004041001 | DOE, J | s | 08/26-08/26/2003 | 123456789 | PAT | $39.00 | $14.00 | $25.00 | $22.00 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4004041201 | DOE, J | e | 12/18-12/18/2003 | 123456789 | PAT | $1,000.00 | $1,000.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004041301 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $9.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4004041601 | DOE, J | s | 01/30-01/30/2004 | 123456789 | XIA-YUN | $65.00 | $.00 | $65.00 | $9.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4004041801 | DOE, J | 3 | 10/13-10/13/2003 | 123456789 | PAT | $59.00 | $.00 | $59.00 | $2.40 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.60 | f | |||||||
| 4004042201 | DOE, J | 2 | 12/19-12/19/2003 | 123456789 | PAT | $161.25 | $.00 | $161.25 | $36.59 | $.00 | $.00 | $24.93 | $.00 | $.00 | $.00 | $99.73 | f | |||||||
| 4004042401 | DOE, J JR. | s | 02/10-02/10/2003 | 123456789 | PAT | $645.00 | $645.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004042501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $54.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.06 | f | |||||||
| 4004042801 | DOE, J | 1 | 09/29-09/29/2003 | 123456789 | PAT | $145.00 | $145.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004044001 | DOE, J | s | 02/09-02/10/2004 | 123456789 | PAT | $14,083.95 | $.00 | $14,083.95 | $12,583.95 | $250.00 | $.00 | $125.00 | $.00 | $.00 | $.00 | $1,125.00 | f | |||||||
| 4004045501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $65.00 | f | |||||||
| 4004045701 | DOE, J | s | 09/05-09/05/2002 | 123456789 | PAT | $600.00 | $600.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004045901 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $17.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.08 | f | |||||||
| 4004046001 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | SEAN B | $107.00 | $32.00 | $75.00 | $40.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $25.00 | f | |||||||
| 4004046101 | DOE, J | 1 | 12/10-12/18/2003 | 123456789 | PAT | $4,371.99 | $.00 | $4,371.99 | $3,288.99 | $.00 | $.00 | $108.30 | $.00 | $.00 | $.00 | $974.70 | f | |||||||
| 4004046201 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $10.00 | $.00 | $10.00 | $6.46 | $.00 | $.00 | $.35 | $.00 | $.00 | $.00 | $3.19 | f | |||||||
| 4004046501 | DOE, J | 1 | 12/10-12/10/2003 | 123456789 | PAT | $19.00 | $.00 | $19.00 | $5.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $13.30 | f | |||||||
| 4004046801 | DOE, J | s | 03/26-03/26/2003 | 123456789 | PAT | $121.00 | $.00 | $121.00 | $85.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $35.40 | f | |||||||
| 4004046901 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004047401 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $92.00 | $.00 | $92.00 | $33.66 | $.00 | $10.00 | $1.60 | $.00 | $.00 | $.00 | $46.74 | f | |||||||
| 4004047701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $24.06 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $17.94 | f | |||||||
| 4004047901 | DOE, J JR | e | 01/23-01/23/2004 | 123456789 | MANUEL JR | $194.00 | $.00 | $194.00 | $100.81 | $.00 | $10.00 | $6.52 | $.00 | $.00 | $.00 | $76.67 | f | |||||||
| 4004048001 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $4,985.15 | $4,985.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004048101 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $44.11 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $70.89 | f | |||||||
| 4004048301 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $17.92 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $57.08 | f | |||||||
| 4004048401 | DOE, J | 1 | 10/09-10/09/2003 | 123456789 | PAT | $559.75 | $.00 | $559.75 | $83.96 | $.00 | $.00 | $47.58 | $.00 | $.00 | $.00 | $428.21 | f | |||||||
| 4004048601 | DOE, J | 1 | 12/12-12/12/2003 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $24.62 | $.00 | $12.85 | $.00 | $.00 | $.00 | $.00 | $48.53 | f | |||||||
| 4004048801 | DOE, J | s | 01/03-01/03/2004 | 123456789 | PAT | $36.00 | $.00 | $36.00 | $3.95 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $32.05 | f | |||||||
| 4004048901 | DOE, J | 1 | 01/14-01/14/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $6.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.53 | f | |||||||
| 4004049001 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $4,188.40 | $.00 | $4,188.40 | $2,055.85 | $.00 | $50.00 | $208.25 | $.00 | $.00 | $.00 | $1,874.30 | f | |||||||
| 4004049101 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $579.00 | $.00 | $579.00 | $63.26 | $.00 | $.00 | $51.57 | $.00 | $.00 | $.00 | $464.17 | f | |||||||
| 4004049201 | DOE, J | 4 | 12/16-12/16/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $6.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.53 | f | |||||||
| 4004049401 | DOE, J | 3 | 12/16-12/16/2003 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $6.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.53 | f | |||||||
| 4004049501 | DOE, J | 2 | 11/01-11/01/2003 | 123456789 | PAT | $554.00 | $554.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004049701 | DOE, J | e | 11/18-11/18/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $3.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.61 | f | |||||||
| 4004049801 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $27.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.84 | f | |||||||
| 4004050001 | DOE, J JR | s | 02/02-02/02/2004 | 123456789 | PAT | $57.00 | $.00 | $57.00 | $.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4004050101 | DOE, J | e | 05/13-05/13/2003 | 123456789 | PAT | $457.50 | $.00 | $457.50 | $145.26 | $.00 | $50.00 | $26.22 | $.00 | $.00 | $.00 | $236.02 | f | |||||||
| 4004050501 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $.00 | $150.00 | $.00 | $5.00 | $.00 | $.00 | $.00 | $45.00 | f | |||||||
| 4004050801 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $20.00 | $.00 | $20.00 | $.00 | $.00 | $.00 | $2.00 | $.00 | $.00 | $.00 | $18.00 | f | |||||||
| 4004050901 | DOE, J | s | 12/08-12/08/2003 | 123456789 | PAT | $2,100.00 | $.00 | $2,100.00 | $711.33 | $.00 | $.00 | $138.87 | $.00 | $.00 | $.00 | $1,249.80 | f | |||||||
| 4004051101 | DOE, J | s | 01/09-01/11/2004 | 123456789 | PAT | $474.00 | $.00 | $474.00 | $297.78 | $.00 | $.00 | $17.61 | $.00 | $.00 | $.00 | $158.61 | f | |||||||
| 4004051201 | DOE, J | s | 01/05-01/13/2004 | 123456789 | PAT | $914.00 | $.00 | $914.00 | $571.30 | $.00 | $.00 | $34.25 | $.00 | $.00 | $.00 | $308.45 | f | |||||||
| 4004051301 | DOE, J | s | 12/29-12/31/2003 | 123456789 | PAT | $874.00 | $.00 | $874.00 | $548.01 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $325.99 | f | |||||||
| 4004051501 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $167.00 | $.00 | $167.00 | $47.24 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $109.76 | f | |||||||
| 4004051601 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $5.36 | $59.64 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004052201 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $227.00 | $.00 | $227.00 | $28.46 | $198.54 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004052301 | DOE, J | e | 01/12-01/26/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $41.25 | $.00 | $.00 | $12.37 | $.00 | $.00 | $.00 | $111.38 | f | |||||||
| 4004052401 | DOE, J | e | 01/17-01/31/2004 | 123456789 | PAT | $186.00 | $.00 | $186.00 | $26.03 | $159.97 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004052501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $101.00 | $.00 | $101.00 | $45.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4004052601 | DOE, J | 4 | 02/02-02/02/2004 | 123456789 | PAT | $109.00 | $.00 | $109.00 | $16.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.40 | f | |||||||
| 4004052901 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004053101 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $89.00 | $.00 | $89.00 | $20.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.10 | f | |||||||
| 4004053201 | DOE, J | e | 01/02-01/16/2004 | 123456789 | PAT | $2,143.00 | $.00 | $2,143.00 | $1,018.00 | $.00 | $270.00 | $48.25 | $.00 | $.00 | $.00 | $806.75 | f | |||||||
| 4004053301 | DOE, J | e | 01/05-01/09/2004 | 123456789 | PAT | $795.00 | $.00 | $795.00 | $205.87 | $.00 | $.00 | $58.93 | $.00 | $.00 | $.00 | $530.20 | f | |||||||
| 4004053401 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4004054301 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $4,920.00 | $.00 | $4,920.00 | $2,050.00 | $74.16 | $.00 | $279.58 | $.00 | $.00 | $.00 | $2,516.26 | f | |||||||
| 4004054401 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $1,144.00 | $.00 | $1,144.00 | $324.00 | $.00 | $.00 | $82.00 | $.00 | $.00 | $.00 | $738.00 | f | |||||||
| 4004054701 | DOE, J | 1 | 02/04-02/04/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004054801 | DOE, J | e | 03/11-03/11/2003 | 123456789 | PAT | $31.75 | $31.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004055301 | DOE, J | s | 12/24-12/24/2003 | 123456789 | PAT | $700.05 | $700.05 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004055601 | DOE, J | s | 11/07-11/07/2003 | 123456789 | PAT | $154.00 | $.00 | $154.00 | $30.80 | $.00 | $.00 | $12.32 | $.00 | $.00 | $.00 | $110.88 | f | |||||||
| 4004055901 | DOE, J JR | s | 08/07-08/07/2003 | 123456789 | JACONDA JR | $246.10 | $.00 | $246.10 | $44.30 | $.00 | $.00 | $20.18 | $.00 | $.00 | $.00 | $181.62 | f | |||||||
| 4004056101 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $6,710.00 | $6,710.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004056102 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $6,710.00 | $.00 | $6,710.00 | $6,179.75 | $.00 | $.00 | $53.02 | $.00 | $.00 | $.00 | $477.23 | f | |||||||
| 4004056201 | DOE, J | s | 12/17-12/17/2003 | 123456789 | PAT | $247.11 | $.00 | $247.11 | $140.07 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $107.04 | f | |||||||
| 4004056202 | DOE, J | s | 12/17-12/17/2003 | 123456789 | PAT | $11.89 | $.00 | $11.89 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.89 | f | |||||||
| 4004056301 | DOE, J | s | 11/13-11/13/2003 | 123456789 | PAT | $61.00 | $61.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004056501 | DOE, J | 1 | 05/19-05/19/2003 | 123456789 | PAT | $41.00 | $.00 | $41.00 | $21.86 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $9.14 | f | |||||||
| 4004056701 | DOE, J | 1 | 04/21-04/21/2003 | 123456789 | PAT | $237.00 | $.00 | $237.00 | $88.65 | $93.79 | $10.00 | $.00 | $.00 | $.00 | $.00 | $44.56 | f | |||||||
| 4004057001 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $34.41 | $.00 | $.00 | $3.76 | $.00 | $.00 | $.00 | $33.83 | f | |||||||
| 4004057301 | DOE, J | s | 09/24-09/24/2003 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $23.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $44.56 | f | |||||||
| 4004058101 | DOE, J | 1 | 02/01-02/01/2004 | 123456789 | PAT | $60.53 | $.00 | $60.53 | $18.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.37 | f | |||||||
| 4004058501 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $823.00 | $823.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004061101 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $129.00 | $129.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004061301 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $84.00 | $.00 | $84.00 | $16.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004062001 | DOE, J JR | 1 | 10/25-10/26/2003 | 123456789 | PAT | $180.00 | $.00 | $180.00 | $64.28 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $115.72 | f | |||||||
| 4004072901 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $36.00 | $.00 | $36.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $36.00 | f | |||||||
| 4004075801 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $52.85 | $.00 | $52.85 | $14.29 | $.00 | $.00 | $3.86 | $.00 | $.00 | $.00 | $34.70 | f | |||||||
| 4004076401 | DOE, J | e | 01/07-01/08/2004 | 123456789 | PAT | $68.29 | $.00 | $68.29 | $12.66 | $.00 | $.00 | $5.57 | $.00 | $.00 | $.00 | $50.06 | f | |||||||
| 4004077601 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $35.00 | $35.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004078001 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $.00 | $.00 | $.00 | $55.00 | $.00 | $.00 | $.00 | $55.00 | f | |||||||
| 4004078401 | DOE, J | e | 01/06-01/19/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $.00 | $140.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004080701 | DOE, J | e | 10/15-10/15/2003 | 123456789 | PAT | $73.75 | $.00 | $73.75 | $48.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $24.96 | f | |||||||
| 4004081201 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $84.30 | $.00 | $84.30 | $.00 | $84.30 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004089301 | DOE, J | 1 | 01/02-01/02/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $.00 | $200.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004089501 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $.00 | $65.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004089701 | DOE, J | s | 01/02-01/02/2004 | 123456789 | PAT | $200.00 | $.00 | $200.00 | $.00 | $200.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004097201 | DOE, J | 1 | 06/19-06/19/2003 | 123456789 | PAT | $1,341.00 | $.00 | $1,341.00 | $.00 | $.00 | $.00 | $402.30 | $.00 | $.00 | $.00 | $938.70 | f | |||||||
| 4004097301 | DOE, J | 3 | 01/29-01/29/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $28.63 | $.00 | $10.00 | $1.67 | $.00 | $.00 | $.00 | $61.70 | f | |||||||
| 4004097401 | DOE, J | e | 01/03-01/03/2004 | 123456789 | PAT | $85.00 | $85.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004098701 | DE DIOS, JOSE | 2 | 11/12-11/12/2003 | 123456789 | PAT | $554.00 | $70.62 | $483.38 | $.00 | $.00 | $.00 | $48.34 | $.00 | $.00 | $.00 | $435.04 | f | |||||||
| 4004099801 | DOE, J | s | 01/09-01/09/2004 | 123456789 | PAT | $600.00 | $600.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004101101 | DOE, J | e | 09/30-09/30/2003 | 123456789 | PAT | $168.00 | $.00 | $168.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $168.00 | f | |||||||
| 4004102601 | DOE, J | s | 02/06-02/06/2004 | 123456789 | DONALD SR | $65.00 | $.00 | $65.00 | $12.00 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $42.70 | f | |||||||
| 4004102701 | DOE, J | 1 | 02/06-02/06/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $13.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004108501 | DOE, J | e | 11/30-11/30/2003 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $.00 | $.00 | $.00 | $13.50 | $.00 | $.00 | $.00 | $121.50 | f | |||||||
| 4004112501 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $24.00 | $24.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004112701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $7.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $30.61 | f | |||||||
| 4004116001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $24.00 | $24.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004118001 | DOE, J | 3 | 01/03-01/03/2004 | 123456789 | PAT | $1,418.00 | $.00 | $1,418.00 | $354.50 | $.00 | $50.00 | $101.35 | $.00 | $.00 | $.00 | $912.15 | f | |||||||
| 4004118201 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $32.00 | $.00 | $32.00 | $6.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $25.60 | f | |||||||
| 4004118601 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $320.21 | $.00 | $320.21 | $64.04 | $.00 | $.00 | $25.62 | $.00 | $.00 | $.00 | $230.55 | f | |||||||
| 4004118801 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $2,347.80 | $.00 | $2,347.80 | $469.56 | $.00 | $.00 | $187.82 | $.00 | $.00 | $.00 | $1,690.42 | f | |||||||
| 4004119101 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $6,210.50 | $.00 | $6,210.50 | $1,552.62 | $144.99 | $.00 | $451.29 | $.00 | $.00 | $.00 | $4,061.60 | f | |||||||
| 4004119201 | DOE, J | s | 11/25-12/09/2003 | 123456789 | PAT | $54.00 | $14.20 | $39.80 | $.00 | $.00 | $.00 | $3.98 | $.00 | $31.68 | $.00 | $4.14 | f | |||||||
| 4004119801 | DOE, J | 1 | 11/16-11/16/2003 | 123456789 | NIA S | $441.70 | $.00 | $441.70 | $189.93 | $42.00 | $50.00 | $15.98 | $.00 | $.00 | $.00 | $143.79 | f | |||||||
| 4004119901 | DOE, J | s | 10/22-10/22/2003 | 123456789 | PAT | $70.00 | $18.92 | $51.08 | $.00 | $.00 | $10.00 | $.00 | $.00 | $41.08 | $.00 | $.00 | f | |||||||
| 4004120401 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $3,200.00 | $.00 | $3,200.00 | $2,461.60 | $.00 | $.00 | $73.84 | $.00 | $.00 | $.00 | $664.56 | f | |||||||
| 4004120801 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $180.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004121401 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $1,341.48 | $1,341.48 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004121901 | DOE, J | s | 12/31-12/31/2003 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $37.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $112.50 | f | |||||||
| 4004122401 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $131.00 | $131.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004123001 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004123701 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $128.00 | $128.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004124301 | DOE, J | 2 | 09/08-09/08/2003 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $22.65 | $.00 | $10.00 | $.21 | $.00 | $.00 | $.00 | $72.14 | f | |||||||
| 4004124701 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $72.40 | $.00 | $.00 | $.76 | $.00 | $.00 | $.00 | $6.84 | f | |||||||
| 4004124801 | DOE, J | s | 10/24-10/24/2003 | 123456789 | PAT | $580.00 | $.00 | $580.00 | $308.86 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $271.14 | f | |||||||
| 4004128101 | DOE, J | 5 | 11/02-11/02/2003 | 123456789 | PAT | $123.30 | $.00 | $123.30 | $32.67 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $90.63 | f | |||||||
| 4004129601 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $1,983.00 | $.00 | $1,983.00 | $463.77 | $250.00 | $.00 | $126.92 | $.00 | $.00 | $.00 | $1,142.31 | f | |||||||
| 4004136101 | DOE, J | s | 10/29-10/29/2003 | 123456789 | PAT | $106.70 | $.00 | $106.70 | $70.66 | $.00 | $.00 | $3.60 | $.00 | $.00 | $.00 | $32.44 | f | |||||||
| 4004136201 | DOE, J | s | 08/26-08/26/2003 | 123456789 | PAT | $615.80 | $.00 | $615.80 | $454.59 | $.00 | $.00 | $16.11 | $.00 | $.00 | $.00 | $145.10 | f | |||||||
| 4004136601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $170.00 | $.00 | $170.00 | $54.22 | $115.78 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004136901 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $66.34 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.66 | f | |||||||
| 4004137301 | DOE, J | s | 12/30-12/30/2003 | 123456789 | PAT | $47.00 | $.00 | $47.00 | $11.75 | $35.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004137501 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $950.00 | $.00 | $950.00 | $430.84 | $.00 | $10.00 | $46.33 | $.00 | $.00 | $.00 | $462.83 | f | |||||||
| 4004137601 | DOE, J | e | 01/31-01/31/2004 | 123456789 | PAT | $224.00 | $.00 | $224.00 | $36.00 | $.00 | $10.00 | $11.60 | $.00 | $.00 | $.00 | $166.40 | f | |||||||
| 4004137701 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $244.00 | $.00 | $244.00 | $106.16 | $.00 | $10.00 | $3.31 | $.00 | $.00 | $.00 | $124.53 | f | |||||||
| 4004138101 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $207.40 | $.00 | $207.40 | $122.80 | $.00 | $.00 | $8.46 | $.00 | $.00 | $.00 | $76.14 | f | |||||||
| 4004138201 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $156.00 | $.00 | $156.00 | $54.98 | $.00 | $10.00 | $2.91 | $.00 | $.00 | $.00 | $88.11 | f | |||||||
| 4004138501 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $17.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.75 | f | |||||||
| 4004138801 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $35.38 | $.00 | $10.00 | $.19 | $.00 | $.00 | $.00 | $39.43 | f | |||||||
| 4004139001 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | JEREMY K | $265.00 | $265.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004139401 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $52.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.75 | f | |||||||
| 4004139601 | DOE, J | e | 10/09-10/09/2003 | 123456789 | PAT | $49.00 | $.00 | $49.00 | $10.14 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $38.86 | f | |||||||
| 4004139701 | DOE, J | e | 10/09-10/09/2003 | 123456789 | PAT | $192.00 | $.00 | $192.00 | $20.77 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $171.23 | f | |||||||
| 4004139801 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $42.96 | $.00 | $10.00 | $1.69 | $.00 | $.00 | $.00 | $70.35 | f | |||||||
| 4004140001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $152.00 | $.00 | $152.00 | $32.20 | $.00 | $10.00 | $5.27 | $.00 | $.00 | $.00 | $104.53 | f | |||||||
| 4004140301 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $100.12 | $.00 | $10.00 | $6.46 | $.00 | $.00 | $.00 | $128.42 | f | |||||||
| 4004140401 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $117.00 | $.00 | $117.00 | $12.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $94.69 | f | |||||||
| 4004140601 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $2,400.00 | $.00 | $2,400.00 | $1,605.96 | $250.00 | $.00 | $54.40 | $.00 | $.00 | $.00 | $489.64 | f | |||||||
| 4004140801 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $8.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4004141001 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $191.00 | $.00 | $191.00 | $13.00 | $.00 | $10.00 | $10.60 | $.00 | $.00 | $.00 | $157.40 | f | |||||||
| 4004141201 | DOE, J | e | 09/09-09/09/2003 | 123456789 | PAT | $209.00 | $16.00 | $193.00 | $28.56 | $.00 | $10.00 | $6.96 | $.00 | $.00 | $.00 | $147.48 | f | |||||||
| 4004141401 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $43.00 | $.00 | $43.00 | $12.90 | $.00 | $.00 | $3.01 | $.00 | $.00 | $.00 | $27.09 | f | |||||||
| 4004141501 | DOE, J | 4 | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $22.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.73 | f | |||||||
| 4004142201 | DOE, J | e | 01/10-01/11/2004 | 123456789 | PAT | $1,173.00 | $.00 | $1,173.00 | $481.68 | $.00 | $.00 | $69.14 | $.00 | $.00 | $.00 | $622.18 | f | |||||||
| 4004142401 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $74.00 | $.00 | $74.00 | $24.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4004142601 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $83.01 | $.00 | $10.00 | $3.02 | $.00 | $.00 | $.00 | $108.97 | f | |||||||
| 4004143401 | DOE, J | 2 | 08/15-08/15/2003 | 123456789 | PAT | $64.00 | $.00 | $64.00 | $21.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.73 | f | |||||||
| 4004143701 | DOE, J | 1 | 08/15-08/15/2003 | 123456789 | PAT | $163.00 | $.00 | $163.00 | $53.28 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $99.72 | f | |||||||
| 4004144201 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $120.00 | $5.00 | $115.00 | $18.96 | $.00 | $10.00 | $1.68 | $.00 | $.00 | $.00 | $84.36 | f | |||||||
| 4004144501 | ARCEO JR, ROBERT | e | 01/26-01/26/2004 | 123456789 | PAT | $1,657.00 | $1,657.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004144801 | DOE, J | s | 10/31-10/31/2003 | 123456789 | PAT | $101.15 | $.00 | $101.15 | $61.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $39.65 | f | |||||||
| 4004145101 | DOE, J | s | 08/03-08/03/2003 | 123456789 | PAT | $224.61 | $224.61 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004145501 | DOE, J | 4 | 01/27-01/27/2004 | 123456789 | PAT | $367.00 | $.00 | $367.00 | $68.54 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $288.46 | f | |||||||
| 4004145701 | DOE, J | 4 | 01/27-01/27/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $26.70 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $18.30 | f | |||||||
| 4004145901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $816.00 | $.00 | $816.00 | $214.00 | $.00 | $.00 | $60.20 | $.00 | $.00 | $.00 | $541.80 | f | |||||||
| 4004146301 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $640.00 | $.00 | $640.00 | $.00 | $250.00 | $.00 | $39.00 | $.00 | $.00 | $.00 | $351.00 | f | |||||||
| 4004146601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $280.00 | $.00 | $280.00 | $105.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $145.00 | f | |||||||
| 4004146701 | DOE, J | e | 12/05-12/05/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $149.60 | $.00 | $.00 | $1.54 | $.00 | $.00 | $.00 | $13.86 | f | |||||||
| 4004147001 | DOE, J | e | 08/26-08/28/2003 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $52.20 | $.00 | $.00 | $8.58 | $.00 | $.00 | $.00 | $77.22 | f | |||||||
| 4004147401 | DOE, J | e | 08/29-08/29/2003 | 123456789 | PAT | $14.00 | $.00 | $14.00 | $11.00 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4004147501 | DOE, J | e | 10/14-10/14/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $20.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4004147701 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $47.89 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.11 | f | |||||||
| 4004147901 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $241.50 | $.00 | $241.50 | $135.48 | $5.09 | $10.00 | $.50 | $.00 | $.00 | $.00 | $90.43 | f | |||||||
| 4004148301 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $1,071.00 | $.00 | $1,071.00 | $526.25 | $.00 | $.00 | $54.47 | $.00 | $.00 | $.00 | $490.28 | f | |||||||
| 4004148701 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $72.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004148901 | DOE, J | s | 01/10-01/10/2004 | 123456789 | PAT | $694.00 | $.00 | $694.00 | $519.02 | $.00 | $.00 | $17.50 | $.00 | $.00 | $.00 | $157.48 | f | |||||||
| 4004149301 | DOE, J | s | 01/04-01/04/2004 | 123456789 | PAT | $140.00 | $.00 | $140.00 | $92.56 | $.00 | $.00 | $4.74 | $.00 | $.00 | $.00 | $42.70 | f | |||||||
| 4004149501 | DOE, J | 2 | 12/19-01/16/2004 | 123456789 | PAT | $200.00 | $100.00 | $100.00 | $40.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4004149701 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $99.00 | $99.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004149901 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $18.26 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.74 | f | |||||||
| 4004150101 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $230.00 | $.00 | $230.00 | $84.28 | $.00 | $10.00 | $9.17 | $.00 | $.00 | $.00 | $126.55 | f | |||||||
| 4004150301 | GODINEZ SOLTERO, RICARDO | 1 | 01/26-01/26/2004 | 123456789 | RICARDO J | $156.00 | $34.00 | $122.00 | $31.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $80.50 | f | |||||||
| 4004150401 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $21.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4004150601 | DOE, J | e | 01/02-01/02/2004 | 123456789 | PAT | $77.00 | $.00 | $77.00 | $5.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.25 | f | |||||||
| 4004150701 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $341.00 | $.00 | $341.00 | $144.25 | $.00 | $10.00 | $8.00 | $.00 | $.00 | $.00 | $178.75 | f | |||||||
| 4004150901 | DOE, J | 3 | 08/07-08/07/2003 | 123456789 | PAT | $86.25 | $86.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004151001 | DOE, J | 2 | 08/07-08/07/2003 | 123456789 | PAT | $112.25 | $112.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004151101 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $68.85 | $.00 | $68.85 | $54.85 | $.00 | $.00 | $1.39 | $.00 | $.00 | $.00 | $12.61 | f | |||||||
| 4004151201 | DOE, J | e | 07/23-07/23/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.97 | $.00 | $.00 | $.00 | $8.78 | f | |||||||
| 4004151301 | DOE, J | e | 10/22-10/22/2003 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.97 | $.00 | $.00 | $.00 | $8.78 | f | |||||||
| 4004151401 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $42.85 | $.00 | $42.85 | $33.10 | $.00 | $.00 | $.97 | $.00 | $.00 | $.00 | $8.78 | f | |||||||
| 4004151501 | DOE, J | 2 | 10/24-10/24/2003 | 123456789 | PAT | $266.95 | $.00 | $266.95 | $182.18 | $.00 | $.00 | $8.48 | $.00 | $.00 | $.00 | $76.29 | f | |||||||
| 4004151701 | DOE, J | e | 11/03-11/03/2003 | 123456789 | PAT | $344.55 | $.00 | $344.55 | $287.35 | $.00 | $.00 | $5.71 | $.00 | $.00 | $.00 | $51.49 | f | |||||||
| 4004151801 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $104.70 | $.00 | $104.70 | $92.20 | $.00 | $.00 | $1.25 | $.00 | $.00 | $.00 | $11.25 | f | |||||||
| 4004151901 | DOE, J JR. | s | 10/15-10/15/2003 | 123456789 | PAT | $66.15 | $.00 | $66.15 | $37.65 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $28.50 | f | |||||||
| 4004152001 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $193.10 | $.00 | $193.10 | $136.49 | $.00 | $.00 | $5.65 | $.00 | $.00 | $.00 | $50.96 | f | |||||||
| 4004152201 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $1,110.84 | $.00 | $1,110.84 | $645.75 | $.00 | $.00 | $46.51 | $.00 | $.00 | $.00 | $418.58 | f | |||||||
| 4004152401 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $63.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $69.00 | f | |||||||
| 4004152501 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $48.16 | $.00 | $.00 | $2.38 | $.00 | $.00 | $.00 | $21.46 | f | |||||||
| 4004152701 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $15.00 | $.00 | $15.00 | $12.00 | $.00 | $.00 | $.30 | $.00 | $.00 | $.00 | $2.70 | f | |||||||
| 4004152801 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $720.00 | $.00 | $720.00 | $214.07 | $250.00 | $.00 | $25.59 | $.00 | $.00 | $.00 | $230.34 | f | |||||||
| 4004152901 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $25.45 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $19.55 | f | |||||||
| 4004153001 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $176.00 | $.00 | $176.00 | $34.54 | $.00 | $10.00 | $3.47 | $.00 | $.00 | $.00 | $127.99 | f | |||||||
| 4004153201 | DOE, J | e | 10/06-10/06/2003 | 123456789 | PAT | $174.00 | $.00 | $174.00 | $19.79 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $154.21 | f | |||||||
| 4004153301 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004153701 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004153901 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $23.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004154201 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $50.03 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $29.97 | f | |||||||
| 4004154401 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $160.00 | $160.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004154701 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $13.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.31 | f | |||||||
| 4004155001 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $48.52 | $.00 | $10.00 | $.29 | $.00 | $.00 | $.00 | $46.19 | f | |||||||
| 4004161401 | DOE, J | 2 | 09/04-09/12/2003 | 123456789 | PAT | $2,354.00 | $.00 | $2,354.00 | $.00 | $103.38 | $.00 | $450.12 | $.00 | $.00 | $.00 | $1,800.50 | f | |||||||
| 4004161801 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $232.10 | $.00 | $232.10 | $210.99 | $.00 | $.00 | $2.11 | $.00 | $.00 | $.00 | $19.00 | f | |||||||
| 4004162101 | DOE, J | 4 | 01/22-01/27/2004 | 123456789 | PAT | $180.00 | $180.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004162401 | DOE, J | 2 | 01/06-01/06/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $82.00 | $68.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004163101 | DOE, J | 1 | 01/12-01/12/2004 | 123456789 | PAT | $338.00 | $.00 | $338.00 | $159.46 | $.00 | $.00 | $17.85 | $.00 | $.00 | $.00 | $160.69 | f | |||||||
| 4004163201 | DOE, J | e | 01/08-01/26/2004 | 123456789 | PAT | $1,505.90 | $.00 | $1,505.90 | $771.20 | $.00 | $.00 | $73.45 | $.00 | $.00 | $.00 | $661.25 | f | |||||||
| 4004163501 | DOE, J | e | 07/17-07/17/2003 | 123456789 | PAT | $129.10 | $.00 | $129.10 | $95.10 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $34.00 | f | |||||||
| 4004163801 | DOE, J | s | 05/15-05/15/2003 | 123456789 | PAT | $330.00 | $330.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004164101 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $33.13 | $.00 | $10.00 | $1.75 | $.00 | $.00 | $.00 | $65.12 | f | |||||||
| 4004164201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $141.00 | $.00 | $141.00 | $.00 | $.00 | $.00 | $14.10 | $.00 | $.00 | $.00 | $126.90 | f | |||||||
| 4004164301 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $300.00 | $.00 | $300.00 | $192.26 | $.00 | $.00 | $10.77 | $.00 | $.00 | $.00 | $96.97 | f | |||||||
| 4004164501 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $6.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4004164701 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $406.00 | $.00 | $406.00 | $112.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $283.68 | f | |||||||
| 4004164801 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $192.00 | $.00 | $192.00 | $20.77 | $.00 | $.00 | $17.12 | $.00 | $.00 | $.00 | $154.11 | f | |||||||
| 4004164901 | DOE, J | e | 01/13-01/13/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $12.78 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.22 | f | |||||||
| 4004165001 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $1,285.00 | $.00 | $1,285.00 | $831.51 | $.00 | $.00 | $45.35 | $.00 | $.00 | $.00 | $408.14 | f | |||||||
| 4004165201 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $3.13 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $11.87 | f | |||||||
| 4004165901 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $121.25 | $.00 | $121.25 | $109.11 | $.00 | $.00 | $1.21 | $.00 | $.00 | $.00 | $10.93 | f | |||||||
| 4004166001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $26.24 | $.00 | $10.00 | $3.71 | $.00 | $.00 | $.00 | $82.05 | f | |||||||
| 4004166201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $5.46 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $54.54 | f | |||||||
| 4004166301 | DOE, J | s | 01/24-01/24/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004166401 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $39.00 | $.00 | $39.00 | $11.70 | $.00 | $.00 | $2.73 | $.00 | $.00 | $.00 | $24.57 | f | |||||||
| 4004169401 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $31.50 | $.00 | $.00 | $5.84 | $.00 | $.00 | $.00 | $52.66 | f | |||||||
| 4004169801 | DOE, J | 2 | 01/09-01/09/2004 | 123456789 | PAT | $341.90 | $.00 | $341.90 | $253.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4004170101 | DOE, J JR | s | 01/26-01/26/2004 | 123456789 | PAT | $2,927.75 | $.00 | $2,927.75 | $2,677.75 | $.00 | $50.00 | $20.00 | $.00 | $.00 | $.00 | $180.00 | f | |||||||
| 4004170301 | DOE, J | 2 | 01/16-01/17/2004 | 123456789 | PAT | $1,006.95 | $.00 | $1,006.95 | $306.11 | $250.00 | $50.00 | $40.08 | $.00 | $.00 | $.00 | $360.76 | f | |||||||
| 4004170601 | DOE, J | s | 01/08-01/09/2004 | 123456789 | PAT | $643.75 | $.00 | $643.75 | $195.70 | $250.00 | $50.00 | $14.80 | $.00 | $.00 | $.00 | $133.25 | f | |||||||
| 4004170801 | DOE, J | 3 | 08/19-08/19/2003 | 123456789 | PAT | $133.20 | $.00 | $133.20 | $42.29 | $67.48 | $.00 | $2.34 | $.00 | $.00 | $.00 | $21.09 | f | |||||||
| 4004171001 | DOE, J | e | 09/07-09/07/2003 | 123456789 | PAT | $1,516.13 | $.00 | $1,516.13 | $1,229.13 | $.00 | $3.18 | $.00 | $.00 | $.00 | $.00 | $283.82 | f | |||||||
| 4004175701 | DOE, J | s | 11/13-11/13/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $17.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.08 | f | |||||||
| 4004175801 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $17.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.08 | f | |||||||
| 4004175901 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $19.20 | $74.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004176001 | DOE, J | e | 10/17-10/17/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $17.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.08 | f | |||||||
| 4004176101 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $17.34 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.66 | f | |||||||
| 4004176501 | DOE, J | 1 | 01/02-01/02/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $64.26 | $.00 | $.00 | $4.57 | $.00 | $.00 | $.00 | $41.17 | f | |||||||
| 4004176701 | DOE, J | s | 11/14-11/14/2003 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $23.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $44.56 | f | |||||||
| 4004176801 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $27.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $38.00 | f | |||||||
| 4004176901 | DOE, J | s | 06/05-06/05/2003 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $17.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $78.00 | f | |||||||
| 4004177001 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $34.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.58 | f | |||||||
| 4004177201 | DOE, J SR | 1 | 02/03-02/03/2004 | 123456789 | PAT | $138.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004177401 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $9.45 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.55 | f | |||||||
| 4004177501 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $16.82 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.18 | f | |||||||
| 4004177701 | DOE, J | 1 | 02/04-02/04/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $3.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4004177801 | DOE, J | 4 | 01/26-01/26/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $9.19 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.81 | f | |||||||
| 4004177901 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $345.00 | $.00 | $345.00 | $148.78 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $186.22 | f | |||||||
| 4004178001 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $210.00 | $.00 | $210.00 | $93.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $106.57 | f | |||||||
| 4004178101 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $48.00 | $.00 | $48.00 | $6.70 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $31.30 | f | |||||||
| 4004178201 | DOE, J | 1 | 02/10-02/10/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $17.77 | $.00 | $10.00 | $1.05 | $.00 | $.00 | $.00 | $56.18 | f | |||||||
| 4004178301 | DOE, J | t | 02/02-02/02/2004 | 123456789 | PAT | $2,750.00 | $.00 | $2,750.00 | $850.00 | $250.00 | $.00 | $165.00 | $.00 | $.00 | $.00 | $1,485.00 | f | |||||||
| 4004178401 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $29.00 | $.00 | $29.00 | $24.00 | $.00 | $.00 | $.50 | $.00 | $.00 | $.00 | $4.50 | f | |||||||
| 4004178501 | DOE, J | 1 | 12/23-12/23/2003 | 123456789 | PAT | $50.00 | $50.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004178801 | DOE, J | 1 | 01/16-01/16/2004 | 123456789 | PAT | $198.00 | $198.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004178901 | DOE, J JR | s | 02/10-02/10/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $16.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004179001 | DOE, J JR | 1 | 02/10-02/10/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004179101 | DOE, J SR | s | 01/05-01/05/2004 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004179201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $100.00 | $100.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004179401 | DOE, J | e | 02/06-02/06/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004180001 | DOE, J | s | 01/14-01/14/2004 | 123456789 | PAT | $335.00 | $335.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004180101 | DOE, J | 3 | 01/13-01/13/2004 | 123456789 | PAT | $102.00 | $102.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004180301 | DOE, J | 8 | 01/13-01/13/2004 | 123456789 | PAT | $143.00 | $143.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004180701 | DOE, J | 2 | 02/06-02/06/2004 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004180702 | DOE, J | 2 | 02/06-02/06/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $18.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004210801 | DOE, J | s | 01/13-01/13/2004 | 123456789 | PAT | $102.00 | $.00 | $102.00 | $50.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004210901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $7,377.00 | $.00 | $7,377.00 | $3,449.27 | $250.00 | $10.00 | $363.82 | $.00 | $.00 | $.00 | $3,303.91 | f | |||||||
| 4004211001 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $597.00 | $.00 | $597.00 | $370.73 | $.00 | $.00 | $22.62 | $.00 | $.00 | $.00 | $203.65 | f | |||||||
| 4004211101 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $316.00 | $.00 | $316.00 | $63.20 | $.00 | $.00 | $25.28 | $.00 | $.00 | $.00 | $227.52 | f | |||||||
| 4004211201 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $779.00 | $.00 | $779.00 | $155.80 | $.00 | $.00 | $62.32 | $.00 | $.00 | $.00 | $560.88 | f | |||||||
| 4004211301 | DOE, J | e | 01/15-01/15/2004 | 123456789 | PAT | $3,700.00 | $.00 | $3,700.00 | $740.00 | $.00 | $.00 | $296.00 | $.00 | $.00 | $.00 | $2,664.00 | f | |||||||
| 4004211401 | DOE, J | 2 | 10/28-10/28/2003 | 123456789 | PAT | $422.00 | $.00 | $422.00 | $130.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $281.57 | f | |||||||
| 4004212101 | DOE, J | 4 | 01/27-01/27/2004 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004212102 | DOE, J | 4 | 01/27-01/27/2004 | 123456789 | PAT | $40.00 | $.00 | $40.00 | $25.00 | $.00 | $.00 | $3.00 | $.00 | $.00 | $.00 | $12.00 | f | |||||||
| 4004212601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $157.00 | $.00 | $157.00 | $49.30 | $.00 | $10.00 | $3.80 | $.00 | $.00 | $.00 | $93.90 | f | |||||||
| 4004216901 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $10.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $3.00 | $.00 | $.00 | $.00 | $7.00 | f | |||||||
| 4004217401 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004218301 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $47.25 | $.00 | $47.25 | $24.10 | $.00 | $.00 | $18.74 | $.00 | $.00 | $.00 | $4.41 | f | |||||||
| 4004218901 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $383.00 | $.00 | $383.00 | $324.95 | $.00 | $.00 | $22.23 | $.00 | $.00 | $.00 | $35.82 | f | |||||||
| 4004221001 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $53.00 | $.00 | $53.00 | $25.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $28.00 | f | |||||||
| 4004221301 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $124.00 | $.00 | $124.00 | $92.26 | $.00 | $.00 | $19.60 | $.00 | $.00 | $.00 | $12.14 | f | |||||||
| 4004221701 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $17.64 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $30.36 | f | |||||||
| 4004222001 | DOE, J | 2 | 01/21-01/21/2004 | 123456789 | PAT | $161.00 | $.00 | $161.00 | $24.15 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $136.85 | f | |||||||
| 4004222501 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $102.50 | $102.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004222801 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $177.50 | $.00 | $177.50 | $108.11 | $.00 | $10.00 | $.55 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4004223101 | DOE, J JR | e | 01/27-01/27/2004 | 123456789 | JESUS JR | $116.00 | $.00 | $116.00 | $39.08 | $.00 | $10.00 | $3.19 | $.00 | $.00 | $.00 | $63.73 | f | |||||||
| 4004223201 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $35.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004223501 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $161.00 | $.00 | $161.00 | $56.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $94.69 | f | |||||||
| 4004224201 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | PAT | $245.00 | $.00 | $245.00 | $63.57 | $.00 | $10.00 | $10.02 | $.00 | $.00 | $.00 | $161.41 | f | |||||||
| 4004224401 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $7.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004224501 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $181.00 | $.00 | $181.00 | $115.83 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $65.17 | f | |||||||
| 4004224601 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $179.00 | $25.00 | $154.00 | $41.89 | $.00 | $10.00 | $1.30 | $.00 | $.00 | $.00 | $100.81 | f | |||||||
| 4004224901 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $440.00 | $.00 | $440.00 | $336.62 | $.00 | $.00 | $10.34 | $.00 | $.00 | $.00 | $93.04 | f | |||||||
| 4004225101 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $171.00 | $.00 | $171.00 | $53.31 | $.00 | $10.00 | $1.30 | $.00 | $.00 | $.00 | $106.39 | f | |||||||
| 4004225301 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $12.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $40.00 | f | |||||||
| 4004225401 | DOE, J | e | 11/20-11/20/2003 | 123456789 | PAT | $233.00 | $.00 | $233.00 | $71.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $161.40 | f | |||||||
| 4004225701 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $162.00 | $.00 | $162.00 | $40.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $111.53 | f | |||||||
| 4004225901 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $134.00 | $.00 | $134.00 | $44.67 | $.00 | $10.00 | $2.21 | $.00 | $.00 | $.00 | $77.12 | f | |||||||
| 4004226101 | DOE, J JR. | e | 01/27-01/27/2004 | 123456789 | WALTER JR. | $95.00 | $.00 | $95.00 | $47.85 | $.00 | $.00 | $4.71 | $.00 | $.00 | $.00 | $42.44 | f | |||||||
| 4004226301 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $48.41 | $.00 | $10.00 | $.31 | $.00 | $.00 | $.00 | $35.28 | f | |||||||
| 4004226501 | DOE, J | 3 | 01/29-01/29/2004 | 123456789 | PAT | $144.00 | $.00 | $144.00 | $8.37 | $.00 | $10.00 | $4.07 | $.00 | $.00 | $.00 | $121.56 | f | |||||||
| 4004226701 | DOE, J | 2 | 01/28-01/28/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.08 | f | |||||||
| 4004226901 | DOE, J | 3 | 01/20-01/20/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.92 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.08 | f | |||||||
| 4004227101 | DOE, J | e | 02/15-02/15/2003 | 123456789 | PAT | $106.75 | $.00 | $106.75 | $8.03 | $.00 | $10.00 | $1.18 | $.00 | $.00 | $.00 | $87.54 | f | |||||||
| 4004227301 | DOE, J | e | 10/02-10/02/2002 | 123456789 | PAT | $72.00 | $72.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004227601 | DOE, J | e | 09/27-09/27/2002 | 123456789 | PAT | $316.80 | $316.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004227801 | DOE, J | e | 09/27-09/27/2002 | 123456789 | PAT | $8.25 | $8.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004227901 | DOE, J | 2 | 10/28-10/28/2003 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $44.57 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $87.43 | f | |||||||
| 4004228201 | DOE, J | 1 | 01/13-01/13/2004 | 123456789 | PAT | $69.00 | $.00 | $69.00 | $31.58 | $.00 | $.00 | $3.74 | $.00 | $.00 | $.00 | $33.68 | f | |||||||
| 4004228401 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $246.00 | $.00 | $246.00 | $155.73 | $.00 | $.00 | $9.03 | $.00 | $.00 | $.00 | $81.24 | f | |||||||
| 4004228801 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $135.00 | $.00 | $135.00 | $47.57 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $77.43 | f | |||||||
| 4004228901 | DOE, J JR | s | 01/23-01/23/2004 | 123456789 | PAT | $225.00 | $.00 | $225.00 | $118.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $96.19 | f | |||||||
| 4004229701 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $635.00 | $30.00 | $605.00 | $276.24 | $.00 | $.00 | $32.87 | $.00 | $.00 | $.00 | $295.89 | f | |||||||
| 4004229901 | DOE, J JR | e | 01/28-01/28/2004 | 123456789 | FILIBERT JR | $1,430.00 | $.00 | $1,430.00 | $434.59 | $.00 | $10.00 | $96.75 | $.00 | $.00 | $.00 | $888.66 | f | |||||||
| 4004230101 | DOE, J | 1 | 10/09-10/09/2003 | 123456789 | PAT | $201.00 | $201.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004230401 | DOE, J | 2 | 02/01-02/01/2004 | 123456789 | PAT | $265.00 | $.00 | $265.00 | $127.16 | $.00 | $10.00 | $5.60 | $.00 | $.00 | $.00 | $122.24 | f | |||||||
| 4004230801 | DOE, J | 2 | 01/30-01/30/2004 | 123456789 | PAT | $86.00 | $.00 | $86.00 | $17.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4004231201 | DOE, J | 2 | 01/17-01/17/2004 | 123456789 | PAT | $25.00 | $.00 | $25.00 | $13.80 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $11.20 | f | |||||||
| 4004231301 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $27.89 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.11 | f | |||||||
| 4004231401 | DOE, J | 3 | 02/02-02/02/2004 | 123456789 | AUBREY F | $125.00 | $.00 | $125.00 | $25.87 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $89.13 | f | |||||||
| 4004231601 | DOE, J | 3 | 01/29-01/29/2004 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $42.86 | $.00 | $10.00 | $1.00 | $.00 | $.00 | $.00 | $64.14 | f | |||||||
| 4004232001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $157.00 | $.00 | $157.00 | $64.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.61 | f | |||||||
| 4004232301 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $52.27 | $.00 | $.00 | $3.27 | $.00 | $.00 | $.00 | $29.46 | f | |||||||
| 4004232601 | DOE, J | 1 | 12/23-12/23/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $32.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.28 | f | |||||||
| 4004232801 | DOE, J | 1 | 11/11-11/11/2003 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $32.72 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.28 | f | |||||||
| 4004232901 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $38.50 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.50 | f | |||||||
| 4004233001 | DOE, J | s | 11/17-11/17/2003 | 123456789 | PAT | $254.00 | $.00 | $254.00 | $162.98 | $.00 | $.00 | $9.10 | $.00 | $.00 | $.00 | $81.92 | f | |||||||
| 4004233201 | DOE, J | 1 | 11/05-11/05/2003 | 123456789 | PAT | $143.00 | $.00 | $143.00 | $39.83 | $53.24 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4004233301 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $146.00 | $.00 | $146.00 | $58.99 | $.00 | $10.00 | $6.51 | $.00 | $.00 | $.00 | $70.50 | f | |||||||
| 4004233401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $513.00 | $.00 | $513.00 | $280.75 | $.00 | $.00 | $23.22 | $.00 | $.00 | $.00 | $209.03 | f | |||||||
| 4004233501 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $4,383.00 | $.00 | $4,383.00 | $1,228.89 | $.00 | $.00 | $315.40 | $.00 | $.00 | $.00 | $2,838.71 | f | |||||||
| 4004233701 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $260.00 | $.00 | $260.00 | $112.68 | $113.60 | $10.00 | $.00 | $.00 | $.00 | $.00 | $23.72 | f | |||||||
| 4004233801 | DOE, J JR | s | 01/26-01/28/2004 | 123456789 | PAT | $1,805.00 | $.00 | $1,805.00 | $1,225.67 | $.00 | $.00 | $57.93 | $.00 | $.00 | $.00 | $521.40 | f | |||||||
| 4004233901 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $92.62 | $92.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004233902 | DOE, J | 3 | 01/19-01/19/2004 | 123456789 | PAT | $89.62 | $.00 | $89.62 | $61.24 | $.00 | $.00 | $2.84 | $.00 | $.00 | $.00 | $25.54 | f | |||||||
| 4004234301 | DOE, J | 1 | 12/02-12/02/2003 | 123456789 | PAT | $49.00 | $49.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004234601 | DOE, J | 1 | 12/02-12/02/2003 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004234701 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $230.00 | $5.00 | $225.00 | $107.24 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $107.76 | f | |||||||
| 4004235001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $360.50 | $15.00 | $345.50 | $63.45 | $130.00 | $10.00 | $4.74 | $.00 | $.00 | $.00 | $137.31 | f | |||||||
| 4004235101 | DOE, J JR. | e | 01/23-01/23/2004 | 123456789 | WALTER JR. | $230.00 | $.00 | $230.00 | $72.41 | $.00 | $10.00 | $4.89 | $.00 | $.00 | $.00 | $142.70 | f | |||||||
| 4004235201 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $5.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4004235301 | DOE, J | s | 10/07-10/07/2003 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $68.37 | $.00 | $10.00 | $.66 | $.00 | $.00 | $.00 | $45.97 | f | |||||||
| 4004235401 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $900.00 | $.00 | $900.00 | $165.00 | $56.00 | $.00 | $67.90 | $.00 | $.00 | $.00 | $611.10 | f | |||||||
| 4004235501 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $13.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4004235601 | DOE, J | t | 12/19-12/19/2003 | 123456789 | ANNIE L | $45.00 | $.00 | $45.00 | $31.27 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $13.73 | f | |||||||
| 4004235701 | DOE, J | 3 | 02/02-02/02/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $13.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4004235901 | DOE, J | s | 10/29-11/05/2003 | 123456789 | PAT | $82.60 | $82.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004236001 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $109.00 | $109.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004236101 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $35.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.12 | f | |||||||
| 4004236201 | DOE, J JR | e | 01/28-01/28/2004 | 123456789 | MIKE JR | $113.45 | $.00 | $113.45 | $67.06 | $.00 | $.00 | $10.80 | $.00 | $.00 | $.00 | $35.59 | f | |||||||
| 4004236401 | DOE, J | 4 | 01/29-01/29/2004 | 123456789 | PAT | $90.00 | $90.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004236601 | DOE, J | s | 12/21-12/28/2003 | 123456789 | PAT | $290.13 | $.00 | $290.13 | $86.98 | $.00 | $.00 | $20.27 | $.00 | $.00 | $.00 | $182.88 | f | |||||||
| 4004236701 | DOE, J | s | 12/28-01/03/2004 | 123456789 | PAT | $151.40 | $.00 | $151.40 | $45.38 | $.00 | $.00 | $10.57 | $.00 | $.00 | $.00 | $95.45 | f | |||||||
| 4004236801 | DOE, J | s | 11/22-11/22/2003 | 123456789 | PAT | $150.00 | $150.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004236901 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $11.52 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.48 | f | |||||||
| 4004237001 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $31.16 | $.00 | $.00 | $1.88 | $.00 | $.00 | $.00 | $16.96 | f | |||||||
| 4004237101 | DOE, J | 2 | 01/10-01/10/2004 | 123456789 | PAT | $33.00 | $33.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004237102 | DOE, J | 2 | 01/10-01/10/2004 | 123456789 | PAT | $33.00 | $.00 | $33.00 | $9.90 | $.00 | $.00 | $2.31 | $.00 | $.00 | $.00 | $20.79 | f | |||||||
| 4004237201 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $1.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4004237401 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $3,400.00 | $.00 | $3,400.00 | $1,127.52 | $.00 | $.00 | $227.25 | $.00 | $.00 | $.00 | $2,045.23 | f | |||||||
| 4004237501 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $18.00 | $.00 | $18.00 | $13.00 | $.00 | $.00 | $.50 | $.00 | $.00 | $.00 | $4.50 | f | |||||||
| 4004237601 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $107.00 | $107.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004237701 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $435.00 | $.00 | $435.00 | $12.56 | $.00 | $10.00 | $29.50 | $.00 | $.00 | $.00 | $382.94 | f | |||||||
| 4004237801 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $177.00 | $177.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004237901 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $158.00 | $158.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238001 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $66.00 | $66.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238101 | DE DIOS, JOSE | s | 11/04-11/04/2003 | 123456789 | PAT | $151.00 | $151.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238201 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $7.87 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $32.13 | f | |||||||
| 4004238301 | DOE, J | s | 03/01-03/01/2001 | 123456789 | PAT | $1,351.00 | $1,351.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238401 | DOE, J | s | 05/24-05/24/2001 | 123456789 | PAT | $1,146.00 | $1,146.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238501 | DOE, J | s | 05/22-05/22/2001 | 123456789 | PAT | $272.00 | $272.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238601 | DOE, J | s | 06/05-06/05/2001 | 123456789 | PAT | $1,400.00 | $1,400.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004238801 | DOE, J | e | 01/19-02/02/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004239001 | DOE, J | s | 10/30-10/30/2003 | 123456789 | PAT | $15.45 | $.00 | $15.45 | $4.63 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $10.82 | f | |||||||
| 4004239101 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $6.53 | $23.47 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004239201 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $79.00 | $.00 | $79.00 | $7.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $61.10 | f | |||||||
| 4004239301 | DOE, J | e | 01/14-01/20/2004 | 123456789 | PAT | $61.45 | $.00 | $61.45 | $.00 | $.00 | $.00 | $6.13 | $.00 | $.00 | $.00 | $55.32 | f | |||||||
| 4004239501 | DOE, J | 1 | 01/27-01/27/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $26.89 | $.00 | $.00 | $12.31 | $.00 | $.00 | $.00 | $110.80 | f | |||||||
| 4004239601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $15.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004239701 | DOE, J | 1 | 11/17-11/17/2003 | 123456789 | PAT | $43.50 | $43.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004239901 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $28.44 | $.00 | $10.00 | $.66 | $.00 | $.00 | $.00 | $55.90 | f | |||||||
| 4004240101 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $.39 | $.00 | $10.00 | $.30 | $.00 | $.00 | $.00 | $44.31 | f | |||||||
| 4004240301 | DOE, J JR | e | 01/31-01/31/2004 | 123456789 | PAUL JR | $101.00 | $.00 | $101.00 | $39.40 | $.00 | $10.00 | $.20 | $.00 | $.00 | $.00 | $51.40 | f | |||||||
| 4004240501 | DOE, J | e | 01/27-01/29/2004 | 123456789 | PAT | $1,567.00 | $.00 | $1,567.00 | $899.31 | $.00 | $10.00 | $50.59 | $.00 | $.00 | $.00 | $607.10 | f | |||||||
| 4004240601 | DOE, J | 1 | 01/26-01/26/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $43.03 | $.00 | $.00 | $5.70 | $.00 | $.00 | $.00 | $51.27 | f | |||||||
| 4004240801 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $187.00 | $.00 | $187.00 | $92.36 | $64.00 | $.00 | $3.06 | $.00 | $.00 | $.00 | $27.58 | f | |||||||
| 4004241001 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $35.20 | $.00 | $35.20 | $26.35 | $.00 | $.00 | $7.05 | $.00 | $.00 | $.00 | $1.80 | f | |||||||
| 4004241401 | DOE, J | 2 | 08/04-08/04/2003 | 123456789 | PAT | $289.00 | $289.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004241601 | DOE, J | 3 | 02/04-02/04/2004 | 123456789 | PAT | $108.00 | $20.00 | $88.00 | $30.18 | $17.66 | $.00 | $8.03 | $.00 | $.00 | $.00 | $32.13 | f | |||||||
| 4004241901 | DOE, J | e | 01/09-01/12/2004 | 123456789 | PAT | $196.00 | $.00 | $196.00 | $74.59 | $.00 | $.00 | $24.28 | $.00 | $.00 | $.00 | $97.13 | f | |||||||
| 4004242201 | DOE, J | e | 01/12-01/12/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $19.80 | $.00 | $.00 | $6.04 | $.00 | $.00 | $.00 | $24.16 | f | |||||||
| 4004242501 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $108.00 | $20.00 | $88.00 | $30.18 | $.00 | $.00 | $11.56 | $.00 | $.00 | $.00 | $46.26 | f | |||||||
| 4004242801 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $224.00 | $.00 | $224.00 | $158.21 | $.00 | $10.00 | $4.51 | $.00 | $.00 | $.00 | $51.28 | f | |||||||
| 4004242901 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $16.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4004243001 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $120.00 | $120.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004243401 | DOE, J | 2 | 01/27-01/27/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $14.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004243601 | DOE, J | 2 | 01/22-01/22/2004 | 123456789 | PAT | $563.00 | $.00 | $563.00 | $22.57 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $540.43 | f | |||||||
| 4004244001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $80.00 | $80.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004245301 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $346.00 | $20.00 | $326.00 | $217.89 | $.00 | $10.00 | $1.54 | $.00 | $.00 | $.00 | $96.57 | f | |||||||
| 4004245701 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $260.00 | $40.00 | $220.00 | $90.49 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $119.51 | f | |||||||
| 4004246201 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $28.00 | $.00 | $28.00 | $21.50 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $6.50 | f | |||||||
| 4004246401 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $87.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $13.00 | f | |||||||
| 4004246701 | DOE, J | s | 12/02-12/02/2003 | 123456789 | PAT | $40.00 | $40.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004248001 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $9.47 | $85.00 | $.00 | $.55 | $.00 | $.00 | $.00 | $4.98 | f | |||||||
| 4004248201 | DOE, J | 2 | 02/03-02/03/2004 | 123456789 | PAT | $45.00 | $.00 | $45.00 | $6.75 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $28.25 | f | |||||||
| 4004248401 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $35.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004248601 | DOE, J | 4 | 01/27-01/27/2004 | 123456789 | PAT | $60.00 | $60.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004249001 | DOE, J | 4 | 01/27-01/27/2004 | 123456789 | PAT | $278.00 | $17.00 | $261.00 | $91.94 | $96.94 | $10.00 | $.50 | $.00 | $.00 | $.00 | $61.62 | f | |||||||
| 4004252501 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $1,250.00 | $1,250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004252502 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $1,250.00 | $.00 | $1,250.00 | $711.51 | $.00 | $.00 | $53.85 | $.00 | $.00 | $.00 | $484.64 | f | |||||||
| 4004253001 | DOE, J | e | 02/05-02/05/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $12.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.75 | f | |||||||
| 4004255501 | DOE, J | 1 | 02/02-02/02/2004 | 123456789 | PAT | $310.00 | $.00 | $310.00 | $41.54 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $258.46 | f | |||||||
| 4004255701 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $1,706.00 | $.00 | $1,706.00 | $1,028.96 | $.00 | $10.00 | $60.99 | $.00 | $.00 | $.00 | $606.05 | f | |||||||
| 4004256101 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $4,084.00 | $.00 | $4,084.00 | $2,176.25 | $.00 | $.00 | $190.78 | $.00 | $.00 | $.00 | $1,716.97 | f | |||||||
| 4004256301 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $60.00 | $20.00 | $40.00 | $32.00 | $.00 | $.00 | $.80 | $.00 | $.00 | $.00 | $7.20 | f | |||||||
| 4004256701 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $371.00 | $.00 | $371.00 | $203.06 | $.00 | $10.00 | $9.54 | $.00 | $.00 | $.00 | $148.40 | f | |||||||
| 4004257101 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $125.00 | $125.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004257401 | DOE, J | 2 | 01/23-01/23/2004 | 123456789 | AVA R | $65.00 | $.00 | $65.00 | $15.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $39.93 | f | |||||||
| 4004257701 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $55.00 | $.00 | $55.00 | $8.05 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $36.95 | f | |||||||
| 4004257801 | DOE, J | 2 | 01/19-01/19/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $5.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4004257901 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $163.00 | $163.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004258001 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $75.48 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $109.52 | f | |||||||
| 4004258401 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $171.00 | $30.00 | $141.00 | $11.39 | $129.61 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004258701 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $14.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004259101 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $13.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $59.69 | f | |||||||
| 4004259901 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $216.00 | $.00 | $216.00 | $99.76 | $.00 | $10.00 | $1.30 | $.00 | $.00 | $.00 | $104.94 | f | |||||||
| 4004260301 | DOE, J JR | 1 | 01/29-01/29/2004 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $22.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $37.75 | f | |||||||
| 4004260501 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $117.00 | $.00 | $117.00 | $20.36 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $86.64 | f | |||||||
| 4004260901 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $449.00 | $.00 | $449.00 | $336.12 | $.00 | $10.00 | $3.12 | $.00 | $.00 | $.00 | $99.76 | f | |||||||
| 4004261101 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $360.00 | $.00 | $360.00 | $72.00 | $.00 | $.00 | $28.80 | $.00 | $.00 | $.00 | $259.20 | f | |||||||
| 4004261401 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $550.00 | $.00 | $550.00 | $110.00 | $.00 | $.00 | $44.00 | $.00 | $.00 | $.00 | $396.00 | f | |||||||
| 4004261801 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $28.00 | $.00 | $28.00 | $3.50 | $.00 | $.00 | $2.45 | $.00 | $.00 | $.00 | $22.05 | f | |||||||
| 4004262401 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $144.00 | $.00 | $144.00 | $.00 | $.00 | $.00 | $14.40 | $.00 | $.00 | $.00 | $129.60 | f | |||||||
| 4004262501 | DOE, J | s | 12/31-12/31/2003 | 123456789 | JANIE D | $90.00 | $.00 | $90.00 | $37.50 | $.00 | $.00 | $5.25 | $.00 | $.00 | $.00 | $47.25 | f | |||||||
| 4004262701 | DOE, J | 2 | 12/19-12/19/2003 | 123456789 | PAT | $70.00 | $.00 | $70.00 | $17.07 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.93 | f | |||||||
| 4004263101 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $90.09 | $.00 | $90.09 | $76.81 | $.00 | $.00 | $1.33 | $.00 | $.00 | $.00 | $11.95 | f | |||||||
| 4004264101 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $98.64 | $.00 | $10.00 | $1.25 | $.00 | $.00 | $.00 | $55.11 | f | |||||||
| 4004264301 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $72.47 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $112.53 | f | |||||||
| 4004264501 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $72.00 | $.00 | $72.00 | $14.87 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.13 | f | |||||||
| 4004264901 | DOE, J | s | 12/05-12/05/2003 | 123456789 | PAT | $27.00 | $.00 | $27.00 | $16.64 | $.00 | $.00 | $1.04 | $.00 | $.00 | $.00 | $9.32 | f | |||||||
| 4004265301 | DOE, J | 2 | 01/30-01/30/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $15.55 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $40.45 | f | |||||||
| 4004265701 | DOE, J | 3 | 01/30-01/30/2004 | 123456789 | PAT | $141.00 | $.00 | $141.00 | $45.19 | $.00 | $10.00 | $1.66 | $.00 | $.00 | $.00 | $84.15 | f | |||||||
| 4004266701 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $105.00 | $105.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004267801 | DOE, J | 1 | 04/08-04/08/2003 | 123456789 | PAT | $201.00 | $201.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004268001 | DOE, J | e | 12/15-12/15/2003 | 123456789 | PAT | $297.00 | $133.00 | $164.00 | $133.75 | $.00 | $.00 | $21.00 | $.00 | $.00 | $.00 | $9.25 | f | |||||||
| 4004268201 | DOE, J | e | 10/30-10/30/2003 | 123456789 | PAT | $114.00 | $.00 | $114.00 | $100.35 | $.00 | $.00 | $1.35 | $.00 | $.00 | $.00 | $12.30 | f | |||||||
| 4004268401 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $176.00 | $176.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004270101 | DOE, J | 1 | 12/02-12/18/2003 | 123456789 | PAT | $410.00 | $.00 | $410.00 | $151.00 | $.00 | $.00 | $259.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004270601 | DOE, J | s | 01/08-01/08/2004 | 123456789 | PAT | $190.00 | $.00 | $190.00 | $77.41 | $112.59 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004270801 | DOE, J | s | 01/15-01/15/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $51.91 | $90.09 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004271101 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $142.00 | $.00 | $142.00 | $51.91 | $47.32 | $.00 | $8.56 | $.00 | $.00 | $.00 | $34.21 | f | |||||||
| 4004271601 | DOE, J | s | 04/25-04/25/2003 | 123456789 | PAT | $56.00 | $.00 | $56.00 | $34.40 | $.00 | $.00 | $2.16 | $.00 | $.00 | $.00 | $19.44 | f | |||||||
| 4004271701 | DOE, J | e | 11/06-11/06/2003 | 123456789 | PAT | $545.00 | $.00 | $545.00 | $245.25 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $299.75 | f | |||||||
| 4004271801 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $148.00 | $.00 | $148.00 | $52.82 | $.00 | $10.00 | $2.91 | $.00 | $.00 | $.00 | $82.27 | f | |||||||
| 4004272001 | DOE, J | 1 | 01/20-01/20/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $13.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4004272401 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $290.00 | $.00 | $290.00 | $152.17 | $.00 | $10.00 | $4.48 | $.00 | $.00 | $.00 | $123.35 | f | |||||||
| 4004272501 | DOE, J | e | 11/20-11/20/2003 | 123456789 | PAT | $4,331.00 | $.00 | $4,331.00 | $3,470.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $861.00 | f | |||||||
| 4004272801 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $88.00 | $.00 | $88.00 | $16.40 | $71.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004273001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $5.38 | $74.62 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004273101 | DOE, J | 1 | 01/24-01/24/2004 | 123456789 | PAT | $295.00 | $.00 | $295.00 | $.00 | $.00 | $.00 | $29.50 | $.00 | $.00 | $.00 | $265.50 | f | |||||||
| 4004273201 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $8.33 | $71.67 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004273301 | DOE, J | 1 | 01/28-01/28/2004 | 123456789 | MACY J | $330.00 | $.00 | $330.00 | $49.50 | $250.00 | $.00 | $3.05 | $.00 | $.00 | $.00 | $27.45 | f | |||||||
| 4004273401 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $83.00 | $.00 | $83.00 | $5.20 | $.00 | $.00 | $7.78 | $.00 | $.00 | $.00 | $70.02 | f | |||||||
| 4004273701 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $253.00 | $.00 | $253.00 | $34.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $208.96 | f | |||||||
| 4004273801 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $5,127.75 | $15.75 | $5,112.00 | $4,517.00 | $.00 | $.00 | $59.50 | $.00 | $.00 | $.00 | $535.50 | f | |||||||
| 4004273901 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $41.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4004274101 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $564.00 | $199.74 | $364.26 | $156.44 | $.00 | $10.00 | $3.10 | $.00 | $.00 | $.00 | $194.72 | f | |||||||
| 4004274201 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $145.00 | $.00 | $145.00 | $16.77 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $118.23 | f | |||||||
| 4004274501 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $12.11 | $47.89 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004274601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $311.75 | $.00 | $311.75 | $87.41 | $.00 | $.00 | $22.43 | $.00 | $.00 | $.00 | $201.91 | f | |||||||
| 4004274801 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $85.00 | $.00 | $85.00 | $25.63 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.37 | f | |||||||
| 4004275401 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $16.17 | $43.83 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004275501 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $102.15 | $.00 | $102.15 | $12.78 | $.00 | $10.00 | $4.21 | $.00 | $.00 | $.00 | $75.16 | f | |||||||
| 4004275601 | DOE, J | e | 10/15-10/15/2003 | 123456789 | PAT | $85.60 | $.00 | $85.60 | $67.83 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $17.77 | f | |||||||
| 4004276201 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $82.00 | $.00 | $82.00 | $10.80 | $.00 | $10.00 | $1.92 | $.00 | $.00 | $.00 | $59.28 | f | |||||||
| 4004279301 | DOE, J | e | 12/29-12/29/2003 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004280001 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $22.39 | $.00 | $10.00 | $1.07 | $.00 | $.00 | $.00 | $46.54 | f | |||||||
| 4004280201 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $325.00 | $.00 | $325.00 | $105.87 | $.00 | $10.00 | $14.52 | $.00 | $.00 | $.00 | $194.61 | f | |||||||
| 4004281001 | DOE, J | s | 12/04-12/04/2003 | 123456789 | PAT | $86.75 | $86.75 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004281801 | DOE, J | e | 02/04-02/05/2004 | 123456789 | PAT | $1,640.00 | $.00 | $1,640.00 | $565.80 | $.00 | $.00 | $107.42 | $.00 | $.00 | $.00 | $966.78 | f | |||||||
| 4004282301 | DOE, J | t | 02/03-02/03/2004 | 123456789 | PAT | $187.00 | $.00 | $187.00 | $42.44 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $134.56 | f | |||||||
| 4004282901 | DOE, J | 2 | 11/10-11/10/2003 | 123456789 | PAT | $401.92 | $.00 | $401.92 | $162.12 | $.00 | $10.00 | $10.89 | $.00 | $.00 | $.00 | $218.91 | f | |||||||
| 4004283301 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $50.00 | $.00 | $50.00 | $5.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $34.31 | f | |||||||
| 4004286101 | DOE, J | 4 | 01/11-01/11/2004 | 123456789 | PAT | $28.00 | $28.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004286301 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $150.60 | $40.00 | $110.60 | $1.58 | $.00 | $.00 | $10.90 | $.00 | $.00 | $.00 | $98.12 | f | |||||||
| 4004287901 | DOE, J | e | 01/06-01/06/2004 | 123456789 | PAT | $70.00 | $70.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004288601 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $58.00 | $.00 | $58.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $48.00 | f | |||||||
| 4004288801 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $128.00 | $.00 | $128.00 | $34.22 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $83.28 | f | |||||||
| 4004291401 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $91.00 | $.00 | $91.00 | $78.48 | $.00 | $.00 | $1.25 | $.00 | $.00 | $.00 | $11.27 | f | |||||||
| 4004292201 | DOE, J RAMIREZ | 1 | 11/16-11/16/2003 | 123456789 | JAYDEN R | $700.00 | $700.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004292901 | DOE, J | e | 10/06-10/06/2003 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $21.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.96 | f | |||||||
| 4004295101 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $1,240.00 | $.00 | $1,240.00 | $384.00 | $.00 | $.00 | $85.60 | $.00 | $.00 | $.00 | $770.40 | f | |||||||
| 4004295501 | DOE, J | e | 11/11-11/11/2003 | 123456789 | PAT | $474.00 | $264.59 | $209.41 | $133.30 | $.00 | $.00 | $7.59 | $.00 | $.00 | $.00 | $68.52 | f | |||||||
| 4004295801 | DOE, J JR | s | 01/26-01/26/2004 | 123456789 | PAT | $898.45 | $.00 | $898.45 | $.00 | $.00 | $.00 | $89.84 | $.00 | $.00 | $.00 | $808.61 | f | |||||||
| 4004296001 | DOE, J | 1 | 12/19-12/19/2003 | 123456789 | PAT | $94.00 | $.00 | $94.00 | $12.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $71.40 | f | |||||||
| 4004296401 | ST ANDRIE, JOYCE | e | 01/29-01/29/2004 | 123456789 | PAT | $91.00 | $.00 | $91.00 | $39.39 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004296601 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $6,972.00 | $.00 | $6,972.00 | $3,656.30 | $.00 | $10.00 | $321.36 | $.00 | $.00 | $.00 | $2,984.34 | f | |||||||
| 4004297001 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $2,403.00 | $.00 | $2,403.00 | $480.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $1,922.40 | f | |||||||
| 4004297201 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $118.00 | $18.00 | $100.00 | $42.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $47.69 | f | |||||||
| 4004297401 | DOE, J | e | 01/07-01/28/2004 | 123456789 | PAT | $21.00 | $.00 | $21.00 | $8.40 | $.00 | $.00 | $1.26 | $.00 | $.00 | $.00 | $11.34 | f | |||||||
| 4004297701 | DOE, J | s | 01/15-01/16/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $56.32 | $.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $13.68 | f | |||||||
| 4004297801 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $38.00 | $.00 | $38.00 | $15.81 | $22.19 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004298001 | DOE, J | 2 | 01/29-01/29/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $30.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.58 | f | |||||||
| 4004298301 | DOE, J | s | 01/21-01/21/2004 | 123456789 | LINDA L | $243.05 | $184.53 | $58.52 | $48.66 | $.00 | $.00 | $.98 | $.00 | $.00 | $.00 | $8.88 | f | |||||||
| 4004298701 | DOE, J | s | 09/29-09/29/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $49.50 | $.00 | $.00 | $4.90 | $.00 | $.00 | $.00 | $110.60 | f | |||||||
| 4004299001 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $52.00 | $.00 | $52.00 | $10.43 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $31.57 | f | |||||||
| 4004299201 | DOE, J | e | 09/29-09/29/2003 | 123456789 | PAT | $165.00 | $.00 | $165.00 | $49.50 | $.00 | $.00 | $11.55 | $.00 | $.00 | $.00 | $103.95 | f | |||||||
| 4004299601 | DOE, J | e | 08/26-08/28/2003 | 123456789 | PAT | $138.00 | $138.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004300201 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $53.59 | $.00 | $.00 | $4.64 | $.00 | $.00 | $.00 | $41.77 | f | |||||||
| 4004300301 | DOE, J | e | 08/29-08/29/2003 | 123456789 | PAT | $14.00 | $14.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004300501 | DOE, J | e | 12/06-12/06/2003 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $96.89 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $18.11 | f | |||||||
| 4004300701 | DOE, J | 1 | 01/23-01/23/2004 | 123456789 | PAT | $120.00 | $.00 | $120.00 | $20.62 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $89.38 | f | |||||||
| 4004300801 | DOE, J | e | 01/16-01/16/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $17.14 | $.00 | $.00 | $1.69 | $.00 | $.00 | $.00 | $15.17 | f | |||||||
| 4004301101 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $242.00 | $82.00 | $160.00 | $53.90 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $96.10 | f | |||||||
| 4004301201 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $37.00 | $37.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004301801 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $605.00 | $.00 | $605.00 | $308.15 | $.00 | $10.00 | $7.21 | $.00 | $.00 | $.00 | $279.64 | f | |||||||
| 4004307101 | DOE, J JR | s | 01/28-01/29/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $.00 | $.00 | $.00 | $6.60 | $.00 | $.00 | $.00 | $59.40 | f | |||||||
| 4004307501 | DOE, J JR | s | 01/20-01/20/2004 | 123456789 | PAT | $150.00 | $.00 | $150.00 | $.00 | $.00 | $.00 | $15.00 | $.00 | $.00 | $.00 | $135.00 | f | |||||||
| 4004307601 | DOE, J JR | s | 01/28-01/28/2004 | 123456789 | PAT | $310.00 | $.00 | $310.00 | $.00 | $.00 | $.00 | $31.00 | $.00 | $.00 | $.00 | $279.00 | f | |||||||
| 4004307801 | DOE, J | 3 | 01/26-01/26/2004 | 123456789 | PAT | $125.00 | $.00 | $125.00 | $71.76 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $43.24 | f | |||||||
| 4004308201 | DOE, J | s | 01/21-01/21/2004 | 123456789 | PAT | $105.00 | $.00 | $105.00 | $44.20 | $.00 | $.00 | $6.08 | $.00 | $.00 | $.00 | $54.72 | f | |||||||
| 4004308301 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $275.00 | $275.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004308302 | DOE, J | s | 01/22-01/22/2004 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $25.00 | $250.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004309101 | DOE, J | s | 01/07-01/07/2004 | 123456789 | PAT | $82.00 | $82.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004309401 | DOE, J | e | 05/02-05/02/2003 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4004309601 | DOE, J | e | 05/14-05/14/2003 | 123456789 | PAT | $30.00 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $30.00 | f | |||||||
| 4004310201 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $115.00 | $15.00 | $100.00 | $15.73 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $74.27 | f | |||||||
| 4004310301 | DOE, J.G. JR | e | 04/08-04/08/2003 | 123456789 | D.G. JR | $208.00 | $.00 | $208.00 | $184.90 | $.00 | $.00 | $2.29 | $.00 | $.00 | $.00 | $20.81 | f | |||||||
| 4004310501 | DOE, J | e | 01/10-01/10/2004 | 123456789 | PAT | $291.60 | $.00 | $291.60 | $246.44 | $.00 | $.00 | $4.51 | $.00 | $.00 | $.00 | $40.65 | f | |||||||
| 4004310701 | DOE, J | s | 01/19-01/19/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $31.37 | $.00 | $.00 | $5.86 | $.00 | $.00 | $.00 | $52.77 | f | |||||||
| 4004310801 | DOE, J | s | 01/20-01/20/2004 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $19.61 | $.00 | $.00 | $7.04 | $.00 | $.00 | $.00 | $63.35 | f | |||||||
| 4004310901 | DOE, J | e | 10/03-10/03/2003 | 123456789 | PAT | $393.10 | $.00 | $393.10 | $322.62 | $.00 | $.00 | $7.04 | $.00 | $.00 | $.00 | $63.44 | f | |||||||
| 4004311001 | DOE, J | s | 01/28-01/28/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $8.57 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.43 | f | |||||||
| 4004311101 | DOE, J | s | 02/02-02/02/2004 | 123456789 | PAT | $129.10 | $.00 | $129.10 | $115.06 | $.00 | $.00 | $1.40 | $.00 | $.00 | $.00 | $12.64 | f | |||||||
| 4004311401 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $87.00 | $.00 | $87.00 | $25.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $51.40 | f | |||||||
| 4004311501 | DOE, J | e | 12/09-12/09/2003 | 123456789 | PAT | $78.00 | $.00 | $78.00 | $18.69 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $49.31 | f | |||||||
| 4004311701 | DOE, J | 2 | 06/28-06/28/2003 | 123456789 | PAT | $35.00 | $.00 | $35.00 | $25.35 | $.00 | $.00 | $.96 | $.00 | $.00 | $.00 | $8.69 | f | |||||||
| 4004311901 | DOE, J | s | 01/17-01/17/2004 | 123456789 | PAT | $27.00 | $27.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004312601 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $550.00 | $.00 | $550.00 | $463.79 | $.00 | $.00 | $8.62 | $.00 | $.00 | $.00 | $77.59 | f | |||||||
| 4004313401 | DOE, J | s | 08/29-08/29/2003 | 123456789 | PAT | $53.00 | $53.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004313901 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $20.31 | $.00 | $10.00 | $.50 | $.00 | $.00 | $.00 | $99.19 | f | |||||||
| 4004314001 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $9.25 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $45.75 | f | |||||||
| 4004314201 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $220.00 | $.00 | $220.00 | $14.10 | $.00 | $10.00 | $5.59 | $.00 | $.00 | $.00 | $190.31 | f | |||||||
| 4004314401 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $205.00 | $.00 | $205.00 | $112.32 | $.00 | $.00 | $9.26 | $.00 | $.00 | $.00 | $83.42 | f | |||||||
| 4004314501 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $62.14 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $27.86 | f | |||||||
| 4004314601 | DOE, J | e | 12/22-12/22/2003 | 123456789 | PAT | $76.00 | $.00 | $76.00 | $24.71 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.29 | f | |||||||
| 4004314701 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $133.59 | $.00 | $133.59 | $43.24 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $80.35 | f | |||||||
| 4004314901 | DOE, J | e | 01/14-01/14/2004 | 123456789 | PAT | $328.00 | $.00 | $328.00 | $126.53 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $201.47 | f | |||||||
| 4004315201 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $264.00 | $.00 | $264.00 | $109.00 | $.00 | $.00 | $15.50 | $.00 | $.00 | $.00 | $139.50 | f | |||||||
| 4004315501 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $259.80 | $.00 | $259.80 | $233.46 | $.00 | $.00 | $2.63 | $.00 | $.00 | $.00 | $23.71 | f | |||||||
| 4004321601 | DOE, J III | e | 01/05-01/05/2004 | 123456789 | ALBERT III | $140.00 | $.00 | $140.00 | $42.00 | $.00 | $.00 | $9.80 | $.00 | $.00 | $.00 | $88.20 | f | |||||||
| 4004321801 | DOE, J | 1 | 12/17-12/17/2003 | 123456789 | PAT | $675.00 | $.00 | $675.00 | $198.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $477.00 | f | |||||||
| 4004322001 | DOE, J | s | 01/21-02/03/2004 | 123456789 | PAT | $280.00 | $.00 | $280.00 | $.00 | $67.73 | $.00 | $42.45 | $.00 | $.00 | $.00 | $169.82 | f | |||||||
| 4004322301 | DOE, J | e | 01/02-01/02/2004 | 123456789 | PAT | $201.00 | $.00 | $201.00 | $107.94 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $83.06 | f | |||||||
| 4004323201 | DOE, J | s | 01/18-01/18/2004 | 123456789 | PAT | $275.00 | $.00 | $275.00 | $165.05 | $.00 | $50.00 | $5.99 | $.00 | $.00 | $.00 | $53.96 | f | |||||||
| 4004323501 | DOE, J | s | 01/18-01/18/2004 | 123456789 | PAT | $21.00 | $.00 | $21.00 | $10.92 | $.00 | $.00 | $1.01 | $.00 | $.00 | $.00 | $9.07 | f | |||||||
| 4004324201 | DOE, J | s | 02/03-02/03/2004 | 123456789 | PAT | $95.00 | $.00 | $95.00 | $13.34 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $71.66 | f | |||||||
| 4004324401 | DOE, J | 2 | 09/11-09/11/2003 | 123456789 | PAT | $444.00 | $444.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004325201 | DOE, J | 4 | 12/10-12/10/2003 | 123456789 | PAT | $81.00 | $81.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004325401 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $80.00 | $.00 | $80.00 | $17.31 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $52.69 | f | |||||||
| 4004325601 | DOE, J JR | e | 01/29-01/29/2004 | 123456789 | MARTIN JR | $235.00 | $.00 | $235.00 | $47.30 | $.00 | $10.00 | $6.80 | $.00 | $.00 | $.00 | $170.90 | f | |||||||
| 4004325801 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $102.90 | $.00 | $102.90 | $24.99 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $67.91 | f | |||||||
| 4004326301 | DOE, J | s | 11/24-11/24/2003 | 123456789 | PAT | $31.20 | $.00 | $31.20 | $26.02 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $5.18 | f | |||||||
| 4004326501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $288.31 | $.00 | $288.31 | $240.19 | $.00 | $.00 | $4.80 | $.00 | $.00 | $.00 | $43.32 | f | |||||||
| 4004327101 | DOE, J | s | 01/06-01/06/2004 | 123456789 | PAT | $392.00 | $392.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004327201 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $4,000.00 | $.00 | $4,000.00 | $3,391.76 | $.00 | $.00 | $60.82 | $.00 | $.00 | $.00 | $547.42 | f | |||||||
| 4004327401 | DOE, J | 3 | 01/21-01/21/2004 | 123456789 | PAT | $195.00 | $.00 | $195.00 | $52.08 | $.00 | $10.00 | $2.79 | $.00 | $.00 | $.00 | $130.13 | f | |||||||
| 4004327501 | DOE, J | e | 01/26-01/26/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004327701 | DOE, J | e | 01/23-01/23/2004 | 123456789 | PAT | $117.00 | $.00 | $117.00 | $34.59 | $.00 | $10.00 | $1.14 | $.00 | $.00 | $.00 | $71.27 | f | |||||||
| 4004328201 | DOE, J | e | 01/05-01/05/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004328701 | DOE, J | e | 01/17-01/17/2004 | 123456789 | PAT | $59.94 | $.00 | $59.94 | $30.04 | $29.90 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004329401 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $199.00 | $127.84 | $71.16 | $.00 | $.00 | $.00 | $7.12 | $.00 | $64.04 | $.00 | $.00 | f | |||||||
| 4004329501 | DOE, J | t | 02/03-02/03/2004 | 123456789 | PAT | $90.00 | $74.92 | $15.08 | $.00 | $.00 | $.00 | $1.51 | $.00 | $.00 | $.00 | $13.57 | f | |||||||
| 4004329701 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $99.00 | $.00 | $99.00 | $28.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $60.12 | f | |||||||
| 4004329901 | DOE, J | 2 | 02/04-02/04/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $3.32 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.68 | f | |||||||
| 4004330401 | DOE, J | 1 | 02/03-02/03/2004 | 123456789 | PAT | $96.00 | $96.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004330501 | DOE, J | s | 01/27-01/27/2004 | 123456789 | PAT | $154.00 | $154.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004330601 | DOE, J | 1 | 02/03-02/03/2004 | 123456789 | PAT | $140.00 | $140.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004330801 | DOE, J | 1 | 02/02-02/02/2004 | 123456789 | PAT | $138.00 | $.00 | $138.00 | $38.78 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $89.22 | f | |||||||
| 4004331001 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $448.00 | $.00 | $448.00 | $310.61 | $.00 | $.00 | $13.74 | $.00 | $.00 | $.00 | $123.65 | f | |||||||
| 4004331701 | DOE, J | e | 01/09-01/09/2004 | 123456789 | PAT | $69.65 | $.00 | $69.65 | $62.65 | $.00 | $.00 | $.70 | $.00 | $.00 | $.00 | $6.30 | f | |||||||
| 4004331801 | DOE, J | e | 09/10-09/10/2003 | 123456789 | PAT | $230.20 | $.00 | $230.20 | $182.74 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $47.46 | f | |||||||
| 4004331901 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $89.75 | $.00 | $89.75 | $73.69 | $.00 | $.00 | $1.61 | $.00 | $.00 | $.00 | $14.45 | f | |||||||
| 4004332001 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $141.00 | $141.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004332101 | DOE, J | s | 01/26-01/26/2004 | 123456789 | PAT | $403.75 | $221.93 | $181.82 | $135.86 | $.00 | $.00 | $4.59 | $.00 | $.00 | $.00 | $41.37 | f | |||||||
| 4004332201 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $92.40 | $.00 | $92.40 | $11.27 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $71.13 | f | |||||||
| 4004332401 | DOE, J | 1 | 01/29-01/29/2004 | 123456789 | MACY J | $161.00 | $.00 | $161.00 | $24.15 | $.00 | $.00 | $13.68 | $.00 | $.00 | $.00 | $123.17 | f | |||||||
| 4004332501 | DOE, J | e | 02/03-02/03/2004 | 123456789 | PAT | $75.00 | $75.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004332601 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $393.00 | $.00 | $393.00 | $98.25 | $.00 | $.00 | $29.47 | $.00 | $.00 | $.00 | $265.28 | f | |||||||
| 4004332801 | DOE, J | s | 01/30-01/30/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $1.04 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $53.96 | f | |||||||
| 4004332901 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $73.00 | $.00 | $73.00 | $5.60 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.40 | f | |||||||
| 4004333001 | DOE, J | 1 | 01/30-01/30/2004 | 123456789 | MACY J | $7.50 | $.00 | $7.50 | $.00 | $.00 | $.00 | $.75 | $.00 | $.00 | $.00 | $6.75 | f | |||||||
| 4004333101 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $177.00 | $.00 | $177.00 | $107.00 | $.00 | $.00 | $14.00 | $.00 | $.00 | $.00 | $56.00 | f | |||||||
| 4004333501 | DOE, J | s | 01/23-01/23/2004 | 123456789 | PAT | $140.50 | $.00 | $140.50 | $130.47 | $.00 | $.00 | $1.00 | $.00 | $.00 | $.00 | $9.03 | f | |||||||
| 4004333601 | DOE, J | s | 01/07-01/27/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $23.00 | $.00 | $.00 | $7.68 | $.00 | $.00 | $.00 | $69.32 | f | |||||||
| 4004333701 | DOE, J | s | 05/30-05/30/2003 | 123456789 | PAT | $118.00 | $.00 | $118.00 | $73.33 | $.00 | $.00 | $4.47 | $.00 | $.00 | $.00 | $40.20 | f | |||||||
| 4004333801 | DOE, J | e | 01/28-01/28/2004 | 123456789 | PAT | $157.00 | $.00 | $157.00 | $87.00 | $.00 | $.00 | $14.00 | $.00 | $.00 | $.00 | $56.00 | f | |||||||
| 4004333901 | DOE, J | 1 | 08/12-12/15/2003 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $73.91 | $.00 | $30.00 | $.00 | $.00 | $.00 | $.00 | $71.09 | f | |||||||
| 4004334001 | DOE, J | e | 01/22-01/22/2004 | 123456789 | PAT | $47.00 | $.00 | $47.00 | $10.37 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $26.63 | f | |||||||
| 4004334201 | DOE, J JR | s | 01/24-01/24/2004 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $18.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $42.00 | f | |||||||
| 4004334301 | DOE, J | 2 | 02/06-02/06/2004 | 123456789 | PAT | $75.00 | $.00 | $75.00 | $6.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $58.84 | f | |||||||
| 4004334501 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $.00 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $105.00 | f | |||||||
| 4004334601 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $103.00 | $.00 | $103.00 | $35.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004334701 | DOE, J | s | 02/04-02/04/2004 | 123456789 | PAT | $185.00 | $.00 | $185.00 | $44.20 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $130.80 | f | |||||||
| 4004334901 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $281.00 | $140.00 | $141.00 | $24.50 | $.00 | $10.00 | $1.60 | $.00 | $.00 | $.00 | $104.90 | f | |||||||
| 4004335001 | DOE, J | s | 12/10-12/11/2003 | 123456789 | PAT | $12.00 | $.00 | $12.00 | $2.40 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $9.60 | f | |||||||
| 4004335201 | DOE, J | 2 | 10/10-10/12/2003 | 123456789 | PAT | $490.00 | $.00 | $490.00 | $302.03 | $.00 | $.00 | $18.80 | $.00 | $.00 | $.00 | $169.17 | f | |||||||
| 4004335301 | DOE, J | s | 02/05-02/05/2004 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $25.70 | $.00 | $.00 | $1.13 | $.00 | $.00 | $.00 | $10.17 | f | |||||||
| 4004335401 | DOE, J | 2 | 10/17-10/17/2003 | 123456789 | PAT | $90.00 | $.00 | $90.00 | $37.16 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $42.84 | f | |||||||
| 4004335501 | DOE, J | 2 | 11/07-12/15/2003 | 123456789 | PAT | $410.00 | $.00 | $410.00 | $128.14 | $.00 | $20.00 | $.00 | $.00 | $.00 | $.00 | $261.86 | f | |||||||
| 4004335801 | DOE, J | s | 12/18-12/18/2003 | 123456789 | PAT | $253.00 | $.00 | $253.00 | $149.67 | $.00 | $.00 | $10.34 | $.00 | $.00 | $.00 | $92.99 | f | |||||||
| 4004336301 | DOE, J | s | 01/12-01/12/2004 | 123456789 | PAT | $37.00 | $.00 | $37.00 | $23.28 | $.00 | $.00 | $1.37 | $.00 | $.00 | $.00 | $12.35 | f | |||||||
| 4004336501 | DOE, J | s | 10/13-10/13/2003 | 123456789 | PAT | $60.00 | $.00 | $60.00 | $21.92 | $.00 | $.00 | $3.81 | $.00 | $.00 | $.00 | $34.27 | f | |||||||
| 4004336601 | DOE, J | 2 | 12/15-12/30/2003 | 123456789 | PAT | $210.00 | $15.00 | $195.00 | $71.97 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $113.03 | f | |||||||
| 4004336701 | DOE, J | e | 02/04-02/04/2004 | 123456789 | PAT | $100.00 | $.00 | $100.00 | $33.81 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $56.19 | f | |||||||
| 4004336801 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $154.00 | $.00 | $154.00 | $42.10 | $.00 | $10.00 | $4.22 | $.00 | $.00 | $.00 | $97.68 | f | |||||||
| 4004336901 | DOE, J | 1 | 12/12-12/12/2003 | 123456789 | PAT | $590.00 | $66.00 | $524.00 | $258.23 | $156.21 | $10.00 | $7.17 | $.00 | $.00 | $.00 | $92.39 | f | |||||||
| 4004337001 | DOE, J JR | 1 | 01/27-01/27/2004 | 123456789 | PAT | $184.00 | $.00 | $184.00 | $23.15 | $.00 | $10.00 | $5.21 | $.00 | $.00 | $.00 | $145.64 | f | |||||||
| 4004337201 | DOE, J | 1 | 05/19-05/19/2003 | 123456789 | PAT | $118.00 | $48.00 | $70.00 | $14.00 | $.00 | $.00 | $5.60 | $.00 | $.00 | $.00 | $50.40 | f | |||||||
| 4004337301 | DOE, J | e | 01/27-01/27/2004 | 123456789 | PAT | $498.00 | $.00 | $498.00 | $74.70 | $.00 | $.00 | $42.33 | $.00 | $.00 | $.00 | $380.97 | f | |||||||
| 4004337501 | DOE, J | 1 | 04/21-04/21/2003 | 123456789 | PAT | $56.00 | $.00 | $56.00 | $12.00 | $.00 | $.00 | $4.40 | $.00 | $.00 | $.00 | $39.60 | f | |||||||
| 4004337601 | DOE, J | 2 | 02/02-02/02/2004 | 123456789 | PAT | $68.00 | $.00 | $68.00 | $.88 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $57.12 | f | |||||||
| 4004337701 | DOE, J | s | 05/06-05/06/2003 | 123456789 | PAT | $202.00 | $.00 | $202.00 | $40.40 | $.00 | $.00 | $16.16 | $.00 | $.00 | $.00 | $145.44 | f | |||||||
| 4004337801 | DOE, J SR | s | 01/21-01/21/2004 | 123456789 | PAT | $65.00 | $.00 | $65.00 | $13.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $52.00 | f | |||||||
| 4004337901 | DOE, J | s | 11/05-11/05/2003 | 123456789 | PAT | $139.00 | $.00 | $139.00 | $42.83 | $.00 | $10.00 | $20.36 | $.00 | $.00 | $.00 | $65.81 | f | |||||||
| 4004338101 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $115.00 | $.00 | $115.00 | $36.90 | $26.49 | $10.00 | $.00 | $.00 | $.00 | $.00 | $41.61 | f | |||||||
| 4004338301 | DOE, J | s | 12/10-12/14/2003 | 123456789 | PAT | $660.00 | $.00 | $660.00 | $341.52 | $.00 | $.00 | $31.86 | $.00 | $.00 | $.00 | $286.62 | f | |||||||
| 4004338401 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $128.00 | $128.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004338501 | DOE, J | 1 | 02/05-02/05/2004 | 123456789 | PAT | $66.00 | $.00 | $66.00 | $9.42 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $46.58 | f | |||||||
| 4004338601 | DOE, J | e | 08/20-08/20/2003 | 123456789 | PAT | $700.00 | $.00 | $700.00 | $158.70 | $.00 | $10.00 | $46.00 | $.00 | $.00 | $.00 | $485.30 | f | |||||||
| 4004338801 | DOE, J | e | 01/19-01/19/2004 | 123456789 | PAT | $109.49 | $.00 | $109.49 | $85.83 | $.00 | $.00 | $12.22 | $.00 | $.00 | $.00 | $11.44 | f | |||||||
| 4004338901 | DOE, J | s | 01/16-01/16/2004 | 123456789 | PAT | $496.00 | $.00 | $496.00 | $49.60 | $250.00 | $.00 | $19.64 | $.00 | $.00 | $.00 | $176.76 | f | |||||||
| 4004339001 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $267.00 | $.00 | $267.00 | $53.40 | $213.60 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004339101 | DOE, J | e | 01/30-01/30/2004 | 123456789 | PAT | $122.00 | $.00 | $122.00 | $29.53 | $.00 | $10.00 | $.00 | $.00 | $.00 | $.00 | $82.47 | f | |||||||
| 4004339301 | DOE, J | e | 01/20-01/20/2004 | 123456789 | PAT | $110.00 | $.00 | $110.00 | $37.79 | $.00 | $10.00 | $.29 | $.00 | $.00 | $.00 | $61.92 | f | |||||||
| 4004339401 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $104.00 | $.00 | $104.00 | $9.26 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $94.74 | f | |||||||
| 4004339501 | DOE, J | e | 02/02-02/02/2004 | 123456789 | PAT | $175.00 | $.00 | $175.00 | $8.00 | $.00 | $10.00 | $7.70 | $.00 | $.00 | $.00 | $149.30 | f | |||||||
| 4004339601 | DOE, J | s | 01/29-01/29/2004 | 123456789 | PAT | $267.00 | $267.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004339801 | DOE, J | e | 01/29-01/29/2004 | 123456789 | PAT | $130.00 | $.00 | $130.00 | $21.71 | $.00 | $.00 | $10.83 | $.00 | $.00 | $.00 | $97.46 | f | |||||||
| 4004340001 | DOE, J | e | 01/21-01/21/2004 | 123456789 | PAT | $34.00 | $.00 | $34.00 | $17.14 | $.00 | $.00 | $1.69 | $.00 | $.00 | $.00 | $15.17 | f | |||||||
| 4004340101 | DOE, J | s | 03/01-03/01/2001 | 123456789 | PAT | $551.00 | $551.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | $.00 | f | |||||||
| 4004340301 | DOE, J | e | 02/02-02/02/2004 | 123456789 | ||||||||||||||||||||