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Press any key to return to input screen <br /> J ACCTREC Accounts Receivable <br /> Account ID 0003554 Facility ID 003945 <br /> Responsible party <br /> Name <br /> Care Of <br /> Street Number _ Street <br /> City State _ Zip —_ <br /> Phone — — Alternate — — Alternate #2 — — <br /> Census District Location _ City code <br /> Balances — <br /> 1 to 30 $ 0. 00 <br /> 31 to 60 $ 0. 00 Last payment $ 170. 00 <br /> 61 to 90 $ 0. 00 <br /> 91 to 120 $ 0. 00 Sent to collections <br /> 121 plus $ 1, 936. 00 <br /> Total Due $ 1, 936. 00 Prior month' s balance $ 1, 936. 00 <br /> F=Find E=Enter- U=Update D=Delete page 1 2:07:53p <br />