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• • O .ner's Name: LODI MEMORIAL HpSPITAL <br /> Facility Name & Addres Account Ma ng Address <br /> LODI MEMORIAL HOSPITAL LODI MEMOR HOSPITAL <br /> 975 S FAIRMONT <br /> <br /> Name <br /> Care Of <br /> Street Number Street <br /> City State _ Zip - <br /> Phone - - Alternate - - Alternate #2 - - <br /> Census 000001 District Location _ City code <br /> Balances - <br /> 1 to 30 S 0 . 00 <br /> 31 to 60 $ 170 . 00 Last payment S 490 .00 <br /> 61 to 90 $ 0. 00 <br /> 91 to 120 $ 0 .00 Sent to collections <br /> 121 Plus S 0 . 00 <br /> Total Due S 170 . 00 Prior month' s balance $ 0 . 00 <br /> I Processing Page 1 <br /> r <br /> F ACCTREC Accounts Receivable <br /> Account ID 0000512 Facility ID 000513 <br /> C Responsible party <br /> Name <br /> Care Of <br /> Street Number Street * <br /> City State " • Zip - <br /> / Rt� <br /> Phone - - Alternate - - it6 V� - - <br /> r� c ICar Mode <br /> Census 000001 District Locat 14*1q <br /> Balances - <br /> 1 to 30 $ 0 . 00 <br /> 31 to 60 $ 170 . 00 Last payment S 490 . 00 <br /> 61 to 90 S 0 .00 <br /> 91 to 120 $ 0 . 00 Sent to collections <br /> 121 Plus $ 0. 00 <br /> Total Due S 170 .00 Prior month's balance $ 0 . 00 <br /> F=Find E=Enter U=Update D=Delete Page 1 8: 11 :40a <br /> Account ID: 0000512 <br /> Date P/E Description Type Receipt # Check # Amount <br /> 01/18/95 9999 PAYMENT Check 95 PER 87783 490. 00 <br /> Invoice #008904 <br /> 03/16/94 2380 TANK BEFORE 1/84 170. 00 <br /> 05/03/94 9999 PAYMENT Check 94 PER 80840 170.00 <br /> Invoice #016797 <br /> 01/11/95 2380 UST BEFO bl/84 133103 • 170.00 <br />