JUDGE         : ROBERT GRANT

 DATE FILED    : 05-28-86                FIRST MEETING : 10-03-86

 DATE CONFIRMED: 02-18-87                DATE TERM'D   :

 RECEIPT START : 05-28-86                ACCUM. START  : 05-28-86

 DISB. START   : 05-28-86                LAST RECEIPT  : 09-20-91

 CATEGORY      : "DIS", CASE DISCHARGED

                                         ALT. ACCT. #  :

 100% DEBT     : $0.00                   100.00% DEBT (U): $0.00

 BALANCE       : $0.00                   AFTER RESERVED: $0.00

 MINIMUM BALANCE: $75.00                 BASE PLAN     : $0.00

 

 

                          RECEIPT SCHEDULE (Payroll Order)

 ## PER    AMOUNT PERIODS

 01 B/M    247.50    120

 

Personal Data

 

 SOC. SEC #  : 313-41-5826                 Spouse SSN :

 ADDRESS     : RT. 4 BOX 241B

 

               WHEATFIELD, IN  46392

 TELEPHONE   :

 ATTORNEY    : JERRY L. PAETH                 Phone: 317-742-4016

               309 N. 5TH STREET

               LAFAYETTE, IN  47901

 

 EMPLOYER    : HOME HOSPITAL

               2400 South Street

               Lafayette, IN  47904

 

 MISC CODE #1:

           #2:

           #3:

 

Receipt Data

 

 TOTAL RCPTS: $1509.74     # MO. SINCE CON  : 64     NON-COMMISSION: $0.00

 LAST RCPT  : 09-20-91     # MO. REMAINING  : -4     BANK ACCOUNT  : 2

 RCPTS DUE  : $29700.00    TOTAL PLAN LENGTH: 60     RCPTS OVERDUE : 28190.26

 

                          RECEIPT SCHEDULE (Payroll Order)

 ## PER    AMOUNT PERIODS

 01 B/M    247.50    120

 

                                     RECEIPTS

   DATE   TP DUE DATE REF NO.     AMOUNT U# PC COMMENTS

 

 09-20-91 RP 06-13-86 000081     1509.74 00    Refund due debtor

 10-01-91 AT 10-01-91 000000    -1509.74 00    TRANSFER TO ACCT 1

 10-01-91 AT 10-01-91 000000     1509.74 00    TRANSFER FROM ACCT 2

 10-03-91 AT 10-03-91 000000     1509.74 00    TRANSFER FROM ACCT 1

 10-03-91 AT 10-03-91 000000    -1509.74 00    TRANSFER TO ACCT 2

 

Disbursement Data

 

 TOTAL DISBS.  : $1509.74                TOTAL RESERVED: $0.00

 BANK ACCOUNT  : 2

 

                                   DISBURSEMENTS

 DATE     CLAIM CHECK# STAT  PRINCIPAL   INTEREST U# PAYEE

 

 11-11-91 000   000496 RF1     1509.74       0.00 00 DEBTOR REFUND (CASE CL

 

Claim Data

 CLM CREDITOR                      STATUS   APPROVED    BALANCE INTEREST PAYMENT

 

 

Balance Breakdown

 

 CREDITOR TYPE                  COST    NO COST  SUB TOTAL    TRUSTEE      TOTAL

 

 LESS BALANCE ON HAND                                                       0.00

 CONT PAYMENTS                  0.00       0.00       0.00       0.00       0.00

 ===============================================================================

 Number of Months Since Confirmation..... 64

 Number of Months Approx. Remaining...... -4

 Total Approx. Length of Plan............ 60

 

Document Images

Voluntary Petition

Discharge