Free Trust Fund Account Statement - District Court of Delaware - Delaware

Case 1:08-cv—OO173-JJF Document 12 Filed O4/21/@@680 9é1'ge{17o1·l‘2\77r/T4
DELAWARE PSYCHIATRIC CENTER ·—· RESIDENT TRUST FUNDS STATEMENT ——- Spoo1=PEABEUNDCL. P8M;PEABEUNDCL 04-16-08 Page= 1
For Period 1.2-01-07 tnm 05-01-08 < 153 Days) 0pr=g5mitn 09;48;49 Term=wind·;·ws
Eaci`ities=
TRUST FUNDS B A L A N C E S
TR N0. TRANS DESCRIPTION CASH NON P/E NITHDRAN DEPOSIT TON HAND BNK/TRST BURIAL [N/OUT` ENTERED INCURRED PY
--——--——— ------ --—-—————~-—-———--—- - --——---- - ·------- --(0R)- --(CR)—— ·-·-·-#- · ~~—-~-— - -~-—·-- - —~—-·~· - —·—---- - —·~-—·~ —-
Name Account Room Medicaid # Medicare # Admitted Tota1 NAMI Bank acct#
STEPHENSON JOSHUA 046992 0032 - 12-19-07
Opening Ba1ances
124801 1 CKING 155362 CHK 15.00 15.00 15.00 12-27-07 12-27-07 E
CHECKS
126217 1 CKING 155461 CHK 91.72 91.72 106.72 1-11-08 1-10-08 E
CHECKS
126644.1 CASH 736796 SNK -15.00 15.00 91 72 1-15-08 1-15-08 E
SNACKS
127606.1 CASH 749509 SPD -11.00 11.00 80.72 1-28-08 1-28-08 E
SPENDINC
127z91 1 CK1NG 155544 CASH ·15.00 15.00 95.72 1-28-08 1-28-08 E
CASH IN
127940.1 CASH 749512 TELE -15.00 15.00 80.72 1-29-08 1-29-08 E
TELEPHONE
128384.1 CASH 749514 TELE -15.00 15 00 65.72 2-04-08 2-04-08 E
TELEPHONE
128439.1 CASH 749515 SNK -15.00 15.00 50.72 2-05-08 2-05-08 E
SNACKS
129113 1 CASH 762774 TELE -5.72 5.72 45.00 2-12-08 2-12-08 E
TELEPHONE
129450.1 CASH 762779 TELE -1.00 1.00 44.00 2-20-08 2-20-08 E
TELEPHONE .
131988.1 CKING 155958 CHK 25.00 25.00 69.00 3-31-08 3-28-08 E
CHECKS
131988 2 CKING 155958 CHK 15.00 15.00 84.00 3-31-08 3-28-08 E
CHECKS
132197.1 CASH 807961 SNE -84.00 84.00 0.00 4-02-08 4-02-08 P
SNEA 132923.1 CKING 0.05 0.05 0.05 _ 4-07-08 2-29-08 E
133254 1 CASH 824862 SPD -25.00 25.00 -24.95 4-09-08 4-09-08 E
SPENOING
133258 1 CKING 155038 CHK 45 00 45.00 20.05 4-09-08 4-09-08 E
CHECKS
133569.1 CASH 824866 TELE -20.00 20.00 0 05 4-15-08 4-15-08 E
TELEPHONE
C1osing Bahances 0.05 2%.77 7 7 7 7
206.72 0.05
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Case 1:08-cv-00173-JJF

Document 12

Filed 04/21/2008

Page 1 of 2

Case 1:08-cv-00173-JJF

Document 12

Filed 04/21/2008

Page 2 of 2