ORDER NO. 18470 MOTION TO PAY INDIGENT F1EAI,TIi CARE BILLG On t-.his the 13th day of February 1.~a~39, upon motion made by Carnmissi.oner Ray, seconded 1'>y Comrni_ssioner F3aldwin, thN Court unani.mou: 1y apr~roved to pay two Inciigen~- f~~alth Care h:i.1.1s, suber,t to the KPr. r County Audi.tc>r' I)ox~ wi l liamson, approval. ThF Kerr County Auditor and. the Kerr County Tre°asurer ~xr.e hereby authorized. to draw a voucher on L.i.ne Item No. 50-641-200, ELigih:Le ExpensF, in the amoeint. of X1,372.75 and X99. 25. CATHY HORGAN Kerr County Indigent Health Care Coordinator - `~ ~ ~ 3 _~fc~ C~oic~,c~~1, ~ o d~ Y s o ~ ~~ . ~o ~ o c! ice; a~~~- `~o ~c~~ ~~~~~ ~ (~Ov C~~ ~1 Cl i l F-J ~ ~# '(d:+.b) :~dC;Sd C3~'21~~ 3G ~aCIlh'IJCSS!' 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'4-1109b2b 710 WATEe1 STR=ET KERRVILL=_. TEXAS 78028-539$ PATIENT: GOLDEN. MICHAEL SILLIN~ DATE: ~ATIc~VT NUMBER: 232292 uUARANTOR: uOLD~hi MICHAEL 905 PASCHAL X206 ~CERRVILLE~ TX 73028 /C: 5 TX COMpT YEt~DOR 1741 i 096 250001 1-AUG-38 ADMIT DATE; 20-JUL-g8 DISCHARGE DATE: 25-JUL-8$ DOCTOR: 140 - WEL LSD J D ******,~********x***~****************x**x**,~* ~**,rx*,t*** ***,~********~~**~*~***~* ENTRIES FOR 2U-JUL-c8 -------------------------------------------- --------------------------------- T/C ~ SVC CQDE DSCRIP?IQN QTY ?RICE 893 322-6201 520-A RGOM CriARGE '( $ 134.00 3c,do1 434-2274 ErG (8 CHANNEL) 1 $ 98.00 400x8 42tJ-1 21 2 CHEST Z VIEwS 1 S 39. SO 4J~J3 43~-z27u EKG 1 S 36.00 471>7 v3:-14u0 TcLE~cTRY "'ONITO~ING PFP, DaY 1 S 57.25 51319 µC2-0'1J2 URINALYSIS FOUTvE 1 c 11.00 Si+SdS 4v~-C100 CCMPLETc ~LGOD COUNT (CcC) ~ 1 3 2[}.25 59593 402-J13n ScD PATE (=SR) 1 $ 14.25 t'~5~o 402-100? CI-c~~l PRO~ILF 14 T=ST 1 5 72.75 TCTAL =0R 2C'-JUL-~d 5 483.00 *R *R'K 7t* * K`y' ** *7C 'k * 7[7~1X 7t It { •'R '** * * ** 7C * #'!'~C IY 1V *7r* * *i * **'* ** * **' ~[* *ll'* *Yr '***'k**'* **'* *'~'* *'* 1k ~t *`* Er1TRIES F:IK 21-JUL-:8 --------------------------------------------------------- -------------------- T/C :: SVC CODE DESCRIPTZOti 4TY °RICE 3734 ~2~-~201 b~J-F ROQ;" CHk^:u'E 1 ~ 134.00 4J41 b 375-Z1 9~ C,=Tti. Iv ?~J x 1 1I4 1 ~ 3.50 4v41b 375-0005 +~~°AF~IN LOCK (PKV) 7 S 3.50 55471 43G-09~'S DiLANTIN 1Q`,1~1G CAP i? ~ 4.90 5~47r. 430-'7s4 'ri;PARI1~' FLUSH-LOC< jiJ 43v-OYyS ~ILAhTI~V 1'10Mu CAP 9 a 3.50 TOTAL r0~? 2:-JUL-o5 ~ I 137.b0 I xxnrirxac*sf*x*x*xit*~xxx*i~rrfxx#x*,tx****x.tx4*xi4;4x*#**~k~F*x*#~k**********#**#********* i :yTnlcS rD4 23-JUL-~3 i/C =. SUC CQDE ~^.cbCRIPTiON OTY FRICc 14211 402-0620 DILANTIy (PH_~vYTOIN) 1 3 42.00 37009 430-u995 DIL%!tiTlsti 100H6 taP 2 ~ p,gp 37c71 43v-Uul~ TYL=tVCL +./tCD ~3 4 i 2.00 50 70 375-525 SLIP?~RSi Tc~KY 1 S 2.50 TOTAL FQR ?5-JUL-3FS S 47, 30 -------- T:-7AL ---------------------------------------------- FCR NUMB=R 232252 CCLDEhr !^itaaEt -------------- --- ~ - ------ 1240.00 1 _ ~ ~ .. I . ~~ s~ . 1 ` ~ .._ ". ~ 1 a, .... 2 .. •'~ -~ Yd~~~ . yv,~~ f~ 1 ~' y . kr#. A,c. ~.~i 4 '`}~. . s ~ 1 ,~ `s .n'r _!~~;~~2`-J~iIt-sIT,14~v~ !'.y'r ft~,r`#!!S~ %~ ~ ~~y• :~;`~, ~, t FcD ,.0 NU;~9ER SiD QFTcR50N !~'cMORIA~. ~+OSPT_TAl TX CO"IPT VENDOR 74-'!'109626 710 WATER STREET 17411095260001 KtR,~yILLc. TEXAS ?8023-5398 PATIENT: GOLDEN, r.ICHAEL PATIENT NUMBER: 232292 GUARANTOR: GOLD.N. NICHAE'L yU5 PASChAL a20b K=RRVILLE. TX 73023 BILIINu DATE: 1-AUG-88 ADMIT DATA; 20~JUL-98 DISC!iARGE DATE: 25-JUL-88 "r/t. 5 flOCTOR: 14C - W_L.LS, J D ---------------- ------------------------------- - ****** SUMhiAP.Y Of CHARGES ---------------------- -------- **+~*** 0_i'T DzSCRIPTIt7N AMOUNT 322 SIKTn rLGCR S."'I S 570.00 375 t=NT~AL ~U?O~Y g 11.00 402 C! I'J.CAL Lai, $ 150.25 42u X"FcnY T.CNhICA~ CH6 $ =4.50 430 FFiAiirr~Y ~• 53.50 433 FIfTn FLC3ri TE~E~l.T?Y 5 171.75 x.54 _ _ ~/ =~L ~ 1 34.00 rISCr.a:~G~ _~L.~NC_. V g 1240.00