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Transcript of J~•rt~:~~~~:,.:;:::;; ·~~~~~;·:~:~.~~j·~~~:-+~jb...
EMPLOYMENT DATA REPORTED Employer N<1nlet l'Jate R11p0rted:
Emp~Hame: t.ocatloon: Dlrte~r
Employer Name: Date ltepol'b!d:
EMPIRE MACHINERY OU2005
RJLEY EQUIPMENT GREATilEtlD, KS 03/2004
PHELPS OOOGE MORENCI 01/1998:
F'de I'Wmber. Pa~ Oate~«i:
172561901 1 of!f (15/21.{2()07
SW: XXX-XX·4780 Date of filrttu TelephQMj Your SSN Is partially m.e.skM fur your protcttlon.
PREVIOUS ADDRESS
STAfFORD. KS 67$7& r,t.)b! ltaponed: 03/:2006
434 flAGSTAff. AZ 86004
PO$Itlon: MECHANIC Hired:
$>o!iltlon: Hlfl!d:
~004
!.,: -,.
-~!!
TransUnion.
· ~~~iii.ir PiQ~tNi-!V:oi'!~recfii'e~fi;l~losii~: report b • '$With 'M®1\ !t li'u:tu« · .
J~•rt~:~~~~:,.:;:::;; __ ·~~~~~;·:~:~.~~j·~~~:-+~jb~~.·· .. ~~~~~~~;4:~,
STAFFORD COUNTY DIS'T'RICT Docket#: 4LM57 P.O, BOX 36S 1)pfn CML IUOGMEI'iT 209 N BROADWAY (oortTypt; Clti.Ci,!IT COURT SAINi )OHft KS 67S76 ~16) S49-32.95 fstiina~ date titaUtiiUem Will bU~IIWJ*: 03/2011
STAFFORD COUNTY D4$11UCT Dockcl #: 3l23 P.O. BOX 365 Type: CMlJUOGMtNT :lOW N BROADWAY Colil't ~: CIRCUIT COt.!l'fi SAiNT JQHN, KS 67576 1316) 549-3295 Est11Mte4~1hatthisltemwlll!M:~ 04/20'10
ST.AFf'OflD COUNTY DISTRICT Docket#: 2l53 P.O.BOX.365 T~ ?AIDCIVILlUOGMOO 209 N f!l(OADWAY Court Type;; C.li!.CUIT COURT SAINTl{)HN,KS 67576 Datehkk OA/1003 (316) $49·3295 £st1mat:ed ~mat this Hem Will be~: 06/1009
Date Flledt 04/7.004 ResponsJbU!ty: CONlRACi\.IAU Y t.JABLE DEBT Plaintiff: MEOl STAfFOf!!J O!STRICI' HOS? Amountt $1,084
~ FIIA!d: OS/200:3 Rspcnslbmty: !NOIVIOUAL DEBT Plaintiff: MEn1 H!JTCHINSON CUNIC PA .Mlount: $1,08!1
Oar& filed: ~!Vty; Plaintiff. .~!mount:
07/2002 COtffil:ACTU&lY UAtlE DEBT ME01 STAFfORD OfSTRtCT HOSP $428
To dispute online p to: http;/[transunion.to_m/disputeonUne
REX MC
esfltil STATES #2062.581 POOOX3130 HUTCHI,.SOH,. KS 67504·3130 (620)~11
L-. Type:Cou..EcOON AGSIICY/ATIOf!NE.Y ~~~COllECTION<
Date~ftwc~ 09/2001 ~~.fttatthi$1temwlllbe~ 04/'J.OOa
CENTRAl STATES #21.02531 POSOX3130 Hll'i'OllHSOO. K5 67504->UO {620)663-ml
1m11t t~ COllfCTI()tj AGa«:Y/IIT'rORNEY ~»'AID COll.ECTJOIII< l'.lah!!pl;i!«*!ftw~ 10/lQ(ll ~~~R1Mtlfdsmn•~~e~ OS/:2.003
cemw. STATES #2249181 POBOX3130 Hl}I"OtiNSOH,KS 675()4..-3130 (620}663-8811
Loa ~tot.w:llQN AGe.cY/AlroRNEY ~>flAW COUfCTIOf« ~~mr~: 04f20('l1 ~dllteUiat:UI!bbolwltl!e~ 00/200&
aN1lML STAtES #2268500 POBOX3BO ~.ICS67SQ4,3130 (610}663"-8311
~ ~ (OI.lECJK)f.I .AG'iiJIC//ATTfJQNF!( ~>PtM:ED fORCOI.l.ECOON« ~,..-~ 04/2002 ~-.tbld~ ..... t'MltMII: (11!}/2000
o:rmtAl STATES #2421885 POOOX3130 fo!l.,f'K:HINSON, K5 6750+31.,0 (6lQ)663-8311
A.- 'fype: CQU..ECT"Itm ~CY/ATTORM:.Y ~>PAIU CQI.J.fCOON< Dtlflll pl;i!t:W rw ~ t0/2002 ~~dlatdUslblm·be~ 02/2001J
Cf,'Nl1W. STATES #2701963 POSOX3130 HUTCIDI'ISOH,ICS o7S04-SUO (6N) 6~)-Mti
I.Daa~~NAGEI'tCY/Al'TQf!NE:V ~>PlACE~) fORCous;;T!Oik Dlte~fllrralec!kMis: 07/1.00}
esdtNtedat.et.UtUti5 -·be~ 04/2001)
Aloe tfulllbec ~ O.li!li:RIIId:
172561907 4of9 0)/21/l007
lldltce: $192 Pay~ >COLt..ECl'l(mAC{OI.JNT< Date llfldattd; l0/2001i AcaM!otl'ype: OPEN ACCOUNT ~ $15>2 ~INOIVIt)tW.ACCOUNT Orislatemf'~ Mr:t:l1 catTRA!..PI.AINS tAIIDAA TORY Past lkMk >$1.92(
~ $0 htel,f.,.._. 10/2004 ~ $568 ~CrMitor; MED1 filllt.liiHSotl CLINIC P A
~ m .. ~ 10/2:004 OltciUIMOIIMt. m O~t:redhllr: GUNNERSON ctlAI'!tfS <:RNA GIJl Pa5t0uet >S9M
ltalallce:: $$52 o.rau,..._. 10/':1004 ~$852 ~~ MI;D1 UNIYOFKSSOIOOI.OF
lt4EPlCI Pa$t Pl.* >$852<
P'll!v~ ll>AYMOO N"'tR CHARGE OFF/CO~
AttOI'ldtT"'* OPE.'N ACCOUtrt ~INOMOUA.lACCOOl\11 ~~ • jfJ/2003 Oatehld.t :t0/2003
P.ly~ >PAYMa.tNTEI!~f OFI'jCOJ..t.£t:n0Mt
~Type; OPEHAOCOUNT ~INOWIOIW.AC(J)UN'f ~~ 10/2003 O;DPaW; 10/too~
l'iily ~ l>C()u.E(:'I'ION N::eootff< ~~ OPaJACCOONT ~INDNIDI.W..N.:et:».INT
hy ~ >PAYMEm' A!'TER O!AAG€ OfF/COw;t;:TIOH<
~Typl!:: OJ'IEN~ ~INDMOI.W.ACCOONT .,..~ 10/lOO"S O.WJ~Uf: 10/200ll
Pli)'Sb!ba: :ICOt.t.f:OIQH.ACCOONTc Atc:clulltl)pe OPEHACOOUJ(i Rap 1~: lfiDI\IIUUAt AC.C:OONT
CENTRAl STATES #2408724 P060X3130 HUTCHINSON. I($ 67504•3130 (620) 663-&811
Loan Type: COLLECTION AGENCY/ATTORNEY Rema~ )PlACEO FOR COll.EtTION( 03te placed for coii4.1Ci:lon: 09/2002 ~date tbat thblltem will be remolf&d; 07/2008
CENTRAl. STATES #2686834 POSOX3130 HIJTCHIHSON,'KS 67504-3130 (620) 66:HS11
l.oan'JYpe:COW::CT!ON AGENCY/AT'l'l:m.NfY RM!alb; >P\ACEO FOR COLLECTION< ~placed filfcoll&c'tklll: OS/2003 E$tin\ated om tttat till!: ihlm wru IMII'e!IJCM)d: 08/2009
CEJmW. STATES #28S2908 POSOlOBO tHJTCKINSON, K5 67504·:';1130 (610) 66~·8811
I.Mn 'fYI*COt.l.fCTION AG£HCV/A.TioRN6Y ltetnalb: >Pl.ACED FOR COLLECTIO!k r>m placed lilt coU.ctlorll 11/2003 ~ tfate'dl;rt till!. Item Will be~ 07/2010
CEN'TRAl STATES 12946207 POI:lOX3130 HI,ITCHINSON, KS 675()A·"• "'"
· '(62G~ 66:3--atl'U
~.t~an Type~ CO~I.CcTION AG~CV/ATTOilNEV Remarks: >PLACED FOR CQl.I.EcTION< ~piKed for wltet:tion: Ot/2004 t'$tim.atetl~tbattlri!>itemwUt~rem~' 03/201{1
COORAL. Sl'ATE$ #2946206 POEIOBHO HUTCHINSON, KS 67504-31:;!0 (620) ~3-88 11
1..0P Type: COLLECTION AGENCY/ ATIORNEY Rm'Mrk:ii:>Pi.ACED FOR COillC'TION< Batt~ p(ac:;d for col~~ 01 / ZOI.Jil Estlmllted d<rt.ethratthis item w!U be~' 02/2010
C£tn'RAL STATES #1997306 POBOX313Q HUTCHINSON, K5 675()4.3130 (620) 663-8811
~Type: COLLECTION AGENCY/A.'ITORNEY ~~>PAID COt.l.fCTION< Dl!te1JiaO!!dfv)t(:Oit~: OS/:2001 tstimatedtlatethattfll!lltemwtU. be removed: 12/2007
Balallt.e $~04 OateUpdated.: 03/2007 OrislfllltAmoallt: $9Q.4
flleNumbe~
~~: tl~ l$$1.1ed:
Origlm.( Creditor: ME01 O:l PAAi'l' t!t::GIONAl MEn !CAL CENT!!
f>a$1: u~: >$904<
!Manc;c: SUS Date Upl'lated: 03/2007 OrtplalAmount: $128 Origf~lCN.Idlmr: ME01 01 HUTCHINSQt-1 CLINIC P A ~pue; >Sl2S<
Ba~e. $;o$ U!iteUp4ated: 03/2007 Orig:lnaiAmoul'lt $303 OrlginaiC*'Itc.r~ Mi;Ot 02 PEAS!; $AfN l M !} Put Oue: l$303l
Balanc:e: $314 "'*UpdQW<I.: 03/200'1 Ot¥1~1<1\1o!,liilt: $31.4 . Otigim;llcreditor: MEDl 02 PRATT REGIONAL MED 10\L.
CENTE Putltve: )$314(
BIIIMc.: $96 DateUpdated: 01/2007 OrigtnalAm01mt: $.96 OllglnaiCredltoo MEDl PRATTRE6l0NALMEOICA l
CENT Pa$t:Ciue: J$96<
&limce: $0 Date Updated; 10/2004 OriglllaLAmcullt $9S Ortginaten:ditcf: M£D1 HUTCHINSON CliNIC P A
17256-1~7 3of9 OS/21/2007
Pay Status: ,(:Ou.£tnON ACCOUNT< Acr.ountT~ O~EN ACCOUNT llMI>(li'ISillUlty: INOMIJUAI.. ACCOIJN''r
f'lly Statwi: X::OlLE.CTION ACCOUNT< .l«.otJIItl'yp¢: OPEN ACCDllNT ~l>lblllty: tNPMDUAJ. Ac<:OUNT
PayStntUS; >COLLECTIONACCOONT< AmmntTypa: OPEN ACCOUNT Rnponslbluty: INOMOliAL AC\JJUNT
Pay~! !COU!CTION ACCOUNT< ~nt~~OPENA_CCOI.!~_T , •. ll~slbl~: !J.i!}!\1!MA!. A:CtbDt{'f
Pay Statvri: X:O!.LSC'OON ACCOUNt< Ac:count T~ Of'EN ACCOUNT ltesp1111$lblllty: INDMOUAl ACCOUNT
Pay $tatm~ >PAYMtNT AFT~ CHAI'ffiE OFF/COW:CTION<
Auountl'ype: OPENACCOU!IIT ~pl!Mlb~Uty\t INDIVIDUAL ACCOUNT OilteC!osed: 11/.2003 Dmhid: U/2003
CEH1'RA.L STATES #2859475 POBOX:mo HUTCHlNSON, KS 67504-:mo (620) 663·8811
l.oim Type! COlLECTION AGENCY/ATmRNt:Y R~ >PLACED FOR COlLECTION< Dltepla~forcol!«tion: 10/2003 Estlmlted datathatthl!lltem wit! bf! ~. 03!2010
Balai!Cez $91. Oatnl.lpdated: l0/2004 OriSiMIAinount: $~1 Or!gblal Cradh:-. Pl!Rit£. JEf'FREY W CRNA PU3 Past Oue: )~1<
17256'1907 !)Of9 05/'.U./2007
Pay Status: lCOLllrCTlON ACCOUNT< Account TYJN!: OF'£N ACCOUNT ~IIS!bllltv: INDIVIDUAl ACCOUNT
CENTRAl STATES #2839987 POBOX;i1:30 bl:a11~ $583 ,PaySQt~~&: >COLL£C1'10NACCOOHTc HUTCHINSON, KS 67504·:.\1110 (6i0) 663-8811
DateOpdated; 10/2003 Account Type; OPEN ACCOUNT O~atAmt>unt: $583 bspon.slbllity: I NOIV!DUAL ACCOUNT
IM1a11<snPlAC£O R)R COLLF;CT!ON< DGteptacedtor®te.:tio<l: {)9/1003 F'Mlmated date. d1at tltlli.l~ wlU ~ ~rnwedt Ol/.W10
CREDIT SERVICE CO #1069534 25 N IEJON ST STE B100 COLORADO SPGS, CO 80901 {719) 6:il4-13!i7
losil Type; COW!CiiON AGENCY /ATTORNEY Remal'k$: »'lAW> FORCOU£Cii0N< l>1ittl pia~ for Collection: 06/2004 Estimaml d~Wth!lttnis ltemwlft 1111·~: o;now
Oflsina!CI'edlton MEDl HUTCHINSON HOSPlTALC O~P Past Due: ~$!S8!1<
blalltf!: $61 Om Updf.ted: 04{2007 Otlgl!l<liAi1161.111b $SO OrlfitlalC*Ittll':: M£01 02 PEN~OS£ tlOSPriAL PoutDue: >$61<
KANSAS COUNSELORS INC #1 012808059415 1421 N ST PAUL Sf Sa!Dnce: $1,046 WICHITA, t(S G720H 718 Om Updatfih 04/2007 , ___ ,t_,.,.,. .. ~~- Oti~AmOd\tt: $1,()46
()flrlnat<l'llCUton . .M£1»-ft 2'THt SlillGI€EN-"Ftft-LDan Type: COLLECTION AGENCY/AITORN£Y Past DIMI: l$1,046< Rematlts: >PlACEli FOR COllEtllON< 1:1<1«! plxM for tell~: 11/2001 ~date that thl!lltem will btll'!!l'I'IOftd: 11/"lOO'r
IWlSAS COUNSELORS INC #1012808319194 1421NSTflAULST !lalanw $614 WICHITA. 1<567:!0:3-171$ UateUpd;Jte<l; 04{2007 (800) 333-8335 Qrtaill•lAm<lunt: S61'1
Ori!inat~ MEDt 02Tli"$URGIC£NWi Loan TY'P¢ COLLECTION AijENCY /ATTORNEY Past Due: >$61.4< Remam: >PLACED FOR COLLECTION< Date pf.mKI far cvllllcUcm: 02/2004 Estlmated Gate that Htllllltem will be ltiii!IMid: 03/l010
Pay Status: >COLLECTION ACCOUt.JT< AtC&IInt l'ype: OPE.N ACCOUNT Re$pllnslloltlty: INOIVIOUAl ACCOUNT '
hySratus: >COLLECTION ACCOUNl~ A.««Mint ~ (lf>£111 ACCOUNT Resi)Ofl$lblllty: INDIVltli.IA\. ACCOUNT
Pay Status: !COI.L.ECTlON ACCOUNT< AC«~Untl'ype; OPEN ACCOUNT RVspolllilbilltyt INDIVIDUAL ACCOUNT
***172561907-004*** File Number: 172561907 P.O. BOX 2000 Page: 1 of 1
Chester, PA 19022 Date of Issued: 07/21/2007 TransUnion
POBXZY00202105-1017745
REX MC
ll│II││IIII││IIIIII│IIIII│││IIIIIII…………………
Our Investigation of the dispute you submitted is now complete. The results are listed below and a new
copy of your credit report is enclosed.
If our investigation has not resolved your dispute, you may add a 100-word statement to your report. If
you provide a consumer statement that contains medical information related to service providers or
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report we issue about you.
If there has been a change to your credit history resulting from our Investigation, or if you add a
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Thank you for helping ensure the accuracy of your credit information.
Investigation Results
ITEM DESCRIPTION RESULTS
KANSAS COUNSELORS INC # 1012808319194 DELETED CREDIT SERVICE CO # 1069534 DELETED CENTRAL STATES # 2946207 DELETED CENTRAL STATES # 2852908 DELETED CENTRAL STATES # 2688834 DELETED CENTRAL STATES # 2408724 DELETED CENTRAL STATES # 2325384 DELETED CENTRAL STATES # 2946206 DELETED
Consumer Credit Report for: REX MC File Number: 172561907 Page: 2 of 2 CENTRAL STATES # 2701983 DELETED CENTRAL STATES # 2268560 DELETED CENTRAL STATES # 2062581 DELETED CENTRAL STATES # 2062581 DELETED CENTRAL STATES # 2839987 DELETED CENTRAL STATES # 2421885 DELETED CENTRAL STATES # 2249181 DELETED CENTRAL STATES # 2102531 DELETED CENTRAL STATES # 1997308 DELETED BERLIN – WHEELER INC # 108000061 DELETED CIVIL JUDGEMENT DOCKET # 1L23 DELETED PAID CIVIL JUDGMENT DOCKET # 2L53 DELETED CIVIL JUDGEMENT DOCKET # 3L23 DELETED CIVIL JUDGEMENT DOCKET # 4L657 DELETED Any corrections to your identification requested by you have been made, and are included in the following credit report.
To dispute online go to: http://transunion.com/disputeonline
12915 01016 007 D692