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The Family Court of East Baton Rouge Parish, State of Louisiana

Spousal Support/Child Support Arrearages


( Note: Use separate sheet for insurance, medical and other expenses ordered)
Date of last hearing at which award was made:

MARCH 6TH, 2012


___________________
Date

Effective date of award:

SEPTEMBER 21ST 2011


___________________

Amount of award:

690.00
$__________________

Date
Amount

Amount payable when:

2 split payments on 1 and 15 of each month


___________________

Time

Item
Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.

Totals

Due
Date

Amount
Due

Date
Paid

Amount
Paid

2/1/2012
2/15/2012

Check
Number

Accrued
Arrearage

50.00

2/3/2012

50.00

MONEY ORDER

0.00

50.00

2/20/2012

50.00

Money Order

0.00

3/1/2012

50.00

3/5/2012

50.00

0976

0.00

3/6/2012

3,663.55

N/A

0.00

N/A

3,663.66

3/15/2012

345.00

3/24/2012

50.00

0980

295.00

4/1/2012

345.00

4/10/2012

100.00

0984

245.00

4/15/2012

345.00

4/20/2012

100.00

0983

245.00

5/1/2012

345.00

5/05/2012

100.00

0987

245.00

5/15/2012

345.00

5/18/2012

100.00

0990

245.00

$5,750.00

$600.00

$5,150.00

MARCH 6TH, 2012


Last arrearage judgment date: _____________
Date

N/A
Number of prior findings of contempt: _____________
Number

$5,150.00
Balance due on prior arrearages as of date of filing this action: _____________
Amount

Form B, Spousal Support/Child Support Arrearages


Adopted 1-1-91
Form revised: September, 1999

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