0.00 Y 50.00 600.00 07/21/10 D_ekfc.tc QA/N.,A-tnca („oit-A --e-trtry OFFICE:JIM_ DATE: SUPERVISOR: CJIT: DATE: DATE: EFTA01625440 r0 Ilieer 15-4 Court-Ordered Payment System 4, *Offender Eiti6n Czy._ INPUT bate (n -so FORM FOR 0P021 INITIAL ENTRY OF PAYEE ) *DC# W35`155 PAYEE T