EFTA01195212.pdf

nt Number Amount Due AMOUNT ENCLOSED Statement Date 2/20/2015 $70.00 $ 'eill Cornell Physicians YOU C AN PA Y O N LI N E AT W W W .W EI LL CORNELL.OR G O O Discover O American Express '5 Lexington Ave. Suite 540 El Visa MasterCard .w York, NY 10022-6102 Card Number Cardholder Name 1 1111 Exp. Date 50866700000070000 P A Y A BLE A N D M A IL TO : MAKE CHECKS Weill Cornell Medical College ilill.h.lilli. .1 1 .1 0 1.1 11.1 .1 r.I .1 10 1. 1 GPO Box 28375 New York, NY 10087-8375 EFTA01195212