EFTA00304566.pdf

1139 JEFFREY EPSTEIN DEUTSCHE BANK TRUST 6100 RED HOOK QUARTER, 83 COMPANY AMERICAS NEW YORK, NEW YORK 10154 ST, THOMAS, USVI 00802.1348 1-103/210 9/14/2017 1 a A PAY TO THE ORDER OF Jordan Josephson $ ' 6470.00 Four Hundred Seventy and 00/100nan*************"*""************************"'nee*************"***********"s" naLARS Jordan Josephson 425 Madison Avenue, 9th Floor New York, NY 10017 MEMO Ai/DICCCED £43144TIRE Jeffrey Epstein Account # 0028147 n0011390 1:O2LOO/O331: OS ni3526969 JEFFREY EPSTEIN 1139 Jordan Josephson 9/14/2017 470.00 DB JEE ckg 3526969 Jeffrey Epstein Account # 0028147 470.00 JEFFREY EPSTEIN 1139 Jordan Josephson 9/14/2017 470.00 DB JEE ckg 3526969 Jeffrey Epstein Account # 0028147 470.00 rmeuag cow 1400-328-0304 (10 008BOD STKOK03 03/10/201601:55 -335 EFTA00304566  REMIT TO: Patient Name JORDAN JOSEPHSON 425 MADISON AVENUE. 9111 FLOOR EPSTEIN. JEFFREY NEW YORK. NY 10017 Aeon No. Statement Dale Phone: Fax : 0028147 9/14/2017 Amount Enclosed JEFFREY EPSTEIN 9 EAST 71 STREET NEW YORK. NY 10021 Foe services km: 8/30/2017 l0 430/2017 V v v V V V Paws JEFFREY EPSTEIN Fee salvias from 4702017 to 5/30/2017 WORM Date Desaiption Charges Receipts Adjustments Paden Insulsrlce 03/30/2017 Especial for services performed : 08/30/2017 $470.00 $0.00 5470110 OS/J02017 99201 INITIAL VISIT $4 70.00 S000 S47000 Total feritrokra : $170.00 50.00 50.00 50.00 5470.00 Provider DR JORDAN JOSEPHSON. Tax Id 1114193728. NPI 01101883860 AMOUNT DUE momPATIENT H70.00 AMMO* $aw STATEMENT DATE ACCOUNT NO. CURRENT AMOUNT DUE ll • *SPAYS 1 M. 90 DAYS OYER fl DAYS 9/14/2017 0028147 5170.00 50.00 $0.00 $0.00 PLEASE RETAIN THISPORTION FOR YOUR RECORDS EFTA00304567  From: Lesley Groff eQ Subject. Fwd: Statement - Or. Josephson's Office Date. September 14.2017 at 2:39 PM To. Bella Klein • Hi Bella...can you please send a check for this..I tried to pay with CC but they must have a swipe of card to do...they prefer a check...thanks! Begin forwarded message: From: Subject: Statement - Dr. Josephson's Office Date: September 14, 2017 at 2:36:28 PM EDT To Lesley, Attached is the statement for Mr. Epstein's office consult with Dr. Josephson for his attention. Regards. Judy Billing Dept. Rtsilt 70 INciamt Noce JORDAN JOSEPHSON 42$ MADISON AVIOUE• 0)11FLOOR rsiriN.121,11Cli NEW Y0RK.NY 10017 Moro& No. SOIroorn Doc Plow 11121117.1777 Fn' (112/172.0171 0021117 01012017 Awyealliolool Jf /FREY EPSTEIN LAST 71 51101.1 Nf W YORK. NY 10721 Iw room Oro 11 3017 is 4703011 r v v r r r Nivv, IIIIRI V Oral, Icy ammo cur o woo,/ Mow Due Droopily& C' .1 " ft. * . 1 44" .. "'" ko...... rmer 01V13'1017 ',perm, Yr von* prOrmeall • 0041140., {0000 PAO MAW df , IN, MG.; Mita rillt Well UN Weer Letallfszakei: SOPPY a a KM Si, .. Piero./ DO J011hAk JOSEPIrSON. In NI 017.311137211. IIPI /1100017/00 EFTA00304568  M4O1NT PVC FROM PATIOR $4'4410 Arent nwc SON skstlIPACI STATENEW Oat hyaena CRUM AMOUNT bit Mae DAYS $1-ISIS On* IIISo% 9414/2017 0023147 WOOD St® Pad t liStAIN FMSPOIIII0A PvR 'OCR alCUICD3 EFTA00304569