EFTA01195213.pdf

DataSet-9 1 page 88 words document

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📄 Extracted Text (88 words)

Cornell


          6          This is the current insurance information on file               7      CHECK/M.O.
                                                                               rm
                      Please review and make corrections on the back of this fo            ACCT. BALANCE
                   Insurance Name                                                     $       $450.60
          1.
          2.                                                                               AMT. ENCLOSED
          3.
                                                                                                   653585A (PC1)

                                                 B Y  T E  R IA N  H O S P IT A L
                                NEWYORK-PRES
               9                PO BOX 9305
                                        K , N Y 1 0 0 8 7 -9 3 0 5
                                NEW YOR
                                iiiiiiiiiii111101.1011.01 .
                                                          1 1 1 11..
                                                                  1  .11.11 1
                                                                            . 1 1 1 1
                                                                            111111111111
                                                                                    1111




                                                                                                           EFTA01195213            

ℹ️ Document Details

SHA-256

9a045e383e9436863f6e9b8f40d039dcd31051a49a5ee9629b835d1e1269646e

Bates Number

EFTA01195213

Dataset

DataSet-9

Document Type

document

Pages

1

Comments 0

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