📄 Extracted Text (142 words)
STATEMENT
Thomas J. Maiip Telephone:
Alvin Grayson
rm." by midi ma *Mar no strcom yod teprip ale ImEMMIEE
SE am Won. km ES
Mtilermrd Visa Ara
CAM P Erb Ode
9 VICETI Sc Co*
Mr. Jeff Epstein Date Account
9 East 71st Street 9/30/2015 8150
New Yoek NY 10021
Remittance
IMPORTANT • FUME OETACH UPPER PORTION NC RETURN WTH YOUR REMITTANCE TO INSURE
CREDIT TO PROPER ACCOUNT
Date Patient Description Charges Credits Balance
8/26/2015 0.00
9/3/2015 40.00 40.00
9/3/2015 180.00 220.00
9/3/2015 75.00 295.00
9/17/2015 1,900.00 1195.00
Account Total 2,195.00
If payment has been sent, please disregard this statement - Thank You.
We accept credit cards You may complete and return the top part of
this statement, or call the office a
Current 30 Days 60 Days 90 Days 120• Days
2,195.00 0.00 0.00 0.00 0.00
Thomas J. MagnentlE. Mein Goyim=
EFTA01122951
ℹ️ Document Details
SHA-256
e1352e7e6b17fffeec31cc62fd5796aa3ea935b5b7939189ce25c6b4a45d20b6
Bates Number
EFTA01122951
Dataset
DataSet-9
Document Type
document
Pages
1
Comments 0