📄 Extracted Text (139 words)
STATEMENT
Thomas J. Magnani Telephone:
IIpang by =di cad, raw dr amount you an pang In the rtffiltlita bac aid
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Mr. Jeff Epstein Date Account
M. Box 806 5/9/2013 10345
New York NY 10150 Remittance
IMPORTANT PLEASE DETACH UPPER PORTION MO RETURN YATN YOUR REMITTANCE 10 INSURE CREDIT TO PROPER ACCOUNT
Date Patient Description Charges Credits Balance
3/28/2013 Previous Balance 332.00
4/4/2013 Julia Laser Bleaching 750.00 1,082.00
4/17/2013 Julia VISA 332.00 750.00
Account Total 750.00
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 r 60 Days 90 Days 120+ Days
750.00 0.00 0.00 0.00 0.00
Thomas J. Magnani A/yin Grayson
EFTA00313133
ℹ️ Document Details
SHA-256
e31fc1e20bb4701ac394b4311ee18e89977882fa8abee8a66a2bd2f49e4e16b8
Bates Number
EFTA00313133
Dataset
DataSet-9
Document Type
document
Pages
1
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