EFTA00292244.pdf

Source: DOJ_DS9 • Size: 34.8 KB • OCR Confidence: 85.0%

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SIN ER Date: 03/15/2018 Patient Name Page: Chart Number. Billing Tip*: BALANCE 1 02/07/2018 02/08/2018 0.00 0.00 0.00 0.00 02/08/2018 31 35.00 35.00 02/21/2018 0.00 35.00 03108/2018 0.00 35.00 03/08/2018 31 425.00 480.00 03/08/2018 31 2400.00 2860.00 03/08/2018 0.00 2860.00 TOTAL PATIENT BALANCE AS OF 03115/2018: 2860.00 I EFTA00292244

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Dates

02/07/2018 02/08/2018 02/08/2018 02/21/2018 03/08/2018 03/08/2018 03/08/2018 03/15/2018

Document Details

Filename	EFTA00292244.pdf
File Size	34.8 KB
OCR Confidence	85.0%
Has Readable Text	Yes
Text Length	376 characters
Indexed	2026-02-11T13:23:17.582648