EFTA00590001.pdf
dataset_9 pdf 80.1 KB • Feb 3, 2026 • 1 pages
FEB-13-2033 10:36 FPCM:CR.MAGNANI 21e f'difirdtl TO:16467067223 P.3/3
a (I HISTORICAL STATEMENT
1/1/2014 to 2112/2014 [Julia]
Thomas J. Ma I A18. Tolaphono: (212) 555-1090
Alvin Grayson
k
leff Epstein Date Account
Box 806 2/12/2014 10348
York NY 10150
Date Pedant 0sticrIption Charges Credits Balance
1/22/2014 Julia Bleaching Trays 950.00 960.00
1/28/2014 Julia Recall Oral Exam 40.00 990.00
1/26/2014 Julia Adult Scaled Prophy 180.00 1,170.00
Ju. (t•o. 5—t.4 pc.44.4 IIa...
Account Total 1,170.00
Patiant Charges 1,170.00
Patient Payments 0.00
Patient Credits 0.00
Patient Debits 0.00
Cunent 30 Days 60 Day1 90 Days 120+ Days
Than J. Wenn IM NAM Growl... 7 West 51st IP. pet 701 Floor New York NY 10019 (212) 699-1003
EFTA00590001
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