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HISTORICAL STATEMENT 1/1/2016 to 10/6/2016 Thomas J. Magnani D.D.S. Alvin r .S. Mr. Jeff Epstein 9 East 71st Street New York NV 10021 Telephone: Dale Account 10/6/2016 8150 Remittance IMPORTANT • PL
UPPER PORTION AND RETURN WITH YOUR REMITTANCE TO INSURE CREDIT TO PROPER ACCOUNT Date Patient Description Charges Credits Balance 10/20/2015 Previous Balance 0.00 2/25/2016 Office Visit 0.00 0.00 9/14/2016 Post 1,400.00 1,400.00 9/14/2016 Porcelain W. Gold Crown 2,200.00 3,600.00 10/6/2016 N
Thomas J. Magnani D.D.S. Alvin Grayson D.D.S. 7 West 51st Street 7th Floor STATEMENT Telephone: N paying by veal can& entry Ho amour; you am OWN/ n aM lormitanca
ACH UPPER PORTION MO RETURN 'MTH YOUR REMITTANCE TO INSURE CREDIT TO PROPER ACCOUNT Date Patient Description Charges Credits Balance 6/3/2015 Previous Balance 0.00 6/16/2015 Adult Scale & Prophy 180.00 180.00 6/16/2015 Recall Oral Exam 40.00 220.00 6/16/2015 Electric toothbrush 160.00 380.00 6
STATEMENT Thomas J. Magnani D.D.S. Alvin Grayson D.D.S. Mr. Jeff Epstein 301 East 66th Street Apt 1OF New York NY 10; rn kf Telephone: I paying by credit cant enter Me am
UPPER PORTION AND RETURN WITH YOLK REIETTANCE TO INSURE CREDIT TO PROPER ACCOUNT Date Patient Description Charges Credits Balance 11/24/2010 Previous Balance 0.00 11/22/2010 FMS with Bite wings 175.00 175.00 11/22/2010 Amalgam 1 Surface Perm. 325.00 500.00 11/22/2010 Amalgam 3 Surface Perm. 375
Entities connected to both Thomas J. Magnani and Previous Balance

Jeffrey Epstein
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NEW YORK NY
LOCATIONAlvin Grayson
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George W. Bush
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American Express
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Marc Rich
PERSONAdult Scale & Prophy
ORGANIZATIONFrederic Fekkai
PERSONBloomingdales
ORGANIZATIONYork NY
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Aetna
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Hertz
ORGANIZATIONDarren Indyke
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