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_____ _ _ -------- — --------- asserm: EXAMS TODAY Date / Time Exam Code Refemno Name Accession 06/05/2018 8:30 AM EDT MRCLAVL MOSKOWITZ, BRUCE W, M.D 7156124 PAYMENT IS DUE AT THE TIME OF SERVICE El Cash 0 Check 0 Mastercaro 0 visa almex 0 Discover HEREBY ACKNOWLEDGE THAT I AM FULLY R
: EXAMS TODAY Date / Time Exam Code Refemno Name Accession 06/05/2018 8:30 AM EDT MRCLAVL MOSKOWITZ, BRUCE W, M.D 7156124 PAYMENT IS DUE AT THE TIME OF SERVICE El Cash 0 Check 0 Mastercaro 0 visa almex 0 Discover HEREBY ACKNOWLEDGE THAT I AM FULLY RESPONSIBLE FOR ANY UNPAID BALANCES. Signature of Pat
e card(s) to the front desk receptionist.) EXAMS TODAY Pate / Time Exam Code Referring Name Accession 10/14/20157:30 AM EDT MRLSPNI MOSKOWITZ, BRUCE W, M.D 6784742 PAYMENT IS DUE AT THE TIME OF SERVICE K Cash K Check K Mastercard K Visa K Amex K Discover I HEREBY ACKNOWLEDGE THAT I AM FULLY
.) EXAMS TODAY Pate / Time Exam Code Referring Name Accession 10/14/20157:30 AM EDT MRLSPNI MOSKOWITZ, BRUCE W, M.D 6784742 PAYMENT IS DUE AT THE TIME OF SERVICE K Cash K Check K Mastercard K Visa K Amex K Discover I HEREBY ACKNOWLEDGE THAT I AM FULLY RESPONSIBLE FOR ANY UNPAID BALANCES. Signature of P
to the front desk receptionist) atilt= EXAMS TODAY Pate / Time Exam Code Referring Name Accession 06/05/2018 8:30 AM EDT MRCLAVL MOSKOWITZ, BRUCE W, M.0 7156124 PAYMENT IS DUE AT THE TIME OF SERVICE 0 Cash 0 Check 0 Mastercard K Visa 0 Amex 0 Discover I HEREBY ACKNOWLEDGE THAT I AM FULLY
EXAMS TODAY Pate / Time Exam Code Referring Name Accession 06/05/2018 8:30 AM EDT MRCLAVL MOSKOWITZ, BRUCE W, M.0 7156124 PAYMENT IS DUE AT THE TIME OF SERVICE 0 Cash 0 Check 0 Mastercard K Visa 0 Amex 0 Discover I HEREBY ACKNOWLEDGE THAT I AM FULLY RESPONSIBLE FOR ANY UNPAID BALANCES. Signature of
Entities connected to both BRUCE W and THE TIME OF SERVICE

Bruce Moskowitz
PERSON
Jeffrey Epstein
PERSON
George W. Bush
PERSONSignature of Patient
ORGANIZATIONEast River Medical
ORGANIZATIONInsulin Pumps
PERSONPacer Wires or Defibrillator
ORGANIZATIONFilters or Wires
ORGANIZATIONK Return
ORGANIZATIONK Visa
ORGANIZATION0 Report & CD
ORGANIZATIONSTOZ/OC
ORGANIZATION