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09,18,2016 16:30 Froe: lioodson C. Merrell M Webfax Page: 2,11 3LabCorp Patient Report Specimen iD: 21, 7 -0 Control ID:r5 : 43)92 EPSTEIN, JEFFREY 9 E 7ISTST NEW YORK NY 10:;' Patient Details 008:01/20/1953 Age(y/m/d): 065437/25 Ginder: M 55ft Patient IM Acct F.31143092 Phon.:
09,18,2016 16:30 Froe: lioodson C. Merrell M Webfax Page: 2,11 3LabCorp Patient Report Specimen iD: 21, 7 -0 Control ID:r5 : 43)92 EPSTEIN, JEFFREY 9 E 7ISTST NEW YORK NY 10:;' Patient Details 008:01/20/1953 Age(y/m/d): 065437/25 Ginder: M 55ft Patient IM Acct F.31143092 Phon.: Rte: 68
WIthekij Speckneefheda Date collectie 09/14/2018 1255 Letal Date reufred: 09115/2018 Date intered: 09/15/2018 Date raportett 09/18/2018 0610 ET Physidan Details Orderlag: W MERRELL Referring: lt MERREU. tut 1023153509 General Comalente & Additional Information Total Vobma: Not Prondod Ordered
e,/la/Z010 16:39 From: Woodson C. Merrell M liebfax Page: 7/11 ilabCorp Spedmee ID: 257.4804232-0 Control ID: F5A31143092 Patient Report EPSTEIN, JEFFREY Patient Dotal 008:01/20/1953 Agelyhe/d): 065/07/25 Gender M SSti: Patient ID: Specimen Details Date toilette& 09/14/2018 Date recei
a/Z010 16:39 From: Woodson C. Merrell M liebfax Page: 7/11 ilabCorp Spedmee ID: 257.4804232-0 Control ID: F5A31143092 Patient Report EPSTEIN, JEFFREY Patient Dotal 008:01/20/1953 Agelyhe/d): 065/07/25 Gender M SSti: Patient ID: Specimen Details Date toilette& 09/14/2018 Date received: 09/1
8 Oats entered: 09/15/2018 Date reports& 09/16/2018 Acct I:31143092 Woodson Merrell 44 E 67th St New York NY 10065 1255 Local 0808 CT Phone Physidan Details 0 ilef ening: ID: a NPI: Rte: 68 General Comments & Additional Information Total Volume: Not Provided Ordered Items CtoPTH Intact Fa
1 R 0 1691 SO 06 00 3 1302010 M/J BAND 2 H H 0 1691 50 07 01 3 1302030 M/J BAND 4 . . A H H01691 50 08 02 1 1302300 BAND I PF F .50 .50 A JE R 0 2331 50 09 02 1 1302500 JAll ENS I PF F .50 .50 A HJE H 0 2331 50 09 02 2 1302300 BAND I PF F .50 .50 A JE R 0 2331 50 09 02 2 1302500
its and second dove of measles marinas documented on the mane side tithes form (bored arrae). Physklan or Clinic Name: (Print or stamp) Address: Physidan or Authorized Signature: Date Temporary Medical Exemption PART B (For preschool children, children in day care and school children who are incomp
Entities connected to both Jeffrey Epstein and Physidan