Epstein Secrets

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 amount you are barna in IM rempitance box and hi

J. Magnani D.D.S. Alvin Grayson D.D.S. Mr. Jeff Epstein 301 East 66th Street Apt 1OF New York NY 10;

COLAIT Date Patient Description Charges Credits Balance Previous Balance 0.00 11/24/2010 Comprehensive Oral oval 50.00 50.00 11/24/2010 Adult Scale & Prophy 160.00 210.00 Account Total 210.00 We accept credit cards! You may complete and return the top part of this statement, or call the office at 21

STATEMENT 12/1/2014 to 3/3/2015 Thomas J. Magnanl D.D.S. Telephone: Alvin Grayson D.D.S. 7 West 51 at Street 7th Floor New York NY 10019 Mr. Jeff Epstein Date Accou 9 East 71st Street 1 3/3/201 New York NY 10021 ROM ittan CO up-ORTR/7 . PLEASE CETACS UPPER PORT )N MD RETURN WiTI- YOUR io MITTA

at Street 7th Floor New York NY 10019 Mr. Jeff Epstein Date Accou 9 East 71st Street 1 3/3/201 New

nce 6/20/2014 Previous Balance 0.00 12/17/2014 Amalgam 2 Surface Perm. 350.00 350.00 12/17/2014 Recall Oral Exam 40.00 390.00 12/17/2014 Adult Scale & Prophy 180.00 570.00 12/17/2014 Bite Wings 4 Films 65.00 635.00 1/8/2015 Panoramic Film 0,00 635.00 1/8/2015 Ortho treatment adult 7,500.00 8,

l can& entry Ho amour; you am OWN/ n aM lormitanca box and ■ ext Wow Motorcar! Va. Amex New York NY 10019 Cade Exp Dvrs Sputum Sig Cade Mr. Jeff Epstein Dale Account 9 East 71st Street 7/1/2015 10055 New York NY 10021 Remittance IMPORTANT • PLEASE DETACH UPPER PORTION MO RETURN 'MTH YOUR REMIT

10019 Cade Exp Dvrs Sputum Sig Cade Mr. Jeff Epstein Dale Account 9 East 71st Street 7/1/2015 100

UR 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 6/16/2015 Laser Bleaching 750.00 1,13