To: Cc: Bella Klei From: Crismely Ovalle Sent: Wed 9/26/2018 1:03:24 PM Subject: Re: Credit Card Form - Dr. Paduch Good morning Yes, I received the form. Should I send you the statement and receipt of payment? Perhaps for reimbursement? Thank you, Cris Ovalle Sr.Medical Secretary Weill Cornell Medicine Department of Urology 525 East 68th Street, Starr 924A New York, New York 10065 From: Sent: ues ay, eptem er , : To: Crismely Ovalle Cc: Bella Klein Subject: (EXTERNAL) Re: Credit Card Form - Dr. Paduch EFTA_R1_01054832 EFTA02259128

HI Cris! Please see attached signed CC form...I did not fill in the amount as we don't know it yet...but Jeffrey confirmed it was OK for me to provide you the information. On Sep 25, 2018, at 2:44 PM, Crismely Ovalle wrote: Hi In case it is easier, attached is our credit card form. Feel free to email or fax it back to me tomorrow. Our fax number is 212-746-7287. Notify me if you will fax it over, so I can ►ook out for it. Thank you, Cris Ovalle Sr.Medical Secretary Weill Cornell Medicine Department of Urology 525 East 68" Street, Starr 924A New York, New York 10065 EFTA_R1_01054833 EFTA02259129

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