it payment of $0.00 payable to: MITCHELL A KLINE, MD PC EFTA00316210 ergs :// tne rcha ore e nlerc ardco lineage nilaccountIrec e p#R0984906 $: MITCHESD PC 04/07/2016 0255:28 PM Ref #. 098490653755 Authorization Code: 123648 Total: $1,525.00 use Card Number. 37Z0000000(3001 Card Holder. JEFFREY