ed States as that term is defined in the statutes of the State of New York or the Federal Soldiers and Sailors Civil Relief Act. DEPONENT STATED AT THE TIME OF SERVICE HE RAD LEG.A.D P IN - A FT40RIDA ACTION. Sworn to before me this 12th day of May, 2008ni SAMSON Notary ORR, No.01NE-4783767 Qualified in N

.) 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

: 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

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