EFTA00313837Dataset 9
2013-11-151p147w
…PERFORM THE OBLIGATIONS SET FORTH BY THE CAIROMEIVIESEFt's AGREEMENT WITH ISSUER SIGNATURE CUSTOMER COPY Mount Sinai Radiology Associates Date: 15 1/41Dv OiLc) 01- 02225 1176 Fifth Avenue, Box 1235 New York, NY 10029-6475 212-241-6381 1. Rr eived from: £PSin $ ars25 tb+DVY) tannQ l datient: ,0 ((1 0;(\ e mrst: tigklle tO6Qi3 I DOS: DH ft .4. DO LS Amt. of Accoun (2) CC Amt. Paid Cash Balance Due /o Check # Operators Signatur EFTA00313837
https://www.justice.gov/epstein/files/DataSet%209/EFTA00313837.pdf