MAY-21-2009 11:01A FROM:CR THOMAS MAGNANI 2123979008 TO:16467067223 P.1/1
4/29/2009 to 5/21/2009
Thomas J. Magnanl D.D.S. Telephone:
Alvin r n D.D.S.
Date Account
at 5/21/2009
Date Patient Description Charges Credits Balance
25.00 25.00
425.00 450.00
425.00 875.00
375.00 1,250.00
375.00 1,625.00
325.00 1,950.00
325.00 2,275.00
325.00 2,600.00
1,800.00 4,400.00
J t
ic
Fr 0 6-` mu b/ 10
--)
Account Total 4,400y
(
Patient Charges 4,400.00
Patient Payments 0.00
Cid( ' 47) 4C— Patient Credits 0.00
Patient Debits 0.00
Current 30 Days 80 Days 90 Days 120+ Days
Thomas J. Magnani D.D.S. Alvin Grayson D.D.S.
EFTA00722329