| | Glenn | Beck | PatientID: | 39676 |
| | 2 South Main St |
| | Lawrence, MA |
| | 4/16/2010 | | Red Blood Count | $55.00 |
| | 4/16/2010 | | Glucose | $395.00 |
| | 4/16/2010 | | Hepatitus C | $125.00 |
| | 4/16/2010 | | AST Test | $550.00 |
| | Total Due: | $1,125.00 |
| | Please mail payment to: |
| | Labs 2U |
| | PO Box 45 |
| | Atlanta, GA |