| | Robert | Pattinson | PatientID: | 88367 |
| | 66 Greenleaf Ave |
| | Madbury, NH 03755 |
| | 4/12/2010 | | Hepatitus C | $125.00 |
| | 4/14/2010 | | Thyroid | $420.00 |
| | 4/14/2010 | | Glucose | $395.00 |
| | 4/14/2010 | | Strep | $80.00 |
| | 4/14/2010 | | Thyroid | $420.00 |
| | 4/14/2010 | | Liver Panel | $378.00 |
| | Total Due: | $1,818.00 |
| | Please mail payment to: |
| | Labs 2U |
| | PO Box 45 |
| | Atlanta, GA |