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Patient Invoice

Patient ID 11543

Last Name Obama Zip 03877

Address 1600 Pennslyvania Avenue

City Concord

State NH

Description Price

Allergy Testing $225.00

CBC $115.00

Patient ID 12345

Last Name Corcoran Zip 01879

Address 6 Corcoran Drive

City Tyngsborough

State MA

Description Price

Allergy Testing $225.00

CBC $115.00

Glucose $395.00

Patient ID 18975

Last Name Cusack Zip 03765

Address 97 Exchange Court

City Laconia

State NH

Description Price

Lipid Profile $175.00

Patient ID 35245

Wednesday, May 05, 2010 Page 1 of 3
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