Case File
efta-efta01195213DOJ Data Set 9OtherCornell
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01195213
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Cornell
6
This is the current insurance information on file
Please review and make corrections on the back of this form
Insurance Name
1.
2.
3.
9
7
CHECK/M.O.
ACCT. BALANCE
$
$450.60
AMT. ENCLOSED
NEWYORK-PRESBYTERIAN HOSPITAL
PO BOX 9305
NEW YORK, NY 10087-9305
iiiiiiiiiii111101.1011.011.11111...11.11.11111
1111111111111111
653585A (PC1)
EFTA01195213
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