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    Patient Notebook

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    Peter Golanski
    Peter A Golanski paid $225 to Hunter's Ambulance Service Inc. on March 11, 2022 using a Visa card ending in 7688 for ambulance services provided on February 12, 2022. The payment was approved with an authorization code of 04958D.

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    Patient Notebook

    Uploaded by

    Peter Golanski
    4 views1 page
    Peter A Golanski paid $225 to Hunter's Ambulance Service Inc. on March 11, 2022 using a Visa card ending in 7688 for ambulance services provided on February 12, 2022. The payment was approved with an authorization code of 04958D.

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    Peter A Golanski paid $225 to Hunter's Ambulance Service Inc. on March 11, 2022 using a Visa card ending in 7688 for ambulance services provided on February 12, 2022. The payment was approved with an authorization code of 04958D.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    4 views1 page

    Patient Notebook

    Uploaded by

    Peter Golanski
    Peter A Golanski paid $225 to Hunter's Ambulance Service Inc. on March 11, 2022 using a Visa card ending in 7688 for ambulance services provided on February 12, 2022. The payment was approved with an authorization code of 04958D.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    Patient Notebook 3/11/22, 10:09 AM

    Payment Amount Name on Card


    Peter A Golanski
    $225.00 Card Number
    Transac5on Approved on ! ! ! ! - ! ! ! ! - ! ! ! ! - 7688
    3/11/2022
    Expira5on Date
    Payment Type
    05/2025
    VISA
    Zip Code
    Auth Code 06010
    04958D

    Billed To
    Hunter's Ambulance Service Inc
    450-478 West Main Street
    Meriden, CT 06451
    P: (203) 235 - 3369

    Name Invoice Number


    Peter A Golanski 8400632
    Beginning Date of Service Invoice Date
    2/12/2022 2/23/2022
    Ending Date of Service
    2/12/2022

    https://www.patientnotebook.com/HuntersAmbulance/Enhanced/SendMoney/PrintReceipt Page 1 of 1

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