SIN ER Date: 03/15/2018 Patient Name Page: Chart Number. Billing Tip*: BALANCE 1 02/07/2018 02/08/2018 0.00 0.00 0.00 0.00 02/08/2018 31 35.00 35.00 02/21/2018 0.00 35.00 03108/2018 0.00 35.00 03/08/2018 31 425.00 480.00 03/08/2018 31 2400.00 2860.00 03/08/2018 0.00 2860.00 TOTAL PATIENT BALANCE AS OF 03115/2018: 2860.00 I EFTA00292244