SUNSET LABS. LLC 0m 5w REEWAY Statement 572 1,5 Panenr: ELIZABETH MORENO mum/1.7x 7707471709 sum-mm on: on man a Hard! 10, 2017 $17,350.00 - Check 5mm Amount pan/m Mam-ea: lun- Inmfl'ln: SUNSET LABS, LLC 8191 SW FREEWAY STE 115 HOUSTON, TX 7707+1709 NOTICE: was Is A mu. BASED upon INFORMAYION mom YOUR HEALTH PLAN, you OWE THE AMOUNT SHOWN. 0m mud-m FnMIkr Amount 01/21/2025 us uc $2,975.00 02/23/2015 PAYMENT . INsu/uMcE 00 Penamg: $0.00 Panent Balance: 52,975.00 01/20/2015 on us up 30.57500 02/23/2015 mmEuT INSURANCE 5000 Insurance 0mm: $0.00 szevlt Balance: $4,575.00 [01/20/2015 MEDIADDNE uns uc 505000 02/23/2015 PAYMENT . INSURANCE 50.00 Insurancz Penal/I - 000 men: Balance: $050.00 01/20/2015 um u.c $1,700.00 07/23/2015 PAVMEMT . 1050mm: s0 00 Insuranc: Pena/n9: 50.00 Pauenl Balance: $1,700.00 01/25/2015 To uss uc 52,125.00 02/23/2010 PAVMENT . INSURANCE 3000 Insurance 50.00 Pan'mt 00am: 32,125.00 01/20/2015 00cm: uns u.c 5425.00 02/23/2015 "men-r . INSURANCE $0.00 Insurance rem/n9: 00.00 Panmt Balaru: $425.00 300-1 so fly 90ml non-y mum insurance: 50.00] 30.00 50.00 00.00 10.00 10.00 "Hem: $0.00] 50.00 somF so 00 00 $17,590.00 "nipplled: 30.00 Pawn-m Due: 517,050.00 Plain Remitan Pinion 70: SUNSET LABS, LLC meat mm"! 0555 cum 0 0191501 REEWAY -- Maud: m, 2017 - er 115 Page 1 HousmN, 7x 770701709 Phone .5 (832)531-6120 SJNSET US. LLC 5191 sw FREEWAV Statement STE 115 Fans": ELIZABETH MORENO mum. "(770741709 mm chum: Phone>>: (332)031-6220 Mam. 1mm "7,350.00 - on: Dram-r . mm 01/23/2016 Lass u: $415.00 02/23/2015 PAYMENT - $0.00 Insurance Pending: $0.00 mm Edam: <<25.00 nun/2016 0m minim: oxvconou: uls u.c ems/2016 PAYMENT msuwua $0.00 [mum/we Pendng: $0.00 mam Balm: 0850.00 nun/2015 mus manna; ups w: $050.00 02/23/2015 PAYMENT mamm: 1000 Insurance Puming: 30.00 man Bali/um: $850.00 01/25/1016 9151 nusc REL/own: on non: um: Lu: $1,273.00 02/23/2016 - 04501ch 50.00 1mm>>: Pending: 50.00 Pm Baum: $1,275.00 01/25/2016 Assn or mun: emu-mm: us up "2500 02/23/2015 PAYMENT INSURANCE $0.00 Ingram: mm: men men: Balance: $425.00 01/23/2016 ASSAY my FLUID nus ums m: $425.00 02/23/2016 msunmcs 50.00 Insurance Pemhg: 50.00 Pam mama: $125.00 01/21/2015 mm up $25.00 02/23/2015 PAYMENT - msmuucz $0.00 Insurance Pending: $0.00 mam Balance: <<75.00 01/18/1016 murmnon, un us: LLC <<2500 02/23/2016 mnarr wsukmc: 30.00 Insuvanm Pemlng: 50.00 Pam wan: 5125.00 our-t sun-1 any no" mat-u $000 $0.00 30.00 $0.00 <<1.00 $0.00 $0.00 mun}- mm 50.00 $17,050.00 $17,550.00 un-pulm: $0.00 raw-nan me: :1 7,090,012 Piu- lam rap 112: SUNSET LABS, LLC mum: small-m nan. awn: am FREEWAY ELIZABETH MORENO Hard: 2017 - Sr: 115 me 2 HOUSTON. TX 77074--1709 mum at: (332) 33143220