A Meridian Mobile HeaIIh. Phone' (207)2752930 - PO Box 655 oII'me Hams Banamwoomn Bangur. ME 04402-0655 Web Address capitalambulancem CAPITAL AMBULANCE Pal' nt Name: KYLE RODERICK 1 heal rsmments I I In Run Numb: I $9926 0 mnvmu you y, cm him: - . Io mgislu Von nud your sum: ID ?f 0511mm? Io compleu (he . rn-nk ya . Pick Up: Easlem Maine MedIcaI Cenlsv Deninalion: Bangor Inlernallanal Ainort (KBGR) man A LONGSMORTH PllmaryPayer: MaIneC-rs CurremP-yav: MaIneCam Payer Check 3 Gummy Unll Prlce Payment Amount um mm 31.5 no" no amoo 338.0" mus Image Han ma 3.: 15.50 56.10 Haxmare uauzan (253,57) Han-wear: Imam-I (393:) MAINECARE HAS PAID THEIR PORTION. YOU ARE RESPONSIBLE FOR VOUR CO-PAV. THANK YOU, Please Pay This Amount: 155.25 Palienl Name: KYLE RODE - MerIdian Mobile Heallh. LLCV mm Iv vm. manna Imam an nus-mm mum mum Inuw Po Box 655 MAW owns-mi . Emmi! mm WEI Bangor. ME 04402-0655 -- RETURN SERVICE REQUESTED TO PAY YOUR BILL ONLINE VISIT: "mm" I 06/22/2017 $155.25 17.35925 snow AMnum nIn new; IM: 9.5217552 '5 Hake Checks Payable To: Merldian Mabxle Health, MARGARET A PO BOX 655