am: <<0mm. mu: 4: Encounter 1/14/2017 mum: 9/11/7017 001 I EASTERN MAINE 1411010011.. CENTER, mm '3 Hm" l: "u BREWER, ME 04412-1006 9/11/17 207 973--5000 arm-1001410 TEI 4 01-0211501 mm, .x m. Him": .01 m. RODERICK 219162393 15 07/14/17 In.- mun-n um um mm mm WI MARGARET LONGSWORTH I MAINECARE TODD, SOPHIE A DO mum ulvxcu awn" mice In . I41 2 DETA or CURRENT CHARGES, my ENTS AN ADJUSTMENTS 07/14 17 73000045 001 190.60 190.60 ARIPZPRAZOLE 5M6 TAB 07/14 17 67003050 001 1690.00 1690.00 ER RcuIn LEVEL (28 07/14 17 67934056 001 154.00 154.00 ER ASSESSMENT 07/14 17 67884096 002 134.00 134.00 ER THERRPEUTIC INJECT 07/15 17 73090949 001 100.60 100.60 ARIFZPRAZOLE 5M0 TAB 07/15 17 67004055 001 154.00 154.00 ER ASSESSMENT 07/15 17 67084090 004 260.00 260.00 1:0 THERAPEUTIC INJECT 07/15 17 73014144 001 14,44 14,44 140100501001. LAC 5145/1 07/15 17 73014144 001 14.44 14.44 LRC 5140/1 07/15 17 73033540 001 4.74 4.74 ZMG INJ 07/15 17 73033540 001 4.74 4,74 2M0 nu 07/16 17 73030991 002 TYLENOL 325145 TAB 07/15 17 73094404 001 12.02 12.02 0101421101110 10m; TAB 07/15 17 73098049 001 190.60 100.60 ARIPIYRRZOLE 5M6 TAB 07/16 17 67004056 001 154.00 154.00 ER 05700 ASSESSMENT 07/16 17 67BE4DSE 002 134.00 134.00 ER THERAPEUTIC INJECT 07/16 17 73014144 001 14.44 14.run- uu column-um. um. 11 "nu-mu Mum: m: nunzmx. m: Inzaunur 7/14/1017 nsmuu 9/11/2017 3851-311" URINE CENTER 1 1 . 1111mm am. an 1 1 may", "5 7 04.12.1096 207 973-5009 013111-011: Eu 1 01-0211591 mn-- RODEFICK KYLE 2'9162393 07 I [17 mm MARGARET A nan-A 07/16 17 73033540 001 LORAZEPAM 214:; mu 117/16 17 67592299 001 BR OBSERV 151' 1117 07/16 17 67892307 047 1927.00 ER 0135111111 EA ADDL 07116 17 67092463 724 119604.00 ED OBSERV EA ADDL NR) 07/16 17 60194225 001 211.00 ERH 07/17 17 71030991 002 7111:1101. 325140 TAB 07/17 17 707255211 001 30100 URINE 07/17 17 70763396 001 48100 011:? (17/17 17 7091077: 001 60100 c0110 METABOLIC nu 117/17 17 72010336 (101 1204.00 CT BRAIN 07/17 17 67084056 001 154.00 ER ASSESSMENT 07/17 17 67004000 001 134.00 THERAPEUTIC INJECTION 07/17 17 67814090 003 201.00 ER THERAPEUTIC XNJECT 07/1717 73014144 001 14144 HALOPERIDOL LAC 07/17 17 73014144 001 14,14 NALOPERIDOL LAC 5146/1 07/17 17 73093540 001 4.74 LORAZEPAH 2M6 XNJ 07/17 17 73033540 001 4.74 LORAZEPAH 2110 1140 nun nu burn--M run-r mu. mu I411 11.44011: .-- .- urn- . n-lr--I-u. n- a: 11 mu. a-n-m- mu. m4: ammx. 1414,: Incuunul mums; 7/14/2017 numb 4/11/2411 'ncx I 11245112011 141mm MEDICAL CENTER. 7v: av <>) ,4 5 mm. .1. Influx-x- .m I 219152393 19 o7/14/17I RODER (KYLE nuns MARGARET A LONGSWORTM I "mu: w: 1 MAINECARE 0130, SOPHIE 11 D0 07/19 07/19 17 07/19 17 07/19 17 07/19 17 07/19 07/19 07/19 07/19 17 68194760 001 ERM sussq OBSERV CARE 17 730911955 001 ARIPIPRAZOLE 10140 TAB 17 72113319 001 AEDOMEN SINGLE VIEW ER 17 67004056 001 ASSESSMENT 17 67584098 002 ER THERAPEUTIC INJECT 17 73014144 001 HALOPSRIDDL LAC 17 73033540 001 LORAZEPAM 2116 111.1 17 68194760 001 ERM S0550 OBSERV can: 17 73093956 001 IOMG TAB 72810276 cT 5171141: 72810336 CT mm>> 67584056 1:11 67584098 001 001 001 ASSESSMENT 003 ER THERAPEUTIC 1110ch ER THERA 17 67888537 001 1v ER NE 17 72014144 001 HALOPERIDOL LAC 17 73014144 001 MALOPERI 001. LAC 5146/ 1 17 73033540 001 LORAZEPAM 2m: INJ 95.00 190. 137.00 154.00 134.00 14.44 95.00 190.60 1350.00 1204.00 154.00 201.00 111.00 14.44 14.44 190. 1117. 154. 134. 14. 95. 190. 1359. 1204. 154. 201. 111own-In my>> Mum .1 mm m. run- um um n'nuuh mum: mum. mm aoozucx. Eugen/nut 1219162115 7/11/2017 nnuun 1/11/2611 I EASTERN MAINE MEDICAL CENTER m1 190 "main! '3 "mm" ME 7 04412-1006 . 09/11/17 207 six--5000 . aux-mm": 01-0211501 20003 7 unqu mm '51: m: "um-nu uni-Ham: u" nus RODERICK 219162393 19 mm .9. mm" HARGARET A LONGSWORTH MAINECARE TODD, SOPHIE A DO 07/19 17 73033540 001 LDRAZEPRM 2146 111.7 07/19 17 60194796 001 250.00 250.00 5101 SUESQ OBSERV CARE 07/20 17 73098956 001 190.60 190.60 ARIPIPRAZOLE IOMG T110 07/20 17 67884056 001 154.00 154.00 ER ASSESSMENT 07/20 17 67604099 001 67.00 67.00 1311 THERAPEUTIC INJECT 07/20 17 73033540 001 4.74 4.74 LORAZEPAM 2140 111.7 07/20 17 60194760 001 95.00 95.00 ERM SUBSQ OBSERV CARE 07/21 17 73029621 001 15.91 15.91 CHLORPROMAZINE 1001416 07/21 17 73096956 001 190.60 190.60 11010100112016 10116 T119 07/21 17 67804056 001 151.00 154.00 ER ASSESSMENT 07/21 17 66194760 001 95.00 95.00 and SUBSQ OBSERV c1113 07/22 17 73029621 001 15.91 15.91 100116 07/22 17 73029621 001 15.91 15.91 CHLORFROMAZINE 100116 (17/22 17 73029621 001 15.91 15191 CHLORPROMAZINE IODMG 07/22 17 73099956 001 190160 190.60 10121011112010: IDMG T1419 07/22 17 67984056 001 154.00 154.00 ER ASSESSMENT 07/22 17 60194760 001 95.00 95.00 ERH suaso OBSERV CARE .1: mu. nun-ml nunMull-m 11M 9.. .1 um": mm u'muau 1m" 3va. 1.6. . (.11. LNHC nonmcx, mm: Encnunllr 1/14/2017 unmm 9/11/2017 EASTERN MAINE MEDICAL CRETER 0370711111176 HILL RD 7 SEE R, 1111 04141 201 97.94000 . . .. .m m. RODERICK KYLE 19 07/14/17 "nun-cl nun MARGARET A LONGSWORTH 1 RINECARE F000, SOPHIE A Do m. unwell 72017642 002 37.90 37.90 OLANZAPINE 21015 5M6 73017642 002 37.90 37190 01111421101111: 21015 5110 07/23 17 73029621 001 15.91 15.91 CHLORYROMAZINE IDUMG 07/23 17 73029621 001 15.91 15.91 CHLONPNOMAZINE 100110 07/23 17 73029621 001 15.91 15.91 CHLORPROMAZINE 100m: 07/23 17 79090956 001 190.60 190.50 ARXPIPRAZOLE 10116 Tm: 07/23 17 67001056 001 151.00 154.00 ER ASSESSMENT 07/23 17 67004090 001 67.00 $7.00 an THERAPEUTIC INJECT 07/23 17 73029522 001 117.81 117.31 CHLORPROMAZINE sons/2 07/23 17 69194778 001 173.00 173.00 ERM SUESQ OBSERV CANE 07/24 17 67004056 001 154.00 154.00 ER ASSESSMENT 07/24 17 71220016 001 107.00 187.00 ECG STANDARD 07/21 17 69194760 001 95.00 95.00 ERM 50530 0331:1111 CARE 07/25 17 73029621 001 15.91 15.91 CHLORPROMAZINE: 100m; 07/25 17 73029621 001 1591 15.91 CHLORPROMAZINE 10000 07/25 17 73029621 001 1591 15.91 CHLORPROMAZXNE 100m; 07/25 17 57004055 001 154.00 151.00 EN ASSESSMENT mm mu nun um 19 when m. mm .1 nanny nun-u .- 111 mm". m. mu my son>> Ann um "mm. an mum lmuun 1m m1, wt 1m: Encounxar mamm 1/11/2011 DETLAUD 9/11/1017 EASTERN MAINE MEDICAL CENTER 43 HHITING HILL HD I BREWER, ME 04412-1006 207 13 RT RTE Ann-u. n: 01-0211501 20003 1: mm m: iwuua- Mn m. m. I RODERICK KYLE 219162393 19 07/mm" MARGARET A 1 MAINECAAE 1..) -- T000, SOPHIE A 00 J'nf'tmce' 07/25 17 67854050 001 57.00 67.00 ER THERAPEUTXC INJECT 07/25 17 73025522 001 117.01 117.01 sons/2 07/25 17 65194760 001 55.00 9500 RAM SUBSQ OBSERV CARE 07/26 17 73056091 001 13.65 13.69 MIAALAX 120mm 176" 07/25 17 73055556 001 190.60 150.60 ARXPIPRAZOLE 10m; TAB 07/26 17 70451139 001 145.00 148.00 07/26 17 70763396 001 15.00 4600 DIFF 07/25 17 70031060 001 65.00 69.00 07/26 17 70064009 001 14300 143.00 07/26 17 70030776 001 50.00 60.00 COMP METABOLIC PAN 07/26 17 70964705 001 105.00 105.00 DEPAKOTE A 07/26 17 67884056 001 154.00 154.00 ER ASSESSMENT 07/26 17 68191760 001 95.00 95.00 ERM SUBSQ OBSERV CARE 07/27 17 73056051 001 13.69 13.65 MIRALAX POWER 176M 07/27 17 73096051 001 13.69 13.69 POWER 17014 07/27 17 73090956 001 190.60 190.60 10m; TAB 07/27 17 73090556 001 150.60 190.60 10140 TAB mwa mm- mm Inn mm. mum. "um mu mm. mu mum-Ill rum- m. nul- 1. alumnus-u. um Inn, an .. I'm" mum awn um [sunn- 1W0: cram. um: m: mum": l219162393 7/14/2011 unuun 9/11/2011 'ucx 1 11151109021111 '9 MEDICAL CENTER m. ., m. o, 43 111;}. an I aim BREWER, Mg "urn," 9/11/17 - 207 971-5000RODERICK mm: 219162193 11 19 7 him! mm nun ml MARGRRET A LONGSWORTN 1 AXNECRRE T000, 5091-111: A 00 ,{fmfi' 1.. "1mm. 07/27 17 67994056 001 154.00 151.00 ER 95101-1 ASSESSMENT 07/27 17 69194760 001 95.00 95.00 am 50050 oasaav CARE 07/29 17 73096091 001 13.69 13.69 MIRALAX POWER 17014 07/29 17 73098956 001 190.60 190.60 ARIPIPRAZOL: 10m; T09 07/29 17 67984056 001 154.00 154.00 :9 ASSESSMENT 07/29 17 69194760 001 95.00 95.00 mm 50950 OBSERV CARE 07/29 17 73096091 001 13.69 13.69 MIRALAX POWER 17014 07/29 17 73099956 001 190.60 190.60 1111191912020": 10MG TAB 07/29 17 67994056 001 151.00 154.00 1:12 ASSESSMENT 07/29 17 69194760 001 95.00 95.00 ERM suasq DESERV CARE. 07/30 17 73096091 001 13,69 13.69 mum): 900:9 17617 07/30 17 73099956 001 190.60 190.60 ARIPIPRAZOLE 10m: TAB 07/30 17 67994056 001 154.00 151.00 ER ASSESSMENT 07/10 17 69194760 001 95.00 95.00 ERM 50950 09SERV CARE 07/31 17 73096091 901 13.69 13.69 MIRALAX 90059 17691 07/31 17 73099956 001 190.60 190160 1191919110201: 1000 TAB 07131 17 67891056 001 154.00 154.00 ER ASSESSMENT unimum'm' Emu?" "$1155.: [Eula-n 0mm: awn-Ar. nu: mama, m: annumez 1/14/2011 mun>> 9/11/2011 1:191:01! 1401172 11201001. 01:11wa 43 mun-ms 1111.1. RD 11110050, 140 . 04012-1006 207 573-5000 1 a 01-0111501 RODERICK KYLEC 219162393 000, 500111: A 00 mm. 07/31 17 60191706 001 250.00 mm 50050 0051:0v c1101: 00/01 17 73029621 001 15.91 CHLORPROHAZINE 100110 00/01 17 73029621 001 15.91 15.91 CHLORPRUMAZINE 10000 00/01 17 73096091 001 13.69 13.69 MIRALAX 1700130 17014 00/01 17 73099956 001 190.60 190.60 110101001120le 10116 "0 00/01 17 73098956 001 190.60 190.60 001011711120": 10140 MB (20/01 17 67004056 001 154.00 154.00 1:0 1751011 11551155115111 08/01 17 68194760 001 95.00 95100 2014 50059 0051:1111 c1011: 06/02 17 73096091 001 13169 13.69 MIRALAX pow" 17014 06/02 17 73090956 001 190.60 190.60 00101110112010 10140 "0 05/02 17 67004056 001 154.00 154.00 1:11 051:0 ASSESSMENT 06/02 17 68194760 001 95.00 95.00 0104 50050 OBSERV CARI: 00/03 17 73096091 001 13.69 13.69 HIRALAX rowan 176M 06/03 17 73090956 001 190.60 190.60 00117117111120"; 10610 110 00/03 17 67004056 001 154.00 154.00 :0 11352551112111 05/03 17 60194760 001 95.00 95.00 ERH 50050 OBSERV can; 00/04 17 71096091 001 13.69 13.69 141011111X 00111111 176M mull-u mun mul- uv .- ".mu-n-vm-mmumu. mum. at Inn-a1 nun-rum. 1mm. 7005 at mc' momcx, mm :munm 721916219: 7/14/2017 mwo muzon I EASTERN MAINE MEDICAL CENTER mm '3 '4 BREWER, HE Dull--1006 In: an . RODERICK KYLE 219162393 19 07/14/17 I 262 973--5000 1'01! 01'0211501 -- sum mum. MARGARET A 1 MAINECARE SOPHIE A 00 mm "luck: I 08/04 17 73090556 001 190.60 190.60 ARIPIPRAZOLE 10m; TAB 00/04 17 67004056 001 154.00 154.00 ER ASSESSMENT 00/04 17 68194760 001 95.00 95.00 ERM susso OBSERV CARE 00/05 17 73096091 001 13.69 13.69 MIRALAX POWER 17501 00/05 17 73098956 001 190.60 190.60 ARIPIPRAZOLE 10143 TAB 08/05 17 67064056 001 154.00 154.00 EA ASSESSMENT 00/05 17 60194760 001 95.00 95.00 ERM $0050 oasERv CARE 01/06 17 73096091 001 13.69 13.69 MIRALAX POWER 176M 00/06 17 73090956 001 190.60 190.60 ARIPIPRAZOL: 10MG TAB 06/06 17 67004056 001 154.00 154.00 ER ASSESSMENT 00/06 17 60194760 001 95.00 95.00 . ERM 60950 OBSERV CARE 00/07 17 73096091 001 13.69 13.69 MIRALAX POWER 17504 00/07 17 73090956 001 190.60 190.60 10MG 1A0 00/07 17 67804056 001 154.00 154.00 ER ASSESSMENT 00/07 17 60194760 001 95.00 95.00 ERM 50050 CRSERV CARE 00/00 17 73096091 001 13.69 13.69 MIRRLAX POWER 176M 00/00 17 73090956 001 190.60 190.60 10MB TAB nus-K Inn .6 mm: "um-.1 n'nm .1 "mm mm a- 1mm" mu in mm>> .6. M. <me m: [nmunux Izmsma 7/14/1011 9/11/2017 '00: 005nm 1411100 112010111. CENTER m. .. mm '3 "m BREWER, ME 04112>1096 09/11/17 207 973-5000 BIRT mm FBI 0 01--0211501, fl 2000: IM 13 mum MI "mu: .m ms RODERICK KYLE 219162393 19 07/14/17 1mm mm {m ml! mm unwr- MARGARET A LONGSWORTH 1 RINECARE 1 7 06 r000, SOPHIE A 00/00 17 00/00 17 08/08 17 00/00 17 00/00 17 09/09 17 00/09 17 00/09 17 06/09 17 00/09 17 00/09 17 06/09 17 011/09 17 05/09 17 08/10 17 011/10 17 00/10 17 mfi'u'i'fiumu 67004056 001 154.00 ER ASSESSMENT 67994090 002 134.00 ER THERAPEUTIC INJECT 73014144 001 14.41 HALDFERIDOL LAC 5145/1 73033540 001 4,74 2M6 1110 60194760 001 95.00 mm 50030 DBSERV CARE 73096091 001 13.69 MIRALAX 00mm 176" 73098956 001 190160 ARIPIPRAZDLE IDMG TAB 70491139 001 140.00 70763396 001 40.00 cac/AuTo DIFF 70000770 001 60.00 COMP METABOLIC 70964705 001 105.00 DEPAKDTE (VALPORIC 0 72010336 001 1204,00 CT BRAIN 67004056 001 154.00 ER ASSESSMENT 60194760 001 95.00 ERM 50950 oEsERv CARE 73096091 001 13.69 MIRALAX POWER 17611 73090956 001 190.60 1101011701120" 10MG TAB 67004056 001 154.00 ER ASSESSMENT 154.00 134. 14. 95. 13. 190. 140. 4B, 60, 105. 1204. 154. 95. 13. 190. 154. Page 10 471' 14 mm nun qu run-fir .. .1. wwmu mm norm-m. mu Encuunror 1711mm 7/11/1017 001w": 1/11/2011 11:1 1 EASTERN 11111110. 0:010:11. CENTER an 1 43 1111111110 1111.1. 110 mm 1101:1150. 1411 20? PEI 014321.150} 0001:11ch MARGARET A LONGSHURTH 011/10 17 60191760 001 1:011 SUESQ oasnv c1101: 08/11 17 73096091 001 13.69 13.69 0111111th 00111011 17011 013/11 17 73090956 001 190.60 190.60 HJHG 11113 00/11 17 77113319 001 187.00 107.00 11130011211 SINGLE 011/11 17 67661056 001 151.00 151.00 1:11 0511011 11551155116111 110/11 17 68194778 001 173.110 173.00 ERM $11050 CARE 110/12 17 73029521 001 15.91 15.91 00100000141211": 100146 03/12 17 73096091 001 13169 13.69 HIRALAX 00111.11 170M 011/12 17 73098956 001 190.60 190.60 11110101112011: 10116 Tu 011/12 17 730911956 001 190.60 190.60 ARLPIPEAZOLE 10116 7119 013/12 17 571181056 001 151.00 154.00 1:11 0511c>> ASSESSHENT 011/12 17 60194760 001 95.00 95.00 1:101 suaso DBSERV c1110: 00113 17 73096091 001 13.69 13.69 HIRALAX 00111211 17611 08/13 17 73098956 001 190160 190.60 11111010111201: 10110 TAB 011/13 17 67001056 001 151.00 154.00 1:11 051011 ASSESSMENT 011/13 17 611191760 001 95.00 95.00 131114 50050 01150011 c1101: 06/11 17 73096091 001 13.69 13.69 HIRALRX 0011211 17611 nun-mum mum Incl-us aims. mu mw. 1611. Dom aonmcx, m: Encnumer 7/11/1017 mum; 9/11/2017 I EASTERN MAINE MEDICAL CENTER flan-mm '3 BREWER, NE 1 04412--10116 20797340011 014211501 1 RODERICK KYLE. 219162393 19 07/1. 17 MNECARE mam MARGARET A LONGSHORTH ODD, SOPMIE A 00 mm" mum 00/11 17 73090956 001 190.60 190.60 110101001120": 10110 T110 00/14 17 67981056 001 151.00 154.00 ER ASSESSMENT 00/14 17 60194760 001 95.00 95.00 ERM 50050 OBSERV CARE 00/1517 73006091 001 13169 13.69 MIRALAX POWER 17611 00/15 17 73090956 001 190.60 190.60 001010002011: 10MG TAB 00/15 17 67084056 001 154.00 151.00 ER ASSESSMENT 00/15 17 60104760 001 95.00 95.00 SUBSQ 0051:1111 CARE 00/16 17 73096091 001 13.69 13.69 HIRALAX POWER 176M 00/16 17 73098956 001 190.60 150160 110101001110" 10146 1'00 00/16 17 67084056 001 151.00 154100 ER 1751011 ASSESSMENT 00/16 17 60191786 001 250.00 250.00 ERM SUBSQ OBSERV emu: 00/17 17 73096091 001 13.69 13.69 MIRALAX 000:0 170M 00/17 17 73090956 001 190.60 190.60 ARIPIPRRZOLE 10m; T110 00/17 17 67004056 001 154.00 154.00 ER ASSESSMENT 00/17 17 60104233 001 177.00 177.00 ERM 00/30 17 11001229 001 90.29 90.29-- MIHMS PROFESSIONAL PM 00/30 17 11001229 001 7.06 7.06- Mu-ms 0000055100111. PM nun mu 1. "1m" mm. mm mum" mm. -- nun-1mm mun: mmim mu mum- 1m mml. m. :mc'aonmcx, KYLE Encaunllx 121916239: 7/11/2017 0:11.:1011 5/11/2017 901 I EAST 1111192 11001001. "mm '3 "fling LL RD 09/11/17 207 973-50007 FAUDD D) 021L501 F121 0' 04412Ium-- . . .m RODERICK KYLE 219162393 11 19 07/14/17 num- MARGARET A LONGSNORTN 1 MAINECARE TODD, SOPHIE A 00 0! mman mun um lame-nun mum-m m. mum Suvch mum mqu m! mun 111. no, no. 1 mm. 1 1111.00 .4 I ma, Io. 09/10 17 11001229 001 99.29 98.29- MIHMS PROFESSIONAL PM 09/30 17 11001229 001 161.16 161.16- MIHMS PROFESSIONAL PM 09/30 17 11001229 001 95.90 95.90- MIHMs PROFESSIONAL PM 08/30 17 11001229 001 134130 134.30>> MIHMS PROFESSIONAL PM 00/30 17 11001229 001 07.77 47.77-- 11111145 PROFESSIONAL PM 09/30 17 11001229 001 304.01 304.01>> MIHMS PROFESSIONAL PM 09/30 17 11001229 001 25.96 26.86- MINMS PROFESSIONAL PM 09/30 17 11001229 001 47.77 47177-- MIHMs PROFESSIONAL PM 09/30 17 11001229 001 90.59 00.59>> MIHMS PROFESSIONAL PM 09/30 17 50092396 001 310.70 340.70- cA HIHMS PROFESSIONAL 00/30 17 50092305 001 125.23 125.23- cA MIHMS PROFESSIONAL 09/30 17 50092395 001 787.99 797.99>> CA MIHMS PROFESSIONAL 09/30 17 50092395 001 59.14 50.14>> :11 MIHHS PROFESSIONAL 09/30 17 50092396 001 125.23 125.23- 01 MIHMS PROFESSIONAL 09/30 17 50092386 001 204,42 204.42-- CA MIHMS PROFESSIONAL 09/30 17 50092396 001 246.71 246.71- CA 14an5 PROFESSIONAL 05/30 17 50092396 001 10.14 10.14>> CA MIHMS PROFESSIONAL Mum nun Inn 1' mm. mum Iluun mum. Pine 13 01" all xmmu mmhaunt: Miran. Lum'nnunxck. mu: ancmm mums; muzon mum-z 9/11/2017 MCI I EASTERN 1111qu MEDICAL CENTER 13 HHITING HILL RD 3m", "g 207 313--15000 m: I til-0213501 .. u. .-- RODERICK KYLE 219162393 19 07/11/17 mm m: MARGARET A I AINECAR: I 000 SOPHIE A DO m, nan" Izwa! 17 50092386 001 246.7) 246.71- CA HIHHS PRCFESSIONAL 09/30 17 50092386 001 408.64 405."- CA HIHMS PROFESSIONAL 09/30 17 50092386 001 305.20 305.20- CA HIHHS 09/06 17 11001252 001 5668.67- 5668.67- MIHMS FACILITY PHT 09/06 17 50092391 001 19605.52-09605.52- CA Mums FACILITY SUMMARY OF CURRENT 59246.19159216J9- SUMMARY or CHRRENT CHARGES EMERGENCY ROOM '5 0732.00 0732.00 LAB 30 1072.00 1072.00 RADIOLOGY 32 371.00 371.00 PHARMACY 25 7294.21 7294.21 EKG 73 137.00 107.00 CT SCAN 35 1971.00 1971.00 SPECIAL Blues 63 412.911 412.98 ROOM 76 32249.00 32249.00 PROF FEE ER 3951.00 3954.00 SUB-TOTAL or CURR. CHARGES uuwl um- mm: 00mm nun-r nanu-n u'm-u- mun. AY THIS AMOUNT EASTERN MAINE MEDICAL CENTER RREHER, m: "ace 1. 01