<table><tr><th>To:</th><th>Bella Klein[</th></tr><tr><td>From:</td><td>Lesley Gro</td></tr><tr><td>Sent:</td><td>Mon 10/23/2017 3:31:58 PM</td></tr><tr><td>Subject:</td><td>Fwd: Payment Receipt for JEFFREY EPSTEIN</td></tr></table>

Jeffrey will see Dr. Rami Said today at 2pm...I paid the S30 copay already.

Begin forwarded message:

From: ZPay@Zirmed.com
Subject: Payment Receipt for JEFFREY EPSTEIN
Date: October 23, 2017 at 11:24:13 AM EDT
To:

## Receipt for JEFFREY EPSTEIN

Neurosurgical Associates P.C.
710 W. 168th Street
New York, NY 10032
(212)305-1182

## $30.00

## 4009

10/23/2017 11:23:55 AM

<table><tr><th>Full Name: JEFFREY EPSTEIN</th><th></th></tr><tr><td>Auth Code: 188793</td><td>Date of Service: 10/23/2017</td></tr><tr><td>G/L Account: NI-5 - SPINE CENTER</td><td></td></tr><tr><td></td><td></td></tr></table>

## Authorization

I agree to pay the above total amount according to the card issuer agreement.

Thank you for your payment.

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