To: Jeffrey Epstein[jeevacation@gmail.com]

From: Bella Klein

Sent: Mon 8/10/2009 7:06:17 PM

Subject: Dr. Lemchen

We have a charge on Amex for $3.000 from Dr. Lemchen. The patient is Mattie Siegal. This charge is the initial down payment and we will be charged $300 a month.

Is the charge authorized. Please advise.

Thank you,

Bella