ME AMERICAN MEDICAL COLLECTION AGENCY LOMUgp NEE tNggefetgghae DAdeoba Le nada lbetohe June 6, 2016 for the following charges. rvi A The amount d is $814.60. If you h insurance clain the bottom of this letter of money invoive: ave ir sibility to make full respon payment. Any SEE REVERSE SIDE FOR IMPORTANT INFORMATION $814.60 Amount Due: You Owe: Charge Date Account Number Pin Number: Name Street Address: City,State Zip: Ww — a ah seam Joseph Howard at the phone 5 nber above. If Mr. Hov < another a assist yo > 8PM Mon. - F a ) © « Ww ” on to pay the $814.60 you owe to on iii” Ww > Balance f=) $814.60 ” < a > ol ” surance, W aim forr tis your pm | your responsibilit vith your carrier. Mail your fe} 4 Ww ” Detach and return this portion with payment using enclosed envelope 0 pay online: www.pay.amcaonline.com CIDISCOvVER LI visa CIMASTERCARD —— EFTA00314143