104 10510 10141

104-10610-10141 2025 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

PATIENTS NAME A (CRUZ PEREZ, RIGOBERTO (CRUZ) 1700 R.V. 21 TERRACE MIAMI, FLA.

Hospital 60125th ST: HIALEAH, FLA. B (SAFEGUARD) P.O. EST 1628 MIAMI, FLA, TIME INSURANCE SEPTEMBER-12-65 A. VARGAS 4-12 1858 SP $21.00

21.00 21.00 83.50 15.25 21.0011.00 600 9.75 21.00 21.00 6.00 21.00 3.00 21.001 3.00 3.50 21.00 2.00 3.25 02 3.00 19.25 1.02 21.00 1.002 5.00 6.00 3.00 21.00 2.50 21.00 6.73 21.01 21. 25 26.00+ 30.00+ 30.00+ 5.00 2.00 10.00+ 12 2.00 10.00+ 20.00+19 20.00 19 10.0+ 10.19 10.00+15 10.00

LIVER SCAN 1.50+23 KIT MAY 16 193 2156

305.00

35.00

PAYMENTS OLD DATE BALANCE 4731256 21.00 21.00 305.00 21.00 133 327.00

327.00 112.72 459.78

171.50 24.00 27.0

20.00 34

17.2 459.75 16 611.2 APR 17 6333 17 672.78 19'sc 700 ire 20'oc 77220821 05025 APR 24 943.00 APR 24 977.50 270221 611.25 63325 674.73 730.00 774.25 320.000

94.000

93.001 977.50 13.221 TOTAL FINAL DIAGNOSIS DISPOSITION OF CASE CPERATI WENT BE MADE TO SLBSCRIBER

OIL: NG

SPECIAL SERVICES CODE EXPLANAT.ON COLUMN A COLUMN B ELECTROCARD OGRAM 7. PATHOLOGY ELECTRСЕМСЕРМALOGRAM SX RAY THERAPY PHYSICAL THERAPY 21 BLOOD & BLOOD PLASMA TRANSFUSION SET UP 24 ORTHOPEDIC TOUIPMENT COLAGENCY SERVICE 40 FEL A TEL. RADIO ISOTOPES

"SURANCE BY. H. M SIMON, JR., M.D. RALPH L. PIPES. MD. RADIOLOGISTS

ADD DEUT QUE FROM PATIENT LESS PAYMENTS BALANCE 300 WE DO OUR BEST TO HAVE A FINAL BILL WHEN PEQUESTED, AT TIME OF DISCHARGE THIS IS NOT ALWAYS POSSIBLE, SO MEDICINE GIVEN AND SERVICES PENDERCO ON DAP DISCHARGE WHICH ARE NOT CHARGED WHEN PATIENT LEAVES THE HOSPITAL, WILL BE BILLED LATER. OUR BUSINESS OFFICE IS CLOSED FROM SUNSET FRIDAY TO SUNSET SATURDAY.