EFTA02258168

To: Lesley Groff[ From: Bella Klein Sent Wed 9/26/2018 1:51:57 PM Subject Re: Credit Card Form - Dr. Paduch Les, do they have JE medicare? Thank you, Bella Tel: On Sep 26, 2018, at 9:04 AM, Lesley Groff wrote: Yes! that would be tremendous. Please include Bella (as we have here on this mail) as she is in our accounting department. On Se 26 2018 at 9:03 AM, Crismely Ovalle wrote: Good morning Lesley, Yes, I received the form. Should I send you the statement and receipt of payment? Perhaps for reimbursement? Thank you, Cris Ovalle Sr.Medical Secretary Weill Cornell Medicine Department of Urology 525 East 68th Street, Starr 924A New York, New York 10065 T 212.746.5309 From: Lesley Groff Sent: Tuesday, September 25, 2018 3:45 PM To: Crismely Ovalle < Cc: Bella Klein a Subject: [EXTERNAL) Re: Credit Card Form - Dr. Paduch HI Cris! Please see attached signed CC form...I did not fill in the EFTA_R1_01053015 EFTA02258168 amount as we don't know it yet...but Jeffrey confirmed it was OK for me to provide you the information. Lesley On Se 25 2018 at 2:44 PM, Crismely Ovalle wrote: Hi Lesley, In case it is easier, attached is our credit card form. Feel free to email or fax it back to me tomorrow. Our fax number is 212-746-7287. Notify me if you will fax it over, so I can look out for it. Thank you, Cris Ovalle Sr.Medical Secretary Weill Cornell Medicine Department of Urology 525 East se Street, Start 924A New York, New York 10065 T 212.746.5309 Clutitled.PDF - Adobe Acrobat Pro.pdf> EFTA_R1_01053016 EFTA02258169