| Patient Name |
Patient DOB |
Paid to Business Name |
Amount |
Option |
| Patient Name |
Patient DOB |
Paid to Business Name |
Amount |
Option |
| Tiger Nixon |
January 10, 1984 |
XYZ Company
|
$ 4,500 |
|
| Michael Silva |
September 14, 1999 |
XYZ Company
|
$ 6,500 |
|
| Cedric Kelly |
September 19, 1990 |
XYZ Company
|
$ 2,500 |
|
| Rhona Davidson |
September 21, 1986 |
XYZ Company
|
$ 4,500 |
|
| Sonya Frost |
September 25, 2000 |
XYZ Company
|
$ 92,500 |
|
| Herrod Chandler |
September 30, 2020 |
XYZ Company
|
$ 500 |
|
| Brielle Williamson |
October 02, 2002 |
XYZ Company
|
$ 4,500 |
|