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FBI VOL00009
EFTA00723455
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Page No. I Guest Name: Kathleen Mc Hugh 2737 W Fairbanks Ave Winter Park, FL 32789 USA Arrive: 03/22/09 Time: 11:20 AM Depart: 03/23/09 Time: 03:04:42 Room #: 3 043 Folio#: 828769 - 1 Group #: Guests: 1 Clerk: Stat: FOL 03/16/09 DEP AMERICAN EXPFtEI 03168020 ****** *****5005 194551 ($199.59) 03/22/09 PACKAGE BAR107 Pkg: Best Available Rate 1 2007 $179.00 03/22/09 PACKAGE TAX BAR107Re Pkg: Best Available Rate 1 2007 $20.59 03/22/09 RESORT SERVICE FEE Recur 228 Recurring: Mc Hugh 3043 $20.00 03/22/09 TAXES Recur 228t Recurring: Mc Hugh 3043 $2.30 • •- • I agree that my liability for this bill it not waived and agree to be held personally liable io the event that the indicated person, company, or association fails to pay for say part of the fall amount of those charges. I also agree that all charges contained la this acconat are correct sad any disputes or requeats for copies of charges mast be made within five days after my departure and I understand that late charges may be settled to my method of payment after my departure. I understand that I will be held liable and personally responsible for say damage(s) made to the room and shall be notified within five days of my departure date and c►arged accordingly to repair The room to its original condition. Signature: We invite you to use our comment card to give us your feedback on our enviromental program. EFTA00723495
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CAFE PRONTO PGA NATIONAL RESORT & SPA PALM BEACH GARDENS, FL 15 Starbuck CHK 6 1 0 5 MAR23'09 4:38PM 1 PERRIER Subtotal 16%AUTO GRATUITY FOOD TAX Payment Made CASH Change Due 3.50 3.50 0.63 0.64 Transportation Receipt Date 3" ‘ 1. From: e‘i° Amount: A- To: A 1/Q/1//* c• CAFE PRONTO PGA NATIONAL RESORT & SPA PALM BEACH GARDENS, FL 15 Starbuck CHK 6 4 6 8 MAR23' 09 7:40AM 1 GRANDE CAFE LATT 1 .G ICED CARN MACH FRUIT SALAD 1 YOGURT PARFAIT Subtotal 18%AUTO GRATUITY FOOD TAX Payment Made CASH Change Due 3.75 3.75 6.95 5.50 19.95 3.59 1 .30 C 2 111, 25.00 0.16 EFTA00723496
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PGA NATIONAL RESORT €.7.. SPA 400 Melia Of TM Chrplects • Pr Beach Girds. FL 33415 IIMMIS) • Fain Banquet Event Order EEO c: 73434 Page: 1 of 1 Created: 03/1&2009 Account Psychological Affiliates Post As: Dr. Debra Day Address: Event Data: Sunday, March 22 2009 Contact Phone: Fax: On-Site: Phone: Fax: Ms. Jeannie Croughn Dr. Debra Day (407) Billing Method: Guestoom Folio Master Billing Code: C-CO Catering Manager. Anna Erickson 21% service charge added to all fd, bev and rm rental fees. State tax (05%) added to at/charges. std guest counts must be confirmed by10:00arn 3 business days prior to the event. Group will be charged gtd.I or actual, whichever is greater. Date Time Room Function EXP GTD SET Rental Mar 22, 2009 12:00 PM -5:00 PM Boardroom Meeting 5380.00 Food Beverage Setup Room: Boardroom Function; Meeting Existing Set Pads, Penols & Hard Candles Waler Station for (10) Audio Visual Event: 12:00 PM Al meeting room assignments are subject to change based upon guaranteed guest count. A 575 Service fee will be applied for meal functions of less than 25 guests. A Service Charge will be applied for buffet service for groups of less than 50 guests. Date Special Instructions Post all Charges to Dr. Debra Roo Inclusive Room Rental 3386.70 EFTA00723497
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PGA NATIONAL RESORT & SPA 400 Avenue O1 The Champions • Pun Beach Gordan!. Ft. 33418 • Banquet Event Order Fax EEO rt: 73435 Page: 1 of 1 Created: OMB/7M Account Psychological Affiliates Post As: Dr. Debra Day Address: Event Date: Monday, March 23, 2009 Contact Phone: Fax: On-Site: Phone: Fax: MS. Jeannie Croughn Dr. Debra Day (407) Billing Method: Guestroom Folio Master Billing Code: C-CO Catering Manager. Anna Erickson 21% service charge added to all fd, bey and urn rental fees. State tax (8.5%) added to all charges. Gtd guest counts must be confirmed by10:00am 3 business days prior to the event. Group will be charged gtd. t or actual, whichever is greater. eiDate Time Room Function EXP STD SET Rental, Mar 23,.Z000 8:00 AM .6:00 PM Boardroom Meeting $300.00 Food Beverage Setup Room: Boardroom Function: Meeting Existing Set Pads, Pencils & Hard Candies Water Station for (10) Audio Visual Event: 890 AM Special Instructions Post al Charges to Dr. Debra Inclusive Room Rental AO meeting room assignments are subject to change based upon guaranteed guest count. A $75 Service fee will be applied for meal functions of less than 25 guests A &Nuke Charge will be applied for buffet service for groups of less than 50 guests Ora don Authorized Warn a/m/er Date EFTA00723498
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.a -Psychological Affiliates, Inc. INVOICE Date 3/2/09 Ps cholo cal Affiliate Inc. To: Podhurst Orseck Attn: Katherine W. Ezell Ci National Bank Buildin DranlIAN 0. DAY, Pitt.), LICENSED JIMCLOCIST LICENSID NINTAL REAM. COVOSILOL Can'tFANO MEDATOP. JACO-RUN OLANMR, cow Loam ItAliotocarr SDI= PITCHOWOSI Rohm MtAtit PAY.D. Ladle Treicsocin Locro•san MiNTAI Hue+ Canova Date Description Amount due 2/18/09 Mileage $179.85 2/18/09 Travel 1.5 day $1,500 2/18/09 Dr. Day room $304.10 2/19/09 Dr. McHugh room $254.20 2/19/09 Interview room $386.70 2/18/09 Food $6.96 2/19/09 Travel / full day $3,750.00 Total $6,381.81 STATEM-Tft APPROVED FOR PAYMENT: OY DATE. MATTER NO. VENDOR NO. o ost. cf\n_c , 3002 3g.43$ 119 KATNUMN hicHutat, Pn.D. belle PSTOMOCCST MoNiCA L. Km. Psv.D. UMW eneeetcotst Ai.AA. °num PH. D. L ein PITtNacorsi Sec Theta*, Ronan )ANNE . Pnfl bats= haotoont SARUM nxil, Pro.D. Uconso Ps-tett/x3in AMANDA X. Puerta, Psy.D uconn, linactown PH"Ia FAX EFTA00723499
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Page No. I Guest Name: Arrive: 02j1gro9 Deborah Day 2737 W Fairbanks Ave Winter Park, FL 32789 Time: 09:44 PM USA Depart: 02/19/09 Time: 02:18:18 Room #: 2016 Folio#: R27C3B.1 - 1 Group #: Guests: Clerk: 1 Star: FOL Date 1DiscriPtioa: *me:en 4:N1-Comment its. i 02/18/09 02/ 1 8/09 02/18/09 02/18/09 02/1 8/09 02/18/09 02/19/09 02/19/09 02/19/09 VALET ROOM CHARGE SALES TAXES TOURIST TAX RESORT SERVICE TAXES CITRUS TREE SPA SPA valet 2016 2016t 20161 FEE Recur 228 Recur 2281 3190 45801 45801 valet SALES TAX TOURIST TAX Recurring: Day 2016 Recurring: Day 2016 Charge Posting - T#: 3190 SPA...PGA National Resort & SpaN1: SPA...PGA National Resort & Spa/V1: $18.00 S189.00 $12.28 $9.45 $20.00 $2.30 $53.07 t1,8410 ($738.42) Febbj3aianee.4&•:\$0- ~af $4 31S.30.-WaViari.:c4t r, I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, Or association fails to pay for toy part of the fall amount of those charges. I also agree that all charges contained in this accoant are correct and aay disputes or requests for copies of charges mast be made within five days after my departure and I understand that late charges may be settled to my method of payment after my departure. I understand that I will be held liable and personally responsible for any datoage(s) made to the room sad shall be notified within five days of my departure date mid charged accordingly to repair the room to its original condition. Signature - We invite you to use our comment card to give us your feedback on our enviromental program. EFTA00723500
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ACCOMMODATIONS HEALTH AND RAOUET GOLF SPA ABOUT THE RESORT MAPS AND DIRECTIONS NEWS CON'. T Please find your reservation confirmation below Dear Dr. Dar Thank you for choosing PGA National Resort & Spa for your upcoming visit to Palm Beach County. Please review your reservation information carefully and contact us if we can be of further assistance with tee times, spa appointments, transportation or dining reservations. You will have full access to our Health & Racquet Club while you are here, including tennis, a fitness center and over 50 classes each week. There is a great deal to enjoy at the Resort and in the surrounding area - We look forward to welcoming you and providing you with a Championship Experience. Sincerely. Joel Paige Vice PresIdenVGeneral Manager Reservation Information Confirmation Number R27C3B.1 Guest Name: Day, Deborah Arrival Date: Wednesday, February 18. 2009 Departure Date: Thursday, February 19.2009 Room Rates: Wednesday February 18, 2009 $189.00 Daily resort fee of $20.00 per day is additional. Rates do not reflect room tax at 11.5% Policies Cancellation: 72 hours prior to arrival to avoid a fee of 1 nights room and tax. Check in Time: 4:00 PM Check out Time: 12:00 PM 10% OFF Promotion Present this offer in our Golf Shop or Spa Boutique during your stay and receive 10% off your retail purchase (room key must be presented and EFTA00723501
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Page No. Guest Name: Arrive: 02/18/09 Kathleen Mc Hugh 2737 W Fairbanks Ave Winter Park, FL 32789 Time: 09:45 PM USA Depart: 02/19/09 Time: 02:18:31 Room #: Folio#: Group #: Guests: 1 Clerk: 2014 R27C3B.2 - 1 Stat: FOL Dale 1 / 4WD teggiakeinnaMi tAtertaypgeallika.vtAtEqW r P.t5.91.19M9, ci\.9 .11a erNeWtatEsP.M.FnOISI:S.44:13 .149Wiintritela 02/18/09 ROOM CHARGE 2014 5189.00 02/18/09 SALES TAXES 2014t SALES TAX $12.28 02/18/09 TOURIST TAX 2014t TOURIST TAX $9.45 02/18/09 RESORT SERVICE FEE Recur 228 Recurring: Mc Hugh 2014 $20.00 02/18/09 .TAXES Recur 228t Recurring: Mc Hugh 2014 $2.30 02/19/09 WATERS OF W 5954 Charge Posting - TN: 5954 $21.17 I agree that my liability for this bill is sot waived and Egret to be held personally liable lo the event that the indicated person, company, or association fails to pay for say part of the fall amount of those charges. I also agree that all charges contained in this account art correct and say disputes or requests for copies of charges must be made within five days after my departure and I understand that late charges may be settled to my method of payment after my departure. I understand that I will be held liable *ad personally responsible for any damage(s) made to the room sad shall be notified within five days of my departure date and charged accordingly to repair the room to its original condition. Signature. We invite you to use our comment card to give us your feedback on our enviromental program. EFTA00723502
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ACCOMMODATIONS HEALTH AND RAQUET GOLF SPA ABOUT THE RESORT MAPS AND DIRECTIONS NEWS CONTACT Please find your reservation confirmation below Dear Dr. Mc Hugh: Thank you for choosing PGA National Resort & Spa for your upcoming visit to Palm Beach County. Please review your reservation information carefully and contact us if we can be of further assistance with tee times, spa appointments, transportation or dining reservations. You will have full access to our Health & Racquet Club while you are here, including tennis, a fitness center and over 50 classes each week. There is a great deal to enjoy at the Resort and in the surrounding area - We look forward to welcoming you and providing you with a Championship Experience. Sincerely, Joel Paige Vice President/General Manager Reservation information Confirmation Number R27C3B.2 Guest Name: Mc Hugh, Kathleen Arrival Date: Wednesday. February 18, 2009 Departure Date: Thursday. February 19, 2009 Room Rates: Wednesday February 18, 2009 $189.00 Daily resort fee of $20.00 per day is additional Rates do not reflect room tax at 11.5% Policies Cancellation: 72 hours prior to anival to avoid a fee of 1 nights room and tax. Check in Time: 4:00 PM Check out Tyne: 12:00 PM 10% OFF Promotion Present this offer in our Golf Shop or Spa Boutique during your stay and receive 10% off your retail purchase (room key must be presented and EFTA00723503
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PGA NATIONAL RESORT & SPA 400 Avows or The Champions • Palm Beads Seeders. Ft. 33418 1.1.1. • al Banquet Event Order BEDS!: 72911 Page: 1 of 1 Created: 02/12/2009 Account: Social Accounts - 2009 Post As: Dr Debra Day Address: Eli Event Date: Thursday, February 19, 2009 Contact: Phone: Fax: On-Site: Jeannie Drought, Dr. Debra Day Billing Method: Master Billing Code: GRP Catering Manager: 21% sent. charge added to alt hl, bev and rm rental fees. State tax (6,5%) added to all charges. Gtd guest counts must be confirmed by 10:00am 3 business days prior to the net (soup will be charged gift. for actual, whichever Is greater. Date Tone Room Function EXP OW SET Rental Feb 19, 2009 8100 AM - 5:00 PM Camoustio or. Debra Day 4 $300.00 Food No Food or Beverage Required Beverage Setup Room: Carnoustie Function: Meeting Evert B:00 AM Conference Table Water. Glasses, Pads. Pencils & Hard Candies Audio Visual Special Instructions Post all Charges to Dr. Debra Da s oom Inclusive room rental 9386.70 All meeting room assignments are subject to change based upon guaranteed guest count A $75 Service fee wul be applied for meal functions of less than 25 guests. A Service Charge wet be applied for buffet service for groups of less than 50 guests Orga Lon wtho eafr / e d g ag/ e a t t r Date EFTA00723504
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Officejet Pro L7700 All-In-One series Fax Log for Psychological Affiliates 4077400902 Feb 13 2009 7:33AM Last Transaction Date Time Type Station ID Duration Pages Result Feb 13 7:32AM Fax Sent 15616243187 0:29 1 OK ---- ---.,.... ...............,,N v.- %.1--, EFTA00723505
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lost BURGER KING Store $643: CANOE CREEK TRAVEL PLAZA ; 2 JIMMY 4 180 FE818'09 7:49PN ------- NHPR s/CIIS 3.05 ONI . I TTUCRH - BUREt-ii/CHS------------1-.517 WATER VASA 2.60 1.99 - Y ...hi, I .'01At . 6.83 ... O.° . ' 4 1 PAID i še3: 4 . . . tr.ri _ _ , E - -- hl; C ANGt Oc -..i ..t.. 8 . 9 7 0.05 dia l anitiatiftglitrank : i:Mr3.tiet.W.2.1.0i -4 1 let -S ;En . • EFTA00723506
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PODHURST ORSECK ATTN: KATHY EZELL,ESO. 25 W. FLAGLER ST.,STE800 MIAMI, FL 33130 Date' 10/30/2008 11/03/2008 11/11/2008 Description BALANCE AS OF 10/362008 PAYMENT PATIENT 184092 - WIRE TRANSFER CHARGE PATIENT- PSYCHOLOGICAL EVALUATION / 1/2 DAY CHARGE PATIENT - PSYCHOLOGICAL EVALUATION/ 1/2 DAY BALANCE AS OF 11/12/2008 1875.00 Client Amount Due: 1875.00 ,.tees.. twess DAY DAY DAY DAY Chanties $1,875.00 $1.875.00 Statement printed for E, S - on -11/1212008 ••• Please Indicate amount Enclosed: 06yrnaii creels mince (S1.875.00 Aged Balances on Your Account Current: 0-30 days 30-60 days 60-90 days Total Balance Due TAX I.D # 59-2890080 PLEASE PAY PROMPTLY Payment is due upon receipt of bill Please make payment. 3 / / g so.00l (51,875.00) $0.00; $1,875.00 Si.875.001 0.00 0.00 0.00 1875.00 EFTA00723507
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S./ 11110, 1111 PODHURST ORSERCK ATTN: KATHY EZELL,ESQ. 25 W.FLAGLER ST.,STE.800 MIAMI, FL 33130 Date Description . IBALANCE AS OF 10/302008 I PAYMENT PATIENT 164064 - WIRE TRANSFER [PAYMENT PATIENT 164097 - WIRE TRANSFER :CHARGE ,CHARGE :CHARGE CHARGE (CHARGE :CHARGE ICHARGE CHARGE CHARGE CHARGE CHARGE CHARGE 10/30/2008 10/3012008 10/31/2008 11/01/2008 11/012008 11/01/2008 11/012008 11/012008 11/01/2008 11/02/2008 11/0312006 11/10/2008 11/10/2008 11/112008 C PATIENT - TRAVEL EXPENSE 1/2 DAY PATIENT - PSYCHOLOGICAL EVALUATION PATIENT - TRAVEL/ HOTEL STAY PATIENT - TRAVEL MILEAGE PATIENT - TRAVEL! HOTEL STAY / DR.MCHUGH PATIENT - TRAVEV DINNER PATIENT - TRAVEUCONFERENCE ROOM PATIENT - TRAVEL/CONFERENCE ROOM PATIENT - TRAVEL/ CONFERENCE ROOM PATIENT - TRAVEL/ 1/2 DAY PATIENT • TRAVEL/ HOTEL PATIENT - TRAVEL/ CONFERENCE ROOM 5212.94 Client Amount Due: 5212.94 Please Indicate amount Enclosed: Provides} Charges Payinents7 Credits Balance DAY ($3,750.00 ($3.750.00)i DM' ($3,750.00 ($7,500.00)i DAY $1,875.00L/ ($5,625.00) DAY $3,750.00 ($1.875.00) DAY $1,439.321 ($435.88) DAY $191.14 ($244.54) DAY $1,000.171 $755.63 DAY $151.69 $907.32 DAY $500.00 $1.407.32 DAY $500.00 $1.907.32 DAY $500.00 $2.407.32 DAY $1,875.00 $4.282.32; DAY $430.62 $4.712.941 DAY $500.00 $5212.941 osen0lOselt. Prop. Statement printed fors, F - on - 11/12/2008 Continued on next page... Aged Balances on Your Account Current: 0.30 days 30-60 days 60-90 days Total Balance Due TAX ID #. 59.2890080 PLEASE PAY PROMPTLY Payment is due upon receipt of bill Please make payment. NOV 1 7 2008 17/(C9 0.00 0.00 0.00 5212.94 at/ 3 o (o ' EFTA00723508
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PODHURST ORSECK
ississ
'Date
'Description
'Provider
Charges; {Payments / Credits
.BALANCE AS OF 10/30(2008
10/302008
1PAYMENT PATIENT 164114 - WIRE TRANSFER
MCHUGH
($1.875.00)
11/03/2008
:CHARGE PATIENT - PSYCHOLOGICAL EVALUATION/ 1/2 DAY
DAY
$1,875.00!
11/11/2008
'CHARGE PATIENT - PSYCHOLOGICAL EVALUATION/ 12 DAY
DAY
$1.875.00
'BALANCE AS OF 11/122008
I
it
1875.00
Client Amount Due:
1875.00
Please Indicate amount Enclosed:
S9014•4sh
ileva•
Statement printed for H, K - on - 11/12/2008
Aged Balances on Your Account
Current:
0-30 days
30-60 days
60-90 days
Total Balance Due
TAXIS) # 59-2890080 PLEASE PAY PROMPTLY
Payment is due upon receipt of bill Please make payment.
yo-
0
ag
0.00
0.00
0.00
1875.00
EFTA00723509
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THE BREAKERS° PALM BEACH PAGE 1 PUN CORP ROOM DEBORAH DAY GROUP 3199 ARRIVE 11/10/2008 myna 11/11/2008 MUMS 1 FOUD ID: 397612808170 TRANSFER PROM: DATE I REFERENCE DESCRIPTION AMOUNT 11/10/2008 397612808168 VALET PARKING VALET PARKING 111008 25.00 11/10/2008 397612809468 APPLIED DEPOSIT 359.00- ***********5005 11/10/2008 397619000215 ROOM CHARGE 3199 359.00 TAX 41.29 11/11/2008 397622812608 BREAKERS NEWS & GOURMET 5.33 CHARGES INCURRED ON YOUR DAY OF DEPARTURE MAY NOT OF REFLECTED ON THIS STATEMENT. THE CHARGES WILL BE APPLIED TO YOUR CREDIT CARD RECEIVED AT CHECK IN. AN INVOICE WILL BE MAILED TO YOU FOR SUCH DAY OF DEPARTURE CHARGES. GUEST SIGNATURE BILL TO ADDRESS TOTAL ISO. G2, 919-- CH MI AMO S CHARGED ARE DUE UPON PRESENTATION OF YOUR BILL. FAILURE TO PAY FOR 90 DAYS AFTER THE DUE OATE WILL RESULT IN IMPOSITION OF A FINANCE ARGE. IT FINANCE CHARGE Will BE MTUED 70 THE PORTION OF THE PREVIOuS BALANCE MORE THAN 30 OATS OLD AND WILL SE COMPUTED AT TIE RATE Of I 112% PER MONTH. TIES IS AN ANNUAL PERCENTAGE RATE OF 18%. ALL PAYMENTS AND CREDITS ARE DEDUCTED FROM THE PREVIOUS BALANCE PRIOR TO THE COMPUTATION OF THE FINANCE CHARGE. F INAMAN.THENtEAKERS.COM EFTA00723510
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IE BREAKERS PALM 13EACH. Event Order Er) If: 26757 Page: 1 of 1 Printed 11/4/08 Account One Day Meet s Post As: Dr. Deborah Day Address: Event Date: Tuesday, November 11 2008 Contact: Jeannie Croughn Phone: Master Account*: Guestroom of Dr. Deborah Day Service Mgr neon Janoski rriligeggo41-034,15arnithil ;,' GTO SET '1 B:00 AM • 5:00PM Sara Mezzanine 1 Dr. Deborah Day Meeting MTG 3 Os . . „„. :Menu Requirements <FINFil Beverage Reguireriailan MATINFORMI-411$11000 . . Room:. South MortanIna Conference Style Pads, Pencils and Mints Set on Credenza Water Station ..244Mk NOMPINFIFORWMARMOS somorattsa :wog MIllaffirgaliNena On Site Contact: Dr. Deborah Day Room Rental Fee © 5500.00 Per Day AIRElprices are subject to 22% Service Charge & Applicable Sales Tax (cunently at 6.5%) guarantee figure must be ghen 72 business hours plot to the function. if the count Is not received at that time, THE BREAKERS will use the estimated figure as the final guarantee. • //1. Adf Cli Sig tie Hotel Representative Signature Date EFTA00723511
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Psycholooical Affiliates. Inc. r EXPERT PSYCHOLOGICAL SERVICES demmenimige, DATE: 11/10/08 PHONE: CONTACT: Amy Josefsberp,, & Kathy Ezell, Esq. FAX: CASE: KB. and S. E. CLINICIAN: Dr. Deborah Day DATE: 11/11/08 PREPAYMENT REQUIRED: $3750 TAX ID # : 592890080 Thank you for calling us regarding the above referenced. Please allow us this opportunity to advise you of our office policies and procedures. Feel free to call us if you have any questions. DEPOSITIONS: Please call our office to determine if the psychologist you wish to depose is available or if there may be a potential conflict with the date(s) requested- Prior to setting the deposition we require prepayment for the total time requested. To save on travel time, you are welcome to use our conference room. The above information will remain tentative until prepayment and the subpoena is served. We do not accept subpoenas by mail or fax. This prepayment is non-refundable unless the deposition is canceled with forty eight hours notification. TESTIMONY: Please call our office to determine if the psychologist you wish to appear is available or if there may be a potential conflict with the date(s) requested. Prior to setting the testimony we require prepayment for a minimum of three hours or for the total time requested whichever is greater. The above information will remain tentative until prepayment and the subpoena is served. We do not accept subpoenas by mail or fax. This prepayment is non-refundable unless the testimony is canceled with forty eight hours notice and we are able to fill the psychologist's schedule. We will make every attempt to fill the schedule and refund the difference. MEDIATION: Please call our office to schedule the mediation with Dr. Deborah Day. We require the name and address of both parties to confirm the appointment and to mail consent forms and a map to our office. REVIEW OF RECORDS: Please call our office to speak with the psychologist to determine the nature of the case and if the psychologist believes they may be of assistance to you. The psychologist will estimate the retainer to be sent with the records to be reviewed. Retainers are not refundable. yl;',74 1,4,%:4LikgiaiMiaitit**40010RFrAWMfttiq9qTPAIOY.MM ,7 A 1 10041:1ASTAiti.4 VRe§:"7911 rtePatTIMM9Inaz - • ? 3'z -, - agglaPPArt i:n vinti% s•Vii9t tg99P i keT:1 For time estimated prior to receiving the records. Additional retainers may be requested. We have a conference room available at no additional cost. Minimum Required: Orange Co. - 3 hrs. s Seminole Co. - 4 hr. Osceola, Lake & Volusla Co. - 5 hrs. DD $3500 per day $50O0 over night All Others $2500 Payment is due when services are rendered. We have a conference room available at no additional cost NOV 1 3 2098 EFTA00723512
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* * THE BREAKERS * * * S 30104 Kazi TRH 2765 NOV03'08 12:20P14 RETAIL 1 FRUIT SALAD 9.00 1 THAI CHICKEN 14.00 1 DIET COKE 3.00 SUBTOTAL 26.00 TAX 1.69 PAYMENT 2 7 . 6 9 ---- CASH CHANGE DUE 30.00 2.31 ** Customer Copy ** Fuegovi vo Chu r rasca r Tab: 56 Nelson 11/1/2008 7:36:54 PM Transaction I Amex 43007 Amount $108 . 63 Gratuity $15.37 TIP : TOTAt • ic:25/. EFTA00723513
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TILE BREAKERS' PALM BEACH PAGE 1 WW CORP DRBORAH DAY 111r1111 ROOM 43.75 *Arm 10/31/2008 DEPART 11 / 0 3 / 2 0 0 8 PERSONS 1 GROUP swot: 397512533809 TRANSFER FROM: DATE REFERENCE DESCRIPTION AMOUNT 10/31/2008 10/31/2008 10/31/2008 11/01/2008 11/01/2008 11/01/2008 11/01/2008 11/02/2008 11/02/2008 11/02/2008 11/02/2008 11/02/2008 11/02/2008 11/03/2008 11/03/2008 397512533807 397512535141 397519000136 397522686123 397522687236 397522692391 397529000193 397532695011 397532699807 397532699884 397532703330 397532705014 397539000265 397542706742 397542710154 SEAFOOD BAR 397442456239 VALET PARKING VALET PARKING 103108 ROOM CHARGE 4175 TAX BREAKERS NEWS & GOURMET 397442456239 BREAKERS NEWS & GOURMET 397442456239 VALET PARKING VALET CHARGES 110108 PM ROOM CHARGE 4175 TAX BREAKERS NEWS & GOURMET 397442456239 BEACH CLUB 397442456239 THE SPA AT THE BREAKERS VALET PARKING VALET CHARGES 110208 PM APPLIED DEPOSIT ***********5005 ROOM CHARGE 4175 TAX BREAKERS NEWS & GOURMET 397442456239 F/D - AMERICAN EXPRESS 37 CHARGES INCURRED ON YOUR DAY OF OEPARTURE MAY NOT BE REFLECTED ON THIS STATEMENT. THE CHARGES WILL St APPLIED TO YOUR CREDIT CARD RECEIVED AT CHECK IN. AN INVOICE WILL BE MAILED TO YOU FOR SUCH DAY OF DEPARTURE CHARGES. GUEST SIGNATURE BILL TO ADDRESS TOTAL N 174 .14 25.00 299.00 34.39 15.98 22.37 25.00 299.00 34.39 23.96 \ 106.40 299.00- 299.00 34.39 21.30 /9937.32 CONTINUED ALL AMOtnr'S CHARGER ARE DUE UPON PRPRANTATION OF YOUR BILL. FAILURE TO PAY FOR 90 DAYS AFTER THE DUE DATE WILL RESULT IN IMPOSITION OF A FINANCE CHARGE. TiC FINANCE CHARGE WILL BE APPUED TO THE PORTION OF THE PREVIOUS BALANCE MORE THAN 90 DAYS OLD AND WILL BE COMPUTED AT ME PATE OF t 1/E% PER MONTH. THIS IS AN ANNUAL PERCENTAGE RATE OF 18%. All PAYMENTS AND CREDITS ARE DEDUCTED FROM THE PREVIOUS VALANCE PRIOR TO THE COMPUTATION OF THE FINANCE CHARGE. ONE SOUTH COUNTY ROAD I PALM BEACH. FLORIDA 33480IP IF I WWW.TH ESREAKERS COM EFTA00723514