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Receipt_BoyleMitchell_181109

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					To :   Karen Chatto                                                                            RECEIPT
       90 Cummins Road
       Mount Rowan 3352                                                                        Date: 18.11.2009

Service Provided by: Robyn Garnett, Speech Pathologist
Provider Number: 2935971K

   Date            Client                 Description                  Medicare Benefits Scheme        Cost
                                                                            Item Number

18.11.2009      Mitchell Boyle     Speech Pathology Services                       10970             $ 130.00
                                           Session 3


                                                                                 Total Amount Paid   $ 130.00


Referred By:      Dr. Louise Dennis (Provider Number:0316227H)
Address:          1021 Howitt Street Wendouree, 3355
Date of Referral: 03.09.2009




                                         602 Darling Street, Ballarat VIC 3350

				
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