| September 9, 2010 Patricia Abbott 608 S 500 W Murray, UT 84123 
 Dear Patricia, We are in the process of updating your file and would like to verify the information we currently have. | ||
| 
 | Home Phone Work Phone Employer 
 
 Primary Insurance Remaining Benefit Last Visit Date Last Payment Account Balance | 375-1586 J.C. Penneys 300 University Mall Orem, UT 84057 224-1311 Connecticut General 1420.00 08/10/2010 50.00 02/28/2002 52.00 | 
| If you see any errors in the above, please call us to ensure that our records are correct. Sincerely, 
 
 Dennis D. Smith, D.D.S | ||