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Prince Invoice From City of Moline, Illinois For Emergency Response

An invoice for emergency care presumably sent to Prince, four days after his death. The invoice is from the City of Moline, Illinois, where Prince was treated for an undisclosed illness on April 15. The statement was among 12 pages released to Yahoo News, who sought details of the incident under the Illinois Freedom of Information Act.

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Jason Sickles, Yahoo News
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625K views1 page

Prince Invoice From City of Moline, Illinois For Emergency Response

An invoice for emergency care presumably sent to Prince, four days after his death. The invoice is from the City of Moline, Illinois, where Prince was treated for an undisclosed illness on April 15. The statement was among 12 pages released to Yahoo News, who sought details of the incident under the Illinois Freedom of Information Act.

Uploaded by

Jason Sickles, Yahoo News
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CITY OF MOLINE

P 0 Box 308
Orion, IL 61273-0308
(309)524-5337
866

1-~
30~6~5~~~~~~~~~~~~~~~~~~~~~~

!i~t!~JJ~!~!I;~:~Igit~i~~-, :_, .:l~Jf0.JIII~l~~~l~~{1~~"~}\ ,i~}:~i~t.~t;[0}:~~~~~s}~[~}~~m~:!~]~~~f


CITY OF MOLINE
P 0 Box 308
Orion, IL 61273-0308

Invoice Date

TO ASSURE PROPER CREDIT, RETURN THIS


PORTION WITH YOUR PAYMENT

Ticket#:

MAKE CHECKS PAYABLE TO:

Charges
4/15/2016
4/15/2016
4/15/2016
4/15/2016

04/25/16

Patient ID

AMOUNT PAID

DETACHHERE - - - - - - - - - - - - - - - - - -- ---------------CITY OF MOLINE

BALANCE

$1,125.00
$210.00
$53.30
$19.00

Milage
Supplies
Charge Total :

$1,407.30

BALANCE
We do not have any insurance information on file. Please call or
send us a copy of your insurance cards . If this bill is related to an
auto accident, please send us the claim number, insurance
company, their address and phone number.
If you do not have insurance, we would also be happy to set up a
payment plan that will work for you .
Just give us a call.

$1 ,407.30

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