Q 2002 2 AS10 I 2005-03-17 00100117 BAPTIST MEDICAL CENTER BEACHES LINN, DOTTIE (904)247-2944 1350 13th AVENUE SOUTH JACKSONVILLE BEACH FL 32250 DLINN@BMCJAX.COM

00100117 204365724 4 1949-04-27 2 32225 1 I V58.61 V72.6 85610 FLME0080715 FLME0080715 0 0 65 0 0 0 0 0 0 0 0 65 2002-04-01 2002-04-30 07 924.9 26.41 27.23 E980. 01 00000001