February 10, 2007



GREEN HOSPITAL SCRIPPS
FILE 50400
LOS ANGELES, CA 90074-0400

Dear Sirs:

I have received your bill for a balance due of $1,336,71 for an operation at Green Hospital on November 20, 2006.

The account No. is 604341511, and the patient's name is Victor M. Ponce.

I have secondary insurance with Pacific Care Signature POS. The policy number is 6629453-02.

I gave this provider and policy number to the clerk when I checked into the hospital on November 20, 2006.

Please make sure that you get paid by the insurance provider Pacific Care for services that were performed last year.

Should you have any questions or need further information, I can be reach at (858) 205-0309.

Sincerely yours,

Victor M. Ponce
SSN 521-80-7454
DOB 17 July 1946