Nancy Moran

                          September 30, 1997

Sheppard Pratt Collections
6501 North Charles Street
P.O. Box 6815
Baltimore, Maryland  21285-6815

      Re:  Patient Number:  30285-1
           Date of Admission:  September 30, 1996

THIS IS A BILL þ DUE AND PAYABLE UPON RECEIPT

Previous balance:

      10/01/96   Consultation with Dr. Lignos. . . . . . . . . ($85.00)
      10/15/96   Creatinine, Serum . . . . . . . . . . . . . . .(16.64)
      10/15/96   Lithium . . . . . . . . . . . . . . . . . . . .(24.96)
      10/15/96   Venipuncture. . . . . . . . . . . . . . . . .   (9.50)
                 SUBTOTAL. . . . . . . . . . . . . . . . . . .($136.10)

Letter of 4/28/97 þ 988 words
Review of Your Letter of 5/2/97
Review of Your Letter of 5/27/97
My letter of 6/3/97 þ 363 words
Review of Your Letter of 6/13/97
Review of Your Letter of 8/26/97
Review of Your Letter of 9/18/97
This letter of 9/30/97 and enclosure þ 1150 words
Undifferentiated, non-itemized invoices 
Various and Assorted Phone Calls . . . . . . . . . . . . . . . .$200.00

Postage, Photocopies, Office Supplies. . . . . . . . . . . . . . .50.00

Mental Anguish, Psychic Trauma
(i.e., "Pain and Suffering") . . . . . . . . . . . . . . . . .   150.00

      SUBTOTAL . . . . . . . . . . . . . . . . . . . . . . . . .$400.00

      AMOUNT DUE . . . . . . . . . . . . . . . . . . . . . . . .$263.90