| PATIENT | SSN | PATIENT NAME | AMOUNT DUE | PREV BAL | TOTAL CHARGES | TOTAL CREDITS | NEW BALANCE | PROCESS# | PROCESS END TIME | PS SEGMENT | INVALID STATEMENT ERROR | PRINCIPAL | INTEREST | ADMIN | MARSHAL FEES | COURT COSTS | CCPC FILE BUILT | ADDRESS 1 | ADDRESS 2 | ADDRESS 3 | CITY | STATE | ZIP CODE | FOREIGN COUNTRY | PD LINE | SPECIAL NOTICES | PARAGRAPH CODES | ERROR CODE(S) | CCPC PRINTED | LARGE PRINT NEEDED ON STMT |
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