                                         Your Practice Name                                                            (52K)
                                      VSS Medical Office System
                                        +-------------------+                          Run: Feb 24, 2003
                                        |    FAMILY LIST    |                          Page: 1
                                        | by Bill To Code   |
                                        +-------------------+

Family                                       Date
Group     Account  Name                      of Birth    Sex  Ins  Resp Ptr   Responsible Name          Rel    Family Member
-----------------------------------------------------------------------------------------------------------------------------
          --------------------------------------------------
          BILL TO: UNKNOWN REPONSIBLE
          --------------------------------------------------
                94 Sally Jones

                10 Mary Jones                05/13/1939  F

P       1 --------------------------------------------------
          BILL TO: Helena M Adells
          --------------------------------------------------
                 1 Ms. Helena M Adells       10/04/1912  F    MC   R       8 Adam L Kuczma              01    Self
                                                              BS   P       1 Helena M Adells            01
                                                              MD   P       1                            01

                20 Frank L Superman          01/02/1925  M    MC   P      20 Frank L Superman           01    Self
                                                              BS   P      20 Frank L Superman           01

                75 George Hipepper           08/25/1931  M                                                    Father

                11 Mr. George Stomach        06/16/1933  M    MC   P      11 George Stomach             01    Self
                                                              BS65 P      11 George Stomach             01

                83 Marilyn Angels            03/13/1942  F    BS   P      83 Marilyn Angels             01    Mother

P       3 --------------------------------------------------
          BILL TO: Peter King
          --------------------------------------------------
                 3 Peter King                12/04/1923  M    BS   P       5 Margaret B Rabbini         01    Self
                                                              MD   P       3 Peter King                 01
                                                                             01/31/2003

                88 Mr. George Adells         05/01/1945  M    MC   P       1 Helena M Adells            01    Lawyer
                                                              BS72 P       1 Helena M Adells            01
                                                              MLI  P      88                            01

