Eckard's Drug Co. record of Minkoff prescription

Date:November 29, 1995
Pages:1

[TIF 5078 is an 8.5x11 which is apparently a photocopy of a smaller
4x6 page with Eckerd Drug Company Letterhead. The Eckerd form contains
a copy of both the prescription label for the pill bottle, as well as
Dr. Minkoff's original prescription for 30 500mg Chloral Hydrate
capsules]

ECKERD

MCPHEARSON,LISA[1] CLEARWATER FL
RX# 907960 SIG:CHSPFS 11/29/95
[1] CHLORAL HYDRATE 500MG RF? DATE QTY
QTY: 30 CA RF: 0 TP: 1 0 / / 0
RX: $8.29 NDC: 364006101 0 / / 0
WN MSGS EK 0 / / 0
DR. MINKOFF PH. 799-2727
DOCTOR WALK IN CLEARWATER FL DEA: AM1446346

STORE STAMP/ADDRESS

NAME LISA MCPHEARSON [hand written in all caps - 2]

ADDRESS [3]

DR'S.NAME [3] DATE [3]
+--------------------+----------+-------------+
[4] | CH?@ ??? | | #30 |
+--------------------+----------+-------------+
| i?? g H S | | |
+--------------------+----------+-------------+
|IX ?A.c1146346?| | |
+--------------------+----------+-------------+
| MINKOFF | | |
+--------------------+----------+-------------+
| 845-9115 | | |
+--------------------+----------+-------------+
148650

[1] - Hand written note on the white space to the left of the
Eckerd form says "Pharmacist Name Ed Karch"
[2] - Minkoff misspells Lisa McPherson's name on the prescription
[3] - No entries made for these fields
[4] - All entries in the prescription (table) are hand written
and much is illegible.

==================================================================
TIF5078 OCR and [bracketed] comments by Michael Reuss