| PERM-Ads.com LLC | |
| 5376 Tomah Drive, Suite #124 Colorado Springs, CO 80918 | |
| ph: 1-844-504-7376 fax: 1-714-464-4345 | |
| Advertisement Insertion Order | |
| Date: | February 13, 2026 |
| Agency Name: | PERM Ads.com LLC |
| Agency Billing Address: | 5376 Tomah Drive, Suite #124 Colorado Springs, CO 80918 |
| Agency Contacts: | 1-844-504-7376 - Fax 1-714-464-4345 |
| Advertiser Name: | Rossarin Mitsumoto D.D.S., P.C. |
| Job Title: | Dental Assistant |
| Ad Run Dates: | |
| Additional Instructions: | |
| Media Outlet: | New York Times |
| Media Representative: | Janine Venezia |
| Media Outlet Net Amt: | $1,456.00 |
| Media Outlet Ad #: | 30123832 |
| SEND TEARSHEETS TO: | |
| PERM-Ads.com LLC | 5376 Tomah Drive, Suite #124 | Colorado Springs, CO 80918 | |
| Ad Text: | |
| Dental Assistant: greet, check-in patients, verify insurance, collect payments, handle referrals, mng health info w/exceptional srvc. Invt: order dental supplies, coord maintenance. Assist dentist/team: prep procedures, coord anesthesia care, hospital comm, pre/post instructions, follow-up. Admin: phone/email responses, sched mgmt, insurance billing.�2 yrs. dental office exp. $51,002/yr. Apply by mail to: Rossarin Mitsumoto, President, Rossarin Mitsumoto D.D.S., PC, 245 N. Broadway Ste. 108, Sleepy Hollow, NY 10591. | |
| Payment: | |
| I, Karl R. Balsmeier of PERM-Ads.com LLC, hereby authorize New York Times to charge our MASTER CARD credit card in the amount of $1,456.00 for the above listed advertisement. Our credit card info is as follows: | |
| Card Type: Master Card | |
| Name On Card: KARL BALSMEIER | |
| Credit Card #: 5268-7600-4486-0257 | |
| Expiration Date: 08/25 | |
| Security Code: 020 | |
Signature:
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