Appellant George W. Cady appeals his conviction on eight counts of mail fraud and one count of conspiracy to commit mail fraud. The case was tried to the District Court. 1 On appeal appellant contends the evidence supporting his conviction was insufficient in three respects: (1) failure to prove beyond reasonable doubt that appellant was a party to the scheme to defraud; (2) failure to prove beyond a reasonable doubt that the mails were used in furtherance of a scheme to defraud; and (3) failure to prove beyond reasonable doubt that the mailings were of the quality required to invoke the federal statute. Additionally, he contends that erroneous and prejudicial information furnished to the grand jury deprived him of his Fifth Amendment due рrocess rights. We reject these contentions and affirm the judgment of conviction.
Viewed in the light most favorable to the government, the evidence establishes the following facts. Appellant Cady is an attorney with an active personal injury practice. Tоgether with Dr. A. Jesse Wolff, a chiropractor, he carried out a scheme in which medical reports showing an inflated number of office visits to Dr. Wolff by accident victims were submitted to insurance companies in support of claims for injuries incurred in automobile аccidents. Some of these persons were referred to Dr. Wolff by Cady, while others retained Cady’s services only after they had previously consulted Dr. Wolff. There is also evidence that documents indicating time lost from employment in excess of that actually lost were submitted by Cady to the insurance companies. These inflated claims caused insurance company adjusters to pay larger sums in settlement of the claims than might otherwise have been necessary.
I.
The Scheme to Defraud
To establish a violation of § 1341 the government must provе: (1) the existence of a scheme to defraud, and (2) the mailing of a letter for the purpose of executing the scheme.
Pereira v. United States,
Becаuse the element of knowledge is rarely capable of direct proof, the fact-finder must view all of the pertinent circumstances to determine criminal intent or guilty knowledge.
United States v. Marley, supra,
Dr. Wolff’s testimony directly implicated Cady in the scheme. The testimony of an accomplice, even if uncorroborated by other evidence, is competent evidence.
United States v. Micciche,
One of these situations involved the claim of Susan Lehman, who at the time of her settlement was employed as a legal secretary in Cady’s law officе. She testified that after notifying Cady of her accident, he suggested that she consult with Dr. Wolff. She never went to Dr. Wolff for treatment or for any other reason, but a copy of a medical bill signed by Dr. Wolff showing twenty-eight visits was sent by Cady to MFA Insurance Co. in support of a claim on bеhalf of Miss Lehman. Dr. Wolff testified that he received information with respect to the details of her accident and instructions as to number of visits to report from Mr. Cady by telephone.
The record also reveals testimony by one Jill Remaly, who feigned injury after she and thrеe other persons were involved in an accident. She consulted with Cady and told him of the accident and the feigning of injuries. He sent Miss Remaly to Dr. Wolff; she talked to Wolff but was not treated by him. No claim was ever filed in this matter because soon thereafter Miss Remaly was involved in a second accident. The claim for personal injury in the first case was dropped, and although Miss Remaly was only slightly injured in the second accident and received no medical treatment, Cady urged her to claim an injury and filed a claim for her which included a medical bill from Dr. Wolff’s clinic in the amount of $175. Cady also submitted a lost work statement even though Miss Remaly was not unable to work and did not miss any time from her job. This claim was ultimately settled for $1,987.
*775 These are merely the clearest examples of extensive evidence from which the trier of the fact could find beyond reasonable doubt that Cady knowingly and intentionally participated in the fraudulent scheme. 3
II.
Use of the Mails
Cady also challenges the sufficiency of the government’s evidence to establish the use of the mails in furtherance of the scheme. Establishing the mailing element of the offense requires proof that: (1) the accused used or caused the use of the mails, and (2) the use was for the purpose of executing the deceptive scheme.
United States v. Brown,
A. Proof of Mailing.
Our examination of the record convinces us that there was substantial testimony by those who received the mail matter described in the surviving counts
4
that it came in the mails from Cady. This testimony was based upon personal knowledge, or the fact that the date receipt stamp appearing on the mail mаtter was routinely affixed in the respective mail rooms of the recipients, and that these companies did not process hand-delivered mail, if there was any, in this manner.
5
This testimony was well corroborated. These practices are strong circumstantial еvidence of mailing and the trier of the fact was entitled to consider them.
6
See, e. g., United States v. Minkin,
B. Purpose of the Mailings.
Appellant also contends that the mailings set forth in the indictment were merely incidental to the scheme alleged and intrastate in character. From this he argues that a federal оffense under § 1341 has not been established.
Because the mail fraud statute is written to apply to any scheme to defraud in which the mails are used, it is to be read expansively to effectuate that purpose.
United States v. Mirabile,
The mailings charged in the indictment and proved at trial meet these requirements in all particulars. The false information related to special damages, such as medical treatment and loss of earnings, and wеre intended to induce, without litigation, a larger settlement than the facts justified. The mailings were thus all in furtherance of the scheme to defraud and occurred prior to the fruition of the scheme.
See United States v. Perkal,
III.
The Grand Jury Presentation
Appellant’s final contention is that he was denied due process of law as a result of the presentation of erroneous evidence to the grand jury, thus denying him his right to an impartial and unbiased grand jury. The particular evidence to which he оbjects consisted of carbon copies of settlement checks totalling $4500 together with testimony that his clients in that case received only about $1500. No evidence was presented that would indicate that these checks were in fact returned to the insurаnce company by Cady and new checks issued in the amount of $1975 in settlement of the case. He argues that the grand jury very likely drew an incorrect inference that Cady’s clients only received about $1500 in a case that was settled for $4500.
This contention may be dealt with summarily. No evidence was offered to show a purposeful act of deception by a government prosecutor. The inference, even if drawn by the grand jury, would not supply or support a probable cause finding upon which to return an indictment. The disputed exhibits were only a minuscule part of the government’s evidence to the grand jury.
The Supreme Court has declined to adopt a rule permitting defendants to challenge indictments on the ground that they are not supported by sufficient or competent evidenсe.
United States v. Blue,
It does not seem to be contended that the tainted evidence was presented to the grand jury; but in any event our precedents indicate this would not be a basis for abating the prosecution pending a new indictment, let alone barring it altogether.
This Court has squarely refused to apply the exclusionary rule to grand jury proceedings.
West v. United States,
Affirmed.
Notes
. The Honorable James H. Meredith, Chief Judge, United States District Court for the Eastern District of Missouri. Appellant was originally indicted on fifteen counts charging violation of the mail fraud statutes, 18 U.S.C. §§ 1341, 1342, and one count of conspiracy to violate the same in violation of 18 U.S.C. § 371. At the close of its case, the government moved for dismissal of seven of the mail fraud counts. The trial judge convicted Cady on all of the remaining counts and sentenced him to a prison term of five years on each of the substantive counts, the terms to run concurrently, and a term of five years on the conspiracy count. Execution of the latter sentence, however, was suspended and a three-year term of probation, to follow the prison term on the other counts, was imposed. In addition, Cady was fined a total of $18,000 on the various counts.
. In its brief the government argues that knowledge, or its equivalent, can be established as a result of reckless disregard of, or indifference to, the truth,
United States v. Marley,
. It was argued that evidence admitted in connection with counts dismissed at the close of the government’s case unfairly prejudiced Cady’s case. Evidence of other similar crimes or acts is admissible to prove opportunity, intent, plan, knowledge, identity, or аbsence of mistake or accident. Fed.R.Evid. 404(b);
United States v. Davis,
. See note 1 supra.
. Dr. Wolff testified that he mailed the documents described in Count 4 of the indictment, as well as other documents, to Cady. All of the mailings described in the other counts of the indictment were from Cady’s office to the various claims offices, and there was substantial evidence in the record from which the trier of the fact could find that Cady caused such mailings.
. In
United States v. Joyce,
. It is irrelevant that all оf the mailings in this case may have been intrastate in nature,
see United States v. Mirabile,
