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93 EFTA_00170019 EFTA01296688 Page 3 No. Address CARBON COUNTY 8: 53 KENT CLARK DR LAKE HARMONY, PA 18624 CARBON COUNTY 9: 477 FRANKLIN D ROOSEVELT DR MANHATTAN, NY 10002 NEW YORK COUNTY 10: 17 CONCORD DR LIVINGSTON, NJ 070394313 ESSEX COUNTY 11: 301 E 66TH ST APT 8D NEW YORK. NY 10065-6215

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COUNTY 3: 2 KEAN CT LIVINGSTON, NJ 07039-4234 ESSEX COUNTY 4: 6030 LE LAC RD BOCA RATON. FL 33496.2316 PALM BEACH COUNTY 5: 477 FRANKLIN D ROOSEVELT DR MANHATTAN, NY 10002 NEW YORK COUNTY 6: 116E 65TH ST For internal use only For internal use only LexlD(sm) 001206312961 Area SDNY_GM_0006140

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age, policy of insurance COUNSEL: For Plaintiff: Roosevelt N. Nesmith rii , Esq., LAW OFFICE OF ROOSEVELT N

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