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gal CHANGE OF ADDRESS PLEASE PRINT. USE BLUE OR BLACK BALL POINT PEN. MI LAST ACCOUNT NUMBERS AFFECT

332.41- 1,067.63 01-16 POS Deta- Debit Card 01-16-19 Shopritegatewaycen Brooklyn Ny 67.44- 1,000.19 01-29 Deposit - ACH Paid From Agri Tress 310 Fed Sal 1.32190 2,322.09 01-29 Paid To - Georgia Power Online Prot Chk 12114128 260.77- 2,061.32 01-30 ATM Fee - Withdrawal 01-29-19 Advantage Evian Bro

CH CA 04124510148792766 01 0506EB THE OFFICIAL BLACK 888.810.2063 CA04124510148792766 01 0506EVENT T

Ram, 224 Rami Del Bronx NY Card 7492 •12.25 16 16 0322 Card Purchase 03/22 Uber • 800-592-8956 CA Card 7492 -1324 2.92 0325 Aw1 Irons 310 Fed Sal PPO 1D. 9101038009 631.76 831.67 03/25 Ouckpay WM Zeds Payment From Adams, Robert Bace9Coblo91 30.00 664.67 03/25 Ourckpay Wilh Zags Payment

488 20 0507 Card Purchase 05106 ED The 011kial Black 888410-2063 CA Card 2766 .45.70 13442.50 05/07

/09 Hlu•Hulu 76801139652 Hulu.Com/181 CA Card 7492 -12.96 0.06 07/15 Tress 310 Fed Sal PPD ID 9101035009 1,486.36 1 486 41 07/15 Iron 310 Fed Sal PPO ID 9101036009 276.46 I 782 86 07/15 Card Purchase 07/13 Chadys New York NY Card 7492 -23.55 1,739 31 07/15 Card Purchase 07/13 Ali Bab