EFTA00272271
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EFTA00272271
Pages
2
Original Filename
EFTA00272271.pdf
Document Content
Page 1 - EFTA00272271_001
6811 PIEQUIRO SCIENTIA LLC FIFTH THIRD BANK 63 9171 670 PALM BEACH. Ft. 33480 PAY TO THE ORDER OF Blue Cross Blue Shield Twn The. kcand Seventy-Two and R2/100 Blue Cross Blue Shield PO Box 538660 Atlanta, GA 30353-8660 _10116114 $ "2.072.82 ___DOLLARS _.xok Di AulkORBED StAgultE I I 8 0006Bile i:06704 74338123238• EFTA00272271
Page 2 - EFTA00272271_002
CREDIT ACCT OF NAMED PAYEE 0005211513537 0 ' ENDORSEMENT GUARANTEED BY BB/1T CHARLOTTE NC >053101121< 045058 002072.82 138 EFTA00272272
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