EFTA00272865
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Bates Range
EFTA00272865
Pages
2
Original Filename
EFTA00272865.pdf
Document Content
Page 1 - EFTA00272865_001
7415 REQUIRO SCIENTIA LLC FIFTH THIRD BANK 12= 1 = PALM BEACH. Ft 33480 63-9171/670 05/18/17 I PAY TO THE ORDER OF Blue Cross Blue Shield $ "969.52 I Nine Hundred Sixty-Nine and 521100 ******* "•••••• ***** •••;:?•••••••••••••••••••••••••••• Blue Cross Blue Shield PO Box 538660 Atlanta, GA 30353-8660 MEMO e - - • - . 8 EFTA00272865
Page 2 - EFTA00272865_002
CREDIT ACCT OF NAMED PAYEE ENDORSEMENT GUARANTEED BY SEW CHARLOTTE NC ' ' • EFTA00272866
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Pages:2
Entities:3
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