MUCCrOSS BlueShield Claims Payment of North Caroltoo' Potato so no OtdMat ImPl•Coreins 27702.7201 EIGHT HUNDRED FORTY• LYE DOLLARS AND SEVENTY. SEVEN CENTS PAY TO THE ORDER of vhf• MO* Pot NA IRAS_ Mt Cseth Vold after Mx Months issinus —near • r12 1 15 15 I 8. season Treanor. Glue Cross siva Clue Shield of North Cnds Inclopendcal license; of no Oluo Cross end [glue WM Associallon CONFIDENTIAL SDNY_GM_00036888 EFTA_001147501 EFTA01281880

CONFIDENTIAL SDNY_Ghl_000361189 EFT,00147502 EFTA01281881