FIFTH THIRD BANK Statement Period Date: 10/1/2017 - 10/31/2017 Account Type: 5/3 BUS STANDARD CKG Account Numbc (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263.0900 DISCO SCIENTIA CORPORATION 27 HIGH TECH BLVD THOMASVILLE NC 27360-5560 0 490 Relatio

h Pdorlpl (24 Hu) SUBMITTER'S INFORMATION Company/Firm or individual's Name Return Address City - State -Tip Attendant Phone E-mail address Account Numbc Federal Bureau of Investigation 505 S. Flagler Drive. Suite 500 West Palm Beach FL 33401 (561) 822-5929 pa:di (561) 8224970 n ie0.CIOV CERTIF

rting Unit (Optional) Dept. ID Dept. Slate Name Mothers Maiden Name (Optional) Social Security Number (Optional) Home telephone II (Optional) Account Numbc Cardholder billing address City State Special Handling Instructions: K Federal Express Plastic address if different from Cardholder billing add