V TOM NEW YORK 101S. H03370 1/82014 ORDER or 1° Mt Insurance Oboe al Central Ohio $ "1,632.00 One Thousand Sx Hundred Thirty-Teo and 00/100 Insurance Office of Central 0h13 P. O. Box 780 New Albany. OH 43054.0780 Palley s oomese4ce • Final Installment 4.600•••••••••••••••••••••••• •••••••••••••••••••110••••••••

ortd1 <aid tglanCe in the endued you tk(OunI Min UBS Financial Services Inc Die Actiety Doscptron growl (5) Dec 28 Withdrawal FEDERAL FUNDS TO Insurance Office of Central AT FIFTH TI4RD BANK -6,385.49 Other funds debited Total other funds debited -$6,385.99 Die activity DescrestiOn Balance forward $69,703A1 A