sfer Credit Fie Rqicn Medical PC New Yak NY 10021-2765 Tm 5,000 in 1.147.129 21 1006400102Es 04'I2 ret 12 v1211 Arpin no 1,097,129 21 04112 Amencan Express Web Remit I 104121 /61874766 Web ID 20050321 I I 04/13 04/13 Eats, ire Debit Via Amens leank061 21 I 168 AC Tag Technologies Inc Ref Ref Lsj Lk Ins 40-204.0