Notice for additional information on invoMng end other reguitttne NS for reimbutfeiment. Is Name of AUSA ISM ID Date of requosc 8/19/2019 Siff B - Financial Inetitution Invoke Payment Mango Med. Veins boinsern AN Itemized Below Or Sa Path On Yoe Attaches' Invoice II* Invoke Number: 1113 TSX ID Number. I IC Sennee()•Record