7006 = REQUIRO SCIENTIA LLC FIFTH THIRD BANK PALM BEACH, FL 33480 63-9171.670 05/21/15 3 5 PAY TO THE j ORDER OF___Blue Cross Blue Shielg SS D:211.79 1 ce REA EEAEEASEAEEES EARS AE ERREES EAS RRERR SEAT ER EES { Blue Cross Blue Shield ¢ : 8 PO Box 538660 . ‘ y Atlanta, GA 30353-8660 ‘ ‘ KR \ ™OO?700b" HOBTOUR7AU 74338823230 EFTA00272581

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CREDIT ACCT OF NAMED PAYEE 0005211513537 0 ENDORSEMENT GUARANTEED BY BB&T CHARLOTTE NC = ~~~ ~~ 3853401421< - “=10801839 002211:79.069 ; Ba / EFTA00272582