een | 7442 \ REQUIRO SCIENTIA LLC FIFTH THIRD BANK saaiead PALM BEACH, FL 33480 63-9171/670 7 ) 07/20/17 PAY TO THE ORDER OF. $ °*1,040.88 Blue Cross Blue Shield PO Box 538660 Atlanta, GA 30353-8660 EFTA00272917

--=PAGE_BREAK=--

CREDIT ACCT OF NAMED PAYEE ENDORSEMENT GUARANTEED BY BB&T CHARLOTTE NC EFTA00272918