d REQUIRO SCIENTIA LLC FIFTH THIRD BANK sain PALM BEACH, FL 33480 63-9171/670 08/28/17 08/28/17 i & ONDEROF Blue Cross BlueShield 4,040.88 H & tee Re ERE ANSE HET ERE ROE AAEEEEEREEERERRERRE EES ERSERERENEEEREEA RENTER ERED Blue Cross Blue Shield - PO Box 538660 fe: Atlanta, GA 30353-8660 ii ; Q EFTA00272943

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