—| 7485 $ | REQUIRO SCIENTIA LLC FIFTH THIRD BANK == PALM BEACH, FL 33480 63-9171/670 10/18/17 PAY TO THE 1 ORDER OF___Blue Cross Blue Shield $ **1,040.88 Blue Cross Blue Shield PO Box 538660 Atlanta, GA 30353-8660 EFTA00272989

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CREDIT ACCT OF NAMED PAYEE ENDORSEMENT GUARANTEED BY BB&T CHARLOTTE NC [93-939 ¢ EFTA00272990