REQUIRO SCIENTIA LLC : FIFTH THIRD BANK BET PALM BEACH, FL 33480 } 63-9171/670 ' P A227. § PAY TO THE ¢+ j ORDER OF____Blue Cross Blue Shield : aH 1,040.88 { Blue Cross Blue Shield A PO Box 538660 Atlanta, GA 30353-8660 ! EFTA00273009

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CREDI? ACCT OF NAMED PAYEE ENDORSEMENT GUARANTEED BY BB&T CHARLOTTE NC EFTA00273010