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6811 PIEQUIRO SCIENTIA LLC FIFTH THIRD BANK 63 9171 670 PALM BEACH. Ft. 33480 PAY TO THE ORDER OF Blue Cross Blue Shield Twn The. kcand Seventy-Two and R2/100 Blue Cross Blue Shield PO Box 538660 Atlanta, GA 30353-8660 _10116114 $ "2.072.82 ___DOLLARS _.xok Di AulkORBED StAgultE I I 8 0006Bile i:06704 74338123238• EFTA00272271
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