EFTA00272381

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REQUIRO SCIENTIA LLC PAO.. Ut &CH, R 33AB0 FIFTH THIRD BANK 619171.610 12/12/14 PAY TO TIE 0R0ER0F RIR. Cross Blue Shield $ "2.072.82 Twn Thousand et/swot-Two and 87/100 Blue Cross Blue Shield PO Box 538660 Atlanta. GA 30353-8660 CatiOEa A UN OOO6B 7 30 l:06 709 I? ?t. 3 381 2 3 2 3s' EFTA00272381

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