EFTA00272539

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6984 REQUIR0 SCIENTIA LLC PAIN BEACH. FL 33480 63.9171.670 FIFTH THIRD BANK -a (14 OR/1 S PAY TO THE ORDER OF WM* Gene Rios fhlold $ '2,211.79 Twn Tho, 00d Two monti redylawen sod 74/ on********************Ittittnismentratristivirn DOLLARS Blue Cross Blue Shield Atlanta, GA 30353-8660 PO Box 538660 I'M:169SW I:CI 6 709 17 1.9.: 714 338 /23 230 0/L- EFTA00272539

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