EFTA01350615

to O I) PI CO *061000146* 01/15/2014 7710308746 'his Ise LEGAL COPY o our check. You can use i the same way you would se the original check. NES, LLC WO RED IL0OK Quo MR. Os Th0ws CCM 0turaCtiE OHM TRUST eihrrory AlitR:CAS /CY, rot. NEW YORK 14154 I-tc3210 1013 1/812O14 PAY TO THE mimic* tnsurance office or Central Ohl° "1,137.00 One Theysend One Hundred Thirty-Seven and OCII1004"" —"" a""'""""*"*"" ''''' """ ''''' "*"*" " "" noums 444,Thi HMO r Insurance Office of Central Ohio P. O. Box 780 8 New Aibany, OH 43O54-O183 Par/ 00 98 >- z 2 Cl 0 0) 00 rn ZE" ci tL cc cc 0 =< < IZ l= Z W W 0 0 LL ir. Z Z 00 0 EFTA01350615