REQUIRO SCIENTIA LLC FIFTH THIRD BANK
PAO.. Ut &CH, R 33AB0 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
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EFTA00272381
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CREDIT ACCT OF NAMED PAYEE 0005211513537 0
ENDORSEMENT GUARANTEED BY BB&T CHARLOTTE NC
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EFTA00272382