EFTA Document EFTA01348945

CD 0 LO NEPTUNE, LIC 6100 RED HOOK QUARTER. 83 ST. THOMAS USVI 00802-1348 PAY TO THE ORDER OF Insurance Office of Central Ohio DEUTSCHE BANK TRUST COMPANY AMERICAS NEW YORK, NEW YORK 10154 1.103-210 1007 9/1t2016 I $ "42,432.00 1 Forty-Two Thousand Four Hundred Thirty-Two and 00/100*"" BURS Insurance Office of Central Ohio 165 W. Main Street PO Box 780 New Albany, O11 43054-0780 MEMO Pol. 2 CO CO O 9 00 >-z 2 go 0) 0Z )- C 0) lr O LL O CC < < F Z Z W W 0