EFTA Document EFTA01348997

CO CV '- 71 CV 0 CV el CO 1127 0 9 8 2 NEPTUNE, LLC DEUTSCHE BANK TRUST COMPANY AMERICAS O I (9 9 I m> 6100 RED HOOK QUARTER, 93 ST. THOMAS USVI 00802-1348 NEW YORK. NEW YORK 10154 1.103-210 1/7/2019 a PAY TO THE ORDER OF Insurance Office of Central Ohio $ "2,306.00 Two Thousand Three Hundred Six and 00/100 1 MEMO Insurance Office of Central Ohio 165 W. Main Street PO Box 780 New Albany, OH 43054-0780 Polio invoice # 247630 AUTHORIZED SIGNAIU DOLLARS SNt ci L