DS9 Document EFTA00272523

6973 REQUIFIO SCIENTIA LLC F1FTH THIRD DANK PALM DUCK FL 33480 63-9171.670 11:=1",ta, napc/15 g PAYTOTHE I ORDER OF ff__Geargia-Clapaarom of Revenue' - 2,300.00 Two Thom.vand Three Hundred and ON tort. frni; . Wi ..*********In. ****•••••••••••*Man r*UAnS Georgia' Department of Revenue PO Box 740238 At!into, GA 30374-0317 CR:ES 00069? 3n 1:06709 st: 74338123 no " W-- Jona:0aq SCHAtuAE PROT0 O g000ittspir SO 'KS ACC? Or Tel VAII51) -rAY12-10/0 Pitt.3001C1 MB s - I LIDS 9 Haste Wit seat 991091111 29 boa Ma: 740231 - 42.ZerriONICILLY etrelpirre 20150420 Data. 20150420 DO NOT WRITE. STASIP OR SION 011.07/ SINS rItitAVCI) FOil EMAIIOIAI :II:latIllOtl UZ.0 I I -- `57f. I - - Th. •,201Nt ita:rsrovaite:-.• a.r. J: lai 4.: a.47. • 0'. S:4:14 9'9:490:: 4.' X'It ,ru il 1 1a.• 9 l 5;•••••• .1. . Ira . ,,. a I ...7* : I•..t. •,I I' : •P , - 1 Art.', :*, 7, . '-1; ) • irg • . L rnnenAt fa 27HYC 013.r.P:, C• f-t,?! 9 :;C•i•.9 n9 O. •;•0 PROT1