EFTA Document EFTA01596219

Neemkar Preethi, Sequence:34 FOR SECURITY PURPOSES, THE FACE OF THIS DOCUMENT CONTAINS A BLUE BACKGROUND AND MICROPRIN TING IN TIE BORDER CHART& PROPERTY CASUALTY COMPANY' Funded by National Union Fire btounutee Comport) of Pittsburgh, l'a. i("\-1 Pay L.1"/ ; ,,-.7; TO THE iC.D ORDER OF JPMORGAN CHASE BANK, N.A Policy No.: 000003939926 Claim No.: 00888873 Two Thousand Non Hundred Thirty Three & HMO Dollars*** Chislainc Maxwell 4MS11) CHECK NO. 60262110 RF? NO. 90376199 DATE I 1/28/2013 YAW Air Om Tar AI VIII *******52.933.101 SYRACUSE. NY 13206 y j i 9A AUTHORO . )SIGNATURF. DO NOT CASH IF WATERMARK IS NOT PRESENT ON TIE REVERSE SIDI OF MS DOCISMENT - HOLD AT AN ANGLE TO VIEW ir60 26 2 L830 1:0 2 L 309 3 79I: 786420539v CONFIDENTIAL PROT2 PROT0 Neemkar Preethi, Sequence:34 WARS • DO NOT CASH CHECK WITHOUT 4 HOMO IAIATERMARK. HOLD AT ANGLE TO VERIFY YWERMARK a a i 2 URE I QI KNOW YOUR ENDORSER 2 REQUIRE IDEWRFICATION o CO DO NOT WRITE. STAMP CR SON ar I OW TFtS I NE NIS CONFIDENTIAL IAN C1/204..440 SY, aR reletais won St#• A A: S. :at. les Wean, co one tra •Plide:to ra. t s,r Ai. P4 4 O1.4.AnCepPacns..... et.eM.'a nal inti4ei or Ow P.194 AV S4. 444 4 • el O*a] V. PROT1