EFTA Document EFTA01349949

NES, L LC 6100 RED HOOK CUARTER, 63 ST. THOMAS 008O2 PAY TO THE ORDER OF New York State Insurance Fund Six Thousand Eight Hundred Eighty-Four and 84/100 MEMO The State Insurance Fund Workers' Compensation P. O. Box 5238 New York, NY 10008-5238 Estimated payment on Policy o DEUTSCHE BANK TRUST COMPANY AMERICAS NEW YORK. NEW YORK 10154 1.103/210 1378 4/4/2019 "6,884.84 TA' IE DOLLARS ( (1.7,c '\ AUT.-OWED SIGNATURE c0 r- 0 0 el CO 0 •e- 9 8 >- z 2 O O 9 I 00 ul