EFTA Document EFTA01350404

NES, LLC 6100 RED HOOK cum rEn. 83 ST. THOMAS 00802 DEUTSCHE BANK TRUST COMPANY AMERICAS NEW YORK. NEW YORK 10154 1-103-210 1068 5/26/2015 1 PAY TO THE ORDER OF New York State Insurance Fund $ "10,906.15 1 Ten Thousand Nine Hundred Six and 15/100 DOLLARS € if;°' The State Insurance Fund Workers' Compensation P. O. Box 5238 Binghamton, NY 10008-5238 MEMO HORIZFD 8 000 L0680 I:0 2 LOO L033': kass/0/1-allflaih. Oak - CV CO •- cO CO CO CO O 9 8 >- z 2 U O 05 )- O