EFTA01294648.pdf

1
ri
'his Is a LEGAL COPY of ON' 1149 I
our check. You can use I t rn
the same way you would r- rTt. otutscha SANX MUTT f
se the or ig i nal check. a- r-al COMPANY AMERICA!
m • TNGf.178 115Yt 0002.1346 NEwTOPat NEW YORK 10154
t•KO•11D
r- rl 1(7O014
IL O
PAYI D THE
O ORDER OF ingurance ntrnuafteniqd (kin $ -4,oeo.00
Ul
m O .7 Flu TAnvwA Sixty am, mu M
t-m
rRO tneurM .1 Ott
OO1
-0793
r MEMO
O Ma
SJ
63235000_MG_YNOS
EFTA01294648

;-1.;:•.K.I
1J
I'!
;ni.srMit.
!1111L
I{•hi~lLRI:
4'4..LoS
!3
Qi;GI.ii
1Do nct en&no or %vita belo
eD
73235000_MG_YNDS
LAITNED
I
EN
P .
Q.R
1606100-YNDS-BD
DEF
OT
TNAUSRUP
-
LAITNEDIFNOC
54836100_A'1FE
EFTA01294649