EFTA Document EFTA01347107

c0 3 0) emdame•••• 07/02/2014 r-9t O i This is a LEGAL COPY o ru four check. You can use I t the same way -you would Ise the or iginal check. -D O I JEFFREY EPSIEJN 111 DO MO HOOK OUPARA 53 11401114, 135b1 0C -i748 DEUTSCHE SANK MIST COMPANY AMESICAS NM YORK. NEW YO‘IX 1.103-310 712 8/24,2014 I ORDER OF PAY TOM Inane, Ottra aJ Central Ohio $ "30152580 1 Thiny-Slx Thousand SW Herded Twenty nn and F0/100-" *""•*" ." ." *"......" 4" . a" eotuns Insurance Med Centsai Olio 105 W. Main Street 61 New Albany, 0+4 43054-0780 ..b(32.-4 PO BOK 780 annaaliallSOMIl R 0 c0 9 8 >-z 2 all 0 Z or 0) ci O I- I- D cc cc 0 -J < < I= I- Z2 LLI C •Z 2 • C C: EFTA01347107