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CITY OF MOUNDS VIEW <br />March 2013 Health Insurance <br />Group ID PCH10406 <br />$27,264.71 <br />Inv# 130460420 <br />Inv# 130460422 <br />Inv# 130462320 <br />Inv# 130462321 <br />City Of <br />41 <br />THIS INSTRUMENT WHEN SISNED BY THE VIUAGE TREASURER <br />SHA -I- BECOME ACHECK PAYABLETOTHEORDER OFTHEPAYEE <br />NAMED FORTHEAMOUNFSTATE0. <br />WESTERN eANK <br />& INSURANCE AGENCY 0 7 5 2 5 <br />T 7��T��+' VIEW <br />M®V1V1JJ <br />VOID AFTER 90 DAYS MOM DATE OF CHECK <br />MOUNDS VIEW, MN 55112 <br />22-661960 <br />2401 Highway 10 <br />DATE CHECK NO. <br />AMOUNT <br />Mounds View, MN 55112-1499 <br />02/21/2013 17525 <br />$27,264.71 <br />(763)717.4012 <br />pAy---TWENTY SEVEN THOUSAND TWO HUNDRED SIXTY FOUR DOLLARS AND 71 CENTS--- <br />TOTHE PreferredOne Health Ins AA�m N_5� <br />ORDER NW 5881 <br />OF PO BOX 1450 ` <br />Minneapolis MN 55485-5881 <br />112017525III 7:0960006671: <br />PreferredOne Health Ins <br />Group ID PCH10406 <br />$27,264.71 <br />March 2013 <br />017525 <br />FILE COPY <br />CITY OF MOUNDS VIEW <br />