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January 2011 Health Ins <br />PreferredOne Group III PCH10406 <br />$35,289.68 <br />Inv# 103500979 <br />Inv# 103500980 <br />Inv# 103500981 <br />THIS INSTRUMENT WHEN SIGNED BY THE VI"GETREASURER - WESTERN BANK <br />CICyOf SHALL BECOME A CHECK PAYABLE TOTHE ORDER OFTHE PAYEE <br />- <br />& INSURANCE AGENCY <br />VOIDAPTER" DAYS FROM DATE OF CHECK. MOUNDS VIEW, MN 55112 <br />NAMED FORTHE AMOUNTSTATEO.Pvl <br />016922 <br />rt'� $ TF <br />® <br />J tlH 22-66/960 <br />2401 Highway 10 <br />Mounds View, MN 55112-1499 DATE CHECK NO. <br />AMOUNT <br />Phone: (763) 717-4012 • Fax: (763) 717-4019 12/23/2010 16922 <br />$35,289.68 <br />PAY ---THIRTY FIVE THOUSAND TWO HUNDRED EIGHTY=NINE DOLLARS AND 68 CENTS_-- <br />TOTHE PreferredOne .Ins CO <br />ORDER NW5881 <br />of PO BOX 1450 <br />Minneapo-lis MN 55485-5881 <br />1100 169 2 2110 1:096000661'® <br />PreferredOne Health <br />Group ID PCH10406 <br />$35,289068 <br />January 2011 Health Ins <br />016922 <br />GITY OF MOUNDS VIEW/ FILE COPY <br />