JEFFREY EPSTEIN 8100 RED HOOK QUARTER, B3 ST. THOMAS, USVI 00802-1348 DEUTSCHE BANK TRUST COMPANY AMERICAS NEW YORK, NEW YORK 10154 1-103/210 1099 1/9/2017 PAY TO ORDER THE OF Insurance Office of Central Ohio $ "13,323.60 Thirteen Thousand Three Hundred Twenty-Three and 60/100 MEMO Insurance Office of Central Ohio 165 W. Main Street PO Box 780 New Albany, OH 43054-0780 Policy # 001949408-05 invoice # 216351 AUTWORIZED SIGNATURE u'OO1O9911• I:O21OO1O33i: OS 421352696R Lo I DOLLARS I 8 O ci LL -1 -1 < < I= I= Z Z W W O O C. Ir. Z Z O O EFTA01347601