CIBC Bank CHECK NUMBER
Chicago, IL 60603 589920
2211 Butterfield Road, Suite 200 2-648/710
Downers Grove, IL 60515
Direct Bill Premium Account DATE AMOUNT
PAY 7/3/2023 $**5,000.00
Five thousand Dollars & no/100***********************************
VOID AFTER 90 DAYS
TO THE MICHAEL D BELL
ORDER
OF 607 Sycamore Dr
Russellville, KY 42276
MEMO Bill Payment 2023
AUTHORIZED SIGNATURE
O589920O T071006486T 2185042O
2211 Butterfield Road, Suite 200 589920
DATE: 7/3/2023 PAYEE: MICHAEL D BELL CHECK TOTAL: $ 5,000.00
Account Amount Memo Class
5000.00 Bill Payment 2023
2211 Butterfield Road, Suite 200 589920
DATE: 7/3/2023 PAYEE: MICHAEL D BELL CHECK TOTAL: $ 5,000.00
Account Amount Memo Class
5000.00 Bill Payment 2023