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August 22, 2013

To whom it my concerm I request of unicare a change of address, the propose of his is due to my port of the money described in the case bellow. The reason to change of address is because my mother and I have a major disagreement with relation to his topic. Therefore, it was just a few days ago that I got the new that my father had named me as beneficiary; I am aware that the end result of his will not be satisfactory for both, it is sad Bert it is the reality of the situation. Today date august 21, 2013.

_________________ Jose D. Rosario

___________________ Lic.

Rafael E. Rosario S.S. #111-60-4858 D.O.B. 12-17-45 POLICY # G1 17-GCC CLAIM #, LC 92898 BENEFICIARY: Jos D. Rosario Dominican ID: 047-0161695-7 D.O.B. 28-02-1980 TEL.: 829-939-7376 / 809-725-8922 E-MAIL: josedrm28@hotmail.com ADRESS IN USA LV-63308 Jos D. Rosario 1733 N. W. 79 AV. DORAL FL. 33126-1101 TEL.: 305-471-0000

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