9507

ISA-The International Society Of Automation

PO Box 12277 Research Triangle Park SUNTRUST
Durham NC 27709 12/28/2021
DATE ____________

PAY TO THE
DEBRA SMART
ORDER OF ____________________________________________________ $ **15,000.00

FIVTEEN THOUSAND AND 00/100 *********************************************

_________________________________________________________________________________ DOLLARS

DEBRA SMART

PAYMENT APPROVED
MEMO __________________________________________ ______________________
AUTHORIZED SIGNATURE

(00009507) &061000104& 0000001126294)