Document Ev5JjpZGewp4b0ryZ2bL9Q7qb

Workers' Compensation Service Company Assignment Memo DATE: ________________ TO: _____________ _______________ FROM: r ef : REDACTED D/I: ____ ______________ As m 0U&S (j U Q-/ /S) 11? I - (j O''1 .______fjjL /A-k dJUL kJ^AxX. AJJ- c (<TSO 0 ______________ ^ Cj&SV /-< --<~mU> /(// X/n djfaL<f(y~JL n/^y-^t < /It tJU 706? /&) 0 <- &) fyuMkx. D&JL /. M 7&* <OaMa+Jl /6tx yLA;<lt jbb dxf^v<~c*~JL As^-u&L~ A < /t-v. l-v-T'! t/\ /yiS\/^-<-'C^v-~^ A-J^-O C^iA~~ , Signature