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REQUEST FOR DISBURSEMENT ?╜*^1 TO ACCOUNTING DEPARTMENT: PLEASE DRAW CHECK PAYABLE TO: NAMFr HAVE A HEART FOUNDATION, INC. ADDRFqq C/O SOL ORLINSKY DATE?╟÷MAY 7, 13C9 amount $300.00 CHARGE CITY. 209 West 37th ST. CHECK NO.. STATE. NEW YORK, N.Y. 10018 PAID_ REMARKS. Per Mr. Carl Cohen Please return to our office for forwarding, REQUESTED BY. AUDITOR'S APPROVAL. KAYCO FORM NO. 1204