EFTA Document EFTA01280915

FIFTH THIRD BANK DATE ( 0 30 DEPOSIT DEMERS MAY NOT SE AVAILABLE FOR IMMEDIATE WITHDRAWAL _Ss (Di 5(4 erlf r CUSTOMER NAME X SIGN HERE IF CASH RECEIVED PING CR * RChecking El Savings - CASH CHECK > CHECK TOTAL FROM OTHER SIDE b. SUB TOTAL LESS CASH ECEIVED CONFIDENTIAL • • • • ( 0O. op SDNY_GM_00034464 EFTA_00145077 EFTA01280915 LIST EACH CHECK ENTER CHECK TOTAL ON OTHER SIDE CHECKS AMOUNT • SDNY _ GM _00034465 .1 H z w 0 z 0 0 EFTA_00 145078 EF