Account statement (EFTA01480396)

o• -D o z -n o a il s mz O E r • 11) (1) co r CD 3 re 73 2 C to 2. cr StL !IM0WO- MOS LVSZ0000-ANCIS-INdr REPRESENTATIVE CASHING AUTHORITY SIGNATURE CARD 'TO: ...e" CHEMICAL BANK ACCOUNT T7TLE: Cr14nLPr;roc ff h X Lk) el) DATE: 71/34 r - ACCOUNT NUMBER 72) 0032 r71 -(0) - Gentlemen: Please cash any checks bearing my/our signature (or endorsement) when presented by my/our representative ...6-A/tW/Cait Clan It is requested that he (she, they) be permitted to cash che