EFTA01480400.pdf

O c- O -° (7) z o a -n maz is,O Ea r • 11) r (1) CD 3 ro 2C acr REPRESENTATIVE CASHING AUTHORITY SIGNATURE CARD TO: DATE: CHEMICAL BANK li is / 9S ACCOUNT TITLE: N►S Au%) C," OA 15.1A) Gentlemen: Please cash any checks bearingipy/our si nature (or endorsement) when presented by my/our representative SiMM/OIJ HEAL It is requested that he (she, they) be periRftted to cash checks, in my (our) behalf, that bear either my (our) signature(s) or endorsement) when presented. In consideration of the foregoing, I (we) agree to indemnify and hold you harmless from any costs, claims, demands, suits, expenses, counsel fees, judgements or liabilities whatsoever arising from any such transaction, to the extent that they relate to or involve claims of forged signature, forged en- dorsements, or alteration. These instructions shall remain in effect until wt.: d. REPRESENTATIVE SIGNATURE 'Joint Accounts - Both Account Holders Must Sip — Basins Accounts • Officer or Partner Muss Sign With Title 03.1397• (143) ESL !IM0WO- MOS 9S9Z0000-ANCIS-We EFTA01480400