EFTA01480397.pdf

O c- O -° o -n o a a is, si mz O E r r• c1) r CD 3 ro 73 2C 2. cr ' • REPRESENTATIVE CASHING AUTHORITY SIGNATURE CARD DATE: cr - CHEMICAL BANK ACCOUNT TITLE: A 7/A3 /fr- allisLedve iftexwell Gentlemen: Please cash any cbecks bearing my/onc signature (or endorsement) when presented by my/our representative Ategsw e,6,47esienz-rg It is requested that he (she, they) be permitted to cash checks, in my (our) behalf, that bear either my (our) signature(s) or endorsement(s) 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 written ation has been received. Si rel REPRESENTATIVE SIGNATURE 'Joint Accounts • Both Account Holden Must Sign — Maims: Accounts • Officer a Pony Must Sip With Title 03.138P (143) LtL !IM0WO- MOS 6179Z0000-ANCIS-We EFTA01480397