EFTA00272014.pdf

SH 1 DEPOSIT FIFTH THSFD BANK CHECK a 7 / dif DEPOSITS MAY NOT BE AVAILABLE FOR --I R I EMP E varPIDRAval CHECK TOTAL 1 i 5 hOCITA f CUSTOMER NAME / sS VtOk) 14 1-C- FROM OTHER SIDE a SUB TOTAL a 13 x SIGN HERE F CASH RECEIVED ACCOUNT NUMBER LESS CASH RECEIVED a • * 747 /85372C S 0o0 • Checking ODA 747105372ED 0 Savings SS. 000 - 00 Ref #811143686 Thil 8047361 I:555560477i: EFTA00272014  EFTA00272015 CHECKS LIST EACH AMOUNT CHECK ENTER CHECK TOTAL ON OTHER SIDE