EFTA00273151.pdf

CASH DEPOSIT • FIFTH THIRD BANK CHECK DEPOSITS MAY NOT BE AVAILABL.E FOR ,I ta U (; 0 tT . O F Q DATE b. IMMEDIATE WITHDRAWAL CHECK TOTAL CUSTOMER NAME 13 1 e p (C19 FROM OTHER SIDE LUO ..)&.0 SUB TOTAL X • SIGN HERE IF CASH RECEIVED LESS CASH ACCOUNT NUMBER RECEIVED FTNC CR o Checking ❑ Savings EFTA00273151 EFTA00273152