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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)
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EFTA01480400