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<br />..Mainstreet Bank SAY 1321332/DDA 3017115
<br />Account Holder Namels):CITY OF CENTERVILLE
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<br />Account Purpose: Non Consumer
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<br />Reportlfi(l sSNttiN: 4 H~61014. ...... .... . < . .... ...
<br />Mailing AddrMs: .18.SO MAIN $'rfi~~T; CENTERVIllE, MN
<br />. . 551138~9794. . . ..... .. .... ...
<br />5treeHoca,idn, .'990 .r.nA1.l'i STREET,. .CENTERViltE, MN
<br />.. 55038-9794
<br />Telephone Number: (651) 429-4174
<br />Number of Si natures Re uired: 1
<br />BUSINESS TYPE: Corporation
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<br />ACCOUNT NUMBER
<br />SAV 1321332/DDA 3017115
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<br />Opened By Verified By
<br />ST EX 11/09/04 ST
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<br />Work #: 16511429-3232
<br />CIF Number: 0000510002
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<br />Si natures of Authorized Individuals. This A reement is sub"act to all terms below.
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<br />x;
<br />
<br />X
<br />lINDA VICKERS BROUSSARD, Agent of CITY OF CENTERVILLE
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<br />',f
<br />TERRANCE H SWEENEY, Agent of CITY OF CENTERV1LLE
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<br />X
<br />MARY J YELLE-CAPRA, Agent of CITY OF CENTERVILLE
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<br />X
<br />JOHN
<br />mes of
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<br />IAJ -Vl..k "-
<br />YER, Agent of CITY OF CENT RVlllE
<br />ach account si ner)
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<br />The authorized Agentls) signing above agree{s), that the Corporation's Account(s) will be governed by the terms set forth in the Deposit Account
<br />Agreement and Disclosure, the Time Certificate of Deposit or Confirmation of Time Deposit Agreement (if applicable), the Rate and Fee Schedule, the
<br />Funds Availability Policy Disclosure, the Substitute Check Policy Disclosure, the Electronic Funds Transfer Agreement and Disclosure, (if applicable),
<br />and acknowledge receipt of our privacy policy (if applicable), as amended by the Financial Institution from time to time. The authorized Agent(s) also
<br />ack.nowledge that they have received at least one copy of these deposit account documents. The Authorized Signer(s) understand(s) accounts
<br />opened after 4:00 PM are dated effective the next business day.
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<br />TIN/BACKUP WITHHOLDING Reporting TIN: 41-1267014
<br />Important: Under penalties of perjury, I certify that the number shown above is the Corporation's correct taxpayer identification number, I am a U.S.
<br />person (including a U.S. resident alien). and that (check appropriate box):
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<br />~ The Corporation is not subject to backup withholding, because the Corporation is exempt from backup withholding, or because the Corporation
<br />has not been notified by the IRS that the Corporation is subject to backup withholding as a result of failure to report all interest or dividends, or
<br />because the IRS has notified the Corporation that the Corporation is no longer subject to backup withholding.
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<br />o The Corporation is subject to backup withholding.
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<br />Signature of Authorized Individual; ,X
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<br /><p,a1e
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<br />The following information may be used to further identify individual(s) for telephone instructions, large transactions, or if a signature varies.
<br />MMN = Mother's Maiden Name
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<br />Name: TERRANCE H SWEENEY
<br />Street:
<br />Mailing:
<br />Phone: (HI: (WI:
<br />Job:
<br />DOB:
<br />10:
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<br />5SN:
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<br />MMN:
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<br />Name: LINDA VICKERS BROUSSARD
<br />Street:
<br />Mailing:
<br />Phone: (HI: (WI:
<br />Job:
<br />DOB:
<br />iD:
<br />
<br />5SN:
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<br />MMN:
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<br />oel'OSIT PRO. V.,. ..SS.OO,<Xl5 Cop,. I!.t....d F",..,c;a1 SoIu,,,,,.. Inc. 1998, 1~, A1ll1i1lh.. _~od, MN' MN - n(l3llp,~ TA.11979
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