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<br />Sehed'" D: ACBs..1ÞI. A8tMriuticm .ÅØee..e.u <br /> <br />AUTHORIZATION AOREEMENTFOR DIRECTPA <br /> <br /> <br />C(JmpaDY N-.e <br /> <br />CoïnpanyID Numba' <br /> <br />1 (we) h~by audl~ .~CI11ød COMPANY. toblitiate debitelllriesto <br />my (O\II')9CheckiI'lQ Accountf9 Savlnge Account (ø*tone)Jncjc. below. the depositary final)eja <br />instituliOnnamed bIIow. hereIn8fter allied DEPOSITORY, and to debit the same to IUchacoounl I (we) <br />acknowledge that the origination of ACH nn.ctIonI to my (our)8OCOunt rmlSt comply with the provi8ionl ôf <br />U.S. law. I <we) acknCMledgethBt a d8bit entry to my (our)lICeXQ'It will ..move money from my (cur) 8CC:X)Unt; <br /> <br />De . Itftlou <br />. pol,...., <br />Nama <br /> <br />Bl1inch <br /> <br />City <br />~ng <br />Number <br /> <br />~tats <br /> <br />Ziþ <br /> <br />Account <br />NumtMir <br /> <br />This autJ'lörl!atiOn Is torømam in full fOrceancleffect untH COMPANY hall received wrItIeri notifiCIIIion from. <br />mil (or either of us) of Itstemúnlllon io SùCf1 ti.,. and In ",ch manner .to afront COMPANY and <br />DEPOSITORY. i'eMonllble opportUnity to aCt on it <br /> <br />Neme(s, <br />NUml)er <br /> <br />ID <br /> <br />Datil <br /> <br />SignlituJ'lil <br /> <br />NOTE: ALLVIIAITTEN o.-r AUTHORIlATIONUWIIPROVIĊ’ ~TTHE ~CEIYER MAY REVQIĊ’ T1ieAUTHOlUZA <br />ON&. Y BY NCmFVING". OIUIIIIM IN TtE WMER SFlEClFJED IN THE AUnÐRIlATlON. <br />