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