FIFTH THIRD BANK DATE If / 5 IMMEDIATE M WITHDRAWAL / (2, DEPOSITS MAT OT BE AVAILABLE FOR DEPOSIT C C CUSTOMER NAME x SIGN HERE IF CASH RECEIVED FTNC ACCOUNT NUMBER CR * a -Checking ❑ Savings S 5 6 0 Li ? CASH CHECK CHECK TOTAL FROM OTHER SIDE> SUB TOTAL LESS CASH RECEIVED > q 0 .) 0 O „t 9 o • • (kci )o o. oO CONFIDENTIAL SDNY_GM_00033864 EFTA_00144477 EFTA01280605 CHECKS LIST EACH AMOUNT CHECK ENTER CHECK TOTAL ON OTHER SIDE • 0 0 SDNY_GM_00033865 EFTA01280606