Date Received: 17 Net to Financial Institution I8 Right to Financial Privacy Act- Public Law 95-630 (12 U.S.C. 3401.3422) Request Pursuant To: (Chick One Only) OWECT SECTION CLASS r 5404 Customer Authorizauon 2545 r 3405 Administrative Subpoena et Summons 2545 r 3406 Search Warrant 2545 r 3407

Date Received: 17 Net to Financial Institution III Right to Financial Privacy Act- Public Law 95430 (12 U.S.C. 3401.3422) Request Pursuant To: (Chick One Only) OBJECT SECTION CLASS r sot Customer Authorizauon 2545 r 3405 Administrative Subpoena cc Summons 2545 r 3406 Search Warrant 2545 r 34