In mo arrxwnl of S Roctainil'e Name; Rec^ntti's Mfling Address: Aucoom Name: pti>fltte»: at Receiving Fbm Accoum Number Otv^SvmbO^rSocurity; Oty/Symboi/Socurityr Standing Amhortuttan Q 7fio undofsiQriiid hereby requesti Uial thb autiorizatlon set ae e standing oolhorizatlon. 7ha undersigned undaratandi er>d