dicated below to: Addilional Instructioos: DTCC#: Name of Receiving Firm: Check Q Issue a check m the amount of 1 Recipient's Name: Reapient's MaEng Address: Account Name; parable to; at Receiving Firm Account Number: Oly/Symbol/Sacurity; Oty/Symbol/Secunty: EFTA01401302 Standing Authorization Q