ities indicated below to: DTCC#: Name of Receiving Fimn: Account Name: Check Q Issue a check in the amount of S Recipient's Name: Recipient's Maikig Addhess; payable to; Account Number: at Receiving Rrm Qty/Symbol/Security; Qty/Symbol/Sacurity: EFTA01403673 StandSng Aulhaiii^ion Q The undersigned