Name: Oieck Q Issue a check in the amount of S payable to: Recipient's Name: Raapient'sMailng Address: Accouni Number: at Receiving Rrm oiv/Symboi/Securily: aiy/Symbol/SeCUrity: EFTA01470943 StancGng Authorizaioi Q The undersigned hereby requests that this authorization act as a standing authorizat