ftet's Name & kltt Sump A rizcr'aStglotum loWCalkr Name ont Telephone: Back MIMIC' JAN O1 .) . i Back Signature J Beek Dalt/Time • - .-) VOSS KS Approval red u i• 'I' Na Applicable K . 131M Overdraft Appro% al .0. . 1 No. A - • K ID: 036008269421775 DATE: 08/26/2010 0639:00 PM DID: Confidential