n 0 1 Signature Required .4\ , 151f0 oD , 7500.00 12/21/2016 em•••••••••• ! : o 0 .0•1 Op ti Ta y it s to'-6 000 LO 9 Se g0 2 100 10 3 34 OS en 3 S 2696 9 /se Previous Decision Refer Previous Reason Amount Check # Account Number Officer Code Signature Irregular 7,500.00 1096 35269691 CONFIDEN