iary Name: Account Type: loitiator's Namc & Ext Stamp 221571473 FIRST BANK, PUERTO RICO ,111.1111. Checking initiator's Signntur Authorizer's Namc & Exr Stamp I Client/Caller Nana: CI icnt Tclephonc9-11-- I-7 1 11'.) all Back Name IAN F YOUNG -+JiZga- 11 Back Signature CA Back Datcrrimc AtIlhOrIZ