IAL FirstBankPR002773 EFTA 00126253 EFTA01270553 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERITY YOUR CHECKBOOK BALANCE WITH THE ENDING BALANCE OE TI AS STATEMENT FOLLOW TI ESE INSTRUCTIONS CEPOMTS NOT ClIFTMo BY THE BANK Octaamng DATE AMOUNT TOTAL CHECUOUTSTASOINO MANN AMOUNT TOTAL If yo