N FOREIGN CURRENCY. THE FEE WILL BE APPLIED TO THE CONVERTED AMOUNT IN US DOLLARS. CONFIDENTIAL SDNY GM 00018127 OX019.3.1784.00014302-14F BPF0/1 CCM 0:0101 CO) 02 L CONFIDENTIAL FirstBankPR005290 EFTA 00128770 EFTA01272196 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERIFY YOUR CHECKB