AL FirstBankPR004319 EFTA 0D 127799 EFTA01271688 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERIFY YOUR CHECKBOOK BALANCE WITH THE ENDING BALANCE OF TI'S STATEMENT FOLLOW TI IESE INSTRUCTIONS 1'4 ADC ;') DCOStic oCI:mdkel Sr he Sank (MAKI w 08eaecong 3iale DATE II your checkbook and account sta