the acuritiee initiated below to: DWI: time of Raw° Finn- Amount Nemec Amount Number: et Receiving Firm OtpSymboriSoctenty: etyldymbaSaurity: Swain Aualrataian U The indersiuned hereby requests the this eutlitedation act a • standng avdsorizefon. lhe understood uederstsnds end tan thot tile outhorketon wI