efy the amities inflated below to: DTC Name of Receiving rem. Amount Name: Auzount Number- Dtv:SyrnbortSocurity: Oty/Sytnber/Seonity: at Receiytho Firm Balding Authcebseon LI the undersigned hereby legume, that this authorization rim 03 o standing authorization. The undersigned understands and agre