L FirstBankPR0061 64 EFTA 00129644 EFTA01670842 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERIFY YOUR CIIECKSOOK BALANCE WITH TFIC ENDING BALANCE OF THIS STATEMENT. FOLLOW II IEEE INSTRUCTIONS DEPOSITS NOT CREDITED BY THE BANK DATF AMOUNT DeWitt .NOI c1 d1 ti lse Bask DEDUCT 1.) Caockd Oulsa