AL FirstBankPR004597 EFTA (X)128077 EFTA01670378 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERIFY YOUR CI£CK800K BALANCE WITH TI'E ENDING BALANCE OF 71IIS STATEMENT. rOL..OV/ THESE INSTRUCTIONS Of P0513 NOT CANUTE° Or THE dank :Ivo I-, coca min:Slid BOOM* Cf MCI() 0ARS% 0aCts Enbiot DATE AMOUNT