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Debit/Credit Information Verification

ABA Number: 264281416

Member’s Name:

JAMES W HAGERTY

Member’s Account Number:

Savings:

Checking: 108*********

Loan:

Employee’s Signature:

Date: 10/02/2018 Time: 09:08 User #: 385 Branch: 53

MBR.01500.MBRVERTIFY