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Text File  |  1993-02-22  |  555b  |  28 lines

  1.  
  2.  
  3.                                       DRAFT
  4.  
  5.  
  6.                                                 Date:
  7.  
  8.  
  9.  
  10.         To (Name of Drawee):
  11.  
  12.                 Pay to the order of (Name of Payee) the sum of 
  13.         $_________.
  14.  
  15.                                                 ________________
  16.                                                 (Name of Drawer)
  17.  
  18.  
  19.  
  20.         Present through:
  21.  
  22.  
  23.         __________________________
  24.         (Name of Presenting Bank)                  
  25.  
  26.                                                   Form 126
  27.  
  28.