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Text File  |  1987-09-24  |  549b  |  34 lines

  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.  
  8.  
  9.  
  10.                                       DRAFT
  11.  
  12.  
  13.                                                 Date:
  14.  
  15.  
  16.  
  17.         To (Name of Drawee):
  18.  
  19.                 Pay to the order of (Name of Payee) the sum of
  20.         $_________.
  21.  
  22.                                                 ________________
  23.                                                 (Name of Drawer)
  24.  
  25.  
  26.  
  27.         Present through:
  28.  
  29.  
  30.         __________________________
  31.         (Name of Presenting Bank)
  32.  
  33.                                                   Form 126
  34.