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Text File  |  1987-10-23  |  640b  |  37 lines

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  10.                                       DRAFT
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  13.                                                 Date:
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  17.         To (Name of Drawee):
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  19.                 Pay to the order of (Name of Payee) the sum of 
  20.         $_________.
  21.  
  22.                                                 ________________
  23.                                                 (Name of Drawer)
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  27.         Present through:
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  30.         __________________________
  31.         (Name of Presenting Bank)                  
  32.  
  33.                                                   Form 126
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