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To: (name and address of your bank)
_____________________________________________ _____________________________________________ |
From: (name and address of subscriber)
_____________________________________________ _____________________________________________ |
Your Account Number __________________________
On (Date) ____________________________________ Please pay the sum of ____________________
to
Signature ____________________________________ Date ________________________________________ |
Archive Account No. 25564567
Ulster Bank Limited (Branch code 98-5680) O'Connell Square Ennis, Co. Clare Eire |
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