P10 1ST

P10 1ST NM CHASE() Inks Business Card JOINT & SEVERAL LIABILITY Sent Ono Product 0 left Phar Ern up to S Points Per It Spent introductory Annum' Foe of SO the fiat yea then $95 0 ink awd•• Pay In Pull monody Era up to 5 Points Pot $1 Spent Invaductory Annual Fe of SO the ant yen. triers S95 0 ink wet No Rewords No Annual Fa. BUSINESS INFORMATION TYPE oF BUSINESS e-4ra • COrporation K Partnenlap K Non.Preit Cop K Goverment O ac O Oda Loyal Name of Comosay fracearsd) .`.GUa keg., rue Company Seeet Number (fecedrod) Address Um 2 WOO P ...cl Ow Delukma rk(r %C.) Company Phase Numb. Naer• i 1 I••• I Des the Company thin CsherAltousts en Clem? 0 Yes (3440 N•1•6 OIC oniony ro *pew on card 119 character muirouse C firi aalym inc Street Name geutred) 1404. Cku or lc; la3 Vein I, K-... ‘1-- Sea Ma/ Tip Cod* frequired) vl . UnYCIe. Nee« o Errelorm* These. Mosilletien *etre fraquiredt UG i CY itte AUTHORIZING OFFICER You must be Na ol the Sabring ith•dt tasi K PrysIdent 0 Owlet Lj,'&o President U wrixoraver 0 Threvne K IDIrOCtOf First Nemo of Authorising Officer Repared) MI Last Nene (milted) DC) I" r a h Indli. C ... . SIN pequera Dote of MAI fro plret0 • C/41 -St, istic, 2 11 11 170161Y.7 Oaten tins fame I GINA/C:Pas @ I VA WAN I COr I . Gres Armed Ingcree• . awe difiseterepteendessaveled SkileliaseMagslellierl Os Spot t emilibee • borseelmentra itagerrOOMMa eat lansikeelarmemtst easaliellStwAs I OilleS Spat isaantialmilievistait FINANCIAL INFORMATION oquIn4 0 Yost I wOUld ISM apply for OVERDRAFT PROTECTION (Not Available for hi Sole Amount of ilne requested $ Amount of cdrr.nt monthly spend on busies. credit cards $ Chase CheltIng Account Number So, coo •io. ext Ls MIS I ADDITIONAL CARDS) Attrh mkkanal show. I wee/ First Nam* of Additions/ Cardmember MI Lett Nroe ( . 1 le, (lc torth 2 . First Nee of Adtidonal Cordenember IN n Lanione Ca rl uNti 04.1**SPOSSA . .t S s(X)0 04" 0 4SPiedloil Wit 0 .000 SIGNATURE This application oars/ be signad by the Authodsg ORkat of the Camper MU the authority to bind the Company to the teen, and cooditiona er this agencetion rd de Buhr Card Agreement I artily theism the Authoriting Officer with the authority to bind theCompany to the terms oft apgdetkm end tit euelnets Carenembra Astatri•nr pot/wing this account. I authorise Chase Sank USA S to obtain a personal crock report on me and woe to b. hod Jointly and ors Sly Mehl* with the Co for the repayment of my crest *mead to the Company purauant to this appear/00n. I has, reed and agree with the terms and COaditiOni and dItdoeures included with this appicrellon I coolly that this is • business account and Poll be used gay for bugloss purposes and not fr peacoat I andy or household use. srtft-h-bk os.=.4, 10--13 FOR SANK USE ONLY Pointe iliediTtesta erith totausehate CI r. ...L.,. I da e•e sa • • . Illalab d aihna arutratileavo cap labIar Clara rt NAM. ego...Clam.. 1 I P.M Fla —1 [1ff rirmistirl [ ie 1 .11 r ea tag triter II .r& tin] t.ssi twists :,ji timederk r I mai We is _JrJ aid . pit 10- 1 Snore Co ins k- 1..r. FS LI Fast irk JA5 ;July It Captor DBwaBEtxWNN EFTA00313110