Exhibit 2-1a
Denise L. Nappier Treasurer |
Howard G. Rifkin Deputy Treasurer |
To: Cash Management - Bank and Check Administration
Agency Information | Contact Person: | ||
Agency Number | Name | ||
Name | Title | ||
Address | Phone # | ||
City | Zip | ||
Banking Information | |||
Name | |||
Address | |||
City | Zip | ||
Type of Account: (Please select one) |
|||
______ Savings | Account Name | ||
______ Checking | Account Number (to be assigned by bank) |
||
______ CD | |||
______Other, Please Specify | |||
Authorized agency Signatures for Account (Signature, typed name and typed telephone number). MINIMUM OF TWO SIGNATURES NEEDED PER ACCOUNT | |||
TR01
55 Elm Street, Hartford Connecticut 06106-1773, Telephone: (860) 702-3000 |
An Equal Opportunity Employer |
ACCOUNTING MANUAL | 2-22 | FEBRUARY 2001 |
EXHIBIT 2-1a
BANK ACCOUNT IDENTIFICATION
Page 2
Purpose of the account:
Bank services being provided for this account:
Please leave this area blank for Treasury action.
Date received _______________________
Matched CO929
Master file entry
PLEASE PROVIDE ALL REQUIRED INFORMATION
TR01
ACCOUNTING MANUAL | 2-23 | FEBRUARY 2001 |