96.2 Pledge Authorization FEDERAL RESERVE BANK OF KANSAS CITY
PLEDGEE AUTHORIZATION FORM
Please list the individuals authorized to release securities pledged to a public entity and held in a joint custody
account at the Federal Reserve Bank of Kansas City. This list will be used to verify the authenticity of instructions to
release pledged securities (written, telephoned or faxed). Please provide the name, title and signature of at least three
individuals and as many additional people as you need to accommodate vacations, illness, turnover, etc. If you need space
for more than six names, please fill out an additional form. This form must be signed by an officer of the public entity.
If possible, we recommend that the official not be included on this list as one of the persons authorized to release securities.
By signing this form, the officer warrants to us that he or she is authorizing the persons listed below to release pledged
securities.
If you need to change your list, please send us a revised form. Any chnnge~ to your form mus~ include all
authorized staff. Any person NOT on the most recent list will NOT be allowed to conduct transactions involving
securities. If you would like to request additional forms or if you have questions, please call (800) 333-2883 or 881-2883
in the Kansas City area.
PLEASE PRINT OR TYPE
PLEDGEE NUMBER: ,'~
ADD.SS:
TELEPHONE NUMBER:( ~/
AUTHORIZED PERSONS (at least three names should be specified; if these individuals are not at the number listed above, please
provide an alternate phone number,)
gdmi n i s tra t ilq~me/Title Alternate Phone #
Brenda Siemson, Accountin.q M.qr.
Name/Title Signature Alternate Phone #
Michael Morgan, Deputy City Mgr ~-~'~2.4'~---~ z~'~.-/~.~.._~-- (913) 826-7250
Name/Title Signature' Alternate Phone #
Name/Title Signature Alternate Phone #
Name/Title Signature Alternate Phone #
Name/Title Signature Alternate Phone #
Officer's Name/Title Signature Date
Return to: Federal Reserve Bank of Kamas City
Attn: Wholesale Payments & Fiscal Services
P.O. Box 419033
Kansas City, MO 64141-6033
(800) 333-2883 or 881-2883