94.1 Pledgee Authorization PLEDGEE AUTHORIZATION FORM
Please list those individuals who are authorized to release securities pledged to a public entity which are held in a joint custody
account at the Federal Reserve Bank of Kansas City. This list will be used to verity the authenticity of any written, telephonic or
facsimile instructions to release pledged securities. Please provide the name, title and signature of at least three individuals and as
many additional people as you need to account for vacations, illness, turnover, etc, If you need space for more than six names, please
fill out an additional form. If you need to change the list, please send us a revised form. The revised form must list all persons
authorized to release securities. Please call (800) 333-2883 or 881-2883 if in the Kansas City area to request additional forms,
PLEASE PRINT OR TYPE
PUBLIC ENTITY NAME: City of Saline, Kansas DATE: 2 / 22 /94
PLEDGEE CBI NUMBER*: 9RI - 009 - 191
CITY/STATE: Sal ina, Kansas
TELEPHONE NUMBER ( 913 ) 826 - 7240
AUTHORIZED PERSONS (at least three names should be specified):
1. Robert K. Biles. Finance Director /.~/--.~z~...¢/~.'...-~.~_~
NAMFJTITLE SIGNATURE
2. Michael Morqan, Assistant City Manager ~.~'~-------~'
NAME/TITLE SIGNATURE
3. Brenda 0sborn~ Accounting Supervisor ~.-:~'"~'c:~,_~ ~..~_.__...~
NAME/TITLE SIGNATURE
4.
NAME/TITLE SIGNATURE
5.
NAME/TITLE SIGNATURE
6,
NAME/TITLE SIGNATURE
Judy D. Long BY: .---~-m,~.~ ,~), ~
OFFICIAL'S NAME ~ (~IGNATURE *~"-'
City Clerk
TITLE
* This nine digit number can be found on the acknowledgement or joint custody receipt mailed to you at the time a pledge is made
or by contacting the Federal Reserve Bank.
"* This form must be signed by an official of the public entity. For control purposes, if at all possible, we recommend that the
official not be one of the persons authorized to release securities. By signing this form, the official warrants to the Federal Reserve
Bank of Kansas City that he or she has the authority to authorize the persons listed to release pledged securities.
Return to: Federal Reserve Bank of Kansas City
Attn: Securities Services
P. O. Box 419033
Kansas City, MO 64141-6033
(800) 333-2883 or 881-2883