Fed Pledgee Authorization 2001 Internal !
PLEDGEE AUTHORIZATION FORM
(Please Print or Type)
J2BM Piea~ return to:'
CITY TRE~.~URER Federal R~e B~ of K~ City
PO BOX 736
S~INA KS 67402 ~oi~ePa~n~~nt
P.O. Box 41~33
K~ Ci~, MO ~141~33
Ph~e (8~) 333-2~8
Ma~n Phone Numar ( 78~ ) 826-~240 F~ (8~)333-2835
Mare Fax Numar ( 785 ) 826-7244
Name and Title Si~amre Phone Numar
: Rodne7 Franz ~ 785-826-72~0
Valerie Gebhardt . ~J~)~~~~ 785-826-7243
Brenda Sie~n ~~~ 785-826-7400
785-826-7400
Jason Gage ~~ /
Penny, Day ~~~ ~~ 785-826-7240
Numar of Authod~ ind~d~s L~m~ a~vc ~o Ck=le I for a ~h~c-~ callback or
Mum Approve a Rclc~ of Colla~l Ckcle 2 for a four-pa~ ~llback I ~
Please ckcle ~e tom1 nm~r of annoYed mdivid~ls ap~a~g above: 1 2 3 4 ~ 6 7 8 9
These authorizations will continue in full force and effect until an updated Pledgee Authorization Form is received by the Federal Reserve
Bank. Any persons not listed on the most current list will not be authorized to release securities held as collateral by this entity.
Officer's Name and Title Date
State of Kansas
County of Sa]
On Vq']~ { , before me, a Notary Public, in and for said state, personally appeared~ 0 & ~, ~--f't3~ ,
an officer of C_ , known to me to be the person who executed th~ Pledgee Authorization Form
(ha of public entity)
~alf of said ~,~~ entity
My appointment expires ~._~y Appt..~_:~/
(Revised 12/I 2/00]