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REPETITIVE TRANSFER INSTRUCTIONS <br /> DEPOSITOR NAME: City of Decatu� I11 i no�G <br /> COMPANY ADDRESS: ��1 Gary K Anderson Plaza <br /> Decatur, Illinois 62523 _ <br /> Depositor hereby authorizes Magna to execute Depositor's Repetitive Instructions based on the following wire <br /> transfer information, which shall remain constant for all Repetitive Instructions originated pursuant hereto: <br /> Please: I� Add ❑ Change ❑ Delete the following information to our Repetitive file: <br /> Repetitive Number <br /> (Note:Required only when changing or deleting an existing repetitive wire transfer;a repetitive number will be assigned for new repetitives.) <br /> Account To Debit: <br /> Bank MaQna Bank, N.A. <br /> Account Number 991052 <br /> Account Title General Operating <br /> Account To Credit: <br /> Bank Bank of America <br /> Branch ABA Number 071-00003-9 <br /> City Chicago State Illinois <br /> Account Number 73-75727 <br /> AccountName Fort Dearborn Life Insurance Companv - Flexible SpendinQ Account <br /> WireText: FSA reimbursements for Citv of Decatur Illinois <br /> The information shown on this e�ibit shall remain constant for all Repetitive Instructions originated pursuant <br /> hereto, and Magna shall be entitled to rely on such information, until such time as Depositor shall inform Magna <br /> otherwise by delivering to Magna a new or revised form. <br /> This authorization form must be signed on behalf of Depositor by an individual authorized to do so by <br /> resolutions of Depositor. <br /> � '� �. l,�l,l.I` �•'� Director of Financial Managemeat <br /> Signatory Representative Title <br /> Beth B. Couter l�!�e— � �� � 7 <br /> Typed Name ' Date <br /> FTACORPI l95 11 <br />