HomeMy WebLinkAboutResolution 1994-033
Resolution No. 94-33
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF NORTH RICHLAND
HILLS, TEXAS, THAT:
1.
The following officers of the City of North Richland Hills, Texas
are hereby authorized to execute the Funds Transfer Agreement and
Authorized Signature form and accompanying documents on behalf of the
governing body of the City:
1. Larry J. Cunningham , Director of Finance
Signature ~ C;¡'?:r-'
2. Jackie Theriot Accounting Manager
Signature'C)f1iJJJ iill0lwll1 ()~)
3.
Bret Starr
Signature &;i- ~'t"
Accountant
4.
v~ctor Jon~~
Slgnature
Utility Services Manager
2.
The Mayor be and is hereby authorized to execute the Funds Transfer
Agreement, Authorized Signatures form and accompanying documents, a copy
of which is attached hereto and made a part hereof and marked Exhibit
nAD, as the act and deed of this City.
PASSED AND APPROVED this 25th day of July, 1994.
APPRoym:
So ~'r~
Mayor
ATTEST:
çt~zyIL,,~
-
BANKËONE.
FUNDS TRANSFER AGREEMENT
This Agreement is made by and between BANK ONE, TEXAS ("Bank") a National Bank with its principal banking office at 500 Throckmorton
Fort Worth. Texas and City of North Richland Hills ("Customer"), a political subdivision with its
principal place of business at 7301 N. E. Loop 820. N. Richland Hills. Texas
'~'
In consideration of the promises and covcnants contained herein, Bank and Customer hereby agree as follows:
1. Customer hereby authorizes Bank to honor, execute and charge to any deposit account maintained by Customer at Bank (the "Account") without limit
as to amount (unless an amount limit is clearly set forth in User Authorization Form attached hereto), any and all telephonic, telegraphic, oral or written requests
or orden for the transfer of funds when such requests or orden (a) are received from a pelSOn identifying himself or herself to be an authorized representative
of Customer listed on the User Authorization Form and (b) are made in compliance with Bank's transfer procedures under this Agreement. Bank is authorized
(a) to transfer funds from a specific Account at the Bank to any other specified deposit account maintained by Customer whether such account is with Bank
or another financial institution; (b) to transfer funds from an Account to any deposit account of a third party whether such deposit account is with Bank or
another financial institution or (c) to transfer funds from an Account for the account or for credit to Customer.
2. Customer agrees that Bank may assign to each Authorized Representative, a security code, security test or other security procedure ("PelSOnal Identification
Number") which shall be used by such Authorized Representative to initiate and authenticate funds transfer requests. Customer warrants that it will ensure
that PelSOnal Identification Number is known only to the Authorized Representative to whom it is assigned. Bank shall be entitled to rely conclusively upon
the authority of a pelSOn to make a transfer and issue other instructions to Bank if such pelSOn uses a PelSOnal Identification Number of an Authorized
Representative.
3. Bank is hereby authorized to transfer funds based upon predetermined criteria contained in written instructions to Bank signed by an Authorized
Representative. A set of such instructions is attached to the Repetitive Transfer Authorization Form which coven pre-authorized transfen of a repetitive nature
where the debit and credit parties remain the same and only the date and dollar amount are variable ("Repetitive Transfen"). Each such Repetitive Transfer
will be assigned a unique alpha and/or numeric code ("Repetitive Identification Number") which shall be communicated to the Bank when request for Repetitive
Transfen are communicated to the Bank. It is Customer's responsibility to ensure that Repetitive Transfer Numben are known only to appropriate Authorized
Represen ta tives.
4. Customer represents and warrants that each Account to be debited will contain sufficient available funds to allow for payment of each transfer of funds
requested hereunder at the time that such transfer is to be made.
S. Bank agrees to electronically record all telephonic instructions received by Bank's Wire Transfer Department from Customer and to retain such recordings
for a period of not less than sixty days.
6. Customer agrees to promptly examine bank statements for the Accounts. Customer agrees to report any discrepancies (a) between the records of the
lr.insfen shown on the statements for the Accounts and the transfen shown on the statement for any other deposit account of Customer or (b) between the
Customer's records of such transfen and any statement for the Accounts, in writing to Bank within thirty days after the statement date. Failure to notify Bank
of any such discrepancies with such time period will relieve Bank of any liability for such discrepancies.
7. Customer agrees to supply to Bank any additional forms or information which Bank may reasonably request including, but not limited to, money amounts.
accounts to be affected, dates of transfen, supplemental instructions and further evidence of any Authorized Representative's authority to transfer funds or to
do any other act contemplated hereunder.
8. Customer agrees to use all PelSOnal and Repetitive Identification Numben and to comply with any other security procedures established from time to
time by Bank. Customer agrees to report immediately to Bank any breach of confidentiality of any PelSOnal Identification Number, Repetitive Identification
:'\umber or other security procedures, and to notify Bank immediately of the departure of any Authorized PelSOn from Customer's employment, so that Bank
may cancel the Personal Identification Number assigned to such person.
9. Bank agrees to make transfen and otherwise act upon requests made in compliance with this Agreement within a commercially reasonable time after such
requests have been received by Bank, but Bank shall have no liability to Customer for failing to make a transfer òr failing to take any other action on or before
any deadline contained in a request, unless such deadline is commercially reasonable. Following the receipt of any request, Bank reserves the right to verify
or authenticate any request for a transfer or other request by telephone calls or by any other means which Bank may deem appropriate, but its failure to verify
or authenticate any such instructions shall not be evidence of any failure to exercise reasonable care of good faith. Bank shall not be liable for its refusal to
honor any request or instruction if Bank in good faith is unable to satisfy itself that the request or instruction is given by an Authorized Representative. Bank
shall have no obligation to make any transfer unless the affected Account contains sufficient collected funds to cover such transfer. Bank shall have no duty
to notify Customer that a transfer was delayed or not made.
10. Customer agrees to promptly pay Bank according to the Bank's published fee schedule. Customer agrees that Bank may reimburse itself for fees due
hereunder by debits to Customer's affected Account. If after transfer from the affected Account, such Account does not have a sufficient collected balance to
cover such charges and fees, Bank may reimburse itself from any other Account. Customer agrees to reimburse Bank upon demand for any of such charges
and fees which remain unpaid. Bank may, at its option, require advance payment of such charges or fees or a deposit to cover such charges and fees.
11. From time to time, upon not less than 30 days' prior written notice to Customer, Bank may change any procedures or fees established in connection with
this Agreement. Notwithstanding the foregoing, Bank may change any procedures without prior notice to Customer where an immediate change in terms or
conditions is necessary to maintain or restore the security of a funds transfer system or any deposit account.
12. In the event of any disagreement hereunder. or if conflicting demands or notices are made upon Bank relating to this Agreement or any item or amount
received by Bank hereunder, Bank may, at its option, refuse to comply with any claims or demands on it, or refuse to take any other action hereunder with regard
to the subject matter of the dispute, so long as such dispute continues; and in any such event, Bank shall not be or become liable to any pelSOn for its failure
or refusal to act, and Bank shall be entitled to continue so to refrain from acting until (a) the right of all parties shall have been fully and finally adjudicated
by a court of competent jurisdiction, or (b) all differences shall have been adjusted and all doubt resolved by agreement among all of the interested pelSOns.
The rights of Bank under this paragraph are cumulative of all other rights which it may have by law or otherwise.
13. Customer agrees to hold harmless and indemnify Bank. its employees. agents and affiliates from and against any and all liabilities. claims. costs. cxpenses.
losses and damages of any and every ICJnd (including reasonable attorneys' fec.s and costs) arising out of or resulting. directly or indirectly, from the acts or
omISSions of Customer, its employees, its agents or third parties. in connection with this Agreement or the tr.1nsfen contemplated herein. It is the intcntion
of the parties that this indemnification shall be unlimited, and that it shall include, but not be limited to, any and all direct. indirect. incidental, consequential
and punitive damages.
14. (a) Except for the willful misconduct or gross negligence of Bank, its employees or agents, Customer releases Bank, its employces and agents from all
liabilities. claims. costs, expenses, losses and damages of any and every kind arising out of or resulting. directly or indirectJy, from any act. omission, error or
delay in the performance or nonperformance of Bank's services, agreements or duties under this Agreement. To the extent, if any, that Bank shall have any
liability under this Agreement, customer's exclusive remedy and Bank's cntire liability for any and all caUSCSo whether for negligence, breach of contract, warranty
or otherwise, shall in the aggregate not exceed six months' average billing to Customer taken ovcr the twelve months preceding the month in which the damage
or injury is alleged to have occurred; but if this Agreement has not been in cffect for twelve months preceding such date, then ovcr suc:IPfewcr number of
preceding months that this Agreement has been in effect. Customer may not assert any claim against Bank arising in connection with this Agreement more
than one year after the occurrence of the cvcnt which gives rise to such claim.
(b) THE OBLIGATIONS, RESPONSIDILITIES AND LIABILITIES OF TIlE BANK AS ABOVE DESCRIDED IN
SUBPARAGRAPH 14(a) ARE EXCLUSIVE AND IN LIEU OF ANY OTHER GUARANTEES, OBLIGATIONS,
RESPONSIDILITIES AND LIABILmES HEREUNDER, WHETHER DIREcr OR INDIREcr, EXPRESS OR IMPLIED,
UNDER lAW OR EQUITY; AND THE BANK DISClAIMS AND CUSTOMER HEREBY WAIVES AND RELINQUISHES
ANY FURTHER OR OTHER SUCH GUARANTEES, OBLIGATIONS, RESPONSIDILITIES AND LIABILITIES ON THE
BANK'S PART, INCLUDING, BUT NOT LIMITED TO, ANY IMPLIED WARRANTIES OF FITNESS FOR A
PARTICUlAR PURPOSE OR OF MERCHANTABILITY, AND CUSTOMER WAIVES ALL CLAIMS FOR
CONSEQUENTIAL DAMAGES AND ALL CLAIMS REGARDING LOSS OF REVENUE, INCOME, PROFIT, AND USE,
OR DAMAGES, WHETHER SAME BE DIRECT, INDIRECT, INCIDENTAL OR CONSEQUENTIAL. THE EXTENT OF
LIABILITY THAT MAYBE IMPOSED ON BANK IS LIMITED STRICTLY AND SOLELY TO THE CIRCUMSTANCES
AND AMOUNTS AS SET FORTH ABOVE IN SUBPARAGRAPH 14(a).
15. The Bank shall have no responsibility or liability for early processing or failure or delay in performance punuant to the terms of this Agreement when
such failure or delay is due to any natural disaster, fire, flood, storm, strike, labor unrest, war, riot, act of God, power failure, equipment failure or any other
cause beyond Bank's reasonable control.
16. This Agreement shall be effective for a term of one year from the date hereof. The Agreement shall renew each year on its annivenary date for a term
of another year unless not less than 30 days prior to such annivenary date either party shall have sent the other party written notice of its intention that the
Agreement should expire on such annivenary date and not renew. In addition, this Agreement may be terminated at any time by cither party hereto by giving
not less than 30 days' prior written notice of such termination to the other party. Notwithstanding the foregoing. Bank may terminate this Agreement with
such termination to be effective immediately upon notice to Customer if Customer fails to comply with the terms of the Agreement, if Customer fails to pay
....hen due any of the fees provided for in this Agreement, if the Account is closed for any reason or is made subject to levy, garnishment, attachment or simil~r
process or if any transfer made hereunder creates an overdraft in an Account, including, without limitation, a daylight ovcrdraft. No termination hereundcr
or expiration of the Agreement shall affect the rights or obligations of either party which may have arisen or accrued prior to such termination or expiration.
The provisions of Paragraph 13 and 14 shall survive the termination or expiration of this Agreement.
17. All notices required in connection with this Agreement shall be deemed to have been given when sent Certified Mail, postage prepaid or delivered by
messenger to the parties at the addrcsscs appearing abovc, or to such other address as either party may specify in writing to the other party.
18. This Agreement shall be governed by and construed in accordance with the laws of the State of Texas.
19. No waiver of any provision hereunder shall be binding unless such waiver shall be in writing and signed by the party alleged to have waived such provision.
Any waiver by either party of any default hereunder shall not operate as a waiver of succeeding dcfaults.
20. If one or more of the provisions of this Agreement or in the Schedules attached hereto should be or be declared to be illegal, iDvalid or unenforceable
in any respect under present or future laws or regulations effective during the term of this Agreement, the legality, validity and enforceability of the remaining
provisions of this entire Agreement shall not be affected or impaired thereby; PROVIDED, HOWEVER, that if this entire Agreement shall be or be declared
to be illegal, invalid or unenforceable or should any regulatory agency direct Bank to discontinue providing the services hereunder, the parties agree that
payments of credits due up to that time shall be remitted or made, and this Agreement shall thereafter be immediately terminated without liability to either
party.
21. This Agreement constitutes the entire undentanding of the parties in respect of the subject matter hereof and, all prior negotiations, agreements and
representations are merged herein. Except as provided in paragraph 11, this Agreement may not be modified except in writing signed by an Authorizcd
Representative of each party. This Agreement Clnnot be assigned by either party without the other party's written consent.
IN WITNESS WHEREOF, the parties have Clused this Agreement to be executed by their duly Authorized Representatives and same shall be effective as
of the date of execution and acceptance by BANK. as set forth below.
"Customer"
"Bank"
By:
(Authorized Signature)
Name: Tommy Brown Name:
(fype or Print) (fype or Print)
Title: Mavor Title:
Date: July 25, 1994 Date:
-
-
BANKffSONE
MONEY TRANSFER SERVICES
Customer/Account Authorization
B-070045- T (10/92)
CUSTOMER ~IAME
CUSTOMER ADDRESS
P. O. Box 820609
STATE
CITY
North Richland Hills
METHOD OF ACCESS
[X] TELEPHONE D DIRECT WIRE (Terminal)
Texas
TELEPHONE NUMBER
(817) 581-5500
PREPARED BY
DATE
ZIP CODE
76182-0609
REQUESTED IMPLEMENTATION DATE
July 25, 1994
Please mark the appropriate choice(s): (NOTE - You may choose only to add or delete, but cannot do both on the same form,)
[X] Add D Delete D Update Test Code: DYes D No
BANK ONE OFFICE
ASSOCIATED ACCOUNT DESCRIPTIONS
Please provide the following information: (If deleting an account, only the account number needs to be provided,)
ACCOUNT NUMBERS AFFECTED
Fort Worth
0014926190
City of N Richland Hills
Do you wish to be notified of Inter Bank Wires:
If you are a Direct Wire user, please indicate the functions your company should be able to access:
o Secondary Authorization of Transfers (free form)
o Secondary AuthOrization of Transfers (repetitive)
o Future-Dated Transfer Cancellation
o RepetitIVe Transfer Entry
o Non-Repetitive Transfer Entry
o Future-Dated Transfer Entry
CREDIT ADVICE
IX] Phone IKJ Letter D None
D Phone D Letter D None
D Phone D Letter o None
D Phone D Letter o None
D Phone D Letter o None
D Phone D Letter o None
D Phone D Letter o None
D Phone D Letter o None
D Phone D Letter D None
DYes D No
- o Account Balance Report
o TransactIon Detail Reports
Please provide any additional instructions you may have for BANK ONE, TEXAS regarding these accounts:
Outgoing wires should be verified by phone with an authorized representative other than
the representative initiating the wire.
The following must be completed by financial institutions ONLY:
FED member type:
o Not a member 0 On-line member 0 Off-line member
If you are a FED member, please provide your telegraphic abbreviation:
ABA Number:
CUSTOMER SHORTNAME
TO BE COMPLETED BY BANK ONE, TEXAS.
I NOTIFICATION REPEAT
TEST CODE:
DYES
o NO
COMPLETED BY
DATE
DATE
AUDITED BY
-
BANKæONE.
PREPARED BY
MONEY TRANSFER SERVICES
User Authorization
DATE
B~70061-T (11/92)
Jul 25, 1994
Please mark the appropriate choice(s): (NOTE - You may choose only to add or delete, but cannot do both on same form.)
[:xJ Add entire user
o Delete entire user
o Add Account(s) to user
o Delete Account(s) from user
o Change other Authorization levels
USER'S NAME
Bret Starr
us~ SIG~ATU(J I .
~ /.Yí~. _A ,
COMPANY NAME
TELEPHONE NUMBER
(817) 581-5552
REQUESTED START DATE
July 25, 1994
REQUESTED END DATE
City of North Richland Hills
Method of Access
for this user: 0 DIRECT WIRE
!XJ TELEPHONE
Please provide the following information
Does this user have a maximum dollar amount limitation?
DYES
IX] NO
If so, please indicate this amount $
If telephone access. should this user be authorized for verification of transfers only?
DYES
DYES
[] NO
IK] NO
If telephone access is chosen, should this user be authorized for phone notification of transfers only?
Please indicate the account numbers for which this user should be authorized, All accounts
Selected accounts (list below)
0014926190
Are there any additional instructions for Bank One, Texas, N.A. to apply to this user?
DYES
@NO
If so, please specify:
If this user is accessing through direct wire, please indicate his/her authorized functions:
o
o
o
Repetitive Transfer
Entry
Non-Repetitive Transfer
Entry
Future-Dated Transfer
Entry
o
o
Secondary Authorization
of Transfers
Future-Dated Transfer
Cancellation
o Account Balance Report
o Transaction Detail Reports
CUSTOMER SHORTNAME
TO BE COMPLETED BY BANK ONE, TEXAS, N.A.
I BANK NAME
ASSIGNED USER 10
COMPLETED BY
DATE
AUDITEO BY
DATE
-
BANKæONE
PREPARED BY
MONEY TRANSFER SERVICES
User Authorization
B-070061- T (11/92)
Please mark the appropriate choice(s): (NOTE - You may choose only to add or delete. but cannot do both on same form,)
[XJ Add entire user
o Delete entire user
USER'S NAME
D Add Account(s) to user
D Delete Account(s) from user
D Change other Authorization levels
TELEPHONE NUMBER
(817) 581-5542
REQUESTED START DATE
July 25, 1994
REQUESTED END DATE
Cit of North Richland Hills
Method of Access
for this user. D DIRECT WIRE
[XI TELEPHONE
Please provide the following information
Does this user have a maximum dollar amount limitation?
DYES
[] NO
If so, please indicate this amount $
If telephone access. should this user be authorized for verification of transfers only?
DYES
DYES
[X] NO
If telephone access is chosen, should this user be authorized for phone notification of transfers only?
ŒJ NO
Please indicate the account numbers for which this user should be authorized. All accounts
Selected accounts (list below)
0014926190
Are there any additional instructions for Bank One, Texas, N.A. to apply to this user?
[!] YES
o NO
If so, please specify: For verfication purposes. this individual should bè contacted first to
confirm outgoing wires"
If this user is accessing through direct wire, please indicate his/her authorized functions:
D
D
o
Repetitive Transfer
Entry
Non-Repetitive Transfer
Entry
Future-Dated Transfer
Entry
D
D
Secondary Authorization
of Transfers
D
D
Transaction Detail Reports
Account Balance Report
Future-Dated Transfer
Cancellation
COMPLETED BY
TO BE COMPLETED BY BANK ONE, TEXAS, N.A.
I BANK NAME
ASSIGNED USER 10
CUSTOMER SHORTNAME
DATE
AUDITED BY
DATE
-
BANKæONE
PREPARED BY
MONEY TRANSFER SERVICES
User Authorization
!HI70061- T (11/92)
Please mark the appropriate choice(s): (NOTE - You may choose only to add or delete, but cannot do both on same form,)
[]I Add entire user
o Delete entire user
D Add Account(s) to user
o Delete Account(s) from user
o Change other Authorization levels
TELEPHONE NUMBER
(817) 581 5539
REQUESTED START DATE
Method of Access
for this user:
Richland Hills
D DIRECT WIRE
Jul 25, 1994
REQUESTED END DATE
July 25, 1994
IX] TELEPHONE
Please provide the following information
Does this user have a maximum dollar amount limitation?
DYES
[] NO
If so, please indicate this amount $
If telephone access, should this user be authorized for verification of transfers only?
DYES
DYES
IX] NO
fi] NO
If telephone access is chosen, should this user be authorized for phone notification of transfers only?
Please indicate the account numbers for which this user should be authorized, All accounts
Selected accounts (list below)
0014926190
Are there any additional instructions for Bank One, Texas, N.A, to apply to this user?
DYES
Ii] NO
If so, please specify:
If this user is accessing through direct wire, please indicate his/her authorized functions:
o
D
o
Non-Repetitive Transfer
Entry
Future-Dated Transfer
Entry
o
D
Secondary Authorization
of Transfers
Repetitive Transfer
Entry
Future-Dated Transfer
Cancellation
D
o
Account Balance Report
Transaction Detail Reports
TO BE COMPLETED BY BANK ONE, TEXAS, N.A.
I BANK NAME
ASSIGNED USER 10
CUSTOMER SHORTNAME
COMPLETED BY
DATE
AUOITED BY
DATE
-
-
BANKEONE
PREPARED BY
J. Theriot
MONEY TRANSFER SERVICES
User Authorization
DA
B-070061-T (11/92)
Please mark the appropriate choice(s): (NOTE - You may choose only to add or delete. but cannot do both on same form,)
[XJ Add entire user
o Delete entire user
USER'S NAME
o Add Account(s) to user
o Delete Account(s) from user
o Change other Authorization levels
TELEPHONE NUMBER
(817) 581-5535
REQUESTED START DATE
July 25, 1994
REQUESTED END DATE
COMPANY NAME
Cit of North Richland Hills \
Method of Access
for this user: 0 DIRECT WIRE
@ TELEPHONE
Please provide the following information
Does this user have a maximum dollar amount limitation?
DYES
[X] NO
If so, please indicate this amount $
If telephone access. should this user be authorized for verification of transfers only?
DYES
DYES
Qg NO
ŒJ NO
If telephone access is chosen. should this user be authorized for phone notification of transfers only?
Please indicate the account numbers for which this user should be authorized. All accounts
Selected accounts (list below)
0014926190
Are there any additional instructions for Bank One, Texas, N.A, to apply to this user?
[XI YES
o NO
If so, please specify:
For verification purposes, this individual should be contacted only if the
other authorized representatives are unavailable to confirm.
If this user is accessing through direct wire, please indicate his/her authorized functions:
o
o
o
Repetitive Transfer
Entry
o
o
Secondary Authorization
of Transfers
o
o
Account Balance Report
Non-Repetitive Transfer
Entry
Future-Dated Transfer
Entry
Future-Dated Transfer
Cancellation
Transaction Detail Reports
TO BE COMPLETED BY BANK ONE, TEXAS, N.A.
I BANK NAME
ASSIGNEO USER 10
CUSTOMER SHORTNAME
COMPLETED BY
DATE
AUOITEO BY
DATE
-
-
BANKæON£
PREPARED BY
MONEY TRANSFER SERVICES
REPETITIVE TRANSFER AUTHORIZATION
DATE
8-o70044-T (11/92)
Jul
PLEASE MARK THE APPROPRIATE CHOICE(S) (NOTE - YOU MAY CHOOSE ONLY TO ADD OR DELETE, BUT CANNOT DO BOTH ON SAME FORM)
~ ADD REPEAT
o DELETE REPEAT
o CHANGE REPEAT
If changing or deleting an existing repeat, please provide the associated repetitive code:
COMPANY NAME
City of North Richland Hills
TELEPHONE NUMBER
25, 1994
(817) 581-5500
PLEASE COMPLETE ALL APPLICABLE ITEMS BELOW
TYPE OF REPEAT
or
ŒJ DOMESTIC
o INTERNATIONAL
DEBIT INFORMATION
or
~ SEMI-REPETITIVE TRANSFER
o FULL REPETITIVE TRANSFER
DEBIT ACCOUNT NUMBER AT BANK ONE
AFFILIATE WHERE DEBIT ACCOUNT IS LOCATED
0014926190
DEBIT ACCOUNT NAME
Fort Worth
City of North Richland Hills
CREDIT INFORMATION FOR INTERNAL REPETITIVE TRANSFERS
CREDIT ACCOUNT NUMBER AT BANK ONE
AFFILIATE WHERE CREDIT ACCOUNT IS LOCATED
CREDIT ACCOUNT NAME
DESTINATION BANK INFORMATION FOR OUTGOING FEDWIRE
DESTINATION BANK'S ABA NUMBER (DOMESTIC)
DESTINATION BANK'S NAME
Nationsbank of Texas, NA
BRANCH NAME OR 10 (IF APPLICABLE)
111000025
CITY AND COUNTRY IINTERNATlONAL)
Richland Bankin Center
BENEFICIARY INFORMATION
BENEFICIARY'NAME
BENEFICIARY'S ACCOUNT NUMBER AT DESTINATION BANK
Cit of North Richland Hills Cons Acct
ULTIMATE BENEFICIARY'S NAME IIF APPLICABLE)
5394008801
ULTIMATE BENEFICIARYS ACCOUNT NO. (IF APPLICABLE)
BY ORDER PARTY
SUPPLEMENTAL INFORMATION: (Only provide information which will remain constant each time this transfer is made, If the information varies from
each time this transfer is made, please note as well.)
TO BE COMPLETED BY BANK ONE. TEXAS
CUSTOMERSHORTNAME
REPEAT CODE
COMPLETED BY
DATE
AUDITED BY
DATE
-
BANKæONE.
PREPARED BY
MONEY TRANSFER SERVICES
CALL BACK VERIFICATION
FOR PHONE INITIATED TRANSFERS
July 25, 199
8-070048- T (" /92)
Call Back Verification serves two purposes: It provides an opportunity for you to determine that the transfer is correct and is placed by an authorized
individual. It affords us the opportunity to correct any errors in the transfer before it is processed.
It is our policy to endeavor to verify third party transfers and certain non-third party transfers by telephoning an authorized individual other than the
originator of the request. This option may be waived by your company/organization by completing the following:
o Call back not required.
IX] Call back required only if over $ -0-
o REPETITIVES 0 NONREPETITIVES
on (check one):
ŒI BOTH
Call back the following people in order (eight names maximum):
1. Jackie Theriot (817) 581-5542 4. Larrv J. Cunningham (817) 581-5535
2. Victor Jones (817) 581-5539
3. Bret Starr (817) 581-5552
Please indicate the account numbers for which these instructions apply. All accounts
Selected accounts (list below)
0014926190
TO BE COMPLETED BY BANK ONE, TEXAS, N.A.
CUSTOMER SHORTNAME
COMPLETED BY
rATE
rATE
AUDITED BY