Res 2006-035 - Laserfiche WebLink

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TREASURY SERVICES DELEGATION OF AUTHORITY FORM This form is optional and is to be used when you wish to delegate authority to sign various authorization forms to someone other than the person who signed the Authorization and Agreement form in the front of this Booklet. By signing below, you authorize the incumbent of the specified position listed in Section A or each person listed in section B below, acting alone, to execute documents that we may request, and any amendments or renewals thereof, pertaining to the use of Services, including but not limited to designating one or more persons (which may include himself or herself) authorized to initiate, amend, cancel, confirm or verify the authenticity of instructions to us for Services, whether given orally, electronically or by facsimile instructions, and to revoke any authorization granted to any such person, as he or she deems appropriate. The signer of this form has the same authority described above for each Service with us, unless otherwise specified. We are entitled to rely upon this delegation until written notice of its revocation is received by us. Guidelines for Completion: Fill out either section A or section B, or both, depending on your needs. . To delegate authority to any person holding a specific title, fill out section A. . To delegate authority to specific individuals by name, fill out section B. For each name or title, indicate "All" in the "Service" column if the person or title has authority to sign documents for all Services which you receive from us, Otherwise, indicate specific Services for which the person or title has authority For each name or title, indicate the entity or entities for which the person or title has authority to sign documents. A. TO DELEGATE AUTHORITY TO ANY PERSON HOLDING SPECIFIC POSITIONS Title ~dtti,~"c~t.~,~ I Service Entity B. TO DELEGATE AUTHORITY TO SPECIFIC INDIVIDUALS CLIENT AUTHORIZATION Client Authorization Instructions. The same person who signed the Authorization and Agreement for Treasury Services form must sign this Treasury Services Delegation of Authority form, 0I\~(cn \ \ c200LP Dated ~ '~I Ie\.. c...~^ rflw"106 ~EmNAM<< .8 AD-AG -04 5 5 B , , I II