PAY TO THEORDER OF
MEMO
ROSENORT CREDIT UNION LIMITEDBOX 339ROSENORT, MB R0G 1W0
100 DOLLARS
$
D D M M Y Y Y Y
D D M M Y Y Y Y
VOID
To: Whom it may concern
Re: Void Cheque
Please accept this copy of a void cheque as a confirmation of ____________________ 's bank account information or for the purposes of pre-authorized debit or credit.
Member Signature/CU Stamp
Date
10157 - 879 -
RCU Void Cheque/Pre-Authorization Form