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DOUGLAS RAY
7144 HERMITAGE ST APT 2
PITTSBURGH, PA 15208-1113
Contact Information
Name DOUGLAS RAY
Banking Information
Routing Number 256074974
Account Number e-Checking - 7075615521
Deposit Amount 100%
Financial Institution
Name Navy Federal Credit Union
Address PO Box 3000
Merrifield, VA 22119-3000
Phone Number 1-888-842-6328
Signature
I authorize my employer to initiate the direct deposit of my paycheck into the account listed above. I understand my typed name will appear on the signature line
and have the same legal effect as a hand-written signature. I understand direct deposit will not be initiated until I have submitted this form to my employer and it
has been fully processed.
DOUGLAS RAY
7144 HERMITAGE ST APT 2 NON-NEGOTIABLE 04/22/2021 ET 001
ID
PITTSBURGH, PA 15208-1113 DATE
O
PAY TO THE
ORDER OF
V
Security
Features
DOLLARS Details on
Back.
FOR
256074974 7075615521
ROUTING NUMBER ACCOUNT NUMBER