Sterling Bank of Asia
Request For Check Pullout
Date:	November 25 2013
Account No.:	12345678
Account Name:	Sample Account

I would like to request the following check(s) be pulled out from PDC Warehousing: 

Batch No.:	Check No.	Check Date	Amount	
000002	12490	10/07/2013	890.00	
000002	1827776	10/07/2013	2,145.00	
Total Checks : 	2		Grand Total : 	3,035.00

Requested By
Print Name: Sample User
Signature	: ______________________

