EFTA00186539 Fax:15616834532 ** Transmit Conf. Report **
Fax/Phone NumberModeStartTimePageResultNote
916082407496NORMAL22,15:590’21”1#0K
Company Name:NGS, LLCCompany Number:Corporate Account:
SECTION 1-AUTHORIZED USERS
NameAlfredo RodriguezCredit Line 2,500Cash Advance Capability "D" or % of Limit Pin Y/N
Div. ID Div. Name Dept. ID Dept. Name
General Asst.
Mothers Maiden Name (Optional)Social Security Number (Optional)453-49-9253Home telephone # (Optional)Account Number (A)
Cardholder billing address457 Madison Ave Fourth FloorCity New YorkState N.Y.
Special Handling Instructions:Federal ExpressZillow
Plastic address if different from Cardholder billing address:CityState
NameJoseph RuedaCredit Line 1,000Cash Advance Capability "D" or % of Limit Pin Y/N
Div. ID Div. Name Dept. ID Dept. Name
General Asst.
Mothers Maiden Name (Optional)Social Security Number (Optional)Home telephone # (Optional)Account Number
Cardholder billing addressSAMSCityState
Special Handling Instructions:Federal ExpressZillow
Plastic address if different from Cardholder billing address:CityState
NameLuciano FontanillaCredit Line 1,000Cash Advance Capability "D" or % of Limit Pin Y/N
Div. ID Div. Name Dept. ID Dept. Name
General Asst.
Mothers Maiden Name (Optional)Social Security Number (Optional)Home telephone # (Optional)Account Number
Cardholder billing addressSAMSCityState
Special Handling Instructions:Federal ExpressZillow
Plastic address if different from Cardholder billing address:CityState
* Visa Purchasing Card Options
Y=Yes, N=No, D=Default to Company Set-up (if yes, indicate % of limit available for cash)
Financial Institution Name: Colonial Bank
Jeff Desmond
Date: 9/22/04
233-107 MIDSbc (11/00)