This document is a check for $300 from Katherine Mansfield at People United Bank to R Mansfield for repayment on August 2, 2012. The check includes the memo "repayment" and has been authorized and signed by Katherine Mansfield.

1. 6500311640/
O000101O
repayment
T221172186T
THE SUM OF 300 DOLLARS AND 00/100 CENTS****************************************************************
$300.00
Katherine Mansfield People United Bank
08/02/2012
101
Pay To The Order Of:
FOR DEPOSIT ONLY INTO COMPANY ACCOUNT
Memo:
R Mansfield
THE SUM OF 300 DOLLARS AND 00/100 CENTS****************************************************************
$300.00
Katherine Mansfield People United Bank
08/02/2012
101
repayment
Payable In U.S. Funds
R Mansfield
THE SUM OF 300 DOLLARS AND 00/100 CENTS****************************************************************
$300.00
Katherine Mansfield
08/02/2012
101
repayment
Payable In U.S. Funds
Memo:
R Mansfield
CHECK AUTHORIZATION NOTICE
CHECK AUTHORIZATION NOTICE SENT
Send This Copy To Your Client
Keep This Copy For Your Records
NOT-NEGOTIABLE
NOT-NEGOTIABLE
Payment authorized by accountholder. Indemnification
R Mansfield
Signature Not Required Per Agreement
agreement provided by:
Pay To The Order Of:
Memo:
Pay To The Order Of:
People United Bank