Below is the result of your feedback form. It was submitted by () on Friday, January 16, 1998 at 11:36:48

---------------------------------------------------------------------------

BankName: Bank of America

BankCity: Dallas

BankState: TX

BankPhoneNumber: (214) 555-1212

BankRoutingNumber: 123456789

BankAccountNumber: 100005343401

CheckNumber: 0214

BottomCheckRow: 1234567891000053434010214

CustomerBusinessName: Acme Corporation

CustomerFirstName: Joe

CustomerLastName: Smith

CustomerAddress: 20023 Frontage Road

CustomerCity: Tampa

CustomerState: FL

CustomerZip: 33245

CustomerPhone: 800-555-1212

CustomerEMailAddress: nobody@nowhere.com

EmailAddressVerify: nobody@nowhere.com

TotalCost: 9.95