PAY
to
the order of
100 DOLLARS
FOR
PER

DATE
TO
 
FOR
 
PST AMOUNT
GST / HST AMOUNT
GST / HST NO.
BALANCE FORWARD
THIS CHEQUE
DEPOSIT
DEPOSIT
OTHER
BALANCE
00001
00001
C00001C
A00000D000AC
CALL TO RE-ORDER
1-866-760-2661
PRINT AND CHEQUES
NOW INC.