NOTICE TO BANK
                            TO STOP PAYMENT ON CHECK



                                      Date:



        TO:




        Gentlemen:

               You are hereby directed to stop payment upon presentment 
        of the following check:

               Name of Payee:

               Date of Check:

               Amount:

               Check Number:

               This stop order shall remain in effect until further 
        written notice.


                                       _______________________________
                                       Name of Account



                                       _______________________________
                                       Account Number
        
        
                                       By:____________________________
        
        This form should be sent again after six months.
        
                                                   Form 121                    
                       
      

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