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CITY OF JERSEY VILLAGE, TEXAS16501 Jersey Drive Jersey Village, TX 77040 7134662111(office) 7134662134(fax)BANK DRAFT AUTHORIZATION FORM INITIAL BANK WITHDRAWAL DATE (MONTH/YEAR) PRINT NAME OF UTILITY

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Online PD Form 61D is a specific electronic filing form used for reporting certain financial information or data as required by regulatory authorities.

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