ent000988-027

REQUEST FOR DISBURSEMENT TO ACCOUNTING DEPARTMENT: PLEASE DRAW CHECK PAYABLE TO: name NEW YORK LEAGUE FOR A.H.R.C. INC AnnBFSS 380 SECOND AVE nTv NEW YORK, STATE_ NEW YORK, 10010 DATE. 8/29/69 AMOUNT $100.00 CHARGE CHECK NO PAID REMARKS- PLEASE RETURN TO AL FREEMAN'S OFFICE FOR FORWARDING, THANK YOU. PER MR. C. COHEN REQUESTED BY r%v o Q^L AUDITOR'S APPROVAL. KAYCO FORM NO. 1204