%PDF-1.3 %âãÏÓ 1 0 obj << /Length 196 >> stream €€M9€³M9»»D(™Ì3<<<³³M9³€M933 ªªUJ MMM9ff3333™™33f3 3 €€"""M€M9ÄÄ<Ì™3MMf™f~3™3+++3 f™3 33 M€Mf33M 3 DDD(¢¢^[™™f~™ff~3f €MMUUUJ3™ffff~M³M9€MM9ÌÌ3endstream endobj 2 0 obj [/Indexed/DeviceCMYK 48 1 0 R] endobj 3 0 obj << /Width 171 /Length 22743 /ColorSpace 2 0 R /Subtype/Image /BitsPerComponent 8 /Height 133 /Type/XObject >> stream ! " # $ # # # # % & % % ' # %% $ ! % ( ) % # % % * * % + $ % % " % % # " ( , % % + ! % # - " ( % # ! . + % # % ! % - # # / 0 endstream endobj 4 0 obj << /Length 8938 >> stream /GS0 gs q 0 0 595 841 re W n 1 g 0 841 0 0 re f Q /GS0 gs q 0 0 595 841 re W n Q /GS0 gs /GS0 gs /GS0 gs q 0 0 595 841 re W n /GS2 gs 0 0 0 0 k 28.346 283.087 538.583 404.842 re f Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 29.3464 678.7232 Tm 0 Tr 0 0 0 1 k 0.025 Tw [(Please complete parts 1 to 4 to instruct your Bank to make payments directly from your account. )18(Then return)]TJ 0 -1.2 TD -0.0001 Tc (the form to :-)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F1 1 Tf 12 0 0 12 65.3464 635.5233 Tm 0 Tr 0 0 0 1 k 0.001 Tc 0.025 Tw [(Clogher)-256(Historical Society/Cumann Seanchais Chlochair)]TJ 0 -1.2 TD [(St Macar)1(tan\325)38(s College)]TJ 0.0011 Tc (Mullaghmurphy)' 0.0012 Tc (Monaghan)' 22 0 0 22 29.3464 527.8852 Tm 0 Tc (1)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 43.3464 527.8852 Tm 0 Tr 0 0 0 1 k -0.0001 Tc 0.025 Tw (Please write the name & full address of your bank & branch)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F1 1 Tf 22 0 0 22 29.3464 448.6854 Tm 0 Tr 0 0 0 1 k (2)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 43.3464 448.6854 Tm 0 Tr 0 0 0 1 k -0.0001 Tc 0.025 Tw (Name of account holder)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F1 1 Tf 22 0 0 22 29.3464 393.4855 Tm 0 Tr 0 0 0 1 k (3)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 43.3464 393.4855 Tm 0 Tr 0 0 0 1 k 0.025 Tw [(Sort Code & )55(Account Number )]TJ ET Q /GS2 gs q 0 0 595 841 re W n BT /F1 1 Tf 22 0 0 22 29.3464 352.6856 Tm 0 Tr 0 0 0 1 k (4)Tj ET Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 43.3464 352.6856 Tm 0 Tr 0 0 0 1 k 0.025 Tw [(Y)100(our instructions to the Bank, and your Signature)]TJ 1.8333 -1.6301 TD [(I instruct you to pay Direct Debits from my account at the request of Clogher Historical Society)65(.)]TJ 0 -1.2 TD -0.0001 Tc (I confirm that the amounts to be debited are variable and may be debited on various dates.)Tj 0.0516 Tw (I shall duly notify the bank in writing if I wish to cancel this instruction. I shall also so notify Clogher)' 0.025 Tw (Historical Society of such cancellation.)' ET /GS0 gs 0 0 0 0 k 249.699 396.778 20.5 20.5 re f /GS2 gs 0 J 0 j 0.4 i 10 M []0 d 0.5 w 0 0 0 1 K 249.699 396.778 20.5 20.5 re s /GS0 gs 364.39 396.292 20.5 20.5 re f /GS2 gs 364.39 396.292 20.5 20.5 re s /GS0 gs 341.452 396.454 20.5 20.5 re f /GS2 gs 341.452 396.454 20.5 20.5 re s /GS0 gs 318.514 396.535 20.5 20.5 re f /GS2 gs 318.514 396.535 20.5 20.5 re s /GS0 gs 295.575 396.616 20.5 20.5 re f /GS2 gs 295.575 396.616 20.5 20.5 re s /GS0 gs 272.637 396.697 20.5 20.5 re f /GS2 gs 272.637 396.697 20.5 20.5 re s /GS0 gs 387.329 396.373 20.5 20.5 re f /GS2 gs 387.329 396.373 20.5 20.5 re s /GS0 gs 410.267 396.211 20.5 20.5 re f /GS2 gs 410.267 396.211 20.5 20.5 re s 452.724 721 114.205 91.654 re f q 452.724 721 114.205 91.654 re W n /GS0 gs q 116.3361 0 0 90.4837 451.446 723.0473 cm /Im1 Do Q Q 220.974 696.25 209.705 20.5 re f BT /F0 1 Tf 14 0 0 14 222.2244 705.9263 Tm 0 0 0 1 k (Originators Identification No.(OIN))Tj ET 220.974 696.25 209.705 20.5 re s /GS0 gs 0 0 0 0 k 431.974 696.25 20.5 20.5 re f /GS2 gs BT /F0 1 Tf 14 0 0 14 439.2205 705.9263 Tm 0 0 0 1 k 0 Tc (3)Tj ET 431.974 696.25 20.5 20.5 re s /GS0 gs 0 0 0 0 k 545.179 696.195 20.5 20.5 re f /GS2 gs BT /F0 1 Tf 14 0 0 14 547.4213 705.8712 Tm 0 0 0 1 k (9)Tj ET 545.179 696.195 20.5 20.5 re s /GS0 gs 0 0 0 0 k 522.825 696.25 20.5 20.5 re f /GS2 gs BT /F0 1 Tf 14 0 0 14 525.0668 705.9263 Tm 0 0 0 1 k (6)Tj ET 522.825 696.25 20.5 20.5 re s /GS0 gs 0 0 0 0 k 500.474 696.25 20.5 20.5 re f /GS2 gs BT /F0 1 Tf 14 0 0 14 502.7165 705.9263 Tm 0 0 0 1 k (0)Tj ET 500.474 696.25 20.5 20.5 re s /GS0 gs 0 0 0 0 k 477.147 696.25 20.5 20.5 re f /GS2 gs BT /F0 1 Tf 14 0 0 14 479.3896 705.9263 Tm 0 0 0 1 k (4)Tj ET 477.147 696.25 20.5 20.5 re s /GS0 gs 0 0 0 0 k 454.474 695.752 21.496 21.496 re f /GS2 gs BT /F0 1 Tf 14 0 0 14 456.7165 706.4242 Tm 0 0 0 1 k (0)Tj ET 454.474 695.752 21.496 21.496 re s /GS0 gs 0 0 0 0 k 28.596 560.951 116.212 18.466 re f /GS2 gs BT /F0 1 Tf 12 0 0 12 33.4193 569.9606 Tm 0 0 0 1 k -0.0001 Tc (Originators Reference)Tj ET 28.596 560.951 116.212 18.466 re s /GS0 gs 0 0 0 0 k 146.952 561.1 116.211 18.4661 re f Q /GS2 gs q 0 0 595 841 re W n BT /F1 1 Tf 12 0 0 12 151.5021 570.1102 Tm 0 Tr 0 0 0 1 k 0.0011 Tc 0.025 Tw (Membership ROI)Tj ET 0 J 0 j 0.4 i 10 M []0 d 0.5 w 0 0 0 1 K 146.952 561.1 116.211 18.4661 re s /GS0 gs 0 0 0 0 k 28.596 482.583 538.083 28.834 re f Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 31.2638 501.9606 Tm 0 Tr 0 0 0 1 k -0.0001 Tc (Bank)Tj 0 -1.2 TD 0.025 Tw (Branch )Tj ET 0 J 0 j 0.4 i 10 M []0 d 0.5 w 0 0 0 1 K 28.596 482.583 538.083 28.834 re s /GS0 gs 0 0 0 0 k 249.699 370.367 20.5 20.5 re f /GS2 gs 249.699 370.367 20.5 20.5 re s /GS0 gs 364.39 369.881 20.5 20.5 re f /GS2 gs 364.39 369.881 20.5 20.5 re s /GS0 gs 341.452 370.043 20.5 20.5 re f /GS2 gs 341.452 370.043 20.5 20.5 re s /GS0 gs 318.514 370.124 20.5 20.5 re f /GS2 gs 318.514 370.124 20.5 20.5 re s /GS0 gs 295.575 370.205 20.5 20.5 re f /GS2 gs 295.575 370.205 20.5 20.5 re s /GS0 gs 272.637 370.286 20.5 20.5 re f /GS2 gs 272.637 370.286 20.5 20.5 re s /GS0 gs 387.329 369.962 20.5 20.5 re f /GS2 gs 387.329 369.962 20.5 20.5 re s /GS0 gs 410.267 369.8 20.5 20.5 re f /GS2 gs 410.267 369.8 20.5 20.5 re s 28.346 781 419.528 31.654 re f BT /F0 1 Tf 20 0 0 20 30.3386 797.9768 Tm 0 0 0 1 k 0 Tc [(Instruction to your Bank to pay)-250(Direct Debits)]TJ ET 2 w 304.724 407 m 308.724 407 l S 372.724 407 m 376.724 407 l S /GS0 gs 0 0 0 0 k 28.596 82.707 538.083 191.71 re f Q /GS2 gs q 0 0 595 841 re W n BT /F1 1 Tf 14 0 0 14 213.4682 247.5929 Tm 0 Tr 0 0 0 1 k 0.001 Tc 0.025 Tw [(The Dir)19(ect Debit Guarantee)]TJ ET Q /GS2 gs q 0 0 595 841 re W n BT /F0 1 Tf 12 0 0 12 67.8464 221.9606 Tm 0 Tr 0 0 0 1 k -0.0001 Tc 0.025 Tw (This is a guarantee provided by your own bank as a member of the Direct Debit Scheme, in which )Tj 0 -1.2 TD (Banks and Originators of Direct Debits participate.)Tj (If you authorise payment by Direct Debit, then)' 5.8333 -1.2 TD 0 Tc [(Y)100(our Direct Debit Originator will notify you in advance of the amounts to be debited to )]TJ -0.0001 Tc (your account)' T* 0 Tc [(Y)100(our Bank will accept and pay such debits, provided that your account has suf)18(ficient )]TJ -0.0001 Tc (available funds)' -5.8333 -1.2 TD 0 Tc [(If it is established that an unauthorised Direct Debit was char)18(ged to your account, you are guaranteed )]TJ T* [(a prompt refund by your Bank of the amount so char)18(ged.)]TJ T* [(Y)100(ou can cancel the Direct Debit Instruction in good time by writing to your Bank.)]TJ ET 108.516 152.7955 m 108.516 151.2301 107.2467 149.961 105.681 149.961 c 104.1153 149.961 102.846 151.2301 102.846 152.7955 c 102.846 154.361 104.1153 155.63 105.681 155.63 c 107.2467 155.63 108.516 154.361 108.516 152.7955 c f* 108.516 181.5955 m 108.516 180.03 107.2467 178.761 105.681 178.761 c 104.1153 178.761 102.846 180.03 102.846 181.5955 c 102.846 183.1609 104.1153 184.43 105.681 184.43 c 107.2467 184.43 108.516 183.1609 108.516 181.5955 c f* 0 J 0 j 0.4 i 10 M []0 d 0.5 w 0 0 0 1 K 28.596 82.707 538.083 191.71 re s 0 0 0 0 k 28.346 27.457 538.583 41.866 re f BT /F0 1 Tf 14 0 0 14 29.3464 58.7493 Tm 0 0 0 1 k 0 Tw [(Signature(s):..............................................................)-5050(Date:........................................)]TJ ET /GS0 gs 0 0 0 0 k 249.699 433.061 316.98 28.833 re f /GS2 gs 249.699 433.061 316.98 28.833 re s 0 0 0 1 k 49.016 338.1655 m 49.016 336.6 47.7467 335.331 46.181 335.331 c 44.6153 335.331 43.346 336.6 43.346 338.1655 c 43.346 339.731 44.6153 341 46.181 341 c 47.7467 341 49.016 339.731 49.016 338.1655 c f* 49.016 324.2085 m 49.016 322.643 47.7467 321.374 46.181 321.374 c 44.6153 321.374 43.346 322.643 43.346 324.2085 c 43.346 325.774 44.6153 327.043 46.181 327.043 c 47.7467 327.043 49.016 325.774 49.016 324.2085 c f* 49.016 310.2085 m 49.016 308.643 47.7467 307.374 46.181 307.374 c 44.6153 307.374 43.346 308.643 43.346 310.2085 c 43.346 311.774 44.6153 313.043 46.181 313.043 c 47.7467 313.043 49.016 311.774 49.016 310.2085 c f* 48.059 226.9785 m 48.059 225.4131 46.79 224.144 45.2245 224.144 c 43.659 224.144 42.39 225.4131 42.39 226.9785 c 42.39 228.544 43.659 229.813 45.2245 229.813 c 46.79 229.813 48.059 228.544 48.059 226.9785 c f* 48.059 197.0215 m 48.059 195.456 46.79 194.187 45.2245 194.187 c 43.659 194.187 42.39 195.456 42.39 197.0215 c 42.39 198.5869 43.659 199.856 45.2245 199.856 c 46.79 199.856 48.059 198.5869 48.059 197.0215 c f* 48.059 126.0215 m 48.059 124.456 46.79 123.187 45.2245 123.187 c 43.659 123.187 42.39 124.456 42.39 126.0215 c 42.39 127.5869 43.659 128.856 45.2245 128.856 c 46.79 128.856 48.059 127.5869 48.059 126.0215 c f* 48.059 96 m 48.059 94.4343 46.79 93.165 45.2245 93.165 c 43.659 93.165 42.39 94.4343 42.39 96 c 42.39 97.5657 43.659 98.835 45.2245 98.835 c 46.79 98.835 48.059 97.5657 48.059 96 c f* Q endstream endobj 5 0 obj << /SA false /OPM 1 /Type/ExtGState /OP false >> endobj 6 0 obj << /SA false /OPM 1 /Type/ExtGState /OP true >> endobj 7 0 obj << /Nums[0<
>] >> endobj 8 0 obj << /Name/F0 /Encoding/MacRomanEncoding /Type/Font /BaseFont/Times-Roman /Subtype/Type1 >> endobj 9 0 obj << /Name/F1 /Encoding/MacRomanEncoding /Type/Font /BaseFont/Times-Bold /Subtype/Type1 >> endobj 10 0 obj << /Count 1 /Type/Pages /Kids[11 0 R] >> endobj 11 0 obj << /Contents 4 0 R /MediaBox[0 0 595.276 841.89001] /Resources<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>/ColorSpace<>/XObject<>>> /Type/Page /Parent 10 0 R >> endobj 12 0 obj << /Type/Catalog /PageLabels 7 0 R /Pages 10 0 R >> endobj 13 0 obj << /CreationDate(20051130121032) /Creator(QuarkXPress(tm) 6.0) /Producer(QuarkXPress(tm) 6.0) /XPressPrivate(%%DocumentProcessColors: Cyan Magenta Yellow Black\n%%EndComments) >> endobj xref 0 14 0000000000 65535 f 0000000015 00000 n 0000000261 00000 n 0000000307 00000 n 0000023192 00000 n 0000032181 00000 n 0000032245 00000 n 0000032308 00000 n 0000032347 00000 n 0000032452 00000 n 0000032556 00000 n 0000032613 00000 n 0000032859 00000 n 0000032927 00000 n trailer << /Size 14 /Root 12 0 R /Info 13 0 R /ID[