Dorchester Ice Company

Buzz Around Halifax, MA History

Halifax, Jones River Pond

At one time Silver Lake was known as Jones River Pond. It is said that ice merchants thought that ice from “Silver Lake” would taste…

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Last Name

First Name

Social Security Number

Work Phone

Action
NewChangeCancel

Effective Date

Name of Fianancial Institution

Account Number

Type of Account
CheckingSaving

Routing Transit Number

Ownership of Account
SelfJointOther

By signing this agreement, I authorize to initiate credit entries to account indicted above for the purpose of expense and / or payroll.

I also authorize to initiate , if neoessary,debit entries and adjustments for any credit entries made in error.

Singnature Date

if the account is a joint account or in someone else's name , that individual must also agree to the terms stated above by signing below.

Singnature Date

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