Partially printed DS, an application for an Instant Teller® card from Mercantile National Bank, filled out in type and signed in black ink, “Madonna Ciccone,” 8.5 x 3.5, no date [mid-to-late 1980s]. In very good condition, with a few creases (away from signature) and small spot next to, but not touching, signature. R&R COA.
