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MONTHLY DUES

Tom Backus

GAME COUNTS

Apr/May/Jun

Games

Worked

- ㉘ -

Payable Forfeits

Amt Due To:

Umpire

ᴵᴼᵁ $34⁰⁰

FORFEIT LOG

⇓⇓⇓
6/09 ● ED4
6/10 ● JR

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 7/10/25
━━━━━━━━━━━
TOTALS
▸ $56 Dues (+)
▸ $80 Forfeit (-)
▸ ᴵᴼᵁ $24⁰⁰
━━━━━━━━━━━
LMK if your records show different.
Pls remit by July 20

TOM OPTED TO PUSH HIS DUES TO THE NEXT CYCLE

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