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MONTHLY DUES

Tom Backus

GAME COUNTS

Dec & Jan

Games

Worked

Payable Forfeits

Amt Due To:

Umpire

$⑫

FORFEIT LOG

Jan 13 @JR

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 2/14/25
━━━━━━━━━━━
-⑭- Games Worked-
▸ 10ᴳ Dec ● 4ᴳ Jan
━━━━━━━━━━━
Totals
▸ $28 Dues
▸ $40 Forfeit
━━━━━━━━━━━
LMK if your records show different.

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