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MONTHLY DUES

Tom Backus

GAME COUNTS

Jul thru Oct

Games

Worked

- ㊱ -

Payable Forfeits

- ⓶ -

Amt Due To:

Umpire

iou $32⁰⁰

FORFEIT LOG

⇓⇓⇓
9/26 ● ED3
10/17 ● ED4

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 11/11/25
━━━━━━━━━━━
Last Cycle • ᴵᴼᵁ $24⁰⁰
Tom opted to push his dues to the next cycle

Current Cycle • July/Aug/Sep/Oct
▸ $72 Dues - $80 Forfeit (-) on 9/26 & 10/17
=$8 Owed to Tom B.

SUMMARY: $24 + $8
=$32 Owed to Tom B.
━━━━━━━━━━━
LMK if your records show different.
Pls remit $8 by Nov 16

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