top of page

MONTHLY DUES
Tom Backus
GAME COUNTS
Apr/May/Jun
Games
Worked
- ㉘ -
Payable Forfeits
⓶
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
bottom of page