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MONTHLY DUES

Alex D.

GAME COUNTS

Jul/Aug/Sep/Oct

Games

Worked

㊼ +$94

Payable Forfeits

⓷ -$120

Amt Due To:

Umpire

ᴵᴼᵁ $26⁰⁰

FORFEIT LOG

⇓⇓⇓
9/10 ● ED3
9/28 ● JR
10/1 ● PA1

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 11/11/25
━━━━━━━━━━━
TOTALS
▸ $94 Dues (+)
▸ $120 Forfeit (-)
▸ AMT DUE to Umpire: $26⁰⁰
━━━━━━━━━━━
LMK if your records show different.
Pld remit by (N/A)...

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