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MONTHLY DUES

Jeorge H.

GAME COUNTS

Feb & Mar

Games

Worked

-⓺-

Payable Forfeits

-⓪-

Amt Due To:

Assignor

$⑫⁰⁰

FORFEIT LOG

N/A

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 4/9/25
━━━━━━━━━━━
Games Worked
▸ 6ᴳ Feb & Mar
━━━━━━━━━━━
Totals
▸ $⑫⁰⁰ Dues
━━━━━━━━━━━
▸ LMK if your records show different.

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