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MONTHLY DUES
Patricia H.
GAME COUNTS
Jul/Aug/Sep/Oct
Games
Worked
- ⑱ -
Payable Forfeits
- ⓪ -
Amt Due To:
Assignor
$㊱
FORFEIT LOG
No forfeits reported
PAYMENT OPTIONS
Zelle
Andre Thomas
714-588-8781
Venmo
Andre Thomas
@Ace-Thomas65
ASSIGNOR'S NOTES
⥣ᴾdated 11/12/25
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TOTALS
▸ $㊱⁰⁰ AMT DUE:
Pls pay NLT Nov 16
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LMK if your records show different.
-Ace-
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