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MONTHLY DUES
Dale M.
GAME COUNTS
Apr/May/Jun
Games
Worked
- 59 -
Payable Forfeits
- ⓷ -
Amt Due To:
Assignor
ᴵᴼᵁ $⓶⁰⁰
FORFEIT LOG
⇓⇓⇓
6/05 ● ED3
6/19 ● ED4
6/19 ● ED4
PAYMENT OPTIONS
Zelle
Andre Thomas
714-588-8781
Venmo
Andre Thomas
@Ace-Thomas65
ASSIGNOR'S NOTES
⥣ᴾdated 7/10/25
━━━━━━━━━━━
TOTALS
▸ $118 Dues (+)
▸ $120 Forfeit (-)
▸ AMT DUE: ᴵᴼᵁ $⓶⁰⁰
━━━━━━━━━━━
LMK if your records show different.
Pls remit by July 20
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