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MONTHLY DUES

Dale M.

GAME COUNTS

Jul/Aug/Sep/Oct

Games

Worked

- 44 -

Payable Forfeits

- 2 -

Amt Due To:

Assignor

$⓺⁰⁰

FORFEIT LOG

⇓⇓⇓
9/26 ● ED4
9/30 ● JR

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 11/12/25
━━━━━━━━━━━
TOTALS
▸ $88 Dues (+)
▸ $80 Forfeit (-)

AMT DUE:
▸ $⓶⁰⁰ (ᴵᴼᵁ last cycle)
▸ $⓼⁰⁰ Umpire Owes
▸ $⓺⁰⁰ Dues
━━━━━━━━━━━
LMK if your records show different.
Pls remit by Nov 16

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