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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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