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MONTHLY DUES
Jose N.
GAME COUNTS
Jul/Aug/Sep/Oct
Games
Worked
- ㉙ -
Payable Forfeits
- ⓵ -
Amt Due To:
Assignor
$46⁰⁰
FORFEIT LOG
⇓⇓⇓
9/18 ● ED4
PAYMENT OPTIONS
Zelle
Andre Thomas
714-588-8781
Venmo
Andre Thomas
@Ace-Thomas65
ASSIGNOR'S NOTES
⥣ᴾdated 11/12/25
━━━━━━━━━━━
▸ $28 Dues (Apr/May/Jun) UNPAID
▸ $58 Dues TOTALS (Jul/Aug/Sep/Oct)
=$86
- $40 Forfeit on 9/18 @ED4
$46 Total Amt Due
━━━━━━━━━━━
LMK if your records show different.
Pls remit by Nov 16
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