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MONTHLY DUES
Glenn P.
GAME COUNTS
Jul/Aug/Sep/Oct
Games
Worked
- ㊾ -
Payable Forfeits
- ⓪ -
Amt Due To:
Assignor
﹩96⁰⁰
FORFEIT LOG
N/A
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
▸ $96⁰⁰ AMT DUE:
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LMK if your records show different.
Pls remit by Nov 16
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