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MONTHLY DUES

Glenn P.

GAME COUNTS

Apr/May/Jun

Games

Worked

- ⓾ -

Payable Forfeits

- ⓪ -

Amt Due To:

Assignor

﹩⑳⁰⁰

FORFEIT LOG

N/A

PAYMENT OPTIONS

Zelle

Andre Thomas

714-588-8781

Venmo

Andre Thomas

@Ace-Thomas65

ASSIGNOR'S NOTES

⥣ᴾdated 7/10/25
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TOTALS
▸ $⑳⁰⁰ AMT DUE:
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LMK if your records show different.
Pls remit by July 20

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