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MONTHLY DUES
Ashley Ross
GAME COUNTS
Jul/Aug/Sep/Oct
Games
Worked
- ㉘ -
Payable Forfeits
- ⓵ -
Amt Due To:
Assignor
$16
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
▸ $56⁰⁰ | 28 Games
▸ $40⁰⁰ | 1st Forfeit 9/18-PA2
= $16 Due to Assignor
FYI: 2nd Forfeit on 10/10 @JR
Paid via Zelle
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LMK if your records show different.
Pls remit by Nov 16
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