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MONTHLY DUES

Nick T.

GAME COUNTS

Apr/May/Jun

Games

Worked

- ⑲ -

Payable Forfeits

- ⓵ -

Amt Due To:

Assignor

ᴵᴼᵁ﹩⓸⁰⁰

FORFEIT LOG

⇓⇓⇓
4/9 ● PA2

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
▸ ᴵᴼᵁ﹩⓸⁰⁰
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▸ LMK if your records show different.

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