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N0. <br />DATE I~- /~'d~ <br />FROM ~T ~!/ IIbGAA ~ :t.~. ~ a ~~... <br />I ~. 1 ~,.. ~ ~~/M~.i' AMtn~~.~ DOLLARS <br />Account Total $ <br />Amount Paid $ <br />,t-'.~ <br />Balance Due $ Signature <br />