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RECEIPT <br />RECEIVED FROM <br />ADDRESS <br />DATE NO. 4 8 7 a <br />FOR <br />ACCOUNT <br />AMT. OF <br />ACCOUNT <br />AMT. <br />PAID <br />BALANCE <br />DUE <br />O CASH / <br />9 CHECK 7j Z- <br />O MONEY / I <br />ORDER BY L <br />02001 99DIFO-0 8LB20 <br />