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THOMAS C LARSEN 96-7444/3232 6380 <br /> PH.541.729.9160 / <br /> PH BOX 295 8 2 g i� <br /> CHESHIRE,OR 97419-0295 /��••-- PATE /�Q <br /> PAY TO THE C! - / V ,mort <br /> I $ /2 7 ti� <br /> ORDER OF �j . •7 (I�, -.�.O/`�� 1 DOLLARS ai „rSELCO P.O.Bea7487 / <br /> SPrle8fwl4,OR 97475 �./�/,/ � ` <br /> •, Convict nen raw , 800.445-4483•sdeO.0TQ ��/��'/ <br /> MEMO 41 <br /> • <br /> date <br /> 4,-/ 9 eb - t31 - `lci2co - 3lLk <br /> _� , 9-a , IV No. 3L0993 <br /> .- <br /> Ta�. 1 ...�..- k1u,.00 1 <br /> as r6,r nL:ec tfrom"44* ✓� 7- dollars <br /> � ter payment of_ LI ..1• ^ y s 'ties43 <br /> money credit /moi check <br /> (-1 OcBShU order 063rd IO' <br /> Pl *Mount due ' {/V <br /> 1 '�� ' Imm ��ro <br /> >imourtt paid <br /> i ;stance 0 o sgnature <br /> a oC2501WS <br /> l _ <br />