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As as orctl8lomer Cashier's Check 1015004480 <br /> mace to customer <br /> mavens oe:h, <br /> theta.poseur agrees to01aC d <br /> art a eer <br /> bend Dnat to the refund ce reGbcUtent Ms 96-50511232 <br /> check nthe emelt a a lest.TSD1Kb,a steam <br /> , <br /> FFIS December 26 2018 <br /> Remitter Date <br /> Pay to the $40.00 <br /> order of city of.Rug <br /> Forty and 00/100111$Dollars <br /> Memo Application fee Alton Baker <br /> 1. 86•/864082 <br /> UMPQUA (1•-884-166.7792) <br /> BANK <br /> _ 1952 <br /> 'mAUDE I KERNS ART CENTER 98-50W1272 <br /> 1910E 16TH AVE la i1013 <br /> i EUGENE.OR 97403-2007 Date <br /> I' <br /> Pay to the i-k- .c\ — r • - $ 'C C <br /> Order of • <br /> 1, Dollars la F.C. <br /> gun 1-866,4uMPQUA <br /> 6•A•N•e 0.866486-77112) <br /> L� ^ r _ ll <br /> 'For�1�l t4N 1�`'rni•i- I'L'L � i,1^firL�(/..a/+-(/C�/ �—•-• "e <br />