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{ DATE o ®D cJ V <br /> CENTS p 1 s ' <br /> DOLLARS p ,s0� <br /> -i •l0 CURRENCY j m a .10 OO "+�I, <br /> O w Ty <br /> Z 0 COINS j m e <br /> m TOTAL Zrn CASH m o a< , LL <br /> c <br /> p <br /> 2 - ITI Z®n 6 59.,, .00 + <br /> 0 0 i- 10 5-3k661 (:—,Er,_::.[;o <br /> ® ram, .; 1M CD 001 _ m <br /> s • <br /> { -j r`7 iv 7 r:v <br /> 03 <br /> R1 _0 !I '' O <br /> ,o J r,X <br /> S T. <br /> r i <br /> ZL '_. 0 i i h I S r 17820 + <br /> 1, - If : 41 1 <br /> r 001 <br /> F <br /> 13 ®14 - rr. 178 2 <br /> a ▪ LEI p <br /> , ,srl c P 155.00 + <br /> r^., �� c', c �C <br /> —, co o 31 00 + <br /> 17 y 17.02 + <br /> ® µ HH 18 <br /> 33..1g. <br /> C <br /> ti99I> m r. D - r <br /> r0 1 J ry <br /> ._ IDCD C 275.2 3 `+ <br /> 1r O n o <br /> 1-.23:::: IA CI <br /> rC XI <br /> CI 24 -.a .. z <br /> 5 - 3 / <br /> 4-4- 0 <br /> 1, r. r•- —I a - 1 <br /> l a o <br /> a x immel <br /> TOTAL FROM OTHER <br /> r. SIDE OR ATTACHED LIST 46'n o <br /> ASE <br /> -�` REem EENTER O t F f ,Li.' <br /> TOTAL HERE L <br /> 4., in �, 15. 0 + <br /> S T' 3 <br /> 001 m Lv 3 W p -y -:.,.o <br /> zm 3'k v:•1 mmm � k <br /> ozi °' nno —0 -I cm 15 :w <br /> sm —' -v,m <br /> mx mny n C)'0 <br /> r _` <br /> mL7 any -*5- i� __ - <br /> Y4= zx i�, n _m TKO <br /> ! ow y _ m m Rt W , <br /> m ! / n� <br /> o° a-n Z --cn • <br /> xa aoo 15.23 <br /> D , <br /> X <br /> 15.-3 <br /> 12.00 + <br /> 5, : 010 + <br /> 80:0 + <br /> 178.20 + <br /> 773.20 + <br /> 46 00 + <br /> 15.23 + <br /> 6,528. 0 T <br /> 44: <br />