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I CO ffiri4 3 rCki <br /> 5.-J ...1 DATE 3. * <br /> , , --1-il '` MINNIMMIIIIII: DOLLARS CZ1313 <br /> =MI" all <br /> c COINS <br /> g C) <br /> 1 rn TOTAL CASH <br /> Z NI :32 4-* -' -/- <br /> 13232311111110 11111 <br /> i r IIIIIIIIFIIEIMIIIIIIIKIIWIII 1 4 . - , <br /> 8 0 011111W11. 1 1)CM <br /> Lu <br /> 8 rt.1 0111111111111.1 Eill <br /> `:. -El lraIIIIIIIIIIII IIII <br /> f• CP CIIIIIIIIIIII IIII <br /> 8 .Tiy <br /> 3 1111111111111111 111 <br /> .1 <br /> cr <br /> i •II MIIIIIIIIIII NI F <br /> 1 •-' 011111111111111 IN <br /> 64 n_t <br /> = <br /> . LT1 CININI111111 MI <br /> `) •-• ra, 10 0. m <br /> w r.) <br /> 0 3e,‘ lgIIIIIIIIIIIII al <br /> z L_ <br /> 11111 iti) Oco .0 <br /> rT] ru 0 z IL' NI- E <br /> )--, 11111 11. li- <br /> .rr,1 a CMIINIIIIII IIII ul 0`,'>' ru § 1:1111111111111 INI ir --, ni- <br /> . .. <br /> r" •• <br /> IS. 131111111111111 IX W <br /> 1.-., <br /> ill 0 MI tr) 111311111111.111 all 0 <br /> D Z <br /> 110111111111111INMIll 0 Fa 11, <br /> ..... <br /> ..... <br /> 11:1111111111111111111 <br /> 0 tc <br /> CIMIIIIIIII MI <br /> I- <br /> 11111 c.) <br /> II <br /> 2 <br /> _1 w 00 4,,' --- <br /> EI ru • .., <br /> ' iffliliglIMI IIIII co <br /> --, 0 <br /> T, Ln w <br /> co <br /> 1.- <br /> c,- 11 !-• I.'2 '23"1111111112ffinim 11111 (.0 f,i• ...-0 75 a <br /> IIII /2. <br /> w ....: nj- <br /> i,..c. <br /> 1.1.1 <br /> :=111011111111110 .00 <br /> 1 -.• ::•.- .4.., <br /> 1 r' CD In <br /> 177',.. IMMO.. III/1 <br /> .._< <br /> -..... 1- .1.1 -. <br /> 0 <br /> ....!, W <br /> -J <br /> DI <br /> i ru t-,• <br /> • EMIMIIIIIII MI--- 11111 <br /> ..1 <br /> 0111511111 <br /> 1-- > <br /> PLESE <br /> ::::. TOTAL FROM OTHER •,-, al 4 T. ,.7, w <br /> O 1-,• SIDE OR A7FACHED LIST in-r <br /> REENTER ? i L I() z <br /> c TOTALHERE A ' , <br /> L < >„ <br /> t in 0" W 2 <br /> it. E I W 0 <br /> z <br /> 0 0 LLI <br /> o rn 3, 4:.• -1:, ''(4 c, — 7 0 cs ri z <br /> 0z)- ..r... 7., zi 2 <br /> 71 M ow <br /> rn • X 1.0 0 F,,, <br /> 4 ), <br /> I-- <br /> 0 <br /> Cs) m W W <br /> CC 1- <br /> Cr) •,- <br /> 0 W <br /> 0 D 0 <br /> LI, 0 <br /> 0 0 z 6 <br /> o <br /> ,,--.:,•43,— ,.- <br />