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Oregon Department of Revenue to the state treasurer se-~o <br /> Salem,OR9 730 1-2 555 Output ID Number_ Salem, OR97301~896 34499861. 12az <br /> 503-37$-4988 474447 19 100 06 1 2 2 _ (0057069 ) <br /> 2006 12/06/07 <br /> DCN . 83093444 - .:Year Check-Date ; <br /> ~Pay:Exactly ~ * ~ * ~ * * * 19 7 ..Dollars and 35 Cents ~ ~ g ~ . 3 ~J <br /> Check Amount <br /> <br /> ' PAY TO ~ , <br /> <br /> ' THE 47444719:' <br /> _ORDEROF 141EYER ;HAROLD E, ~VOIDAFTER2YEARSFROMDATEOFISSUE) <br /> MEYER, ;-M/~RTHA A . <br /> 4055 ROYAL AVE APT NO # 74 <br /> EUGENE OR 87402 - ~ <br /> x ~ ~ ~ <br /> y - y ~ d_. - AUTHORIZED SIGNATURE <br /> • • • • e e s - . - <br /> i <br /> 11' 3449986 La' ~ 2 3 200 i0 L~: 1500 211' <br /> _ <br /> a, c~ ~ ' <br /> Security Fea4ares: Results ofdocument alteratian: ~ <br /> ivlicroPrint Signe.ure Line Small type. in signature line appears as dotted Ririe when photocopied - ~ x <br /> m <br /> Chemical Protection ~ Stains or-spots appear with eheR)ical alteration a3 <br /> Erasure Protection White mark appears when erased ~ <br /> Absence of "Ori final Document" verbiage on backof check ,~',ml <br /> Securit}~ Screen ~ <br /> Visible Overt Fibers Absence of blue fiibers in paper y~ <br /> I _ ~ <br /> L~ + FEDERAL RESERVE BOARD OF G.OVERN6RS RE.G, CC a <br /> - r- C(> <br /> ~C7 <br /> ~ <br /> v <br /> s <br /> ~r <br /> ~~`x <br /> vi <br /> r <br /> m 1~ <br /> ~I <br /> <br />