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ea • • e e e e <br /> Oregon Departmen# of Revenue To the state Treasurer ss_1o <br /> .Salem, OR 9 730 1-2555 Out put d D Number : Salem, oRS7sol~ass 34499861 ,z32 <br /> 503-378-4988 47444719 100 06 12 2 (005706.9.) <br /> DCN: 83093444 2006 12/06/07 <br /> I Year Check Date <br /> Pay_Exactiy ~ ~ ~ * * ~ * * 19 7 Dollars and 35 Cents $19 ~ . 3 5 <br /> Check Amount <br /> i <br /> PAY TO ~ i~ <br /> ~ THE 47444719' <br /> ORDER OF MEYER, HAROLD E (VOIOAFTER2YEARSFROMDATEOFISSUE) <br /> MEYER, `MARTH•A A <br /> 4055 ROYAL AVE APT NO # 74 <br /> EUGENE OR 97.402 "~`'~`~i <br /> _ , <br /> AUTHORIZED SIGNATURE <br /> a e• a •e a t o gee e e ee a <br /> J 11' 3449986 i11' ~ 23 200 LO i~: i 500 211' <br /> <br /> 1 <br /> _ _ _ <br /> <br />