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Text File  |  1997-10-23  |  83b  |  15 lines
  1. …from
  2.  
  3. Paid by:
  4.  
  5. Total Allocated:
  6.  
  7. Amount:
  8.  
  9. Reference:
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  11. Refund Date:
  12.  
  13. Customer:
  14.  
  15.