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DI EC DE I

.c e .c EN LLMEN F M

ACCO N INFORMA ION


NAME LA 4 F N ID N MBE

J Da e

ADD E

5731 B a b e a e Rd A, G ee b , NC 27409

DEPOSI OR ACCO N INFORMA ION


DE I NAME ING N MBE ACC N N MBE AM N DE I

C e 091302966 304191103023 100%

OIDED CHECK

J D 12

D
5731 B R A

I
G , NC 27409 DATE

O
$

V
PAY TO THE
ORDER OF

DOLLARS

C F G 4501 23 A S F ND 58104

MEMO

091302966 304191103023 123


T e a e ded c ec a be ded e e e a e e e e ce e d ec de C e Acc .

A HORI A ION SIGNA RE

Ia eP aH (e e/ a e) a e c ed e e , a d, ece a a ea deb e e
c ec e c ed e , C e I d d a Acc .T a e a e ec I
e e e a a e e ec ed b e e a e.

John Daniels
IGNA E
11/02/2021

DA E

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