|
<br />i' r-: !\ "j' F.: (\ L...
<br />
<br />F" ~:;:: F:--;v~ __
<br />
<br />\1
<br />
<br />r; /"-;.'1. r.:< It p'.:).' ('.; '-,r,' '::., j::~.
<br />J...'/~ I 1.:_ " '.' ..~.\ ,.- .,' f f .... '_.'
<br />
<br />F' Pi~::::C-;J C:,C;t.jj--!-r'i/ 1 r~L.CIF~ T r::{~
<br />
<br />r ,- I
<br />.t. I! "
<br />
<br />,_.';:':::j;
<br />
<br />:~:,Cl>~'T l.:;,::~~(,::l' C:h: :;::1: ~
<br />
<br />:;: .::' .:::::_;i:;;. .::;For:: I C:C~ ~: r.
<br />
<br />.~ ;.,:,~ ~V; L ;~
<br />
<br />'."!.J~".-.I F'F':!JF'E:T I ['::::
<br />
<br />RECEIPT NUM8R: ~
<br />
<br />'.,,1.---.;'-.
<br />
<br />?411.:.:5
<br />
<br />(\ ;,::,[1.~:; :~
<br />
<br />.... .-1'7 ~..';
<br />
<br />,..,,c',,.
<br />l_.t ~-i f
<br />
<br />1. ~ ':,J r.~
<br />
<br />!:::r::;: IJ?~d~;[ C J-;
<br />
<br />", ,
<br />~ ,.- 1".
<br />
<br />!" .,'..
<br />
<br />C.He.C!<: 1'1' !. L;: ':;-
<br />: E,:;3C;l.JF,'('.:L::. 1;,":::~E:~ C:i\j r:-'[~F-\!~1 I.r .{,~:3::~~~~~...::"j
<br />
<br />T T \. (. / F~F'; -j \(F\I,-I I L.. L._~=;
<br />
<br />;. :J T {:: too P; ~.: : ~q.J!\ ;n ~
<br />
<br />1 :~~: ~:; .:.: :::::
<br />
<br />: ,:;_:)j\~; .'(J\" (.,';;":C.' :~J;',,!r
<br />
<br />c: ::~: l"-,: 'r E': r~
<br />
<br />A 11 () iJ j\J l'
<br />
<br />I~IE~;!:::F~J:F'!-r]:CfN/l:."E:RM1' ~:!A~.A I:)P,I_.j.<
<br />
<br />t..l-....;",
<br />
<br />.j '1 .',
<br />~ .t..'.l
<br />
<br />L.: :51.)
<br />
<br />_,:.1 .--,(,:.),,:::
<br />
<br />1~!5":3:3 *.~_.~,~.*~ ~;('_!LID WA:~;'l'E F.EE
<br />
<br />(.,[)
<br />
<br />r- 1)) ,-q
<br />.. ) VeL 'py \_:(\~~ /2
<br />
<br />i':., !~ ,:.
<br />T ,.,,,.
<br />
|