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Recreational Fishing Fee Application

Receipt/Tax Invoice Licence Number Application Lodge Date Amount Paid Start Date Licence Duration Expiry Date RO4291515 Recreational Fishing Fee 29 May 2012 11:20 AM $75.00 *GST amount included in total fee: $0.00 02 Jun 2012 3 Years 01 Jun 2015

Applicant Details
Full Name Date Of Birth Mobile Telephone Number Daytime Telephone Number Email Address Mailing Address Mr CUI, YONGLI 09 Mar 1982 0451971716 0451971716 sisheng11521@163.com Unit 5, 163 Todman Avenue Kensington NSW 2033 Australia

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