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DATE: __________________________

ACKNOWLEDGMENT RECEIPT

I _____________________________________, hereby acknowledge that I received the amount


_____________________________________________________________________________
________________________________as payment for ________________________________
____________________________________________________________________________

_____________________________ ______________________________
Signature over printed name CHRISTOPHER F. CASTILLO
OSA Director

DATE: __________________________

ACKNOWLEDGMENT RECEIPT

I _____________________________________, hereby acknowledge that I received the amount


____________________________________________________________________________
________________________________as payment for ________________________________
____________________________________________________________________________

_____________________________ ______________________________
Signature over printed name CHRISTOPHER F. CASTILLO
OSA Director

DATE: __________________________

ACKNOWLEDGMENT RECEIPT

I _____________________________________, hereby acknowledge that I received the amount


_____________________________________________________________________________
________________________________as payment for ________________________________
____________________________________________________________________________

_____________________________ ______________________________
Signature over printed name CHRISTOPHER F. CASTILLO
OSA Director

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