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  • Money Order

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    Stephen Monaghan
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    This document is a receipt for a $572 money order issued on May 28, 2010. The money order was issued to the United States Treasury for an account number 100020770. It was purchased by John H Doe of Huntington Beach, CA and lists his account number as 123456789.

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    This document is a receipt for a $572 money order issued on May 28, 2010. The money order was issued to the United States Treasury for an account number 100020770. It was purchased by John H Doe of Huntington Beach, CA and lists his account number as 123456789.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    345 views1 page

    Money Order

    Uploaded by

    Stephen Monaghan
    This document is a receipt for a $572 money order issued on May 28, 2010. The money order was issued to the United States Treasury for an account number 100020770. It was purchased by John H Doe of Huntington Beach, CA and lists his account number as 123456789.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    MONEY ORDER RECEIPT

    Registration Number: _________________________


    7007 0000 0001 0000 1234

    28 MAY 2010
    Date Issued: _______________________

    $572.00
    Amount: ________________________________________________________

    Payee: _______________________________________________
    UNITED STATES TREASURY
    _______________________________________________
    1500 PENNSYLVANIA AVENUE NW
    _______________________________________________
    WASHINGTON, DC 20220
    _______________________________________________

    Account: ________________________
    123456789

    Payor: _______________________________________________
    JOHN H DOE
    _______________________________________________
    1234 MAIN ST
    _______________________________________________
    HUNTINGTON BEACH, CA 92648
    _______________________________________________

    Memo: _________________________________________________________
    ACCOUNT # 100020770

    ---------------------------------------------------------------------------------------------------------------------------------------------------
    MONEY ORDER
    28 MAY 2010
    Date: ______________________ Tracking No.: 7007
    ___________________________
    0000 0001 0000 1234

    Pay to the order of: ____________________________________________________________


    UNITED STATES TREASURY for $___________________
    572.00

    Pay: ______________________________________________________________________________________
    FIVE-HUNDRED SEVENTY-TWO AND 00/100 DOLLARS

    Memo: ____________________________________________
    ACCOUNT # 100020770
    By: ________________________________________
    Authorized Representative
    JOHN H DOE
    1234 CREDITOR STREET Processor: IRS Technical Support Division
    c/o The Treasury UCC Contract Trust Department of the IRS
    HUNTINGTON BEACH, CA 92648
    Department of the Treasury
    1500 Pennsylvania Avenue, NW
    123456789
    Account No.: ______________________ Washington, D.C. 20220

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