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Invoice

DoD FMR
hrdeskusarmy@outlook.com
Department of Defense Financial Management
Regulation

BILL TO Invoice # 845433


Jason Bourque Date 22 Sep 2023
16758 Bitterbrush Lane
Sisters, OR, 97759 Due date 30 Sep 2023

Item Quantity Price Amount

Acquaintance Registration Form 1 $ 375.99 $ 375.99

Processing Fee 1 $ 104.00 $ 104.00

Subtotal $ 479.99

Total $ 479.99

Paid on 16 Sep 2023 $ 180.00

Amount Due $ 299.99

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