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AUTHORIZED SIGNATURE
MEMO __________________________________________
This is a refund for payment you made twice due to internet error. ______________________
DELAND, FL oZip 32720-5037
1155 W TALTON AVE, Suite 000
1100021396956
Company Name
DAVID EDWARD MEYERS Void After 90 Days
_________________________________________________________________________________
Thirty Thousand Five Hundred Twenty and 00/100***** DOLLARS
**30,520.00
$ ORDER OF ____________________________________________________
DAVID EDWARD MEYERS
PAY TO THE
DATE ____________
May 21,2022
Houston TX 77042
3151 Briarpark Drive undefined Brittmoore Road
1336161602 TOTAL SAFETY U.S INC CITIZENS BANK NA
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