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<p style="text-align: right;"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; ">&nbsp;&nbsp;$DATE</span>&nbsp;&nbsp;
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<p style="text-align: left;"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space:pre">		</span>$PAYEE_NAME ----------------------------------------------------------------------------------<span class="Apple-tab-span" style="white-space:pre">	</span><span class="Apple-tab-span" style="white-space: pre; ">				</span></span><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; ">$AMOUNT_DECIMAL</span></p>
<p style="text-align: left;"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "></span><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; ">$AMOUNT_STRING --------------------------------------------------------------------------------------------------------------------------------</span></p>
<p style="text-align: left;"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; ">
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<p style="text-align: left;"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space:pre">		</span>$PAYEE_NAME</span>
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<p style="text-indent: 32px; text-align: left; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; font-size: medium; "><font class="Apple-style-span" size="3"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space: pre; ">		</span>$PAYEE_ADDRESS</span></font></p>
<p style="text-indent: 32px; text-align: left; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; font-size: medium; "><font class="Apple-style-span" size="3"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space: pre; ">		</span>$PAYEE_CITY $PAYEE_STATE&nbsp;<span class="Apple-tab-span" style="white-space:pre">		</span></span></font></p>
<p style="text-indent: 32px; text-align: left; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; font-size: medium; "><font class="Apple-style-span" size="3"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space:pre"></span></span></font><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space:pre">		</span>$MEMO</span></p>
<p style="text-indent: 32px; text-align: left; -webkit-border-horizontal-spacing: 0px; -webkit-border-vertical-spacing: 0px; font-size: medium; "><font class="Apple-style-span" size="3"><span class="Apple-style-span" style="font-size: 11px; -webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; "><span class="Apple-tab-span" style="white-space: pre; ">		</span></span></font></p>
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