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s Special Handing Charges 10.00 249.71 Total Charges .USD.5.. 259.71 To ensure proper ctodk rano return this Onion Wen Your Portiont to hdfx. Mosso do not staple at fold. Remittance Advice Your Payment is due by Dec 19.2000 1144208156337756218002597134 SP 01000001 97702 A 'I ASNGLP Imillimil

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Total Charge Bundle ID 000 RecipieN PATRICIA TUCKER 11111111M Transportalion Charge 24.75 Fuel St

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