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tion' box on the reverse side. Financial Account Holder Signature Date Email Address' I do not wish to
rt Walton, GWOainesville, JX•Jacksonvilk, L.O.Lake City, LB.-Leesburg, Mi-Miami, MA-Marianna, MB=Melboume, MX-Mexico Beach, OC.Ocala. OR-Orlando, PL=Palatka, PC -Panama City, PS-Pensacola, 121-Port St Joe, SD=SanDestin, SA-Sarasota. TH•Tallahassee, TA-Tampa. VBnVero Beach. NA-Naples. . LH=Lakeland, TV=T
tion- box on the reverse side. Financial Account Holder Signature Date Email Address' 0 'las not wish
lling; Number Rand. CL-Clewiston, DB-Daviona, FL7Flagler, CV-Gainesville. JX=Jacksonville. LC-Lake City, -Mexico Beach. OC-Ocala. OR-Orlando. PL- Palatka. PC-Panama City. -Tallahassee, TA=Tampa. VB-Wro Beach. NA-Naples, B-Direct Ant Call Complete; C-Call Waiting; D-Data Call; event; li-Group Mobile
ast Bill a c: 2006 Bill Amount: 5872.75 Account Holder Name: Address Date Range: 1 /27/2004 Address:
ce, FV/Fort Walton, GY.Gahanyilk,1X-lantronville, LC-Lake City, LEt=taaburg, M MA•Marisnaa, MB-Melbourne, WC-Mexico Beach, OO-Ocala, OR-Orlando, PL Palatka. PC-Panama City, PS•Pensacols. P1-Port St Joe, SD•SanDestin, SA.Sarasota,TH.Tallahassee, TA-Tampa, YEIWero Beach, NA.Nsples, LKLakeland,TVeTkoritas
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