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tion- box on the reverse side. Financial Account Holder Signature Date Email Address' 0 'las not wish

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Page: 16 of 17 Billing Cycle Date: 1.114 Account Number. Roaming Call Detail User Name: Rate Code: FT06•/FAMILY TALK 1000 Rare Period (Pd.): P-Peak, O.0(1 Peak. N-Ntishis Femme: C•Call Waiting, D•Dats Call, F-Call Forwarding, H-Group Mobile to Mobile Calls, Itlecoming Call, K-Fax Call, M-Mobile

ast Bill a c: 2006 Bill Amount: 5872.75 Account Holder Name: Address Date Range: 1 /27/2004 Address:

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