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tion' box on the reverse side. Financial Account Holder Signature Date Email Address' I do not wish to
Account Number: Call Detail (Continued User Name: Call Location(C1.): AthsAucilla, BR=Bristo1,BU•Bushnell, CH•Chielland CL-Clewiston, DB•Daytona, FL-Flagler, FICFlorida Keys, FM=Fort Myers, FP•Fort Pierce, FV/c.Fort Walton, QV-Gainesville, J*Jacksonville. LC Lake City, LliteLetsburg. MI-Miami. MA-Marian
tion- box on the reverse side. Financial Account Holder Signature Date Email Address' 0 'las not wish
RGES $11.85 Call Detail User Name: MARTIN COLICK Call bxation(CL): AU-Aucilla. BRitBristol, BC-Bushnell. CH-Chiefland, CL-Clewision, DB- Daytona. FL-Flagler, FK-Florida Keys, FM-Fon Myers, FP- Fort Pierce. PA'-Fort Walton, GV-Gaincsville, JX-lacksonvilles LC-Lake City, LB-Leesburg. MI-Miami, MA-Marianna
ast Bill a c: 2006 Bill Amount: 5872.75 Account Holder Name: Address Date Range: 1 /27/2004 Address:
e: Account Number 7 of 53 Call Detail User Name: Call Loration(CL): AU-Aucilla, BR=Brissol, BU=Btohnell. CH*Chiefland, CL-Clewiston, DB•Daytona, FL-Flagler, FK=Florida Keys, PM-Fort Myers, FF=Fon Pierce, PW=Fon Walton, GV•Oainesvil le, JX=lacicsonvilk, LC=Lake City, LB-Leesburg, MI-Miami, MAshiatianna,
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NEW YORK NY
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