T NEW YORK COSMETIC STORE NY 76.04 10/17/04 PASTIS NEW YORK NY FOOD AND BEVERAGE TIP 00000205 31$0 Pee WI ea the pettoralim Mote .detath and Muni Wei )W pawed Payment Coupon 0 21 - 621 7 Lr lilt,. ..... Mail Payment to: Please Pay By: 11/25/04 Cortinued on Page 3 Please enter account numbe