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RECEIPT RECEIPT TO: [NAME OF PERSON MAKING PAYMENT] RE: [BRIEFLY DESCRIBE TRANSACTION OR CIRCUMSTANCES GIVING RISE TO PAYMENT] The undersigned hereby acknowledges receipt of payment of the sum of [AMOUNT OF PAYMENT RECEIVED, ex. $15,000.00)]. DATED: [DATE OF DOCUMENT, ex. July 1, 1998] ………………………………………….. …………………………………………. Witness Seller Name
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12/24/2007
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