MONEY ORDER RECEIPT
Registration Numbe
匚RR 111 222 333 US
Date Issued:
16 JANUARY 2009
Amount:
$25,755.00
Payee:
FRANCHISE TAX BOARD
PO BOX 1468
SACRAMENTO, CA 95812- 468
Account:
123456789
Payor:
JOHN H DOE
1212 MAIN STREET UNIT 220
HUNTINGTON BEACH, CA 92648
Memo:
FTB ACCOUNT NO. 100025478
MONEY ORDER
Date:
Lb JANUARY
己。口弓
Tracking No.:
RR 111
己己己3mm US
Pay to the order of
:FRANCHISE TAX BOARD
for $
55^755.00
Pay:TUENTY
FrVE THOUSAND SEVEN-HUNDRED F1FTY
F1VE AND
口/1口(3DOLLARS
Memo
:FTB ACCT ...


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