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k <br />r I <br />n <br />■ . A R i! <br />lLicansa Number <br />,'-Month and Year <br />�, <br />0 <br />i <br />n <br />• + . <br />Description of + <br />Amount <br />I <br />"DONATION <br />TIER II YOUTH HOCKEY <br />TRUSTEES <br />Subtotal this Pa o . <br />v <br />Add: ubtotails) of the additilonal Pa dbil Oth8r than this Pd98 (if apPlicublu) . r ....... . <br />TOTAL. Carry amount to tali return, FART IV, line 29 lot next schudulu C1 ...... ,,w . , . . <br />CIS - 14.02 141061 While , Board C&Agry - 010anization, <br />