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  Admin Billing Information

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Your group e-Tools payment has been successfully completed. Please print
this page as your invoice/receipt for your records. Please contact us if you have any additional
questions or comments. Thank you.  

         e-Tools Payment Invoice/Receipt                   


Date:

  3/26/2000

Nonprofit Name:

  Grand Canyon State Games

Amount Due:

  $500.00

Amount Charged to Card:

  $500.00

First Name on Card:

  Michael

Middle Name/Initial (if present):

  J

Last Name on Card:

  Kraycik

City:

  King of Prussia

State:

  PA

Zip Code:

  19406

Phone Number:

  6107835627

Credit Card Type:

  Visa

Credit Card Number:

  83566778564543Spacer_small2.GIF (155 bytes)

Expiration Date: (dd/mm/yyyy)

  12/14/2002

Payment made to:

  501c3e.com
  295 East Swedesford Road
  Wayne, PA 19406
  888-819-6757