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i <br />JIM THORPE OIL, INC. <br />351 N. BECKMAN ROAD • P.O. BOX 357 <br />LODI, CALIFORNIA 95241 <br />LODI: 368.6175 — STOCKTON: 462.4581 <br />--Receipt for Payment <br />`* 10 3 0 01 Dat a ac�l�y <br />Customer <br />�iYt�r. p0 <br />Payment <br />Rec'd from <br />i <br />Invoice <br />Date <br />Invoice <br />Number <br />- <br />Amount <br />c.�1�IJIM <br />3 <br />D <br />Total Invoices <br />Credit Memo <br />Date <br />Credit Memo <br />Number <br />Amount <br />Total Credit Memos <br />Net Total <br />Amount Received <br />LJ <br />Cash <br />J� Checks <br />Credit Card <br />Invoices <br />TOTAL_._. <br />