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Accepted for value Exempt from Levy x___________________________ Date 01-12-2010 Exemption ID Number 540556666 Deposit to the U.S. Treasury and Charge the same to THOMAS JAY SMITH 540-55-6666. - PowerPoint PPT Presentation
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Accepted for value
Exempt from Levy
x___________________________ Date 01-12-2010
Exemption ID
Number 540556666
Deposit to th
e U.S. Treasury and Charge th
e same to
THOMAS JAY SMITH
540-55-6666
DELETE and Handwrite this on the IRS bill or whatever bill you are paying:
THIS IS A MONEY ORDER
Pay to the order of U.S Treasury DATEEight thousand four hundred dollars $8400.00
(endorse back as you would a check)
By Thomas Jay Smith 540556666Authorized representative
ACCEPTANCE OF WAREHOUSE RECEIPT IS PAID IN FULLDELETE: On reverse endorse like a check: Sign Yourame – authorized representative
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