Case File
efta-efta00283803DOJ Data Set 9OtherNaMay. 7. 2014
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00283803
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
NaMay. 7. 2014
3:28PM PM
May, 7. 2014 1:44PM
1/
2
No. 0965
P. 1/2
Credit pr NM Card Authorization. Form.
pie Tie* Poynieut Doty)
hoperty Name Mandl
v1tv6
Resident/Applicant N
Property Address named Premises
Unit
c
by authorize and agree to allow Aspen Square Management, Inc., on behalf of to Landlotd, to time
V,TS / MastesCard Debit (CIRCLE ONE).
Name on Credit/Debit Cord
Address
City
State
ZIP
Credit/Debit Card Numb
on
0
so°
Amount
$ N. 5
Reason for Payment
Air
Sissed this
- - day of N.1.
psident/Applioant
r
A•peN,QuAREJ
EFTA00283803
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