Description
Blue Ink #12 $50.00
ACCEPTED FOR VALUE
RETURN FOR DISCHARGE
Per UCC-1 Enclosed
At $_________________ Date: _____________
/s/______________________________________
Certified Mail #___________________________

Blue Ink #12 $50.00
ACCEPTED FOR VALUE
RETURN FOR DISCHARGE
Per UCC-1 Enclosed
At $_________________ Date: _____________
/s/______________________________________
Certified Mail #___________________________