| (H) 614-847-9664 | (O) 614-668-3366 |
| 借用單位 | NATWA-OH Chapter | 負責人 | Dolly Yang | ||||||||
| 服飾名稱 | 數量 | 服飾內容 | |||||||||
| A-1 | 1 | Since our annual meeting helds 4/14-20, would you | |||||||||
| A-2 (Red) | 1 | please mail to us few days earlier and I wil send back as | |||||||||
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soon as I come back in town. | |||||||||
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I will mail out the $100 deposit. Also I like to thank Vicky | |||||||||
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for telling me the information. | |||||||||
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| 申請日期 | 03/02/2005 | 使用日期 | 04/16/2005 | ||||||||
| 領取日期 | 04/05/2005 | 歸還日期 | 04/26/2005 | ||||||||
| 申請人 | Dolly Yang | 電話 |
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| 駕照號碼 | RJ232986 | SS# | 076-62-9199 | ||||||||
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330 Delegate Dr. | ||||||||||
| Columbus, OH 43235 | |||||||||||
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申請人簽名： 承辦人簽名： | |