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Online Entry Confirmation Receipt:
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Confirmation Number:
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22686-44662-105870-10272009-120112
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Event:
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Trick or Treat Trail Run
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Race/ Category:
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5K Run
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Name:
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Angie Baszler
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Event Day Age:
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28
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Gender:
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F
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Registration Date:
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10/27/2009
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Registration Method:
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ONLINE
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Registration Status:
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REGISTERED
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Bib:
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262
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Registration :
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Registration (Qty: 1)
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Apparel :
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Event Shirt (Qty: 1)
Size: S
Style: Short-Sleeved
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Authorization Letter
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I, Angie Baszler, hereby authorize __________________________________ to act on my behalf to pick up my packet for the Trick or Treat Trail Run '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
____________________________
Name: Angie Baszler
Date: 9/9/10
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