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Online Entry Confirmation Receipt:
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Confirmation Number:
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21179-41513-57917-10282009-211136
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Event:
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Tom Caruso Run
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Race/ Category:
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5K Run/Walk
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Name:
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John Cruz
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Event Day Age:
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36
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Gender:
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M
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Registration Date:
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10/28/2009
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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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Registration :
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Registration (Qty: 1)
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Apparel :
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Event Shirt (Qty: 1)
Size: M
Style: Short-Sleeved
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Authorization Letter
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I, John Cruz, hereby authorize __________________________________ to act on my behalf to pick up my packet for the Tom Caruso Run '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
____________________________
Name: John Cruz
Date: 9/9/10
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