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Online Entry Confirmation Receipt:
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Confirmation Number:
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22032-43373-57917-11022009-134909
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Event:
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Paso a paso por la Artritis
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Race/ Category:
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5K Carrera/Caminata
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Name:
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juan VELAZQUEZ BERMUDEZ
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Event Day Age:
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42
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Gender:
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M
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Registration Date:
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11/02/2009
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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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Cotton Event Shirt (Qty: 1)
Size: L
Style: Short-Sleeved
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Authorization Letter
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I, juan VELAZQUEZ BERMUDEZ, hereby authorize __________________________________ to act on my behalf to pick up my packet for the Paso a paso por la Artritis '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
____________________________
Name: juan VELAZQUEZ BERMUDEZ
Date: 9/6/10
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