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Online Entry Confirmation Receipt:
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Confirmation Number:
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20723-40661-100655-11132009-111000
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Event:
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Salvando Vidas Una Milla a la Vez a Beneficio de la Sociedad de Leucemia y Linfoma
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Race/ Category:
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5K Run
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Name:
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Marco Perez
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Event Day Age:
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44
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Gender:
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M
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Registration Date:
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11/13/2009
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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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Authorization Letter
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I, Marco Perez, hereby authorize __________________________________ to act on my behalf to pick up my packet for the Salvando Vidas Una Milla a la Vez a Beneficio de la Sociedad de Leucemia y Linfoma '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
____________________________
Name: Marco Perez
Date: 9/6/10
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