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Online Entry Confirmation Receipt:
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Confirmation Number:
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22638-44554-106751-11182009-191502
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Event:
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Oak Apple Santa Scamper
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Race/ Category:
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1/2 Mile
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Name:
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Timothy Fey
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Event Day Age:
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BLOCKED
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Gender:
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M
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Registration Date:
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11/18/2009
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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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52
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Registration :
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Registration (Qty: 1)
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Authorization Letter
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I, Timothy Fey, hereby authorize __________________________________ to act on my behalf to pick up my packet for the Oak Apple Santa Scamper '09. Any and all acts carried out on my behalf shall have the same affect as acts of my own.
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Name: Timothy Fey
Date: 9/6/10
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