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Online Entry Confirmation Receipt:
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Confirmation Number:
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22638-44554-57917-11202009-154312
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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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Greg Kruszewski
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Event Day Age:
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41
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Gender:
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M
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Registration Date:
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11/20/2009
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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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107
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Registration :
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Registration (Qty: 1)
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Authorization Letter
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I, Greg Kruszewski, 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.
____________________________
Name: Greg Kruszewski
Date: 9/6/10
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