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STATEMENT OF RECEIPT
Amount: ________________________________________
Paid to: ________________________________________
________________________________________
Paid by: ________________________________________
For (item/service) ________________________________________
________________________________________
Name of program ________________________________________
______________________________________ ______________
Signature of Recipient Date
______________________________________
Printed Name of Recipient
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Whatever the mind of man can conceive and believe, it can achieve. Thoughts are things! And powerful things at that, when mixed with definiteness of purpose, and burning desire, can be translated into riches. | Napoleon Hill