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Instructions Source Document Form 81 1069 Hd FAST EDDIE'S SPORTS GRILLE In payment of our note payable #17, dated 10/221-, in amount of S1,834.08 plus interest of 7%. We have included additional interest of $3.25 accumulated since the December 21 due date through December 30. This is for our Note Rec. #27 - dishonored on 12/21/-- LH DETACH THIS STUB BEFORE CASHING FAST EDDIE'S SPORTS GRILLE 1069 1286 NORTH SHORE DRIVE BRADENTON BEACH, FL 34217-3323 December 30 63-823/631 RECD 12/30 --R501 20 $ 1.858.73 DOLLARS PAY TO THE ORDER OF Digital Diversions One thousand eight hundred fifty-eight and 73/100 FOR CLASSROOM USE ONLY MANASOTA MUTUAL BANK & TRUST Bradenton, FL 34203-3323 063108237:886..01376 1069 Patricia A. Dennison TREASURER Q Qi