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table Bill to Derrick Larson 381 Franklin Rue Apt. 019 Adamsstad, RI 24771 US Tel +(887)255-2135 Email marcus21@example.com Site https //chase.net/ Due Date 10-Sep-2000 INVOICE # 6612-145 Bank Name State Bank of Texas Branch Name Raf CAMP Bank Account Number 14657929 Bank Swift Code SBININBB250 Address 8508 Morgan Forge Suite 534 North Michaelchester, VT 71194 US Parker, Phillips and Thomas SUB_TOTAL 346.27 USD TOTAL 362.25 USD logo