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ST. SIMON CHURCH Paid: $50.00 Check #: Date: / / 2013 Sacramental Form for 1st Reconciliation/1st Eucharist DATE: (One form for each child in family needs to be submitted) Child's Full Name (name
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Paid 50 - az480170 is a form used for reporting payments made to individuals or entities for services rendered or goods provided.
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