OPPONENT OWN OPP.
} SCORE SCORE

 

OPPONENT OWN
; SCORE

 

 

 

 

 

 

 

 

 

 

 

 

Se ebeee ty

 

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FRPP PERE ORE RES

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% 7 “aingle-gane total for this. potions’

*

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~~ any : wetter +2 ADDITIONAL DATA, COMMENT | ‘

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OPP.
SCORE

 

 

 

fh Ti pebale"S 1s pilin’ aclinel “Tomi ‘State » represented

 

Signature of Reporting Official |