_ DETACH STATEMENT BEFORE DEPOSITING

 

 

WHEN DETACHED AND PAID ‘THE ABOVE CHECK BECOMES A RECEIPT UNIVERSITY OF SOUTHERN CALIFORNIA
IN FULL PAYMENT OF THE FOLLOWING ACCOUNT LOS ANGELES
DATE DESCRIPTION ee DEDUCTIONS gaan ae

 

 

REFURD OF GYERPAYMENT @H iY. fo. PBS84
/ Pee 2,89

HI VERSETY PRESS