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Questions? Email: License Subtotal: License Advance: Applied to Advance: Current Advance Balance: License Adjusted Subtotal:

	Amount	Check #	Date	Memo
Previous Period Balance:
Adjustment: Advance: Payment:
Current Period Royalties:
Previous Advance Balance:
Applied to Advance:
Current Advance Balance:
Ending Balance:
Minimum Payment:
Amount Payable:	ON-HOLD	()