Disbursement Voucher
| Date: | December 19, 1995 |
| Pages: | 1 |
FLAG
Church of Scientology
FLAG SERVICE ORGANIZATION, INC.
P.O. Box 31751, Tampa, FL 33631-3751 USA
(813) XXX-XXXX
DISBURSEMENT VOUCHER
| Name and Address AMSOUTH BANK OF FLORIDA |
Telephone (813) XXX-XXXX |
| Item Description | Unit Price | Quantity | Amount |
| AMSOUTH BANK OF FLORIDA 1. REFUND/REPAYMENT Category: 429500000 (REPAYMENTS) Refund/Repayment regarding LISA MCPHERSON |
0.00 | 0 | 5773.00 |
[handwritten: ] money (Cashiers check) going to mother, Fanny McPherson, who resp. for Estate of Lisa McPherson
| Bank Account | MAIN | Check # | 96742 | Total Amount | 5,773.00 |
1994 CSFSO All Rights Reserved. The FSO Corporate logo, The Flag logo, SCIENTOLOGY and FLAG are trademarks and service marks owned by Religious Technology Center and are used with its permission. Printed in USA
AMSOUTH BANK OF FLORIDA
OFFICIAL CHECK
Purchaser: Flag Service Org., Inc.
December 19, 1995
$ 5,773.00
Pay to the order of:
FSO 00016