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       ACCOUNT NUMBER                QTR YR 
                                              
                                                 MONTH    DAY        YEAR              INITIALS 
 
PAYMENT VOUCHER 
                                              FOR TWC USE ONLY 
 
COMPANY NAME 
 
       C E                                    AS RHI
       T   KE M N                             EXOARRSCFOWMISOIC S                               O
  
       RemittanceP.O.  149037Amount             BOX 
       AUSTIN, TX 78714-9037 
 
FORM C-3V INTERNET (0306)    INTERNET PAYMENT VOUCHER 
 





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