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Package Name	Amount	Quantity	Subtotal

Level 1	$2,500.00		$0.00



Level 2	$1,000.00		$0.00



Level 3	$500.00		$0.00



Level 4	$250.00		$0.00



Level 5	$100.00		$0.00



Level 6	$50.00		$0.00



Level 7	$25.00		$0.00



Level 8	$10.00		$0.00

Other Amount:

Total:

$0.00

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