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╔═════════════════════════════════════════════════════════════════════════════╗║                            ╔══════════════════╗                             ║║                            ║  PAID-OUT REPORT ║                             ║║                            ╚══════════════════╝                             ║╠══════════════════════════════════════╦══════════════════════════════════════╣║ Store                                ║  Date                                ║╠═══════════╦══════════════════════════╩═══════╦══════════════════════════════╣║  Amount   ║             Paid to              ║           Purpose            ║╠══════╤════╬══════════════════════════════════╬══════════════════════════════╣║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╟──────┼────╫──────────────────────────────────╫──────────────────────────────╢║      │    ║                                  ║                              ║╚══════╧════╩══════════════════════════════════╩══════════════════════════════╝╔═════════════════════════════════════════════════════════════════════════════╗║  Remarks:                                                                   ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║║                                                                             ║╠═════════════════════════════════════════════════════════════════════════════╣║  Note: Itemize all Paid-Outs on this sheet. Attach receipts to reverse      ║║        side. Submit a dated sheet even if there are no Paid-Outs for this   ║║        day.                                                                 ║╚══════════════════════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