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PLEASE DETACH AND MAIL UPPER PART OF THIS STATEMENT WITH YOUR PAYMENT.

[[Six collumn table]]

| Billing Date | Previous Balance | Purchases | Payments | Returns | Balance Due |

| Feb 2 | .00 | 5.00 |  |  |  |  |
|  |  | 5.00 |  |  |  |
|  |  |  |  |  | 10.00* |

Bloomingdale Bros., a Division of Federated Department Stores, Inc.

F 403 C 10M-4.64