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Application Date: May 26, 2011 Web Application Number: 23865 Personal Information Salutation: Mr. First Name: Ryan Middle Name: Contact Information Home Address 2: John Province: :Program Selection Application for Session: 2011/FA First Choice: No Degree Campus: Saint John Intended Load: Part Time

Statement of Transaction Total: $45.00 was billed to your credit card on May 26, 2011 Payment Method: Credit Card Transaction Number: (Reference this number if you have a problem with your credit card transaction) Card Type: Visa Card Number:

Please contact the Saint John Registrar's Office at sjrewith any questions regarding your transaction. If you wish to inquire about your application status after all documents have been submitted, please phone 506-648-5900.

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