Enchance the text on textures

[SuperFlomm]

Upon notification by SAA through reasonable amounts ??? communication channels of the non-acceptance of
the organic charge(s) for the purchase of the above-??? Ticket(s) made to the Purchasing Credit Card.

                                                                                                                                        1/25/2010        
Name & Signature of Purchasing Credit Card Holder / ???*                                                         Date

* ???

1. ???

2. The ??? of the document is ???

3. The ??? of the document ???

4. The ??? of the document is ???

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For Official Use

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This document is ??? and ??? by.

This is what I was able to read from that image. It probably has some errors.