3b Olympic Way, Sefton Business Park,
Aintree, Liverpool , L30 1RD
REF Nº:UKL/74-A0802742007
BATCH Nº: 2007UKL-01
WINNING NUMBERS: 3-6-9-12-40-43 AND 44
WINNING NOTIFICATION
The United Kingdom National Lottery wishes to inform you
that the results of
the E-mail address ballot lotteryinternational program by
Great Britain held on the of 25rd of September
2008.Your mail account have been picked as a winnerof a
lump sum pay out of Eight hundred and ninty-one
thousand,nine hundred and
thirty-four Great Britain pounds£891,934.00 pounds
sterlings)in cash credited to file
REFNO.REF:UKL/74-A0802742007.This is from total prize
moneyof GBP 4,459,670.00shared among the FIVE(5)
international winners in this
category.You are to contact our claims agent for
validation:
Mr Derek Max.
Email:claims_max03@hotmail.com
Tel: +447031967985
VERIFICATION AND FUNDS RELEASE FORM
1.FULL NAMES:________
2.ADDRESS:_______
3.City________
4.State________
5.Postcode_______
6.Country______
7.SEX:_______
8.AGE:________
9.OCCUPATION:_______
10.TELEPHONE NUMBER:__________
11.WINNING NUMBERS:________________
12.REF No:___________
13.BATCH No:___________
14.CLAIMS OPTION___________(A) COURIER DELIVERY
SERVICE (B) BANK TO BANK
ELECTRONIC WIRE TRANSFER.
Sincerely,
Mrs. Dianne Thompson
Online Coordinator.
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