P O Box 4279
Liverpool, L70 1NL UNITED KINGDOM
(Customer Services)
Ref: UKON/5464K2/71
Batch: 012/05/DR432
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Ticket Number: 18.20.22.30.32.39 (3)
Serial Number: 3422/05
Lucky Numbers: 04 09 22 24 30 41 (bonus ball) 20
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We happily announce to you the draw (#1033) of the UK NATIONAL ONLINE LOTTERY,Sweepstakes International program held on
wednesday the 20th of December 2006 Your e-mail address which subsequently won you the lottery in the 2nd category i.e match
5 plus bonus.You have therefore been approved to claim a total sum of 650,000 (Six hundred and fifty thousand Great British
Pounds) in cash credited to file KTU/467557844/05.
This is from a total cash prize of 1,950,000,00 shared amongst the first Three (3 )lucky winners in this category i.e Match 5
plus bonus.All participants for the online version were selected randomly from World Wide Web sites through computer draw
system and extracted from over 100,000 unions, associations, and corporate bodies that are listed online.
This promotion takes place weekly.Please note that your lucky winning number falls within our European booklet representative
office in Europe as indicated in your play coupon.In view of this, your 650,000(Six hundred and fifty thousand great britain
pounds) would be released to you by any of our affiliated couriers company .
Our agent will immediately commence the process to facilitate the release of your funds as soon as you contact him.For
security reasons, you are advised to keep your winning information confidential till your claim is processed and your money
remitted to you in whatever manner you deem fit to claim your prize.
This is part of our precautionary measure to avoid double claiming and unwarranted abuse of this program. Please be warned.
To file for your claim,please fill out this verification form Please fill in the appropriate information in the space below:
WINNER\'S CLAIM FORM
WINNER\'S PERSONAL DATA
First Name.:
Middle Name.:
Last Name.:
Gender.:
Month Of Birth.:
Day: Year:
Marital Status.:
Nationality.: *
Religion.:
Occupation.:
Scanned copy of identification:
Address 1.: *
Address 2.:
City.: *
State/Province.: *
Zip Code.: *
Mobile phone No.: *
House Phone No.: *
Fax No.:
Email Address.: *
WINNING INFORMATION
Batch Number.: *
Serial Number.: *
Refrence Number.: *
This is to verify that the information filled in this FORM is a valid particulars of me. :
This form is valid for only those who have won the UK NATIONAL ONLINE LOTTERY. Fill in the required fields in the space
provided below. No field should be left blank, because your particulars are needed for record purposes.
Send the duly filled out form to your fiduciary/claims agent who will then commence your claims process.
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Mr. Wayne Stark
Email: waynestark@uk2.net
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Goodluck from me and members of staff of the UK NATIONAL ONLINE LOTTERY.
Yours faithfully
Sir Richard K.Lloyd
(online coordinator.)
UK NATIONAL ONLINE LOTTERY.
Sweepstakes International Program
