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Notice by:

John Henry Doe, Principal c/o P.O. Box 81188 Bayside, California [95524] Non-Domestic 30 October 2008 Henry M. Paulson, Jr., Secretary of the Treasury Department of the Treasury c/o 1500 Pennsylvania Ave NW Washington, D.C. 20220 U.S.P.S. Registered Mail Article No. RR111222333US, with return receipt Certificate of Live Birth No. 999999999, Accepted for Value and Exempt from Levy

Date of Notice: Notice for:

Service by: In the matter of:

I, John Henry Doe, hereby duly notice Henry M. Paulson, Jr., Secretary of the Treasury, Department of the Treasury, with (1) my acceptance for value of "Certificate of Live Birth: numbered: 999999999, and (2) the issuance of the Private, Non-Negotiable Bond for Set-off, numbered: RRxxxxxxxxxUS. Notice to the Agent is notice to the Principal. Notice to the Principal is notice to the Agent. All Rights Reserved. Enclosed are the following instruments: 1. original Private, Non-Negotiable Bond for Set-off, numbered: RR111222333US, in the amount of: "Unlimited"; and, 2. certified copy of "Certificate of Live Birth", numbered: 9999999, duly endorsed as follows: "ACCEPTED FOR VALUE" "EXEMPT FROM LEVY" "(autograph) (seal)" "Exemption ID# 123456789" "DEPOSIT TO THE U.S. TREASURY AND CHARGE" THE SAME TO JOHN H DOE 123-45-6789. Please deposit said Bond, numbered: RR111222333US, to the credit of the Department of the Treasury, further credit to the account of JOHN H DOE 123-45-6789, as mandated by the Bond Order. You have been duly noticed. By: ______________________________ John Henry Doe, Principal

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