Fax Cover Sheet - DOC 4 by 87bn1yX0

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									F A X
                    To: [Click here and type name]
                    Fax number: [Click here and type number]

                    From: [Click here and type name]
Company Name        Fax number: [Click here and type number]
Street Address
City, ST ZIP Code
                    Date: 10/4/2012
Phone Number
Web Site
                    Regarding:
                    [Click here and type subject]

                    Phone number for follow-up:
                    [Click here and type number]


Comments:

								
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