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Transcript Request

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					                                                  Transcript Request
                                                   Lee County Schools
                                                      P.O. Box 1010
                                                    Sanford, NC 27331
                                             919-774-6226 Fax 919-776-4954


Your name as it was at time of enrollment: (please print)


 ________________________________           ______________________          _______________________________
(first)                                    (middle)                         (last)

Your name as it is now: (please print)


 ________________________________           ______________________          _______________________________
(first)                                    (middle)                         (last)



Phone Number where you can be reached:
Home _____________________________ Work ____________________________          Cell _______________________________



Date of Birth: ______________________        Last four digits of Social Security No. __________________


Last Year Attended: ______________________              OR       Year Graduated: ______________________


    Will Pick Up (please call ahead to make sure the transcript is ready) OR

    Mail To:

School, Company, Agency, Individual: ____________________________________________

                                 Address: ____________________________________________

                          City, State, Zip: ____________________________________________

                                 Attention: ____________________________________________


  I understand there is a $2 charge for each transcript requested. Transcript will be sent to the address above within one
  week from receipt of request.


  ______________________________________________                         _________________
  Student signature                                                       Date

                                    Please mail this completed form with cash or money order to:
        Attention Darlene Lemmons-Records, Lee County Schools, P.O. Box 1010, Sanford, NC 27331-1010 or Fax # 919-776-4954




                                                                                           For Lee County Schools Use Only:

                                                                                           Roll Number_______
                                                                                           Date Paid_____________
                                                                                           Date Request Received


                                                                                                                  Revised 4/12/2010

				
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