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Protected by the copyright laws of the United States & Canada and by nternational treaties. ! S ""E#A" A$% S!& C!"' P&() * !E% !( % S!& *U!E+ PU*" S)+ (,,E& ,(& SA"E+ " CE$SE (& SU*" CE$SE+ # -E (& % SC"(SE !( A$' (!)E& PA&!'+ !) S P&(%UC! $ )A&% C(P' (& % # !A" ,(&.. A"" (,,E$%E&S / "" *E SUE% $ A C(U&! (, "A/.

November 24, 2013

Contact $a0e Address Address2 City+ State1Province 2ip1Postal Code

OBJECT: DISPUTED BALANCE NOTICE

%ear 3C($!AC! $A.E4+ /e do hereby confir0 that we are in receipt of a state0ent dated 3%A!E4+ indicating a balance of 3A.(U$!4 for o5r acco5nt 3$U.*E&4. After e6a0ination of o5r records+ we disp5te said balance for the following reason7s89 ::: #oods billed for have not been received. ::: Prices are in e6cess of agreed a0o5nt. ::: Prior pay0ent 0ade in the a0o5nt of 3A.(U$!4 on 3%A!E4. ::: #oods were 5nordered. ::: #oods were defective as per prior notice. ::: #oods are available for ret5rn as per o5r rights of ret5rn and credit. ::: (ther9 3%ESC& *E4 Please ad;5st o5r acco5nt accordingly. %o not hesitate to contact 0e so that we find a 05t5ally acceptable co0pro0ise on this 0atter. Sincerely+

'o5r na0e 'o5r title 7<008 =2>?@ABC yo5re0ailDyo5rco0pany.co0

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