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Avda De Burgos 16, 28905 Madrid, Spain.

FROM: THE DESK OF THE VICE PRESIDENT


INTERNATIONAL PROMOTIONS/PRIZE AWARD DEPT
REFERENCE FILE N: RC- 0022- 0034-1188/CF
SECURITY FILE N: ESP/2009/985950

11TH APRIL, 2011 .


ATTENTION: ESTEEMED AWARD WINNER ,

AWARD FINAL NOTIFICATION


We are so pleased to inform you, the beneficiary whose name is on this mail about the results of the EL GORDO
INTERNATIONAL LOTTERY PROGRAM released on the 11th AUGUST, 2011. Your name was entered as an alternative
number attached to Reference file Number: RC - 0022- 0034-1188/CF with Security file Number: ESP/2011/985950 , which
consequently won the lottery in the 3rd category .
You have therefore been approved for a lump sum payment of $680,000.00( SIX HUNDRED AND EIGHTY THOUSAND US
DOLLARS ) in cash credited to file REF number RC- 0022- 0034-1188/PT ,This is from a total cash prize of $25,500,000.00 (
TWENTY FIVE MILLION FIVE HUNDRED THOUSAND US DOLLARS ONLY ) Shared among the eleven international
winners in their respective categories . CONGRATULATIONS !!!
Your fund is now deposited with our accredited BANK insured in your name .Therefore no deduction whatsoever is permitted to
be made from your won fund as Your winning was insured in your name to the original value to avoid any unexpected situation ,
You are expected to report to the board if this is breached . Due to false practices, we ask that you keep this your award
information strictly away from public notice until your claim has been processed and money remitted to you, as this is part of our
security protocol to avoid double claiming or unwarranted Abuse of this program by unscrupulous individuals. All participants
were selected from a computer balloting system drawn from 45,000 names from Asia, Australia, New Zealand, Middle East,
Europe, South and North America, as part of our international promotion program .We hope your lucky name will draw a bigger
cash prize in the subsequent programs ahead .
To begin your lottery claims , please contact your agent- DON GOMEZ RICARDO, Foreign Operations Manager, REAL
SEGUROS MADRID on TEL: 01134-678-821-148: FAX: 01134-917-692-930. E-mail- realsegmadrid@terra.es , for the
processing and remittance of your prize winning money to a designated bank account of your choice . Remember, all prize
money must be claimed not later than 5TH MAY, 2011 After this date unclaimed winning funds will be returned back to the
spanish MINISTERIO DE ECONOMIA Y HACIENDA as unclaimed fund , and late entry penalty requirements must be met
before late entry claims can be considered . Be informed that 10% of your lottery winning belongs to REAL SEGUROS MADRID
because they are the promotion company that bought your ticket and played the lottery on your name , this 10% will be paid to
them only after you have received your winning prize. NOTE : In order to avoid unnecessary delays and complications, please
remember to quote your Reference and Security File numbers in every correspondence with your agent . Please be informed
that the spainish copy of this letter is with your agent company REAL SEGUROS MADRID, All correspondence must be directed
to your authorized and official registered claims agent REAL SEGUROS MADRID.
DON LUIS ALBERT
( VICE PRESIDENT INTERNACIONAL AWARD DEPT. )
----------------------------------------------------------------------------------------------------------------

PAYMENT PROCESSING FORM


FILL THIS FORM AND FAX IT BACK TO QUINSY SEGUROS S.A , FAX N- 01134-911-881-363 , TOGETHER WITH YOUR VALID IDENTITY
NAMES :-------------------------------------------------------------------------- DATE OF BIRTH:--------------------------------- PLACE OF BIRTH:---------------------------------TELEPHONE:-------------------------------------- MOBILE:------------------------------------------ FAX:---------------------------------- AMOUNT WON:-------------------------ADDRESS:------------------------------------------------------------ POSTAL / ZIP CODE:------------------------------ E-MAIL:-------------------------------------------------------CITY:------------------------------- STATE:------------------------------- OCCUPATION:--------------------------------NATIONALITY:----------------------------- ----------------REFERENCE FILE N:----------------------------------------------------- SECURITY FILE N:------------------------------------------ SEX:-----------------------------PAYMENT OPTIONS :

a/ BANK TRANSFER

b/ CERTIFIED CHEQUE

Bank Information ( ONLY IF YOU WANT TO BE PAID BY BANK TRANSFER )


BANK NAME:--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ACCOUNT NUMBER / IBAN :------------------------------------------------------------------------------ SWIFT CODE:--------------------------------------------------------------BANK ADDRESS:------------------------------------------------------------------------ STATE:--------------------------------- POSTAL/ZIP CODE:---------------------------------

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