authentication cover letter nc

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  • NC Authentication Office Cover Letter

    (Oficina de Authentications del Estado de Carolina del Norte)

    Telephone Number: 919-807-2140 Email Address:[email protected]

    (Numero de telefono) (Direcci6n de correo electr6nico)

    Mailing Address for US Postal Service Mail: Street Address for Carrier and hand Delivery Mail: (Correo Regular): (Correo rapido):

    Authentication Office Authentication Office NC Secretary of State NC Secretary of State PO Box 29622 2 South Salisbury St Raleigh NC 27626-0622 Raleigh NC 27601-2903

    Date (Fecha de Hoy Dia): _____________

    Contact Name (Nombre y apellido del solicitante): _________________

    Address (Direcci6n): _________________________

    City (Ciudad):. ________ State (Estado): ___ Zip (C6digo Postal} ____

    Daytime Telephone Number (Numero de telefono): _______________

    Country Each Document will go to (Pais en que se propone usar): ___________

    Special Notes or Instructions (Notas Especiales 0 Instrucciones Especiales):

    Number of Documents (Cuantos Documentos)

    x $10.00 = $

    Adoptions Only (Solo para adopci6n) Duplicate Originals (Duplique las Originales)

    x$5.00 = $

    Total Payment enclosed: (Total de pago) $

    Check Number (Numero de cheque):

    Cash (Efectivo)

    Money Order (Giro postal)

    Cashier's Check (Cheque de la gerencia)

    Return Documents By: (EI regreso documentos por):

    __Self-Addressed Stamped Envelope (Correo Regular: Sobre con la direcci6n de uno mismo con franqueo pagado)

    __ Overnight Delivery Envelope or Label (Must have account number pre-printed by the delivery company or have pre-paid postage stamp from the delivery company) (Correo Rapido (Fed-Ex, UPS): Sobre con la direcci6n de uno mismo con franqueo pagado)

    __ Pick-Up (Regres6 para recoger los documentos)

    mailto:Address:[email protected]