Transcription of SAMPLE Check or Money Order Do NOT write on back of …
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OPT Fee SAMPLE Check or Money Order Do NOT write on back of Check / Money Order .
SAMPLE Check or Money Order Do NOT write on back of check/money order. pos YAL SERVICE POSTAL MONEY ORDER $410.00 FOUR HUNDRED TEN DOLLARS & oot —Your First and Last Name— —Your US Local Home Address— • NEGanA8tE ONLY IN THE US AND POSSESSIONS Dept. of Homeland Security USC'S Dallas Lockbox
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