APPLICATION FOR CONTRACTUAL CLAIM
I hereby apply for the payment of USD17M (seventeen million United State
dollars) being payment due to (your company name) in respect of contract no.PED/043/FMW&H/WR-PH/97; which has been dully completed and commissioned. I shall be grateful if this application is treated with dispatch. This fax copy should be accepted in place of the original.

Yours faithfully

Buckminster (Bucky) Fuller

WEEINTHEBED HOLDINGS, INC. 666 DEVIL’S WAY CHICAGO, IL USA 12345