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SAMPLE PERSON Address City, State ZIP Phone 64-110/611 CAPITAL BANK 2879 LAFAYETTE ROAD FORT OGLETHORPE, GA 30742 0000 07/02/2022 A061101100A 0000000000C 0000
SAMPLE COMPANY Address City, State ZIP Phone CAPITAL BANK 2879 LAFAYETTE ROAD FORT OGLETHORPE, GA 30742 64-110/611 0000 07/02/2022 C0000C A061101100A 0000000000C