-EXAMPLE LETTER-

January 2, 2008

Philip A. Palandro

York County Department of

Veteran Affairs

100 West Market Street

York, PA 17401

Dear Mr. Palandro:

Please be advised that Mr. William J. Jones is a resident in this Nursing Facility.  His present level of Care is Intermediate.

Mr. Jones entered this facility on January 3, 2008.  His charge per day is $204.00.  He is private pay at the present time.

Sincerely,

I.M. Administrator

-EXAMPLE LETTER-