SAMPLE SUSPENSION (1)    FEE BASIS LETTER (161.3)

Name Value
NAME SAMPLE SUSPENSION
BEGINNING OF LETTER
We recently processed your invoice(s) and for various reasons adjustments
had to be made to line items. The following is a list of those items
that were changed and the reasons why:
END OF LETTER
Should you have any questions regarding this letter, feel free to contact
us at the VA Medical Center. Thank you for your cooperation.
                            Medical Center Director
                            James A Jones, MD