MAM result NEM, further screening not required (48)    WV NOTIFICATION PURPOSE (790.404)

|NOWRAP|
     |TODAY|
 
 
                                                       |$E(SSN#,6,9)|
     |$P(NAME,",",2)| |$P(NAME,",")|
     |COMPLETE ADDRESS|
 
 
 
 
 
 
- -                                                                    - -
 
     Dear Ms. |$P(NAME,",",1)|,
 
     This is the body of the letter and should be edited to say what
     you want for this Purpose of Notification.
 
 
     Sincerely,
|CENTER("Women's Health Clinic")|
 
 
 
     Your Name
     Women's Health Program
     phone: nnn-nnnn
 
 
     printed: |NOW|
 
|CENTER("Your Street")|
 
|CENTER("Your City, ST  Zip Code")|