During my business trip to Washington two weeks ago

October 21, 2011

Justin Holloway

XYZ Company

1234 Archer Road

Gainesville, Fl 32607,

[Subject: Normally bold, summarizes the intention of the letter] -Optional-

Dear Justin Holloway,

During my business trip to Washington two weeks ago, I came down with a bad case of the flu. I had to visit the hospital to get checked out and while they were willing to accept my insurance and send the bill directly to you I had to pay cash for the medicine that was prescribed to me.

With this, I would like to ask that you reimburse me for the amount that I had to pay for the medication. I have attached the receipt and are hoping to hear back from you or get results regarding this request of mine within the week.

Thank you for your time and effort.



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