NOTICE DELINQUENT ACCOUNT


                                        Date:



        To:


                Payment in the amount of $___________ was due to us on 
         ____________, 19__ as compensation for the following debt:


                To date, we have not received the $___________.  Would 
        you please mail a check to us immediately.

                                        Very truly yours,



                                        _________________________



                                                        Form 112

      

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