Common use of Example Below Clause in Contracts

Example Below. Example may not be to scale or a current document. KING NORTH/▇▇▇▇▇▇▇ ▇.▇.▇▇▇ 34356 SEATTLE WA 98124 08/29/05 ▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇. Olympia, WA 98504 Dear ▇▇. ▇▇▇: Your benefits from the following program will end on 09/30/05: ( X ) Cash ( ) Food ( X ) Medical ( ) Long Term Care The reasons for this decision are: The person listed as the head of household for your food assistance cannot get food assistance. See WAC rule (Washington Administrative Code): ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇ We do not consider you a resident of Washington. See WAC rule (Washington Administrative Code): ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, 388-468- 0005, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇ You can check these rules online at ▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/wacbytitle.htm or view them at your public library reference desk. If you can't find this information, please call our office. If you disagree with any of our decisions, you may ask to have your case reviewed. You can also ask for a fair hearing. Your fair hearing rights are included in this letter. You can get automated information about your case by calling The Answer Phone at ▇-▇▇▇-▇▇▇-▇▇▇▇. When you call, you will need to enter your client ID number, which can be found in the bottom right hand corner of this letter. If you plan to get private medical insurance, your new insurance might need proof of your prior DSHS medical benefits. We can give you a certificate of coverage so your new insurance may cover pre- existing conditions. To request a certificate, you may call the MAA toll-free number ▇-▇▇▇-▇▇▇-▇▇▇▇. Please call me if you have any questions about this letter. ▇▇▇▇ ▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇

Example Below. Example may not be to scale or a current document. KING NORTH/▇▇▇▇▇▇▇ ▇.▇.▇▇▇ 34356 SEATTLE WA 98124 08/29/05 ▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇ ▇▇. Olympia, WA 98504 Dear ▇▇. ▇▇▇: Your benefits from the following program will end on 09/30/05: ( X ) Cash ( ) Food ( X ) Medical ( ) Long Term Care The reasons for this decision are: The person listed as the head of household for your food assistance cannot get food assistance. See WAC rule (Washington Administrative Code): ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇ We do not consider you a resident of Washington. See WAC rule (Washington Administrative Code): ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, 388-468- 0005, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇, ▇▇▇-▇▇▇-▇▇▇▇ You can check these rules online at ▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/wacbytitle.htm or view them at your public library reference desk. If you can't find this information, please call our office. If you disagree with any of our decisions, you may ask to have your case reviewed. You can also ask for a fair hearing. Your fair hearing rights are included in this letter. You can get automated information about your case by calling The Answer Phone at ▇-▇▇▇-▇▇▇-▇▇▇▇. When you call, you will need to enter your client ID number, which can be found in the bottom right hand corner of this letter. If you plan to get private medical insurance, your new insurance might need proof of your prior DSHS medical benefits. We can give you a certificate of coverage so your new insurance may cover pre- existing conditions. To request a certificate, you may call the MAA toll-free number ▇-▇▇▇-▇▇▇-▇▇▇▇. Please call me if you have any questions about this letter. ▇▇▇▇ ▇▇▇ ▇▇▇-▇▇▇-▇▇▇▇ III. Principal Languages