[DATE, ex. Wednesday, June 11, 2015]
[NAME, COMPANY AND ADDRESS]
Dear [NAME, ex. Yogesh],
I enclose a completed medical claim form together with receipts totaling Rs./$ [AMOUNT OF RECEIPTS, ex. Rs. 23333.29] in respect of [DESCRIBE NATURE OF AMOUNTS PAID, ex. minor surgery administered to our employee, [NAME OF EMPLOYEE].
Kindly provide us with a Check payable to the employee in the above amount.
Please address all correspondence to our address noted on our letterhead and marked “Personal and Confidential”.
Sincerely,
[YOUR NAME, ex. Yogesh]
