worker-comp-law_W3_A3

Law Offices

123 Main St.

Anytown, IL 11001

February 8, 2017

Workers Compensation Board

100 Maple St.

Anytown, IL 11001

Re: Appearance, Pat Greene v. Explorer Air

To Whom It May Concern:

(Student inserts text here regarding attorney appearance)

Sincerely,

Name

Title

I hereby certify that a copy of the foregoing was served on (Insert parties who were served) via first class mail postage prepaid.

___________________________

Signature

___________________________

Date