Social Security Administration
Susan A Patrick
1234 5th Avenue
Huntington NY 10101
(Bar Code goes here)
STATEMENT DATE: 08/06/02
ACCOUNT NUMBER: 12345678901
AMOUNT DUE: $0.00
BALANCE FROM PREVIOUS STATEMENT $30.00
PAYMENT RECEIVED - 07/12/02 - THANK YOU $30.00
NEW BALANCE $0.00
This statement concerns an overpayment of Social Security benefits paid in error to
SUSAN PATRICK, C1; JOE A PATRICK, C2; JOHN A PATRICK, C3; and FRED PATRICK, C4.
This bill is paid in full. Thank You.
If you have any questions, you may call us at 1-718-557-6600 TOLL FREE. The office
hours are Monday through Friday, 7:15 A.M. through 6:00 P.M. EST. Please have this
statement available when you call.
If you call us using a TDD machine, please pause after you type a few words. This
will give us time to transfer your call to the TDD line.