Department of the Treasury
Bureau of Fiscal Service
National Payment Integrity and Resolution Center
13000 Townsend Rd
Philadelphia, PA 19154
QDB-824C-ABC August 31, 2013
Social Security Administration
WNPSC Attn: Mod 08
P.O. Box 2000
Richmond, CA 94802
We submitted the material below for examination and report. We are returning the enclosures
transmitted with your reference herewith. We have not made any photographs. Your reference:
Account # XXX-XX-XXXXA
Questioned: The endorsement of John Doe’s name on check # 1234-56,789,101 dated 01-03-11.
Standard: Signatures in the name of John Doe on FMS-1133 dated 01-03-11.
Report: The author of the standard writing does not appear to be the author of the endorsement
on the questioned check.
Philip L. Bean
Document Analyst
*THIS REPORT IS FOR INTERNAL USE ONLY AND IS NOT FOR RELEASE.*