SAMPLE RESOLUTION LETTER
Date: ADDRESS Re: Dispute Resolution for Labeler 00000 for Period 1Q91-4Q95 Dear: This letter serves to confirm resolution with Big Drugs Pharmaceuticals, Inc. for Labeler code(s) 00000 for the period 1Q91-4Q95. As a result of our unit-based resolution efforts, both parties agree that the attached document accurately reflects the rebate quarters and amount of resolution, including units/amounts dismissed and/or interest if applicable. Both parties agree to this resolution to date and each party understands that if any information arises which would cause an adjustment to these quarters, each party reserves the right to make such adjustments. Please confirm your agreement to this resolution of this dispute by signing this letter in the indicated space below and faxing it to my office at (222) 222-2222. I would like to thank you for your assistance and cooperation in resolving this dispute. I look forward to working with you in the future. If you need any assistance or have further questions, please call >>>>>>>>>>>. Agreed To and Accepted For: STATE: _____________________ TITLE: _____________________ DATE: _____________________ LABELER: ______________________ TITLE: ______________________ DATE: _______________________