12

NOTICE OF OVERPAYI\IENT****
cOlltalln a statement as to
which
contention that the or and
an informal rp'lrJP'.'v a formal adlmlms:trattlY'e
slgJ:led by or your Admin. Code 371. I
contact me at
L","P1<,:7 HEALTH AND HUMAN SERVICES COMMISSION
4900 Nortb Lamar
P.O. Box 13247
aU"Ull, TX 78711
Tbomas M. Suebs
Executive Commissioner
FACSIMILE COVER SHEET
12
4
Date/TIme
LocatIO 1
Local 10 2
01-23-2012
5128336484
04:08:37 p.m.
Transmission Report
TransmIt Header Text
Local Name 1
Locat Name2
TAOS
TO:
AGENCY:
This document: Confirmed
(reduced sample and details below)
Document size: 8.5
N
x11
t1
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
49MN_La_
P.O."UW
Ausa.. TX 11111
FACSIMILE COVER SHErr
Dr. Robert M Andmon. PA
Law Offices of Hanna and Anderton
FAX NUMBER:
FROM:
PHONE:
DATE:
NUMBER OF PAGES,
INCLUDfNG COVER PAGE:
COMMENTS:
(512) 477-1188
Eva Riojas, Sanctions Specialist, Chief Counsel Division
(512) 491-2077
January 23, 2012
Please Rnd following this C{IYel' Sheet correspondence of
lo<lay's date, Fil13l Notice of
lX1NfIDENTIAUTY NOTICE
""" iltfont'lM>OQ ""lWAed it> ,.... facsimik Umoy also IN! oubj<lCt 10 !be
priviJqe. wori: pro<t>ct Of prnprieUIry infilrmatiot>. Thio fl>fonnarioft IS iItleftciod for !be ..dill''''' _ of ,,,",
Ilddteou IWDl:d abaw. If you ..... no< Ill< .1IJUlded n:c1plelK. ,.,.. .. hrtetIy notified tbat InY __ diad"...",.
d.......-lOft, diJlno..tion (odlet diu to tile add<esste """,cd aboYel. GOpy\nf or Ill< 1AItin, of &tIy IICIloo b&lue of
this IS ..netly p.oM>iIlnl. If,.,.. "",t'ivcd ,bit ,nIDnnaJioIt in moe. plaM ,mmedi...,ty notify us
by tekpt.:- to.......,., for die teiurIl oftllll6ocutnt'tlt.
Total Pages ConfIrmed: 4
Start Time Duration
04:06:46 p.m. 01-23-2012 00:01 :21
Results
CPl4400
AbbreviatIons:
HS: Host send
HR: Host receIve
WS: Waiting send
PL: Polled local
PR: Polled remote
MS Mailbox save
MP: Mailbox pflnt
CP: Completed
FA: Fall
TU: Terminated by user
TS: Terminated by system
RP Report
G3: Group 3
EC: Error Correct
Complete Items 1, 2, and 3. Also complet&;
item 4 If Restrlcted Delivery Is desIr9d.
PrInt your name and address ott the reverse
so that we can return the card to you.
Attach this card to the back 0# the mailplece,
or on the If space permits.
1. Artlcle to:
M & M Orthodontics, PA .
,
c/o Dr. Robert M. Anderton, DDS, JOt
Law Offices of Hanna and Anderton
900 Congress Avenue, Ste. 250 0 Expre$SMalI
Austin, TX 78701 lJ'lReglstered o Return RecelptforMerchandlse
o Insured Mall 0 C.O.D.
4. Restricted DelIvery? (Extra Fee) 0 Yes
2. ArtJde Number
(Transfer from service (abel) 7011 1150 0001 5296 0227
PS Form 3811. February 2004 Domestic Return Receipt 102595-<12M-1540
r'-
ru
ru
:
postaQ!J 1..:':..------,
; Jm::;
CI ReqLlf L-----,
CI [)ellve<yFe<t
(EndotgM16llt RoouirOOl
M & M Orthodontics, PA DDS JO
Total ?os b rt M Anderton, ,
r-'\ c/o Or Ro e f and Anderton
r-'\ ent 0 Law Offices 0 Ste 250
8 :Sirri8i.'.!.iit: 900 Congress Avenue, .
r'- Austin, TX 78701
\ City, Stal9. :1
12
U**NOTICE OF INTENT TO AS;SE:SS DAMAGES AND PENALTIESu**
SUEHS
L
oro,:::ess remedHes ll1lclUldlI1lg an a
1.1 \Vithin
wrltte:n consent to the attached
pelnaltles, or you request an
Admin. 1.1
or
1. 1 1.1
2. 1 1.1
1 1.1
4. 1 1.1
5. 1 1.1
contact me at
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
4900 North Lamar
P.O. Box 13247
aU"UII, TX 78711
Thomas M. Suens
Executive Commissioner
FACSIMILE COVER SHEET
12
4
DatelTlme
locallD 1
LocallD 2
01-23-2012
5128336484
04: 18:41 p.m.
Transmission Report
Transmit Header Text
local Name 1
Local Name2
TADS
This document: Confirmed
(reduced sample and details below)
Document size: 8.S"x""
TEXAS HEALTO AND HUMAN SERVICES COMMISSION
,,.. I<ortIll.-r
P.O. Be. 13247
AuG,TX71111
TO:
AGENCY:
FAX NUMBER:
FACSIMILE COVER SHEET
Dr. Robert M. Anderton, PA
Law Offices of Hanna and Anderton
(S12) 477-1188
FROM:
PHONE:
DATE:
NUMBER OF PAGES,
INCLUDING COVER PAGE:
COMMENTS:
Eva Riojas, San.:tions Specialist, Chiet C(JuoseJ Division
(512) 491-20n
JMU:Ity 23, 2012
4
Pleaae fInd following this Cover Sheet com::spondenoe of
today's daw, Notice of lnknt to Auess Damages and
Penalties.
CONFIDENTIALITY NOTICE
The lnt""""lioll c........... III u.. tio<ttmtJec ill It may at..> be Nbjt to lhr .-.aey.."'ieal
pri"'l... w<lrit prodJlet ot propriowy lnIhrmatioll. nu. inWnnoliort is iatm<Ied tor dw: <xcnwv., .-0(dw:
Wl>Od aboYe. If yov"'" lIOl "'" mteIIdod rec:ljliml. bon:Oy lIOlitied iJw ...y _. diac:IoouA!.
distriblnioo (odler rb.uI '" lhr Rllll><d copyiaa ot IiIe taIuat 0(lOt)' actiM Qf
,hi. i1Ifonnotioo is ......"Iy prolul>itt<l. Iry"" haw "",,","lid IbiJ inlonnatioIl 1ft error. pIftoe DOlify ....
by 10""""" for w_ of "'" dot_lII.
Total Pages Confirmed: 4
Start TIme Duration
04: 15: 53 p.m. 01-23-2012 00: 01: 12
Results
CP14400
Abbreviations:
H5: Host send
HR: Host receive
WS: Waiting send
PL: Polled local
PR: Polled remote
MS: Mailbox save
MP: Mailbox print
CP: Completed
FA: Fall
TU: Terminated by user
TS: Terminated by system
RP: Report
G3: Group 3
EC: Error Correct
Compfete ltem& 1. 2.l:illd 3. Also complete
item 4 If Restrfcted DelIvery Is desifed.
Print your name and address on the reverse
so that we can return the card to you.
Attach this card to the bad< of the mailplece.
0( 0 the front If space permits.
1. . Adc:lfflsseQ to:
M & M Orthodontics, PA
clo Or. Robert M. Anderton ODS JO
Law Offices of Hanna and Anderton
900 Congress Avenue, Ste. 250
Austin, TX 78701
3. Svlce 1YPe
CeItlfled Mall 0 Express Mall
'aRegl8lef8d 0 Return ReceIpt for Merchandlse
o tl1Sl.ll'9d Mai 0 C.O.D.
4. Restricted DeIlvery1 (Extra Fee) 0 Yas
7011 1150 0001 5296 0241
PS Form 3811. February 2004
M & M Orthodontics PA
cia Or Robert M
Law Offices of n, DOS, JO
900 Congress A nna and Anderton
Austin, TX Ste 250