February 20, 2006

TO:

EMPLOYEES AND ASSOCIATION

US Facility, Subic Bay
Zambales

CLAIMANT LIBERTAD A. MEJIA, widow of the late DANIEL MEJIA, a

subscriber/insured of Naval Base Subic Bay Employees Mutual Aid Association under
Policy No. 2128 and Policy No. 03466, as shown in the herein attached photocopies
exhibit marked ANNEX A and B, respectfully submit our claim.
FURTHER, quote and shown the following for your evaluation of our claim, as
to wit.
1. Marriage Certificate
2. Death Certificate
3. Policy Card
I will be anticipating your most propounded and appropriate action.
Very truly yours,

LIBERTAD A. MEJIA