R&M WHOLESALE INC 1007 MAIN STREET LAFAYETTE, IN 47901 PHONE 765-742-2606 FAX 765-423-4337 Payroll Services: R&M Wholesale is requesting premium reimbursement for the following employees as payment was maid in error: Daniel Gardiner-‐ Premium Refund For September and October Total Amount: $218.92 Amy Landrum-‐ Premium Refund for September and October. Total Amount: $90.48 Total for both employees: $309.40 R&M Wholesale Attn:Jeff Huffman 1007 S. Main Street Lafayette, IN 47923 Best Regards, Jeff Huffman Payroll Specialist 317-‐432-‐3500 jhuffman@heartlandmarkets.com