<eob>
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  <HDR_STMT_DATE>06/13/08</HDR_STMT_DATE> 
  <HDR_CLAIM_NUMBER>200815501300102</HDR_CLAIM_NUMBER> 
  <HDR_PATIENT_NAME_FIRST>MEMBER02</HDR_PATIENT_NAME_FIRST> 
  <HDR_PATIENT_NAME_MIDDLE /> 
  <HDR_PATIENT_NAME_LAST>BISHOP</HDR_PATIENT_NAME_LAST> 
 </HEADER_RECTYPE>
 <ADR_REC_TYPE record_type="ADR">
  <ADR_8512_ATTN>5678 TEST DR</ADR_8512_ATTN> 
  <ADR_8513_STREET1 /> 
  <ADR_8513_STREET2 /> 
  <ADR_8514_CITY>ARVADA</ADR_8514_CITY> 
 </ADR_REC_TYPE>
<eob>=