Dear Mr. Doe:

This store has a report showing that on May 12, 1995, you took from us a tape, batteries, comb, and calculator without permission, without paying for them, and to use them as your own.

You have not replied to our demand letter of June 10, 1995. We are again demanding payment. State law provides that we can demand you pay these penalties:

For any damages $_____________________

The selling price of the stolen $_____________________

Items (even if we have

Recovered them)

A penalty of no less than $100

And no more than $200 $____________________

TOTAL AMOUNT $____________________

This demand is made by this store. It is separate from any criminal prosecution by the city or county. This demand does not take the place of any fines or punishment, which may be handled by the criminal courts. You will not receive another notice before we file the civil court action.

________________________________________
(Signed by store owner or manager)