Form B

 Supervisor, Special Calculations
NYS Local and Employees' Retirement System
110 State Street

Albany, New York 12236


Dear                                    :

Would you please provide me with the Final Average Salary and the
Retirement Allowance without Option for the following SUNY retiree:


Name                     Social Security No.      Retirement Date



If you need any additional information, please let me know. My
telephone number is                              and fax number is

Thanks once again for your assistance.