This is part of my recent CUE issue pending that can be used as a template:
Department of Veterans Affairs October 28,2012
Philadelphia Regional Office
PO Box 8079
Philadelphia ,Pa. 19101 Re: 310/3POST/CG
Nehmer decision dated January 17,2012
C # XX XXX XXX
and
Department of Veterans Affairs Original Agency of Jurisdiction
Regional Office
130 South Elmwood Avenue