Shown are parts one (Credit Copy) and two (Debit Copy) of Form 3809. Both parts have entries as follows: Debit, Name and Address, 4910 Account; Credit, Name and Address, 1540 Account; Debit Amount $1,000; Credit Amount $1,000; prepared by, 0011312345; Date prepared, 080320XX; Explanation, (first explanation line) ERRF Case #20XX-15-0200, (second explanation line) John Doe, (third explanation line) 000-00-0001.