EFTA00269528.pdf
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📄 Extracted Text (178 words)
Precedence: ROUTINE Date: 08/08/2006
To: Miami
From: Miami
PB2/Palm Beach County Resident Agency
Contact:
Approved
Drafted By:
Case ID #: 31E-MM-108062 (Pending)
188B-MM-105207-C (Pending)
Title: VICTIM NOTIFICATION FORM
Synopsis: To document victim information. • • ' ' '' 1
Reference: 31E-MM-108062 Serial 1
Details:
VnsCase#: 3.11. =
CAgtName:
PContact: Guardian
BusName :
BusEIN :
BusAcct :
VicFirN :
VicMidN :
VicLastN:
SSAN :
VicDate : 20060725
VicDOD :
VicMino • Y
DOB
Race :W
Sex : F
Addr
Addr2 :
City :
State :1
Country
Zip : 2
Email :
HPhone
Fax :
VWrkAddr:
VWrkadd2:
VWrkCity:
VWrkSt :
VWrkCtry:
VWrIcZip :
WEmail :
WPhone :
WFax :
VicPager:
EFTA00269528
NOKFirN :
NOKMidN :
NOKLastN:
NOKRel :
NOICAddr :
NOICAddr2:
NOKCity :
NOKState:
NOKCtry :
NOICZip :
NOKHEma1:
NOKWEmaI:
NOKHPho :
NOKWPho :
NOKHFax :
NOKWFax :
NOKPage •
GrdFirN :
GrdMidN
GrdLastN
GrdRel :
GrdAddr :111
GrdAddr2
GrdCity :
GrdState:
GrdCtry :
GrdZip :
GrdHEmal:
GrdWEmal
GrdHPho :
GrdWPho :
GrdHFax :
GrdWFax :
GrdPager:
PropRet : N
TotLoss : 000000000
Lang. : EN
Disable :
••
EFTA00269529
ℹ️ Document Details
SHA-256
8ffe8cd456da8495fb0759a17e667c5f8a99b3865b59ad414b216832adc2ea4c
Bates Number
EFTA00269528
Dataset
DataSet-9
Type
document
Pages
2
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