📄 Extracted Text (175 words)
Precedence: ROUTINE Date: 12/09/2009
To: Miami
From: Miami
Contact:
Approved Bv:
Drafted By:
Case ID #: 72B-MM-1 1327 (Pending)
188B-MM-105207-C (Pending)
Title: VICTIM NOTIFICATION FORM
Synopsis: To document business information.
Reference: 72B-MM-111327 Serial 1
Details:
VnsCase#: 72B-MM-111327
CAgtName:
PContact: Person
BusName :
BusEIN :
BusAcct :
VicFirN : Bradley
VicMidN : James
VicLastN: Edwards
SSAN :
VicDate : 20091023
VicDOD :
VicMinor: N
DOB :
Race : U
Sex : U
Addr :
Addr2 :
City :
State : FL
Country : US
Zip : 33301
Email :
HPhone :
Fax :
VWrIcAddr:
VWrkadd2:
VWrkCity:
VWrkSt :
VWrkCtry:
VWrIcZip :
WEmail :
WPhone :
WFax :
VicPager:
NOKFirN :
NOKMidN :
NOKLastN:
NOKRel :
NOICAddr :
NOICAddr2:
NOKCity :
EFTA00108677
NOKState:
NOKCtry :
NOICZip :
NOKHEma1:
NOKWEmaI:
NOKHPho :
NOKWPho :
NOKHFax :
NOKWFax :
NOKPager:
GrdFirN :
GrdMidN :
GrdLastN:
GrdRel :
GrdAddr :
GrdAddr2:
GrdCity :
GrdState:
GrdCtry :
GrdZip :
GrdHEmal:
GrdWEmal:
GrdHPho :
GrdWPho :
GrdHFax :
GrdWFax :
GrdPager:
PropRet :
TotLoss : 000000000
Lang. :
Disable :
••
EFTA00108678
ℹ️ Document Details
SHA-256
a480b89310e9a8e982f4660c1192718ef1daaaf55569883b1af66d751aa4c456
Bates Number
EFTA00108677
Dataset
DataSet-9
Document Type
document
Pages
2
Comments 0