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SAMPLE SUBRO INITIATIVE
ROBERT JONES
JONES INSURANCE GROUP
111 W 6TH AVENUE
ANYWHERE, CO 80021 |
CLIENT #: A0345
LOSS DATE: 1/11/98
CLAIM/ACCT: 000000123
REFERENCE: SUE JOHNSON
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We have developed the following information:
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SUBJECT:
ADDRESS: |
JOHN M. SMITH
543 SKIPTOWN AVENUE,
ALLENTOWN, PA 80202
(211)
222-9998 |
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COUNTY:
GENDER:
DATE OF BIRTH:
SOCIAL SECURITY
NUMBER:
DRIVERS LICENSE: |
LINCOLN
MALE
1/13/65
111-22-3232
26-343-4497 |
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REAL ESTATE OWNERSHIP:
LEGAL DESCRIPTION:
AREA WEALTH
RATING:
PURCHASE DATE:
ASSESSED VALUE: |
YES, ABOVE ADDRESS
LOT 21A,
MAP4
UPPER-MIDDLE
6/15/92
$97,000.00 |
| EMPLOYER: |
WOODS CONSTRUCTION
326 N. PINE, SUITE #1246
ALLENTOWN, PA
80202
(211) 675-1553 |
POSITION:
DOH: |
CARPENTER
7/1/97 |
Per your surbo-initiative request insurance coverage was
identified with Everson Insurance Group in Allentown, policy number
233-33-233.
FEE: $70.00 CASE#: 20000112-I2 (Please refer to case # when remitting)
This investigation was conducted in compliance with the
Fair Credit Reporting Act and the Gramm-Leach-Bliley Act.
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