Date of Report Submission: 03/27/02
Name:
Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
Repair Facility: CAC
State Appraiser License: Test
Shop Representative: lkjl
Address: lkj;
City: lkj
State: lkj
Zip: ;lkj
Phone: 1111111111111
Insurance Company:
Claim Number: Erie
Insurance Company Representative: Charlie
Date of Loss: 01.02.02
Appraiser License Number: N/A
Insurance Company Phone: 651325222
Consumer Legislative Representative: Browne, Patrick M. (R) - District 131
Consumer Senator: Kitchen , Shirley M. (D) - District 3
Repair Facility Legislative Representative: Blaum, Kevin (D) - District 121
Repair Facility Senator: Kasunic , Richard A. (D) - District 32
Complaint Comments:
Barb's Test