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LWD309
Claim Number: 01-0177
Claim Status: PD
Claim Date: 19 June 2001
Claim Loss: 21 March 2001
Claim Report: 2 May 2001
COC Date: 13 September 2000
Period Of Cover: 13 September 2000  to  13 September 2001
COC CTRC: R11000273-JEP1092000
Claim Type: X
Operator: NORBERTO O. NAUTAN SR.
Claimant: ERWIN P. MONDAY
Remarks:
RES Amount: 0.00
Payment Amount: 66,288.00
CV Number: 0443
Check Number: PCIB993788
CV Date: 21 May 2001