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FVT306
Claim Number: 01-0210
Claim Status: PD
Claim Date: 21 June 2001
Claim Loss: 8 May 2001
Claim Report: 23 May 2001
COC Date: 15 June 2000
Period Of Cover: 15 June 2000  to  15 June 2001
COC CTRC: R06001354-JEP1062000
Claim Type: M
Operator: MELBA DAQUIL
Claimant: HECTOR SELGUERA
Remarks:
RES Amount: 0.00
Payment Amount: 5,971.60
CV Number: cv0472
Check Number: PCIB993812
CV Date: 4 June 2001