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<br />" <br /> <br />.,. <br /> <br />rt?~jJ <br />~~J. <br /> <br />02-7- ?L( <br />. .0.. <br /> <br />$ <br />'..,( <br /> <br />"" <br /> <br />~ <br /> <br />I <br />.!' , ~ <br /> <br />State Farm Ins. Companies <br />7615 Ja:::qlJe Road <br />F'OB 5999 <br />3ayonet Po\nt, FL 34667-0000 <br />(813) 869-4660 <br />1l-1~-93 <br /> <br />G/llkl f A <br /> <br />Est\mate: VOI0-892 <br />Insured: Chloe Sc~dder <br />Addressl 5226 2nd St <br />I Zephyrhills, FL 33541 <br /> <br />Phone:(813) 78B-1683 <br /> <br />Operator: STN <br />Estimetorl Greg 5co~t <br />Cleim Unit: 88 <br />Cl~im Rep: 884 <br />Agerlt Code: 1871 <br /> <br />Phonel(913) 869-46~3 <br /> <br />Claim Number <br />10-1)010-892 <br /> <br />Po 1; cy t-bmber <br />90-26-6416-3 <br /> <br />CaU5e of Lo::,::. <br />AUTO DAMAG <br /> <br />DedlJctible <br />250 <br /> <br />Date Entered 11/10/93 <br />Dete of Loss 10/28/93 <br />Date Inspected: 11/02/93 <br /> <br />~rAR-r- 6-9-9f <br /> <br />Pr.ce List: FLHURR2B <br /> <br />~ <br /> <br />ZOO~ <br /> <br />J.NIOd J3NOXV8 <br /> <br />TO:ST t6/SZ/TO <br />