File # : EC20172450
File Status : Closed

Client Info
Client Name(s) :

Gwendolyn Hadley


Loss Address :

435 N. 60th Street
Philadelphia PA 19151


Home # :

Work # :

Email :

Mailing Address :

Cell # :
215-432-7662

Fax # :

Other Contact Info :

Carrier Info
Company :
State Farm

Fax # :

Policy # :
98CX66500

Building Adjuster :

Coverage A Limits :
$0.00

Coverage C Limits :
$0.00

Deductible :
$0.00

Office # :

Email :

Claim # :
3809146H4

Contents Adjuster :

Fire Investigator :

Ron Pacchione
253 274 6720


Coverage B Limits :
$0.00

ALE :

Images :

Loss Info
Date of Loss :
02/22/2017

Peril :
Fire

Contract Date :
02/23/2017

Details of Loss :

Percentage :
10%

Images :

Restoration Info
Company :
Champs

Billing :

Signing Rep. :

EMS Service :

Additional Services :

Office # :

Fax # :

Email :

Rep. Email :

Date of EMS :

Date of Add. Services :


Hotel Info
Name :

Status :

Phone 1 :

Phone 2 :

Fax :

Address :

Confirm# :

Stay Dates :

Notes :


Eastern Company Info
Created on April 10, 2017 by Steve Johnson
Solicitor 1 :
Dennis

Solicitor 2 :

Adjuster :

Contents Adjuster :

Additional Adjuster :

Additional Claim Info:

Next Action Due Date:

Date Claim Reported :

Solicitor 1 Email:

Solicitor 2 Email:

Adjuster Email :

Contents Adjuster Email:

Additional Adjuster Email :

Next Action:

Images :
Misc. Other Files :

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