CLAIM #197245

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Claimant

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ClaimantDavid Ballantine
Emaildballantine@payden.com
Phone (Best)(213) 220-1776
InternalReference

Claimant Incident Description

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Current DescriptionCar was backed into by parking attendant.

Vehicle

Vehicle2013 Ford Explorer
License #6YRR683
VIN #1FM5K7F870GC05989
Mileage58,000

Incident Location

Location #Wells Fargo Center 22422360
LevelLevel 3 - Space 3164 - Ticket 1593
Time Estimate Amount
03/28/17 12:26 AM Shop Estimate $1,892.14
Total $1,892.14

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