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Kaye HSY7001 Rev 01/12 Other Investigation Time Total Minutes Page of Unit Number Owner Name Last First Middle TAYLOR VINCENT D Owner Address City State Zip 1 - None CLEVELAND HTS Occupants Vehicle Model MAZD MZ3 Mazda STATE FARM 2 - Minor 3 - Functional Vehicle Color BLU Policy Number Insurance Company Proof of Insurance Shown 44118 J M 1 B K 1 2 F 7 7 1 7 1 9 6 0 2 Vehicle Make OH Vehicle Identification Number FGC4852 Vehicle Year Same As Driver ROSSMOOR RD Damage Scale 216-309-7938 License...
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