asd | Gaylord Claims

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Relationship Manager Email
	phataya@pnwdesignconsulting.com
Client Name
	Phataya Inthala
Date of Loss
	03/02/2023
Email
	phataya@pnwdesignconsulting.com
Type of Lost/Accident
	Pedestrian Accidents
Property and/or Claim Damage
	Minor Damage
Property Damage Total
	12493
Type of Injuries
	asdasdasdasd,asdasd,asdasdasd,
Recommended Care Providers
	Other – Please Describe
Please Describe
	lorem test
From
	03/02/2023
To
	03/01/2023
Recommended Treatment Cost
	123545
Claim Narrative
	loren
From
	1234
To
	12345
Maximum Loan Value
	1234

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