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Policy Number(s): 11 R74168, 11 R74224, 15M01763, 28L11940 "T`RA'Y E LERS J <br /> Policy Number:15MO1763 <br /> HOOD RENEA 028 AS CBE4558 11/10/2008 11/1412008 12/1812008 c <br /> RENEA HOOD CAME TO ME ON 11-14-08 CLAIMING WHEN SHE WAS ON THE BUS WIT Inc: $0.00 $0.00 $0.00 $0.00 <br /> Pd: $0.00 $0.00 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> HUNTER WALTER 028 AD A418755 04/15/2009 04/4612009 10/08/2009 c <br /> OV WAS PARKED&UNCCUPIED&CITY BUS SIDE SWIPED MIRROR ON LT SIDE OV Inc: $313.00 $313.00 $0.00 $0.00 <br /> Pd: $313.43 $313.43 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> HUNTER WALTER 028 AD A418805 04/1512009 04/17/2009 04/17/22009 G <br /> AS OUR OPERATOR(LAVONE BENDER)WAS TRAVELING EAST ON WOOD ST.(VERY N Inc: $0.00 $0.00 $0.00 $0.00 <br /> Pd: $0.00 $0.00 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> JARRETT HILDRED 028 AD A4102-25 0112712009 0112812009 01/3012009 c <br /> OUR VAN WAS HEADED SOUTH ON POOLE ST.DORTHEA STATED SHE CAME TO THE S Inc: $2,366.00 $2,366.00 $0.00 $0.00 <br /> Pd: $2,366.37 $2,366.37 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> KARLOSKI ELSIE 028 AB CBE6852 05/0712009 05/19/2009 07/0912009 G <br /> RIDER ELSIE KARLOSKI FELL BACKWARD WHILE BOARDING OUR HANDICAP VAN 101 Inc: $54.00 $0.00 $0.00 $54.00 <br /> Pd: $54.00 $0.00 $0.00 $54.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> KENNEDY MARTHA 028 AB CBE5372 01/28/2009 02/0212009 02127/2009 C <br /> MS.KENNEDY WAS EXITING THE BUS WHEN SHE WENT TO STEP OFF THE LAST STE Inc: $0.00 $0.00 $0.00 $0.00 <br /> Pd: $0.00 $0.00 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> KIDD JOHN M 028 AD A3T1761 05/1412009 0511512009 05118/2009 C <br /> RANDY PHIPPS WENT TO BACK OUT OF PARKING SPOT AND BACKED INTO A PARKED Inc: $485.00 $485.00 $0.00 $0.00 <br /> Pd: $484.88 $484.88 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> LATTIMORE MARTHA 028 A8 A3T4522 01/14/2009 06111/2009 06/3012009 C <br /> MS.LATTIMORE CAME INTO THE MAIN OFFICE TODAY AND CLAIMS THAT SHE HURT Inc: $0.00 $0.00 $0.00 $0.00 <br /> Pd: $0.00 $0.00 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> LYONS TIMOTHY 028 LR CBE5127 01/12/2009 01/12/2009 03/3112009 C <br /> A MALE WAS ON THE BUS WHEN ANOTHER MALE SAT ON HIS COAT.HE ASKED AND Inc: $5.00 $0.00 $0.00 $5.00 <br /> Pd: $5.00 $0.00 $0.00 $5.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> Losses as of:08/27/2011 Run Date:08/29/2011 Page 3 <br />