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r r r r rr ■r rr r r rr r rr r r wr ■r rr r alp <br /> Policy Number(s): 11 R74168, 11 R74224, 15M01763, 28L11940 TRAVELER'S,, J <br /> Policy Number: 15MO1763 <br /> MURRAY BARBARA 028 AS CBE7947 0810112009 08/03/2009 08104/2009 C <br /> MS.MURRAY CALLED ME APPROX.11:15 AM TODAY STATING SHE HAD FALLEN ON 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 /> NICKERSON ROXANN 028 AS CBES070 12/29/2008 01/07/2009 04120/2009 C <br /> MS.NICKERSON(PASSENGER)BOARDED OUR BUS AND BEFORE SHE WAS SEATED TH Inc: $970.00 $904.00 $0.00 $66.00 <br /> Pd: $969.13 $903.63 $0.00 $65.50 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> NICKERSON ROXANN 028 AS CBE7473 06/27/2009 06/3012009 07/09/2009 C <br /> MS.ROXANNE NICKERSON CALLED ME TODAY STATING THAT OUR BUS OPERATOR DI 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 /> NICKERSON ROXANN 028 AS CBE8268 08126/2009 08/2712008 10/07/2009 C <br /> A ROXANNE NICKERSON FELL WHILE SHE WENT TO EXIT THE BUS AT THE TRANSIT Inc: $1,040.00 $0.00 $0.00 $1,040.00 <br /> Pd: $1,040.40 $0.00 $0.00 $1,040.40 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> PHILLIPS MARY S 028 AS CBE5050 12/23/2008 01106/2009 43130/2009 C <br /> SUPERVISOR MS.RAUCH WAS TURNING ONTO S.SHORES DR.FROM RT.51 WHEN T Inc: $2,514.00 $2,479.00 $0.00 $35.00 <br /> Pd: $2,514.01 $2,479.00 $0.00 $35.01 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> ROTZ WILLIAM 028 AS A605226 12/16/2008 12117/2008 0510812009 C <br /> STEVE WAS APPROACHING GRAND AVE.ON DENNIS WHEN STEVE WENT STOP HE SLI Inc: $6,269.00 $6,269.00 $0.00 $0.00 <br /> Pd: $6,269.49 $6,269.49 $0.00 $0.00 <br /> O/S: $0.00 $0.00 $0.00 $0.00 <br /> STAGGER MARIE 028 AS CBE8612 09/15/2009 0912312008 11/1512009 C <br /> ROBERT WALKER(BUS DRIVER)STATED THAT HE PULLED UP TO BUS STOP AND LE 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 /> SUZEWITZ KELLY 028 AS CBE5306 01/27/2009 01/2812009 02105/2009 C <br /> OUR VAN OPERATOR MEL WAS INTO THE INTESECTION GETTING READY TO TURN SO 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 /> WILLIAMS GWENDOLYN 028 AS CBE3921 09123/2008 09/24/2008 05/21/2009 O <br /> OUR OPERATOR WENT TO TURN LEFT ONTO CHURCH FROM WOOD ST.CLIPPING A CAR THAT WAS NORTHBOUND Inc: $15,909.00 $15,909.00 $0.00 $0.00 <br /> ON CHURCH ST. Pd: $10,537.81 $10,537.81 $0.00 $0.00 <br /> O/S: $5,371.19 $5,371.19 $0.00 $0.00 <br /> Losses as of:08/27/2011 Run Date:08/29/2011 Page 4 <br />