# Claim Abstract

## Company Information
- **Name:** NAFL NAFLAL UNION
- **RA CODE:** 37
- **DATE PREP:** 07/11/84
- **BY:** DMK
- **SOURCE:** 37

## Policy Information
- **U.D. POLICY NO.:** 26
- **POLICY TYPE:** V456
- **V456 VPREF:** VOLCITY
- **LOCATION:** NEW YORK, NY 10501
- **POL. INC.:** PPL INS.
- **POL. EXP:** 05/21/92
- **TREASURER:** J.PHILLIPS & HIGGINS
- **NEW YORK:** HAAGCHE
- **NEW YORK:** EAST ORANGE NJ VNS:005 AM
- **NATURE OF RUSTNESS:** VLOBS PAVE/13POINT GEE
- **COVERAGES & WTL FAN 2 WTL:** 2DWHITTEGEE
- **RISK ANALYSIS:** MN
- **DEDUCT:** NONE
- **INSURED DIVISION:** N/A
- **CLAIMANT:** RICHARD L. WILMAN
- **CLAIMANT LOSS PAYEE:** PPE HT
- **OCCUPATION:** MDC TRA. & ADMIN STATUS
- **DIVISION:** 30
- **DEPARTMENT:** 402
- **INJURY CODE:** 6
- **MEDICAL DEFENSE:** YES
- **BUDGET UNIT:** 0113
- **PAYROLL UNIT:** 0113
- **CLAIMANT DATE:** 01/09
- **CLAIMANT NUMBER:** 592 0100
- **CLAIMANT AMOUNT:** 140
- **CLAIMANT STATUS:** GROSS

## Items
- **CO. #:** 9680
- **TYPE:** an
- **CONF:** 000500000
- **CERTIFICATE:** 000500000
- **CELLING FLOOR:** 1.0000
- **PART:** 000500000
- **TOTAL:** 000500000

## Additional Notes
- **END:** 000500000