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Raymond W. Ferrario, Esquire 528 Scranton Life Building 538 Spruce Street Scranton PA 18503-1816 raymondwferrariopc@comcast.net telephone (570)963-7878 fax (570)963-7850

QUESTIONNAIRE PERSONAL INJURY AUTOMOBILE CASE

1.

Name of Client

Address of Client

Briefly describe the auto accident as it occurred.

1

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