Annex D - Claim


ANNEX D

CLAIM PRODUCTION CENTRE
ADVICE NOTE
CPC Customer No:
1697
 
Customer Name:
DEF Collections Ltd
Date of Media:
06/05/2010
 
Media Sequence Number:
1697ss.002
Media Type/Format:
Modem
3.5" Disk Dos   Block size     
3.5" Disk Pkzip   Block size     
FTP Fixed length   Block size     

 
Number of Requests:
1
 
Claim numbers:
0RT56002 to 0RT56002
Total fee payable:
310.00
 
 

I believe that the facts stated in the attached claim forms are true
I am duly authorised by the claimant to sign this statement


Full name___MR S. JAMESON___________________________



Name of the claimant's solicitor's firm____DEF Collections Ltd ___________


Signed_____MR S. JAMESON__________
*(Claimant)(Litigation Friend)(Claimant's solicitor)
 
position or office held____CREDIT MANAGER_________
(if signing on behalf of firm or company)  
 
*delete as appropriate