Lead Type: Life Insurance
Date Received: 01/06/2006

Contact Information:
Name: Edith Brown
Address: 35 Robinwood Drive
City: Stroudsburg
State: PA
Zip: 18360

Phone: (570) 245-1833
Alternate Phone: (570) 245-1833
Email: edithandgreg47@aol.com

Insured Information:
Sex: Female
Age/DOB: 12-15-1939
Height: 5'1"
Weight: 160
Tobacco: Never

Quote #1: Amount: $10,000 Type: Final Expense/Burial

Own or Rent Home: Own

Spouse:

Age/DOB: 11-03-1937
Height: 5'5"
Weight: 155
Tobacco: Never

Quote #1: Amount: $10,000 Type: Final Expense/Burial

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