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

Contact Information:
Name: Michael Shamos
Address: 5818 Alameda Drive
City: Arcadia
State: CA
Zip: 91007

Phone: (323) 908-3769
Alternate Phone: (323) 847-1224
Email: mikeshamos4@yahoo.com

Insured Information:
Sex: Male
Age/DOB: 09-22-1959
Height: 6'1"
Weight: 180
Tobacco: Never

Quote #1: Amount: $750,000 Type: 20 years

Own or Rent Home: Own

Spouse:

Age/DOB: 10-29-1965
Height: 5'5"
Weight: 145
Tobacco: Never

Quote #1: Amount: $500,000 Type: 30 years

Health Problems and other information:

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