Lead Type: Life Insurance
Date Received: 01/10/2006

Contact Information:
Name: Jerry Isomie
Address: 1536 Apple Trail
City: Waco
State: KY
Zip: 40385

Phone: (859) 582-9790
Alternate Phone: (859) 582-4750
Email: jerryisomie57@yahoo.com

Insured Information:
Sex: Male
Age/DOB: 06-11-1954
Height: 6'3"
Weight: 215
Tobacco: Never

Quote #1: Amount: $400,000 Type: 30 years

Own or Rent Home: Own

Spouse:

Age/DOB: 04-05-1956
Height: 5'6"
Weight: 150
Tobacco: Never

Quote #1: Amount: $400,000 Type: 30 years

Health Problems and other information:

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