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ORIGIN
KMMG WEST POINT
2901 KIA PARKWAY *NO TOBACCO PRODUCTS OR SMOKING ON PROPERTY*
WEST POINT, GA 31833

DESTINATION
KOONS KIA Woodbridge
14208 JEFFERSON DAVIS HIGHWAY
WOODBRIDGE, VA 22191

Load ID (Approx. Lat./Lng.) Delivery Time Stamp Server Time Stamp
53975218 (CR: 12015263)
O: 0.0000, 0.0000
D: 0.0000, 0.0000
05/19/2020 11:15 PM 05/19/2020 11:15 PM
Unit Info Exceptions Recorded
VIN Ref No Make Model Area Type Sev Alt Comment
5XXGT4L37LG446457 FPA1288379 KIA optima
5XYP3DHC1LG091113 P202003001 KIA Telluride
Client Signature Driver Signature
Client Signature
STI
Driver Signature
WHITE, CORY

Send damage L.O.N. to CSI@UnitedRoad.com or fax to 888-275-8051. Please include pictures and estimate of damage.

Claims Investigation Department

(405) 619-1400

United Road 41100 Plymouth Road, Suite 4000 Plymouth, MI 48170