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