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Date Ordered: 05/16/2005              Expires on: 06/14/2005
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C.L.U.E.   Personal Auto Report
Account: 5XXXXX
CHOICEPOINT 		Date of Order:05 / 16 / 2005 
Date of Receipt:05 / 16 / 2005 
Reference #:05536130244398
For questions about your report please visit Customer Support and include your reference number.
Recap: SUBJECT - 4 CLAIM(S) REPORTED
POSSIBLE RELATED CLAIMS - 0 CLAIM(S) REPORTED
SEARCH REQUESTWhat's this?
Subject Name: DOE, JAMES E 
DOB: 03 / 01 / 78     SSN:  123-45-6789   Sex:  M
Driver's License #: 24XXXXXX  PA 
Address: 1915  LOCUST DR  ,  LANCASTER,  PA  17603-3667
Former Address: 6450  BIRCH AVE  ,  LANCASTER,  PA  17603-3473
Telephone #:() -
REPORTED CLAIM HISTORYWhat's this?
The 5-year loss history below is associated with the subject and information listed in the Search Request section of this report. Additional loss history information may be available if additional search information is provided.
CLAIM 1
Claim Date/Age:07 / 07 / 2004  (00yr - 10mo)CLUE File # : 0421XXXXXXX1335
Company: SOME INS Claim Number: 043300XXX
Policy Number:57409107Policy Type: PERSONAL AUTO
Policy Holder:DOE, JAMES E Vehicle Operator: SMITH, JANE  A 
Address: 6450  BIRCH AVE 
LANCASTER,  PA  17603 -3473
DOB:03 / 01 / 1978 
Sex:M
SSN:123-45-6789
Driver's License #:24XXXXXX
Vehicle:1996 SATURN SL2 4D
VIN:1G8ZJ5278TZ185937Disposition:
 Payments by Claim Type:
 $0 - COLLISIONStatus:CLOSED
 $0 - PERSONAL INJURY PROTECTIONStatus:CLOSED
CLAIM 2
Claim Date/Age:07 / 31 / 2002  (02yr - 09mo)CLUE File # :0221900450021677
Company:PROGRESSIVE NORTHERNClaim Number:028618359
Policy Number:55670338Policy Type: PERSONAL AUTO
Policy Holder:DOE, JAMES E Vehicle Operator:DOE, JAMES E
Address: 6450  BIRCH AVE 
LANCASTER,  PA  17603 -3473
DOB:03 / 01 / 1978 
Sex:M
SSN:123-45-6789
Driver's License # :24XXXXXX
Vehicle:1990 MAZDA MX-5 MIATA CV
VIN:JM1NA351XL0135688Disposition:
 Payments by Claim Type:
  $80 - COMPREHENSIVEStatus:CLOSED
CLAIM 3
Claim Date/Age:01 / 26 / 2002  (03yr - 03mo)CLUE File # :0207900360013529
Company:PROGRESSIVE NORTHERNClaim Number:027687428
Policy Number:55670338Policy Type: PERSONAL AUTO
Policy Holder:DOE, JAMES E Vehicle Operator:UNOCCUPIED   
Address: 6450  BIRCH AVE 
LANCASTER,  PA  17603 -3473
DOB:03 / 01 / 1978 
Sex:M
SSN:123-45-6789
Driver's License #:24XXXXXX
VIN:Disposition:
 Payments by Claim Type:
 $0 - COMPREHENSIVEStatus:CLOSED
CLAIM 4
Claim Date/Age:03 / 12 / 2001  (04yr - 02mo)CLUE File # :0109300650042790
Company:PROGRESSIVE NORTHERNClaim Number:016178017
Policy Number:55670338Policy Type: PERSONAL AUTO
Policy Holder: JOHN, DOE E Vehicle Operator:DOE, JAMES E
Address: 6450  BIRCH AVE 
LANCASTER,  PA  17603 -3473
DOB:03 / 01 / 1978 
Sex:M
SSN:123-45-6789
Vehicle:1990 MAZDA MX-5 MIATA CV
VIN:JM1NA351XL0135688Disposition:
 Payments by Claim Type:
 $0 - COMPREHENSIVEStatus:CLOSED
POSSIBLE RELATED CLAIMSWhat's this?
Claims listed below are based on a match of the subject's last name and the address(es) listed in the Search Request section of this report.
No possible related claims found
INQUIRY HISTORYWhat's this?
Date:08 / 28 / 2003  Requestor:PROGRESSIVE CAS INS CO
Date:01 / 14 / 2004  Requestor:HARTFORD INSURANCE CO
Date:01 / 21 / 2004  Requestor:CHOICEPOINT CONSUMER CTR
Date:01 / 22 / 2004  Requestor:HARTFORD INSURANCE CO

Prepared by:COMPREHENSIVE LOSS UNDERWRITING EXCHANGE
C.L.U.E. Inc., Atlanta, GA.
For additional information contact:C.L.U.E. Inc. Consumer Disclosure Center
P.O. Box 105108
Atlanta, Georgia 30348-5108
1-866-820-8976
 "C.L.U.E." is a registered trademark of ChoicePoint Asset Company

Reference #:05536130244398


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