ORIGIN
|
DESTINATION
|
| Load ID (Approx. Lat./Lng.) | Delivery Time Stamp |
|---|---|
|
70630258 (CR: 17099026)
O: 33.5945, -86.7618 D: 30.6864, -88.2117 |
05/01/2023 12:47 PM |
| Unit Info | Exceptions Recorded | |||||||
|---|---|---|---|---|---|---|---|---|
| VIN | Ref No | Make | Model | Area | Type | Sev | Alt | Comment |
| 1FMCU0GN3PUA11477 | Ford | Escape | ||||||
| 1FT8W2BN4PEC54149 | Ford | F-250 Super Duty | ||||||
| 1FT8W3DM7PEC40417 | FORD | F-350 SUPER DUTY | 70 | 4 | 2 | 0 | ||
| 10 | 12 | 1 | 0 | |||||
| 11 | 12 | 1 | 0 | |||||
| 1FMJU1K84PEA35702 | Ford | Expedition | ||||||
| Client Signature | Driver Signature |
|---|---|
 KODYN WOODHAM |
 ADAMS III, ISAAC E |
Send damage L.O.N. to CSI@UnitedRoad.com or fax to 734-947-7934. Please include pictures and estimate of damage.
Claims Investigation Department
(844) 556-2625
United Road 41100 Plymouth Road, Suite 4000 Plymouth, MI 48170