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Date Item Was Originally Acquired
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Disclaimer With Esign*
THIS IS MY FULL AND FINAL CLAIM AND I ACKNOWLEDGE THE ABOVE IS ALL ACCURATE AND TRUTHFUL TO THE BEST OF MY KNOWLEDGE UNDER PENALTY OF PERJURY AND FRAUD. I ACKNOWLEDGE THAT Yellow Truck Moving AND THEIR INSURANCE COMPANY MAY OPEN AN INVESTIGATION ON THE CLAIMS SUBMITTED ABOVE REQUESTING PICTURES, RECEIPTS, ETC. I FURTHER ACKNOWLEDGE THAT THIS IS MY FULL CLAIM AND I MAY NOT MAKE ADDITIONAL CLAIMS AFTER THIS IS SUBMITTED.
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