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Text File  |  1978-06-02  |  4KB  |  61 lines
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  26. Datum                                                                 
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  31. Schadensanzeige:                                                      
  32. Versicherungsnummer..................                                 
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  36. Sehr geehrte Damen und Herren,                                        
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  38. am 00.00.91 war ich mit meinem PKW amtliches Kennzeichen ..........   
  39. in einen Unfall verwickelt. Hier die zugehörigen Daten:               
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  41. Tag :            ..................................................   
  42. Ort :            .................................................    
  43. Unfallgegner:    .................................................    
  44. Schadenshöhe ca  .................................................    
  45. Vorgang :           (Hier bitte den genauen Hergang schildern )       
  46. Zeugen :         .................................................    
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  48. Mit freundlichen Grüßen                                               
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