Unit 5, Mango Suites, Calao East
Santiago City
The Law Offices of Tel: (078) 305-2392
Mobile: 09178730405
Email: [email protected]
28 February 2018
FORTUNE INSURANCE CO., INC.
4F, Citystate Center 709 shaw blvd.
1600. Philippines
Attention: CLAIMS DEPARTMENT
RE: Car Insurance Policy No. MC-CV-XP-17-0000137-00
INSURED: EVANGELINE S. SILVERIO
Sir/Madam:
This pertains to our client EVANGELINE S. SILVERIO represented by
FRANZ PAOLO SILVERIO to report and claim insurance re the motor vehicle
which was figured in a vehicular accident on 24 February 2017 at around 8
o’clock in the evening along Provincial road, Barangay Baluarte, Santiago City.
The details of the vehicular accident are shown in the certification hereto
marked as Annex “A”. The Certificate of Registration of the motor vehicle
including the Official Receipt are hereto marked as Annexes “B” and “C”
respectively. The series of conversation between Franz Paolo Silverio and the
agent/representative from your office named MR. JOEY INDIANA in connection
with insurance claims are also attached herein and marked as Annex “D and
series” . The pictures depicting the damage are hereto marked as Annexes “E” to
“E-3” hereof.
Your immediate and favorable action on the foregoing shall be appreciated.
Thank you very much and we shall await your response.
Very truly yours,
ATTY. RICHARD V. GOMEZ
Cellphone no. 09756977381