Subject: Re: cancer policy claim form for my father, Rufus L.King, 804 N. Main St., Marissa, IL 62257, DOB 9/5/13

Comments:
: Please send a claim form for my father Rufus L. King. His address is 804 N Main St, Marissa, IL 62257. DOB 09/05/1913. Dad has some skin cancer removed from the facial area in Feb. 2003 and we need to file a claim regarding his hospital visit, surgery and follow-up office visit. : I am the POA for Dad and would appreciate the opportunity to ask for payment by his policy. I don't have his policy number here at my home but if you truly need it I will be at his home base tomorrow and can get that for you. Your assistance is appreciated. : Brenda Pieron : 1907 Esther Drive : Centralia, IL 62801 : 618.532.6253

Please enter the characters in the image above.