Claim Form - City of Philadelphia: City of Philadelphia form2.pdf · description of the loss events...

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Transcript of Claim Form - City of Philadelphia: City of Philadelphia form2.pdf · description of the loss events...

Page 1: Claim Form - City of Philadelphia: City of Philadelphia form2.pdf · description of the loss events being presented against the city (in detail): ... the city will provide an affidavit
Page 2: Claim Form - City of Philadelphia: City of Philadelphia form2.pdf · description of the loss events being presented against the city (in detail): ... the city will provide an affidavit