Free Answer to Complaint - District Court of California - California

Case 3:07-cv-04723-MHP

Document 28-10

Filed 02/29/2008

Page 1 of 3

Exhibit I

Case 3:07-cv-04723-MHP

Document 28-10

Filed 02/29/2008

Page 2 of 3

Keel RosA fuvenn
CA 1450Oakdale Avenue.SanFrancisco, 94124 (415)368-8034 cellular

February 2006 9,

Center Life Service Fidelity andGuaranty 421 Southfth Street Suite222 Lincolrq 68508 NE No: Re: Certificate L0531Il9 DearBenefitsCoordinator: and a the I amwriting to you regarding above-policy I enclose copyfor your 21, K. awayon January 2006. His death Sean Keel passed reviewof same.My spouse, formsto open a policy graceperiod. Please forwardthe necessary duringthe occurred death benefitclaim.

RbsaRiveraKeel Enclosures Pfitzer Cc: Patrice Services, Inc. FamilyDirect Insurance

Case 3:07-cv-04723-MHP

Document 28-10

Filed 02/29/2008

Page 3 of 3

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