Curtis Mcpherson

 
 MAY-02-2017 12:47 From: 
 2092165909 
 To: 2163365 
 Page: 3/4 
 Date: 5/1/2017 Time 12:10 PM To: 5653,6909,50655656 @ 12652165909 
 Page: 001 
 CRUM & FORSTER 
 common 
 1100 Town and Country Road Suite 550 
 Orange, CA 92868 
 1 1 865 659 9659 
 F +1 865 652 5651 
 5/1/2017 
 RE: 
 Employee: 
 Curtis Mcpherson 
 Employer: SUPER STORE INDUSTRIES; MID VA 
 DATE OF INJURY: Jul 08, 2020 
 Dear Patrick Guerrero, D.O., 
 The request for medical treatment for the above referenced patient was received on 4/28/2017 and a decision was 
 made on 5/1/2017. 
 Please do not staple your billing documents. 
 Sincerely, 
 NANCY TURCIOS 
 Enclosed: Proof of Service 
 006548 
 0658
