John Smith

ORDER INSPECTION

Customer
Date Ordered	7/26/02
Customer ID	JS
Company	John Smith Enterprises
Policy Information
Insured's Name
Policy Number
Effective Date
Physical Site Address
Address
City
State
Zip
Contact Information
Inspection Contact
Contact Phone
Agent	Select
Inspection Format: Habitational
Include	Photos Narrative Diagram Loss Control Recommendations Insurance-to-Value Calculation
Priority	Normal Rush
Special Instructions