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Human error in compiling this information is possible and Background Source Intl. 
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Name..................: JOHN Q. SAMPLE
Social Security #.....: 999-99-9999
State Searched........: KY
Tracking Codes........: 
Date Requested........: 2002-07-09 14:22

___________________ WORKERS COMPENSATION REPORT __________________

    Years Checked...........: 1982 - 07/10/2002
    Enter by ...............: ADMINISTRATOR
    Date....................: 07/12/02

Employer....................: U.S.A INC. 
Claim #.....................: 0287029
Date of Claim...............: 05/08/02
Injury......................: STRAIN TO ABDOMEN 
Number of Lost Days: 12
Status......................: --

                              --- End of Report ---