| Contact Information | |
|---|---|
| First Name | Ken |
| Last Name | Hjerpe |
| Address | 251 Southwest Lincoln Circle North |
| 3211 | |
| City | Saint Petersburg |
| State | FL |
| Province | |
| Zip/Postal Code | 33703 |
| Country | United States |
| Home Phone | 727 - 8272296 |
| Work Phone | - |
| Fax | |
| kenhjerpe@yahoo.com | |
| Alternate Email | kennethhjerpe@gmail.com |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Ken - Hjerpe |
| Date of Injury | 05/29/2013 |
| Type of Injury | Traumatic |