| Contact Information | |
|---|---|
| First Name | Adrian |
| Last Name | Pobbjecky |
| Address | 180 Oneida St |
| City | Denver |
| State | CO |
| Province | |
| Zip/Postal Code | 80220 |
| Country | United States |
| apoby@mho.com | |
| Alternate Email | lyzicka@yahoo.com |
| Website Address | |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Adrian - Pobbjecky |
| Date of Injury | 01/19/2005 |
| Type of Injury | Traumatic |