Contact Information
First Name	Dawn
Last Name	Clayton
Address	440Elizabeth ave. Apt.12-A
City	Newark
State	NJ
Province
Zip/Postal Code	07112
Country	United States
Gender	Female
Injury Information
The injured person is	Child
Name of Injured	Kamora - Williams
Date of Injury	01-11-2006
Type of Injury	Obstetric