| Contact Information | |
|---|---|
| First Name | dwayce |
| Last Name | polk |
| Address | 1818 montrose |
| City | waco |
| State | TX |
| Province | |
| Zip/Postal Code | 76705 |
| Country | United States |
| Home Phone | 254 - 3153161 |
| Work Phone | - |
| Fax | |
| msmovinonup96@yahoo.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | chelsea - miles |
| Date of Injury | 08/10/06 |
| Type of Injury | Obstetric |