| Contact Information | |
|---|---|
| First Name | Kelley |
| Last Name | Holt |
| Address | 6419 E. June St. |
| City | Mesa |
| State | AZ |
| Province | USA |
| Zip/Postal Code | 85205 |
| Country | United States |
| dnkholt@cox.net | |
| Alternate Email | |
| Website Address | www.chaseneilson.com |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Chase - Neilson |
| Date of Injury | 11/12/2006 |
| Type of Injury | Traumatic |