| Contact Information | |
|---|---|
| First Name | Amanda |
| Last Name | Weaver |
| Address | 1221 NE 61st Street |
| City | Seattle |
| State | WA |
| Province | |
| Zip/Postal Code | 98115 |
| Country | United States |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| mandy2000b@aol.com | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Child |
| Name of Injured | Alice Weaver - |
| Date of Injury | 01/31/05 |
| Type of Injury | Obstetric |