| Contact Information | |
|---|---|
| First Name | Robert |
| Last Name | Harper |
| Address | |
| City | Birmingham |
| State | AL |
| Province | |
| Zip/Postal Code | 35128 |
| Country | United States |
| Home Phone | - |
| Work Phone | - |
| Fax | |
| Crashspeed@aol.com | |
| Alternate Email | |
| Website Address | www.myspace.com/crashspeed |
| Gender | Male |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Robert - Harper |
| Date of Injury | 09/23/2007 |
| Type of Injury | Traumatic |