| Contact Information | |
|---|---|
| First Name | Susan |
| Last Name | Rogers |
| Address | 4916 S 34th St |
| City | Fort Smith |
| State | AR |
| Province | |
| Zip/Postal Code | 72903 |
| Country | United States |
| srogers@cox.net | |
| Alternate Email | |
| Website Address | |
| Gender | Female |
| Injury Information | |
| The injured person is | Self |
| Name of Injured | Susan - Rogers |
| Date of Injury | 05/12/2000 |
| Type of Injury | Traumatic |