Appendix D

Sample Surveillance Report

R.A. Heales & Associates GLOBAL INTELLIGENCE

2075 South University Boulevard • Suite D-190 • Denver • Colorado 80210

Phone • 303-996-0355 Fax • 303-996-0356

April 7, 2011

Privileged and Confidential Client Work Product

Ms. Susan Smith

XYZ Insurance

P.O. Box 100000

Denver, CO 80202

Re: Jane Doe

        Claim No: XYZ-12345     R.A. Heales File #: CO11D-10001

Dear Susan:

Following is our investigation report pursuant to your assignment on the above-captioned subject. A copy of the videotape (0:08.01) obtained ...

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