This document is a transmittal from DTE Insurance Agency to Payment Services regarding documents for reposting of initial payments. It includes ADA enrollment forms for Elizabeth Fresnedi and Leonora M. Ricohermoso with their respective bank, account, and policy numbers. It was prepared by Ariel Lapuz of DTE Insurance Agency on July 22, 2022.
This document is a transmittal from DTE Insurance Agency to Payment Services regarding documents for reposting of initial payments. It includes ADA enrollment forms for Elizabeth Fresnedi and Leonora M. Ricohermoso with their respective bank, account, and policy numbers. It was prepared by Ariel Lapuz of DTE Insurance Agency on July 22, 2022.
This document is a transmittal from DTE Insurance Agency to Payment Services regarding documents for reposting of initial payments. It includes ADA enrollment forms for Elizabeth Fresnedi and Leonora M. Ricohermoso with their respective bank, account, and policy numbers. It was prepared by Ariel Lapuz of DTE Insurance Agency on July 22, 2022.