2014-06-12 13:20:00 België some place or address decription false false false some witnesses textually described sitedrawing.jpg jpg 001 UjBsR09EbGhjZ0dTQUxNQUFBUUNBRU1tQ1p0dU1GUXhEUzhi X1 some visible damages, textually described car some comments false signature.jpg jpg 001 UjBsR09EbGhjZ0dTQUxNQUFBUUNBRU1tQ1p0dU1GUXhEUzhi true Name Firstname Unstructured address telephonenumber mailaddress Streetname B Belgium Make platenumber B platenumber country someInsurer policynumber certificatenumber 2013-06-26 2014-06-25 Broker BrokerName Broker address unstructured +32 2 1234567 12345@portima.be BE1234567890 true Streetname B Belgium DriverName Firstname 1958-07-04 Driver address unstructured phonenumber mailaddress licencenumber B 0001-01-01 Streetname B Belgium false false false false false false false false false false true false true false false false false false false false 2 some description of picture 1 something.jpg 001 001 123 UjBsR09E some description of picture 2 something.jpg 001 001 123 UjBsR09E 10 12 10 13 10 14 X3 none truck I bumped into a metal screen which fel on to the car just passing by false signature.jpg jpg 001 UjBsR09EbGhjZ0dTQUxNQUFBUUNBRU1tQ1p0dU1GUXhEUzhi true Name Firstname address telephone emailaddress Streetname B Belgium vehiclemake registrationplate B trailerplate country SomeInsurer policynumber certificatenumber 0001-01-01 0001-01-01 Agency Broker address unstructured false Streetname B Belgium Name Firstname 1958-07-04 Driver address unstructured phonenumber emailaddress 0001-01-01 Streetname B Belgium false false false false false false false false false false true false false false false false false false false false 1 1 2 2 2 some_Name some_Firstname some_Address unstructured some_Telephone some_e-MailAddress Streetname B Belgium some_Name some_Firstname some_Address unstructured some_Telephone some_e-MailAddress Streetname B Belgium Kerkstraat 10 1000 Brussel B België 1 some_police some_number