2 Tesseneer Drive, Highland Heights, KY 41076-9167
Telephone: +859 781 8877   Fax: +859 781 9310
Email: support@ppdi.com
PPD
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Current User: Shelly Smith (ssmith01)    Last Login: 08:59 06-Dec-2007
Fax/Email Log
Study Information
Study Code:10001
 
Site Information
Mailing Address: 1234 Main Street, New Hope, MN 55428-3623
Phone: 763-404-1443
Fax: 763-553-9796
Email: abccompany@somewhere.com
 
Subject Information
Screening ID: 100001
Randomization ID: 123456
Accession ID: 888888
Initials: AAA
DOB: 12-Nov-1973
Gender: Male
DSR
Date
Visit
Type
2-Nov-2007
1
Preliminary
15-Nov-2007
2
Amended
22-Nov-2007
3
Final
VAV
Date
Visit
Type
2-Nov-2007
1
Preliminary
15-Nov-2007
2
Amended
22-Nov-2007
3
Final
Query
Query 1
Statement
Statement 1
Site to Monitor
03-Nov-2007
Site to Sponsor
04-Nov-2007