HomeMy WebLinkAbout20181220 Lopez AdvanePayReceipt 1988580XM//0
CARL WARREN & COMPANY
Claims Management and Solutions
RECEIPT FOR ADVANCE PAYMENT
(THIS IS NOT A RELEASE)
File No. 1988580
This is to acknowledge receipt of $500.00 paid to Sergio Lopez, 1554 Madonna Road #5,
San Luis Obispo, CA 93405 on behalf of the City of San Luis Obispo, California. This
payment represents credit against the total amount of any final settlement or judgment in
your favor for damages resulting from a tree drop that occurred on November 29, 2018
at 1554 Madonna Road, San Luis Obispo, California 93405.
Please Print Name
City, State, Zip Code
Claim —Sergio Lopez
An Employee -Owned Company
P. 0. Box 24111 Tustin, CA 92781
Tel: 800-444-8714 1 Direct: 805-544-7963 1 Fax: 866-254-4423 1 www.carlwarren.com
CA License No: 2607296