HomeMy WebLinkAboutPRR20079 Royster - Butler - 1050 Foothill04JMMMMMMMMMMMMMMMMMM
-LEGAL SERVICES, INC.
e Service so fast, it must be e-Legal!
SLO Fire Dept.
Attn: Records Dept.
2160 Santa Barbara Ave
San Luis Obispo, CA 93401
Via USPS
04/08/2020
Re: Incident & Billing Records Request
On behalf of Harris Personal Injury Lawyers I am requesting reports and billing records including itemized
statements, payments, adjustments, balance, etc. pertaining to the patient listed below
(Signed Authorization Attached):
Patient: Gregory Butler
DOB: 02/26/1984
Requested Dates: 01/01/2010 - 04/01/2020 (All Dates of Service)
Please send records/invoice via fax to (805) 439-1802 or mail records to 444 Higuera
Street Ste 100 San Luis Obispo, CA 93401.
PLEASE SIGN AND INCLUDE DECLARATION OF CUSTODIAN ALONG WITH
RECORDS
(See last page.)
have included $15 for any processing fees. If you have any questions/concerns please contact me directly.
Thank you,
Kyra Royster
e-Legal Services, Inc. I'
444 Higuera Street, Suite 100 San Luis Obispo, CA 93401
Ph: (805) 439-1800 1 Fx: (805) 888-3985 1 Em: contectielegalservicesinc.com
www.Elegalservicesinc.com