HomeMy WebLinkAbout PRR20219 LexisNexis - 9-9-20 1403 Garcia DrLex i 5 N ex i s Bank of America.
P.O.BOX=740167
ATLANTA,GA 30374-0167
(6-78)924-4900 FAX (678)924-4901
PAY TEN DOLLARS AND NO CENTS
PAY TO SAN LUIS OBISPO FIRE DEPT
THE FIRE RECORDS DEPT
ORDER oF` 2160 SANTA BARBARA ST
SAN LUIS OBISPO,CA 93401
64-1278 /611 _ GA 5.1907
DATE 9/15/20
I
$ 10.00
AMOUNT
VOID AFTER 18 MONTHS
I
TRAN: 1129058262 REPORT REQUEST ® LexisNexis®
P.O.BOX 740167
PLEASE CHECK A g/15/20 ATLANTA,GA 30374-0167
CIRCLE BELOW
II II ii II ll II I (678)924-4900 FAX (678)924-4901
T
F3eport Attached:
I��III II1�f IIII III IIII IIIII IIIII IIIII Illll Illlf IIII IIII �NE:
% 00 934-9 98
Report Cost: Number of Pages: TOLL FREE FAX:
(including this sheet} 11800-934-6449
EMAIL REPORTS:
cru.incoming@lexisnexisrisk.com
0 No Report Found with the information provided
ONo Report Written - Log entry only / Driver Exchange of Info.
OLoss location not in our Jurisdiction
Suggest you Try:
O Not Releasable / Not Ready _
OComments & Suggestions:
Type of Report Fire Building
Date of Occurrence _ 9/9120 Time .0:0:0
LOCATION OF LOSS 1403 GARCIA DR
City SN LUIS OBISP _ _ County_ SAN LUIS .OBISPO. _
Additional Information _
VEHICLE INFO
Car Tag #
Make _ — —. Year
VIN
State
POLICE or FIRE AGENCY who wrote report?
SAN LUIS OBISPO FD 5.1907
State CA
DRIVERS or VICTIMS INFO
_.. Insured Party CLINT M Rom. ERS
D.O.B. 02/xx/1960 SS#_ _ xxxxxO 60.
Drivers Lic # 13404XXXX
Driver #2
Driver #3
State TN
Client 6626 Claims Adjuster FYAJ
Division Claim # 5511 H060C
Internal Codes 11111111111111111111111 TRAN: 1129058262
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