HomeMy WebLinkAboutPRR20261 LexisNexis - 345 Chaplin Fire ReportLex I s N ex i s - Bank of America. �� � 5.1907
P.O.BOX-740167
ATLANTA,GA 30374-0167
J (678)924-4900 FAX (678)924-4901 DATE 10/21 /20
I
PAY TEN DOLLARS AND NO CENTS $ 10.00
AMOUNT
PAY TO SAN LUIS OBISPO FIRE DEPT VOID AFTER 18 MONTHS
THE FIRE RECORDS DEPT
ORDER OF 2160 SANTA BARBARA ST
SAN LUIS OBISPO,CA 93401
II■L170077L2L11' 1:061112788l: 335 999 8138"n
TRAN: 1170077121
REPORT REQUEST
PL=CHECK10/21/20
C+ I II II
I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII III
Re ort Attached:
Report Cost: S Number of Pages:'
(including this sheet)
0 No Report Found with the information provided
0 No Report Written - Log entry only / Driver Exchange of Info.
0 Loss location not in our Jurisdiction
Suggest You Try: —.
O Not Releasable / Not Ready
OComments & Suggestions: _
LexisNexis°
P.O.BOX 740167
ATLANTA,GA 30374-0167
(678)924-4900 FAX (678)924-4901
TOLL FREE PHONE:
11800-934-9698
TOLL FREE FAX:
11800-934-6449
EMAIL REPORTS:
cru.incoming@lexisnexisrisk.com
�ReporICase # UNKNOWN
Type of Report - Fire Building
Date of Occurrence 10/.9/20 Time .
LOCATION OF LOSS 345 CHAPLIN LN
City SAN LUIS OBISPO County SAN LUIS OBISPO
Additional Information
j VEHICLE INFO
Car Tag #
Make
VIN
State CA
DRIVERS or VICTIMS INFO)
State Insured Party JURGEN DEJAGER
Year
Ptil_ICE or FIRE AGENCY who wrote report?
r
SAN LUIS OBISPO FD 5.1907
D.O.B.— _06/xx/1988 SS#
Drivers Lic #
Driver #2
Driver #3
Client 6725 Claims Adjuster 1N10098967
Division Claim # 043762023-01
State
Internal Codes TRAN: 1170077121
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