HomeMy WebLinkAboutPRR20262 LexisNexis - Hwy 101 NB 7-2020LexisNexis- BankafAmerica.
P.O.BOX 740167
ATLANTA,GA 30374-0167
(678)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
I
DATE 10/23/20
VL1?273462L1I1 1:06L1L27881: 335 999 81380
i
5.1907
$ 10.00
AMOUNT
VOID AFTER 18 MONTHS
I
AUTHORIZED SIGNATURE
TRAIN: 1172734621 REPORT REQUEST 4 LexisNexis-
Agency
Info P.O. BOX 740167
ATLANTA,GA 30374-0167
+ III I Ii II I I `
Date of Occurrence 7/9/20 8:15:0 TOLL FREE PHONE
I I I I II III III III II III�I II I 1 II�1 II III 1.800.934.9698
Report/Case # Z-g , 03 0o 1 I 1 TOLL FREE FAX
1.800.934.6449
TO
Type of Report Fire Car EMAIL
cru.incomin isk. omm
Agency Name SAN LUIS OBISPO FD Vehicle Info
Precinct or District VIN 1 FMCUOGX5DUA47152
City of Loss SAN LUIS OBISPO
County of Loss SAN LUIS OBISP-Qate.
Location of Loss HWY 101 N/B
Additional Info
Involved Parties
Insured Party HEATHER
Date of Birth 12/xx/1985
Driver's License D2142XXX
Driver #2
I Driver #3
t-A
R MASSONI
xxxxx2879
License State CA
Car Tag
Make FORD
Tag State 2013
Year
Outcome of Search (Mark below and Return This Form)
0,Reporl Attached:
Report Cost I # of Pages (Including this sheet)
O No Report Found
O No Report Written - Log entry only/Driver Exchange
O Not Releasable / Not Ready
O Unable to locate Report in our Jurisdiction*
Suggest you try:
O Comments
"This request may include confidential information. As an entity authorized to receive this information you agree that after responding to
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Client 9512 Claim # CAPA-01447546 Claims Adjuster 101407
Division
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AR 10/23/20 5.1907