HomeMy WebLinkAboutPRR24283 LexisNexis Car Fire Report@'LexisNexis'
P.O.BOX 740025
..ATLANTA,GA 3037
6V8.924;4900 FAX
4-0025
934.6449
TEN LARS A
SAN LUI
FIRE RE
2160 SAN
SAN LUIS
0611312024 05:00
kof America
N ENTS
5.1 907
DArE 9119124
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PAY
Date of Occurrence
$ 10.00
AMOUNT
VOID AFTER 1B MONTHS
PAY TO
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..;,oRDE€
Agency lnfo
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OBIS IRE DEPT
RD D
RA ST
BI PO 93401
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AUTHORIZED
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2785874253 REPORT REQUEST qj'g" LexisNexis'"**
Report/Case #
Type of Report
Agency Name
Fire Car
SAN LUIS OBISPO FD Vehicle lnfo
Precinct or District VIN
SANTA MARGARITA
State
Year
BUFFALO TRAI L/CHEROKEE RD
City of Loss Car Tag
MakeSAN LUIS OBIS
12715 BUFFALO TRAIL
CA
County of Loss
Location of Loss
Additional lnfo
lnvolved Parties
GARYlnsured Party
Date of Birth_SS#
Driver's License License State
Outcome of Search (Mark below and Return This Form)
O Reoort Attached:
Reirort Cost | # of Pages (lncluding this sheet)
O No Report Found
O No Report Written - Log entry only/Driver Exchange
O Not Releasable / Not Ready
Driver #2
Driver #3
/unaote to locate ReA5t'#;,i"y;i,"fii,:''Yfi|#8*ij"f ,l ?r,o,0r,1rfr ,v,
O Comments
*This request may include confidential informatififl.ffiFillil'tllll4lllftrized to receive this infot'mation yotr agree that after responding to
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Client
Division
Claim #
107040
WASHINGTPWs3C
24-215999962
9119124
Claims Adjuster
T
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