HomeMy WebLinkAboutPRR25196 LexisNexis - Care Fire ReportEDE
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740025
GA 30374-0025
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TEN LLARS DNO NTS
SAN LUI OBIS FI
FIRE REC RDS DE
2160 SAN
SAN LUIS O
REQUEST FORM
/ 5.1 907
DATE 5129125
AY
PAY TO
TRAN: 33837e34s1
Agency lnfo
Date of Occurrence 0512412025 17:30
Report/Case #25-03187
Type of Report Fire Car
Agency Name SAN LUIS OBISPO FD
precinct or District NATHAN HASCH
City of Loss SAN LUIS OBISPO
County of Loss SAN LUIS OBISBAIe CA
NORTH SAN LUIS OBISPO
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$ 10.00
AMOUNT
VOID AFTER 18 NiONTHS
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Vehicle lnfo
VtN sXYPKDAS7HG300442
Car Tag
Make
Tag State
Year
2017
KIA CA
Location of Loss
Additional I
lnvolved Parties
lnsured Party
Date of Bi 121xx11947 SS#
Driver's License Po161XXX License State CA
Search Results
( n"port Attached - cost f L) * of Pases (lncl Req rornlS--
O No Report Found - Possible Jurisdiction-
O No Report Written - Log Entry or Driver Exchange Only
O Report Not Ready -
O Report Not Releasable - ReasonDriver #2
Driver #3 Comments
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AR
Dr\trlAV EEODIC
Client
Page1e11 Division
7126 Claim #
CAA-DAC
017165602
5129125
Claims Adjuster
DIANA GARCIA
T
5.1 907