HomeMy WebLinkAboutPRR25299 LexisNexis - 3255 Ryan Road Fire Reportg'LexisNexis',z
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$ 10.00
AMOUNT
VOID AFTER 18 MONTHS
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374-0025
800.934.6449
TEN LLARS D S
SAN LU oBl PO IRE DE
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FIRE RE R D
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TRAN: 35go5zs4s2 REQUEST FORM
Agency lnfo
DATE 8126125
PAY
PA TO
Date of Occurrence 0812312025 15'00
Report/Case #
Type of Report Fire Building
Agency Name SAN LUIS OBISPO FD
Precinct or District
City of Loss CRESTON
County of Loss SAN LUIS OBIS&te CA
VIN
Car Tag
Make
Tag State
Year
Location ofLoss 3255 RYAN RD
FIRE IN GARAGE DAMAGED VEHICLEAdditional lnfo
lnvolved Parties
Search Results
O Report Attached - Cost # of Pages (lncl Req Form)-
fi ruon"po rt Found - Possibte Jurisdiction Gt F;^-
O No Report Written - Log Entry or Driver Exchange Only
O Report Not Ready -
O Report Not Releasable - Reason
lnsured Party
Date of Birth_SS#
Driver's License License State
Driver#2
Driver #3 Comments
llill]llllllllllll*This request may include confidential information. As an entity
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authorized to receive this information you agree that after responding to
LexisNexis you will appropriately protect this information against any unauthorized reading, distribution, copying or other use. lf you do
not have a report for this request, please return this form to LexisNexis and then immediately destroy any copies.
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Claim #Client
Page1611 Division
207857
F5
8126125
Claims Adjuster
JAMIE NORMAN.HANSHAW
T
5.1 907