HomeMy WebLinkAboutPRR25325 LexisNexis - 1260 Fredericks Fire Reportg Nexis'ofAmeric^?
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64-1278/611 GA
6449
N LARS AND O CENTS
SA LU F PT
FIR
21
S
REQUEST FORM
5.1 907
DArE 1012125
i,lr P $ 10.00
AMOUNT
VOID AFTER 1B I/ONTHS
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PAY TO
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ORDER eF :=,
TRAN: 36648e2251
Agency lnfo
Date of Occurrence 0912912025 23"00
Report/Case #
Type of Report
Agency Name
Fire Car
SAN LUIS OBISPO FD
Precinct or District
City of Loss SAN LUIS OBISPO
County of Loss SAN LUIS OBISBAIg CA
1
Vehicle lnfo
Car Tag
Make
Tag State
Year
2020
RAM CA
1260 FREDERICKS ST
OBIS
RDS
A
BIS
Location of Loss
Additional lnfo
lnvolved Parties
lnsured Party
Date of Birth SS#
Driver's License_License State-
Driver #2
Driver #3
9earch Results
ReportAttached - Cost U # of Pages (lncl Req Formv
O No Report Found - Possible Jurisdiction-
O No Report Written - Log Entry or Driver Exchange Only
O Report Not Ready -
O Report Not Releasable - Reason
)E-
Comments
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AR Page 1 of 1 Division
107040 Claim #
CALIFORNIAPlgBC
1012125
Claims Adjuster
TREBEC LISA
T
s.1907