HomeMy WebLinkAboutPRR25370 LexisNexis - 1346 Rubio Lane fire report..-P.O.BOX.740025
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DArE 10121125
AV"TEN DOL AN NO CENTSP
PAY TO SAN LUIS IS FI
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2160 SANTA ST
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TRAN: 3708125051
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Driver's usensg V91o7XXX License
Driver #2
Driver #3
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REQUEST FORM
Date of Occurrence 10/08/2025 0:0:0
Reporl/Case #251011081
Type of Report Fire Building
Agency Name SAN LUIS OBISPO FD
Precinct or District
City of Loss SN LUIS OBISP
County of Loss SAN LUIS OBISR[bIe------CA
Location of 1346 RUBIO LN
lnvolved Parties
lnsured Party
Search Results
O Report Attached - Cost-# of Pages (lncl Req Form)-
X *o Report Found - Possible Jurisdictio
O No Report Written - Log Entry or Driver Exchange Only
O Report Not Ready-
O Report Not Releasable - Reason
Comments
Sfatc CA
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AR Page 1 611 Division
KY6B
Client 6626 Claim #559'1N202R
10121125
Claims Adjuster
PETE MCCANN
R
5.1907