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<br />e <br /> <br />e <br /> <br />'-'-' <br /> <br />FIRE LOSS REFJRT <br />STATE FIRE I~ARSHAL <br />FIRE PREVENTION .SECTIOU <br /> <br />J <br /> <br />.IE .OF <br />~.~i'l 8:13pmOATE <br /> <br />11/22/89 <br /> <br />19 . <br /> <br />C lTY. OR COUNTY La POIl.te. <br />La POIl.te. <br /> <br />. TEX:'S <br /> <br />:ATIOiI <br /> <br />11914 NOIl.th Ave.nue. L <br /> <br />. TEXAS <br /> <br />:U P ft.i:Cf <br /> <br />Re..6ide.nc.e. <br /> <br />COtISTRUCTION Woad allame.. <br /> <br />NUl-\BER OF PERSONS HADE HOl'-lELESS 4 <br />ADDRESS Mii..i..wauk'e.e., W,[,6 c.o n.6in <br /> <br />. . <br />, : <br /> <br />:U?AlIT <br />':ER F! ee.t').M Oll.t,g ag e. C Ollp <br /> <br />Vanny R. Whi.te. <br /> <br />'., <br />.... ',' <br />. .... <br /> <br />:;:\E DID THE FIRE ORIGINATE? (bedroom, bath, garllge. yard. etc.) Wa.te.1l he.a.te.1l c.!0.6e..t.' <br />~T STARTED THIS FiRE? (cigarette, tool, applia1cc. match, etc.) Unde..te.llritine.d <br /> <br />./{ <br /> <br />.'- <br /> <br />. .' \.' <br /> <br />,I TY?E pF HATERIAL IGNITED? (paper, gas', gaso'line, fabric, etc.) M,[,6c.e.i..i..ane.ou.6 Ma.te.Jc.ia:l::i" <br /> <br />~T AIDED HI THE fIRE SPREAD? (curtain, mattress~' I'tall covering, etc.) We.n.t 'Unno.tic.e.a <br /> <br />'," . <br />".1..:' <br /> <br />. ".. <br /> <br />. I <br /> <br />FIRE LOSS INFORMATION <br /> <br />. '1 <br /> <br />VALUE <br /> <br />I NSUrV\NCE <br />COVERAGE <br /> <br />LOSS' <br />. SUSTA HIED <br /> <br />: L 0 IIIG . .. . . . .. . . $ <br /> <br />$ 33,000 <br />S 22,000 <br /> <br />$ <br /> <br />$ <br />$ <br /> <br />'-'-'1-5 S <br />I I CJ I .......... <br /> <br />'~"l' $ <br />: :::'l'\. . . . . . . . . . . . . <br /> <br />r <br />;~ <br /> <br />'.' . ',. <br /> <br />$ 55,000 <br /> <br />'ALS. . . . . . . . . . . . S <br /> <br />$ <br /> <br />. . <br />'E: IF LOSS EXCEEDS $250,000. OR INVOLVEO !-lOR: TIIMI 10 UUILDIlIGS, OR I~ILLED 3 OR ~IOP.E <br />PERSOilS, PL EASE I!-ICLUDE ^ SEP/W.I\TE, DET/\ I L to REPOI\T. <br /> <br />':~EIITS: Thi.6 6i/te. 1..6 .6:t1.ll unde.1l inve..6:tiga:tion a:t :the. :time. iJ 6 ,:thi.6 lle.pOIl:t. <br /> <br /> <br />Pa.ul R. Hic.ke.nbo:t,.tom- F1./te. Ma.Jc..6 hal <br />~. }93 ~~iI1CJ f' ,lo,-l) <br />t;:tV-( K.. <br />HIS RE:?O?T TO: <br /> <br />Ci:ty 06 La. Po Il:t e. , Te.xa..6 <br />( l. i tIt: } <br /> <br />~'f^,l'e. FU\t HI\I\SHf,L <br />STi\TE GOARD OF H~S~~:',i:C E <br />1110'SAil J/\CliITO <br />, AUST Ill. TEXAS 70736 <br />