PRE-INFORME DE ACCIDENTE
Enviado por 99beta • 21 de Octubre de 2015 • Informes • 1.370 Palabras (6 Páginas) • 137 Visitas
[pic 1] SECRETARIA DE SEGURIDAD PÚBLICA [pic 2]
TRANSITO MUNICIPAL
“PRE-INFORME” DE ACCIDENTE
CD. OBREGON SONORA, A________DE_____________________DEL 2012
LUGAR DEL ACCIDENTE________________________________________________________________TIPO______________________
COLONIA____________________________________________________SECTOR__________ HORA________UNIDAD___________
VEHICULO (1) SERIE______________________________________________________
TIPO______________________MARCA__________________________________LINEA_________________________________________
MODELO____________________COLOR_______________________PLACAS_____________________EDO_____________________
CONDUCTOR____________________________________________________________________________EDAD_________________
DOMICILIO___________________________________________________________COLONIA________________________________
LIC # Y TIPO_____________________________________EDO_______________________TEL________________________________
PROPIETARIO_________________________________________________________________________TEL_____________________
DOMICILIO___________________________________________________________COLONIA________________________________
VEHICULO (2) SERIE_____________________________________________________
TIPO______________________MARCA__________________________________LINEA_____________________________________
MODELO____________________COLOR_______________________PLACAS_____________________EDO_____________________
CONDUCTOR____________________________________________________________________________EDAD__________________
DOMICILIO___________________________________________________________COLONIA________________________________
LIC # Y TIPO_____________________________________EDO_______________________TEL________________________________
PROPIETARIO_________________________________________________________________________TEL_____________________
DOMICILIO____________________________________________________________COLONIA_______________________________
VEHICULO (3) SERIE______________________________________________________
TIPO______________________MARCA__________________________________LINEA______________________________________
MODELO____________________COLOR_______________________PLACAS_____________________EDO_____________________
CONDUCTOR____________________________________________________________________________EDAD__________________
DOMICILIO___________________________________________________________COLONIA_________________________________
LIC # Y TIPO_____________________________________EDO_______________________TEL_________________________________
PROPIETARIO_________________________________________________________________________TEL_______________________
DOMICILIO______________________________________________________________COLONIA______________________________
LESIONADOS______________________________ VICTIMAS____________________ MUERTOS________________________
OBSERVACIONES:___________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________ DAÑOS MATERIALES
VEHICULO (1) _________________VEHICULO (2)_____________________VEHICULO (3)____________________
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