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BURN OR INJURY (Civilian) IF reman) <br />HAM[ <br />DEGREE OF BURN C) hr EI 2.4 0 7.d <br />AG[ <br />DUNN U rAuI p <br />SEX NIURY ❑ POOE. HOW 13 <br />INFORMATION FOR ALARM OFFICE <br />1. Address and phone where occupant can be contacted. <br />Address <br />2. Estimate of Building loss $ <br />Insurance Agency <br />3. Estimate of Contents loss $ <br />Insurance Agency <br />REMARKS <br />Number of sprinkler heads that opened <br />Phone <br />OF BODY BURNED <br />^. V. Shorted out stertinp, the rug and drapes on fire. <br />Was extinguished with a private garden hose. <br />