SECRETARIA DE SEGURIDAD PBLICA

SECRETARIA DE SEGURIDAD PBLICA 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:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________DAOS MATERIALES VEHICULO (1) _________________VEHICULO (2)_____________________VEHICULO (3)____________________ SECRETARIA DE SEGURIDAD PBLICA DESCRIPCION DE ESTE ACCIDENTE:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ CROQUIS ILUSTRATIVO DESCRIPCION

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10.-____________________________OBSERVACIONES:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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________________________________________________________________________________________________________CONFORME CONFORME CONFORME

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CONDUCTOR (1) CONDUCTOR (2) CONDUCTOR (3) COMO LO ESTABLECE EL ART. 217 DE LA LEY 47 DE TRANSITO, PARA EL ESTADO SONORA.

POL.3RO VIVIANO ALONSO MURRIETA GONZALEZ.