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K2 <br /> Owner I Owner I <br /> II5033904145 <br /> Lyra!Option Person`Er:Bty Type Ji Business Name(if apphcab ie) Phone Number <br /> I I I Garnice I I I I Carr I I I <br /> Mr.,Ms_,Mrs. first Nam MI <br /> Last Name Suffix <br /> II I I I Copper Creek Loop I I I I NE-Northeast <br /> Number Prefix Street or Highway y r <br /> 5� y t eet7ype Suffix <br /> IH I I Salem <br /> Post Office Box Apt./Suite/Rcom <br /> Cit, <br /> OR I 197305 <br /> State Zip Code <br /> L Remarks: <br /> Dispatched to a report of a house fire-fully involved. Caller(occupant)states that she fell asleep in the back bedroom with <br /> a lit cigarette in her hand and awoke to the mattress on fire. She attempted to drag the mattress out of the home,but <br /> flames grew too big and she exited the structure. First arriving units found a single wide mobile home with moderate fire and <br /> heavy smoke throughout. Fire extension was throughout 2/3 of the structure with smoke and water damage to the entire <br /> structure. Extensive overhaul performed and <br /> Red Cross called for occupant. PGE reports that the power had been turned off to the home for some time. The occupants <br /> had been using a car battery and an inverter to power lights. Home owner is in a nursing home and does not currently reside <br /> there. <br /> M Authorization <br /> 1 809 I I Zaluskey,Jeff I I Captain I I E8 <br /> 1106j21n019 <br /> OFficer In Charge ID Signature Position,or Rank <br /> Assignment Date <br /> 1809 11 Zaluskey,Jeff I I Captain I I E8 <br /> I 106/20/2019 I <br /> Member Making Report Signature Position or Rank <br /> Assignment Date <br /> Pane 1 of R <br />