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Home My Public Portal AboutPRR 20-2805I KAIV: 1UU43/4,1z] I REPORT REQUEST PLEASE CHECK A INSURANCE COMPANY NAME: CIRCLE BELOW USAA Report Attached: 8/4/20 I IIIIII VIII VIII VIII VIII (IIII (IIII VIII VIII VIII IIII IIII Report Cost: $ Number of Pages: (including this sheet) ONo Report Found with the information provided ONo Report Written - Log entry only / Driver Exchange of Info. n Loss location not in our Jurisdiction Suggest You Try: O Not Releasable / Not Ready Comments & Suggestions: LOCATION OF LOSS LexisNexis® P.O.BOX 740167 ATLANTA,GA 30374-0167 (678)924-4900 FAX (678)924-4901 TOLL FREE PHONE: 1/800-934-9698 TOLL FREE FAX. 1/800-934-6449 EMAIL REPORTS: ct,u.incoming@lexisnexisrisk.com Report/Case # 20-0671 Type of Report Auto Th Date of Occurrence 4/9/20 Time 0000 Precinct or District City GULF STREAM County PALM BEACH State Additional Information. VEHICLE INFO Car Tag # UNKNOWN State Make VIN Year POLICE or FIRE AGENCY who wrote report? CULF STREAM PD 11.647 3 DRIVERS or VICTIMS INFO Insured Party TRACY STARKEL SOUDER D.O.B. 5/17/67 SS# Drivers Lic # Driver #2 Driver #3 State Client USAA Claims Adjuster t'H I MILK Jtr4KJ Division soil Claim # 786 56 08 010 Internal Codes � 111111111111111111 �1 1111 TRAN: 1094374121 Page 1 of 1 DRAW Pnlir.P l")ant - Plaaca Rptllrn Thic Fnrm With Ynlir Raennnon ThonLo 9800 Fredericksburg Road San Antonio, Texas 78288 June 13, 2018 Reference: Client Authorization to Obtain Reports To Whom It May Concern: N81 Nq US A® By this letter, we hereby authorize LexisNexis to obtain police report, fire reports and/or other public documents on our behalf. Our purpose for ordering this report is for insurance purposes only. Sincerely, Printed Name & (Titt: Michele Traina, Sr. Claims Policy Advisor Effective Date: June 13, 2018 Effective Date: June 13, 2019 Claim Number: 786 56 08 010 LexisNexis Transaction ID 1094374121 Insured / Involved Party: TRACY SOUDER Tag # UNKNOWN Date: 8/4/20 Adjuster: fllaw3new 1094374121 786 56 08 010 Sworn Statement for Trac Crash Report Information Motor Veh icle crash information is confidential and ex emptfrom disclosure foraperiod of60 days afterthe crash report is filed. §316.066(2) (a) Florida Statutes (2016). Obtaining confidential information by someone who knows they are not entitled to do so is afelonyviclation. Theundersignedrequests thefollowingcrashreport(date/location/ arties): 4/9/20 TRACY SOUDER The undersigned states that he/she or the organization represented qualify for immediate disclosure of the crash report according to the exemption checked below and does swear or affirm that the information contained in a crash report made confidential by statute will not be used for any commercial solicitation of accident victims, or knowingly be disclosed to any third party for the purpose of such solicitation, during the period of time that the information remains confidential. I am a party involved in the crash I am a legal representative to a party involved in the crash: Florida Bar Number: I am a licensed insurance agent to a party involved in the crash, their insurer or insurers to whichthey appliedforinsurance coverage, FloridaLi censeNumber: X I am a person under contract to provide claims or underwriting in formation to a qualifying insurance company, identified as: USAA I am a prosecuting authority, Florida Bar Number: I represent a radio or television station licensed by the FCC or newspaper qualified to publish legal notices or an free newspaper of general circulation, as defined in 316.066(2)(b)(2016), Florida Statutes. Name ofRadio/Television/Newspaper: I represent a local, state or federal agency that is authorized by law to have access to these reports. Name of local/state/federal agency: I represent a Victim Services Program, as defined in 316.003(85), Florida Statutes (2016). Name of Program: HOLLY ASHF-R (678)924-4900 FAX (678)924-4901 LEXISNEXIS CLAIMS SOLUTIONS INC. Agency/Business/Represented-, P.O.BOX740167 -• �� Address AT[ ANTA-GA-in374-niR7 (Area Code) Telephone Number City, State, Zip Code GEORG State of Florida, coluntyof GWINNETT d L�'Y ATHERTUN 8/4/20 Sworn (or affirmed) and subscribed before me this_day of 20 b y Personallyknown Xorproduced identification—Type of I entification Produced: JOHN BREWER III S' V fN P bli C 'fled Pant Type or Stamp, Comrmssioned Name of Notaryignat�re o otary u c or erlt Law Enforcement or Correctional Officer ®® wER i HSMV-94010 (Rev. 11116) N�E1,Yp 6 i Q ay ®�J oI C) — ;� ��y6 n,. to i (� '• rJ£C: MBE;' , ` ®,® II TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail August 17, 2020 Lexis Nexis [mail to: PO Box 740167, Atlanta GA 30374-9980] Re: GS #2805 (Police Report) Would like a copy of police report #20-0671. Dear Lexis Nexis [mail to: PO Box 740167, Atlanta GA 30374-9980]: The Town of Gulf Stream has received your public records request 8/13/2020. You should be able to view your original request and response at the following link: http://www2.gulf-stream.org/weblink/0/doc/173126/Page1.aspx The Police Report is also attached for your convenience. We consider this request closed. Sincerely, Reneé Rowan Basel As requested by Rita Taylor Town Clerk, Custodian of the Records ;0 ST , Gulf Stream Police Department Q� 246 Sea Road RA. Gulf Stream, FL 33483 Phone: (561) 278-8611 Fax: (561) 276-2528 Page 1 of 2 NON CRIMINAL OFFENSE REPORT Incident Type: THEFT (GRAND) MOTOR VEHICLE Location of Incident: 520 MIDDLE RD. Zone 2 Complaint Number: 20-0671 Doors Locked: NO INCIDENT SUMMARY ON 4/9/2020 AT 0940 HOURS I WAS DISPATCHED TO 520 MIDDLE RD REFERENCE A DELAYED STOLEN VEHICLE. UPON ARRIVAL I MET WITH THE VICTIM, WILLIAM SOUDER. MR SOUDER ADVISED ME THAT SOMETIME AFTER 0100 HOURS THIS DATE HIS RENTAL CAR WAS TAKEN FROM HIS DRIVEWAY. THE DRIVEWAY FACES NORTH AND THE VEHICLE COULD BE SEEN FROM THE STREET. MR SOUDER SAID THE KEY FOB WAS IN THE VEHICLE. GULF STREAM FL 33483 Type of Premises: RESIDENCE -SINGLE FAMILY Processed By: OFFICER C FAHEY Time of Call: 0940 Time of Arrival: 0945 Time Completed: 1100 Officer Injured: NO Officer Killed/Assaulted: NO Date/Time Reported: 04/09/2020 09:40 Occurred From: 04/09/2020 01:00 To: 04/09/2020 03:10 Domestic: NO Juvenile Involved: NO Reporting Officer: OFC. CHRISTOPHER FAHEY Supervisor: LT. JOHN HASELEY VICTIM Name: WILLIAM SOUDER Race: WHITE Sex: MALE Date of Birth: 05/14/1968 Home Address: 520 MIDDLE RD GULFSTREAM FL 33483 Cell Phone: (312) 953-9739 O'rHER Name: SIXT RENT A CAR Business Address: 1501 NW 49TH CT Business Phone: (954) 707-4648 FT LAUDERDALE FL 33309 Business Name: SIXT RENT A CAR VEHICLE Code: STOLEN Vehicle Make: BMW Vehicle Model: X1 Vehicle Year: 2020 Vehicle Type: SUV Vehicle VIN: WBXJG7CO5L5P71634 Vehicle Color: SILVER/SILVER Vehicle License #: 926YTN License State: FL License Year: 2020 Keys In Vehcile: YES Doors Locked: NO INCIDENT SUMMARY ON 4/9/2020 AT 0940 HOURS I WAS DISPATCHED TO 520 MIDDLE RD REFERENCE A DELAYED STOLEN VEHICLE. UPON ARRIVAL I MET WITH THE VICTIM, WILLIAM SOUDER. MR SOUDER ADVISED ME THAT SOMETIME AFTER 0100 HOURS THIS DATE HIS RENTAL CAR WAS TAKEN FROM HIS DRIVEWAY. THE DRIVEWAY FACES NORTH AND THE VEHICLE COULD BE SEEN FROM THE STREET. MR SOUDER SAID THE KEY FOB WAS IN THE VEHICLE. Yage t of L C;omplamt Number: 2U -U6'/ 1 MR SOUDER SAID HE RENTED THE VEHICLE, 2020 BMW X 1 SILVER IN COLOR ,BEARING FLORIDA TAG 926 YTN, FROM SIXT RENT A CAR .THE CAR WAS RENTED FROM SIXT RENT A CAR, 1501 NW 49TH STREET, FT LAUDERDALE ,FLORIDA, ON 4/1/2020. MR SOUDER GAVE NO ONE PERMISSION TO USE THE VEHICLE AND WIH COMPLETE A MOTOR VEHICLE THEFT AFFIDAVIT. MR SOUDER HAS SURVEILANCE CAMERAS ON THE EXTERIOR OF THE HOUSE WHICH CAPTURE THE DRIVEWAY AREA. MR SOUDER SAID HE WAS NOT SURE HOW TO REVIEW THE VIDEO AND CALLED AUDIO VISUAL TECHNICIAN TO CHECK THE VIDEO. THE TECHNICIAN ADVISED THE STOLEN VEHICLE WAS DRIVEN FROM THE DRIVEWAY AT 0305 HOURS THIS DATE. A COPY OF THE FOOTAGE WILL BE EMAILED TO SERGEANT PASSEGGIATA FOR REVIEW. OFFICER WILSON CHECKED WITH NEIGHBORS TO SEE IF THERE WERE ANY CAMERAS THAT CAPTURED THE STREET. MR KOCH SAID HE WOULD CHECK HIS DRIVEWAY CAMERA WHICH WOULD CAPTURE THE STREET. I CALLED CORPORATE SECURITY FOR SIXT RENT A CAR AND ADVISED THEM OF THE THEFT. I ALSO REQUESTED THAT THEY ACTIVATE THE GPS IN THE VEHICLE SO IT CAN BE RECOVERED. THE INVESTIGATOR EXPLAINED IT MAY TAKE HOURS FOR THIS TO HAPPEN AS ALL ACTIVATIONS ON BMW HAVE TO ORIGINATE OUT OF CALIFORNIA. MR SOURER WAS GIVEN THE CASE NUMBER AND HE COMPLETED THE THEFT AFFIDAVIT AND THE VEHICLE WAS ENTERED NCIC/FCIC BY DELRAY BEACH POLICE DEPARTMENT. THIS REPORT WILL BE UPDATED AFTER REVIEW OF THE VIDEO. NO OTHER INFORMATION AT THIS TIME. Qo Gulf Stream Police Department ® 246 Sea Road �9 Gulf Stream, FL 33483 Phone: (561) 278-8611 Fax: (561) 276-2528 Page 1 of 1 Complaint Number: 20-0671 SUPPLEMENTAL OFFENSE REPORT Incident/Reclassification: THEFT (GRAND) MOTOR VEHICLE Report Status: REPORT ONLY Report Date/Time: 05/05/2020 09:59 Reporting Officer: SGT. BERNARD ODONNELL Supervising Officer: LT. JOHN HASELEY Zone: 2 Division: PATROL Bureau: SUPERVISOR INCIDENT SUMMARY ON MAY 5, 2020 I WAS ASSIGNED BY CHIEF ALLEN TO CONDUCT A FOLLOW UP INVESTIGATION IN REGARDS TO A REPORTED GRAND THEFT VEHICLE INVESTIGATION. THE DATE OF THEFT IS APRIL 9, 2020. THE PRIMARY INVESTIGATOR IS OFFICER FAHEY. IN REVIEW OF THE CASE FILE DOCUMENT'S I HAVE CONFIRMED THE STOLEN VEHICLE DATA IS CORRECT. THE VEHICLE TAG MATCHES THE VEHICLE VIN NUMBER. I VERIFIED THE VEHICLE DATA HAS BEEN ENTERED INTO NCIC/FCIC CORRECTLY BY DELRAY BEACH POLICE DEPARTMENT DISPATCH CENTER. THE VEHICLE TAG AND VIN NUMBER REMAINS ACTIVE STOLEN IN NCIC/FCIC. A COPY OF THE MESSAGE NUMBER HAS BEEN MADE PART OF THIS SUPPLEMENTAL REPORT. I CONTACTED THE RENTAL CAR COMPANY CUSTOMER SERVICE DEPARTMENT BY TELEPHONE. MY INTENTIONS WERE TO VERIFY AND CONFIItM THE STOLEN VEHICLE WAS NOT IN THEIR POSSESSION. THE POSSIBILITY OF THE VEHICLE RECOVERY WITHOUT OUR KNOWLEDGE CAN NOT BE VERIFIED AT THIS TIME. I MADE NUMEROUS UNSUCCESSFUL ATTEMPTS BY TELEPHONE WITH REACHING A LIVE CUSTOMER SERVICE REPRESENTATIVE. I COMMUNICATED VIA EMAIL TO THEIR CUSTOMER SERVICE DEPARTMENT. THE EMAIL CONTAINED A REQUEST FOR VERIFICATION. AN EMAIL RESPONSE IS PENDING. OFFICER C. FAHEY AND LT. HASELEY HAVE BEEN MADE AWARE OF THE VERIFICATION BY EMAIL REQUEST. END OF REPORT. TT. Q Gulf Stream Police Department ® 246 Sea Road ��• Gulf Stream, FL 33483 Phone: (561) 278-8611 Fax: (561) 276-2528 Page 1 of 1 Complaint Number: 20-0671 SUPPLEMENTAL OFFENSE REPORT Incident/Reclassification: THEFT (GRAND) MOTOR VEHICLE Report Status: INACTIVE Report Date/Time: 06/04/2020 22:51 Reporting Officer: SGT. JOHN PASSEGGIATA Supervising Officer: LT. JOHN HASELEY Zone: 2 Division: INVESTIGATIVE Bureau: DETECTIVE INCIDENT SUMMARY ON 6/4/20 AT 22:51 HRS I WAS NOTIFIED VIA DELRAY DISPATCH THAT THE VEHICLE WAS RECOVERED AT 820 NW 13TH AVE BY FORT LAUDERDALE POLICE. THE VEHICLE CONDITION IS GOOD FROM THE OUTSIDE, THE INSIDE HAS SOME DAMAGE. THE VEHICLE IS CURRENTLY LOCATED AT WESTWAY TOWING 3681 W OAKLAND PARK BLVD 954-731-1115.THE BOLO IS NOW CANCELED, SUPPLEMENT IS IN CASE FOLDER. I NOTIFIED SIXT CAR RENTAL, GEORGE VARGAS. NOTHING FURTHER. CASE CLOSED. END.